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Surgery

Nasopharyngeal airway to prevent tension pneumocephalus after open resection of anterior skull base tumors

December 7, 2016  |  Matthew E. Spector, MD; Jon-Paul Pepper, MD; Stephen Sullivan, MD; Lawrence Marentette, MD; Erin McKean, MD

Abstract

We conducted a retrospective study to assess the efficacy of using a nasopharyngeal airway in lieu of a tracheotomy or prolonged intubation for the diversion of airflow to prevent tension pneumocephalus after an open resection of anterior skull base tumors. Our study population...

Fungus ball in an agger nasi cell

December 7, 2016  |  Jae-Hoon Lee, MD; Ha-Min Jeong, MD

Fungus balls, such as the one that presented in this case, are the most common form of fungal sinusitis.

Facial reanimation according to the postresection defect during lateral skull base surgery

December 7, 2016  |  John P. Leonetti, MD; Sahar Nadimi, MD; Sam J. Marzo, MD; Douglas Anderson, MD; Darl Vandevender, MD

Abstract

The vast majority of benign tumors of the cerebellopontine angle, temporal bone, and parotid gland can be successfully resected without permanent injury to the facial nerve. Malignant tumors or recurrent disease may require facial nerve sacrifice, especially if preoperative...

Surgical management of parapharyngeal space tumors: The role of cervical and lateral skull base approaches

December 7, 2016  |  Arturo Mario Poletti, MD; Siba P. Dubey, MS; Giovanni Colombo, MD; Giovanni Cugini, MD

Abstract

We conducted a retrospective study to analyze the role of the cervical and lateral skull base approaches in the surgical excision of parapharyngeal space (PPS) tumors. Our study population was made up of 34 patients-15 males and 19 females, aged 13 to 73 years (mean: 50.6)-who...

Is the location of a septal deviation associated with the degree of postoperative pain after septoplasty?

October 25, 2016  |  Gül Soylu Özler, MD

Abstract

The author conducted a prospective study of patients who underwent septoplasty for nasal obstruction secondary to a septal deviation to determine if the location of the deviation had any association with the degree of postoperative pain. Patients with an anteroposterior...

A novel approach to excision of distal tracheal granulation tissue in tracheostomy patients with difficult anatomy

October 25, 2016  |  Allison Rasband-Lindquist, MD; Keith Sale, MD

Abstract

Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal...

Stapes-pyramidal fixation by a bony bar

October 25, 2016  |  Kai-Chieh Chan, MD

Stapes fixation caused by an ossified stapedius tendon with normal mobility of the footplate, although rare, should be included in the differential diagnosis of conductive hearing loss with a normal tympanic membrane.

More than 20 years of powered endoscopic ethmoidectomy

October 25, 2016  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Current operative techniques continue to build on the foundation of functional endoscopic sinus surgery from the work of Messerklinger.

Audiologic changes after pinna augmentation

August 21, 2016  |  Kavit Amin, MBBS, BSc(Hons), MRCS(Eng); Robert Hone, MBBS, MRCS; Rahul Kanegaonkar, BSc, DLO, FRCS(ORL-HNS)

Abstract

No studies to date have objectively assessed whether pinna morphology affects sound intensity detected within the external auditory canal (EAC). Commonly performed procedures on the EAC are carried out for acquired and congenital pathology, together with correction of ear...

Postoperative hypofunctioning of the thyroid gland after total laryngectomy

August 21, 2016  |  Sirshak Dutta, MS, DLO; Kaustuv Das Biswas, MS, DLO; Soumya Ghatak, MS; Dibakar Haldar, MD; Indranil Sen, MS; Ramanuj Sinha, MS, DNB

Abstract

Primary laryngeal carcinoma is a common cancer, predominantly affecting males. Hypothyroidism is an undesirable sequela of both surgery and radiotherapy, the two most commonly used modalities of treatment. For advanced cases, standard treatment protocol includes total...

Occult central venous stenosis leading to airway obstruction after subtotal parathyroidectomy

July 18, 2016  |  Duncan A. Meiklejohn, MD; Dylan K. Chan, MD, PhD; M. Lauren Lalakea, MD

Abstract

Subtotal parathyroidectomy may be indicated in patients with chronic renal failure and tertiary hyperparathyroidism, a population at increased risk for central venous stenosis (CVS) due to repeated vascular access. Here we report a case of complete upper airway obstruction...

Comparison of a microsliced modified chondroperichondrium shield graft and a temporalis fascia graft in primary type I tympanoplasty: A prospective randomized controlled trial

July 18, 2016  |  Shambhu Nath Bhattacharya, MS; Sudipta Pal, MS; Somnath Saha, MS; Prasanta Kumar Gure, MS; Anupam Roy, MS

Abstract

We conducted a prospective, randomized, controlled trial to compare outcomes in type I tympanoplasty patients who received an autologous microsliced modified cartilage perichondrium shield graft (cartilage group) and those who received an autologous temporalis muscle fascia...

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