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Surgery

Efficacy of allograft fascia lata in tympanic membrane repair

April 30, 2016  |  Ashley O'Connell Forster, MD; Joel Jones, MD; John Davis, AuD; Brittany Weber, MD; Mary Hawkshaw, RN, BSN, CORLN; Robert T. Sataloff, MD, DMA, FACS

Abstract

We conducted a retrospective study to determine the efficacy of allograft fascia lata in both primary and revision tympanic membrane surgery (myringoplasty). Our patient population included 64 patients-31 men and 33 women, aged 19 to 98 years (mean: 49.5)-who had undergone...

Endoscopic identification and powered removal of the uncinate process

April 30, 2016  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, MBA, FACS; Eiji Yanagisawa, MD, FACS

The identification and complete removal of the uncinate process results in a widened middle meatus and access to the ethmoid bulla, the frontal recess, and the outflow tract of the maxillary sinus.

Gore-Tex extrusion following type I thyroplasty

April 30, 2016  |  Natalie A. Krane, MD; Amanda Hu, MD, FRCSC; Robert T. Sataloff, MD, DMA, FACS

Many different types of implants can be used for medialization thyroplasty, including Gore-Tex, Silastic, titanium, hydroxyapatite, and other materials.

Improved visualization of a dehiscent facial nerve with otoendoscopy

April 30, 2016  |  James G. Naples, MD; John W. House, MD; Benjamin J. Wycherly, MD

In middle ear surgery, endoscopy is a valuable instrument for second-look procedures in cholesteatoma.

An extended toboggan technique for resection of substernal thyroid goiters

April 30, 2016  |  Catherine F. Sinclair, MD; Glenn E. Peters, MD; William R. Carroll, MD

Abstract

We describe our technique for the safe resection of substernal thyroid goiters. Early mobilization of the thyroid gland from tracheal attachments anteriorly and laterally facilitates extraction of the goiter from the mediastinum. Retrograde dissection through the ligament of...

The economic impact of revision otologic surgery

March 16, 2016  |  Sahar Nadimi, MD; John P. Leonetti, MD; George Pontikis, MD

Abstract

Revision otologic surgery places a significant economic burden on patients and the healthcare system. We conducted a retrospective chart analysis to estimate the economic impact of revision canal-wall-down (CWD) mastoidectomy. We reviewed the medical records of all 189 adults...

A limited thoracocervical approach for accessing the anterior mediastinum in retrosternal goiters: Surgical technique and implications for the management of head and neck emergencies

March 16, 2016  |  Petros V. Vlastarakos, MD, MSc, PhD, IDO-HNS(Eng); Aaron Trinidade, MD, PGDip, MRCS, DO-HNS; Marie-Claire Jaberoo, MD, FRCS(ORL-HNS), DO-HNS; George Mochloulis, MD, CCST(ORL-HNS)

Abstract

In this article we describe the surgical management of retrosternal goiters via a limited thoracocervical approach, and we explore how the respective surgical know-how can be used in the management of the carotid blowout syndrome. Four cases involving patients who had undergone...

External auditory canal stenting with nonlatex glove and Gelfoam

February 24, 2016  |  Judy C. Pan, MD; Tucker M. Harris, MD

Abstract

External auditory canal stenosis, although uncommon, is a condition that is sometimes encountered by otolaryngologists. This condition has been shown to result from inflammatory changes that may be incited by many different causes. Various methods of stenting the canal open...

Repair of a posterior perforation of the trachea following thyroidectomy with a muscle transposition flap

February 24, 2016  |  Alistair B. Escott, MBChB; Rosalynd S. Pochin, MBBS, BSc (Hons), FRACS

Abstract

Tracheal perforation is a rare postoperative complication of total thyroidectomy. While previously documented cases have been reported in the anterior aspect of the trachea after a total thyroidectomy, we report what we believe is the first documented case of a perforation in...

The immediate use of a silicone sheet wound closure device in scar reduction and prevention

February 24, 2016  |  James R. Parry, DO; Howard D. Stupak, MD; Calvin M. Johnson, MD

Abstract

Silicone has been used successfully postoperatively in the prevention of hypertrophic and other types of adverse scars. The Silicone Suture Plate (SSP) is a new, minimally invasive, sterile wound closure device that is applied intraoperatively to prevent adverse scarring. The...

Laser myringoplasty for tympanic membrane retraction

February 24, 2016  |  Brian S. Chen, MD; John W. House, MD; James V. Crawford, MD

Only selected patients are good candidates for this procedure. Patients who are able to lift their TM with the Valsalva maneuver are ideal.

Changes in the nasalance of vowels within the first week following uvulopalatopharyngoplasty

February 24, 2016  |  Cheng-Chien Yang, MD; Ying-Piao Wang, MD, PhD; Chin-Wen Chang, MSc SLP

Abstract

We conducted a retrospective study to evaluate the short-term effect of uvulopalatopharyngoplasty (UPPP) on changes in the nasalance of five vowels: /a/, /ε/, /i/, /ɔ/, and /u/. Our study group was made up of 20 patients-15 males and 5 females, aged 16 to 57 years (mean: 37.3...

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