Surgery for Normocalcemic Hyperparathyroidism
Primary hyperparathyroidism is the most common cause of hypercalcemia, accounting for about 90% of all cases. This disorder is characterized by overactive parathyroid glands, leading to increased parathyroid hormone and excess serum calcium. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 25, 2023 Category: ENT & OMF Authors: Pallavi Kulkarni, David Goldenberg Source Type: research

Future Directions in the Treatment of Thyroid and Parathyroid Disease
The surgical management of thyroid and parathyroid disease has evolved considerably since the era of Theodor Kocher. We review the current trends in thyroid and parathyroid surgery concerning robotic surgery for remote access, the use of parathyroid autofluorescence detection technology to aid in the prevention of hypocalcemia as well as the use of thermal ablation to target thyroid nodules in a minimally invasive way. We also discuss how artificial intelligence is being used to improve the workflow and diagnostics preoperatively as well as for intraoperative decision-making. We also discuss potential areas where future re...
Source: Otolaryngologic clinics of North America - August 25, 2023 Category: ENT & OMF Authors: Pia Pace-Asciak, Ralph P. Tufano Source Type: research

Applications of Preoperative and Intraoperative Technologies for Complex Primary and Secondary Facial Trauma Reconstruction
This article provides a review of the current technologies available in the preoperative and intraoperative management of complex and secondary maxillofacial trauma reconstruction. These patients present a unique challenge for which the advancement of imaging technologies, patient-specific modeling and implants, and intraoperative imaging and navigation can play an important role to improve their post-treatment outcomes. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 17, 2023 Category: ENT & OMF Authors: Alexandrea Kim, Anthony Botros, Oswaldo A. Henriquez Source Type: research

The External Auditory Canal
The external auditory canal is a highly specialized skin appendage whose primary purpose is to provide a pathway for the transmission of sound to the tympanic membrane and beyond. It is also a frequent source of symptoms for our patients. Sources of pain, hearing loss, tinnitus, itching, and other sensations can be inferred from an appropriate history. This should be followed by a thorough cleaning of the ear, so that a thorough examination can be performed. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 8, 2023 Category: ENT & OMF Authors: Matthew B. Hanson Source Type: research

The Joys of "External Otology"
The field of Otolaryngology –Head and Neck surgery covers far more than its label as a “specialty” implies. Our profession deals with all ages from infants to the aged and deals with problems as complex as skull base tumors, airway reconstruction in newborns, resection of large tumors of the head and neck, and reconstruc tion with microvascular tissue transfer. Indeed, the depth and breadth of this specialty are so daunting to many of our residents, they seek even further specialization through fellowships, often adding two or more years onto their training to become an “expert” in one area of our complex specia ...
Source: Otolaryngologic clinics of North America - August 8, 2023 Category: ENT & OMF Authors: Matthew B. Hanson, Esther Ximenia Vivas Tags: Preface Source Type: research

Fungal Infections of the External Auditory Canal and Emerging Pathogens
Fungal infections of the external auditory canal can range from common (otomycosis) to life threatening (necrotizing otitis externa). Proper identification of fungal pathogens is necessary to guide appropriate therapy, and a high index of suspicion for fungal causes of ear canal disease is critical. Fungal pathogens may be an especially important cause of ear canal disease in certain populations, including patients with diabetes, patients recently treated with antibiotics, and immunosuppressed patients. Opportunistic fungal infections of the ear canal are an emerging concern. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 7, 2023 Category: ENT & OMF Authors: Erika McCarty Walsh, Matthew B. Hanson Source Type: research

Acquired Stenosis of the External Ear Canal
Acquired stenosis of the external ear canal (ASEEC) is a relatively uncommon condition. Stenosis or narrowing of the external ear canal (EEC) occurs lateral to the tympanic membrane resulting in a skin lined blind canal. Recurrent otorrhea, and conductive hearing loss are typical clinical features. Although ASEEC can be due to different etiologies, a common pathogenesis, namely an inflammatory cascade, has been implicated. Clinical evaluation, audiogram, and Computed tomography (CT scan) form the mainstay of diagnosis. Surgery is the primary modality for treatment. Restenosis is the most common postsurgical complication. (...
Source: Otolaryngologic clinics of North America - August 6, 2023 Category: ENT & OMF Authors: Gauri Mankekar, Payam Entezami Source Type: research

