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G L Fadda, M Berrone, E Crosetti, G Succo
The widespread use of dental implants and reconstructive procedures for their positioning has led to an increase in sinonasal complications of dental disease and treatment (SCDDT). Diagnosis requires accurate dental and rhinological evaluation, including computed tomography (CT). The aim of this study is to investigate a multidisciplinary approach for the treatment of SCDDT by combining endoscopic endonasal surgery (EES) and an intraoral approach on the basis of a preliminary classification system already proposed by other authors...
August 2016: Acta Otorhinolaryngologica Italica
Marcin Frączek, Mateusz Kolator, Tomasz Kręcicki
: Indroduction: The planning of the course of surgery in patients with paranasal sinus disorders requires the meticulous evaluation of computed tomography (CT) scans. However, ENT doctors still often receive unsatisfactory DICOM images, which require multiplanar reconstruction (MPR). THE AIM: The objective of the present study was to evaluate and test DICOM viewers with MPR function currently available on the Internet for free. MATERIAL AND METHODS: Detailed Internet searches and analysis of databases were carried out to find the maximum number of browsers...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Ankit Kansal, Prateek Srinet, Richard Peter Manes
OBJECTIVES: To evaluate the use of a new tumor embolization agent, Onyx (Covidien, Dublin, Ireland), for the use of intraoperative embolization of a sinonasal unclassified spindle cell sarcoma. METHODS: A 45-year-old female patient presented to the rhinology clinic with a nasal mass. A biopsy revealed a highly vascular mass consistent with a sinonasal unclassified spindle cell sarcoma. Secondary to its extensive vascularity, the patient underwent preoperative transarterial embolization (TAE) before definitive resection...
July 2016: Journal of Neurological Surgery Reports
Lütfi Postalci, İbrahim Erdim, Bülent Demirgil, Ömür Günaldi, Murad Asiltürk, Hakan Demirci, Hakan Kina, Uzay Erdoğan, Mine Yazici, Erhan Emel
AIM: Major complications from microscopic transnasal hypophyseal surgery (MTHS), such as cerebrospinal fluid rhinorrhea, carotid injury, and optic nerve injury, are very rare. However, late rhinological complications can be ignored because they are a minor cause of morbidity compared with major complications. In this study, we extensively examined postoperative rhinological complications in patients who underwent MTHS for pituitary adenoma. MATERIAL AND METHODS: Thirty-one patients diagnosed with pituitary adenoma, who underwent MTHS and whose preoperative nasal examinations were recorded between January 2007 and January 2014, were included in the study...
October 2, 2015: Turkish Neurosurgery
Samuel J C Fishpool, Anthony Amato-Watkins, Caroline Hayhurst
The objective is to assess whether free middle turbinate (FMT) graft reconstruction, after endoscopic endonasal pituitary surgery, combines an acceptably low post-operative cerebrospinal fluid (CSF) leak rate with acceptable rhinological morbidity. This study identified 50 patients who underwent endoscopic endonasal pituitary surgery by the senior author in our teaching hospital between May 2011 and June 2012. FMT graft reconstruction was used in 32 cases. 18 patients were judged pre-operatively as not suitable for FMT reconstruction according to a novel skull base reconstructive algorithm...
September 1, 2016: European Archives of Oto-rhino-laryngology
N Apaydin, S Çomoğlu, Y Özer, H Avci, H Eş, K S Orhan
OBJECTIVE: To investigate rhinology-related malpractice claims with the aim of optimising safe practice. METHODS: The database of the National Institute of Forensic Medicine was reviewed. In total, 241 otorhinolaryngology malpractice case reports dating from 2005 to 2012 were evaluated, and 83 malpractice cases related to rhinology treatments were separated. RESULTS: There was no significant difference between the number of male (n = 42) and female (n = 41) claimants...
August 30, 2016: Journal of Laryngology and Otology
Hyun Jin Min, Kyung Soo Kim
In otorhinolaryngologic fields, Lyodura had been used mainly in otological procedures, such as tympanoplasty, myringoplasty, and mastoidectomy. However, so far in rhinologic area, there is only 1 report that Lyodura was used for closure of cerebrospinal fluid leaks. This report describes a 54-year-old woman presented with recurrent purulent discharge for 4-month duration because of Lyodura extrusion from the septum. On the basis of authors' experience, the authors highlight that the complete removal of exposed Lyodura from the nasal septum may be difficult because of adhesion to the surrounding septal mucosal flap...
