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Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献

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Open organ preservation for laryngeal cancer 喉癌的开放性器官保存术
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.006
{"title":"Open organ preservation for laryngeal cancer","authors":"","doi":"10.1016/j.otot.2024.04.006","DOIUrl":"10.1016/j.otot.2024.04.006","url":null,"abstract":"<div><p>As the treatment for laryngeal cancer<span><span> has evolved over several decades, organ preservation has remained one of the goals of treatment. While chemoradiation therapy is the most widely used treatment modality, open surgical preservation techniques for laryngeal cancer continue to be an option in the surgeon's armamentarium. A summary of the history, anatomic considerations, principles of organ preservation and specific </span>partial laryngectomy techniques are discussed in this review.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 158-166"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140771675","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
Surgery for locally advanced laryngeal cancer 局部晚期喉癌的手术治疗
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.010
{"title":"Surgery for locally advanced laryngeal cancer","authors":"","doi":"10.1016/j.otot.2024.04.010","DOIUrl":"10.1016/j.otot.2024.04.010","url":null,"abstract":"<div><p><span><span>Surgical options for locally advanced laryngeal cancer<span><span> range from organ-preservation surgeries, such as transoral laser microsurgery and </span>partial laryngectomy<span><span>, to total or near-total laryngectomy with partial or total pharyngectomy. Herein, we describe preoperative workup, surgical technique for total laryngectomy, including stomal </span>incision<span> and design, laryngeal framework isolation and thyroid management, entry into the </span></span></span></span>larynx and </span>pharynx<span>, tracheoesophageal puncture, and closure options. Early and late postoperative complications are considered. Lastly, conservation laryngeal surgical options, including vertical versus horizontal partial laryngectomy and transoral laser microsurgery are discussed.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 187-195"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141405033","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
Surgery and rehabilitation for speech following laryngectomy 喉切除术后的手术和语言康复
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.011
{"title":"Surgery and rehabilitation for speech following laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.011","DOIUrl":"10.1016/j.otot.2024.04.011","url":null,"abstract":"<div><p>Achieving optimal voice restoration has long been the goal in total laryngectomy<span> patients. Significantly, the achievement of a good voice has a great impact on the quality of life<span><span><span> in this patient population. Numerous surgical and non-surgical options are available. Foremost of these is a tracheoesophageal puncture with use of a voice prosthesis. Creation of the tracheoesophageal puncture is a simple procedure which can be performed using a variety of techniques. It can also be done under general anesthesia or in the office setting. Surgical evaluation and ongoing care of the voice prosthesis is carried out in conjunction with the speech language </span>pathologist. Most patients do well, with a variety of solutions being available for uncommon issues which may occur. In the majority of patients, </span>alaryngeal speech is readily achievable. The head and neck surgeon should be well-versed in the techniques available.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 196-204"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794579","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
Operative techniques in otolaryngology: Head and neck surgery. Geisinger Medical Center experience for whole mount laryngectomy specimen 耳鼻喉科手术技术：头颈外科。Geisinger 医疗中心全山喉切除术标本的经验。
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.003
{"title":"Operative techniques in otolaryngology: Head and neck surgery. Geisinger Medical Center experience for whole mount laryngectomy specimen","authors":"","doi":"10.1016/j.otot.2024.04.003","DOIUrl":"10.1016/j.otot.2024.04.003","url":null,"abstract":"<div><p>The American Cancer Society estimates approximately 12,380 new cases of laryngeal cancer<span> (0.7% of all cases) with approximately 3820 people dying from the disease. There is 3.86:1 male to female ratio and represent third most prevalent upper aerodigestive tract site, following the oral and pharyngeal regions. Typically affects patients in the fifth decade of life. Accurate diagnosis and management are crucial for patient survival. This study examines the pathological features of laryngectomy<span> specimens and their significance in the diagnosis and management of laryngeal cancer. Our institution's intraoperative evaluation of margins and surgical procedures for laryngeal cancer treatment are also discussed. The study found that gross pathology and histomorphology of laryngeal specimens after laryngectomy are the most accurate methods for determining the extent of tumor involvement. The majority of our procedures involve total or partial laryngectomy. The significance of surgical pathology in the diagnosis and management of laryngeal cancer is highlighted in this article.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 133-140"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789286","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
