Current Opinion in Otolaryngology & Head and Neck Surgery最新文献_第4页

The surgical future is here, but it is not evenly distributed. 外科手术的未来已经到来，但分布并不均衡。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI: 10.1097/MOO.0000000000000984

David A Shaye

引用次数: 0

Use of piezoelectric instrumentation in craniofacial surgery. 在颅面外科手术中使用压电仪器。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-06-17 DOI: 10.1097/MOO.0000000000000986

Sarah Bessen, Shekhar K Gadkaree, Adeeb Derakhshan

{"title":"Use of piezoelectric instrumentation in craniofacial surgery.","authors":"Sarah Bessen, Shekhar K Gadkaree, Adeeb Derakhshan","doi":"10.1097/MOO.0000000000000986","DOIUrl":"10.1097/MOO.0000000000000986","url":null,"abstract":"Purpose of review: The use of piezoelectric instrumentation is increasingly recognized as an alternative to traditional bone-cutting techniques across a wide array of surgeries. Here, we provide an overview of the technique, including device principles, benefits, and drawbacks. We also review its use in craniofacial surgery.Recent findings: Piezoelectric surgery is a minimally invasive bone-cutting system with lower risk of damage to surrounding soft tissue structures. Indications for its use are rapidly expanding across multiple fields, including craniofacial surgery. To date, piezosurgical techniques have been most widely adopted and studied in the contexts of rhinoplasty, orthognathic surgery, and cranioplasty in craniosynostosis. Piezosurgery can facilitate more precise and consistent osteotomies while decreasing morbidities associated with traditional osteotomy techniques. Primary limitations include cost and concerns regarding increased operative times secondary to operator learning curves and decreased cutting efficiency.Summary: Piezoelectric surgery represents an alternative to traditional bone-cutting modalities to improve precision, consistency, and safety of osteotomies. Further research is needed to better understand the efficacy of the technique as well as potential for additional applications.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428316","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

Management of large head and neck defects in the vessel-depleted neck. 处理颈部血管缺损的巨大头颈部缺损。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-07-04 DOI: 10.1097/MOO.0000000000000980

Lindsey Shehee, Danielle Bottalico, Brandon Prendes

{"title":"Management of large head and neck defects in the vessel-depleted neck.","authors":"Lindsey Shehee, Danielle Bottalico, Brandon Prendes","doi":"10.1097/MOO.0000000000000980","DOIUrl":"10.1097/MOO.0000000000000980","url":null,"abstract":"Purpose of review: Surgery, radiation, and chemotherapy are often utilized in the treatment of head and neck cancer. These treatments can cause extensive scarring within the neck and can limit the viability of recipient vessels for further microvascular reconstruction. Patients with vessel-depleted necks provide a significant challenge for microvascular surgeons and are a topic of much discussion in the field.Recent findings: While reconstruction in the vessel-depleted neck is an active area of interest, the patient population is rare. Therefore, single institution series with small numbers comprise the majority of published literature. Recent publications describe techniques for identifying adequate recipient vessel options outside of the field of treatment with excellent free flap outcomes. Further, recent summary articles describe techniques for addressing issues with pedicle length that can arise when using vessels that are far from the defect to be reconstructed.Summary: When viable vessel options are available within the treatment field, these recipient vessels can be used with good reliability and free flap success. If in-field recipient vessels are not available, minimal access incisions can be used to identify superficial temporal, angular, contralateral facial, or transverse cervical vessels. Further away from the treatment field, internal mammary vessels can be harvested through open or robotic approaches. If the use of these distant vessels creates issues with pedicle length, interposition vein grafts, arteriovenous (AV) loops, or flow-through flaps can be used to augment vessel length.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499692","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

Invasive fungal rhinosinusitis: current evidence and research opportunities. 侵袭性真菌性鼻炎：现有证据与研究机会。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-07-19 DOI: 10.1097/MOO.0000000000000993

Jenny Ji, Lauren T Roland

引用次数: 0

Transitions in tracheostomy care: from childhood to adulthood. 气管造口护理的过渡：从童年到成年。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2023-08-04 DOI: 10.1097/MOO.0000000000000919

Louise Edwards, Jackie McRae

引用次数: 0

'Seeing is believing' - gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review. 眼见为实"--非洲耳鼻咽喉头颈外科的性别差异：叙述性综述。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-02-15 DOI: 10.1097/MOO.0000000000000964

Amina Seguya, Fiona Kabagenyi, Sharon Ovnat Tamir

{"title":"'Seeing is believing' - gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review.","authors":"Amina Seguya, Fiona Kabagenyi, Sharon Ovnat Tamir","doi":"10.1097/MOO.0000000000000964","DOIUrl":"10.1097/MOO.0000000000000964","url":null,"abstract":"Purpose of review: Various factors affect otolaryngology - head and neck surgery (OHNS) services in low- and middle-income countries (LMICs); including inadequate infrastructure, limited academic positions, unfavorable hospital research policies, and traditional misconceptions about gender and surgery, among others. Although gender inequalities exist globally, they are particularly pronounced in LMICs, especially in Africa.Recent findings: A comparative narrative literature review for relevant manuscripts from January 1, 2017 to through January 10th, 2024, using PubMed, Embase and Google Scholar for articles from the United States/Canada and Africa was done. 195 relevant articles were from the United States/Canada, while only 5 were from Africa and only 1 manuscript was relevant to OHNS. The reviewed articles reported that gender disparities exist in medical training, authorship, and career advancement. We highlight possible solutions to some of these disparities to promote a more gender-diversified workforce in OHNS in Africa as well as all over the world.Summary: Additional studies on gender disparities in Africa, are needed. These studies will highlight need for inclusive policies, structured and accessible mentorship programs; through which these disparities can be highlighted and addressed. This will in the long run ensure sustainability of OHNS care in LMICs.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742762","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