October 2016: Journal of Craniofacial Surgery
V G Borodulin, S V Filimonov
This article deals with the application of the sphenopalatine ganglion blockade in the present-day rhinological practice. The blockade is known to arrest the propagation of pain impulses from the nose and break the rhinocardiac reflex arc. Moreover, it is involved in bleeding control during nasal surgery. The method for the blockade via the palatal route using the modern equipment and imaging techniques is described. The objective of the present study was to evaluate the effectiveness and safety of the blockade of sphenopalatine ganglionthrough the palatal approach in the patients who had undergone septoplasty under general and local anesthesia...
2016: Vestnik Otorinolaringologii
Edward C Kuan, Bobby A Tajudeen, Sunita M Bhuta, Miguel Fernando Palma Diaz, Paul A Kedeshian, Jeffrey D Suh
INTRODUCTION: Septoplasty, or surgical correction of the deviated septum, is an elective, routinely performed rhinologic procedure to address nasal airway obstruction. In many cases, resected septal cartilage and bone fragments are sent for pathologic review, although there is no consensus on this practice. We reported two cases of incidentally diagnosed lymphoma after elective septoplasty and discussed clinical presentation, diagnosis, and management. METHODS: Retrospective chart review of two patients who underwent septoplasty at a tertiary academic medical center and found to have incidental lymphoma based on histopathology...
January 2016: Allergy & Rhinology
Zachary M Soler, Preeti Kohli, Kristina A Storck, Rodney J Schlosser
Differences in testing modalities and cut-points used to define olfactory dysfunction contribute to the wide variability in estimating the prevalence of olfactory dysfunction in chronic rhinosinusitis (CRS). The aim of this study is to report the prevalence of olfactory impairment using each component of the Sniffin' Sticks test (threshold, discrimination, identification, and total score) with age-adjusted and ideal cut-points from normative populations. Patients meeting diagnostic criteria for CRS were enrolled from rhinology clinics at a tertiary academic center...
July 28, 2016: Chemical Senses
James G Sanders, Patrick J D Dawes
OBJECTIVE: Recent research has investigated the role of gabapentin in perioperative pain relief in otorhinolaryngology-head and neck surgery. This review aims to identify whether sufficient evidence exists for the routine use of gabapentin in the perioperative setting. DATA SOURCES: MEDLINE, Cochrane CENTRAL, EMBASE, and Google Scholar. REVIEW METHODS: A comprehensive systematic search was performed with keywords for articles up to November 2015...
July 26, 2016: Otolaryngology—Head and Neck Surgery
Matthew M Dedmon, Garrett D Locketz, Kyle J Chambers, Matthew R Naunheim, Derrick T Lin, Stacey T Gray
OBJECTIVE: To collect data on skull base surgery training experiences and practice patterns of otolaryngologists that recently completed fellowship training. DESIGN: A 24-item survey was disseminated to physicians who completed otolaryngology fellowships in rhinology, head and neck oncology, or neurotology between 2010 and 2014. RESULTS: During a typical year, 50% of rhinologists performed more than 20 endoscopic anterior skull base cases, 83% performed fewer than 20 open cases, and were more confident performing advanced transplanum (p = 0...
August 2016: Journal of Neurological Surgery. Part B, Skull Base
Ivica Klapan, Pero Raos, Tomislav Galeta, Goranka Kubat
There is often a need to more precisely identify the extent of pathology and the fine elements of intracranial anatomic features during the diagnostic process and during many operations in the nose, sinus, orbit, and skull base region. In two case reports, we describe the methods used in the diagnostic workup and surgical therapy in the nose and paranasal sinus region. Besides baseline x-ray, multislice computed tomography, and magnetic resonance imaging, operative field imaging was performed via a rapid prototyping model, virtual endoscopy, and 3-D imaging...
