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

{"title":"Management of conductive hearing loss in tympanic perforation: Novel techniques and materials","authors":"Keelin Fallon BA ,&nbsp;Elliott Kozin MD ,&nbsp;Aaron K. Remenschneider MD, MPH","doi":"10.1016/j.otot.2024.01.007","DOIUrl":"10.1016/j.otot.2024.01.007","url":null,"abstract":"<div><p>Tympanic membrane (TM) perforation is a common medical condition often resulting from trauma or infection. TM<span> perforation can lead to significant morbidity including pain, recurrent infections<span><span> and conductive hearing loss. There are many methods of TM repair that have evolved to incorporate advancements in technology and reduce procedural burden. Three methods of repair that will be discussed include: transcanal endoscopic </span>tympanoplasty, total drum replacement tympanoplasty, and in office TM repair. The size and location of the perforation, in addition to patient factors and physician preference influence the type of repair indicated. Closure rate of TM perforations and conductive hearing loss improvement have been shown to be similar across techniques. Steps to successfully master each technique including preoperative indications, specific surgical steps, and expected postoperative outcomes are discussed herein.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 47-56"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540039","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}

{"title":"Radiologic evaluation of conductive hearing loss","authors":"Yuh-Shin Chang MD, PhD ,&nbsp;Katherine L. Reinshagen MD","doi":"10.1016/j.otot.2024.01.003","DOIUrl":"10.1016/j.otot.2024.01.003","url":null,"abstract":"<div><p><span><span>In the presence of an intact tympanic membrane, </span>conductive hearing loss<span><span> may be due to a wide range of conditions, include congenital or acquired ossicular chain abnormalities, complications from chronic inflammation including </span>cholesteatoma<span> or tympanosclerosis<span>, neoplasms or vascular lesions in the middle ear, </span></span></span></span>bone dysplasia<span> including Paget disease<span> or otosclerosis<span>, or third window lesions. Imaging with CT and MRI has evolved as a powerful tool in the diagnosis and surgical planning in the evaluation of conductive hearing loss. This article aims to discuss the imaging features of the most common causes of conductive hearing loss in a patient with an intact tympanic membrane.</span></span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 18-25"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632545","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}

{"title":"Stapes surgery-new surgical techniques and tips","authors":"Zachary G. Schwam MD,&nbsp;Maura K. Cosetti MD","doi":"10.1016/j.otot.2024.01.009","DOIUrl":"https://doi.org/10.1016/j.otot.2024.01.009","url":null,"abstract":"<div><p>The goal of this article is to update the reader as to new techniques in stapes surgery<span> and to provide a review of currently available data to guide surgical management of otosclerosis<span>. Herein we discuss up-to-date information regarding evaluation of the patient with otosclerosis, techniques in operative management, and postoperative recommendations and follow-up. Stapes surgery is a safe and effective treatment for otosclerosis in experienced hands yet there continue to be developments that the otologist and otolaryngologist must be aware of.</span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 63-69"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140209072","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}

{"title":"Management of congenital conductive hearing loss","authors":"Judith S. Kempfle MD ,&nbsp;Aaron K. Remenschneider MD, MPH FACS","doi":"10.1016/j.otot.2024.01.004","DOIUrl":"10.1016/j.otot.2024.01.004","url":null,"abstract":"<div><p>Congenital conductive hearing loss can occur due to developmental abnormalities of the auricle, external auditory canal, or middle ear. A thorough understanding of the developmental anatomy is essential for effective management. If not addressed, congenital conductive hearing loss can result in speech and language delay. The effective evaluation and management of congenital conductive hearing loss includes air and bone conduction audiometry, temporal bone imaging, and either amplification or surgical correction. This article explores methods for evaluation and surgical management of congenital conductive hearing loss in the context of a normal external auditory canal and intact tympanic membrane.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"35 1","pages":"Pages 26-36"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634340","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}

{"title":"Oral cavity and floor of mouth dissection: 3D anatomy","authors":"Cheyanne M. Silver MD,&nbsp;Lazaro R. Peraza MD,&nbsp;Gabriela A. Calcano BS,&nbsp;Matthew L. Carlson MD,&nbsp;Linda X. Yin MD,&nbsp;Kathryn M. Van Abel MD,&nbsp;Kendall K. Tasche MD","doi":"10.1016/j.otot.2023.09.014","DOIUrl":"10.1016/j.otot.2023.09.014","url":null,"abstract":"<div><p><span><span><span>The mainstay of treatment for </span>malignancies in the </span>oral cavity<span><span> often includes surgical resection. Tumor location in conjunction with the small cavity can create limitations to visualization that require an in-depth understanding of the anatomical structures and their relationships. 3-dimension stereoscopic </span>imaging techniques and oral cavity dissection with an emphasis on the </span></span>floor of mouth are reviewed, detailing important anatomical relationships.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 201-206"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977455","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}

