Posterior canal occlusion for benign paroxysmal positional vertigo
Publication date: Available online 27 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Peng You, Ryan Instrum, Sumit K. Agrawal, Lorne S. ParnesBenign paroxysmal positional vertigo is the most common etiology of peripheral vertigo and is caused by the hydrodynamic influence from free-floating canaliths. Any of the 3 semicircular canals can be involved, but posterior canal BPPV is the predominant subtype. The condition is diagnosed clinically, and the preponderance of cases resolve spontaneously or are amenable to particle-repositioning maneuvers. A small subset of patients experienc...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 27, 2019 Category: ENT & OMF Source Type: research

Transcanal Cochleosacculotomy
This article reviews the disease pathophysiology, as well as the history, indications, technical aspects, and outcomes associated with the operation. In sum, cochleosacculotomy is moderately successful in relieving vertigo symptoms with low overall morbidity and can serve as a useful alternative to other surgical modalities in carefully selected patients. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 23, 2019 Category: ENT & OMF Source Type: research

Vestibular nerve section via retrolabyrinthine craniotomy
Publication date: Available online 20 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Zachary R. Barnard, Gregory P. Lekovic, Eric P. Wilkinson, Kevin A. PengMeniere's disease can cause debilitating dizziness and vertigo despite maximal medical management. In select patients, treatment with vestibular nerve section provides optimal outcomes for symptom control and hearing preservation. Vestibular nerve section is also indicated in other vestibular disorders, including refractory uncompensated vestibular neuritis. Surgical approaches for vestibular nerve section include the retrolab...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 21, 2019 Category: ENT & OMF Source Type: research

Intratympanic gentamicin injection for Meniere's disease
Publication date: Available online 19 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jenny X. Chen, Zizi Yu, Steven D. RauchMeniere's disease is characterized by idiopathic progressive fluctuating hearing loss, tinnitus, and episodic vertigo. Intratympanic gentamicin injection is the preferred therapeutic option for those who have failed conservative management including lifestyle modifications and oral medications. The procedure is simple and can be performed in the outpatient setting under local anesthesia with manageable recovery time. Patients may experience a disequilibrium s...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 21, 2019 Category: ENT & OMF Source Type: research

Vestibular nerve section via retrosigmoid craniotomy
Publication date: Available online 19 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Lorenz Epprecht, Alexander M. HuberVestibular neurectomy for Meniere's disease is considered as a treatment option when conservative methods fail to control debilitating vestibular symptoms. Most common surgical approaches today consist of transtemporal supralabyrinthine (middle fossa), retrolabyrinthine and retrosigmoid craniotomies. The aim of this article is to describe the procedure of vestibular neurectomy via a retrosigmoid approach. This approach can be performed alone or in combination wit...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 21, 2019 Category: ENT & OMF Source Type: research

Radiological assessment of the vestibular system
Publication date: Available online 13 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Katherine L. Reinshagen, Hugh D. CurtinImaging is useful for the diagnosis, preoperative planning, and postoperative management for a number of vestibular pathologies. Computed tomography (CT) and magnetic resonance imaging (MRI) are the most commonly used modalities to assess the temporal bone. This review will discuss commonly used imaging techniques, review relevant anatomy on CT and MRI, and highlight examples of common vestibular pathologies on imaging. (Source: Operative Techniques in Otolar...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 14, 2019 Category: ENT & OMF Source Type: research

Perioperative vestibular assessment and testing
Publication date: Available online 12 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jacob R. Brodsky, Guangwei ZhouVestibular disorders can be difficult to accurately diagnose and manage. A careful history and focused physical examination are typically adequate to establish a diagnosis and initiate medical treatment. Vestibular testing is an important component of the work-up, but it is particularly essential for patients being considered for surgical intervention for a vestibular disorder, where the testing can be used to more definitively confirm a suspected diagnosis and to de...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 14, 2019 Category: ENT & OMF Source Type: research

