MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Operative Techniques in Otolaryngology - Head and Neck Surgery' source. Sun, 29 Jan 2012 15:47:43 +0100 http://www.medworm.com/index.php?rid=5477212&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000935%2Fabstract%3Frss%3Dyes Thank you for your comments on our Caldwell Luc procedure in Operative Techniques in Otolaryngology. You state that once the maxillary ostium is enlarged to provide drainage and ventilation the dependent larger sinuses usually heal without being touched. In our description of the Caldwell Luc, we state that chronic maxillary sinus infection that persists after maxillary antrostomy despite the use of culture directed antibiotics and biofilm treatment can be very problematic. We always provide adequate antral ventilation as the first step in treatment of chronic maxillary sinusitis. As you state, the dependent larger sinus “usually heals.” The key word in your statement is “usually.” You imply that the maxillary sinus may not always return to a normal state. The purpose of our paper ... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477212 Thu, 01 Dec 2011 05:00:00 +0100 5477212 http://www.medworm.com/index.php?rid=5477211&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000911%2Fabstract%3Frss%3Dyes As disclosed in the abstract and in the introduction section of the paper entitled “Caldwell-Luc procedure” by Kim and Duncavage, the aims of the publication were to provide the current indications for Caldwell-Luc procedure and to describe the surgical procedure. However, the surgical procedure here described by the authors significantly differs from the traditional Caldwell-Luc procedure because it consists of a surgical approach to the maxillary sinus by a canine fossa puncture, eventually followed by an inferior meatal antrostomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477211 Thu, 01 Dec 2011 05:00:00 +0100 5477211 http://www.medworm.com/index.php?rid=5477210&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001296%2Fabstract%3Frss%3Dyes This article reviews the surgical techniques for accessing, harvesting, and modifying these grafts for use in rhinoplasty. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477210 Thu, 01 Dec 2011 05:00:00 +0100 5477210 http://www.medworm.com/index.php?rid=5477209&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000674%2Fabstract%3Frss%3Dyes The surgical approach to the skull base has traditionally been transcranial, often involving extensive bone drilling, brain retraction, and nerve manipulation to expose pathology. The endoscopic endonasal approach represents a minimal access, maximally aggressive alternative that provides a direct route to the area of interest. Few data exist that can be used to compare these 2 surgical strategies. We conducted a systematic review of case series and case reports in hope of furthering our understanding of the role of endoscopy in the management of difficult cranial base lesions. We found that the endonasal endoscopic technique generates equivalent or greater rates of gross total resection than open approaches for craniopharyngiomas, clivalchordomas, odontoid resection, and tuberculumsellaem... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477209 Thu, 01 Dec 2011 05:00:00 +0100 5477209 http://www.medworm.com/index.php?rid=5477208&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000686%2Fabstract%3Frss%3Dyes Although en-bloc resection is the traditional teaching in oncological surgery, with recent technologic advancements and literature to support both safety and efficacy, there has been a growing acceptance of alternative techniques for the surgical management of paranasal sinus and anterior skull base malignancies. The endoscopic-assisted external approach affords many of the benefits of endoscopic resection while allowing for the management of lesions with marked intracranial extension that would otherwise require anterior craniofacial resection. Here we describe our endoscopic technique for resection of the anterior skull base and its role when combined with anterior craniotomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477208 Thu, 01 Dec 2011 05:00:00 +0100 5477208 http://www.medworm.com/index.php?rid=5477207&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000881%2Fabstract%3Frss%3Dyes This article describes our approach to endoscopic resection of sinonasal malignancy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477207 Thu, 01 Dec 2011 05:00:00 +0100 5477207 http://www.medworm.com/index.php?rid=5477206&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000753%2Fabstract%3Frss%3Dyes The infratemporal fossa is a deeply situated region that can give rise to a range of benign and malignant tumors. The endoscopic endonasal approach provides an alternative to open surgical approaches and may obviate the need for facial nerve transposition, middle ear obliteration, and brain retraction. A transmaxillary corridor with transpterygoid dissection is used to expose the pterygopalatine fossa. Further removal of the posterior wall of the maxillary sinus transgresses the pterygomaxillary fossa to provide access to the infratemporal fossa. The extradural nature of most pathology is associated with low rates of cerebrospinal fluid leakage. Understanding of the complex neurovascular anatomy of this region is essential to achieving successful resection and preventing complications. (So... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477206 Thu, 01 Dec 2011 05:00:00 +0100 5477206 http://www.medworm.com/index.php?rid=5477205&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000662%2Fabstract%3Frss%3Dyes The origin of juvenile angiofibroma is usually around the region of the sphenopalatine artery, and the surgical management of large tumors can be challenging. Traditional approaches to advanced tumors involved open transfacial or transcranial microscope-assisted surgery. Advances in image guidance and endonasal endoscopic techniques have made endonasal endoscopic approaches to the pterygopalatine and infratemporal possible. Endoscopes allow for greater magnification and visualization of complex anatomy, and endoscopic approaches allow the surgeon to avoid manipulation of the osseous midfacial structures that may result in craniofacial abnormalities in this adolescent population. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477205 Thu, 01 Dec 2011 05:00:00 +0100 5477205 http://www.medworm.com/index.php?rid=5477204&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000790%2Fabstract%3Frss%3Dyes This article describes the “endoscopic binostril (transeptal/transeptal) approach” to resection of clival chordomas. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477204 Thu, 01 Dec 2011 05:00:00 +0100 5477204 http://www.medworm.com/index.php?rid=5477203&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000728%2Fabstract%3Frss%3Dyes Arguably one of the most inaccessible regions because of its anatomical location, the petrous apex poses a significant challenge for access to its pathology. In the last 10 years we have seen an impressive evolution of endoscopic techniques, with key advances allowing us to push the limits of endoscopy. Anatomical understanding, instrumentation, and image guidance have greatly contributed to this expansion. These extended endoscopic techniques allow a more direct corridor to the petrous apex without the morbidity posed by lateral or transcranial open approaches. Patients experience a greatly reduced hospital stay, a quicker recovery, and minimal sequelae. Herein we describe the endoscopic approach to the petrous apex. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477203 Thu, 01 Dec 2011 05:00:00 +0100 5477203 http://www.medworm.com/index.php?rid=5477202&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000819%2Fabstract%3Frss%3Dyes Skull base tumors that involve the cavernous sinus (CS) present a challenge to the endoscopic surgeon. Most such lesions arise from sellar pathology that involves the medial wall of the CS, which can be accessed by a transsphenoidal transsellar approach. Tumors that arise primarily in the medial CS may be accessed via a transethmoidal transsphenoidal parasellar approach, which avoids the dissection of sellar contents but requires the removal of bone overlying the carotid artery. Involvement of the tumor in the lateral CS may be accessed by a transmaxillary transpterygoid approach in patients who wish to avoid a craniotomy and in whom radiosurgery is not an option. These tumors are associated with a greater risk of cranial nerve injury, including extraocular palsy. Important adjuncts to the... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477202 Thu, 01 Dec 2011 05:00:00 +0100 5477202 http://www.medworm.com/index.php?rid=5477201&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000704%2Fabstract%3Frss%3Dyes Meningiomas of the anterior skull base have been traditionally approached through transcranial or combined craniofacial routes. While these approaches offer wide exposure and working space, brain retraction, neurovascular manipulation, sinus obliteration, wound healing, and cosmesis can be significant issues. With the evolution of endoscope-assisted surgery, transnasal endoscopic approaches have developed as useful alternatives. These approaches can provide visualization comparable to or better than microscope-assisted surgery, as the endoscope provides excellent resolution of anatomic and pathologic details down these narrow corridors. Moreover, the use of angled endoscopes and instruments enables the surgeon to visualize and remove structures around the corners and avoid brain retraction... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477201 Thu, 01 Dec 2011 05:00:00 +0100 5477201 http://www.medworm.com/index.php?rid=5477200&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101100114X%2Fabstract%3Frss%3Dyes In this issue we focus on advanced techniques to address a wide variety of pathology that extend beyond the transsphenoidal corridor. The anterior cranial fossa, posterior cranial fossa, cavernous sinus and infratemporal fossa are all accessible by extended endoscopic approaches, which have been elaborated upon in the following manuscripts. Because both extracranial and intracranial pathology are amenable to these approaches, these topics are relevant to otolaryngologist–head and neck surgeons and neurosurgeons alike. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477200 Thu, 01 Dec 2011 05:00:00 +0100 5477200 http://www.medworm.com/index.php?rid=5477199&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001205%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477199 Thu, 01 Dec 2011 05:00:00 +0100 5477199 http://www.medworm.com/index.php?rid=5477198&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001199%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477198 Thu, 01 Dec 2011 05:00:00 +0100 5477198 http://www.medworm.com/index.php?rid=5477197&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001187%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477197 Thu, 01 Dec 2011 05:00:00 +0100 5477197 http://www.medworm.com/index.php?rid=5477196&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001175%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477196 Thu, 01 Dec 2011 05:00:00 +0100 5477196 http://www.medworm.com/index.php?rid=5477195&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001163%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5477195 Thu, 01 Dec 2011 05:00:00 +0100 5477195 http://www.medworm.com/index.php?rid=5422866&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000698%2Fabstract%3Frss%3Dyes This article describes the author's experience with a postmarket study assessing the feasibility of moving select endoscopic sinus surgeries with the use of balloon catheter dilation tools to the office setting. A discussion of anesthesia technique, patient selection, procedure room set-up, and equipment requirements is presented. The safety, tolerability, effectiveness, and cost of performing balloon catheter sinus dilation were evaluated in 10 patients in the author's practice. Effectiveness was assessed with both the sinonasal outcome test (SNOT-20) as well as change in Lund-Mackay computed tomography scan scores. Patient pain perception during the procedure was measured with a visual analogue scale. Patient outcomes were assessed at 1-, 4-, 24-, and 52-week follow-up to determine the d... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422866 Thu, 01 Sep 2011 04:00:00 +0100 5422866 http://www.medworm.com/index.php?rid=5422865&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000947%2Fabstract%3Frss%3Dyes The limits of endoscopic skull base surgery have significantly expanded over the past decade. More complex and challenging skull base pathology continues to be treated using endoscopic approaches. The expanding role of endonasal skull base surgery has been possible by a concerted effort to prevent and manage postoperative complications such as cerebrospinal fluid leaks, vascular injuries, neurological deficits, cerebrovascular accidents, and infectious sequelae. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422865 Thu, 01 Sep 2011 04:00:00 +0100 5422865 http://www.medworm.com/index.php?rid=5422864&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000765%2Fabstract%3Frss%3Dyes Vascularized flap reconstruction is an effective reconstructive procedure for the management of complex skull base defects. The workhorse of endonasal reconstruction is the nasoseptal flap, which is a versatile pedicled flap with reliable vascularity that may be harvested using a purely endoscopic technique. Bilateral nasoseptal flaps may also be harvested for the coverage of very large defects. Several technical considerations may improve the ease of harvest and prevent postoperative complications. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422864 Thu, 01 Sep 2011 04:00:00 +0100 5422864 http://www.medworm.com/index.php?rid=5422863&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000777%2Fabstract%3Frss%3Dyes The surgical management of cerebrospinal fluid (CSF) rhinorrhea has evolved with advances in technology and experience with endoscopic endonasal approaches to skull base lesions. The endonasal approach provides excellent visualization and access for repair of CSF leaks and obviates the need for a craniotomy. Over the last 20 years the endoscopic endonasal technique has been refined to provide CSF leak closure rates consistently higher than 90%. In this article, we describe our technique for closure of CSF leaks along the anterior skull base via an endoscopic endonasal approach. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422863 Thu, 01 Sep 2011 04:00:00 +0100 5422863 http://www.medworm.com/index.php?rid=5422862&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000807%2Fabstract%3Frss%3Dyes The effectiveness of orbital decompression has been enhanced by the use of endoscopes in orbital decompressive surgery. In patients with severe proptosis and visual compromise, surgical intervention provides definitive therapy. Endoscopes have allowed for more complete removal of the bone posteriorly to the orbital apex under direct visualization, which has led to a decrease in morbidity. Two-wall decompression is now the minimum procedure that successfully achieves release of contents at the orbital apex. Whether the endoscope is used as an adjunct surgically or postoperatively to facilitate debridement, it has become an important tool in the armamentarium for the successful management of proptosis. The endoscopic view of posterior ethmoidal sinuses and the sphenoid sinuses enables the su... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422862 Thu, 01 Sep 2011 04:00:00 +0100 5422862 http://www.medworm.com/index.php?rid=5422861&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000741%2Fabstract%3Frss%3Dyes We describe our technique for treating craniopharyngiomas via a fully endoscopic, endonasal, extended transsphenoidal approach. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422861 Thu, 01 Sep 2011 04:00:00 +0100 5422861 http://www.medworm.com/index.php?rid=5422860&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000893%2Fabstract%3Frss%3Dyes In conclusion, endoscopic transsphenoidal technique allows for gross total resection in the vast majority of patients. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422860 Thu, 01 Sep 2011 04:00:00 +0100 5422860 http://www.medworm.com/index.php?rid=5422859&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000716%2Fabstract%3Frss%3Dyes The field of endoscopic skull base surgery has rapidly evolved in the past decade and is now an accepted treatment modality for a variety of pathologies in the sinonasal cavities and anterior skull base. Inherent to the development of the field are a variety of technologies and surgical adjuncts that are utilized during various aspects of the surgeries. Understanding the indications, utility and limitations of these adjuncts is critical to the endoscopic skull base surgeon. Additionally important is a discussion of the process with which new surgical devices are integrated into clinical practice. The current article discusses this process in general terms and explores the role of stereotactic navigation, fluorescein, powered instrumentation and lumbar drainage in endoscopic skull base surg... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422859 Thu, 01 Sep 2011 04:00:00 +0100 5422859 http://www.medworm.com/index.php?rid=5422858&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000650%2Fabstract%3Frss%3Dyes Intracranial targets for lesions or disease processes of the skull base are increasingly approached through endoscopic endonasal surgical approaches. The endonasal approach to the skull base can be divided into the nasal or sinus corridor traversed to reach an intracranial target. The transnasal, transethmoid, transphenoid, and transpterygoid approaches are discussed to provide a framework on how to approach various intracranial targets and diseases of the skull base. While endoscopic skull base surgery is minimal access surgery it is maximally invasive. The most common complication is a cerebrospinal fluid leak. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422858 Thu, 01 Sep 2011 04:00:00 +0100 5422858 http://www.medworm.com/index.php?rid=5422857&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000789%2Fabstract%3Frss%3Dyes Endoscopic management of skull base pathology requires a interdisciplinary surgical approach. A comprehensive knowledge of the extracranial and intracranial anatomy is critical to achieve successful outcomes and decrease complications. Surgeons must familiarize themselves with anatomy of the ethmoid region, lateral nasal wall, sphenoid sinus, cavernous region, sellar/suprasellar region, clivus, and pterygopalatine/infratemporal fossa before embarking on these approaches. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422857 Thu, 01 Sep 2011 04:00:00 +0100 5422857 http://www.medworm.com/index.php?rid=5422856&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101100073X%2Fabstract%3Frss%3Dyes More than 15 years have passed since the first description of endoscopic pituitary resection via an endonasal route. In the intervening years we have witnessed a proliferation in the application of endoscopic approaches to address a broad range of surgical targets at the midline skull base. Both extracranial and intracranial pathology are now amenable to an endoscopic approach, making these techniques of interest to both otolaryngologists and neurosurgeons. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422856 Thu, 01 Sep 2011 04:00:00 +0100 5422856 http://www.medworm.com/index.php?rid=5422855&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001035%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422855 Thu, 01 Sep 2011 04:00:00 +0100 5422855 http://www.medworm.com/index.php?rid=5422854&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001023%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422854 Thu, 01 Sep 2011 04:00:00 +0100 5422854 http://www.medworm.com/index.php?rid=5422853&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011001011%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422853 Thu, 01 Sep 2011 04:00:00 +0100 5422853 http://www.medworm.com/index.php?rid=5422852&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101100100X%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422852 Thu, 01 Sep 2011 04:00:00 +0100 5422852 http://www.medworm.com/index.php?rid=5422851&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000996%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5422851 Thu, 01 Sep 2011 04:00:00 +0100 5422851 http://www.medworm.com/index.php?rid=5209821&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000327%2Fabstract%3Frss%3Dyes Mandibular repositioning appliances (MRA) are currently the most widespread and evaluated type of oral appliance used to treat obstructive sleep apnea (OSA). Although oral appliance therapy usually reduces snoring, it is not always as effective in treating OSA. The methods that have been described to predict treatment outcome with oral appliance therapy mostly have relied on retrospective analysis and there is a significant lack of uniformity concerning the predictive models. Therefore, the ability to predict treatment outcome of oral appliance therapy prospectively in the individual patient and, thereby, preselecting suitable OSA patients for oral appliance therapy, is still limited in clinical practice. The site of upper airway obstruction can be assessed by sleep nasendoscopy or ‘drug... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209821 Wed, 01 Jun 2011 04:00:00 +0100 5209821 http://www.medworm.com/index.php?rid=5209820&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000813%2Fabstract%3Frss%3Dyes In this study, we describe the adhesive strips patching using Steri-Strip for tympanic membrane perforations. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209820 Wed, 01 Jun 2011 04:00:00 +0100 5209820 http://www.medworm.com/index.php?rid=5209819&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000261%2Fabstract%3Frss%3Dyes We describe a technique for central neck dissection extending into level VII, removing the the nodes extending into the anterior mediastinum. