Combined Karapandzic and radial forearm free flap with dual palmaris longus tendons for complex lip reconstruction
Near-total lip defects present a unique challenge preserving both oral competence and aesthetics. While lip reconstruction is commonly accomplished with local flaps to preserve function, in large defects, this technique alone can result in microstomia, speech inarticulation, and facial distortion. Free tissue transfer has become an attractive alternative, yet this approach presents its own set of functional challenges. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 7, 2021 Category: ENT & OMF Authors: Taylor Freeman, Ryan Ivancic, Amit Agrawal, Enver Ozer, Stephen Y. Kang, Matthew O. Old, Nolan B. Seim Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2021 Category: ENT & OMF Source Type: research

The middle turbinate as an anatomical landmark for a safe maxillary antrostomy during endoscopic sinus surgery: A computed tomography study
: The purpose of this study is to characterize the anatomical relationship of the middle turbinate to the lamina papyracea and nasolacrimal duct and to understand if the middle turbinate can be used to landmark a safe maxillary antrostomy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 16, 2021 Category: ENT & OMF Authors: Marc Levin, Teffran J. Chan, Gordon Hua, Doron D. Sommer Source Type: research

Surgery for Congenital Choanal Atresia
Congenital choanal atresia are rare congenital condition which may cause asphyxia in newborns. Our team from Hong Kong, China, presented our endoscopic, endonasal, stentless approach to this condition. In this review we also provided an overview of the evolution of various surgical techniques and accessory measures. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 7, 2021 Category: ENT & OMF Authors: Dr. Alice KY Siu, Dr. Jacky FW Lo Source Type: research

Endoscopic resection of juvenile nasopharyngeal angiofibromas
Juvenile nasopharyngeal angiofibromas (JNAs) are a rare, highly vascular benign tumor affecting adolescent males. Recent advances in endoscopic visualization and technique have allowed for complete extirpation of these tumors endoscopically. Proponents of this approach find benefit in the lack of facial incisions, decreased intraoperative blood loss, and excellent tumor control. This chapter describes the endoscopic approach to JNAs. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 2, 2021 Category: ENT & OMF Authors: Christopher Pool, Meghan Wilson Source Type: research

Introduction
The nasopharynx is one of the smallest anatomical area in the head and neck region but also one of the most difficult area for surgical access. Moreover, the nasopharynx area habors a wide range of distinct pathologies not typically seen in other areas of the head and neck region. The first 2 articles of this issue will describe the common pathologies of the nasopharynx and the radiological features of these pathologies. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 2, 2021 Category: ENT & OMF Authors: Dr. Raymond Tsang Source Type: research

Open nasopharyngectomy —Facial translocation approach
Salvage nasopharyngectomy has become the mainstay of treatment after radiotherapy failure for nasopharyngeal carcinoma. However, surgical access to the nasopharynx has always been a challenge to head and neck surgeons. Various surgical approaches to the nasopharynx includes transpalatal, transmaxillary, midline mandibulotomy, transpterygoid, facial translocation, and infratemporal fossa approaches. The facial translocation approach is based on the principle of disassembling of vascularized midfacial composite units, permitting wide access for the treatment of tumors at nasopharynx, anterior skull base, paranasal sinuses, p...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 30, 2021 Category: ENT & OMF Authors: Chung-Yu Hao, Sheng-Po Hao Source Type: research

Open nasopharyngectomy – Facial translocation approach
Salvage nasopharyngectomy has become the mainstay of treatment after RT failure for nasopharyngeal carcinoma.However, surgical access to the nasopharynx has always been a challenge to head and neck surgeons. Various surgical approaches to the nasopharynx includes transpalatal, transmaxillary, midline mandibulotomy, transpterygoid, facial translocation, and infratemporal fossa approaches.The facial translocation approach is based on the principle of disassembling of vascularized midfacial composite units, permitting wide access for the treatment of tumors at nasopharynx, anterior skull base, paranasal sinuses, pterygomaxill...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 30, 2021 Category: ENT & OMF Authors: Chung-Yu Hao, Sheng-Po Hao Source Type: research

