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Anesthesia in Office-Based Procedures. 办公室手术中的麻醉。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-16 DOI: 10.1016/j.otc.2025.02.010
Daniel T Li, Yan H Lee
{"title":"Anesthesia in Office-Based Procedures.","authors":"Daniel T Li, Yan H Lee","doi":"10.1016/j.otc.2025.02.010","DOIUrl":"https://doi.org/10.1016/j.otc.2025.02.010","url":null,"abstract":"<p><p>Otolaryngologists perform increasingly more in-office procedures and should be familiar with relevant head and neck anatomy as well as local anesthetics and their routes of administration. A combination of topical anesthetic, local infiltration, and nerve blocks can be used to provide a comfortable experience for the patient. The surgeon is responsible for ensuring a safe environment in which the procedures are performed as well as managing any acute complications that arise.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
In-office Tympanostomy Tube Placement in Children. 儿童室内鼓室造瘘管置入。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-16 DOI: 10.1016/j.otc.2025.03.016
Kayvon Sharif, Shelagh A Cofer
{"title":"In-office Tympanostomy Tube Placement in Children.","authors":"Kayvon Sharif, Shelagh A Cofer","doi":"10.1016/j.otc.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.016","url":null,"abstract":"<p><p>Tympanostomy tube placement is routinely performed in adults in the office setting without sedation and with only topical or locally applied anesthetic. Innovative tools are now available to facilitate placement of tympanostomy tubes in children in the office, rather than under general anesthesia. We discuss the current state of an in-office approach to tympanostomy tube placement in children. An experienced team and a well-defined workflow are key to the successful placement of tympanostomy tubes in children without sedation. Shared decision-making between clinicians and caregivers will help determine the most appropriate setting for their child's ear tube placement.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender-Affirming Feminization Surgery of the Upper Facial Third. 确认性别的女性化手术上面部第三。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-16 DOI: 10.1016/j.otc.2025.03.008
Alexa Denton, P Daniel Knott, Rahul Seth, Suresh Mohan
{"title":"Gender-Affirming Feminization Surgery of the Upper Facial Third.","authors":"Alexa Denton, P Daniel Knott, Rahul Seth, Suresh Mohan","doi":"10.1016/j.otc.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.008","url":null,"abstract":"<p><p>Gender-affirming surgery is widely used to address gender dysphoria experienced by the transgender and gender diverse community. The forehead plays a key role in gender perception, making forehead surgery one of the most critical components of facial gender-affirming procedures. These surgeries include hairline advancement, reduction of forehead and temporal recession, brow lift, and frontal cranioplasty. As technology advances, innovations such as computer-aided design and manufacturing offer new possibilities, highlighting the need for further research to better quantify surgical outcomes.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Office-based Sinus Surgery. 办公室鼻窦手术。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-16 DOI: 10.1016/j.otc.2025.03.012
Maxime Fieux, Zara M Patel
{"title":"Office-based Sinus Surgery.","authors":"Maxime Fieux, Zara M Patel","doi":"10.1016/j.otc.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.012","url":null,"abstract":"<p><p>The evolution of endoscopic sinus surgery has been marked by a changing landscape of sinus surgeries from the main hospital operating room to the outpatient ambulatory surgical center toward office-based procedures. A rapid return to work, no general anesthesia, and decreased procedural costs are among the reasons why patients and surgeons may choose office-based procedures. Office-based procedures continue to increase in breadth and scope, and satisfy both patients and providers when performed following established guidelines and with the same high standards as are expected in any operative setting.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Office-Based Laryngology. 在办公室喉科学。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-15 DOI: 10.1016/j.otc.2025.01.012
Scott A Lamm, Robert A Buckmire, Rupali N Shah
{"title":"Office-Based Laryngology.","authors":"Scott A Lamm, Robert A Buckmire, Rupali N Shah","doi":"10.1016/j.otc.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.otc.2025.01.012","url":null,"abstract":"<p><p>Injection laryngoplasty was first described by Dr Charles Bruening in 1911 with the injection of paraffin for vocal cord paralysis. The most common indication for injection laryngoplasty is glottic insufficiency causing dysphonia and/or dysphagia and aspiration. Etiologies of glottic insufficiency include vocal fold immobility, vocal fold hypomobility, sulcus vocalis/vocal scar, and vocal fold atrophy. In-office laryngology procedures, made possible by advancements in equipment and endoscopy, offer numerous benefits including cost-effectiveness, avoidance of general anesthesia, efficiency, and a high safety profile. These procedures can be easily performed in carefully selected patients.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating the Complex Upper Third of the Face. 导航复杂的上三分之一的脸。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-14 DOI: 10.1016/j.otc.2025.04.004
