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Persistent local demucosalization after endoscopic sinus surgery: A report of 3 cases

November 8, 2018  |  Conner J. Massey, MD; Menka M. Sanghvi, MD; Thomas R. Troost, MD, PhD; Vijay K. Anand, MD; Ameet Singh, MD


Mucosal preservation is paramount to achieving successful outcomes after endoscopic sinus surgery (ESS). Despite best surgical practices and implementation of evidenced-based postoperative care, patients in rare cases might exhibit persistent demucosalization that is...

Clinical outcome of revision cartilage tympanoplasty

November 8, 2018  |  Pei-Yin Wei, MD; Chia-Hui Chu, MD, MPH; Mao-Che Wang, MD, PhD


We retrospectively reviewed 32 ears from 30 adult patients with chronic otitis media who underwent revision tympanoplasty using cartilage graft (performed by a single surgeon) from January 10, 2011, to May 10, 2016. All procedures were performed using an endaural incision for...

Mucocele development after endoscopic sinus surgery for nasal polyposis: A long-term analysis

September 27, 2018  |  Hakim Benkhatar, MD; Idir Khettab, MD; Philippe Sultanik, MD, PhD; Ollivier Laccourreye, MD; Pierre Bonfils, MD, PhD


The aim of the present study was to determine the prevalence of long-term mucocele development after functional endoscopic sinus surgery (FESS) for nasal polyposis, to search for a statistical relationship with preoperative variables and to analyze the management of this...

Fourth branchial pouch sinus: A report of 7 cases and review of the literature

August 22, 2018  |  Indranil Pal, MS; Saumitra Kumar, MS; Ankur Mukherjee, MS, DNB; Bibhas Mondal, MS; Anindita Sinha Babu, MD


A fourth branchial pouch sinus often manifests quite late in life as a recurrent neck abscess, suppurative thyroiditis, or pseudothyroiditis. Demonstration of the sinus opening in the piriform fossa by hypopharyngoscopy in combination with ultrasonography of the neck provides...

Visualized ethmoid roof cerebrospinal fluid leak during frontal balloon sinuplasty

August 22, 2018  |  Navdeep R. Sayal, DO; Eytan Keidar, DO; Shant Korkigian, DO


Balloon sinus dilation (BSD) is generally accepted as a safe alternative to traditional sinus surgery. It is a unique technique designed to potentially minimize complications associated with traditional functional endoscopic sinus surgery (FESS). We present a case in which a 65...

Improved swallow outcomes after injection laryngoplasty in unilateral vocal fold immobility

August 22, 2018  |  Steven Zuniga, MD; Barbara Ebersole, MA, CCC-SLP; Nausheen Jamal, MD


While the impact of injection laryngoplasty on voice outcomes in unilateral vocal fold immobility has been well characterized, there is a relative paucity of literature investigating its influence on swallow function and outcomes. We performed a retrospective chart review of...

Dacryocystorhinostomy with a thulium:YAG laser-a case series

August 22, 2018  |  Christopher Tang, MD; Scott Rickert, MD; Niv Mor, MD; Andrew Blitzer, MD, DDS; Martin Leib, MD


We conducted a retrospective chart review of 27 patients-7 men and 20 women, aged 47 to 94 years (mean: 71.3)-with symptomatic epiphora secondary to dacryostenosis who had undergone thulium: YAG (Tm:YAG) laser dacryocystorhinostomy (DCR). Among them, dacryostenosis had been...

Ancillary medications and outcomes in post-tonsillectomy patients

August 22, 2018  |  Ashley P. O'Connell Ferster, MD; Eric Schaefer, MS; Jane R. Schubart, MBA, PhD; Michele M. Carr, DDS, MD, PhD


To investigate the impact of medications on outcomes after tonsillectomy, a retrospective review using the MarketScan database was performed. A total of 306,536 privately insured children and adolescents (1 to 17 years old) who underwent tonsillectomy/adenoidectomy were...

Endoscopic view of postoperative maxillary sinus mucoceles separated by bony septum

August 22, 2018  |  Jae Hoon Lee, MD

Postoperative maxillary sinus mucocele usually presents 20 to 30 years after Caldwell-Luc surgery involving the maxillary sinus.

A rare case of odontoameloblastoma in a geriatric patient

August 22, 2018  |  Pratyusha Yalamanchi, MD, MBA; Orly Coblens, MD; Meejin Ahn, DO; Steven B. Cannady, MD; Jason G. Newman, MD


Odontoameloblastoma is an extremely rare tumor derived from odontogenic epithelium and mesenchyme. In the fewer than 20 reported cases, odontoameloblastoma is described as occurring in the maxilla or mandible of young men with a history of unerupted teeth. Here we report a case...

Cochlear implantation using posterior suprameatal approach

August 18, 2018  |  Gabor Repassy, MD, PhD; Marianna Kustel, MD, PhD; Magdolna Szonyi, MD, PhD; Adam Enreiter, MSc; Ede Birtalan, MD, PhD; Laszlo Tamas, MD, PhD


When cochlear implantation was first introduced, the mastoidectomy and posterior tympanotomy approach was the most frequently used technique to gain access to the middle ear and the cochlea. Since 2000, several authors have routinely used a non-mastoidectomy nonposterior...

Late free flap failure in head and neck reconstruction: A systematic review

August 18, 2018  |  David Forner, MD; Blair A. Williams, MSc, MD, FRCS(C); Fawaz M. Makki, MSc, MD, FRCS(C); Jonathan R. Trites, MD, FRCS(C); S. Mark Taylor, MD, FRCS(C); Robert D. Hart, MD, FRCS(C)


Our objectives were to review all reported cases of late flap failure in head and neck surgery and describe any relevant patterns. We conducted a systematic review of all published cases of free flap failure after postoperative day 7 in head and neck surgery from January 1990...


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