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Advanced sinus surgery

Marina N Gonchar, Jonathan M Bekisz, Barry H Grayson, Joseph G McCarthy, Pradip R Shetye
BACKGROUND: Le Fort III advancement and/or distraction involve osteotomies and dysjunction in the region of the maxillary tuberosity in proximity to the maxillary posterior tooth buds. The purpose of this study was to determine the effect of early conventional Le Fort III advancement and/or distraction on development and eruption of the maxillary posterior permanent molars. METHODS: A retrospective review of patients diagnosed with syndromic craniosynostosis, who underwent early Le Fort III or early midface distraction and late surgical intervention, was analyzed...
March 2019: Plastic and Reconstructive Surgery
Andrew Vaughn, Courtney Shaver, David Clark
BACKGROUND: Many different etiologies have been proposed to be responsible for the pathogenesis of chronic rhinosinusitis, including dysbiosis of the sinus microbiome. Attempts have recently been made to identify a pathogenic organism via advanced culture mechanisms. The purpose of this study is to use culture-dependent and culture-independent means of microtyping to determine whether any association exists between the quantity and quality of bacteria identified in patients with recalcitrant chronic rhinosinusitis...
February 28, 2019: Ear, Nose, & Throat Journal
Toshifumi Tomioka, Takeshi Beppu, Takashi Fujii, Taijirou Ozawa, Takahiro Asakage, Tetsuro Onitsuka, Yasushi Fujimoto, Kazuto Matsuura, Kazuyoshi Kawabata, Ryuichi Hayashi
OBJECTIVE: We aimed to clarify the suitable surgical management around the paratracheal area of patients who undergo total pharyngolaryngectomy based on the pathological results of hypopharyngeal cancer. METHODS: The study was conducted under a multicenter, retrospective observational design in Japan. We analyzed histopathological paratracheal lymph node metastasis and thyroid invasion, and recurrence around the paratracheal area for 184 patients who underwent initial surgery among 280 participants...
February 28, 2019: Japanese Journal of Clinical Oncology
Aiman El Mograbi, Amit Ritter, Esmat Najjar, Ethan Soudry
BACKGROUND: Orbital complications of rhinosinusitis in adults are scarcely discussed in the literature. OBJECTIVE: To review our experience with the management of orbital complications of rhinosinusitis in the adult patient population and identify key factors in the characteristics and management of these patients. DESIGN: Retrospective case series during the years 2004 to 2016 in a tertiary referral center including all patients with rhinosinusitis and orbital complications...
February 21, 2019: Annals of Otology, Rhinology, and Laryngology
C Li, S M Liu, L Zheng, M W Huang, Y Shi, X M Lv, J G Zhang, J Zhang
OBJECTIVE: To retrospectively analyze the results of treatment outcome by surgery combined with 125 I brachytherapy and correlative factors of adenoid cystic carcinoma (ACC). METHODS: In the study, 75 patients with primary ACC of oral and maxillofacial region were treated by surgery combined with 125 I seeds brachytherapy. Radical resection or subtotal resection was applied for the tumor. The brachytherapy treatment planning system was used to create implant plans with the prescribed dose of 60 Gy to 120 Gy...
February 18, 2019: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Tomohiro Yamamoto, Miriam Flenner, Ehrenfried Schindler
To the Editor, Nasotracheal intubation is a widely used technique in anaesthesia management for procedures including oropharyngeal, dental, and maxillofacial surgeries[1-3]. It provides an uninhibited access to the mouth and plays an important role when dealing with difficult airways[4-6]. It is also used in patients with cervical spine instability owing to injury[7] or in patients with a cervical spine fixation owing to a disease or previous operation[8]. Moreover, it is selected for patients who require prolonged intubation for intensive care[9]...
February 6, 2019: Anaesthesiology Intensive Therapy
John T Stranix, Carrie S Stern, Michael Rensberger, Ian Ganly, Jay O Boyle, Robert J Allen, Joseph J Disa, Babak J Mehrara, Evan S Garfein, Evan Matros
BACKGROUND: The absence of a tumor specimen, from which to obtain measurements at the time of delayed maxillo-mandible reconstruction, introduces degrees of uncertainty creating the need for substantial intraoperative guesswork by the surgeon. Using the virtual surgical planning(VSP) environment the size and shape of missing bony elements is determined, effectively "recreating the defect" in advance of the surgery. Three VSP techniques assist the reconstructive surgeon: patient-specific modeling, mirroring the normal contralateral side, and scaled normative data...