Transmastoid labyrinthectomy
Publication date: Available online 5 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Danielle R. Trakimas, Steven D. Rauch, Aaron K. RemenschneiderTransmastoid labyrinthectomy is a highly effective procedure for controlling vertigo attacks in patients with refractory Meniere's disease and ipsilateral nonserviceable hearing. Performed under general anesthesia, the procedure involves a cortical mastoidectomy with subsequent opening and removal of the vestibular neuroepithelium of the 3 semicircular canal ampullae, as well as opening and ablation of the utricle and saccule of the vest...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 7, 2019 Category: ENT & OMF Source Type: research

Chap 2: Endolymphatic sac decompression and shunt placement
Publication date: Available online 3 August 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Sarah E. Mowry, Mark Frilling, Nauman F. Manzoor, Maroun T. Semaan, Cliff A. MegerianEndolymphatic sac decompression and shunting is a nonablative surgical option for patients with intractable Meniere's disease. Sac surgery had a high success rate for vertigo control in this population with 75%-95% of patients experiencing improvement or resolution of their vertigo spells. The addition of high-dose steroid instillation into the sac has demonstrated improved vertigo rates. The risk of complications ...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - August 5, 2019 Category: ENT & OMF Source Type: research

Editorial Board
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Introduction
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Gina D. Jefferson (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Internal mammary artery perforator (IMAP) flaps
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Marco F. EllisOncologic defects of the head and neck require a detailed understanding of regional anatomy to optimize and simplify reconstruction. While free tissue transfer has become the standard bearer for most soft tissue defects, local flaps still remain a high-quality, reliable option. The internal mammary vasculature provides predictable perforators to the chest wall skin that can be transposed to lower neck wounds. Paired arteries and veins perforate through the second and third rib interspa...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Submental island flap and bone variation
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Khanh K. Nguyen, Jason Gilde, Jared C. InmanThe submental island flap is a versatile pedicle flap for reconstruction of head and neck defects. Initially described over 20 years ago, numerous modifications have been described with successful treatment of a wide range of surgical defects including all oral cavity sub-sites and facial defects involving the orbital rim, zygoma, and malar eminence. The current paper is a review of the relevant anatomy, detailed description of the harvest technique, and r...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

The supraclavicular flap
This article will give some insight into patient selection, different operative techniques, and postoperative care for this flap. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Facial artery musculomucosal (FAMM) flap
This study presents a thorough overview of the relevant anatomy of this flap, reviews its most common indications, and introduces a step-by-step approach to a successful harvest of the FAMM flap. Knowledge of the surgical anatomy and landmarks of the FAMM flap allows a successful harvest. The superiorly and inferiorly based FAMM flaps are versatile and associated with low morbidity. The indications are numerous in Head & Neck surgery. The most common indications are defects of the floor of mouth, palate, and alveolar ridge. The advantages of this pedicled intraoral flap considerably outweigh its disadvantages. Respect ...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Temporalis muscle flap
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Liliana Ein, Opeoluwa Daniyan, Elizabeth NicolliThe temporalis muscle flap is a versatile and reliable myofascial regional flap that can be used for reconstruction of many craniofacial defects due to its close vicinity to the orbit, oral cavity, and anterior and lateral skull base. Its main utility in head and neck reconstruction is for patients with multiple comorbidities who are high risk for free tissue transfer, due to its ease of harvest, reliable vascular supply, adequate bulk, and minimal don...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

The pedicled temporoparietal fascial flap
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Enrique Perez, Cima Maliakal, Christine Dinh, Zoukaa SargiThe pedicled temporoparietal fascial flap has played a role in reconstructive strategies for defects of the head and neck for well over a century. Although partially succeeded by more recent microvascular free tissue transfer techniques, this well-vascularized and pliable flap has remained an important tool in the reconstruction of locoregional defects of the temporal bone, orbitomaxillary complex, and anterior skull base. Furthermore, with l...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

The pectoralis major myocutaneous flap
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Tammara Lynn WattsThe pectoralis major myocutaneous flap has enjoyed a long history of over 40 years utilization to reconstruct a variety of head and neck defects. Despite the attractiveness, feasibility and success rates of free tissue transfer, the role of the pectoralis major myocutaneous flap is irreplaceable in the setting of high-risk patients, the vessel-depleted neck, and in overall poor free tissue transfer surgical candidates. This chapter reviews the pertinent surgical anatomy, flap desig...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

