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Surgery

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...

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...

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...

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...

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.”

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...

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...

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...

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.

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