{"title":"Thyroidectomy: 3D anatomy","authors":"Cheyanne Silver MD,&nbsp;Lazaro R. Peraza MD,&nbsp;Gabriel A. Hernandez-Herrera BS,&nbsp;Matthew L. Carlson MD,&nbsp;Linda X. Yin MD,&nbsp;Kathryn M. Van Abel MD,&nbsp;Kendall K. Tasche MD","doi":"10.1016/j.otot.2023.09.016","DOIUrl":"10.1016/j.otot.2023.09.016","url":null,"abstract":"<div><p><span>Thyroidectomies<span> are performed routinely by the head and neck surgeon, especially for neoplastic disease. Adequate vascular control has been key in avoiding damage to surrounding structures that may lead to vocal cord paralysis<span> and hypothyroidism. Here, we review pertinent anatomical structures in the anterior neck and the </span></span></span>thyroid through a cadaveric model presented in 3D with stereographic imaging.</p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 212-219"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134977221","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}

{"title":"Head and neck 3D cadaveric and digital atlas","authors":"Dante J. Merlino MD, PhD ,&nbsp;Cheyanne M. Silver MD ,&nbsp;Linda X. Yin MD ,&nbsp;Matthew L. Carlson MD ,&nbsp;Jonathan M. Morris MD ,&nbsp;Kathryn M. Van Abel MD ,&nbsp;Kendall K. Tasche MD","doi":"10.1016/j.otot.2023.09.021","DOIUrl":"10.1016/j.otot.2023.09.021","url":null,"abstract":"","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 199-200"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134934681","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}

{"title":"The larynx in 3 dimensions: A digital anatomical model derived from radiographic imaging, refined with peer-reviewed literature, and optimized with medical illustration","authors":"George B. Sankar BS ,&nbsp;Dante J. Merlino MD, PhD ,&nbsp;Caitlin J. Vander Wert MA ,&nbsp;Kathryn M. Van Abel MD ,&nbsp;Lazaro R. Peraza MD ,&nbsp;Linda X. Yin MD ,&nbsp;Eric J. Moore MD ,&nbsp;Jonathan M. Morris MD ,&nbsp;Semirra L. Bayan MD","doi":"10.1016/j.otot.2023.09.020","DOIUrl":"10.1016/j.otot.2023.09.020","url":null,"abstract":"<div><p><span>Development of an anatomically accurate 3-dimensional (3D) digital model of the human larynx<span><span> derived from published literature and radiographic imaging. The laryngeal framework was segmented from a computed tomography (CT) angiogram of a healthy 29-year-old female. Data derived from published anatomical studies were compiled to provide additional anatomical detail to each structure. Anatomical details beyond the resolution of the imaging study or which could not be elucidated from the study were refined according to descriptions in the anatomic literature. The 3D model was refined by the medical illustrator, and its mesh was reformatted to optimize online viewing and manipulation. Due to the small size of the </span>laryngeal muscles, there was no attempt to segment these muscles using radiographic imaging. All intrinsic laryngeal muscles were generated </span></span><em>de novo</em><span><span><span>, as were the superior laryngeal nerve<span> and recurrent laryngeal nerve. CT imaging was utilized to generate meshes of the </span></span>hyoid bone<span>, epiglottis<span><span>, thyroid cartilage, cricoid cartilage, and thyrohyoid membrane. Additionally, the airway space was segmented to provide size and spatial location to the vallecula, </span>false vocal folds, true vocal folds, </span></span></span>piriform sinus<span><span>, subglottis, and a scaffold for the mucosa. These meshes were processed to limit radiographic artifact and serve as a foundation for the construction of the remainder of the laryngeal </span>anatomy. The model was uploaded to a 3D repository, which can be accessed here (</span></span><span>https://shorturl.at/nJPYZ</span><svg><path></path></svg><span><span>). The larynx is a highly specialized organ essential for speech, swallowing, and airway protection. This study describes a digital 3D model of the larynx, created by combining radiographic imaging with critical review of anatomic literature. Utilizing the expertise of neuroradiology, </span>laryngeal surgery, and medical illustration, we highlight surgically-relevant anatomic relationships and important aspects to consider during laryngeal surgery.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 263-280"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134979002","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}

