Operative Techniques in Otolaryngology - Head and Neck Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

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

Endoscopic Nasopharyngectomy in Nasopharyngeal Carcinoma
Endoscopic sinus surgery offers a minimally invasive approach to reach the deep located nasopharynx, but the application of endoscopic nasopharyngectomy (ENPG) for locally recurrent nasopharyngeal carcinoma (NPC) has been limited by difficulties related to operating in the narrow nasal and nasopharyngeal cavities, achieving en bloc resection, protecting the internal carotid artery and reconstructing the defect. A series of innovations, such as the “third-hand technique”, “cube-like resection”, “dumpling-making technique” and “pedicle nasal mucoperiosteal flap”, have been explored and applied to address thes...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: You-Ping Liu, Xi Ding, Rui You, Xiong Zou, Yu-Long Xie, Yi-Jun Hua, Pei-Yu Huang, Ming-Yuan Chen Source Type: research

Combined craniofacial resection of nasopharyngeal malignancies
Nasopharyngeal carcinoma is endemic in south-eastern parts of Asia. Primary treatment modality is definitive radiotherapy +/- chemotherapy depending on the stage of disease. Surgery serves as a means of salvage for persistent or recurrent diseases. Maxillary swing operation offers an anterolateral approach for removal of tumours in the nasopharynx +/- parapharyngeal space extension including retropharyngeal lymph nodes. Maxillary swing operation may be combined with craniotomy for resection of locally advanced tumours involving the internal carotid artery, temporal bone and temporal dura. (Source: Operative Techniques in O...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 22, 2021 Category: ENT & OMF Authors: Velda LingYu Chow, Jimmy Yu Wai CHAN Source Type: research

The Role of Ultrasound in Various Office-Based Laryngeal Procedures
Ultrasonography is a well-established imaging modality for evaluation of head and neck anatomy. Advantages include that it is painless and well-tolerated by patients, it is a short procedure that can be done in outpatient settings due to its portability, it is radiation-free, it is relatively inexpensive, and does not require the need for sedation or anesthesia. Transcutaneous laryngeal ultrasonography has been shown to be an encouraging non-invasive device in laryngeal examination that may compliment the current gold standard of flexible laryngoscopy. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 5, 2020 Category: ENT & OMF Authors: Shivam Patel, Neerav Goyal, John P. Gniady Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - December 1, 2020 Category: ENT & OMF Source Type: research

Vascular injuries —Blunt and sharp
Blood vessels in the head and neck region are usually protected by overlying skeleton, hence the incidence of injuries to these blood vessels is relatively less common. Traumatic injuries can be broadly divided into 2 groups based on the mechanism of injury: blunt traumatic injuries and penetrating injuries. Blunt trauma with massive impact is usually associated with injuries to multiple structures, while penetrating trauma leads to focal injuries to these blood vessels. Consequences of these injuries are serious and may lead to mortality from hemorrhage, stroke from cerebrovascular insufficiency or upper limb ischemia. (S...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Authors: Sandra Cole, Daniela Medina, Taelor Weaver, Faisal Aziz Source Type: research

Cervical Spine Injury: Approach to the Trauma Patient
Cervical spine injury can be found in an estimated 5% of blunt trauma patients and poses some specific concerns for the otolaryngologist. Understanding the mechanisms and nature of injuries are essential to manage and minimize secondary spinal cord injury, particularly during intubation, or emergent or planned airway or other surgical procedures. Providers should be able to identify patients with potential cervical spine injury, be familiar with alternative methods of airway management and neck stabilization and have an understanding of basic management of cervical spine injury. (Source: Operative Techniques in Otolaryngol...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Authors: Megan E. Cosgrove, Ewen A. Chao, Frederick Gutman, Ghassan J. Samara Source Type: research

Vascular Injuries – Blunt and Sharp
Blood vessels in the head and neck region are usually protected by overlying skeleton, hence the incidence of injuries to these blood vessels is relatively less common. Traumatic injuries can be broadly divided into two groups based on the mechanism of injury: blunt traumatic injuries and penetrating injuries. Blunt trauma with massive impact is usually associated with injuries to multiple structures, while penetrating trauma leads to focal injuries to these blood vessels. Consequences of these injuries are serious and may lead to mortality from hemorrhage, stroke from cerebrovascular insufficiency or upper limb ischemia. ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Authors: Sandra Toth, Daniela Medina, Taelor Weaver, Faisal Aziz Source Type: research

Military Injuries to the Head and Neck —Implications for Practice in Resource Constrained Environments
Our objective was to use a series of cases from the wars in Iraq and Afghanistan to highlight challenges in treating in head and neck trauma in a resource constrained environment either in a deployed military or humanitarian settings. When outside of a well-resourced hospital system, otolaryngologists must maintain a broad and comprehensive skill set in order to provide an equivalent standard of care. Whether practicing in a deployed military or humanitarian capacity, these resource-constrained environments require that surgeons consider the differences in their patient population, injury patterns, environmental risks, and...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: Christopher R. Tonn, Matthew L. Ward, Wesley M. Abadie, John W. Lally, Scott E. Bevans, LaKeisha R. Henry Source Type: research

Upper Airway Burn Injury
Airway burn injury continues to be a significant cause of morbidity and mortality in the burn patient population. It is essential to identify patients with potential airway obstruction and to avoid potential complications of airway manipulation in those with less severe injury. In this review, the initial evaluation and management of airway burn injuries will be discussed including indications for observation versus intubation versus tracheotomy. Additionally, the long term sequelae of upper airway burn injury and management of these consequences will be reviewed. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: Lauren F. Tracy, Jennifer Shehan, Gregory A. Grillone Source Type: research

Laryngeal Trauma: External Approaches
When endolaryngeal approaches are inadequate and when there is significant injury to the larynx, transcervical approaches are necessary. This is most often necessary for Schaefer-Fuhrman Class II -IV. Assessment and treatment always begin with evaluation and management of the airway followed by operative endoscopy to determine the extent of injury and guide surgical repair. Treatment includes open reduction and fixation of cartilaginous fractures but when there is significant endolaryngeal injury, a laryngofissure with or without stenting is often necessary. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: David Myssiorek, Ahmed M.S. Soliman Source Type: research

Introduction
Benjamin Franklin said “by failing to prepare you are preparing to fail“. There is no substitute for knowledge about trauma, however, we may not always have all the tools we need to succeed, especially in trauma situations because we do not have time to get ready. Trauma is not a scheduled event and comprehensive know ledge of trauma is not readily available, especially in civilian centers. During my training in a major city hospital and a Veterans Administration hospital, we frequently were without correct supplies and instruments. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: David Myssiorek Source Type: research

Skin Burns of the Head and Neck
This article focuses on acute management of burns of the face and skin both in the inpatient setting and managing the sequelae of facial burns including hypertrophic scarring, contractures, and functional issues such as microstomia and ectropion. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: Alexandra Shams Ortiz, Rodney K. Chan, Gregory R. Dion Source Type: research

Mechanisms of Penetrating Trauma to the Neck
This article discusses the mechanisms of penetrating neck trauma with special emphasis on penetrating projectile trauma and a brief introduction of types of firearms and their evolution. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - October 9, 2020 Category: ENT & OMF Authors: Ranjan Gupta, Sushruta Nagarkatti Source Type: research