Operative Techniques in Otolaryngology - Head and Neck SurgeryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

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MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Source Type: journals

Editorial boardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Source Type: journals

Future and recent issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Source Type: journals

Information for AuthorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The field of thyroid and parathyroid surgery continues to evolve rapidly, as the emergence of value-adding technologies begins to be embraced by the surgical community. Subtle and sometimes bold changes in the approach to the patient with thyroid and parathyroid disease therefore are finding their way into common practice. As a result, the time is optimal to consider a number of novel and established techniques that have transformed the way in which thyroid and parathyroid diseases are addressed.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: David J. Terris Source Type: journals

Conventional thyroidectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thyroidectomy can be a diagnostic and therapeutic procedure for thyroid nodules carrying a risk of thyroid cancer or causing local symptoms, or for hyperfunction. The technical approach for a safe conventional thyroidectomy is a replicable procedure guided by some basic principles and anatomic understanding. One safe approach is detailed here.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Meredith Adams, Gerard Doherty Source Type: journals

Surgery for locally extensive carcinomas of the thyroid glandEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes various surgical techniques for resection of thyroid cancer with extra thyroid extension.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Daniel L. Price, Jatin P. Shah Source Type: journals

Technique of total thyroidectomy for large substernal goitersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Large substernal goiters have presented a challenge to surgeons since the beginning of thyroid surgery. With the widespread use of cross-sectional imaging and high-resolution ultrasound, more thyroid pathology is identified every year. In the setting of compressive symptoms, refractory hyperthyroidism, cosmetic concerns, malignancy, or even prophylaxis, thyroidectomy is indicated for large substernal goiters. Our aims are to present (1) the rationale and an algorithm for a concise preoperative assessment for thyroidectomy and (2) a detailed stepwise description of the procedure—emphasizing safety—for a large substernal...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: John R. Porterfield, David A. Factor, Clive S. Grant Source Type: journals

Novel surgical maneuvers in modern thyroid surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We sought to describe a series of novel surgical maneuvers, some of which are facilitated by new technology, that have transformed the way in which a modern thyroidectomy is currently performed. A systematic identification of new surgical techniques that have been introduced during the past 3 to 5 years were identified. Several new surgical maneuvers were observed, and these were stratified into discrete components of a thyroidectomy procedure, including presurgical, intraoperative, and postsurgical. The advent of several new technologies, combined with an increased understanding of the relevant surgical anatomy, has facil...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: David J. Terris Source Type: journals

Management of the recurrent laryngeal nerve in thyroid surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The importance of preservation of the recurrent laryngeal nerve in thyroid surgery has been well known since the early 19th century. All modern endocrine surgeons need to have a thorough knowledge of both anatomy and strategies for management of the recurrent laryngeal nerve which, importantly, includes neural monitoring. Important considerations for surgical approaches to the recurrent laryngeal nerve, nerve-monitoring techniques, and management of infiltrated or traumatized nerves are described.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Sara L. Richer, Gregory W. Randolph Source Type: journals

External branch of the superior laryngeal nerveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Voice and swallowing complaints are common after thyroidectomy, but their etiology is not completely understood. Manipulation of the endolaryngeal soft tissues, pharyngeal constrictor muscles, and recurrent laryngeal nerves may all result in symptoms. In addition, the external branch of the superior laryngeal nerve and cricothyroid muscle may play a role in postoperative dysphonia. We review the literature related to the scope of voice complaints after thyroidectomy. We also discuss several studies describing the surgical anatomy of the external branch of the superior laryngeal nerve as it relates to thyroidectomy. Our sur...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Nitin A. Pagedar, Jeremy L. Freeman Source Type: journals

Central compartment lymph node dissectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the authors' method for performing a comprehensive central compartment neck dissection.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Sara I. Pai, Ralph P. Tufano Source Type: journals

Bilateral parathyroid exploration for hyperparathyroidismEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes our technique and the pre- and intraoperative contexts warranting bilateral parathyroid exploration.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Hadley E. Ritter, Mira Milas Source Type: journals

Minimally invasive radioguided parathyroidectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will outline the indications for and application of the MIRP procedure.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Brendan C. Stack Source Type: journals

