COVID-19 and the Resurgence of Telehealth in Otolaryngology
The objective of this review is to examine the impact of the ongoing Coronavirus disease 2019 (COVID-19) pandemic on the use of telehealth in Otolaryngology. The use of telemedicine rose dramatically during the pandemic to meet the need for continued patient care while allowing for physical separation of providers and patients. Telemedicine has been used to evaluate patients with a variety of pathologies including dysphonia, vertigo, and anosmia. Innovative use of at-home exams, such as video-otoscopy has aided providers in overcoming challenges associated with a highly specialized physical exam. (Source: Operative Techniq...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 28, 2022 Category: ENT & OMF Authors: Christina H. Fang, Richard V. Smith Source Type: research

Otolaryngology in the face of A pandemic
Although infrequent, pandemics are serious public health concerns with unpredictable courses. The COVID-19 pandemic began over 2 years ago and is far from over. This pandemic has spread rapidly throughout the world and led to several million deaths, making it commonly compared to the deadly Spanish influenza pandemic. Policy and safety measures are constantly being adapted to reduce transmission rates. The pandemic places stress on all healthcare workers, but especially otolaryngology providers due to their direct contact with airway connected cavities. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Nicole Ruszkay, Jacqueline Tucker, Karen Y. Choi Source Type: research

Introduction
In early December 2019, a small number of patients in Wuhan, Hubei Providence, China, started to exhibit upper respiratory symptoms including shortness of breath and fever. Shortly thereafter, the World Health Organization (WHO) China Country office was informed of this cluster of pneumonia cases with unknown etiology, all connected to the same seafood wholesale market in Wuhan. In the weeks to follow, the causative virus was identified as a novel coronavirus known as Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Karen Y. Choi Source Type: research

Otolaryngology in the Face of Pandemics
Although infrequent, pandemics are serious public health concerns with unpredictable courses. The COVID-19 pandemic began over two years ago and is far from over. This pandemic has spread rapidly throughout the world and led to several million deaths, making it commonly compared to the deadly Spanish influenza pandemic. Policy and safety measures are constantly being adapted to reduce transmission rates. The pandemic places stress on all healthcare workers, but especially otolaryngology providers due to their direct contact with airway connected cavities. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Nicole Ruszkay, Jacqueline Tucker, Karen Y. Choi Source Type: research

COVID-19 and Laryngological Surgery
In 2019, the emergence of the novel SARS-CoV-2 virus in Wuhan, China transformed society and caused major changes in medical care. Efforts to implement protocols to keep providers and their staffs safe during care of all patients ensued. Within the field of laryngology, the risk of aerosol generation and viral spread was among the highest in medicine. It is important to understand the impact of COVID-19 on presurgical and surgical laryngoscopic care as well as the evolution of knowledge that led to our current practices and protocols. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Parastou Azadeh Ranjbar, Ahmad Issa Al Omari, Derek Mann, Bailey Balouch, Robert T. Sataloff Source Type: research

COVID-19 and Otologic Surgery
In this article, we aim to summarize the impacts of COVID-19 on the practice of otologic surgery. Cadaveric studies have indicated COVID-19 viral particles are present in the middle ear mucosa of infected hosts. Otologic procedures can generate significant amounts of droplets due to reliance on high-speed drills. Multiple guidelines have been developed to improve patient and provider safety peri-operatively. Particle dispersion can be mitigated during microscopic mastoidectomy by utilizing barrier drape techniques. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Donald Tan, Kristen Yancey, Jacob B. Hunter Source Type: research

COVID-19 and Rhinological Surgery
The objective of this article is to outline some of these adaptations and considerations necessitated by COVID-19 within the subspeciality of rhinology and endoscopic skull base surgery. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Rushi Patel, Christina H. Fang, Jordon G. Grube, Jean Anderson Eloy, Wayne D. Hsueh Source Type: research

Pandemics and Facial Plastics and Reconstructive Surgery
Objective: The purpose of this article is to review the impact of COVID-19 on the specialty of Facial Plastic and Reconstructive Surgery.Findings:Initially, COVID-19 caused significant disruption to facial plastic surgeon practices and patient care with cancellation of surgery and clinical practice. As medical practices resumed, facial plastic surgeons were resilient and adaptive. Reliance on technology helped to meet the needs of patients. There was a surge of facial plastic surgery interest and procedures as the pandemic wore on with recovery of many physician practices. (Source: Operative Techniques in Otolaryngology - ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - April 27, 2022 Category: ENT & OMF Authors: Lisa Morris Source Type: research

