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Other ENT Topics

Mitek bone-anchored static suture suspension of the oral commissure

June 9, 2014  |  Candace Hrelec, MD; Stephen Smith Jr., MD

Static facial suspension plays an important role in long-standing facial nerve paralysis, and techniques continue to evolve. Although other procedures are less morbid and invasive than our dynamic facial technique, they also have their complications and limitations.

Pediatric sensorineural hearing loss

June 9, 2014  |  Dennis J. Kitsko, DO, FACS, FAOCO

Children with hearing loss should avoid noise exposure, and families should be counseled to protect their child's hearing environment and to educate their children about the long-term need to avoid excessive noise exposure.

Postauricular fascia in augmentation rhinoplasty

June 9, 2014  |  Aldo Benjamin Guerra, MD, FACS

Abstract

Ten rhinoplasty operations performed using postauricular fascia for the purpose of augmenting the radix and dorsum of the nose were analyzed retrospectively. All the operations were performed over a 1-year period, between 2005 and 2006. The fascia of the postauricular area has...

Harmonic Scalpel versus electrocautery and surgical clips in head and neck free-flap harvesting

June 9, 2014  |  Nichole R. Dean, DO; Eben L. Rosenthal, MD; Bruce A. Morgan, MD; J. Scott Magnuson, MD; William R. Carroll, MD

Abstract

We sought to determine the safety and utility of Harmonic Scalpel-assisted free-flap harvesting as an alternative to a combined electrocautery and surgical clip technique. The medical records of 103 patients undergoing radial forearm free-flap reconstruction (105 free flaps)...

Saddle-nose deformities in the rheumatology clinic

May 8, 2014  |  Benjamin E. Schreiber, MA, MD, MRCP; Sarah Twigg, MRCP; Joe Marais, FRCS(ORL); Andrew C.S. Keat, MD, FRCP

Abstract

Saddle-nose deformity can occur as a result of trauma to the nose, but it has also been well described in the setting of infections such as leprosy and syphilis and idiopathic inflammatory conditions such as granulomatosis with polyangiitis (formerly known as Wegener...

Dizziness in the elderly: Diagnosing its causes in a multidisciplinary dizziness unit

May 8, 2014  |  Roeland B. van Leeuwen, MD, PhD; Tjasse D. Bruintjes, MD, PhD

Abstract

We conducted a study to determine the causes of dizziness in patients aged 70 years and older who had been referred to our multidisciplinary dizziness clinic between Nov. 1, 2000, and Dec. 31, 2008. This population was made up of 731 patients-254 men (34.7%) and 477 women (65.3...

Evaluating the role of single-photon emission computed tomography in the assessment of neurotologic complaints

May 8, 2014  |  Shruti S. Joglekar, MD; Jason R. Bell, MD; Malka Caroline, MD; Paul J. Chase, DO, FAOCR; James Domesek, MD; Pinal S. Patel, ARRT, CNMT; Robert T. Sataloff, MD, DMA, FACS

Abstract

We conducted a retrospective study to reexamine the value of single-photon emission computed tomography (SPECT) in the evaluation of patients with neurotologic complaints, and to assess the intra- and inter-radiologist variability of SPECT readings. Our study population was...

The cosmetic Z-plasty: Restoring and refining an old technique for neck rejuvenation

May 8, 2014  |  Nicholas Vendemia, MD; David E. Rosow, MD; Anthony N. LaBruna, MD

Abstract

Direct excision of the “turkey neck” skin fold with Z-plasty closure was introduced in the 1970s, but it has fallen out of favor in an era in which much emphasis is placed on minimizing visible scars. Although the newer techniques may effectively improve the aesthetic contour...

A "nail-biting" case of an airway foreign body

May 8, 2014  |  Parker A. Velargo, MD; Jennifer D. McLevy, MD

While cases of large, completely obstructing foreign bodies in the subglottis would lead to sudden respiratory distress, the initial presentation of smaller foreign bodies in the subglottis can be quite similar to croup, presenting with biphasic stridor, cough, and/or the steeple sign....

Y-V alar base reduction

March 19, 2014  |  Grant S. Hamilton III

For alar modification, removing tissue from inside the nostril to decrease width or from the lateral aspect of the ala to decrease flare works well in many patients, but these techniques may produce an unnatural result.

Pediatric cervical sympathetic chain schwannoma with Horner syndrome: A rare case presentation

March 19, 2014  |  Sanjeev Bhagat, MS; Saurabh Varshney, MS; Sampan S. Bist, MS; and Nitin Gupta, MS

Abstract

Schwannomas are rare, benign, slowly growing neurogenic tumors that originate in peripheral, spinal, or cranial nerves other than the optic and olfactory nerves. In the head and neck, these tumors usually arise from the vagus nerve and the cervical sympathetic chain in the...

Pseudo third cranial nerve palsy secondary to orbital ectopic lacrimal gland cyst: Management with functional endoscopic sinus surgery

February 12, 2014  |  Puneet S. Braich, BSc; Jonathan E. Silbert, MD; Andrew J. Levada, MD; and Neil R. Schiff, MD

Abstract

An otherwise healthy 13-month-old girl was noted by her pediatrician to have developed a left head turn. The patient was referred to a pediatric ophthalmologist, who noticed signs of incomplete third cranial nerve palsy. Magnetic resonance imaging revealed the presence of an...

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