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IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Source Type: journals

Cranial-Base Repair Using Endoscopic Laser WeldingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As the scope of transnasal cranial-base surgery expands, reconstruction of the complex residual defects remains a challenge. Laser welding is a novel technology that can be performed endoscopically and offers the potential of producing instantaneous, watertight repairs using a chromophore-doped biologic solder. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Benjamin S. Bleier, James N. Palmer Source Type: journals

Virtual Simulation in the Surgical WorldEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the current state of medical-simulator technology research, development, and use. It points to growing support from the surgical governing and regulation agencies; and predicts that medical students and surgical residents will be able, and mandated, to develop procedural skills in a life-like and no-risk environment. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Marc Gibber, Rachel Kaye, Marvin P. Fried Source Type: journals

Technologic Innovations in Neuroendoscopic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Neuroendoscopic surgery encompasses minimally invasive approaches to the skull base using endoscopic techniques. There are unique technologic challenges with endoscopic endonasal skull base surgery, such as a limited working space, difficulty in visualization and identification of neurovascular structures and removal of tissue, hemostasis, and dural reconstruction. Technologic advances that have enabled this surgery include specialized operating suites, neurophysiologic monitoring, imaging and visualization technologies, dissection instrumentation, hemostatic materials, and reconstructive materials. Advances in each of the...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Carl H. Snyderman, Ricardo L. Carrau, Daniel M. Prevedello, Paul Gardner, Amin B. Kassam Source Type: journals

Technical Advances in Rhinologic Basic Science ResearchEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic rhinosinusitis (CRS) is the single most common self-reported chronic health condition in the United States and is estimated to affect 16% of the adult population annually. Despite the prevalence of this disease, there still exists an incomplete understanding of CRS pathophysiology. In this review, the authors highlight technological advances in rhinology: real-time polymerase chain reaction, epithelial cell culture, flow cytometry, genomics/single-nucleotide polymorphism detection, microarrays, and genetic/nongenetic animal models of sinusitis. The purpose of this review is to describe these methodologies and their...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Murugappan Ramanathan, Justin H. Turner, Andrew P. Lane Source Type: journals

Stents and Drug-Eluting StentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the advantages and disadvantages of various stents used in sinus surgery, and discusses such innovations as drug-releasing stents. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Karen A. Bednarski, Frederick A. Kuhn Source Type: journals

Balloon Dilatation of the Paranasal Sinuses: A Tool in Sinus SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Chronic sinusitis affects millions of patients. Balloon technology is a tool that has enhanced the surgeon's ability to treat patients suffering from chronic sinusitis. Three companies have developed products to dilate sinus ostia. An extensive literature review reveals that balloon catheters have an impressive safety profile and seem to be an effective tool for ostial dilatation. These tools are particularly effective in frontal recess dilatation and have great potential for office use under local anesthesia. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Esther Kim, Jeffrey L. Cutler Source Type: journals

Local Drug DeliveryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the evolving concepts in local drug therapy, both for the factors that influence anatomic distribution within the sinonasal system and those that affect mucosal absorption. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Richard J. Harvey, Rodney J. Schlosser Source Type: journals

Advances in Absorbable Biomaterials and Nasal PackingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Absorbable biomaterials are commonly used after endoscopic sinus surgery, both for hemostatic and wound healing considerations. Although removable nasal packing is the traditional method of controlling ongoing bleeding and modulating wound healing, it is uncomfortable for patients and associated with several complications. Currently available absorbable agents frequently incite an inflammatory reaction and have been shown in animal and human trials to adversely affect the wound healing process. Newer agents offer distinct advantages because of their unique composition and rapid clearance profiles. The selection of packing ...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Rowan Valentine, Peter-John Wormald, Raj Sindwani Source Type: journals

Advances in Surgical NavigationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Surgical navigation technology provides real-time intraoperative localization of surgical instruments within the field. These systems are highly accurate, assist with preoperative planning, and improve surgeon confidence. The industry has recently responded to the growing trend of treatment in ambulatory surgical centers by offering surgical navigation devices that are more compact, less expensive and more user-friendly than conventional devices. Surgical navigation is indicated for complex sinonasal disease and may reduce the risk of complications. The indications for surgical navigation continue to expand as the technolo...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Dary J. Costa, Raj Sindwani Source Type: journals