Diagnosis and Management of Odontogenic Mediastinitis
Purpose: Odontogenic descending necrotizing mediastinitis (DNM) is a rare but sometimes fatal complication of tooth infections. The mortality rate remains high, up to 40%, and there is no consensus on optimal workup and management currently. This review aims to summarize cases of odontogenic DNM in the literature to optimize management strategies and aid physicians in its early recognition.Methods: A systematic review of the Ovid Medline, EMBASE Classic and Pubmed databases was conducted using PRISMA guidelines. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 27, 2022 Category: ENT & OMF Authors: Kelvin Zhou, Marc Levin, Sarfaraz Banglawala Source Type: research

Editorial Board
(Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2022 Category: ENT & OMF Source Type: research

Modern Cross-Facial Nerve Grafting in Facial Paralysis
Facial paralysis has detrimental consequences on one's ability to function normally and convey emotions. Dynamic facial reanimation is the gold standard treatment in treating the paralyzed face. In combination with motor nerve transfers (hypoglossal, masseteric, etc), contralateral facial nerve branches are able to help provide facial movement and spontaneity by supercharging existing facial nerve branches or by innervating free muscle flaps. Cross facial nerve grafts have proven to be invaluable in allowing the surgeon to creatively optimize the neural network that can supply the weakened face. (Source: Operative Techniqu...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 9, 2022 Category: ENT & OMF Authors: Irene A. Kim, Tom Maxim, Kristen Echanique Source Type: research

Advances and Future Directions in the Care of Patients with Facial Paralysis
This article highlights some of the modern-day advancements in facial reanimation surgery including an update of timing of intervention, modifications to free gracilis muscle transfer as well as novel muscle transfers, treatments for synkinesis, minimally invasive procedures, and treatments for ocular paralysis. We also discuss how machine learning and artificial intelligence have been applied to the facial paralysis population with the hopes of developing a standardized, objective assessment tool for evaluating facial function. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 8, 2022 Category: ENT & OMF Authors: Morgan E. Davis, Jacqueline J. Greene Source Type: research

Electrodiagnostic/Neurophysiologic Testing in Facial Paralysis: a review of techniques and applications
This review is intended to provide an overview of the electrodiagnostic/neurophysiologic tests that can be applied to patients with facial paralysis with a focus on randomized studies and practical guidance for the use of neurophysiologic testing. Neurophysiologic/electrodiagnostic testing has a long history as part of facial paralysis management and the various techniques available are safe and easy to implement. Neurophysiologic testing can provide important guidance to otolaryngologists about the prognosis of a patients ’ facial paralysis, may guide surgical planning, and can provide a means of monitoring facial nerve...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 7, 2022 Category: ENT & OMF Authors: Nicholas Zaccor, Weitao Wang Source Type: research

Optimizing the smile with gracilis free muscle transfer
Restoring smile to the paralyzed face requires analysis of the elements and biomechanics behind a natural smile. A Duchenne-type smile with maximal dental display can be recreated with a tailored gracilis free flap technique that restores multi-vector excursion of the lip simulating native lip elevators. Applying the principles of muscle tendon unit transfers helps to maximize muscle excursion with appropriate force along ideal vectors. Outcome measures that reflect the elements of a normal smile are helpful in objectively assessing and modifying techniques. (Source: Operative Techniques in Otolaryngology - Head and Neck Surgery)
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 7, 2022 Category: ENT & OMF Authors: Mingyang L. Gray, Kofi D.O. Boahene Source Type: research

Introduction (Part II)
Facial paralysis is a devastating condition for patients and a management challenge for the treating Otolaryngologist. Paralysis affects not only facial appearance and symmetry, but threatens a person's ability to perform basic functions such as eating and speaking, interferes with the ability to successfully express oneself and severely impairs psychosocial function. Treatment options for facial paralysis continue to evolve and improve with contemporary efforts focused on establishing both resting symmetry and branch-specific dynamic motion, with increased efforts toward assessing and improving patient quality of life. (S...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - February 7, 2022 Category: ENT & OMF Authors: Jessyka G. Lighthall, Sam L. Oyer Source Type: research