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Surgery

Management of a cocaine-induced palatal perforation with a nasal septal button

January 22, 2016  |  Matteo Trimarchi, MD; Vittoria Sykopetrites, MD; Mario Bussi, MD

Abstract

A cocaine-induced midline destructive lesion (CIMDL) is a rare consequence of cocaine insufflation that involves the nose, sinuses, and occasionally the palate. Palatal perforations compromise swallowing, mastication, and speech. An obturator prosthesis can be used to overcome...

Pneumatization of all three nasal turbinates

January 22, 2016  |  Jae Hoon Lee, MD

Clinically, it is difficult to distinguish pneumatization of the inferior turbinate from hypertrophy of the inferior turbinate without a CT scan.

Inferior turbinate augmentation with auricular cartilage for the treatment of empty nose syndrome

October 31, 2015  |  Angela A. Chang, MD; Deborah Watson, MD

Abstract

Empty nose syndrome (ENS) is a potential complication of excessive resection of turbinate tissue. Patients with ENS complain of nasal obstruction despite a widely patent nasal cavity. Various implants, including autologous bone and biomaterials, have been used to reduce the...

Endoscopic view of a total ethmoidectomy prior to the FESS era

October 31, 2015  |  Eiji Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS

Before the development of functional endoscopic sinus surgery (FESS), total intranasal ethmoidectomy was performed without the aid of telescopes.

Noninvasive intraoperative angiography for reconstruction of head and neck defects

October 31, 2015  |  Shiva P. Daram, MD; Justin M. Sacks, MD; Michael E. Kupferman, MD

Abstract

Reconstruction of head and neck defects after cancer resection involves the use of local, pedicled musculocutaneous, and free flaps. Flap failure is often caused by vascular insufficiency, and it is associated with the presence of cardiovascular or peripheral vascular disease,...

A hyperpneumatized frontal sinus with middle meatal obstruction

October 31, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In this case, the narrowing of the middle meatus by the hypertrophic polypoid middle turbinate resulted in intermittent frontal sinusitis and headaches.

Endoscopic transnasal transsphenoidal transtuberculum sellae extradural approach to suprasellar pituitary lesions: A case report

September 21, 2015  |  Tapan Nagpal, MS

Abstract

Pituitary adenomas are benign tumors that arise within the anterior lobe (the adenohypophysis) of the pituitary gland in the sella turcica. As they grow, they can extend through the pituitary stalk and into the suprasellar compartment. The surgical management of these adenomas...

Endoscopic resection of a mucocele of the crista galli

September 21, 2015  |  Mani Shidanshid, BSc, MBBS; Ali S. Taghi, MBBS, MD, FRCS(ORL-HNS); Romana Kuchai, FRCS; Hesham A. Saleh, FRCS

Abstract

Mucoceles expand by the process of bone resorption and new bone formation, which leads to local destruction and displacement of adjacent structures. We present the case of a 47-year-old woman who presented with recurrent headaches, nausea, and vomiting, all of which were...

Endoscopy-assisted resection of a submandibular gland mass via a thyroidectomy incision

September 21, 2015  |  Jin Pyeong Kim, MD; Jung Je Park, MD; Hyun Woo Park, MD; Seung Hoon Woo, MD

Abstract

Submandibular gland excision is traditionally performed via the transcervical approach. In an effort to avoid or reduce visible scarring and nerve injury, diverse innovative surgical trials have been conducted. We report the case of a submandibular gland mass that was...

Analysis of predisposing factors for complications of percutaneous tracheostomy

August 27, 2015  |  Ivan Domènech, MD, PhD; Paula Cruz Toro, MD; Jordi Tornero, MD; Ana Giordano, MD; Àngela Callejo, MD

Abstract

Since the turn of the century, percutaneous tracheostomy (PT) has become an alternative to the classic open technique and is an elective procedure in intensive care units at most centers. We conducted a prospective study to identify and quantify the complication rate with PT...

Surgical resection of cervical schwannoma and paraganglioma: Speech and swallowing outcomes

August 27, 2015  |  Noah P. Parker, MD; Noel Jabbour, MD; Amy Anne Lassig, MD; Bevan Yueh, MD, MPH; Samir S. Khariwala, MD

Abstract

We conducted a retrospective study (1999 to 2009) at our tertiary care institution to evaluate speech and swallowing outcomes after the resection of cervical schwannoma or paraganglioma. Of 6 patients treated for schwannoma, 5 (83.3%) had immediate dysphonia and dysphagia. All...

A study of neck and shoulder morbidity following neck dissection: The benefits of cervical plexus preservation

August 27, 2015  |  Massimiliano Garzaro, MD; Giuseppe Riva, MD; Luca Raimondo, MD; Laura Aghemo, MD; Carlo Giordano, MD; Giancarlo Pecorari, MD

Abstract

We conducted a study to evaluate the hypothesis that the preservation of cervical root branches of the cervical plexus is associated with greater shoulder mobility, less loss of face and neck sensation, and better quality of life (QoL) following functional neck dissection in...

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