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.

Supraglottoplasty in Children with OSA
Supraglottoplasty involves the reshaping or removal of obstructive tissue from the upper larynx. This procedure is commonly done for patients with laryngomalacia when the airway obstruction from laryngeal collapse is significant enough to cause obstructive sleep apnea (OSA). Supraglottoplasty may involve the epiglottis, the aryepiglottic folds and the post-glottis and can be done using cold steel, CO2 laser or coblation. Supraglottoplasty is considered an effective treatment for OSA in some children. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 18, 2023 Category: ENT & OMF Authors: Francesca C. Viola, Jyoti Sharma, Chloe Cottone, Michele Carr Source Type: research

Lingual Tonsillectomy for Pediatric Obstructive Sleep Apnea: Indications and Surgical Technique
The objective of this chapter is to describe lingual tonsillectomy (LT) as a treatment strategy for children with persistent obstructive sleep apnea after adenotonsillectomy. Drug-induced sleep endoscopy is a useful tool that enables physicians to identify sites of obstruction resulting from dynamic airway collapse and direct surgical interventions accordingly. Lingual tonsil hypertrophy is graded according to the degree of effacement of the vallecula and the posterior displacement of the epiglottis. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 15, 2023 Category: ENT & OMF Authors: Mattie Rosi-Schumacher, Habib Zalzal, Michele M. Carr Source Type: research

Operative Techniques in Otolaryngology Lingual Tonsillectomy for Pediatric Obstructive Sleep Apnea
The objective of this chapter is to describe lingual tonsillectomy (LT) as a treatment strategy for children with persistent obstructive sleep apnea (OSA) after adenotonsillectomy. Drug-induced sleep endoscopy (DISE) is a useful tool that enables physicians to identify sites of obstruction resulting from dynamic airway collapse and direct surgical interventions accordingly. Lingual tonsil hypertrophy is graded according to the degree of effacement of the vallecula and the posterior displacement of the epiglottis. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 15, 2023 Category: ENT & OMF Authors: Mattie Rosi-Schumacher, Habib Zalzal, Michele M. Carr Source Type: research

The History of Pediatric Sleep Surgery
Although pediatric sleep disorders, including obstructive sleep apnea, are increasingly recognized, this was not the case until recent years. This review takes the reader on a journey from the recognition of obstructive sleep apnea as a disorder that commonly affects children through the subsequent evolution of pediatric sleep surgery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 13, 2023 Category: ENT & OMF Authors: Raihanah Alsayegh, Nicole Molin, Michele M. Carr Source Type: research

Anatomy of Pediatric Obstructive Sleep Apnea
Pediatric obstructive sleep apnea is most commonly caused by adenotonsillar hypertrophy, for which adenotonsillectomy remains one of the mainstays of treatment. For patients with persistent obstructive sleep apnea following adenotonsillectomy, or for patients in whom the adenoid and tonsils are not contributing to airway obstruction, individualized treatment is centered around identifying the site of obstruction. Obstruction can occur anywhere along the upper airway and is often multi-level. These sites can include the nasal cavity, nasopharynx, velum, oropharynx, tongue base and/or supraglottis. (Source: Operative Techniq...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 13, 2023 Category: ENT & OMF Authors: Nicole Molin, Glenn Isaacson Source Type: research

Contemporary Management of Pediatric Obstructive Sleep Apnea
Pediatric sleep is a young area in medicine; pediatric obstructive sleep apnea was only identified about 50 years ago. However, understanding pediatric obstructive sleep apnea (OSA) has developed exponentially recently. For a long time, we had only one tool in our armamentarium for this disorder; we had little to offer beyond tonsillectomy and adenoidectomy (TA). Over the last 2 decades, various compelling innovations proved efficacious and were subsequently developed into surgical techniques. As diagnostic and treatment protocols are beginning to take shape, a comprehensive resource for surgical management of pediatric OS...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 13, 2023 Category: ENT & OMF Authors: Michele Carr, Marta Kulich, Nicole Molin Source Type: research

Nasal Surgery For Pediatric Obstructive Sleep Apnea
This article will focus on the two most frequently utilized surgical techniques today for inferior turbinate reduction in children: microdebridement and coblation technology. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 12, 2023 Category: ENT & OMF Authors: Habib G. Zalzal Source Type: research