Clinton Humphrey, John Flynn
{"title":"Navigating the Complex Upper Third of the Face.","authors":"Clinton Humphrey, John Flynn","doi":"10.1016/j.otc.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.otc.2025.04.004","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ptosis Evaluation for Otolaryngologists. 耳鼻喉科医师的上睑下垂评估。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-14 DOI: 10.1016/j.otc.2025.03.018
Caroline W Chung, Parag D Gandhi
{"title":"Ptosis Evaluation for Otolaryngologists.","authors":"Caroline W Chung, Parag D Gandhi","doi":"10.1016/j.otc.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.018","url":null,"abstract":"<p><p>Ptosis, or blepharoptosis, is the abnormal drooping of the upper eyelid, which can obstruct vision, reduce visual function, and impair aesthetics. It results from dysfunction in eyelid-elevating muscles, such as the levator palpebrae superioris or Müller's muscle, and may present as congenital or acquired. Symptoms and findings include eyelid fatigue, superior vision loss, and compensatory brow elevation, significantly affecting quality of life. Common causes range from age-related changes to systemic conditions like MG and Horner syndrome. Comprehensive evaluation - considering onset, progression, associated symptoms, trauma, and systemic conditions - is essential. Treatment involves addressing the underlying cause, with surgical correction being the primary approach for functional and cosmetic restoration.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Upper Blepharoplasty and Lateral Brow Approaches for Zygomaticomaxillary Complex Fractures. 上睑成形术及侧眉入路治疗颧骨-腋窝复合骨折。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-14 DOI: 10.1016/j.otc.2025.03.013
Morgan Lee, Richard Laryea, Sunthosh Sivam
{"title":"Upper Blepharoplasty and Lateral Brow Approaches for Zygomaticomaxillary Complex Fractures.","authors":"Morgan Lee, Richard Laryea, Sunthosh Sivam","doi":"10.1016/j.otc.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.013","url":null,"abstract":"<p><p>Management of zygomaticomaxillary complex (ZMC) fractures is founded in adequate assessment of reduction in at least 3 of the 4 points of articulation comprised of the following suture lines: zygomaticomaxillary, zygomaticotemporal, zygomaticofrontal (ZF), and zygomaticosphenoid (ZS). Access to the ZF is afforded by both upper blepharoplasty and lateral brow approaches. However, the upper blepharoplasty approach provides access additionally to the ZS and wider exposure of the ZF/lateral orbital rim. Assessment of reduction of a ZMC fracture at the ZF and ZS provides anterior-posterior and rotational insight into the zygoma's 3-dimensional position.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Office-Based Otology. 在办公室耳科。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-13 DOI: 10.1016/j.otc.2025.03.011
Roya Azadarmaki
{"title":"Office-Based Otology.","authors":"Roya Azadarmaki","doi":"10.1016/j.otc.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.011","url":null,"abstract":"<p><p>Office-based otology has many dimensions and can be quite dynamic from patient evaluation, diagnostics, and procedures. Establishing a successful and elaborative practice requires understanding protocols, pitfalls, and establishing a safe environment for patient care. When the focus is patient well-being, all other dimensions fall into place quite well and practices will flourish.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mastering the Coronal Approach. 掌握冠状方法。
IF 1.3 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2025-05-13 DOI: 10.1016/j.otc.2025.03.005
Nikolas Block-Wheeler, G Nina Lu
{"title":"Mastering the Coronal Approach.","authors":"Nikolas Block-Wheeler, G Nina Lu","doi":"10.1016/j.otc.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.005","url":null,"abstract":"<p><p>The coronal approach provides wide access to the upper two-thirds of the face and allows for bony and soft tissue modification only achievable using this technique. The coronal approach can be mastered with a thorough understanding of the surrounding neurovascular anatomy, incision design and its variations, and delicate soft tissue handling. This article aims to describe pearls for tissue dissection, modification, reconstruction, and management of complications in the coronal approach.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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