Intraoperative assessment of parathyroid hormoneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Technological developments have significantly contributed to the rapid evolution of the surgical management of parathyroid disorders. The ability to physiologically determine the intraoperative status of the patient is now possible through the assessment of changing levels of intact parathyroid hormone (PTH) during surgery. In most patients with primary hyperparathyroidism, this method provides biochemical confirmation of hyperfunctional gland removal, and is predictive of a eucalcemic state and surgical cure. Patients with renal-induced disease (excluding tertiary hyperparathyroidism) do not follow the same kinetic declin...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Phillip K. Pellitteri Source Type: journals

Reoperative parathyroid surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
can be technically challenging and exposes the patient to a higher risk of complications than initial parathyroidectomy. Initial surgical failure can be avoided by thorough, bilateral exploration by an experienced parathyroid surgeon or by the use of intraoperative parathyroid hormone (PTH) monitoring if a limited exploration is planned. Before undertaking a reoperation for hyperparathyroidism the patient must be fully reevaluated including a reassessment of the need for surgery, a review of all previous surgical and pathology reports, and the performance of imaging studies to identify the location of the missing gland. A...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Keith S. Heller Source Type: journals

Renal hyperparathyroidism: Current therapeutic approaches and future directionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Today, surgical approach to secondary hyperparathyroidism (SHPT) remains an option for a limited number of patients. New pharmaceutical agents, as well as better prevention and earlier qualification for kidney transplantation, have significantly reduced candidates for secondary or renal HPT. Localization studies and parathyroid hormone assays have not clearly modified the conventional surgical approach of the disease. Controversy regarding the surgery to be favored, between subtotal parathyroidectomy and total parathyroidectomy with autotransplantation, continues against the background of relevant recurrence rates, persist...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Thierry Defechereux, Michel Meurisse Source Type: journals

Parathyroid carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
is a rare entity. As a result, identifying the disease and managing it appropriately requires an understanding for the appropriate surgical technique. This work discussed the approach to managing invasive parathyroid carcinoma with an emphasis on surgical technique.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: Eric M. Genden Source Type: journals

Growing thyroid surgical volumes: A blueprint for practice-building in an academic environmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We sought to define elements that are essential to building a high-volume, referral-based head and neck endocrine center; to meet these goals, we undertook a retrospective analysis of referral patterns and surgical volumes in an academic medical center. Some specific factors contributing to program building were investigated. Outcome measures included surgical volumes, geographic origin of referrals, and prevalence of internet referrals. Thyroidectomy annual surgical volumes at the primary institution (all surgeons included) increased during a 4-year period by 38%, from 78 to 108. The proportion of referrals coming from ou...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2009 Category: ENT & OMF Authors: David J. Terris, Beau A. Aldridge, Melanie W. Seybt Source Type: journals

MastheadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Source Type: journals

Editorial boardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Source Type: journals

Future and recent issuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Source Type: journals

Information for authorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Source Type: journals

IntroductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management of salivary gland disorders and their sequelae continues to evolve as we learn more about their role in systemic disease. The treatment of both benign and malignant disorders that are primarily of the salivary glands often leave us with diagnostic and therapeutic dilemmas.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Elizabeth A. Blair Source Type: journals

Treatment of the parotid gland in cutaneous melanomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Melanoma of the head and neck may be metastatic to nodes within the parotid gland. The pattern of spread of melanoma in the head and neck and the significance of this to salivary gland surgery is reviewed. The techniques of sentinel node biopsy for nodes within the parotid gland are detailed.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Kristen Pytynia, Michael Warso Source Type: journals

Salivary glands sarcoidosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sarcoidosis is chronic multisystem disease of unknown etiology. It is characterized by non caseating granulomas in the involved organs. Lung involvement is the most common organ involvement. Other common manifestations include skin, joint and ocular lesions. Otolaryngologic manifestations are seen in 10-15% of sarcoidosis patients. Sarcoidosis of the salivary glands present with a painless and persistent enlargement of the parotid glands. Xerostomia is often present. A second presentation is uveo parotid fever or Heerfordt's syndrome. The diagnosis of sarcoidosis is made when there is a histological evidence of non caseati...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Veena Rao, James Curran, Elizabeth A. Blair, Nadera J. Sweiss Source Type: journals