Disorders of the External Ear-A Historical Perspective
This article provides a historical overview of disorders of the external ear, focusing on advances in technology, pharmacology, and education that have been beneficial. While the diagnosis and treatment of various conditions involving the external ear canal and auricle continue to evolve, it remains to be seen how the latest challenges will be met. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 5, 2023 Category: ENT & OMF Authors: Frank E. Lucente Source Type: research

“Do-It-Yourself” Ear Canal Care
This article provides a broad overview of the products being advertised to patients and discusses considerations when recommending home cerumen maintenance. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 5, 2023 Category: ENT & OMF Authors: Donald Tan, Jacob B. Hunter Source Type: research

External Ear Disease
This article reviews the signs, symptoms, pathophysiology, workup, and treatment of each. Patients with either pathology can often be managed in the clinic with debridement; however, EACC is more likely to involve osteonecrosis and require more extensive operative management if disease is not confined to the canal on account of the bony erosion characteristic of cholesteatoma. If required for extensive disease, surgical approaches to both pathologies are similar. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - August 5, 2023 Category: ENT & OMF Authors: Tina Munjal, Peter J. Kullar, Jennifer Alyono Source Type: research

Management of Otolaryngic Trauma: Assessing Current Risks, Care Needs, and Evidence-Based Treatment
Management of trauma patients has always been an important part of the otolaryngologist ’s surgical and teaching mission. More recently, this mission has a significance that has grown. Past public health initiatives, including seat belt laws, automobiles equipped with airbags, and greater helmet use by bicyclists, have successfully decreased the rates and severity of many types of he ad and neck trauma. Current day risks now expose the public to trauma that should drive public health responses similar to those implemented decades ago that successfully addressed motor vehicle and transportation injuries. (Source: Otolaryn...
Source: Otolaryngologic clinics of North America - August 5, 2023 Category: ENT & OMF Authors: Sydney C. Butts Tags: Preface Source Type: research

Congenital Anomalies of the Ear Canal
Congenital anomalies of the external auditory canal (EAC) are classically divided into congenital aural atresia (CAA) and congenital aural stenosis (CAS). CAA can present as an isolated anomaly, unilateral or bilateral, or in the setting of a craniofacial syndrome. Hearing testing (ABR with air and bone conduction thresholds for both ears) early in the perinatal period is important to document hearing thresholds. Hearing status thus informs parent counseling on options for hearing habilitation: Bone conducting technology is a must for children with bilateral CAA to support normal speech and language development. Bone condu...
Source: Otolaryngologic clinics of North America - August 1, 2023 Category: ENT & OMF Authors: Daniel Morrison, Bradley Kesser Source Type: research

Follow the Wax
The external canal is a unique environment that has an elaborate mechanism for self-cleaning and protection. The fundamental basis of this is the epithelial migration of the desquamating layers of the keratinizing epithelium that lines the entire canal and ear drum. This migratory movement results in a “conveyor belt” effect where the dead skin is moved out of the bony ear canal to the cartilaginous portion, where it is lifted off with the help of glandular skin secretions and the hairs of the canal to form what we call “ear wax.” The ear wax has numerous protective properties and is essen tial to the health of the...
Source: Otolaryngologic clinics of North America - July 28, 2023 Category: ENT & OMF Authors: Matthew B. Hanson, Matthew Adams Source Type: research

Management of Foreign Bodies in the Ear Canal
Using the appropriate instruments and techniques for removing a foreign body from the external auditory canal facilitates the procedure and reduces the risk of complications. Most ear foreign bodies can be addressed on a nonurgent basis, but batteries and caustic materials warrant prompt removal. Referral to an otolaryngologist should be considered for difficult cases or after a failed attempt. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 27, 2023 Category: ENT & OMF Authors: Steven D. Curry, Anne K. Maxwell Source Type: research

An Overview of Acute Otitis Externa
Acute otitis externa, cellulitis of the external auditory canal, is most frequently due to bacteria. Patients may present with otalgia, aural fullness, hearing loss, and otorrhea. Its diagnosis is a clinical one. Treatment is focused on analgesia, treating the underlying infection and preventing recurrence. (Source: Otolaryngologic clinics of North America)
Source: Otolaryngologic clinics of North America - July 27, 2023 Category: ENT & OMF Authors: Ann Woodhouse Plum, Michele Wong Source Type: research