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.

Geriatric Eustachian Tube Dysfunction
Otologic complaints are a common reason for the elderly to present to an otolaryngologist. Eustachian tube dysfunction in the geriatric population is a common yet poorly researched and described problem. A thorough understanding of the underlying anatomy and pathophysiology, performance of a careful history and work up, and a sound understanding of the available medical and surgical treatments are vital in the management of eustachian tube dysfunction in these patients. Here we review the literature regarding the work up and treatment of geriatric patients with Eustachian tube dysfunction. (Source: Operative Techniques in ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: David J. Lafferty, Brian J. McKinnon Source Type: research

Rhinology: Sinus Surgery in the Older Patient
In 2050 the elderly population will reach a projected 83.7 million and will represent 20% of the population in the United States. Chronic rhinosinusitis remains the 6th most common chronic disease in the geriatric population. It is often disregarded as a secondary problem in patients perceived as frail, with multiple other medical comorbidities and polypharmacy. The pathophysiologic changes that happen in the elderly make for a unique disease that requires special attention. Symptoms can be nonspecific but elderly with chronic sinus disease have a decreased quality of life metrics that can be significantly improved with me...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Alissa Kanaan Source Type: research

Thyroid Surgery in the Elderly
Surgeons across all specialties often hesitate to operate on elder and geriatric patients due to concern for an increased risk of morbidity and mortality. Fortunately, the majority of research demonstrates that performing thyroid surgery in the elderly is safe. The most common indications for thyroid surgery in the elderly include malignancy, multinodular goiters with compressive symptoms, and thyrotoxicosis. Though some debate exists, most studies demonstrate that once comorbidities are properly addressed prior to surgery, the complication rates of thyroid surgery in the elderly are comparable to those of younger patients...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Nicole Ruszkay, David Goldenberg, Guy Slonimsky Source Type: research

Presbylarynx: Anatomy/Physiology, Non-Surgical Treatment, and Surgery
Conclusion: Substsantial increases in knowledge of vocal again have led to improvement in non-surgical and surgical management of Presbyphonia. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Robert T. Sataloff, Karen M. Kost Source Type: research

Operative Techniques in Otolaryngology: Hearing Restoration Options
Hearing loss in elderly patients, commonly referred to as age-related hearing loss (ARHL), is an increasingly significant cause of morbidity. ARHL noted to be the second most common illness in the elderly population, and can often be detrimental to the quality of life of patients. Presently, restorative treatment for age-related hearing loss is limited, however, multifactorial rehabilitation and management strategies exist. A pivotal aspect of management in ARHL is the use of amplifying hearing aids and implantable devices. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: David Guirguis, Kourosh Parham Source Type: research

Cochlear Implantation under Local Anesthesia with Conscious Sedation in the Elderly Patient: Focus on Surgical Technique
As the world's geriatric population continues to grow at an unprecedented rate, an increasing number of elderly patients are seeking hearing rehabilitation strategies, including cochlear implantation (CI). However, CI surgery in elderly patients has been met with trepidation given fears of physical and cognitive complications associated with general anesthesia. Cochlear implant surgery under local anesthesia with conscious sedation (LA-CS) in the elderly population is a safe and feasible alternative to general anesthesia. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Nicholas L. Deep, Joseph Connors, J. Thomas Roland Source Type: research

Rhinoplasty in the Aging Patient
Aging can slowly affect the appearance and function of the nose. Rhinoplasty is becoming a more common procedure for older patients seeking reversal of these effects on their nasal form and function. A number of anatomical changes contribute to the classic changes in the aging nose: tip ptosis and a dorsal hump or pseudohump. The preoperative evaluation is critical in this patient population in which comorbidities are almost guaranteed and the risks of general anesthesia may frequently outweigh the benefits of the procedure, especially when solely cosmetic. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Erin R. Weatherford Creighton, Jennings R. Boyette Source Type: research

Cochlear Implantation in the Elderly: Outcomes
This review examines the various outcome measures utilized in assessing the safety and efficacy of cochlear implantation (CI) in the elderly population. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Jeremy Ruthberg, Varun Adhvaryu, Armine Kocharyan, Selena (Heman-Ackah) Briggs Source Type: research