The sternocleidomastoid flap
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Bhavishya S. Clark, Sona Shah, Tamara Brown ChambersThe sternocleidomastoid muscle has long been used for local reconstruction in the head and neck. It remains an incredibly versatile flap by providing bulk, an area of hairless skin with excellent color match for the face, and opportunity to transpose periosteum or bone for correcting head and neck defects. In this paper, we discuss the anatomy of designing a sternocleidomastoid flap, highlight operative techniques to ensure success and minimize com...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

The cervicofacial flap
This article presents the authors’ preferred surgical technique as well as reported surgical variations. Routine postoperative care and management of potential complications are discussed. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Palatal island flap
Publication date: June 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 2Author(s): Miriam O'LearyThis chapter reviews the anatomy, indications, and technique for utilizing the palatal island flap in head and neck reconstruction. The unique anatomical features of this flap will be highlighted, in addition to practical tips in harvesting and insetting this flap. Potential pitfalls and complications will also be discussed. Strategies for use of this flap in specific subsites, and in combination with other reconstructive techniques, will be addressed. The palatal island flap remains a...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Understanding the vascular anatomy of the trapezius flap
Conclusion: The trapezius flap is a useful flap for complex head and neck reconstruction with minimal donor site morbidity. It is well tolerated in a myriad of patients. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - June 19, 2019 Category: ENT & OMF Source Type: research

Editorial Board
Publication date: March 2019Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 30, Issue 1Author(s): (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - March 1, 2019 Category: ENT & OMF Source Type: research

The endoscopic endonasal approach for pediatric craniopharyngiomas
Publication date: Available online 1 February 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Ian J. Koszewski, Hermes G. Garcia, William Parkes, Chandala Chitguppi, Mindy R. Rabinowitz, Gurston G. Nyquist, James J. Evans, Marc R. RosenCraniopharyngiomas are rare but challenging tumors of the ventral skull base affecting primarily pediatric patients. In select cases, the endoscopic endonasal approach represents an appropriate surgical option when tumor resection is favored. However, nuances of the pediatric nasal corridor must be carefully considered to optimize both tumor resection and s...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - February 1, 2019 Category: ENT & OMF Source Type: research

Unique considerations in pediatric skull base surgery
Publication date: Available online 30 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Irit Duek, Dan M. FlissPediatric skull base and craniofacial surgery presents a unique challenge since the potential benefits of therapy must be balanced against the cumulative impact of multimodality treatment on craniofacial growth, donor-site morbidity, and the potential for serious psychosocial issues. Skull base reconstruction using locoregional flaps or free flaps may be safely performed in pediatrics. Although the general principles of skull base reconstruction are applicable to nearly all...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 31, 2019 Category: ENT & OMF Source Type: research

Surgical planning in pediatric skull base surgery
Publication date: Available online 28 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Randall A. Bly, Angelique M. Berens, Jonathan A. Perkins, Craig Miller, Manuel Ferreira, Jason S. Hauptman, Kris S. MoeTreatment of pediatric skull base disorders is complex and requires individual planning. Compared to adult patients, the pathologies are more congenital and benign. Advanced surgical planning has been shown to improve outcomes and involves a variety of different software platforms to enable sophisticated review of image data sets, including virtual endoscopy and the details of su...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 29, 2019 Category: ENT & OMF Source Type: research

Endoscopic transsphenoidal pituitary surgery in children
Publication date: Available online 26 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Edward C. Kuan, Phillip B. Storm, James N. Palmer, Nithin D. AdappaWith increasing adoption of endoscopic techniques and improved knowledge of skull base anatomy and approaches, transsphenoidal pituitary surgery is now being performed on patients of all ages. Surgical principles are similar between pediatric and adult patients, but there are special considerations for the pediatric population in terms of instrumentation, surgical anatomy, and postoperative care. Wide exposure to the sella, oftent...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 26, 2019 Category: ENT & OMF Source Type: research

