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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
{"title":"Fifteen cases of inferior temporal fossa abscess: their trends and appropriateness of the surgical approach","authors":"Aiko Kishino MD,&nbsp;Sawako Kawata PhD,&nbsp;Yuki Takeyama MD,&nbsp;Kumiko Edakawa MD,&nbsp;Naoki Takahashi PhD","doi":"10.1016/j.otot.2023.11.001","DOIUrl":"10.1016/j.otot.2023.11.001","url":null,"abstract":"<div><div>We aimed to elucidate the management of abscesses extending into the inferior temporal fossa and highlight our surgical approach for these cases. Furthermore, we investigated the epidemiological aspects of this ailment<span><span>, which are sparsely reported. We comprehensively assessed 15 patients with inferior temporal fossa abscesses who presented to our department between March 2003 and March 2023. Trismus was the most common symptom, while fever was not prominent. The mean age at onset was 78 years, and 73% of the patients were male. Diabetes mellitus was present in 73% of patients, and 86% of patients had an odontogenic source of infection. The mean duration of drainage was 25.4 days, </span>antimicrobial therapy was 18.4 days, and hospitalization was 43.9 days. Abscesses extending into the inferior temporal fossa are typically caused by odontogenic factors and commonly result in trismus. Our surgical approach was effective and none of the patients required revision surgery.</span></div></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 3","pages":"Pages 207-212"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700768","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
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 ,&nbsp;David M. Weatherford BS ,&nbsp;Joseph M. Berry BS ,&nbsp;James B. Tansey MD ,&nbsp;Marion Boyd Gillespie MD ,&nbsp;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
{"title":"Supracricoid laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.007","DOIUrl":"10.1016/j.otot.2024.04.007","url":null,"abstract":"<div><p>Surgery has been utilized as an approach for organ preservation of the larynx<span> since the late 19th century, decades prior to Madame Curie's discovery of radium. But with the discovery of radium the pendulum of surgical versus nonsurgical organ preservation has swung one way or the other over the course of the 20th century. New procedures were developed during the 20th century such as the supraglottic laryngectomy<span> to improve local control and functional outcomes. Supracricoid laryngectomy is one such procedure and can be a valuable option to preserve phonation, respiration, and swallowing function while maintaining excellent local oncologic control. This chapter reviews indications, contraindications, and anatomic considerations. Operative techniques are reviewed in detail, and outcomes and potential complications are discussed.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 167-175"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760308","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
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
{"title":"History and evolution of the laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.002","DOIUrl":"10.1016/j.otot.2024.04.002","url":null,"abstract":"<div><p><span>Total laryngectomy remains the gold standard for advanced </span>laryngeal cancer<span> to which all other treatments must be compared, benefiting from over 150 years of technical advancements since first performed by Theodor Billroth in 1873. The treatment paradigm has evolved with advances in both nonsurgical and surgical laryngeal preservation. The tenets of treatment, weighing oncologic outcome with functional and quality of life outcomes, have remained the same. This article reviews the history of laryngectomy, progression of surgical techniques, concurrent advancements in vocal rehabilitation, and role of complete and partial laryngectomy procedures in the current era.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 124-132"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761569","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
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
{"title":"Total laryngectomy","authors":"","doi":"10.1016/j.otot.2024.04.008","DOIUrl":"10.1016/j.otot.2024.04.008","url":null,"abstract":"<div><p>Knowledge of the total laryngectomy is essential for the head &amp; neck surgeon. While there are many indications for the procedure, it is most commonly performed for advanced squamous cell carcinoma of the larynx. This article will review common indications, basic technique, and complications of the total laryngectomy.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 176-179"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1043181024000332/pdfft?md5=3b0c010ed1ff952fd748a61b7e67589a&pid=1-s2.0-S1043181024000332-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140783328","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
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
{"title":"Imaging for larynx cancer assessment","authors":"","doi":"10.1016/j.otot.2024.04.004","DOIUrl":"10.1016/j.otot.2024.04.004","url":null,"abstract":"<div><p>Imaging is critical in the evaluation and accurate staging of the patient with laryngeal cancer<span><span><span>. Knowledge of relevant anatomy and characteristic patterns of </span>tumor spread guides prognosis and facilitates treatment planning. Furthermore, imaging plays an important role in follow-up of the patient who has undergone successful treatment of their primary </span>laryngeal cancer to detect recurrence and assess treatment-related complications. This review highlights the common imaging modalities used in laryngeal cancer imaging, unique anatomic considerations for each laryngeal subsite, and provides an overview of post-treatment surveillance.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 2","pages":"Pages 141-148"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775294","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
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}
引用次数: 0
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
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