January 21, 2019: Plastic and Reconstructive Surgery
Sabrina A Brody-Camp, Dane A Weinert, Edward D McCoul
BACKGROUND: Despite a proliferation of technological advances in sinonasal surgery, "cold steel" instruments still comprise the core of the sinus surgeon's tools of the trade. Many of these implements retain eponyms that recall the legacies of prominent surgeons of the past. OBJECTIVE: This review aims to familiarize the reader with the lives of 10 men who designed and popularized some of the most recognizable sinus instruments, without which the practice of rhinologic surgery would be unrecognizable...
January 23, 2019: American Journal of Rhinology & Allergy
Michal Trope, Vasiliki Triantafillou, Michael A Kohanski, Edward C Kuan, Charles C L Tong, Neil N Patel, Ivy W Maina, Ryan M Carey, Alan D Workman, James N Palmer, Nithin D Adappa, Jason G Newman, Jason A Brant
BACKGROUND: Sinonasal adenoid cystic carcinoma (SNACC) is a rare malignancy with a propensity for distant metastasis. In this study we describe the incidence and determinants of survival among patients with SNACC between the years 2004 and 2012 using the National Cancer Database (NCDB). METHODS: This was a retrospective, population-based cohort study performed at a tertiary academic medical center. All participants were diagnosed with SNACC between 2004 and 2012 within the NCDB...
January 15, 2019: International Forum of Allergy & Rhinology
Amey R Savardekar, Devi P Patra, Vinayak Narayan, Jai D Thakur, Anil Nanda
BACKGROUND: Complications arising from cerebral venous occlusion/sacrifice during neurosurgical procedures have received comparatively less attention in the neurosurgical literature. Consequently, cerebral venous complications are not given due recognition, even though most practicing neurosurgeons would agree that they are not uncommon. We present a review of complications arising from venous sacrifice/occlusion during neurosurgery and discuss strategies described in the literature to prevent such occurrences...
November 2018: World Neurosurgery
Cemal Cingi, Nuray Bayar Muluk, Jivianne T Lee
PURPOSE OF REVIEW: The purpose of the review is to evaluate the current indications and contraindications for balloon sinuplasty and review the clinical trials performed in this area. RECENT FINDINGS: The indications for balloon sinus dilatation are somewhat similar to those for endoscopic sinus surgery. Balloon sinus ostial dilation (BSD) has been found to be most effective in the treatment of recurrent acute sinusitis (RARS) and chronic rhinosinusitis without nasal polyposis (CRSsNP) that has been refractory to medical therapy...
December 12, 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Dimitri Tsialtas, Maria Giulia Bolognesi, Stephania Assimopoulos, Riccardo Volpi, Roberto Bolognesi
BACKGROUND: We aimed to depict the electrocardiographic and echocardiographic aspects in patients before elective major vascular surgery. METHODS: We evaluated through standard 12 lead electrocardiography and transthoracic echocardiography 469 patients with asymptomatic large abdominal aortic aneurysm (AAA), 334 with critical carotid stenosis (CAS), and 238 with advanced peripheral artery disease (PAD) before surgical revascularization. RESULTS: Patients with AAA were predominantly males (p < ...
December 3, 2018: Acta Cardiologica
Komal Naeem, Aneela Darbar, Muhammad Shahzad Shamim
Acromegaly is a rare, indolent disease due to overproduction of growth hormone. Surgery is identified as primary treatment, but has its limitation, thus frequently requiring alternate treatment options as adjunct to surgery. Stereotactic radiosurgery (SRS) has been used as adjuvant and alternate therapy in patients with inoperable or residual disease; or those not fit for surgery. It has shown reasonable results for treating macroadenoma and tumours invading cavernous sinuses with significant reduction in tumour size and durable endocrinological remission...
