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Surgery

Absence of the long process of the incus

February 2, 2015  |  Christina H. Fang, BS; Robert W. Jyung, MD

A definitive diagnosis of an ossicular defect, such as absence of the incus long process, requires an exploratory tympanotomy.

Contralateral hearing loss after vestibular schwannoma excision: A rare complication of neurotologic surgery

January 19, 2015  |  Robert H. Deeb, MD; Jack P. Rock, MD; Michael D. Seidman, MD, FACS

Abstract

We report a rare case of contralateral hearing loss after vestibular schwannoma excision in a 48-year-old man who underwent surgery via a suboccipital approach for removal of a nearly 2-cm lesion involving the right cerebellopontine angle. Postoperatively, the patient awoke...

Endoscopic view of nasopharyngeal scarring

January 19, 2015  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

A finding of fibrous or scar tissue in the nasopharynx usually indicates previous trauma or surgery in the area. The most common iatrogenic cause is adenoidectomy.

Glottic myxoma presenting as chronic dysphonia: A case report and review of the literature

January 19, 2015  |  Christopher G. Tang, MD; Daniel L. Monin, MD; Balaram Puligandla, MD; Raul M. Cruz, MD

Abstract

Myxomas of the vocal fold are rare benign tumors often presenting with chronic dysphonia and less frequently with airway obstruction. The current consensus is that all laryngeal myxomas should be totally excised with clear margins to prevent recurrences. The recommendation for...

Sinus transillumination, then and now

December 19, 2014  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

In recent years, a new use has been found for transillumination in sinus surgical procedures involving balloon dilation. In these procedures, it is used to identify a sinus and to confirm that the balloon has entered the sinus correctly.

Cerebrospinal fluid leaks following septoplasty

December 19, 2014  |  Naren N. Venkatesan, MD; Douglas E. Mattox, MD; John M. Del Gaudio, MD

We conducted a retrospective review to identify the characteristics of cerebrospinal fluid (CSF) leak in patients who had undergone septoplasty and in selected patients who had experienced a spontaneous CSF leak. CSF leak is a known but infrequently reported complication of septoplasty; to the...

Iatrogenic fracture of the superomedial orbital rim during frontal trephine irrigation

December 19, 2014  |  Douglas Angel, MD; Rebecca Zener, MD; Brian W. Rotenberg, MD, MPH, FRCSC

Frontal sinus trephination (FST) has numerous applications in the treatment of acute and chronic sinus disease. This procedure involves making an incision at the medial aspect of the supraorbital rim and then drilling the sinus's anterior table. Placement of a frontal trephine allows for...

Management of soft palate agenesis in Nager syndrome with an elongated, superiorly based pharyngeal flap

October 18, 2014  |  Oneida A. Arosarena, MD; Troy Hemme, DO

Abstract

Nager syndrome, or preaxial acrofacial dysostosis, is associated with aberrant development of the first and second branchial arch structures, as well as abnormal development of the limb buds. It is a rare disorder, and its clinical manifestations have not been completely...

Endoscopic view of an ostium in a concha bullosa of the superior turbinate

October 18, 2014  |  Eiji Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS

A specific outflow tract or ostium of the superior turbinate, as was seen in this case, has been infrequently described or imaged.

A transoral surgical approach to a parapharyngeal-space pleomorphic adenoma

October 18, 2014  |  Christopher Schutt, MD; Joehassin Cordero, MD, FACS

Abstract

It is relatively difficult to gain surgical access to pleomorphic adenomas of the parapharyngeal space. Since the lateral border is the mandible, gaining access to them can put several important neurovascular structures at risk. A number of surgical approaches have been...

Distal nasolacrimal duct showing the valve of Hasner

October 18, 2014  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Recognition of the location of the nasolacrimal duct opening is important to prevent its damage while performing an intranasal inferior meatal antrostomy or creating a window transantrally in the inferior meatal wall during a Caldwell-Luc procedure.

Hypocalcemia after minimally invasive thyroidectomy

September 18, 2014  |  Doug Massick, MD; Matthew R. Garrett, MD

Abstract

We conducted a retrospective study to determine the incidence of postoperative hypocalcemia following minimally invasive thyroidectomy. During the 2-year study period, 74 patients-16 men and 58 women (mean age: 43.7)-underwent either total or hemithyroidectomy through a 3-cm...

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