Evolving Trends in Powered Endoscopic Sinus SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides a brief review of powered instrumentation used in endoscopic sinus and skull base surgery and explores the history, technical details, and potential applications of these exciting tools. Evolution in the design and functioning of the microdebrider are discussed elsewhere. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Seth Bruggers, Raj Sindwani Source Type: journals

Innovations in Microdebrider Technology and DesignEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The microdebrider has been one of the most significant innovations in the field of rhinology. The use of this instrument for endoscopic sinus surgery offers the advantages of mucosal preservation, improved precision, expeditious tissue removal, and better visualization. Recent advances in microdebrider technology now permit 360 degrees, blade rotation, continuous tracking of the instrument using surgical navigation, and the ability to control bleeding with bipolar energy. A variety of specialty blades are also available, each attempting to address a specific operative limitation encountered during endoscopic surgery. To us...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Seth Bruggers, Raj Sindwani Source Type: journals

Intraoperative Imaging for Otorhinolaryngology—Head and Neck SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The applications of endoscopic techniques have expanded beyond the treatment of inflammatory sinus disease and toward the resection of anterior and middle skull base lesions. Image-guided surgery has emerged as an important tool that compensates for the limitations of surgical endoscopy. The disadvantage of image-guided surgery, however, is its dependence on preoperative imaging data. Intraoperative imaging provides near real-time imaging that has the potential to improve surgical outcomes and reduce operative morbidity. The role of intraoperative imaging in endoscopic sinus and skull base surgery has demonstrated great pr...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Seth Isaacs, Samer Fakhri, Amber Luong, Martin J. Citardi Source Type: journals

Imaging of the Paranasal Sinuses and In-Office CTEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Since the introduction of functional endoscopic sinus surgery (FESS) in the United States in 1985, the information gained from imaging has proved imperative in understanding regional morphology and guidance of surgical procedures. More than 20 years later, the importance of imaging continues to be the anatomic detail afforded by this technology, the roadmap it provides in planning the surgery, and the morphologic detail it provides in recurrent disease. The latest development in CT technology, cone beam CT instrumentation, may change the way imaging of the nasal cavity and paranasal sinuses is performed in the future. Thes...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Paul D. Campbell, S. James Zinreich, Nafi Aygun Source Type: journals

Evolution of the Endoscope and Endoscopic Sinus SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Advances in instrumentation are part of the natural evolution of any surgical discipline. During this process, there are certain key junctures where the state of the art in technology truly augments the surgeon's ability to manage higher levels of pathology. The present era of endoscopic sinus surgery has been hallmarked by extension of minimally invasive techniques to complex pathologies including advanced inflammatory disease, and pathology involving the orbit, skull base, and brain. Evolution of the armamentarium for endoscopic visualization has been a central feature in this. In this article, key historical elements ar...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Rakesh K. Chandra, David B. Conley, Robert C. Kern Source Type: journals

Developing, Regulating, and Ethically Evaluating New Technologies in Otolaryngology–Head and Neck SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New technologies continue to affect the practice of otolaryngology–head and neck surgery. Numerous financial and regulatory barriers must be overcome to develop an idea into a useful device or intervention. US Food and Drug Administration (FDA) approval focuses on safety, often leaving the medical community, in general, to determine the efficacy of the device after FDA approval has been granted. Physicians are involved throughout the technology development process, generating conflicts of interest that must be effectively managed. It is essential that physicians ethically maintain their leadership in developing and evalu...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Richard R. Orlandi, Bradley F. Marple Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Techniques in endoscopic sinus and skull base surgery have continued to evolve, often propelled forward by technological innovations. The introduction of the rigid nasal endoscope to the diagnosis and surgical management of sinonasal disorders is undeniably the single greatest advance in the field of rhinology to date. Rigid nasal endoscopy provided improved visualization of sinonasal anatomy and ushered in minimally invasive techniques of functionally oriented sinus surgery. Emboldened by the later application of powered microdebriders, drills, and surgical navigations systems, rhinologists continued to refine their endos...
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Authors: Raj Sindwani Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 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: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - October 1, 2009 Category: ENT & OMF Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Source Type: journals