{"title":"The parotid gland, submandibular gland, and facial nerve in 3 dimensions: A digital anatomical model derived from radiology, peer-reviewed literature, and medical illustration","authors":"Lazaro R. Peraza MD ,&nbsp;Dante J. Merlino MD, PhD ,&nbsp;George B. Sankar BS ,&nbsp;Vanessa Nwaiwu ,&nbsp;Caitlin J. Vander Wert MA ,&nbsp;Linda X. Yin MD ,&nbsp;Eric J. Moore MD ,&nbsp;Kathryn M. Van Abel MD ,&nbsp;Jonathan M. Morris MD","doi":"10.1016/j.otot.2023.09.017","DOIUrl":"10.1016/j.otot.2023.09.017","url":null,"abstract":"<div><p><span><span><span><span>Using published literature and radiographic imaging, this study aims to develop an anatomically accurate 3-dimensional (3D) digital model of the human parotid gland, </span>submandibular gland, </span>facial nerve, and adjacent </span>anatomy. The model is available for viewing at </span><span>https://shorturl.at/uzADZ</span><svg><path></path></svg><span><span><span><span>. The left parotid and submandibular glands, parotid ducts, retromandibular vein, </span>external carotid artery<span><span>, and its relevant branches were segmented from a computed tomography (CT) angiography study of a healthy female. The object segmentations were exported and refined based on a literature review of relevant anatomical structures. These structures were incorporated into the head and neck model to ensure compatibility with other anatomical structures, such as the </span>mandible and </span></span>skull base. Following the segmentation of the parotid and submandibular glands, the parotid gland was divided into superficial and deep lobes based on the course of the retromandibular vein. The facial nerve and its branches were added according to the most common anatomical variants. The internal </span>maxillary artery and its first-order branches were identified; when below the resolution of the patient's imaging study, these branches were added according to the most commonly described anatomical variants</span><strong>.</strong><span><span><span> This applies to all other neurovascular structures depicted in the final renders. This study demonstrates the critical anatomic landmarks<span> related to surgery of the parotid and submandibular glands, with particular emphasis on vascular structures including the maxillary and </span></span>facial arteries, the common facial vein, </span>external jugular vein<span>, and retromandibular vein, as well as the facial nerve (CN VII), great auricular nerve, auriculotemporal nerve, lingual nerve<span>, and hypoglossal nerve. The associated 3D model can serve as a helpful tool for improving the understanding of anatomical relationships, particularly in the parotid space.</span></span></span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 220-235"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134935181","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}

{"title":"The pharynx in three dimensions: a digital anatomical model derived from radiology, peer-reviewed literature, and medical illustration","authors":"Dante J. Merlino MD, PhD ,&nbsp;Caitlin J. Vander Wert MA ,&nbsp;Lazaro R. Peraza MD ,&nbsp;George B. Sankar BS ,&nbsp;Linda X. Yin MD ,&nbsp;Eric J. Moore MD ,&nbsp;Victoria J. Palacios BS ,&nbsp;Jonathan M. Morris MD ,&nbsp;Kathryn M. Van Abel MD","doi":"10.1016/j.otot.2023.09.019","DOIUrl":"10.1016/j.otot.2023.09.019","url":null,"abstract":"<div><p><span><span>Development of an anatomically accurate 3-dimensional (3D) digital model of the human nasopharynx<span><span><span>, oropharynx, and </span>hypopharynx derived from published literature and radiographic imaging. Muscles of the </span>pharynx<span>, including the palatopharyngeus, superior, middle, and inferior constrictor, salpingopharyngeus and stylopharyngeus were manually segmented from a head and neck CT angiogram of a healthy 29-year-old female. Data derived from published anatomical studies were compiled to provide additional anatomical detail to each muscle. The eustachian tube<span><span> and supporting structures, adjacent supporting structures, and adjacent major neurovasculature were also segmented. These anatomical details were then incorporated into the model by a 3D medical illustrator. A total of 6 muscles were segmented from CT angiography data as were the </span>hyoid bone<span>, thyroid and cricoid cartilage, epiglottis, </span></span></span></span></span>skull base, course of the eustachian tube, and nearby major arteries and veins. Meshes were further refined in digital 3D space based on data from peer-reviewed anatomical studies. The left trigeminal, glossopharyngeal, and hypoglossal nerves were incorporated into the model to highlight important anatomical relationships relevant for surgery. Finally, the model was uploaded to a publicly available 3D repository, which can be accessed here (</span><span>https://shorturl.at/qJO16</span><svg><path></path></svg><span><span>). The pharynx is a complex 3D structure that plays a critical role in swallowing, speaking, and airway protection. By combining radiographic data with published anatomical descriptions, and through the collaboration between neuroradiology, </span>head and neck surgery, and medical illustration, we developed an anatomically accurate, detailed 3D model of the pharynx for education and training purposes.</span></p></div>","PeriodicalId":39814,"journal":{"name":"Operative Techniques in Otolaryngology - Head and Neck Surgery","volume":"34 4","pages":"Pages 250-262"},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134978998","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}