December 2018: JPMA. the Journal of the Pakistan Medical Association
(no author information available yet)
OBJECTIVEAlthough sphenoidotomy is more commonly performed via the transnasal approach than via the transcranial approach, transcranial sphenoidotomy (TCS) remains indispensable for en bloc resection of locally advanced sinonasal malignant tumors (SNMTs) extending to the skull base. TCS also enables transsphenoidal transposition of the temporoparietal galeal flap (TPGF) to compensate for the lack of vascularized reconstructive tissue after endoscopic transnasal skull base surgery. The objective of this study was to review the authors' surgical experience using TCS with an emphasis on the surgical anatomy of the sphenoid sinus and on the purpose of TCS...
November 1, 2018: Journal of Neurosurgery
Charlotte A Houck, Reinder Evertz, Christophe P Teuwen, Jolien W Roos-Hesselink, Janneke A E Kammeraad, Anthonie L Duijnhouwer, Natasja M S de Groot, Ad J J C Bogers
OBJECTIVE: Outcomes after surgical repair of complete atrioventricular septal defect (cAVSD) have improved. With advancing age, the risk of development of dysrhythmias may increase. The aims of this study were to (1) examine development of sinus node dysfunction (SND), atrial and ventricular tachyarrhythmias, and (2) study progression of atrioventricular conduction abnormalities in young adult patients with repaired cAVSD. STUDY DESIGN: In this retrospective multicenter study, 74 patients (68% female) with a cAVSD repaired in childhood were included...
November 28, 2018: Congenital Heart Disease
Eric H Holbrook, Sidharth V Puram, Reiner B See, Aaron G Tripp, Dinesh G Nair
BACKGROUND: Anosmia has an estimated prevalence of 5% of the general population. Outside of inflammatory causes, therapeutic options are limited despite research advances. Bypassing peripheral neuronal damage through central stimulation is a potential therapeutic option that has shown success in other sensory systems, most notably with hearing. We performed a pilot study to determine the feasibility of inducing smell through artificial electrical stimulation of the olfactory bulbs in humans...
November 27, 2018: International Forum of Allergy & Rhinology
G Fordyce, H McMillan, N McGrath
OBJECTIVE: To assess the effect on healing and pain-associated behaviours of covering exposed sinuses after horn amputation under extensive production conditions in northern Australia. METHODS: Horned, weaned Brahman-cross heifers (n = 50) aged approximately 6 months were alternately allocated to have their dehorning wounds either patched with a dry, non-sterile gauze swab or left untreated. Adherence of swabs and growth rates, healing and pain-associated behaviour were monitored for 88 days post-surgery...
December 2018: Australian Veterinary Journal
Timothée Jacquesson, Francois Cotton, Arnaud Attyé, Sandra Zaouche, Stéphane Tringali, Justine Bosc, Philip Robinson, Emmanuel Jouanneau, Carole Frindel
BACKGROUND: Predicting the displacement of cranial nerves by tumors could make surgery safer and the outcome better. Recent advances in imaging and processing have overcome some of the limits associated with cranial nerve tractography, such as spatial resolution and fiber crossing. Among others, probabilistic algorithms yield to a more accurate depiction of cranial nerve trajectories. OBJECTIVE: To report how cranial nerve probabilistic tractography can help the surgical strategy in a series of various skull base tumors...
November 26, 2018: Neurosurgery
C Y Shui, C Li, R H Sun, Y Q Zhou
Sinonasal neoplasms are common tumors in the head and neck.The types of tumor pathological tissues are complex and diverse, and the incidence of malignant tumors is relatively low.The malignant tumor of paranasal sinuses is occult, and most of them are locally advanced.Although surgery is the main treatment for such diseases, the specific treatment plan is still controversial.This article reviews the treatment of sinonasal malignancy.
November 7, 2018: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Mokcheh Aymen, Hela Jegham, Sofien Turki
INTRODUCTION: The choice of treatment for implant rehabilitation for maxillary atrophy is crucial. It involves either between the use of short implants or performing sinus lift and the establishment of standard implants: what would be the best choice in term of survival rate and complications? We conducted a systematic review to try to answer this question. MATERIALS AND METHODS: An electronic and manual search of clinical studies (between 2007 and 2017) comparing short implants to standard implants associated with sinus lift was performed...
November 16, 2018: Journal of Stomatology, Oral and Maxillofacial Surgery
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