July 2016: Ear, Nose, & Throat Journal
R Jankowski, D T Nguyen, M Poussel, B Chenuel, P Gallet, C Rumeau
This paper presents a brief history of the successive anatomical, physiological and pathophysiological concepts about the paranasal sinuses. Sinusology, the science of the paranasal sinuses, is founded on scientific work on the production of nitric oxide (NO) by the sinuses and on the evo-devo theory of their formation. The paranasal sinuses seem to develop after regression of the erythropoietic marrow in the maxillary, frontal and sphenoid bones and its replacement by cavities filled with gas, which escapes into the nasal fossae through the ostium...
September 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
(no author information available yet)
Massey CJ, Suh JD, Tessema B, Gray ST, Singh A. Biomaterials in rhinology. Otolaryngol Head Neck Surg 2016;154:606-617. (Original DOI: 10.1177/0194599815627782).
October 2016: Otolaryngology—Head and Neck Surgery
Y K Maru, Y Gupta
Sinonasal endoscopy is an essential part of the rhinologic examination performed by otolaryngologists in the evaluation of sinonasal disease. The use of the endoscopes has been popularized with the advent of endoscopic sinus surgery. To evaluate the role of nasal endoscopy as primary examination in the early and accurate diagnosis of sinonasal diseases in comparison to other diagnostic tools in rhinology. A retrospective and prospective study was carried out on 200 patients with clinical evidence of sinonasal diseases...
June 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
Gabrielle A White-Dzuro, Pouya Entezami, George Wanna, Paul Russell, Lola B Chambless
Introduction Traumatic cerebrospinal fluid (CSF) fistulae can be a challenging neurosurgical disease, often requiring complicated surgical intervention. Case Presentation A 54-year-old man presented with a gunshot wound to the head with complex injury to the skull base and significant CSF leakage from multiple sites. A single surgery was performed using a combined Neurosurgery, Neurotology, and Rhinology team, which was successful in repairing the multiple skull base defects and preventing further CSF leak...
June 2016: Journal of Neurological Surgery Reports
Nicolas-George Katsantonis, Jacob B Hunter, Brendan P O'Connell, Jing He, James S Lewis, George B Wanna
CASE DETAILS: We present a case of temporal bone mucormycosis in a 71-year-old female with diabetes mellitus who presented to the emergency department with facial nerve paresis, otorrhea, and contralateral hemiparesis. After undergoing a tympanomastoidectomy, the patient's pathology exhibited fungal hyphae consistent with mucormycosis. DISCUSSION: To our knowledge, there have been 9 reported cases of temporal bone mucormycosis, 3 of which presented with facial nerve paresis, all with some subsequent improvement...
October 2016: Annals of Otology, Rhinology, and Laryngology
Ryan P Lin, Erik Kent Weitzel, Philip G Chen, Kevin Christopher McMains, Daniel R Chang, Ernest E Braxton, Jacob Majors, Leon Bunegin
BACKGROUND: The objective of this study was to determine failure pressures of 6 rhinologic repair techniques of large skull base/dural defects in a controlled, ex vivo model. METHODS: Failure pressures of 6 dural repairs in a porcine model were studied using a closed testing apparatus; 24-mm × 19-mm dural defects were created; 40-mm × 34-mm grafts composed of porcine Duragen (Integra), fascia lata, and Biodesign (Cook) were used either with or without Tisseel (Baxter International Inc...
June 9, 2016: International Forum of Allergy & Rhinology
Garyfalia Lekakis, Valerie A Picavet, Loes Gabriëls, Jente Grietens, Peter W Hellings
OBJECTIVES/HYPOTHESIS: To validate a new screening tool for body dysmorphic disorder (BDD) in patients seeking aesthetic rhinoplasty. STUDY DESIGN: We performed a prospective instrument validation study in an academic rhinology clinic. METHODS: The Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery (BDDQ-AS) is a seven-item short questionnaire validated in 116 patients undergoing aesthetic rhinoplasty. Screening was positive if the patient acknowledged on the BDDQ-AS that he/she was concerned about their appearance (question 1 = yes) AND preoccupied with these concerns (question 2 = yes) AND that these concerns caused at least moderate distress or impairment in different domains of daily life (question 3 or 4 or 5 or 6 ≥ 3 or question 7 = yes)...
August 2016: Laryngoscope
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