Surgical Treatment of Palatal Collapse in Pediatric Obstructive Sleep Apnea
Pediatric obstructive sleep apnea (OSA) is characterized by upper airway collapse that results in poor, restless sleep and daytime sequelae such as sleepiness and behavior problems. The primary treatment for pediatric OSA has traditionally been adenotonsillectomy (AT). However, rates of persistent OSA following AT can be as high as 50%. With the increased utilization of drug induced sleep endoscopy in both surgically-na ïve pediatric OSA patients and patients with persistent OSA after AT, the palate has been identified as a common site of collapse contributing to airway obstruction. (Source: Operative Techniques in Otolar...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 12, 2023 Category: ENT & OMF Authors: Aaron Snow, Mikayla J. Huestis, Cristina M. Baldassari Source Type: research

Posterior Midline Glossectomy
Surgical treatment of obstructive sleep apnea in children who fail tonsillectomy and adenoidectomy, or in those children with small non-obstructing tonsils is performed infrequently. Further evaluation including drug induced sleep endoscopy may uncover residual upper airway obstruction at the tongue base. When this finding is identified, targeted treatment of tongue base obstruction can be performed. A straight forward easy to perform tongue reduction procedure with minimal complications and good clinical outcomes when part of a multi-level approach is described. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 12, 2023 Category: ENT & OMF Authors: Steven Coutras Source Type: research

Drug-Induced Sleep Endoscopy in Children
Drug-induced sleep endoscopy (DISE) has become an essential diagnostic tool in children with persistent obstructive sleep apnea (OSA) after adenotonsillectomy or those at high risk of persistent OSA. Utilizing either propofol or dexmedetomidine intravenous sedation to model sleep in the operating room, a flexible laryngoscope is used to look for obstruction at each level of the airway. Several pediatric-specific DISE scoring systems have been published in an effort to provide a thorough and reproducible airway assessment. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 12, 2023 Category: ENT & OMF Authors: Ariel Omiunu, Marta Kulich, Alison Ma, Mohamed Elrakhawy, Michele Carr Source Type: research

The Role of Epiglottopexy for Pediatric OSA
Epiglottopexy is an uncommon, but effective procedure for pediatric patients with obstructive sleep apnea (OSA). It is important to establish retroflexion and collapse of the epiglottis at the base of tongue (BOT) prior to surgery. Preoperative polysomnogram (PSG), flexible fiberoptic laryngoscopy (FFL), and sometimes drug induced sleep endoscopy (DISE) are critical components of the workup as many patients who benefit from epiglottopexy have already failed primary adenotonsillectomy. The surgery involves demucosalizing the base of tongue and lingual surface of the epiglottis and securing the two structures to one another....
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 11, 2023 Category: ENT & OMF Authors: Adam R. Szymanowski, Mary Frances Musso Source Type: research

Diagnosis of Pediatric Obstructive Sleep Apnea for Otolaryngologists
This review describes the current state of the evaluation and diagnosis of pediatric sleep apnea. Sleep apnea in children differs in important ways from sleep apnea in adults and commonly presents with more subtle symptoms. While there can be snoring, noisy breathing, and sleepiness, not all children with sleep apnea snore. Early symptoms can be speech delay, nap refusal, nocturnal enuresis, headaches, and hyperactivity. Children with sleep apnea may have tonsil and/or adenoid hypertrophy, adenoid facies, mouth-breathing, hyponasality, or low-hanging soft palate on exam. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 10, 2023 Category: ENT & OMF Authors: Mattie Rosi-Schumacher, Sam Colca, Amanda B. Hassinger Source Type: research

Review of intracapsular vs extracapsular tonsillectomy
Tonsillectomy is a common surgical procedure performed in children for recurrent tonsillitis and obstructive sleep apnea. Though tonsillectomy is a longstanding and well-known procedure, preferred techniques for delivering the most effective and safe care still vary amongst surgeons. In this review, we provide a comparison of intracapsular versus extracapsular tonsillectomy techniques and potential benefits of each. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 8, 2023 Category: ENT & OMF Authors: Maya Raghavan, Annie Farrell, Michael Cipolla, Michele M. Carr, Clarice Brown Source Type: research

Editorial Board
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Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - September 1, 2023 Category: ENT & OMF Source Type: research

Optimizing techniques for in-office endoscopic transnasal sphenopalatine ganglion block injections
This study's objective is to refine anatomic landmarks and optimize a technique for in-office transnasal sphenopalatine ganglion blocks. Eight cadaveric head specimens were dissected to record sixteen measurements of critical anatomic landmarks and surgical instruments for sphenopalatine ganglion block. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - June 16, 2023 Category: ENT & OMF Authors: Patricia T. Jacobson, Nathan Yang, Francesco F. Caruana, David A. Gudis, Jonathan B. Overdevest Source Type: research