Operative Techniques in Otolaryngology - Head and Neck Surgery最新文献_第7页

Optimizing techniques for in-office endoscopic transnasal sphenopalatine ganglion block injections 办公室内窥镜蝶腭神经节阻滞注射的优化技术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.06.001

Patricia T. Jacobson BSN , Nathan Yang MD, MSc, FRCSC , Francesco F. Caruana MD, David A. Gudis MD, FACS, Jonathan B. Overdevest MD, PhD

{"title":"Optimizing techniques for in-office endoscopic transnasal sphenopalatine ganglion block injections","authors":"Patricia T. Jacobson BSN , Nathan Yang MD, MSc, FRCSC , Francesco F. Caruana MD, David A. Gudis MD, FACS, Jonathan B. Overdevest MD, PhD","doi":"10.1016/j.otot.2023.06.001","DOIUrl":"10.1016/j.otot.2023.06.001","url":null,"abstract":"<div>Otolaryngologists play a central role in diagnosing and treating facial pain syndromes and headache disorders. Although sphenopalatine ganglion block is a recognized treatment option, literature on transnasal injection techniques is limited. This study's objective is to refine anatomic landmarks and optimize a technique for in-office transnasal sphenopalatine ganglion blocks. Eight cadaveric head specimens were dissected to record 16 measurements of critical anatomic landmarks and surgical instruments for sphenopalatine ganglion block. On average, the sphenopalatine foramen center was 5.94 mm (±1.65 mm) superior to the inferior border of the middle turbinate's basal lamella attachment to the lateral nasal wall. We describe the reliability of using a 20G spinal needle bent at 70-degree to perform a transnasal injection technique for sphenopalatine ganglion block. The inferior border of the middle turbinate basal lamella attachment to the lateral nasal wall may be used as an intranasal landmark in transnasal injection of the sphenopalatine ganglion. Further testing in the clinical setting is required to assess efficacy.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages e27-e30"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46121326","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

Endoscopic inferior meatal antrostomy (EIMA) for the removal of dental implants displaced into the maxillary sinus 内窥镜下上颌窦切开术（EIMA）去除上颌窦内种植体

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2022.09.001

Roee Landsberg , Shay Schneider , Muhamed Masalha , Ariel Margulis , Yoav Leiser , Muhammad Masarwa

{"title":"Endoscopic inferior meatal antrostomy (EIMA) for the removal of dental implants displaced into the maxillary sinus","authors":"Roee Landsberg , Shay Schneider , Muhamed Masalha , Ariel Margulis , Yoav Leiser , Muhammad Masarwa","doi":"10.1016/j.otot.2022.09.001","DOIUrl":"10.1016/j.otot.2022.09.001","url":null,"abstract":"<div>Over the last 40 years, dental implants have become popular. Despite being a safe procedure with few reported complications, dental implants may become displaced into the maxillary sinus. We analyzed the outcomes of endoscopic inferior meatal antrostomy (EIMA) for implant removal. Medical records of all patients who had EIMA for dislocated dental implants at our institution during 2016-2021 were retrospectively reviewed. Ten patients were included in the analysis; most of them were asymptomatic at presentation. Implants, displaced into the lower, central, or upper parts of the maxillary sinus, were removed by EIMA, which provided excellent access and view. The ostiomeatal complex remained untouched. The average operation time (including administration of general anesthesia) was 42 minutes. No intraoperative or postoperative complications occurred. Recirculation was not detected. All patients healed without requiring further interventions. EIMA should be considered for removal of dislocated dental implants from the maxillary sinus, since it provides better access and view, while maintaining the integrity of the ostiomeatal complex.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages e57-e61"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41832501","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

Cartilage butterfly graft to repair temporal bone CSF leak 蝶状软骨移植修复颞骨脑脊液渗漏

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.03.001

Traeden Wilson BS , Yekaterina Koshkareva MD , Alan Turtz MD , Linda Zhang BS , Donald Solomon MD

引用次数: 0

Lingual Tonsillectomy for Pediatric Obstructive Sleep Apnea: Indications and Surgical Technique 儿童阻塞性睡眠呼吸暂停的舌扁桃体切除术:指征和手术技术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.008

Mattie Rosi-Schumacher MD , Habib Zalzal MD , Michele M. Carr DDS, MD, PhD

引用次数: 0

Nasal surgery for pediatric obstructive sleep apnea 小儿阻塞性睡眠呼吸暂停的鼻外科治疗

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.005

Habib G. Zalzal MD

引用次数: 0

Endoscopic marsupialization of nasolabial cysts with added mucosal flap spacer prevents recurrence 内镜下鼻唇囊肿有袋化术加黏膜瓣间隔可预防复发

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.013

Richmond Quan Qing Lim MMed ORL , Jian Li Tan FAMS (ORL) , Jin Keat Siow FAMS (ORL)