Neoplastic Transformation After Radiosurgery or Radiotherapy: Risk and RealitiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the use of radiosurgery and fractionated radiation therapy with particular regard to new tumor induction and malignant transformation. The authors have found that the risk of radiation associated tumors after radiosurgery or radiotherapy for benign brain tumors is very low. All patients should be informed about the risks and consequences of radiation and microsurgery. The current practice standards for radiosurgery should not be modified because of this very low risk. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Ajay Niranjan, Douglas Kondziolka, L. Dade Lunsford Source Type: journals

Microsurgery After Radiosurgery or Radiotherapy for Vestibular SchwannomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Radiosurgery or radiotherapy for vestibular schwannomas has become a common practice with a high chance for tumor control. Despite the high rate of tumor control, there are some tumors that cannot be controlled with radiation therapy. Surgical treatment after radiosurgery or radiotherapy may be necessary for tumors that continue to grow, or for patients who develop brainstem compressive symptoms, disabling hemifacial spasm, or hydrocephalus. The House Ear Clinic (Los Angeles, California) experience with microsurgery after irradiation has demonstrated that the facial nerve is different once it has been radiated. An irradiat...
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: William H. Slattery Source Type: journals

Radiosurgery for Glomus Jugulare TumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the latest benefits of radiosurgery and demonstrates how this modality represents an effective treatment option for glomus jugulare tumors with excellent tumor control and low risk for morbidity. In addition, this article will detail the role of minimally invasive sub-total resection of glomas jugulare tumors as a surgical complement to gamma knife therapy. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Jonathan P. Miller, Maroun T. Semaan, Robert J. Maciunas, Douglas B. Einstein, Cliff A. Megerian Source Type: journals

Stereotactic Radiosurgery and Stereotactic Radiotherapy in the Treatment of Skull Base MeningiomasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Meningiomas are the most common nonglial brain tumors. They tend to be slow growing and benign and can reach substantial sizes before becoming symptomatic. Complete surgical resection of intracranial meningiomas remains the treatment of choice. Location of a meningioma within the cranial vault may make complete surgical resection unlikely; tumors arising from the dura of the skull base are particularly challenging. Advances in radiation therapy, including stereotactic techniques, can expand the options for treatment available in these situations. They may be used as adjuncts to surgery or as alternative modalities in the t...
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: John M. McGregor, Atom Sarkar Source Type: journals

Cyberknife Radiotherapy for Vestibular SchwannomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines the rationale and treatment protocols developed at Stanford University (California) and reports the authors' initial experience using the Cyberknife to treat vestibular schwannoma. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Gordon T. Sakamoto, Nikolas Blevins, Iris C. Gibbs Source Type: journals

Stereotactic Radiotherapy for Vestibular SchwannomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Vestibular schwannomas are benign tumors of the Schwann cells of the eighth (VIII) cranial nerve. Precision radiotherapy techniques used to manage these tumors include stereotactic radiotherapy (SRT), which can be delivered with either a conventional or hypofractionated regimen. The radio–biologic rationale and reported clinical outcomes of patients treated with SRT are reviewed. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Patrick Sweeney, Santosh Yajnik, William Hartsell, George Bovis, Jagannath Venkatesan Source Type: journals

Gamma Knife Radiosurgery for Vestibular SchwannomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article outlines the technique of GKRS and discusses the current results of its use to treat vestibular schwannomas. Other topics discussed include tumor control, treatment of recurrent/residual and cystic vestibular schwannomas, and the results of treatment of neurofibromatosis type 2. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Robert A. Battista Source Type: journals

Radiation Effects on the Auditory and Vestibular SystemsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Definitive or postoperative radiation therapy (RT) is commonly used for the management of intracranial and extracranial head and neck tumors. Because of the variability of tumor location and dimensions, sparing of nontarget normal tissue and organs may not be possible. Treatment modalities that deliver the highest doses of radiation to the auditory system include stereotactic radiosurgery (SRS) and fractionated stereotactic radiotherapy (FSRT) for the treatment of vestibular schwannomas (VS), and fractionated radiotherapy (FRT) or intensity-modulated radiation therapy (IMRT) for the treatment of head and neck malignancies....
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Niranjan Bhandare, William M. Mendenhall, Patrick J. Antonelli Source Type: journals