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209819 Wed, 01 Jun 2011 04:00:00 +0100 5209819 http://www.medworm.com/index.php?rid=5209818&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000042%2Fabstract%3Frss%3Dyes We describe a technique of ventilating patients through a laryngeal mask airway and passing a flexible bronchoscope with a potassium-titanyl phosphate fiber laser through the laryngeal mask airway for laryngeal and tracheal surgery. There are several advantages to this method, including ease of visualization of airway lesions, wide access for therapeutic interventions, and minimal vocal cord trauma. This technique is an important tool in the management of difficult laryngotracheal lesions. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209818 Wed, 01 Jun 2011 04:00:00 +0100 5209818 http://www.medworm.com/index.php?rid=5209817&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000273%2Fabstract%3Frss%3Dyes We describe our management approach to premalignant oral cavity lesions as well as more benign oral cavity lesions amenable to treatment via an office-based laser. We also detail our experience and the theory behind various types of ablative and angiolytic lasers including CO2, thulium, 532-nm and 940-nm diode, and 532-nm pulsed potassium-titanyl phosphate laser in this setting. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209817 Wed, 01 Jun 2011 04:00:00 +0100 5209817 http://www.medworm.com/index.php?rid=5209816&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000339%2Fabstract%3Frss%3Dyes This article describes the authors' technique for treatment of sulcus vocalis using the CO2 laser digital scanning system and injectable collagen. The aim of this surgery is to increase the pliability of the vocal folds and decrease the glottal gap. The surgical technique is based on the concept of Cornut and Bouchayer, where the dissection of the epithelium adherent to the deep subepithelial plane improves the vocal fold vibration. When the vocal fold is atrophic, surgery is completed by collagen injection. This technique, combined with speech therapy, improves significantly voice efficiency. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209816 Wed, 01 Jun 2011 04:00:00 +0100 5209816 http://www.medworm.com/index.php?rid=5209815&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000376%2Fabstract%3Frss%3Dyes This article describes the author's management of laryngeal sarcoidosis through a minimally invasive technique that has lead to symptom control and reduction in systemic therapy in most patients. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209815 Wed, 01 Jun 2011 04:00:00 +0100 5209815 http://www.medworm.com/index.php?rid=5209814&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000340%2Fabstract%3Frss%3Dyes Glottic web results form varied etiology and depending on its location and degree can lead to varying degree of airway stenosis. Management of glottic webs is still difficult in spite of various proposed surgical methods. We practice transoral endoscopic CO2 laser excision of extensive glottic web causing airway obstruction.At our institute which is a specialized tertiary care center for management of airway related disorders, we have re-classified glottic webs to match the surgical procedures. The classification is based on antero-posterior extent and involvement of the commissure. The surgical methods employed to correct this glottic obstruction have also been described.We also propose modified surgical procedures for extensive, thick webs. Diagnosis of involvement of commissures as well... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209814 Wed, 01 Jun 2011 04:00:00 +0100 5209814 http://www.medworm.com/index.php?rid=5209813&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000030%2Fabstract%3Frss%3Dyes Photodynamic therapy is a method for achieving selective tissue destruction of neoplastic and atypical proliferative cells using a chemical photosensitizer, which accumulates within the tumor, and a light source to activate a free radical cascade. This method has been used for a variety of malignant and premalignant conditions. We have been using photodynamic therapy in the larynx for intractable and difficult keratosis with atypia using a nebulized formulation of aminolevulinic acid activated with the 585-nm pulse dye laser (Cynosure, Chelmsford, MA). We can perform this procedure in the office under local anesthesia using a flexible nasopharyngoscope with a 2.5-mm working channel. We have found it to be a valuable adjunct for patients with widespread keratosis and dysplasia. In this arti... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209813 Wed, 01 Jun 2011 04:00:00 +0100 5209813 http://www.medworm.com/index.php?rid=5209812&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000054%2Fabstract%3Frss%3Dyes is becoming an accepted alternative to trancervical myotomy. The operative time is shorter; the morbidity is minimized and complications are comparable if not less frequent and severe than the transcervical approach. An improved understanding of the anatomy posterior to the cricopharyngeus as well as detailed illustration of the surgical technique may serve to decrease surgeons' hesitancy in adopting this technique and increase its general acceptance as a viable alternative to transcervical cricopharyngeal myotomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209812 Wed, 01 Jun 2011 04:00:00 +0100 5209812 http://www.medworm.com/index.php?rid=5209811&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000029%2Fabstract%3Frss%3Dyes This article presents the authors' endoscopic surgical technique using laryngeal mask anesthesia during CO2 laser treatment of subglottic and tracheal stenosis. A flexible bronchoscope is passed through a laryngeal mask airway and permits continuous ventilation during treatment with a flexible CO2 laser fiber or balloon dilator. This technique allows excellent airway control, access, and visualization during surgery and is easily mastered by anesthesiologists and otolaryngologists. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209811 Wed, 01 Jun 2011 04:00:00 +0100 5209811 http://www.medworm.com/index.php?rid=5209810&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000406%2Fabstract%3Frss%3Dyes Posttracheotomy “lambdoid” deformity of the trachea is a specific variant of adult laryngotracheal stenosis in which airway obstruction is caused by inward collapse of over-resected tracheal cartilage because of post-decannulation stomal contracture. The lesion extends over 1 or 2 tracheal rings with a normal proximal and distal trachea. The trachealis is not involved and there is usually a small anterior bridge of preserved trachea. Conventional treatment involves resection of the damaged trachea and end-to-end anastamosis. The development of “shared-airway” anesthesia techniques and the advancements in endoscopic surgery have made it possible to resect these lesions with minimal morbidity and a shorter hospital stay. (Source: Operative Techniques in Otolaryngology - Head and Neck... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209810 Wed, 01 Jun 2011 04:00:00 +0100 5209810 http://www.medworm.com/index.php?rid=5209809&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101100008X%2Fabstract%3Frss%3Dyes This article describes the authors' experience with transoral CO2 laser microsurgery for laryngeal tumors resection based on the European Laryngological Society established classifications for cordectomies and supraglottic laryngectomies as well as systematic frozen section analysis. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209809 Wed, 01 Jun 2011 04:00:00 +0100 5209809 http://www.medworm.com/index.php?rid=5209808&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000091%2Fabstract%3Frss%3Dyes Bilateral immobility of the vocal folds can have a dramatic impact on both airway and voice. The diagnosis is based on history and physical examination and is supported by some objective tests such as computed tomography or magnetic resonance imaging evaluations. Although airway management is often the first consideration, a critical determination that is important both to an assessment of prognosis and to surgical planning is the differentiation between fixation and paralysis. The focus of surgical therapy has predominantly been directed at vocal fold lateralization, although there is growing interest in reinnervation and laryngeal pacing. There are a number of reliable lateralization and traditional techniques that are best performed with a tracheostomy in place. A lateralization procedu... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209808 Wed, 01 Jun 2011 04:00:00 +0100 5209808 http://www.medworm.com/index.php?rid=5209807&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101100042X%2Fabstract%3Frss%3Dyes It is my honor and privilege to be the guest editor for this issue of Operative Techniques in Otolaryngology—Head and Neck Surgery specifically focused on laser surgery. The sphere of laser surgery at its outset nearly 50 years ago represents the essential example of minimally invasive surgery. Cutting tissue, without touching it; taking light and making it into a scalpel. These concepts have launched us into this new realm of care that has spawned innovations that even the prescient few who were “on the ground floor” of this field could not have foreseen. This issue is dedicated to all things “laser.” (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209807 Wed, 01 Jun 2011 04:00:00 +0100 5209807 http://www.medworm.com/index.php?rid=5209806&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000509%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209806 Wed, 01 Jun 2011 04:00:00 +0100 5209806 http://www.medworm.com/index.php?rid=5209805&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000492%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209805 Wed, 01 Jun 2011 04:00:00 +0100 5209805 http://www.medworm.com/index.php?rid=5209804&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000480%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209804 Wed, 01 Jun 2011 04:00:00 +0100 5209804 http://www.medworm.com/index.php?rid=5209803&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000479%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209803 Wed, 01 Jun 2011 04:00:00 +0100 5209803 http://www.medworm.com/index.php?rid=5209802&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000467%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=5209802 Wed, 01 Jun 2011 04:00:00 +0100 5209802 http://www.medworm.com/index.php?rid=4822567&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000078%2Fabstract%3Frss%3Dyes Mohs micrographic surgery for cutaneous malignancies is a tissue-sparing procedure that offers cure rates superior to that of other treatment options. Mohs surgery has evolved as the most reliable and cost-effective treatment modality for skin cancer, offering maximal preservation of normal tissue and therefore the lowest functional and cosmetic morbidity. It is a method of surgical excision with high intrinsic value that is cost-effective in comparison with traditional surgical excision. In this article, the main steps of this surgical procedure are outlined along with the tissue-processing concepts, the indications, limitations, and cost-effectiveness of Mohs micrographic surgery (MMS). (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822567 Tue, 01 Mar 2011 00:00:00 +0100 4822567 http://www.medworm.com/index.php?rid=4822566&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000746%2Fabstract%3Frss%3Dyes Suboptimal facial scarring can be a stigma, leading many affected patients to seek treatment. An increasing array of minimally invasive techniques and topical treatments can improve many scars either as standalone interventions or as an adjunct to surgical scar revision. Familiarity with the science of normal wound healing, competence in minimally invasive techniques, and an evidence-based approach to using the wide array of available medical therapies will assist the head and neck surgeon in obtaining the best facial scars possible. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822566 Tue, 01 Mar 2011 00:00:00 +0100 4822566 http://www.medworm.com/index.php?rid=4822565&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000825%2Fabstract%3Frss%3Dyes Most scars are traumatic in nature and their length and orientation result from the initial injury and repair. The scar reflects the degree and depth of the injury and whether the skin edges were torn, frayed, or beveled. The amount of skin loss affects not only the appearance of the scar but the degree of distortion involving adjacent structures. In addition to the extent of injury and soft tissue loss, there are multiple other factors affecting the degree of scar deformity. These include orientation of the scar, position of the scar on the face, age of the patient, genetic factors affecting healing and scar formation, and the techniques used in wound closure. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822565 Tue, 01 Mar 2011 00:00:00 +0100 4822565 http://www.medworm.com/index.php?rid=4822564&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000849%2Fabstract%3Frss%3Dyes This article summarizes various surgical techniques useful in restoring intranasal lining required during reconstruction of full thickness nasal defects. Bipedical vestibular skin advancement flaps may be used for lining defects of the nostril that do not have a vertical height greater than 1.0 cm. Lining defects larger than 1.0 cm in vertical height are best repaired with an ipsilateral septal mucoperichondrial hinge flap. If this by itself is insufficient, a contralateral dorsal septal mucoperichondrial flap may be used to provide additional lining to the nasal sidewall and middle nasal vault. For full-thickness defects of the nasal tip or dorsum, some form of a septal composite chondromucosal pivotal flap may be necessary for lining the nasal passages. Inferior and middle turbinate muco... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822564 Tue, 01 Mar 2011 00:00:00 +0100 4822564 http://www.medworm.com/index.php?rid=4822563&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000059X%2Fabstract%3Frss%3Dyes This article reviews the anatomy, indications, surgical technique, and complications of the forehead flap while reviewing recent refinements in its application. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822563 Tue, 01 Mar 2011 00:00:00 +0100 4822563 http://www.medworm.com/index.php?rid=4822562&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000062X%2Fabstract%3Frss%3Dyes We present the reader with an up-to-date review of the philosophy behind treating defects in these nasal subunits. We also provide some detailed examples of techniques that can be used to achieve successful reconstruction of defects in these challenging locations. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822562 Tue, 01 Mar 2011 00:00:00 +0100 4822562 http://www.medworm.com/index.php?rid=4822561&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000618%2Fabstract%3Frss%3Dyes This article describes the authors' technique for selection and design of complex local flaps in reconstruction of the cheek. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822561 Tue, 01 Mar 2011 00:00:00 +0100 4822561 http://www.medworm.com/index.php?rid=4822560&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000631%2Fabstract%3Frss%3Dyes This article explores methods of auricular reconstruction for otohematoma, lacerations, lobule tears, avulsion injuries, and a variety of oncologic defects. Reconstruction techniques focus on restoration of both form and function with an esthetically pleasing result. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822560 Tue, 01 Mar 2011 00:00:00 +0100 4822560 http://www.medworm.com/index.php?rid=4822559&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000066%2Fabstract%3Frss%3Dyes This article discusses eyelid and periorbital reconstruction options. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822559 Tue, 01 Mar 2011 00:00:00 +0100 4822559 http://www.medworm.com/index.php?rid=4822558&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000667%2Fabstract%3Frss%3Dyes Discussion of these techniques and case examples will be included in this review. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822558 Tue, 01 Mar 2011 00:00:00 +0100 4822558 http://www.medworm.com/index.php?rid=4822557&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000606%2Fabstract%3Frss%3Dyes This article describes the common applications of skin grafting. It also describes three less common applications of FTSG the authors use in the reconstruction of nasal vestibule stenosis, external auditory meatal stenosis, and full thickness scalp defects. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822557 Tue, 01 Mar 2011 00:00:00 +0100 4822557 http://www.medworm.com/index.php?rid=4822556&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000710%2Fabstract%3Frss%3Dyes Facial reconstruction relies on the creativity of surgeons as well as a clear understanding in the properties of local flaps. Choosing the correct procedure begins with thorough analysis of the defect. Multiple reconstructive options often exist, which can then be narrowed and refined based on the specific qualities of the defect and the history of the patient. Careful planning ultimately leads to an excellent functional and aesthetic reconstructive outcome. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822556 Tue, 01 Mar 2011 00:00:00 +0100 4822556 http://www.medworm.com/index.php?rid=4822555&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000655%2Fabstract%3Frss%3Dyes This article attempts to synthesize major principles into a guide with which to approach skin cancer reconstruction. Three major areas are addressed when planning a reconstructive strategy and these include: general principles of head and neck reconstruction and defect closure, patient-specific factors, and lesion-specific factors. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822555 Tue, 01 Mar 2011 00:00:00 +0100 4822555 http://www.medworm.com/index.php?rid=4822554&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000108%2Fabstract%3Frss%3Dyes It is with great pleasure that we helped organize this issue of Operative Techniques in Otolaryngology–Head and Neck Surgery dedicated to the topic of local facial reconstruction. The goals of the articles were to provide the latest in local flap facial reconstructive techniques. The initial articles summarize key conceptual points that aide in choosing the correct pathway for reconstruction. As in most areas of medicine, there are many options to choose from when reconstructing facial defects. No one answer is correct, but certainly there are more sound choices. The remaining articles focus on reconstruction from a subunit approach. Techniques described strive to reconstruct defects that allow for return of function as well as optimal esthetic outcomes. The final articles in the issue f... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822554 Tue, 01 Mar 2011 00:00:00 +0100 4822554 http://www.medworm.com/index.php?rid=4822553&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000169%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822553 Tue, 01 Mar 2011 00:00:00 +0100 4822553 http://www.medworm.com/index.php?rid=4822552&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000157%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822552 Tue, 01 Mar 2011 00:00:00 +0100 4822552 http://www.medworm.com/index.php?rid=4822551&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000145%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822551 Tue, 01 Mar 2011 00:00:00 +0100 4822551 http://www.medworm.com/index.php?rid=4822550&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000133%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822550 Tue, 01 Mar 2011 00:00:00 +0100 4822550 http://www.medworm.com/index.php?rid=4822549&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181011000121%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4822549 Tue, 01 Mar 2011 00:00:00 +0100 4822549 http://www.medworm.com/index.php?rid=4296496&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000837%2Fabstract%3Frss%3Dyes This article describes the preoperative evaluation, surgical technique, and postoperative care that have evolved to produce the most favorable results for patients undergoing surgical repair of aural atresia. Results and complications of surgery and their management are also reviewed. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296496 Wed, 01 Dec 2010 00:00:00 +0100 4296496 http://www.medworm.com/index.php?rid=4296495&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000783%2Fabstract%3Frss%3Dyes This article describes the surgical techniques in such cases for the application of the VSB and the positions of its active part—the floating mass transducer. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296495 Wed, 01 Dec 2010 00:00:00 +0100 4296495 http://www.medworm.com/index.php?rid=4296494&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000059%2Fabstract%3Frss%3Dyes Cochlear implantation allows for improved communication and quality of life in elderly individuals with severe to profound sensorineural hearing loss and poor word discrimination. Medical and psychosocial factors, however, pose additional challenges that can impact desired cochlear implant outcomes. Risks associated with cochlear implantation are not significantly increased with age. Special consideration should, however, be given to the peri-operative needs of this population and added risks associated with the recovery process. A thorough multidisciplinary approach to candidacy evaluation is necessary to minimize intervention risks, and develop appropriate expectations by the patient and family members. Post-operative rehabilitation including the development of strategies for better comm... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296494 Wed, 01 Dec 2010 00:00:00 +0100 4296494 http://www.medworm.com/index.php?rid=4296493&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000076X%2Fabstract%3Frss%3Dyes We present an overview of our process for revision cochlear implant surgery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296493 Wed, 01 Dec 2010 00:00:00 +0100 4296493 http://www.medworm.com/index.php?rid=4296492&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000643%2Fabstract%3Frss%3Dyes Patients with chronic serous or suppurative otitis media (CSOM) requiring cochlear implantation present a management challenge. Treatment protocols are emerging for cochlear implantation in CSOM. Elimination of infection and protection of the cochlear implant electrode array are the principle goals, although prevention of infection, including the potential for intracranial involvement, takes precedence over early implantation. In some cases of active disease, a staged procedure may be required. Here, we review the literature, discuss management of cochlear implantation in CSOM, and provide a management algorithm to guide decision-making. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296492 Wed, 01 Dec 2010 00:00:00 +0100 4296492 http://www.medworm.com/index.php?rid=4296491&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000734%2Fabstract%3Frss%3Dyes Despite the fact that the transmastoid facial recess approach continues to be the gold standard and most commonly utilized worldwide for cochlear implant (CI) surgery, a number of other techniques have been developed and described in the literature. While many of these alternative techniques are employed when anatomical constraints require nontraditional approaches, others are used depending on the preference, comfort level, and specific training of the surgeon. While these alternative techniques are important additions to any otologist's armamentarium, it is paramount that CI surgery remain safe and effective while minimizing complications. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296491 Wed, 01 Dec 2010 00:00:00 +0100 4296491 http://www.medworm.com/index.php?rid=4296490&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000072%2Fabstract%3Frss%3Dyes Approximately 20%-35% of patients with profound congenital sensorineural hearing loss have radiographic evidence of anatomic inner ear abnormalities. In the past, congenital malformations of the inner ear were considered by some to be a contraindication to cochlear implantation due to surgical concerns over electrode placement as well as expected poor audiologic performance. With the advent of improved imaging modalities as well as refined surgical techniques, implantation of the malformed inner ear is now performed frequently. In addition, recent studies continue to demonstrate a significant hearing benefit from cochlear implants in patients with inner ear dysplasia. These hearing results, however, tend to correlate with the severity of the inner ear malformation. (Source: Operative Techn... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296490 Wed, 01 Dec 2010 00:00:00 +0100 4296490 http://www.medworm.com/index.php?rid=4296489&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000771%2Fabstract%3Frss%3Dyes Labyrinthitis ossificans, once considered a contraindication for cochlear implantation, can now be managed effectively to ensure electrode placement while preserving cochlear structure and neural function. Judicious use of computed axial tomography and magnetic resonance imaging scanning to stage the level of cochlear duct obstruction is critical to surgical planning and for choosing which electrodes to have available during surgery. Outcomes reflect the degree of cochlear ossification, the depth of electrode insertion achieved, and the care taken to avoid thermal and direct trauma to the remaining ganglion cells in the spiral lamina. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296489 Wed, 01 Dec 2010 00:00:00 +0100 4296489 http://www.medworm.com/index.php?rid=4296488&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000163%2Fabstract%3Frss%3Dyes The cochlear implant intervention is the standard of care for the rehabilitation of severe to profound hearing loss in children. Growing case numbers are associated with increasing prevalence of conditions that may require surgical revision to maintain electrical hearing and language acquisition. Scalp complications can be avoided by observing core surgical principles, which also reduces the risk of wound infections. Providers of cochlear implant care should also become familiar with the indications for revision surgery, including the work-up and appropriate technique for electrode re-insertion. A summary of the literature reveals varied outcomes depending on indication, ranging from diminished speech performance to significant gains after revision surgery. Patient selection must be carefu... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296488 Wed, 01 Dec 2010 00:00:00 +0100 4296488 http://www.medworm.com/index.php?rid=4296487&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000758%2Fabstract%3Frss%3Dyes This article describes CI electrode insertion in the normal and abnormal cochlea, including technical considerations unique to cochlear malformations, dysplasia, ossification, and revision implantation. Currently available electrodes and device specific operative techniques are reviewed. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296487 Wed, 01 Dec 2010 00:00:00 +0100 4296487 http://www.medworm.com/index.php?rid=4296486&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000448%2Fabstract%3Frss%3Dyes The use of cochlear implantation to treat sensorineural hearing loss continues to evolve as an increasing number of both adult and pediatric patients undergo this life-changing surgery. As our understanding of electrical stimulation of the auditory system unfolds, the importance of proper cochleostomy placement and intracochlear electrode positioning continues to evolve. Currently, atraumatic intracochlear electrode array implantation into scala tympani appears to optimize performance while providing the opportunity for hearing preservation for the purposes of bimodal stimulation. With these objectives in mind, this article describes the authors' surgical approach to gain access to scala tympani with the intent of minimizing trauma to the underlying structures. This approach is based on th... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296486 Wed, 01 Dec 2010 00:00:00 +0100 4296486 http://www.medworm.com/index.php?rid=4296485&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001156%2Fabstract%3Frss%3Dyes Helen Keller is attributed to having said that blindness separates us from objects but deafness separates us from people. The ability over the last 20 years to provide restoration of hearing has been one of the truly incredible advances that have occurred within surgical otology. While the future is quite bright with the hope of gene therapy for the management of hearing loss, we have at the present very successful modalities to address the challenges that our patients face currently. Whether through ossiculoplasty, implantable hearing devices, bone-anchored hearing aids, or cochlear implants, our patients' options have a consistent track record of success. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296485 Wed, 01 Dec 2010 00:00:00 +0100 4296485 http://www.medworm.com/index.php?rid=4296484&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001041%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296484 Wed, 01 Dec 2010 00:00:00 +0100 4296484 http://www.medworm.com/index.php?rid=4296483&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000103X%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296483 Wed, 01 Dec 2010 00:00:00 +0100 4296483 http://www.medworm.com/index.php?rid=4296482&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001028%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296482 Wed, 01 Dec 2010 00:00:00 +0100 4296482 http://www.medworm.com/index.php?rid=4296481&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001016%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296481 Wed, 01 Dec 2010 00:00:00 +0100 4296481 http://www.medworm.com/index.php?rid=4296480&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010001004%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4296480 Wed, 01 Dec 2010 00:00:00 +0100 4296480 http://www.medworm.com/index.php?rid=4254580&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000151%2Fabstract%3Frss%3Dyes This article reviews the causes of ossicular impairment, interpretations of chronic ear disease, and provides a structured approach to the surgical correction of conductive hearing loss. It discusses reasons for inadequate air bone gap closure following ossicular chain reconstruction. The article reviews the Austin-Kartush classification of ossicular impairment, which allows for classification of nearly any defect in the ossicular chain. Using the Austin-Kartush classification, our most common ossicular chain reconstruction techniques are presented. Alternatives to ossicular chain reconstruct are discussed. A surgical video of transcanal Vibroplasty is included and available for viewing online. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254580 Wed, 01 Sep 2010 00:00:00 +0100 4254580 http://www.medworm.com/index.php?rid=4254579&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000060%2Fabstract%3Frss%3Dyes Significant hearing loss among Americans is usually rehabilitated with the use of conventional hearing aids. Hearing aids have evolved significantly and become advanced over time. Although more advanced and beneficial they do not enjoy universal acceptance in the hearing impaired population. Implantable hearing systems have been developed to overcome the limitations of traditional hearing aids and provide the user with extra benefits. The fully implantable ossicular stimulator is one system currently under clinical investigation. The implantation technique of this device is presented as a new approach to the rehabilitation of patients with sensorineural hearing loss. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254579 Wed, 01 Sep 2010 00:00:00 +0100 4254579 http://www.medworm.com/index.php?rid=4254578&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000187%2Fabstract%3Frss%3Dyes Bone conduction hearing systems utilize a surgically implanted osseointegrated fixture to create a method for direct transmission of vibration to the skull and cochlea via a bone conduction sound processor. They are indicated for use in persons over the age of 5 with conductive and/or mixed hearing loss and single-sided deafness. Bone anchored hearing devices are considered when use of a conventional air conduction hearing aid is not possible or effective. The operative technique includes two components—subcutaneous tissue reduction to create thin, immobile skin around the abutment, and bone work for fixture placement performed in such a way to maximize the opportunity for osseointegration. The indications, linear incision surgical technique, special considerations in pediatrics, postope... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254578 Wed, 01 Sep 2010 00:00:00 +0100 4254578 http://www.medworm.com/index.php?rid=4254577&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000114%2Fabstract%3Frss%3Dyes Implantable hearing devices, such as the Vibrant Soundbridge, were originally developed to be an alternative to traditional external auditory canal hearing devices. Recent modifications in surgical technique have allowed this implantable device to find a unique new niche in the treatment of mixed hearing loss. The primary design of the Vibrant Soundbridge marries a floating mass transducer to the incus to deliver mechanical energy through the native conductive mechanism. Variants to this theme have been developed to address specific issues. In this work we review the alternative placements of the floating mass transducer with different ossicular reconstruction configurations and placement at the round window. