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.

Multidisciplinary Airway Response Teams: Concept, Structure & Implementation
Airway management challenges encompass the anticipated (e.g. airway pathology, history of difficult intubation, bleeding) and the unanticipated. Challenging airway situations also occur in patients with existing in-situ tracheostomy tubes and laryngectomy stomas or in intubated patients around the time of planned or unplanned extubation. Preparedness to handle difficult airway scenarios requires a structured approach to patient assessment, identification, and planning. Preparedness also necessitates an organized, disseminated, and pre-defined process to deliver appropriate resources efficiently to the bedside in an emergen...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Joshua H. Atkins, Christopher H. Rassekh Source Type: research

The approach and operative implications for the partially obstructed airway with impending or sudden loss of the airway
The otolaryngologist – head and neck surgeon plays a unique role in the acute management of partial airway obstruction due to their familiarity with the surgical instruments and technical skills in establishing both non-surgical and surgical airway access. When a partial airway obstruction deteriorates into impending or sudden airway loss, the surgeon must work intimately with the anesthesiologist and supporting staff to promptly establish an airway to minimize the injuries associated with prolonged hypoxia. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Joseph C. Park, Alexander T. Hillel Source Type: research

Multidisciplinary difficult airway challenges: Perioperative management of glottic and supraglottic tumours
Carcinomas of the larynx are common and require multidisciplinary perioperative management with particularly excellent communication between the surgeon and anaesthesiologist. Early preoperative assessment allows for optimisation, prehabilitation and advanced imaging in cases who present without respiratory compromise. On arrival for surgery, thorough airway examination including preoperative endoscopic airway assessment under topical anaesthesia and airway ultrasound will inform planning for airway management. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Ross Hofmeyr, Richard Llewellyn, Johannes J. Fagan Source Type: research

A multidisciplinary approach for managing the infraglottic difficult airway
Management of a difficult airway caused by pathology below the glottic inlet is high-risk and requires a shared approach to airway management and surgical treatment. Access to the trachea requires a careful assessment of the airway since the end-point of laryngoscopy for infraglottic airway management is not visualization of the larynx for tube placement, but access to the laryngotracheal complex in cases where intubation may not be feasible, or if performed, may preclude surgical access.This work builds on the two curves and three columns model of laryngoscopy and presents a common framework for creating multidisciplinary...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: SAR Nouraei, M Girgis, J Shorthouse, I Ahmad Source Type: research

The Difficult Airway and Thyroid Surgery
This article reviews airway management principles and techniques related to thyroid surgery. This patient population requires a unique preoperative evaluation. Multiple techniques for airway management exist and are utilized on a case-by-case basis. Highlighted in this article are also the special circumstances in thyroid surgery patients in which a difficult airway can present. Adequate preparation for difficult situations is crucial in the management of thyroid surgery patients. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Allison Keane, David Goldenberg Source Type: research

Airway Management Principles in Complex Cervicofacial Infections
Complex cervicofacial infections encompass a unique subset of upper and lower airway disorders with both potential to progress into a life-threating clinical condition. In the modern era, treatment of aggressive extracranial infections continues to revolve around the hallmark principles of airway stabilization, broad-spectrum antimicrobials, radiography, and surgical drainage. Approaches to complicated head and neck infections remain a multidisciplinary endeavor involving an experienced team of anesthesiologists, critical care intensivists, and otolaryngologists. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Vijay A. Patel, Khaled A. Sedeek, Meghan N. Wilson Source Type: research

The Difficult Airway and Transoral Robotic Surgery
A systematic approach to airway management for TORS will translate to a high-reliability system capable of handling anticipated and unexpected difficult airway situations. Intubation and glottic exposure for surgery need to be considered as distinct but critical components. Pre-operative team briefings can contribute to effective planning and preparedness. Management options for TORS difficult airway should include formal consideration of awake tracheostomy and surgical microdirect laryngoscopy to facilitate intubation. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Joshua H. Atkins, Christopher H. Rassekh Source Type: research

Recurrent head and neck tumors in the setting of previous reconstructive surgery and radiation
The approach to a difficult airway in patients presenting with recurrent head and neck tumors in the setting of previous surgery or radiation poses challenges to both anesthesiologists and otolaryngologists. Multidisciplinary planning with close communication is required for effective and safe care. It is critical to understand how each patient's prior surgery and radiation distorts the baseline airway anatomy and what complications may arise when deciding on the primary airway management and back-up plans. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - May 2, 2020 Category: ENT & OMF Authors: Jaime B. Hyman, Shradha D. Khadge, Eliezer Kinberg, Brett Miles, Adam Levine Source Type: research