Special considerations for nasoseptal flap use in children
Publication date: Available online 26 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Edward C. Kuan, Ryan M. Carey, James N. Palmer, Nithin D. AdappaThe introduction of the vascularized pedicled nasoseptal flap has revolutionized endoscopic skull base surgery, providing a highly versatile option to repair even the most complex skull base defects. Though demonstrated with outstanding results in adult patients, there is limited experience in the pediatric population. Early investigation found that there are limitations in utilization of the nasoseptal flap in children due to cranio...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 26, 2019 Category: ENT & OMF Source Type: research

Open anterior skull base surgery in the pediatric population: anatomy, approaches, and considerations
The objectives of this paper are to synthesize the existing literature on open approaches to the anterior skull base in children. First, we review the developmental anatomy of the anterior skull base. Next, we describe the most commonly used open approaches to the anterior skull base and other adjunctive procedures. Lastly, we review the reconstructive options and comment important pediatric-specific considerations. Our review reports the variety of open approaches to access the anterior skull base in children. Detailed preoperative planning, taking age-related considerations into account, is necessary in order to plan to ...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 24, 2019 Category: ENT & OMF Source Type: research

Introduction
Publication date: Available online 23 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Meghan N. Wilson (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 23, 2019 Category: ENT & OMF Source Type: research

Surgical management of nasal dermoid lesions
This article presents details on embryology, imaging work up, and surgical technique for resection of these lesions either via an open approach or with an endoscopic-assisted method. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 23, 2019 Category: ENT & OMF Source Type: research

Surgical management of juvenile nasopharyngeal angiofibroma
Publication date: Available online 21 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Meghan N. Wilson, Daniel W. Nuss, Brad E. Zacharia, Carl H. SnydermanJuvenile nasopharyngeal angiofibromas are benign yet aggressive anterior skull base tumors that occur almost exclusively in male adolescents. Diagnosis is typically made through radiographic findings and clinical characteristics; biopsy is not recommended due to the vascular nature of the disease. As with most tumors, there is a spectrum of tumor extent and invasion. In juvenile nasopharyngeal angiofibromas, one of the most impo...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 22, 2019 Category: ENT & OMF Source Type: research

Surgical management of clival chordomas in children
Conclusion: Endoscopic endonasal surgery can be safely applied to the pediatric population and provides the best opportunity for complete surgical excision for most tumors. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Locoregional flaps in pediatric anterior skull base surgery
This article will discuss numerous reconstructive options, focusing on locoregional flaps in skull base reconstruction. In addition to outlining the surgical technique for each type, we will review considerations in pediatric patients for each reconstructive option. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Pediatric skull base surgery: Encephaloceles and cerebrospinal fluid leaks
Publication date: Available online 21 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jacob G. Eide, Patrick Walz, Tord D. Alden, Jeffrey C. RastatterIn recent years, endoscopic endonasal approaches to the pediatric skull base have become an increasingly popular method for treatment of a variety of malignant and benign lesions. These approaches have largely evolved from experience in adult patients and can be an excellent alternative to open procedures in carefully selected patients. Pediatric encephaloceles can be addressed via open craniotomy, transpalatal, and endoscopic endona...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 21, 2019 Category: ENT & OMF Source Type: research

Treatment of fibro-osseous lesions at the pediatric skull base
Publication date: Available online 14 January 2019Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jeffrey C. Rastatter, Jeffrey Leonard, Patrick C. WalzFibro-osseous lesions of the pediatric skull base are loosely associated group of bony lesions that are all uncommonly occurring clinical entities. Management differs significantly amongst the fibro-osseous lesions but clinical and radiographic presentation can overlap significantly. Fibro-osseous lesions include fibrous dysplasia, ossifying fibroma, osteoma, and aneurysmal bone cyst in addition to even less common lesions such as giant cell t...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - January 15, 2019 Category: ENT & OMF Source Type: research

Editorial Board
Publication date: December 2018Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 29, Issue 4Author(s): (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - December 12, 2018 Category: ENT & OMF Source Type: research

Editorial Board
Publication date: September 2018Source: Operative Techniques in Otolaryngology-Head and Neck Surgery, Volume 29, Issue 3Author(s): (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - December 4, 2018 Category: ENT & OMF Source Type: research

Endoscopic management of subperiosteal abscesses
This article describes endoscopic surgical management of medial and superior subperiosteal abscess. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - November 16, 2018 Category: ENT & OMF Source Type: research

