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Surgery

Missed skull base injury during sinonasal surgery: A dangerous scenario still existing

August 27, 2015  |  Mohamed H. Hassab, MD; Ahmed Z. Eweiss, MD, FRCS(ORL-HNS); Ahmed A. Ibrahim, MD

Abstract

Skull base injury is a known complication of sinonasal surgery. Cerebrospinal fluid (CSF) rhinorrhea has been reported to occur in 0 to 2.5% of these procedures. More extensive skull base injury may result in more serious complications. In this retrospective case series, we...

Airway characteristics of infants with Pierre Robin sequence who undergo mandibular distraction osteogenesis

August 27, 2015  |  Paul Hong, MD, FRCSC; Donald Kearns, MD, FAAP

Abstract

Newborn upper airway obstruction secondary to micrognathia and Pierre Robin sequence can be managed with conservative and surgical interventions. Mandibular distraction osteogenesis has been used to relieve micrognathia associated with severe airway obstruction. We conducted a...

Hybrid frontal sinus surgery with balloon dilation and microdebrider resection

August 27, 2015  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In cases with polyps obstructing the sinus ostia, if a hybrid procedure employing both microdebrider resection and balloon dilation is performed, a satisfactory sinus outflow tract can be obtained.

Otic capsule dehiscence syndrome: Superior semicircular canal dehiscence syndrome with no radiographically visible dehiscence

August 27, 2015  |  P. Ashley Wackym, MD, FACS; Scott J. Wood, PhD; David A. Siker, MD; Dale M. Carter, MD

Abstract

We conducted a prospective longitudinal study of two cohorts of patients who had superior semicircular canal dehiscence syndrome (SSCDS); one group had radiographically confirmed superior canal dehiscence (SCD), and the other exhibited no identified...

Minimally invasive resection of olfactory neuroblastoma by transnasal endoscopy

August 27, 2015  |  Chin-Fang Chang, MD; Sheng-Chang Chiu, MD; Shiou-Yu Yeh, MD, MPH; Mu-Kuan Chen, MD, PhD; Yung-Sung Wen, MD, MS

Abstract

Olfactory neuroblastoma is rare. We conducted a retrospective study to review our experience with minimally invasive resection of olfactory neuroblastomas via a transnasal endoscopic technique, including an analysis of surgical outcomes. Our series included 5 patients-3 men and...

Using ultrasonic preoperative thyroid volume to determine incision length for minimally invasive thyroid surgery

August 27, 2015  |  Austin P. Daly, MD; Massi Romanelli-Gobbi, MD; Jeffrey L. Miller, MD; David Rosen, MD; David M. Cognetti, MD; Edmund A. Pribitkin, MD

Abstract

The determination of the volume of a diseased thyroid lobe or an entire gland by preoperative ultrasonography may enable surgeons to select candidates for a minimally invasive approach to thyroid lobectomy or total thyroidectomy. We retrospectively reviewed the charts of 71...

Supraglottoplasty in a 39-year-old woman

August 27, 2015  |  Hilary M. Caruso Sales, DO; Amanda Hu, MD, FRCSC; Robert T. Sataloff, MD, DMA, FACS

In this case, the patient's larynx was diffusely erythematous and edematous, with thick secretions and severe posterior “cobblestoning.”

Post-thyroidectomy hypocalcemia: Impact on length of stay

July 21, 2015  |  Joe Grainger, FRCS; Mohammed Ahmed, MRCP; Rousseau Gama, FRCPath; Leonard Liew, FRCS; Harit Buch, FRCP; Ronald J. Cullen, FRCS

Abstract

Hypocalcemia is a recognized complication following thyroid surgery. Variability in the definition of hypocalcemia and different opinions on its management can lead to unnecessary patient morbidity and longer hospital stays as a result of inappropriate or untimely treatment....

Cricotracheal resection

June 5, 2015  |  Amanda Hu, MD, FRCSC; James McCaffrey, MD; Al Hillel, MD

As much as half of the trachea can be resected with a low incidence of anastomotic complications.

Neuropathic pain from a nasal valve suspension suture

June 5, 2015  |  Tyler P. Swiss, DO; Douglas S. Ruhl, MD, MSPH; Scott B. Roofe, MD, FACS

Surgeons should maintain a high index of suspicion when a patient who has undergone nasal valve suspension complains of postoperative neuropathic pain.

Large Haller cell mucocele leading to maxillary sinusitis

April 28, 2015  |  Jae-Hoon Lee, MD

Paranasal sinus mucoceles are epithelial-lined cystic lesions containing mucus or mucopurulent fluid. Symptoms vary depending on the location of the mucocele.

Use of the chorda tympani nerve in reconstruction of the ossicular chain

April 28, 2015  |  Yi Qiao, MD; Wen-Wen Chen, MD; Ya-Xin Deng, MD; Jun Tong, MD

Abstract

We conducted a study to assess the use of the chorda tympani nerve in reconstruction of the ossicular chain. We retrospectively examined the medical records of 141 patients (154 ears) who had undergone middle ear surgery with 12 months of follow-up. The study population was...

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