Digastric transposition for unilateral lower lip weakness after injury to the marginal mandibular nerveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Lower-lip dysfunction creates functional and cosmetic issues for patients. The loss of the depressor vector is especially noticeable during laughter and open-mouth smiling. Although a variety of options exist for improving this deficit, most patients are not offered any surgical therapy. The digastric muscle transposition, popularized by Conley, remains a valuable procedure for this deficit.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Joshua Sckolnick, Barry M. Schaitkin Source Type: journals

Treatment of ranulasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the authors' methods for treating ranulas.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Paul D. Kim, Alfred Simental Source Type: journals

The use of botulinum toxin in patients with sialorrheaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present issues when considering injection and our technique.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Mihir K. Bhayani, Dana L. Suskind Source Type: journals

Labial minor salivary gland biopsyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Biopsy of the labial minor salivary glands (“lip biopsy”) is often used as part of the diagnostic workup for suspected Sjogren's syndrome, and is comparable in diagnostic accuracy to open parotid biopsy. While there are non-invasive tests that should be performed for Sjogren's workup, in challenging cases tissue diagnosis provides valuable information. When properly performed, this office procedure can be done with minimal discomfort for the patient. The indications, risks, and interpretation of lip biopsy are discussed along with a detailed description of a technique designed to ensure sufficient tissue for diagnosis.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Alexander Langerman, Elizabeth A. Blair Source Type: journals

Surgical management of lacrimal gland tumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A variety of inflammatory lesions and tumors can present within the lacrimal gland. Given the inconsistency in the preoperative differentiation of malignant from benign tumors, complete surgical resection and histological identification remain the only means for a correct diagnosis. Lacrimal tumors such as pleomorphic adenoma have a high rate of recurrence and can undergo malignant transformation if they are not completely removed. Lacrimal gland tumors should undergo complete excision (with preservation of its capsule) without a primary incisional biopsy. These excisions can be facilitated through a lateral orbitotomy, wh...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Christopher I. Zoumalan, Richard A. Zoumalan, Kimberly P. Cockerham Source Type: journals

Endoscopic resection of cervical congenital cystsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the author's method for performing an endoscopic approach for extirpation of cervical branchiogenic cysts.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Jorge O. Guerrissi Source Type: journals

Diagnosis and management of nasal fracturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The nasal bony–cartilaginous framework provides support to the nose and maintains airway patency. The cartilaginous and bony components are both susceptible to fracture. Nasal fractures are one of the most common facial injuries, occurring across a broad spectrum of age groups. Inadequate acute injury treatment can lead to persistent airway obstruction and nasal deformities that are subsequently more difficult to correct. Herein we discuss common presentations of nasal fractures, classifications, and options for treatment.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: James Chan, Sam P. Most Source Type: journals

Auricular cartilage graftsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The rhinoplasty surgeon often encounters the need to utilize nasal grafts when performing primary or revision surgery. While there are a myriad of grafting materials to choose from, long-term success has been achieved with autogenous cartilage. In revision surgery, septal cartilage is often unavailable and the surgeon must look to alternate donor sites. Auricular cartilage is a versatile graft material that can be successfully used to treat a wide range of nasal defects without major complications.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Jacob D. Steiger, Jason Bloom, Daniel G. Becker Source Type: journals

Use of Medpor implants in rhinoplasty surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the precise technique utilized for nasal dorsal augmentation with Medpor implants. Emphasis is placed on describing techniques to use to avoid complications related to alloplastic materials.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Jonathan M. Sykes, Krishna G. Patel Source Type: journals

Reconstruction of auricular cartilage using tissue-engineering techniquesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current state of the art of tissue engineering procedures of cartilage for reconstruction of the auricle and is determined to answer the question why the technique has not yet found its way into daily clinical routine in otolaryngology in contrast to its performance in orthopaedic surgery.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Nicole Rotter, Alexander Steiner, Marc Scheithauer Source Type: journals

The use of expanded polytetrafluoroethylene (e-PTFE) implants in rhinoplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nasal dorsal augmentation in rhinoplasty using synthetic implants remains an intensely controversial surgical practice. The authors describe their experience with expanded polytetrafluoroethylene (e-PTFE) sheeting as an implant material in rhinoplasty. A review of the literature and detailed descriptions of techniques for creating synthetic dorsal implants are offered. Alloplastic implants are powerful tools which may be used by the thoughtful surgeon in carefully selected patients to achieve nasal dorsal augmentation.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2008 Category: ENT & OMF Authors: Michael S. Godin, Thomas Della Torre Source Type: journals