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254577 Wed, 01 Sep 2010 00:00:00 +0100 4254577 http://www.medworm.com/index.php?rid=4254576&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000175%2Fabstract%3Frss%3Dyes The Vibrant Soundbridge was approved in the US for moderate-to-severe sensorineural hearing loss. Initially implanted via a transmastoid/posterior tympanotomy, which is still the most commonly performed approach, the transcanal approach is growing both in interest and practice. While both share many common elements in the surgery, knowledge of the challenges and advantages of both approaches gives the surgeon greater flexibility in implanting the moderate-to-severe sensorineural hearing loss patient with the Vibrant Soundbridge. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254576 Wed, 01 Sep 2010 00:00:00 +0100 4254576 http://www.medworm.com/index.php?rid=4254575&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000801%2Fabstract%3Frss%3Dyes Helen Keller is attributed to having said that blindness separates us from objects but deafness separates us from people. The ability over the last 20 years to provide restoration of hearing has been one of the truly incredible advances that have occurred within surgical otology. While the future is quite bright with the hope of gene therapy for the management of hearing loss, we have at the present very successful modalities to address the challenges that our patients face currently. Whether through ossiculoplasty, implantable hearing devices, bone-anchored hearing aids, or cochlear implants, our patients' current options have a consistent track record of success. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254575 Wed, 01 Sep 2010 00:00:00 +0100 4254575 http://www.medworm.com/index.php?rid=4254574&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000436%2Fabstract%3Frss%3Dyes This article describes the authors' method for craniofacial approaches to the anterior skull base. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254574 Wed, 01 Sep 2010 00:00:00 +0100 4254574 http://www.medworm.com/index.php?rid=4254573&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000369%2Fabstract%3Frss%3Dyes Postoperative reocclusion or obstruction of the frontal sinus outflow tract are key factors in the failure of surgical efforts to treat frontal sinus disease. Stenting of the frontal sinus is a useful adjunctive measure for select patients, including those who have failed previous surgical treatment or who are deemed to be at high risk of failure due to unfavorable anatomy or mucosal disease. Multiple approaches to stenting of the frontal sinus are available, including purely endonasal techniques, a combined approach using both endonasal access to the frontal sinus and external trephination, and an external approach via modified Lynch (Neel-Lake) frontoethmoidectomy. Herein, we describe the surgical techniques for frontal sinus stent placement, review the options for choice of stenting mat... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254573 Wed, 01 Sep 2010 00:00:00 +0100 4254573 http://www.medworm.com/index.php?rid=4254572&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000370%2Fabstract%3Frss%3Dyes The purpose of this article is to describe the facial degloving approach for ablative surgery for various pathologies involving the midface skeleton. The main advantages of the facial degloving procedure are wide exposure of the midface skeleton, the associated low morbidity, and excellent cosmetic outcome that avoids external scars. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254572 Wed, 01 Sep 2010 00:00:00 +0100 4254572 http://www.medworm.com/index.php?rid=4254571&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000394%2Fabstract%3Frss%3Dyes Tumors of the nasal cavity and paranasal sinuses are uncommon and represent both malignant and benign pathology. These neoplasms often present as locally advanced lesions. Depending on the extent of the disease, a total maxillectomy has been traditionally used for eradication of disease successfully. Although radiation therapy may be an option, patients treated with surgical excision benefit from preservation of adjacent vital structures. Free tissue transfer provides many reconstructive options for the head and neck surgeon and is reliable for restoring near-normal functional recovery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254571 Wed, 01 Sep 2010 00:00:00 +0100 4254571 http://www.medworm.com/index.php?rid=4254570&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000400%2Fabstract%3Frss%3Dyes This article describes the operation in detail. It will also guide the surgeon in determining a surgical candidate for this operation. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254570 Wed, 01 Sep 2010 00:00:00 +0100 4254570 http://www.medworm.com/index.php?rid=4254569&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000424%2Fabstract%3Frss%3Dyes Maxillary sinus disease can be treated easily with minimally invasive endoscopic sinus techniques in the majority of cases. However, some aspects of the sinus are difficulty to visualize and a canine fossa puncture can allow secure access to these areas. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254569 Wed, 01 Sep 2010 00:00:00 +0100 4254569 http://www.medworm.com/index.php?rid=4254568&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000722%2Fabstract%3Frss%3Dyes An inferior maxillary sinus antrostomy is useful for several reasons. In patients with open medial antrostomies who are having persistent infections a secondary cilial dysfunction may be present. An inferior antrostomy provides an alternate pathway of drainage allowing the cilia to become functional. It also helps for polyp disease, thick secretions, large retention cysts, maxillary related choanal polyps or fungal disease removal. It gives better exposure to the floor and anterior maxillary sinus. The use of an medial based nasal flap which can be elevated prior to the antrostomy enhances healing if a larger permanent window is desired. The window can be made small, if temporary, or large, if permanent, as is necessary. (Source: Operative Techniques in Otolaryngology - Head and Neck Surge... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254568 Wed, 01 Sep 2010 00:00:00 +0100 4254568 http://www.medworm.com/index.php?rid=4254567&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000795%2Fabstract%3Frss%3Dyes This is the second consecutive issue dealing with external approaches to the paranasal sinuses. It is hoped these articles will prove helpful the next time an external approach is found necessary for the treatment of disease entities of the paranasal sinuses. The articles are concise and to the point with great illustrations. As previously noted, while these approaches are not often used today, they are part of our sinus surgery armamentarium. Every sinus surgeon should have familiarity with these techniques and procedures. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254567 Wed, 01 Sep 2010 00:00:00 +0100 4254567 http://www.medworm.com/index.php?rid=4254566&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000904%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254566 Wed, 01 Sep 2010 00:00:00 +0100 4254566 http://www.medworm.com/index.php?rid=4254565&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000898%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254565 Wed, 01 Sep 2010 00:00:00 +0100 4254565 http://www.medworm.com/index.php?rid=4254564&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000886%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254564 Wed, 01 Sep 2010 00:00:00 +0100 4254564 http://www.medworm.com/index.php?rid=4254563&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000874%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254563 Wed, 01 Sep 2010 00:00:00 +0100 4254563 http://www.medworm.com/index.php?rid=4254562&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000862%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=4254562 Wed, 01 Sep 2010 00:00:00 +0100 4254562 http://www.medworm.com/index.php?rid=3974443&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000031X%2Fabstract%3Frss%3Dyes This article describes the steps involved in performing the CFT, with an emphasis on the avoidance of complications. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974443 Mon, 31 May 2010 23:00:00 +0100 3974443 http://www.medworm.com/index.php?rid=3974442&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000357%2Fabstract%3Frss%3Dyes Despite advances in endoscopic sinus surgery, indications for frontal sinus obliteration continue to exist. Hydroxyapatite cement obliteration offers the benefit of cosmetic restoration of the forehead in addition to obliteration of the sinus. Our technique for hydroxyapatite frontal sinus obliteration is detailed here. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974442 Mon, 31 May 2010 23:00:00 +0100 3974442 http://www.medworm.com/index.php?rid=3974441&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000035%2Fabstract%3Frss%3Dyes The management of frontal sinus trauma varies widely based on the extent of injury and the training and preferences of the surgeon. Cranialization is best suited for severe frontal sinus injuries, with comminution of the posterior table bone. The procedure is typically carried out by a multidisciplinary team, including an otolaryngologist and a neurosurgeon. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974441 Mon, 31 May 2010 23:00:00 +0100 3974441 http://www.medworm.com/index.php?rid=3974440&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000345%2Fabstract%3Frss%3Dyes Disease within the frontal sinus is primarily treated with endoscopic techniques; however, in certain circumstances, the endoscopic approach is insufficient or impractical to treat frontal sinus disease. The osteoplastic approach to the frontal sinus remains a time-honored procedure for treating challenging frontal sinus disease that is inaccessible to endoscopic instrumentation. Disease in the frontal sinus can be subdivided based on its laterality. Elsewhere in this text, the treatment of bilateral disease is discussed. In this article, the authors describe the osteoplastic approach to the frontal sinus for unilateral disease. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974440 Mon, 31 May 2010 23:00:00 +0100 3974440 http://www.medworm.com/index.php?rid=3974439&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000412%2Fabstract%3Frss%3Dyes Open surgery for the frontal sinus is greatly diminishing with advances in endoscopic techniques and tools. However, open surgery is still indicated in several instances, recalcitrant frontal sinusitis in high risk patients, osteomas, and soft tissue tumors of the frontal sinus. The rate of complications is low. Mucocele formation and forehead paresthesia are the most common; each less than 10%. Osteoplastic flaps with and without fat obliteration may have limited indications, but it can be very useful in the right patient. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974439 Mon, 31 May 2010 23:00:00 +0100 3974439 http://www.medworm.com/index.php?rid=3974438&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000199%2Fabstract%3Frss%3Dyes This article describes the options and indications for the various approaches to trephination of the frontal sinus. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974438 Mon, 31 May 2010 23:00:00 +0100 3974438 http://www.medworm.com/index.php?rid=3974437&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000084%2Fabstract%3Frss%3Dyes This article provides a step by step description with detailed drawings of the technique to provide a basis for study of the procedure. Although occasionally used adjunctively today for narrow indications, the Sewall-Boyden technique has been largely replaced by endoscopic transnasal surgery procedures such as the Endoscopic Lothrop and the Draf 3. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974437 Mon, 31 May 2010 23:00:00 +0100 3974437 http://www.medworm.com/index.php?rid=3974436&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000333%2Fabstract%3Frss%3Dyes Before the development of endoscopic skull-based surgical techniques, external surgical approaches with facial incisions often were used to access lesions of the pterygopalatine space (PPS) and beyond. Lesions of the PPS and adjacent skull base areas include juvenile nasal angiofibromas, schwannomas, lymphoma, fungal infections, cerebrospinal fluid (CSF) leaks, and metastatic malignancies. Traditional approaches included midface degloving, lateral rhinotomy with medial maxillectomy, Caldwell-Luc, and subtemporal craniotomy. Recent advances in endoscopic technology, endoscopic instrumentation, and stereotactic navigation have markedly augmented minimally invasive approaches for these pathologies. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974436 Mon, 31 May 2010 23:00:00 +0100 3974436 http://www.medworm.com/index.php?rid=3974435&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000321%2Fabstract%3Frss%3Dyes Historically, neoplastic processes of the lateral nasal wall and maxillary sinus have been treated with external procedures. Advances in endoscopic sinus surgery have enabled some of these same disease processes to be treated using endoscopic techniques. Endoscopic medial maxillectomy may be used as an alternative to more invasive external approaches while maintaining similar cure rates. In this article, the authors describe the endoscopic medial maxillectomy for neoplastic diseases involving the maxillary sinus. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974435 Mon, 31 May 2010 23:00:00 +0100 3974435 http://www.medworm.com/index.php?rid=3974434&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000382%2Fabstract%3Frss%3Dyes This article describes the authors' technique for performing an external medial maxillectomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974434 Mon, 31 May 2010 23:00:00 +0100 3974434 http://www.medworm.com/index.php?rid=3974433&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000047%2Fabstract%3Frss%3Dyes Maxillary antrostomy using balloon catheters in an office setting may offer surgeons another option for the treatment of chronic rhinosinusitis. Historically, endoscopic sinus surgery and balloon dilatation of sinus ostia have been performed in an operating room or surgical suite under general anesthesia. A new set of tools has been developed to enable access to, and balloon dilatation of, the maxillary sinus outflow tract using direct, endoscopic visualization and local anesthesia. Using these tools and the methods described below, balloon dilation can be safely performed in the office of the physician's medical practice. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974433 Mon, 31 May 2010 23:00:00 +0100 3974433 http://www.medworm.com/index.php?rid=3974432&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000588%2Fabstract%3Frss%3Dyes Surgery for acute complicated sinusitis and chronic sinusitis with or without polyps is done mostly using endoscopic tools and techniques. However, on occasion, it is necessary to use external sinus approaches and techniques either in combination with endoscopic techniques or alone for particularly difficult patients, such as sinusitis with tumors, invasive fungal sinusitis, lateral frontal sinus disease, osteoma, periorbital abscess, etc. This issue and a subsequent journal issue will concentrate on summarizing all the external sinus surgery techniques and approaches the sinus surgeon would require to have a complete sinus surgery armamentarium. Many of these highlighted techniques are classic and were described by very skilled surgeons over many years and are still useful. The names of M... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974432 Mon, 31 May 2010 23:00:00 +0100 3974432 http://www.medworm.com/index.php?rid=3974431&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000503%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974431 Mon, 31 May 2010 23:00:00 +0100 3974431 http://www.medworm.com/index.php?rid=3974430&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000497%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974430 Mon, 31 May 2010 23:00:00 +0100 3974430 http://www.medworm.com/index.php?rid=3974429&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000485%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974429 Mon, 31 May 2010 23:00:00 +0100 3974429 http://www.medworm.com/index.php?rid=3974428&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000473%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974428 Mon, 31 May 2010 23:00:00 +0100 3974428 http://www.medworm.com/index.php?rid=3974427&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000461%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3974427 Mon, 31 May 2010 23:00:00 +0100 3974427 http://www.medworm.com/index.php?rid=3668295&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000499%2Fabstract%3Frss%3Dyes Resection of skull base lesions and subsequent reconstruction is difficult due to the complex three-dimensional anatomy of this region. Rapid prototyping using stereolithographic or laser sinter techniques may help visualize the lesions, design access osteotomies, and create templates for reconstruction of the bony skeleton. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668295 Mon, 01 Mar 2010 00:00:00 +0100 3668295 http://www.medworm.com/index.php?rid=3668294&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000463%2Fabstract%3Frss%3Dyes Improvements in skull base surgery techniques have allowed surgeons to expand the indications for resection and reconstruction of aggressive tumors. The increasingly complex defects following surgical extirpation are often reconstructed with microvascular free flaps. Techniques for free flap reconstruction of the anterior skull base are elaborated. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668294 Mon, 01 Mar 2010 00:00:00 +0100 3668294 http://www.medworm.com/index.php?rid=3668293&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000138%2Fabstract%3Frss%3Dyes Advances in endoscopic techniques and technology have substantially increased the scope of expanded endonasal skull base surgery. Larger and more complex skull base defects pose a unique challenge for reconstruction. The pedicled nasoseptal flap has become the workhorse for reconstruction and, through its use, the virtues of a vascularized reconstruction are clearly apparent. When local mucosal flaps are unavailable or insufficient for reconstruction, regional flaps may be employed. In this paper, we describe the techniques for three regional vascularized flaps that have been modified for endonasal skull base reconstruction: the transpterygoid temporoparietal fascial flap, the endoscopic pericranial flap, and the modified palatal mucosal flap. These flaps offer a large surface area of tiss... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668293 Mon, 01 Mar 2010 00:00:00 +0100 3668293 http://www.medworm.com/index.php?rid=3668292&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000712%2Fabstract%3Frss%3Dyes Advances in endoscopic techniques and technology have substantially increased the scope of endonasal skull base surgery. Large dural defects after expanded endonasal approaches (EEA) present a challenge for reconstruction and have revealed the limitations of conventional reconstructive methods. Initial reconstructive attempts using nonvascularized free tissue grafts resulted in unacceptably high rates of cerebrospinal fluid fistulae. The advent of vascularized, pedicled flaps has substantially improved these outcomes. These flaps also have the advantage of a large surface area and can be mobilized over a large arc of rotation. Vascularized tissue heals quickly and can tolerate postoperative radiation therapy. We have developed 3 nasal vascularized flaps that can be used for skull base reco... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668292 Mon, 01 Mar 2010 00:00:00 +0100 3668292 http://www.medworm.com/index.php?rid=3668291&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000700%2Fabstract%3Frss%3Dyes This report details the operative technique for a completely endoscopic endonasal resection of the anterior skull base that may be used for the resection of both benign and malignant tumors. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668291 Mon, 01 Mar 2010 00:00:00 +0100 3668291 http://www.medworm.com/index.php?rid=3668290&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000126%2Fabstract%3Frss%3Dyes Juvenile nasopharyngeal angiofibromas (JNAs) are rare, benign, but locally invasive vascular lesions that have traditionally been resected using open surgical approaches. However, with the wider availability of superselective intra-arterial embolization, the advent of improved endoscopic, transnasal techniques, and advances in instrumentation, recent years have witnessed a shift toward the use of less invasive, strictly endoscopic methods for the management of such lesions. The purpose of this article is to describe the surgical techniques used in the endoscopic resection of JNAs and to discuss the indications, trends, and current limitations of this approach. As technological advancements and surgical expertise continue to develop, the spectrum of applicability for such endoscopic procedu... