Australian Journal of Otolaryngology最新文献

{"title":"A cross-sectional study of hybrid reconstruction of the anterior skull base following extended endoscopic transnasal resection of skull base tumours","authors":"Fiona Ip, Yi-Yuen Wang, Ben Dixon","doi":"10.21037/ajo-22-16","DOIUrl":"https://doi.org/10.21037/ajo-22-16","url":null,"abstract":"Background: Despite recent advances in endoscopic transnasal skull base surgery reconstruction of a large skull base defect can still be challenging. Robust techniques are essential for preventing cerebrospinal fluid (CSF) leakage and associated complications. While many techniques with flaps and grafts have been described the use of vascularized pedicled flaps has shown to be successful in reducing postoperative complications. The nasoseptal flap has gained popularity. However, this may not be viable in cases of malignant infiltration, revision or salvage procedures. We describe our hybrid endoscopic/open technique of using autologous fascia lata and a pedicled vascular pericranial flap to reconstruct the skull base defect following extended endoscopic skull base surgery. This study describes the technique and outcomes of hybrid reconstruction of dural defect after extended endoscopic transnasal resection of skull base tumours in situations whereby the nasoseptal flap is non-viable. Methods: This is a retrospective cross-sectional study in which 16 cases of extended endoscopic transnasal resections of skull base tumours (14 malignant and 2 benign) were evaluated. An autologous tensor fascia lata graft was underlay in the dural defect and it is augmented externally by a vascularized pericranial flap rotated through a modified Lynch incision. Information on complications such as CSF leakage, postoperative infection and bleeding were collected. Results: There were no post-operative complications of CSF leakage, meningitis, tension pneumocephalus or significant bleeding requiring additional packing or operative intervention. Conclusions: The use of pedicled pericranial flap in combination with autologous fascia lata in reconstruction of large dural defects resulting from an extended endoscopic transnasal skull base resection is a reliable method for skull base reconstruction.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123051249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A total of 3,840 tonsillectomies by one Australian surgeon: haemorrhage rates, techniques, and comparisons","authors":"Aaron S. Griffin, P. Jumeau","doi":"10.21037/ajo-21-41","DOIUrl":"https://doi.org/10.21037/ajo-21-41","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128135697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical outcomes in a retrospective cohort of adult patients with severe obstructive sleep apnea","authors":"Johnson Huang, E. Shao, S. MacKay, L. Kitipornchai","doi":"10.21037/ajo-20-80","DOIUrl":"https://doi.org/10.21037/ajo-20-80","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134062526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facial canal dehiscence in cholesteatoma and co-existing surgical findings: a systematic review and meta-analysis","authors":"Saikrishna Ananthapadmanabhan, Gideon R. Budiono, J. Jabbour, Femi E. Ayeni, G. King, Anand Suruliraj, V. Sivapathasingam","doi":"10.21037/ajo-23-1","DOIUrl":"https://doi.org/10.21037/ajo-23-1","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122310044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elective neck dissection improves regional control in early oral squamous cell carcinoma","authors":"Thomas P. Beddow, T. Low, K. Gao, J. Wykes, Ruta Gupta, Jonathan Clark, M. Elliott","doi":"10.21037/ajo-22-20","DOIUrl":"https://doi.org/10.21037/ajo-22-20","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123250763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital-avoidance with Outpatient Management of Epistaxis (HOME): which epistaxis patients packed with a Rapid RhinoTM are potentially appropriate for outpatient management?","authors":"Lauren R Footner, C. Woods, Lucy Huang, E. Ooi","doi":"10.21037/ajo-22-27","DOIUrl":"https://doi.org/10.21037/ajo-22-27","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130679828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual multidisciplinary meetings in a new COVID-19 world: how well are we doing it?","authors":"Henna Eqbal, M. Borschmann","doi":"10.21037/ajo-22-30","DOIUrl":"https://doi.org/10.21037/ajo-22-30","url":null,"abstract":"Background: As of January 16, 2022, coronavirus disease 2019 (COVID-19) has caused over 323 million confirmed cases and over 5.5 million deaths worldwide. The pandemic necessitated a fast transition within healthcare services around the globe. The Head and Neck cancer multidisciplinary meeting (MDM) is a regular meeting involving diverse health professionals. In the heat of the pandemic, meetings were swiftly transitioned online to adhere to social distancing rules and ensure clinician compliance and safety. This qualitative paper explores the experience of an Australian Head and Neck MDM following the vital shift. In particular, the views on preparation, login, attendance, quality, patient outcomes, safety, and interpersonal relationships were considered. Methods: An online questionnaire, including Likert Scale and free text type questions, was created using Redcap. An anonymous survey link was emailed to 59 Head and Neck Unit members at the University Hospital Geelong. The questions evaluated thoughts on preparation, login, attendance, quality, clinician safety and interpersonal relationships on the current virtual MDM (vMDM) compared to face-to-face meetings. Responders included surgeons (19%), medical oncologists (4%), radiology oncologists (8%), junior medical staff (31%), allied health (8%), nursing staff (15%) and other (4%). Results: Many participants (62.3%) find it easier to attend the meeting. Concerning login, 95.9% of participants know where to find the login details for the meeting, and 100% of survey participants find the weekly invitation link adequate. Many participants felt that presentation preparation was not disrupted by moving to an online platform (72.7%). Almost half of the participants (45.9%) find it difficult to hear during meetings. Most respondents were satisfied with the quality of radiology imaging (75.0%) and pathology slides (91.2%). In addition, 65.2% of attendees feel less of an interpersonal relationship with colleagues since moving online. Regarding participant contribution, 47.8% feel it has not impacted their ability to contribute to the meeting, and 34.8% feel there has not been a change. Conclusions: The ongoing resurgence of COVID-19 will mean that virtual meetings will stay. This study demonstrates that our participants find the vMDM a positive move. We hope other units benefit from being cognisant of the identified issues and allow for the development of their own MDMs during this pandemic. © 2023 Universidad de Castilla la Mancha. All rights reserved.","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"334 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvement in mortality with hyperbaric oxygen therapy in cervical necrotising fasciitis: a systematic review of the literature","authors":"Evan A. Tseros, R. Reddy, J. Ho, D. Gunaratne, V. Venkatesha, F. Riffat","doi":"10.21037/ajo-23-5","DOIUrl":"https://doi.org/10.21037/ajo-23-5","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132173648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of middle ear effusion at the time of grommet insertion—a retrospective cohort study","authors":"Johnny Wu, A. Currie","doi":"10.21037/ajo-22-25","DOIUrl":"https://doi.org/10.21037/ajo-22-25","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123978475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delayed post-contrast MRI in the assessment of Meniere’s disease—initial South Australian experience","authors":"T. Nguyen, Gayle S. Lim, S. Chawla","doi":"10.21037/ajo-21-27","DOIUrl":"https://doi.org/10.21037/ajo-21-27","url":null,"abstract":"","PeriodicalId":165885,"journal":{"name":"Australian Journal of Otolaryngology","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115126609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}