Trans-oral laser microsurgery in the management of glottic cancer 经口激光显微手术治疗声门癌
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-06-01 DOI: 10.1016/j.otot.2024.04.005
{"title":"Trans-oral laser microsurgery in the management of glottic cancer","authors":"","doi":"10.1016/j.otot.2024.04.005","DOIUrl":"10.1016/j.otot.2024.04.005","url":null,"abstract":"<div><p>The treatment of laryngeal cancer<span> requires treatment of disease with maximal preservation of laryngeal function. An array of treatments is available including endoscopic surgery, open surgery, and radiation therapy. Trans-oral laser microsurgery has become increasingly popular as data has accrued demonstrating evidence of favorable functional and oncologic outcomes.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 149-157"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029869","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
Audiometric evaluation and diagnosis of conductive hearing loss 传导性听力损失的听力评估和诊断
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.002
Charlotte Morse-Fortier Au.D., CCC-A , Elizabeth Doney Au.D., CCC-A , Keelin Fallon BA , Aaron Remenschneider MD, MPH, FACS
{"title":"Audiometric evaluation and diagnosis of conductive hearing loss","authors":"Charlotte Morse-Fortier Au.D., CCC-A ,&nbsp;Elizabeth Doney Au.D., CCC-A ,&nbsp;Keelin Fallon BA ,&nbsp;Aaron Remenschneider MD, MPH, FACS","doi":"10.1016/j.otot.2024.01.002","DOIUrl":"10.1016/j.otot.2024.01.002","url":null,"abstract":"<div><p>Definitive diagnosis of conductive hearing loss requires a comprehensive audiological evaluation by a skilled audiologist. Threshold testing is performed with both air and bone conduction stimuli and frequently necessitates masking strategies. The fundamental aspects of bone conduction audiometry will be reviewed. Patients with bilateral conductive or mixed hearing loss need advanced strategies, such as the Rainville estimation method to acquire ear specific thresholds.<span><sup>1</sup></span> One hallmark of conductive hearing loss is preserved word recognition due to intact cochlear function. Immittance testing is another important component to comprehensive audiometry and can provide important information about the site of the conductive lesion. This article will review the fundamental aspects of the audiologic assessment of conductive hearing loss and touch on areas of recent research advances, including the assessment of high frequency conductive hearing loss using specialized bone conduction hardware.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 11-17"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635107","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
Outcomes review and future management of conductive hearing loss 传导性听力损失的成果回顾与未来管理
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.013
Sven Beckmann MD, Lukas Anschuetz MD
{"title":"Outcomes review and future management of conductive hearing loss","authors":"Sven Beckmann MD,&nbsp;Lukas Anschuetz MD","doi":"10.1016/j.otot.2024.01.013","DOIUrl":"10.1016/j.otot.2024.01.013","url":null,"abstract":"<div><p>This article provides an up-to-date accounting of various surgical options and reported trends in middle ear reconstruction for conductive hearing loss with a primary focus on hearing outcomes. In general, the results after bridging tympanoplasty type II are superior to the results after type III tympanoplasty. For type III tympanoplasty most case series report more favorable hearing outcomes for partial ossicular replacement prosthesis (PORP reconstruction) as compared to total ossicular replacement prosthesis (TORP reconstruction). Endoscopic ossicular chain reconstruction yields comparable hearing outcomes with improved early hearing outcome. Long-term outcome reporting of hearing outcomes after endoscopic ossiculoplasty are needed. Surgical reconstruction of the ossicular chain enables the ear surgeon to tailor the surgical treatment individually to the patient thanks to the wide range of surgical techniques and prosthesis designs available.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 110-121"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043181024000137/pdfft?md5=37b658f9b9605913eddfbbfcb2cf75bd&pid=1-s2.0-S1043181024000137-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635303","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}
