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

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}

引用次数: 0

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

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}

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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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