Sleep Apnea Surgery in the Elderly
With a growing population of elderly patients in the United States seeking treatment for obstructive sleep apnea, age is becoming an increasingly important consideration for sleep surgeons. The effects of OSA on elderly patients may be different for older patients, specifically when it comes to the cardiovascular and mortality risk observed in younger patient populations. Recent reports indicate that traditional structural surgery for elderly patients may be less effective and that postoperative complication rates are higher. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 3, 2020 Category: ENT & OMF Authors: Jeffrey J. Stanley Source Type: research

Endoscopic arytenoid abduction lateropexy in pediatric vocal cord paralysis
Objective: Vocal fold paralysis is an uncommon problem in children. Clinical presentation covers a wide range of signs and symptoms. Our objective is to evaluate de efficacy and security of the Endoscopic Arytenoid Abduction Lateropexy (EAAL) in pediatric patients with vocal cord paralysis and to present the results. Material and method: From January 2011 to September 2018 10 patients with vocal fold paralysis underwent examination and treatment. The mean age at treatment was 4.87 years old (2-16). (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 2, 2020 Category: ENT & OMF Authors: Roc ío Soledad Gutiérrez, Patricio Bellia Munzón, Verónica Rodriguez, Giselle Cuestas, Flavia Selene Doormann, Gustavo Teyssier Morales, Jaime Penchyna, Gastón Bellia Munzón Source Type: research

Hypoglossal nerve stimulator implantation via a 2-incision technique
A hypoglossal nerve stimulator currently available for clinical use requires 3 incisions to implant 3 separate components. A substantial modification to operative technique described herein moves the device's respiratory sensing lead from the fifth to the second intercostal space, now inserting it transpectorally through the same incision used for the implantable pulse generator. Elimination of a third incision and second lead tunneling procedure minimizes the risk of breast and chest wall injury, reduces operative time, and decreases postoperative pain. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 2, 2020 Category: ENT & OMF Authors: David T. Kent, Jordan S. Weiner, Eugene G. Chio, Mark Weidenbecher Source Type: research

Endoscopic arytenoid abduction lateropexy in paediatric vocal cord paralysis
Vocal Fold Paralysis (VFP) is an uncommon problem in children. Clinical presentation covers a wide range of signs and symptoms. Our objective is to evaluate de efficacy and security of the Endoscopic Arytenoid Abduction Lateropexy (EAAL) in paediatric patients with VCP and to present the results. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 2, 2020 Category: ENT & OMF Authors: Roc ío Gutiérrez, Bellia Munzón Patricio, Rodriguez Verónica, Cuestas Giselle, Doormann Flavia, Teyssier Morales Gustavo, Penchyna Jaime, Bellia Munzón Gastón Source Type: research

Hypoglossal Nerve Stimulator Implantation via a Two-Incision Technique
A hypoglossal nerve stimulator currently available for clinical use requires three incisions to implant three separate components. A substantial modification to operative technique described herein moves the device's respiratory sensing lead from the fifth to the second intercostal space, now inserting it transpectorally through the same incision used for the implantable pulse generator. Elimination of a third incision and second lead tunneling procedure minimizes the risk of breast and chest wall injury, reduces operative time, and decreases postoperative pain. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - July 2, 2020 Category: ENT & OMF Authors: David T. Kent, Jordan S. Weiner, Eugene G. Chio, Mark Weidenbecher Source Type: research

Critical Care Surgical Tracheotomy
Tracheotomy is a commonly performed surgical airway to relieve upper airway obstruction, improve pulmonary hygeine, and decrease the risk of damage to the larynx from indwelling endotracheal tubes. Critical Care Intensivists have safely introduced the Percutaneous Dilational Tracheotomy (PDT) into practice, but contraindications and limitations exist for this technique. In patients with indwelling endotracheal tubes who have difficult airways, open surgical tracheotomy is considered advantageous as a definitive airway can be secured throughout the surgery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - June 4, 2020 Category: ENT & OMF Authors: Yoseph A. Kram, Sungjin A. Song, Macario Camacho, Jeremy Juang, Matthew S. Russell Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 31, 2020 Category: ENT & OMF Source Type: research