Paediatric voice disorder: who to refer and how to assess? A summary of recent literature. 儿科嗓音障碍：转诊对象和评估方法？最新文献综述。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-03-04 DOI: 10.1097/MOO.0000000000000970

Wendy Cohen, David M Wynne

{"title":"Paediatric voice disorder: who to refer and how to assess? A summary of recent literature.","authors":"Wendy Cohen, David M Wynne","doi":"10.1097/MOO.0000000000000970","DOIUrl":"10.1097/MOO.0000000000000970","url":null,"abstract":"Purpose of review: The purpose of this review is to update the reader with recent advances and current opinion on the assessment and management of paediatric voice disorders.Recent findings: Access to advanced multidisciplinary paediatric voice clinics has increased over the last decade. Often the assessment is combined between speech therapy/pathology and ENT surgery. Vocal fold nodules remain the most prevalent diagnosis at a paediatric voice clinic, but significant diseases will also present, for example laryngeal papilloma. Recently, more consideration of the psychosocial aspect of voice disorders and evaluation of auditory processing disorders have shown how these can have a negative impact. There also appears to be a lack of parental and teacher awareness of paediatric voice disorders and their significance.Summary: We would recommend multiparametric assessment and analysis of all children with a voice disorder. Most paediatric voice conditions will respond to skilled voice therapy. However, the exact techniques and dosage requires further evaluation and research. Paediatric voice conditions are common and should not be dismissed, as they may represent significant disease, for example papilloma, vagal palsy or have a significant psychosocial impact on the child.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319946","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

Current approaches to gender-affirming vocal care. 目前的性别确认声乐护理方法。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI: 10.1097/MOO.0000000000000967

Sarah McBrinn, Christella Antoni, Chadwan Al Yaghchi

{"title":"Current approaches to gender-affirming vocal care.","authors":"Sarah McBrinn, Christella Antoni, Chadwan Al Yaghchi","doi":"10.1097/MOO.0000000000000967","DOIUrl":"10.1097/MOO.0000000000000967","url":null,"abstract":"Purpose of review: This review addresses the challenges faced by transgender women in achieving congruence between gender identity and voice characteristics and emphasizes the importance of a multidisciplinary approach involving therapeutic and surgical interventions.Recent findings: Recent literature on gender-affirming vocal care emphasizes key themes such as assessment, voice feminization therapy, and various surgical techniques, including glottoplasty and its modifications. Recent publications focused on outcomes, duration, and impact on vocal quality and scrutinized complications associated with surgical interventions.Summary: Most publications in the last 18 months advocate for the integration of voice therapy and surgery for optimal outcomes. Utilising a combined approach is significantly more effective in terms of fundamental frequency gain compared to therapy alone. Modified Wendler's glottoplasty remains the preferred and most reliable surgical intervention. However, surgery is not without its complications and vocal trade-offs, in particular, its impact on vocal projection and the risk of long-term dysphonia. Postsurgery rehabilitation improves long-term outcomes. Recent publications on alternative surgical approaches, namely laser reduction glottoplasty and feminization laryngoplasty, show promise but the results are more difficult to generalise.Future direction: Prospective multicentre studies with standardized protocols are needed to establish best evidence-based practices.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934357","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

Swallowing after total laryngectomy surgery: where are we after 150 years? 全喉切除手术后的吞咽：150 年后的我们在哪里？

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-03-13 DOI: 10.1097/MOO.0000000000000965

Laura M O'Connor, Julia C F Maclean

引用次数: 0

Sustainable equipment donation in otolaryngology in low-resource settings. 低资源环境下耳鼻喉科的可持续设备捐赠。

IF 1.6 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI: 10.1097/MOO.0000000000000972

Catherine de Cates, Aurélien M Guéroult, Gan-Erdene Narantsolmon

{"title":"Sustainable equipment donation in otolaryngology in low-resource settings.","authors":"Catherine de Cates, Aurélien M Guéroult, Gan-Erdene Narantsolmon","doi":"10.1097/MOO.0000000000000972","DOIUrl":"10.1097/MOO.0000000000000972","url":null,"abstract":"Purpose of review: The purpose of this review is to examine current practices in surgical equipment donation to lower- and middle-income countries (LMICs) with a particular focus on otolaryngology-head and neck surgery (OHNS). This is designed as a pragmatic review to guide potential donor communities to implement sustainable OHNS equipment donation in LMICs.Recent findings: LMICs are increasingly reliant on international equipment donation. In terms of OHNS services, global OHNS have compiled a list of essential equipment for baseline care in LMICs. Especially in terms of audiology, OHNS equipment donation has the potential to have a significant impact on populational health. However, there is a scarcity of research on donated equipment in OHNS. A suggested blueprint for sustainable equipment donation follows these steps: establish partnerships, assess needs, source equipment, and follow-up and evaluate the intervention. Key further considerations for sustainability include remanufacturing and repurposing methods, maintenance, and contextual understanding.Summary: Sustainable equipment donation in otolaryngology is an important part of global health equity and healthcare delivery in low-resource settings. Despite the good intentions behind medical equipment donations, there are many challenges; donors and recipients should engage in collaborative, needs-based planning processes that result in long-term sustainability, local capacity building, and community participation.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319947","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