Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献_第3页

Fixed parotid sialoliths: surgical treatment via transfacial approach using sialendoscopy and ultrasound guidance—retrospective cohort study 固定腮腺霰粒肿：利用霰粒肿内窥镜和超声引导，通过经面部入路进行手术治疗--回顾性队列研究

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.06.002

Gonçalo Coutinho MD , José Coutinho MD, MsC , Rita Simão MD , Francisco Salvado MD, PhD

{"title":"Fixed parotid sialoliths: surgical treatment via transfacial approach using sialendoscopy and ultrasound guidance—retrospective cohort study","authors":"Gonçalo Coutinho MD , José Coutinho MD, MsC , Rita Simão MD , Francisco Salvado MD, PhD","doi":"10.1016/j.otot.2024.06.002","DOIUrl":"10.1016/j.otot.2024.06.002","url":null,"abstract":"<div><div>The most common cause of symptomatic parotitis is the obstruction of its duct, most commonly by a stone. Despite the development of minimally invasive endoscopic techniques, some of these obstructions cannot be treated entirely endoscopically, requiring combined approaches. This study reviewed the outcomes and surgical technique of ultrasound-guided transfacial parotid sialolithotomy following a failed endoscopic approach. Conducted as a case series with retrospective chart review at an academic tertiary care center, the study evaluated patients who underwent this combined transfacial-endoscopic operation for symptomatic parotid sialolithiasis from April 2022 through January 2023. Key outcomes included operative technique, stone size, stone location, complications, and symptom relief. A total of 4 male patients with a mean age of 66 years underwent the ultrasound-guided transfacial operation for symptomatic parotid sialolithiasis. Needle localization facilitated transfacial stone retrieval in all cases. The follow-up period ranged from 6 to 15 months. Stone locations included the proximal one-third of the ductal lumen (1 patient), the parotid hilum (1 patient), and within the gland parenchyma (2 patients). The average sialolith length was 8 ± 1.4 mm, and the width was 3 ± 0.8 mm. The average surgical time was 113 ± 16.5 minutes. All cases (100%) achieved successful stone retrieval and symptomatic improvement, with complete resolution of symptoms in 3 cases (75%). No major complications were reported. Ultrasound-guided transfacial parotid sialolithotomy is a safe and effective alternative to parotidectomy for patients who have failed a purely endoscopic approach. A novel transfacial surgical dissection method, based on the middle premasseter space, is proposed for accessing the main parotid duct when obstructions are located in the middle portion of the duct.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 264-274"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695961","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 use of botulinum toxin for oral-ocular synkinesis in facial paralysis 使用肉毒杆菌毒素治疗面瘫患者的口眼综合征

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.02.001

Arman Saeedi BS, Antonios N. Varelas MD, Manuela von Sneidern MD, Judy W. Lee MD

{"title":"The use of botulinum toxin for oral-ocular synkinesis in facial paralysis","authors":"Arman Saeedi BS, Antonios N. Varelas MD, Manuela von Sneidern MD, Judy W. Lee MD","doi":"10.1016/j.otot.2024.02.001","DOIUrl":"10.1016/j.otot.2024.02.001","url":null,"abstract":"<div><div>Oral-ocular synkinesis<span><span> is a common, uncomfortable, and disfiguring sequela<span> of facial nerve palsy<span><span>. Despite widespread use of chemodenervation as a non-surgical intervention, limited literature exists on optimal dosage and administration techniques in these patients. This study aims to describe a reliable chemodenervation injection technique and report objective measurements and subjective satisfaction outcomes. Prospective pre-post interventional study where new, consecutive patients with previously untreated oral-ocular </span>synkinesis<span><span> secondary to facial nerve palsy were included. Patients completed a Synkinesis Assessment Questionnaire and standardized </span>photographs were taken before and after </span></span></span></span>botulinum toxin<span> injections. Palpebral fissure<span> symmetry was measured from photographs, with the unaffected side functioning as the control. Sixteen patients were included in the prospective study. Mean age was 48 years old and 56% male. Botulinum toxin was injected into the upper and lower medial preseptal, upper and lower lateral pretarsal, and lateral orbital orbicularis oculi (10-13 units). Standardized photographic comparison demonstrated significant improvement in palpebral fissure height with smile (p < 0.01) and lip pucker (p < 0.01). Relevant items on the Synkinesis Assessment Questionnaire also significantly improved (p < 0.01). This reliable botulinum toxin injection technique for oral-ocular synkinesis demonstrated significant improvement in subjective quality of life metrics and objective palpebral fissure height during both smile and pucker.</span></span></span></div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 231-236"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140083082","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