Basic Principles of Radiobiology Applied to Radiosurgery and Radiotherapy of Benign Skull Base TumorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Various types of ionizing radiation may be used therapeutically for benign skull base tumors. Treatment may involve single-dose radiosurgery, or may be fractionated into multiple doses. Designing and implementing a radiotherapy plan that maximizes the therapeutic ratio requires knowledge of the biophysical and radiobiological principles involved in these treatments. These basic radiobiological tenets are discussed in this chapter, with the focus on radiotherapy of benign skull base tumors. Animal and clinical data, however, acquired from the radiation of malignant tumors are necessarily included, as they comprise much of o...
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Christopher J. Anker, Dennis C. Shrieve Source Type: journals

The History of Stereotactic Radiosurgery and RadiotherapyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Stereotactic neurosurgery originated from the pioneering work of Horsley and Clarke, who developed a stereotactic apparatus to study the monkey brain in 1908. Spiegel and Wycis applied this technology to the human brain in 1947, which ultimately lead to the development of multiple stereotactic neurosurgical devices during the 1950s. It was Lars Leksell of Sweden, however, who envisioned stereotactic radiosurgery. Leksell developed the gamma knife to treat intracranial lesions in a noninvasive fashion. His work stimulated worldwide interest and created the field of stereotactic radiosurgery. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: John M. Lasak, John P. Gorecki Source Type: journals

GlossaryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Benign tumors of the base of the skull, such as vestibular schwannoma, glomus jugulare, and meningiomas commonly cause symptoms referable to the realm of an otolaryngologist. Specifically, the symptoms of these types of tumors may include hearing loss, dizziness, tinnitus, facial numbness, facial paralysis, or difficulty swallowing. For this reason, otolaryngologists are the physicians most frequently involved in the care of these patients. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Authors: Robert A. Battista Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 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: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 31, 2009 Category: ENT & OMF Source Type: journals

IndexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Source Type: journals

Treatment of Dorsal DeviationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The deviated nasal dorsum is a complex problem with a variety of proposed solutions. Straightening the deviated nose should be focused on maximizing cosmetic outcome while preserving or improving nasal function. Deviations can occur in one or a combination of the nasal thirds. A simple approach to treatment is to develop a strategy for each third of the nose. Tailoring maneuvers to alleviate problems in each specific third helps the surgeon deal with deviations in an effective and straightforward manner. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Richard A. Zoumalan, Michael A. Carron, Bobby A. Tajudeen, Philip J. Miller Source Type: journals

Treatment of Nasal Obstruction in the Posttraumatic NoseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The sequelae of trauma to the nose include nasal deformity and nasal obstruction that can have a long-term negative impact on patient quality of life. Successful management of posttraumatic nasal obstruction relies on a detailed history, careful analysis, and accurate diagnosis. Dividing the nose into horizontal thirds assists in preoperative analysis as well as surgical treatment. Adequate treatment of posttraumatic nasal obstruction must address deflection of the bony nasal pyramid, septal deformities (especially caudal or dorsal), turbinate hypertrophy, and incompetence of internal and external nasal valves. Treatment m...
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Christina L. Corey, Sam P. Most Source Type: journals

A Patient Seeking Aesthetic Revision Rhinoplasty and Correction of Nasal ObstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thorough evaluation of a patient presenting with nasal obstruction, including nasal endoscopy and a CT scan when indicated, is recommended to guide proper diagnosis and treatment. The rhinoplasty surgeon should be aware of the differential diagnosis of nasal obstruction and should proceed with thorough evaluation or refer the patient for appropriate complete evaluation. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Daniel G. Becker, Jason D. Bloom, David Gudis Source Type: journals

Nasal Reconstruction of the Leprosy Nose Using Costal CartilageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the case and surgical treatment of a 37-year old female who presented with a subtotal nasoseptal perforation and saddle-nose deformity secondary to previous infection with leprosy. Reconstruction was achieved via an open septorhinoplasty approach using autologous costal cartilage grafts, yielding a successful postoperative result. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Anil R. Shah, Daniel Zeitler, Jeffrey B. Wise Source Type: journals

Cosmetic and Functional Effects of Cephalic Malposition of the Lower Lateral Cartilages: A Facial Plastic Surgical Case StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article will discuss the pertinent surgical anatomy, diagnosis, the process to identify patients at risk with cephalic malposition of the lower lateral cartilages, pitfalls, and poor surgical changes that result in external nasal valve collapse. Appropriate diagnosis, prevention, and surgical maneuvers to address this will be discussed. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Cory C. Yeh, Edwin F. Williams Source Type: journals

