Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献_第2页

Levels of the neck and classification of neck dissection and incisions

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.009

Bao Y. Sciscent BS, Neerav Goyal MD, MPH, FACS, Ciaran Lane MD

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The posterolateral neck dissection: indications, planning, and techniques

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.otot.2024.08.012

William Reed MD, MPH, Luigi Volpini MD, Andrew Fuson MD, Carissa M. Thomas MD, PhD

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Flexible Zenker's per-oral endoscopic myotomy 灵活的 Zenker 口周内窥镜肌切开术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2023.12.002

Shumon Ian Dhar MD, FACS, Anna Tomkies MD

{"title":"Flexible Zenker's per-oral endoscopic myotomy","authors":"Shumon Ian Dhar MD, FACS, Anna Tomkies MD","doi":"10.1016/j.otot.2023.12.002","DOIUrl":"10.1016/j.otot.2023.12.002","url":null,"abstract":"<div><div><span>Zenker's diverticulum<span> is a pulsion-type pseudodiverticulum of the pharyngoesophageal segment. Endoscopic surgery<span> is primarily directed at dividing the common wall between the esophagus and diverticulum. Rigid exposure with diverticuloscopes has allowed for common wall division with staplers, lasers, and advanced energy sealers, however, not all patients can be successfully treated with rigid instrumentation. As a result, flexible endoscopic surgery provides another option for patients. This technique employs various instrumentation through the working channel of a gastroscope to not only divide the common wall but seal the </span></span></span>incision, which if done appropriately, results in a symptom resolution with complication rates comparable to rigid techniques. Flexible endoscopic surgery requires the surgeon to perform technically challenging submucosal dissection through a gastroscope as well as possess expertise with advanced energy delivery systems and instrumentation. However, with time, surgeons can build these skills to offer a breadth of surgical options tailored to the individual patient.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 213-219"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700769","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}

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The Bony Window Technique as a mini-invasive surgery to retrieve foreign bodies in the maxillary sinus: A technical note 骨窗技术作为上颌窦异物取出的微创手术：技术说明

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.04.012

Ettore Lupi MD, PhD , Giulia Ciciarelli DDS, PhD , Sara Bernardi DDS, PhD , Davide Gerardi DDS, PhD , Maurizio D'Amario DDS , Serena Bianchi MD, PhD , Filippo Giovannetti MD, PhD

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Operating room architecture in otolaryngology and extracranial surgery: A review 耳鼻喉科和颅外手术的手术室结构：综述

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.02.002

Sapideh Gilani MD, FACS , William Ragan MD

{"title":"Operating room architecture in otolaryngology and extracranial surgery: A review","authors":"Sapideh Gilani MD, FACS , William Ragan MD","doi":"10.1016/j.otot.2024.02.002","DOIUrl":"10.1016/j.otot.2024.02.002","url":null,"abstract":"<div><div>To determine the best architectural plan for the extracranial and otolaryngology operating room, we queried PubMed and the Avery Index to Architectural Periodicals, Art Full Text, and Art Index Retrospective. for the key words \"architecture,\" \"operating room,\" and \"otolaryngology.\" No relevant articles were found between 1989 and 2023. We created schematic diagrams of operating rooms in which we have operated over our combined careers and present the safest and most efficient configuration of the extracranial and otolaryngology surgery operating room. The architecture and medical literature have no recommendations for design and architectural details relevant to the extracranial operating room. Our specialty may wish to be proactive about this area of importance to our specialty. The medical, art, architecture literature offers no guidance for the optimal design and architectural layout of the extracranial operating room. Details to consider in such planning include patient and staff safety, anticipated patient and staff movement, OR efficiency, equipment size, placement and movement, line, and cord placement, and finally supply access. The authors suggest a configuration for the design and architectural layout for the extracranial surgery operating room.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 237-241"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Risk factors for visual loss after excision of apical orbital cavernous venous malformations 眼眶顶部海绵状静脉畸形切除术后视力下降的风险因素

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.05.001

Clare Quigley , Alkis Psaltis , Geoffrey E. Rose , Dinesh Selva

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Operative technique in otolaryngology: A milestone issue 耳鼻喉科手术技术：一个里程碑式的问题

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.08.020

David Goldenberg MD, FACS

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The Variant type of Preauricular Sinus with Recurrent Postauricular Abscess: Excision by Single Incision Preauricular Approach 变异型耳前窦伴复发性耳后脓肿：耳前单切口切除术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.01.016