引用次数: 0
Management of conductive hearing loss from otitis media in children operative techniques in otolaryngology 儿童中耳炎传导性听力损失的管理 耳鼻喉科手术技术
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.005
Jacob Bloom MD , Jacob R. Brodsky MD, FACS, FAAP
{"title":"Management of conductive hearing loss from otitis media in children operative techniques in otolaryngology","authors":"Jacob Bloom MD ,&nbsp;Jacob R. Brodsky MD, FACS, FAAP","doi":"10.1016/j.otot.2024.01.005","DOIUrl":"10.1016/j.otot.2024.01.005","url":null,"abstract":"<div><p><span><span>Otitis media with effusion (OME) is the most common cause of </span>conductive hearing loss<span><span> in children. Although middle ear effusions will often respond spontaneously, many children will develop chronic OME (COME) and require </span>tympanostomy tube placement to achieve consistent middle ear health and to normalize hearing. While tympanostomy tube placement is a simple procedure, it is essential for any Otolaryngologist that manages children to have an in-depth knowledge of current evidence-based guidelines for the management of otitis media in children, given the incredibly high prevalence of the condition and the high frequency of tympanostomy tube placement relative to other otologic procedures. This article will review current guidelines for the management of otitis media in children, indications for tympanostomy tube placement, recommended management of risk factors for COME in children, intraoperative considerations, </span></span>postoperative management guidelines, and avoidance/management of potential complications.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539397","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
Surgical repair of congenital aural atresia 先天性耳道闭锁的手术修复
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.006
Bradley W. Kesser MD, FACS
{"title":"Surgical repair of congenital aural atresia","authors":"Bradley W. Kesser MD, FACS","doi":"10.1016/j.otot.2024.01.006","DOIUrl":"10.1016/j.otot.2024.01.006","url":null,"abstract":"<div><p><span><span>Despite the ease, efficacy, predictability, and widespread availability of osseointegrated bone conduction hearing devices, surgical repair of congenital aural </span>atresia (CAA) remains a viable and rewarding operation for patients, parents, and surgeons. Careful selection of patients using appropriate </span>audiometry<span><span>, detailed radiographic interpretation, and assessment of family understanding and child cooperability are the first steps toward a successful outcome. Intimate knowledge of outer, middle, and inner ear anatomy—both in the normally and abnormally developed ear—coupled with meticulous technique at each stage of the operation can yield outstanding hearing results with a clean, skin-lined, dry, patent ear canal. This chapter reviews the preoperative evaluation and steps of the atresia repair operation, including </span>postoperative management, and provides both predictive and published data on hearing outcomes.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 95-103"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139537000","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
Contemporary mechanics of conductive hearing loss 传导性听力损失的当代机理
Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2024-03-01 DOI: 10.1016/j.otot.2024.01.001
Aaron Remenschneider MD, MPH, FACS , Jeffrey Tao Cheng PhD
{"title":"Contemporary mechanics of conductive hearing loss","authors":"Aaron Remenschneider MD, MPH, FACS ,&nbsp;Jeffrey Tao Cheng PhD","doi":"10.1016/j.otot.2024.01.001","DOIUrl":"10.1016/j.otot.2024.01.001","url":null,"abstract":"<div><p><span>The middle ear plays a critical role for the conversion of acoustic energy to mechanical vibrations that subsequently enter the cochlea. It is middle ear impedance matching through ossicular coupling that has enabled land-dwelling vertebrates to hear soft airborne sounds. Conductive hearing loss<span> may result from damage to the delicate middle ear structures following infection, trauma or rapid pressure changes. An understanding of the mechanics of the middle ear significantly improves the oto-surgeon's ability to effectively diagnose conductive hearing loss, localize the responsible lesion and then effectively correct the conduction abnormality. This article reviews some of the basic knowledge of middle ear mechanics for sound transmission, highlights recent advances in developing new techniques to assist in diagnosis of middle ear disease, and finally sheds light on future research aimed at improving the diagnosis and management of middle </span></span>ear pathology.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 2-10"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631810","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
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