Endoscopic Management of Subperiosteal Orbital Abscesses
Publication date: Available online 16 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Christopher Pool, Johnathan McGinnAbstractWhile the progression of acute rhinosinusitis to orbital infections has decreased in the modern antibiotic era, they still occur, particularly in the pediatric population. Infection may spread from the nasal cavity and sinuses via direct extension into the orbit through the thin lamina papyracea or through the valveless veins in the bony orbital wall.1 Congenital dehiscence and trauma also allow for direct extension of the infection to the orbit.1 Most of...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 16, 2018 Category: ENT & OMF Source Type: research

Anatomy of the Human Orbit
This article will discuss the structures contained within the orbit from a surgical perspective in the hope of expanding the head and neck surgeon's knowledge and comfort when treatment indication necessitates entry into this space. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 13, 2018 Category: ENT & OMF Source Type: research

Indication and Technique of Orbital Exenteration
This article will describe the indications and technique of orbital exenteration, as well as complications and several reconstructive strategies. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 13, 2018 Category: ENT & OMF Source Type: research

Introduction
Publication date: Available online 13 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Michael Wilkinson (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 13, 2018 Category: ENT & OMF Source Type: research

Periorbital Rejuvenation
Publication date: Available online 13 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Tom Shokri, Jessyka G. LighthallAbstractThe periorbital region, consisting of the eyebrows, upper and lower eyelids, glabella, and pericanthal region, is particularly susceptible to early signs of aging. Overall, this process is influenced by both genetic and environmental factors. Periorbital rejuvenation continues to be an area of advancement with evolution in both noninvasive and invasive techniques. In this article, we will review minimally invasive and surgical procedures in the treatment of...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 13, 2018 Category: ENT & OMF Source Type: research

Multimodal Approaches in the Management of Malignancies Involving the Orbit
Publication date: Available online 11 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Mitchell Dunklebarger, Vijay A. Patel, Tom Shokri, Neerav GoyalAbstractMalignancies involving the orbit comprise heterogeneous pathologies with a variety of ophthalmic and otolaryngic presentations resulting from compression and destruction of native orbital contents. Surgical ablation with negative margins with adjuvant treatment remains a cornerstone for optimal oncologic control and successful operative outcomes. Historically, attempts at tumor extirpation were first performed by neurosurgeons...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research

Techniques of Enucleation and Evisceration
This article will discuss the indications for removal of the eye, as well as describe the alternative techniques of enucleation and evisceration, including their relative advantages. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research

Management of Orbital Fractures
Publication date: Available online 11 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Michael J WilkinsonAbstractFractures of the orbit are a very common injury, and are often treated by multiple facial subspecialties. Many fractures can be asymptomatic and do not require surgical therapy, but for those fractures where intervention is indicated, neglect, delay or inappropriate technique can have permanent consequences on visual function and facial deformity. In this article, the indications and techniques of repair for specific fractures will be discussed, as well as possible risk...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research

Orbital decompression in thyroid eye disease
Publication date: Available online 12 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Jane S. Kim, Jason LissAbstractThyroid eye disease is an orbital inflammatory manifestation of autoimmune thyroid disease that results in orbital congestion and can lead to significant cosmetic disfigurement, diplopia, and vision loss. Typically, there is an active, inflammatory phase that transitions into a quiescent, fibrotic state. Management of this condition consists of regulation of the underlying thyroid disease, modulation of risk factors, supportive care for symptoms, and both medical an...
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research

Imaging of the Human Orbit
This article will review the techniques used in orbital imaging and cover several of the most common conditions encountered within the human orbit. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research

Dacryocystorhinostomy: Indications and Surgical Technique
Publication date: Available online 12 October 2018Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Christopher Weller, Ilya LeyngoldAbstractThe following article reviews the clinical presentation, evaluation, and surgical treatment of patients with nasolacrimal duct obstruction, with an emphasis placed on the surgical techniques of external and internal/endoscopic dacryocystorhinostomy. (Source: Operative Techniques in Otolaryngology Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology Head and Neck Surgery - October 12, 2018 Category: ENT & OMF Source Type: research