{"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}
{"title":"In-Office Management of Thyroid Nodules.","authors":"Tiffany Heikel, David Goldenberg","doi":"10.1016/j.otc.2025.03.020","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.020","url":null,"abstract":"<p><p>Advancements in managing thyroid nodules are discussed, emphasizing in-office procedures as alternatives to traditional surgery. Thyroid nodules are prevalent, often benign, but some require further evaluation owing to malignancy concerns. Ultrasonography is the preferred method for evaluation, offering insights without radiation exposure. Nonsurgical interventions provide effective management options. Radiofrequency ablation reduces nodule size and symptoms with minimal complications and is performed in an outpatient setting, offering a cost-effective, quick recovery alternative to surgery. Proper training in ultrasound-guided procedures and careful patient selection are crucial for successful implementation. Minimally invasive techniques revolutionize thyroid nodule management, offering effective results with fewer complications.</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":"144082209","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}
{"title":"The Multifunctional Otolaryngology Office.","authors":"Sujana S Chandrasekhar","doi":"10.1016/j.otc.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.otc.2025.04.002","url":null,"abstract":"","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":"144082148","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}
{"title":"Alternatives to Flaps and Grafts for Management of Forehead Mohs Defects.","authors":"Katelyn Robillard, Alyssa K Ovaitt","doi":"10.1016/j.otc.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.otc.2025.04.001","url":null,"abstract":"<p><p>Patients have varying goals for reconstruction after Mohs micrographic surgery, and the operative plan should reflect these goals. Forehead reconstruction with immediate flaps and grafts may not always align with these goals, and alternative methods should be considered. Evidence suggests that secondary intention healing, delayed or augmented skin grafting, skin substitutes, and delayed reconstruction with tissue expansion are acceptable alternatives to standard flaps and grafts. When possible, these options should be included in shared decision-making before reconstruction.</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":"144082200","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}
{"title":"Botulinum Toxin Use in the Upper Third of the Face.","authors":"Kyle Singerman, Megan Swonke, John Flynn","doi":"10.1016/j.otc.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.otc.2025.02.003","url":null,"abstract":"<p><p>Botulinum toxin (BTX) is one of the most frequent procedures performed in the United States for facial rhytids. It has become a mainstay aesthetic treatment of the upper third of the face. In addition to aesthetic indications, there are a multitude of functional disorders for which BTX has proved effective. Patient evaluation and selection are critical components to treatment success. A thorough understanding of patient anatomy is critical for prevention of complications when using BTX. The use of neuromodulators in the upper third of the face is continually evolving and its indications continue to expand.</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":"144082205","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}
{"title":"Contributors","authors":"","doi":"10.1016/S0030-6665(25)00061-1","DOIUrl":"10.1016/S0030-6665(25)00061-1","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 3","pages":"Pages iii-v"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924131","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}
{"title":"Forthcoming Issues","authors":"","doi":"10.1016/S0030-6665(25)00063-5","DOIUrl":"10.1016/S0030-6665(25)00063-5","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 3","pages":"Page xi"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924133","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}
{"title":"Laryngopharyngeal Reflux","authors":"Inna A. Husain (Editor), Nikki Johnston (Editors)","doi":"10.1016/S0030-6665(25)00059-3","DOIUrl":"10.1016/S0030-6665(25)00059-3","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 3","pages":"Page i"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924129","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}
{"title":"Copyright","authors":"","doi":"10.1016/S0030-6665(25)00060-X","DOIUrl":"10.1016/S0030-6665(25)00060-X","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 3","pages":"Page ii"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924130","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}
Pooja M Shah, Matthew Q Miller, Daniel E Rubinstein
{"title":"Corneal Neurotization: Paving the Path to Reinnervation.","authors":"Pooja M Shah, Matthew Q Miller, Daniel E Rubinstein","doi":"10.1016/j.otc.2025.03.015","DOIUrl":"https://doi.org/10.1016/j.otc.2025.03.015","url":null,"abstract":"<p><p>Neurotrophic keratopathy (NK), a degenerative corneal disease characterized by the loss of innervation to the cornea, has historically required long-term supportive treatment with a poor prognosis for rehabilitation. Corneal neurotization restores corneal sensation, permanently addressing the underlying pathophysiology of NK. Surgical approaches to corneal neurotization are expanding and undergoing refinement as more centers perform this intervention. This article describes the indications, surgical approaches, outcomes, and future directions of corneal neurotization.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032647","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}
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