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Mechanical venous anastomosis in head and neck microvascular reconstruction as an equivalent to the gold standard

February 20, 2017  |  Eric Thorpe, MD; Yash Patil, MD

Abstract

To define the most successful and efficient manner to perform venous microvascular anastomoses, the effectiveness of mechanical venous anastomosis in head and neck microvascular reconstruction is reviewed. Head and neck reconstruction with free flap techniques has become the...

Severe neck stiffness in a child with an undiagnosed Chiari malformation

January 25, 2017  |  Cameron E. Kliner, MS; Eric E. Berg, MD; Ron B. Mitchell, MD

Otologic symptoms, rather than headaches, may be the earliest manifestation of type I Chiari malformation.

The role of surgery in necrotizing otitis externa

January 25, 2017  |  Maayan Gruber, MD; Eyal Sela, MD; Ilana Doweck, MD; Ariel Roitman, MD; Nechama Uri, MD; Samer Srouji, MD; Raanan Cohen-Kerem, MD

Abstract

This retrospective case review describes a subset of 5 patients with necrotizing otitis externa (NOE) with a refractory disease course who underwent surgery as part of their management plan between 2008 and 2013. Surgery promoted the cure of 4 of the 5 patients, and a fungal...

Obstructing in utero oropharyngeal mass: Case report of a lymphatic malformation arising within an oropharyngeal teratoma

January 25, 2017  |  Todd J. Wannemuehler, MD; Christopher R. Deig, BA; Brandon P. Brown, MD; Stuart A. Morgenstein, DO

Abstract

An ex utero intrapartum treatment procedure was performed to deliver a fetus with a multiseptated, entirely cystic, 4.5 x 5.0 x 4.0-cm mass occupying the oropharynx and oral cavity with protrusion from the mouth. Surgical excision was performed, and final pathologic diagnosis...

Endoscopic view of balloon dilation for excision of a sphenoid cyst

January 25, 2017  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

The sphenoid sinus can be opened for ventilation, inspection, or biopsy from a transethmoid or transnasal approach after identifying its ostium.

Nasopharyngeal airway to prevent tension pneumocephalus after open resection of anterior skull base tumors

December 7, 2016  |  Matthew E. Spector, MD; Jon-Paul Pepper, MD; Stephen Sullivan, MD; Lawrence Marentette, MD; Erin McKean, MD

Abstract

We conducted a retrospective study to assess the efficacy of using a nasopharyngeal airway in lieu of a tracheotomy or prolonged intubation for the diversion of airflow to prevent tension pneumocephalus after an open resection of anterior skull base tumors. Our study population...

Fungus ball in an agger nasi cell

December 7, 2016  |  Jae-Hoon Lee, MD; Ha-Min Jeong, MD

Fungus balls, such as the one that presented in this case, are the most common form of fungal sinusitis.

Facial reanimation according to the postresection defect during lateral skull base surgery

December 7, 2016  |  John P. Leonetti, MD; Sahar Nadimi, MD; Sam J. Marzo, MD; Douglas Anderson, MD; Darl Vandevender, MD

Abstract

The vast majority of benign tumors of the cerebellopontine angle, temporal bone, and parotid gland can be successfully resected without permanent injury to the facial nerve. Malignant tumors or recurrent disease may require facial nerve sacrifice, especially if preoperative...

Surgical management of parapharyngeal space tumors: The role of cervical and lateral skull base approaches

December 7, 2016  |  Arturo Mario Poletti, MD; Siba P. Dubey, MS; Giovanni Colombo, MD; Giovanni Cugini, MD

Abstract

We conducted a retrospective study to analyze the role of the cervical and lateral skull base approaches in the surgical excision of parapharyngeal space (PPS) tumors. Our study population was made up of 34 patients-15 males and 19 females, aged 13 to 73 years (mean: 50.6)-who...

Is the location of a septal deviation associated with the degree of postoperative pain after septoplasty?

October 25, 2016  |  Gül Soylu Özler, MD

Abstract

The author conducted a prospective study of patients who underwent septoplasty for nasal obstruction secondary to a septal deviation to determine if the location of the deviation had any association with the degree of postoperative pain. Patients with an anteroposterior...

A novel approach to excision of distal tracheal granulation tissue in tracheostomy patients with difficult anatomy

October 25, 2016  |  Allison Rasband-Lindquist, MD; Keith Sale, MD

Abstract

Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal...

Stapes-pyramidal fixation by a bony bar

October 25, 2016  |  Kai-Chieh Chan, MD

Stapes fixation caused by an ossified stapedius tendon with normal mobility of the footplate, although rare, should be included in the differential diagnosis of conductive hearing loss with a normal tympanic membrane.

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