Essential Imaging of the nasopharyngeal space with special focus on nasopharyngeal carcinoma
The nasopharyngeal space is an area of complex anatomy with relationship and communication to adjacent structures including muscle, bone, skull base, intracranial spaces making this area difficult to assess in its entirety by direct visualisation. Imaging plays an important role particularly in the visualisation of abnormalities deep to the mucosal surface, with MRI and PET-CT, in particular, playing prominent roles in diagnosis and management. In this paper, we focus on the essentials of imaging in nasopharyngeal carcinoma and discuss relevant imaging in the diagnosis and post-treatment context relevant to potential surgi...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 24, 2021 Category: ENT & OMF Authors: Tiffany Y So, Varut Vardhanabhuti Source Type: research

Adenoidectomy
This article describes various surgical techniques that are currently available including the classic adenoidectomy, suction diathermy adenoidectomy, coblation adenoidectomy and power-assisted adenoidectomy. These techniques can also be schematically divided into endoscopic-assisted and non-endoscopic assisted approach. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 24, 2021 Category: ENT & OMF Authors: Wong Birgitta Yee-hang, Chan Chin Pang Source Type: research

Review of the Pathologies of the Nasopharynx
Nasopharyngeal neoplasms are developmental, epithelial, lymphoid, mesodermal, or salivary gland in origin. The presentation of these neoplasms and relevant anatomy is presented in this article. The demographics, incidence, and risk factors of common benign and malignant neoplasms is reviewed with an emphasis on juvenile nasopharyngeal angiofibroma and nasopharyngeal carcinoma. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Allison Keane, Neerav Goyal, David Goldenberg Source Type: research

Open nasopharyngectomy – maxillary swing approach
Nasopharyngeal carcinoma is treated with definitive radiotherapy +/- chemotherapy depending on the stage of disease. Surgery serves as a means of salvage for persistent or recurrent diseases. Maxillary swing approach offers an anterolateral approach to tumours in the nasopharynx, ipsilateral parapharyngeal space including retropharyngeal lymph nodes and skull base invasion. Tumours abutting on the petrous part of internal carotid artery can be safely removed after identification and protection of the internal carotid artery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Velda Ling –Yu Chow, Jimmy Yu–Wai Chan Source Type: research

REVIEW: Operative Techniques in Nasopharynx
Nasopharyngeal neoplasms are developmental, epithelial, lymphoid, mesodermal, or salivary gland in origin. The presentation of these neoplasms and relevant anatomy is presented in this article. The demographics, incidence, and risk factors of common benign and malignant neoplasms is reviewed with an emphasis on juvenile nasopharyngeal angiofibroma and nasopharyngeal carcinoma. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Allison Keane, Neerav Goyal, David Goldenberg Source Type: research

Open Resection of Juvenile Nasopharyngeal Angiofibroma
Juvenile nasopharyngeal angiofibromas are rare, benign vascular tumors of the nasopharynx that account for less than 0.5% of all head and neck tumors. These lesions occur almost exclusively in young males. There are various approaches that allow for successful resection of nasopharyngeal angiofibromas, including open, endoscopic, and combined procedures. With the advancement of endoscopic technologies, the endoscopic approach has become the favored technique for smaller, less extensive lesions. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Nicole Ruszkay, Meghan N Wilson Source Type: research

Open nasopharyngectomy maxillary swing approach
Nasopharyngeal carcinoma is treated with definitive radiotherapy +/- chemotherapy depending on the stage of disease. Surgery serves as a means of salvage for persistent or recurrent diseases. Maxillary swing approach offers an anterolateral approach to tumours in the nasopharynx, ipsilateral parapharyngeal space including retropharyngeal lymph nodes and skull base invasion. Tumours abutting on the petrous part of internal carotid artery can be safely removed after identification and protection of the internal carotid artery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Velda Ling Yu Chow, Jimmy Yu Wai Chan Source Type: research