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668290 Mon, 01 Mar 2010 00:00:00 +0100 3668290 http://www.medworm.com/index.php?rid=3668289&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000438%2Fabstract%3Frss%3Dyes Endoscopic transsphenoidal approaches to the pituitary developed with advances in endoscopic technology. Historically, transsphenoidal approaches to the pituitary transitioned from transcranial to transnasal. Each transnasal approach is associated with distinct advantages, limitations, and complications. The standard endoscopic paraseptal approach is discussed. Modifications of the paraseptal approach balance improved visualization with limited dissection. Endoscopes offer angled visualization of the sellar contents not possible with the binocular microscope. Reconstruction options range from minimal to pedical rotational flaps based on the anatomy of the defect and presence of cerebrospinal fluid (CSF). (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668289 Mon, 01 Mar 2010 00:00:00 +0100 3668289 http://www.medworm.com/index.php?rid=3668288&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318100900044X%2Fabstract%3Frss%3Dyes The use of surgical navigation has grown tremendously in endonasal endoscopic surgery. The technology has been used as an adjunct during endoscopic surgery of the skull base. Although not requisite, the benefits of navigation during endoscopic skull base surgery may lie in its ability to enhance a surgeon's approach to complex anatomic structures. The use of navigation during endoscopic skull base surgery does not completely parallel its use during surgery for inflammatory sinus disease, and those differences can be critical. For example, in endoscopic skull base surgery, soft tissue structures play a more prominent role during the dissection than in a typical surgery for inflammatory disease. Preoperatively, there are some particular issues that a navigated case will require above and bey... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668288 Mon, 01 Mar 2010 00:00:00 +0100 3668288 http://www.medworm.com/index.php?rid=3668287&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000096%2Fabstract%3Frss%3Dyes Surgical exposure for massive tumor of the anterior skull base can be difficult. We have combined two surgical approaches, the subfrontal/subcranial approach and the Le Fort I osteotomy approach, to provide panoramic accesses to the anterior skull base. Via this combination of exposures, we have easily accessed and resected tumors extending from the cribiform plate all the way down to the level of the upper cervical spine. Additionally, we have used the nasal endoscope and microscope to assist in our resection. This approach has several advantages, which include ease of post-resection skull base reconstruction and excellent cosmetic results by avoiding anterior facial incisions. We believe this approach should be in the armamentarium of any surgeon resecting massive anterior skull base tum... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668287 Mon, 01 Mar 2010 00:00:00 +0100 3668287 http://www.medworm.com/index.php?rid=3668286&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS104318101000014X%2Fabstract%3Frss%3Dyes The retromaxillary-infratemporal fossa dissection with preauricular incision is a versatile approach that can be used effectively for treating tumors involving the anterior and lateral skull base. This approach, which originally was described for accessing the temporomandibular joint, lateral orbit, and zygomatic arch, has been expanded for the treatment of tumors extending or originating within the infratemporal fossa. We have used this approach alone or in combination with a facial degloving approach, subfrontal approach, or submandibular/cervical exposure for the past decade. Because of its excellent exposure, ease of access and low rate of morbidity, we believe the retromaxillary-infratemporal fossa dissection is an important surgical technique that should be in the armamentarium of an... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668286 Mon, 01 Mar 2010 00:00:00 +0100 3668286 http://www.medworm.com/index.php?rid=3668285&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000529%2Fabstract%3Frss%3Dyes This article emphasizes the transpalatal/transmaxillary/transcervical approach, which has demonstrated reasonable outcomes with acceptable complication rates. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668285 Mon, 01 Mar 2010 00:00:00 +0100 3668285 http://www.medworm.com/index.php?rid=3668284&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000487%2Fabstract%3Frss%3Dyes Anterior skull base neoplasms require a multispecialty approach for adequate resection and reconstruction. Otolaryngologists are often consulted to help provide access to middle cranial fossa tumors or treat anterior cranial base pathology that arises from the nasal cavity or paranasal sinuses. The LeFort I osteotomy with downfracture of the maxilla is one of many well-described osteoplastic anterior transfacial approaches to access these areas of the skull base. The approach greatly improves visualization of not only the central skull base, but also the infratemporal fossa when the posterior wall of the antrum and the pterygoid plates are removed. We will review proper patient selection, the anatomy, and surgical exposure with modifications of the LeFort I osteotomy, operative procedure, ... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668284 Mon, 01 Mar 2010 00:00:00 +0100 3668284 http://www.medworm.com/index.php?rid=3668283&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000102%2Fabstract%3Frss%3Dyes Midfacial degloving is a useful approach for sinonasal and skull base lesions. This technique provides wide exposure for a variety of pathologies without needing facial incisions. The midfacial degloving technique, described in detail, can also be combined with other approaches to manage extensive lesions. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668283 Mon, 01 Mar 2010 00:00:00 +0100 3668283 http://www.medworm.com/index.php?rid=3668282&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000475%2Fabstract%3Frss%3Dyes The subfrontal approach represents a versatile technique allowing for broad exposure of the base of the anterior cranial fossa with minimal functional and aesthetic sequelae. A number of surgical manouvers will optimize the outcomes. These will be reviewed in detail in the article. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668282 Mon, 01 Mar 2010 00:00:00 +0100 3668282 http://www.medworm.com/index.php?rid=3668281&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000451%2Fabstract%3Frss%3Dyes Tumors of the sinonasal region and anterior skull base present diagnostic and surgical challenges. Access to and exposure of the tumor tends to be difficult because of the delicate neurovascular structures that occupy this area, including the brain and the orbital contents. The diagnosis and treatment of tumors in this region have improved with advances in diagnostic imaging, anesthesia, surgical navigation, and regional and free-tissue reconstruction. Unfortunately, due to the insidious onset and progression of vague symptoms, patients usually present with advanced disease. Craniofacial approaches are designed to improve tumor exposure permitting complete resection of large tumors that would otherwise be very difficult to resect from an isolated approach. The aim of this article is to des... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668281 Mon, 01 Mar 2010 00:00:00 +0100 3668281 http://www.medworm.com/index.php?rid=3668280&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000815%2Fabstract%3Frss%3Dyes This issue is dedicated to “surgical approaches to the anterior skull base.” Over the past several years, there have been tremendous advances in techniques for accessing and resecting benign and malignant lesions of the anterior skull base. In this issue, we have assembled an outstanding group of authors with many years of surgical experience in this complex anatomical location. Topics covered range from the most traditional open surgical approaches to the newer and minimally invasive endoscopic/computer-assisted techniques. It is imperative that any surgeon operating in this delicate and complex region is familiar with the most recent minimally invasive techniques and can also comprehend the well-established open approaches. A thorough knowledge of both will provide the safest and bes... Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668280 Mon, 01 Mar 2010 00:00:00 +0100 3668280 http://www.medworm.com/index.php?rid=3668279&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000254%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668279 Mon, 01 Mar 2010 00:00:00 +0100 3668279 http://www.medworm.com/index.php?rid=3668278&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000242%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668278 Mon, 01 Mar 2010 00:00:00 +0100 3668278 http://www.medworm.com/index.php?rid=3668277&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000230%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668277 Mon, 01 Mar 2010 00:00:00 +0100 3668277 http://www.medworm.com/index.php?rid=3668276&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000229%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668276 Mon, 01 Mar 2010 00:00:00 +0100 3668276 http://www.medworm.com/index.php?rid=3668275&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181010000217%2Fabstract%3Frss%3Dyes (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3668275 Mon, 01 Mar 2010 00:00:00 +0100 3668275 http://www.medworm.com/index.php?rid=3195355&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000761%2Fabstract%3Frss%3Dyes Various anterior glossectomy techniques have been used in the past for airway obstruction at the base of the tongue due to glossoptosis and/or macroglossia. This has largely focused on treating the enlarged, anteriorly protruding tongue. However, these procedures do not address the posterior and base of tongue areas that are more often the problem in pediatric sleep disordered breathing and obstructive sleep apnea. Techniques to evaluate for site of obstruction as well as current possible surgical approaches for treating the base of tongue and glossoptosis are discussed in this article. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3195355 Tue, 01 Dec 2009 00:00:00 +0100 3195355 http://www.medworm.com/index.php?rid=3195354&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000888%2Fabstract%3Frss%3Dyes (TLA) has long been a part of the management algorithm for glossoptosis associated with the Pierre Robin sequence (PRS). Advancement of the base of the tongue has been shown to relieve airway obstruction in some infants. TLA has few complications or long-term sequelae. The procedure has also been shown to ameliorate the feeding difficulties associated with PRS and therefore, reduces hospital stay, simplifies nursing care, and makes home care less demanding. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3195354 Tue, 01 Dec 2009 00:00:00 +0100 3195354 http://www.medworm.com/index.php?rid=3195353&cid=s_38696_16_f&fid=38696&url=http%3A%2F%2Fwww.optecoto.com%2Farticle%2FPIIS1043181009000803%2Fabstract%3Frss%3Dyes Creating the structural elements necessary for velopharyngeal closure is the essential goal of surgical correction of velopharyngeal insufficiency (VPI). Collaboration with speech pathologists is essential for maximal outcome. The author describes his techniques for surgical correction of VPI using a superiorly based pharyngeal flap, the workhorse for velopharyngeal surgery. In some children with VPI, the defect is more limited, and alternative procedures, which are also described in this articles, exist to correct the resonance problem while minimizing the potential for obstructive complications associated with a pharyngeal flap. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery) Operative Techniques in Otolaryngology - Head and Neck Surgery journals http://www.medworm.com/rss/comments.php?id=3195353 Tue, 01 Dec 2009 00:00:00 +0100 3195353