How to preserve the olfaction in harvesting the nasoseptal flap in endoscopic skull base surgery
The introduction of nasoseptal flap for the skull base defects reconstruction in endoscopic endonasal approaches represents a revolution that dramatically reduced incidence of the cerebrospinal fluid leaks, however it may be associated with comorbidities like olfactory hypofunction. Objectives: We revise our anatomical knowledge and surgical experience in order to describe an easy and safe technique to avoid olfaction hypofunction. Methods (Surgical technique): A simple anatomical surgical landmark proposed for identification of the olfactory area on the septum, based on the anatomy of the lateral nasal wall. (Source: Oper...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 16, 2020 Category: ENT & OMF Authors: Muaid I. Aziz Baban, Paolo Battaglia, Mokarbesh Hadi Mohammed, Davide Locatelli, Abdulrahman Shawkat, Mario Turri-Zanoni, Paolo Castelnuovo Source Type: research

How to preserve the olfaction in harvesting the nasoseptal flap in endoscopic skull base surgery.
The introduction of nasoseptal flap for the skull base defects reconstruction in endoscopic endonasal approaches represents a revolution that dramatically reduced incidence of the cerebrospinal fluid leaks, however it may be associated with comorbidities like olfactory hypofunction. Objectives: We revise our anatomical knowledge and surgical experience in order to describe an easy and safe technique to avoid olfaction hypofunction. Methods (Surgical technique): A simple anatomical surgical landmark proposed for identification of the olfactory area on the septum, based on the anatomy of the lateral nasal wall. (Source: Oper...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 16, 2020 Category: ENT & OMF Authors: Muaid I. Aziz Baban, Paolo Battaglia, Mokarbesh Hadi Mohammed, Davide Locatelli, Abdulrahman Shawkat, Mario Turri-Zanoni, Paolo Castelnuovo Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 29, 2020 Category: ENT & OMF Source Type: research

Consortium of Otolaryngology Journal Editors: Collegiality and Contributions
There is a new tradition in the otolaryngology publishing community that is unique to our specialty, so far as we know. Editors-in-Chief of otolaryngology journals in the United States, and intermittently some of our international colleagues such as the Editor of the Journal of Laryngology and Otology (England), sit down together twice a year to discuss topics of mutual interest, maintain lines of communication and friendships, and share perspectives on the evolution of otolaryngology – head and neck surgery and needs that our journals might help address. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 18, 2020 Category: ENT & OMF Authors: Robert T. Sataloff, Rakesh Chandra, Edward W. Fisher, David Goldenberg, Ehab Y. Hanna, Jonas Johnson, David W. Kennedy, Dennis H. Kraus, John H. Krouse, Michael Link, Lawrence R. Lustig, Jr. Bert W. O'Malley, Jay F. Piccirillo, Robert Ruben, Sandra Schwar Tags: Editorial Source Type: research

Introduction
This edition of Operative Techniques serves as a comprehensive overview of techniques for lip reconstruction. The lips are a central part of the human face and serve important functional and aesthetic roles. They are quite sensitive to aesthetic discrepancies and their dynamic nature makes their reconstruction challenging. We review surgical and non-surgical reconstructive options for a wide range of size defects with various well-known flaps, oral commissure reconstruction, and a lip considerations in facial paralysis patients. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 5, 2020 Category: ENT & OMF Authors: David A. Shaye Source Type: research

Lip Reconstruction: Primary Full Thickness Closure and Superficial Partial Thickness Closure
The lips play a principle role in the lower third of the face. Defects of the lips can result in profound functional and aesthetic consequences. Small to medium sized full thickness defects of the lip are amenable to primary closure and can yield excellent results. Partial thickness cutaneous defects may be amenable to local flap techniques or conversion to a full thickness defect for primary closure. By understanding the anatomic basis, patient factors, defect characteristics, and surgical nuances in primary lip repair, reconstructive surgeons can achieve superior outcomes. (Source: Operative Techniques in Otolaryngology ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 5, 2020 Category: ENT & OMF Authors: Guanning Nina Lu, Shaun Chandra Desai Source Type: research

Lip Reconstruction Using the Gillies Fan Flap
The Gillies Fan flap is a single-stage composite rotational-advancement flap for reconstruction of medium to large full thickness lower lip defects. It can be thought of as an extension of the Estlander flap. It is nourished by a narrow superiorly-based pedicle of the superior labial artery. Mobilized tissue includes adjacent lower lip tissue as well as tissue from the opposing lateral lip. The oral commissure is distorted with use of this technique, and sometimes requires a second stage for refinement using a commissureplasty, discussed elsewhere in this issue. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 5, 2020 Category: ENT & OMF Authors: Prabhat K. Bhama Source Type: research