{"title":"Endoscopic marsupialization of nasolabial cysts with added mucosal flap spacer prevents recurrence","authors":"Richmond Quan Qing Lim MMed ORL , Jian Li Tan FAMS (ORL) , Jin Keat Siow FAMS (ORL)","doi":"10.1016/j.otot.2023.09.013","DOIUrl":"10.1016/j.otot.2023.09.013","url":null,"abstract":"<div>Management of a nasolabial cyst typically involves surgical excision via a sublabial approach but the thin plane of dissection may lead to a cyst rupture, or a breach of the nasal mucosa. Endoscopic endonasal marsupialization has been recently described, but there is a risk of fistula stenosis and cyst recurrence especially for small nasolabial cysts with small intranasal components. We describe a modification of the endoscopic endonasal marsupialization technique by incorporating an inferiorly based flap that acts as a spacer to prevent recurrence. The procedure is performed under general anesthesia. With endoscopic guidance, the intranasal cyst wall is incised from a posterior superior to anterior inferior direction. The medial cyst wall is left pedicled inferiorly, trimmed to size and is rolled into the cyst cavity to act as a spacer. This technique has been performed in 4 patients with cyst sizes ranging from 9 to 29 mm with no recurrences at least 6 months postoperatively. Previous reports have described recurrence at 6 months after endoscopic marsupialization, despite an intranasal cyst opening of 10 × 10 mm. This simple modification of the previously described endoscopic marsupialization technique has successfully prevented stenosis and recurrence even in patients with small nasolabial cysts.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages e23-e26"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135484430","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

Combined pectoralis major and deltopectoral flap for reconstruction in head and neck cancer: Revisiting the historic flap 胸大肌和三角胸肌联合皮瓣用于头颈癌重建:对历史皮瓣的回顾

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.02.002

Shivang Shukla MBBS, MS, Shivam Pandya MBBS, MS, MCH, Satyadeep Bikkina MBBS, MS, Priyank V Rathod MBBS, MS, MCH, Shashank Pandya MBBS, MS, MCH, Mohit Sharma MBBS, MS, MCH, Shailesh Patel MBBS, MS, MCH, Vikas Warikoo MBBS, MS, MCH, Abhijeet Salunke MBBS, MS, Ketul Puj MBBS, MS, MCH

{"title":"Combined pectoralis major and deltopectoral flap for reconstruction in head and neck cancer: Revisiting the historic flap","authors":"Shivang Shukla MBBS, MS, Shivam Pandya MBBS, MS, MCH, Satyadeep Bikkina MBBS, MS, Priyank V Rathod MBBS, MS, MCH, Shashank Pandya MBBS, MS, MCH, Mohit Sharma MBBS, MS, MCH, Shailesh Patel MBBS, MS, MCH, Vikas Warikoo MBBS, MS, MCH, Abhijeet Salunke MBBS, MS, Ketul Puj MBBS, MS, MCH","doi":"10.1016/j.otot.2023.02.002","DOIUrl":"10.1016/j.otot.2023.02.002","url":null,"abstract":"<div>Deltopectoral flap was discovered in early 90s and used for nasal and pharyngeal reconstructions, since then its use has diminished over the years. We have tried to use this historic flap with the robust pectoralis major flap to reconstruct large head and neck defects. Though the ideal flap for such defects would be a free flap, in developing nations due to resource intense settings free flap is not always feasible. Our aim is to review combined deltopectoral and pectoralis major flap for large head and neck reconstructions. A retrospective study of 30 patients was done in our institute. Patients included in the study were resectable head and neck cancers with extensive skin involvement. A combined deltopectoral and pectoralis major flap was used to reconstruct the defect. A combined use of deltopectoral and pectoralis major flaps can be an effective alternative to free flaps in developing nations due to lack of resources and large volume of cases.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages e36-e41"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44123987","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

Supraglottoplasty in children with obstructive sleep apnea 阻塞性睡眠呼吸暂停患儿的声门上成形术

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.010

Francesca C. Viola MD , Jyoti M. Sharma MD , Chloe C. Cottone BA , Michele Carr DDS, MD, PhD, FRCSC

引用次数: 0

Review of intracapsular vs extracapsular tonsillectomy 囊内扁桃体切除术与囊外扁桃体切除术的综述

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.006

Maya Raghavan MSPH , Annie Farrell MD, MSc , Michael Cipolla MD , Michele M. Carr DDS, MD, PhD, FRCSC , Clarice Brown MD

引用次数: 0

Diagnosis of pediatric obstructive sleep apnea for otolaryngologists 小儿阻塞性睡眠呼吸暂停的耳鼻喉科诊断

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI: 10.1016/j.otot.2023.09.003

Mattie Rosi-Schumacher MD , Sam Colca BS , Amanda B. Hassinger MD, MSc

{"title":"Diagnosis of pediatric obstructive sleep apnea for otolaryngologists","authors":"Mattie Rosi-Schumacher MD , Sam Colca BS , Amanda B. Hassinger MD, MSc","doi":"10.1016/j.otot.2023.09.003","DOIUrl":"10.1016/j.otot.2023.09.003","url":null,"abstract":"<div>This review describes the current state of the evaluation and diagnosis of pediatric sleep apnea. Sleep apnea in children differs in important ways from sleep apnea in adults and commonly presents with more subtle symptoms. While there can be snoring, noisy breathing, and sleepiness, not all children with sleep apnea snore. Early symptoms can be speech delay, nap refusal, nocturnal enuresis, headaches, and hyperactivity. Children with sleep apnea may have tonsil and/or adenoid hypertrophy, adenoid facies, mouth-breathing, hyponasality, or low-hanging soft palate on exam. While many screening tools exist, definitive diagnosis of sleep apnea in children requires polysomnography. Nocturnal oximetry and home studies are not conclusive but can serve as a screening tool where pediatric polysomnography is not available. In conclusion, pediatric obstructive sleep apnea presents differently than adults and can only be definitively diagnosed with an in-lab polysomnography.</div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 3","pages":"Pages 152-158"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135249307","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