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.

Unilateral Cleft Lip Repair
Cleft lip is one of the most commonly encountered craniofacial deformities. While comprehensive management of this deformity requires a multidisciplinary team approach, this article will specifically focus on the surgical management of the unilateral cleft lip deformity. As evidenced by the multiple techniques that have been developed for its repair, a functionally and aesthetically pleasing result is challenging to attain. Optimal surgical repair requires a thorough understanding of the underlying anatomy, which is reviewed. (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: Jennifer C. Fuller, David A. Shaye Source Type: research

Nuance in Bilateral Cleft Lip Repair
The management of patients with bilateral cleft lip and palate requires an understanding of anatomy and a focus on function. Comprehensive care in a collaborative multidisciplinary setting is crucial for the future development of these children. The operative technique begins with meticulous measurement and creation of symmetry to set the foundation for successful repair. In severely wide or asymmetric cases, preoperative orthopedics can be used to narrow the cleft prior to surgery. Consistency of design, anticipation of future growth and critical evaluation of results are essential for a cleft surgeon to obtain the best r...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 5, 2020 Category: ENT & OMF Authors: Tsung-yen Hsieh, Mary Roz Timbang, Travis T Tollefson Source Type: research

Estlander Flap for Lip Reconstruction
Lip reconstruction following trauma or extirpative surgery remains a significant challenge to the facial plastic surgeon. Reconstructive efforts have attempted to balance aesthetic outcome with maintenance of function, while avoiding sequelae such as microstomia, oral commissure effacement, dry-wet lip substitution, adynamia, impaired lip sensation, and oral incompetence. Procedures include the eponymous Abbe, Estlander, Karapandzic, McGregor, and Gillies fan flaps, as well as free tissue transfer and mucosal advancement techniques. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Michael Eggerstedt, Ryan M. Smith, Peter C. Revenaugh Source Type: research

Lip Reconstruction Using the Sabattini-Abb é Cross-Lip Flap
The lips are important anatomically distinct subunits within the lower face. Due to their prominence, and their location within an observational center of the face, even minor defects may result in conspicuous deformities.1 The lips serve a defining role in facial aesthetics, the concept of modern beauty and the expression of emotion. Functionally, the lips play an integral role in articulation and deglutition, due to their function as an oral sphincter. Lip reconstruction therefore presents a particular challenge to the facial reconstructive surgeon seeking to restore both form and function. (Source: Operative Techniques ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Tom Shokri, Jessyka G. Lighthall Source Type: research

The Karapandzic Flap
The Karapandzic flap is a reliable reconstructive option for medium and large lip defects that maintains sensation and motor function and optimizes tissue vascularity. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Lauren E. Miller, Jacqueline J. Greene Source Type: research

Free Flap Reconstruction of the Lip
Free tissue transfer is a critical tool for lip reconstruction. This section will discuss different aspects of free flap reconstruction. This type of reconstruction is primarily used for large skin and soft tissue defects typically involving greater than 80% of the lip. Both fasciocutaneous as well as muscular free flaps can be utilized for lip reconstruction. Free flaps can be utilized in non-dynamic as well as dynamic types of reconstruction. When free flaps are utilized they often require significant revision and tailoring in the months following the initial reconstruction. (Source: Operative Techniques in Otolaryngolog...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Kevin S. Emerick Source Type: research

Commissuroplasty
Microstomia may arise from injury to the oral commissure or as iatrogenically after reconstruction of the lips. This process leads to inadequate oral competence, dysphagia, and dysarthria. Reconstruction of the oral commissure can be performed using basic commissuroplasty techniques. Implementation of basic methods for commissure reconstruction can be done safely and there are multiple variations to fit specific patient situations. The aim of this article is to describe the basic methods of commissuroplasty including the indications, preoperative considerations, and postoperative care. (Source: Operative Techniques in Otol...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Sean M Parsel, Ryan D Winters Source Type: research

Facial Fillers in Lip Reconstruction
The lips are a critical aesthetic landmark of the lower face, and defects in this area have significant implications for functional and cosmetic symmetry. Facial fillers are commonly viewed as an adjunctive technique to surgical lip reconstruction but can also be used as a standalone, temporary management option for oral incompetence and contour defects. Facial fillers make use of a patient's existing perioral soft tissue framework while achieving immediate results that avoid the recovery time associated with surgery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Alisa Yamasaki, Linda N. Lee Source Type: research