Septoplasty PearlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Techniques used for the diagnoses and treatment of septal deformity vary according to indications for the procedure and surgeon preference. Septoplasty is commonly performed to treat septal deformity causing nasal airway obstruction. Various preoperative and intraoperative “pearls” that the authors have found to be helpful in treating septal deformity and nasal airway obstruction are discussed. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Eric J. Dobratz, Stephen S. Park Source Type: journals

Congenital Nasal Pyriform Aperture StenosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Congenital nasal pyriform aperture stenosis is a rare cause of nasal obstruction in the neonate. This condition is caused by a bony overgrowth of the median nasal process of the maxilla. An appropriate workup includes evaluation for associated anomalies and fine-cut CT. Surgical treatment is indicated in patients with respiratory difficulty or poor weight gain. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: James R. Tate, Jonathan Sykes Source Type: journals

Open Septoplasty: Indications and TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Septal deflections have traditionally being addressed by endonasal techniques. Open septoplasty describes using the open rhinoplasty approach to address septal deflections and deficiencies. Accordingly, the authors will highlight the history of open septoplasty, anatomic aspects, diagnosis of septal deflections, and technical nuances in performing open septoplasty. Accordingly, authors will highlight the history of open septoplasty, anatomic aspects, diagnosis of septal deflections, indications and technical nuances in performing open septoplasty. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Mohamad Chaaban, Anil R. Shah Source Type: journals

Surgical and Nonsurgical Treatments of the Nasal ValvesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nasal obstruction is known to be associated with a major decrease in disease-specific quality of life, and nasal valve dysfunction can play a considerable role in nasal airflow obstruction. Diagnosis and treatment of nasal valve dysfunction requires a thorough understanding of normal anatomy and function as well as pathophysiology of common abnormalities to properly treat the exact source of dysfunction. As the pathophysiology of the nasal valves has become better understood, surgery designed to treat its dysfunction has evolved. Here, we explore the progress we have made in treating the nasal valves, and the deficiencies ...
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Judy Lee, W. Matthew White, Minas Constantinides Source Type: journals

Surgical Management of the Septal PerforationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the diagnostic work-up of septal perforations, the medical management, and the surgical treatment options, with emphasis placed on the open rhinoplasty approach. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Deborah Watson, Gregory Barkdull Source Type: journals

Septoplasty Complications: Avoidance and ManagementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews how complications of septoplasty can occur, compromising the functional and aesthetic aspects of a patient's life, and how attention to detail can reduce the risk for these complications. The septoplasty surgeon must be aware of all the possible complications that may arise so as to convey the benefits and risks of surgery effectively to prospective patients. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Jason D. Bloom, Seth E. Kaplan, Benjamin S. Bleier, Stephen A. Goldstein Source Type: journals

Classification and Treatment of the Saddle Nose DeformityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The saddle nose deformity results from a disruption in the nose's integral support mechanisms. Reconstructive surgeons must not only reestablish facial aesthetic contours but also rebuild the nose's structural framework while preserving or restoring nasal function. The causes and the classification of saddle nose deformities are reviewed, and the preferred techniques of correction and reconstruction are illustrated. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Edmund A. Pribitkin, Waleed H. Ezzat Source Type: journals

Caudal Septal DeviationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The nasal septum is a structure poorly understood and appreciated by the lay public and the nonotolaryngologist—head and neck surgeon alike. Deviation of the caudal portion of the nasal septum may result in nasal obstruction, a crooked nose, and columellar irregularities. The correction of a severely deviated caudal septum is one of the most difficult challenges of the otolaryngologist and facial plastic surgeon. A variety of options are available for correction of mild, to the most severe, deflections. This condition, as with all challenges in medicine, should not be a one size fits all or one surgery fits all situation...
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Jason Haack, Ira D. Papel Source Type: journals

PrefaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Within the specialty field of otorhinolaryngology and head and neck surgery, subspecialties have developed that focus on specific types of problems. We are all familiar with the various subspecialty fields and recognize that there are areas of overlap. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Authors: Daniel G. Becker Source Type: journals

Forthcoming IssuesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - June 1, 2009 Category: ENT & OMF Source Type: journals