Otolaryngology examination room architecture: Systematic review and suggestions for future designs 耳鼻喉科检查室建筑：系统回顾与未来设计建议

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.08.001

Sapideh Gilani MD, FACS

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Fifteen cases of inferior temporal fossa abscess: their trends and appropriateness of the surgical approach 15 例颞下窝脓肿：其发展趋势和手术方法的适宜性

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2023.11.001

Aiko Kishino MD, Sawako Kawata PhD, Yuki Takeyama MD, Kumiko Edakawa MD, Naoki Takahashi PhD

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Anatomic relationship of the sternocleidomastoid branch of the occipital artery with the spinal accessory nerve 枕动脉胸锁乳突肌分支与脊髓附属神经的解剖关系

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-09-01 DOI: 10.1016/j.otot.2024.01.015

Aaron L. Zebolsky MS, MD , David M. Weatherford BS , Joseph M. Berry BS , James B. Tansey MD , Marion Boyd Gillespie MD , Eugene Ritter Sansoni MD

{"title":"Anatomic relationship of the sternocleidomastoid branch of the occipital artery with the spinal accessory nerve","authors":"Aaron L. Zebolsky MS, MD , David M. Weatherford BS , Joseph M. Berry BS , James B. Tansey MD , Marion Boyd Gillespie MD , Eugene Ritter Sansoni MD","doi":"10.1016/j.otot.2024.01.015","DOIUrl":"10.1016/j.otot.2024.01.015","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was designed to determine if the sternocleidomastoid branch of the occipital artery (SBOA) may be used to reliably predict the location of the spinal accessory nerve (SAN) during neck dissections.</div></div><div><h3>Materials and methods</h3><div>A retrospective cohort study was performed on patients undergoing neck dissections involving level II. The primary outcome was the frequency in which the SBOA inserted into the sternocleidomastoid muscle (SCM) within 5mm from the SAN along axial and vertical planes. Baseline characteristics were tested for association with these outcomes.</div></div><div><h3>Results</h3><div>87 neck dissections on 54 patients were evaluated. The SBOA inserted into the SCM within 5mm of the SAN in 86/87 cases (98.9%) axially and 85/86 cases (98.8%) vertically. The SBOA inserted into the SCM and average of 0.6mm (+/- 1.4) superficial and 0.6mm (+/- 2.5) caudal. The SBOA inserted superficial to the nerve in 66/87 cases (75.9%) compared to deep, and caudal to the nerve in 50/86 cases (58.1%) compared to cephalad. There was no association with age, sex, body mass index, laterality, head and neck radiation, or level II nodal disease.</div></div><div><h3>Conclusions</h3><div>The SBOA is closely associated with the SAN and may serve as a reliable landmark to help preserve the nerve during neck dissections.</div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 220-226"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638318","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

Supracricoid laryngectomy 环上喉切除术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.007

引用次数: 0

History and evolution of the laryngectomy 喉切除术的历史与演变

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.002

引用次数: 0

Total laryngectomy 全喉切除术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.008

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Imaging for larynx cancer assessment 喉癌评估成像

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.004

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Reconstruction after salvage total laryngectomy 抢救性全喉切除术后的重建

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.009

{"title":"Reconstruction after salvage total laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.009","DOIUrl":"10.1016/j.otot.2024.04.009","url":null,"abstract":"<div><p>Over recent decades, there has been a trend toward non-surgical or “organ preservation” therapy for advanced staged laryngeal cancers<span>, but up to 1/3 of patients will see a lack of long-term treatment response. As a result of this paradigm shift, total laryngectomy<span><span><span><span> is increasingly performed in the ‘salvage’ setting. Salvage total laryngectomy is associated with high rates of complications from impaired wound healing from prior chemotherapy and/or radiotherapy, and reconstructive techniques aim to decrease these complications. Regional and </span>free tissue flaps<span> are used in contemporary reconstruction of salvage laryngectomy defects. In this article, the pectoralis major myocutaneous flap and the anterolateral thigh </span></span>fasciocutaneous free flap are discussed in detail. Additionally, specific techniques are described in a defect-based approach with special attention to total laryngectomy with primary closure of the </span>mucosa<span><span>, as well as defects not amenable to primary closure, such as total laryngectomy with partial or total pharyngectomy and </span>esophagectomy. This defect-based approach allows the author to present surgical scenarios commonly encountered during salvage total laryngectomy and walk the reader through various reconstructive techniques.</span></span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 180-186"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141030876","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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