Motor and Sensory Rehabilitation of the Lower Lip
The lower lip serves pivotal functional and aesthetic roles in the face. Palsy of lower lip musculature may result in oral incompetence, articulation difficulties, and impairment of facial expression. Loss of lower lip sensation may result in unrecognized trauma, sialorrhea, and social embarrassment. Herein, we review therapeutic approaches to lower lip reanimation and sensory neurotization. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - January 4, 2020 Category: ENT & OMF Authors: Suresh Mohan, Nate Jowett Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - November 30, 2019 Category: ENT & OMF Source Type: research

Septal Swell Body Treatment by Transmucosal, Incisionless Radiofrequency Reduction
The septal swell body (SSB), variously referred to as the nasal septal turbinate or nasal septal swell body, is a mucosal substructure of the anterosuperior nasal septum. The SSB plays a putative role in nasal airway physiology, nasal airway obstruction (NAO) and related rhinologic conditions. Historically, little attention has been paid to surgical treatment of the SSB. The purpose of this report is to describe an incisionless, transmucosal, radiofrequency (RF) ablative technique for the SSB. This straightforward procedure can be performed in the outpatient clinic using topical anesthesia and rigid nasal endoscopy with a ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - November 28, 2019 Category: ENT & OMF Authors: Philip B. Zald Source Type: research

Surgical Anatomy of the Larynx
This article provides a review of the surgical anatomy of the larynx. The external cartilaginous and bony framework of the larynx are described in relation to how these structures can be used as landmarks to identify internal features of the larynx. The overlying musculature of the larynx is also detailed. The spaces of the internal larynx are explained including the pre-epiglottic, para-glottic, and cricoid area by their borders and contents to assist in orienting the surgeon. The course of vasculature and nerves within the larynx is described in detail. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 25, 2019 Category: ENT & OMF Authors: David Bailey, David Goldenberg Source Type: research

Surgery for Vascular Laryngeal Lesions
Vascular lesions of the larynx are those created by phonotrauma resulting in subepithelial bleeding. These are typically divided into two categories, hemorrhagic polyps and fibrovascular lesions (vocal nodules). Both of these types of lesions can disrupt the natural vibration of the vocal folds and cause dysphonia. In those patients whose voices are their livelihood, complete removal with preservation of as much normal superficial lamina propria and squamous epithelium is paramount. Here, we describe proper in office assessment with stroboscopy, options for treatment and techniques in surgical excision. (Source: Operative ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 25, 2019 Category: ENT & OMF Authors: Bridget D. Burgess, Simon Best, Alexander Hillel, Lee Akst Source Type: research

Lasers in laryngeal surgery
The use of lasers in laryngology has evolved over the last several decades. With improving optics, instrumentation, and applications for treatment, lasers are now routinely used during laryngeal surgery performed in both the operating room and clinic settings. A variety of laser types, including carbon dioxide (CO2), potassium titanyl-phosphate (KTP), and pulsed-dye lasers, are used to treat an array of benign laryngeal lesions. Otolaryngologists can now consider the use of lasers to treat benign vocal fold lesions including vocal fold polyps, varices/ectasias, scar, granulomas, recurrent respiratory papillomatosis, Reinke...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 25, 2019 Category: ENT & OMF Authors: Ashley P. O'Connell Ferster Source Type: research

Robotics in Laryngeal Surgery
While transoral laser microsurgery (TLM) has been the gold standard for laryngeal surgery for many years, recently transoral robotic surgery (TORS) has become a new treatment option not being restricted to a straight line of view which can be an obstacle during resection. In combination with specifically designed retractors TORS can provide a superior visualization and allows tissue manipulation especially in the narrow working space of the larynx. The present article describes the commercially available robotic systems suitable for transoral surgery in adult benign laryngeal masses and highlights on the use of TORS retrac...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 25, 2019 Category: ENT & OMF Authors: Stefan Mattheis, Timon Hussain, Benedikt H öing, Pia Haßkamp, Laura Holtmann, Stephan Lang Source Type: research