Kanu Lal Saha , Ripon Kumar Sarkar , S.M. Rasel Parvez

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The vertical midline incision is a safe and effective technique for primary total laryngectomy procedures 垂直中线切口是一种安全有效的初级全喉切除术技术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.06.001

A.D. Rajgor MBChB , F.W. Stafford FRCS , A.K. Green MBBS , J. Ash MBBS , C.W. Lee MBBS

{"title":"The vertical midline incision is a safe and effective technique for primary total laryngectomy procedures","authors":"A.D. Rajgor MBChB , F.W. Stafford FRCS , A.K. Green MBBS , J. Ash MBBS , C.W. Lee MBBS","doi":"10.1016/j.otot.2024.06.001","DOIUrl":"10.1016/j.otot.2024.06.001","url":null,"abstract":"<div><div>A total laryngectomy is used to resect laryngeal or hypopharyngeal cancer. Limited research exists on how incision location influences clinical outcomes. This study compares outcomes between 2 incision types; vertical midline (VMI) and apron-type incisions and determines whether this approach should be considered more frequently for primary total laryngectomy procedures. A retrospective analysis was undertaken at 2 tertiary specialist centres. The effect of skin incision technique on postoperative outcomes was analysed using regression modelling. Of the 79 patients included, 54 underwent an apron incision and 25 underwent a VMI. VMIs were significantly associated with reduced risk of lymphoedema (<em>P = 0.011</em>) and pharyngocutaneous fistula (PCF) (<em>P = 0.031</em>). Regression analysis demonstrated incision technique did not influence recurrence (HR2.28; 95% CI 0.61-8.53; <em>P =</em> 0.219) or survival (HR1.41; 95% CI 0.55-3.65; <em>P =</em> 0.477). However, apron incisions increased the odds of minor (OR9.59; 95% CI 1.34-68.82; <em>P =</em> 0.025) and major (OR3.59; 95% CI 1.71-78.21; <em>P =</em> 0.045) complications. VMI is a safe and effective approach for performing laryngectomies and does not have inferior outcomes with regard to complications, recurrence rate or survival. Additional morbidity from the routine use of flap reconstruction in salvage surgery can be avoided. A vertical approach should be considered for laryngectomy resections even in the presence of encapsulated lateral nodal disease.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 253-263"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714233","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}

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Botulinum toxin type a (BOTOX) in the management of glossopharyngeal neuralgia- A case series A 型肉毒杆菌毒素（BOTOX）治疗舌咽神经痛--病例系列

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.08.002

Prashanth Lowell Monis MDS, Athiramol CK MDS, Samarth Shetty MDS, MFDS RCS (Eng.), FFDRCS (Ire.), Paul Christadas Salins MDS, FDS RCS (Eng.), FFDRCS (Ire.), PG Dip. Med

{"title":"Botulinum toxin type a (BOTOX) in the management of glossopharyngeal neuralgia- A case series","authors":"Prashanth Lowell Monis MDS, Athiramol CK MDS, Samarth Shetty MDS, MFDS RCS (Eng.), FFDRCS (Ire.), Paul Christadas Salins MDS, FDS RCS (Eng.), FFDRCS (Ire.), PG Dip. Med","doi":"10.1016/j.otot.2024.08.002","DOIUrl":"10.1016/j.otot.2024.08.002","url":null,"abstract":"<div><div>Glossopharyngeal neuralgia (GPN) is a rare, debilitating neurologic condition characterized by intermittent pain radiating to the tongue, pharynx or ear that can be triggered by talking, swallowing or chewing. With an incidence of only 0.2-0.7 persons/100,000/year, the diagnosis is extremely challenging and often gets misdiagnosed and undiagnosed. Many treatment options have been tried by various clinicians in the past, such as medical therapy (antidepressants, opiods, antiepileptics, steroids, and membrane-stabilizing agents), nerve blocks with or without additives, gamma knife radiosurgery, radiofrequency ablation and microvascular decompression. Each of the aforementioned treatment modalities has its own merits and limitations. In the pursuit of delivering optimal treatment for pain relief in GPN and to improve patient's quality of life, we have explored the use of Botulinum toxin type A (BOTOX [Allegran]). BOTOX has been widely used in the treatment of chronic facial pain such as headaches, migraine, and trigeminal neuralgia. However, the use of BOTOX in the management of GPN has not been reported in the literature. Despite the small number of cases in our series, BOTOX therapy in GPN appears to be promising. However, further research with larger sample sizes and longer follow-up periods is needed to fully establish its efficacy and safety profile</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 281-287"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699806","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}

引用次数: 0