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Bleeding is a major factor that hinders visualization in head and neck surgery and is a risk factor for intraoperative complications and perioperative morbidity. Endoscopic approaches also pose significant technical challenges to managing expected intraoperative bleeding and vascular injury. The approach for this publication in Otolaryngologic Clinics is to provide clinically relevant information in a problem-based manner that encompasses assessment to identify patients with a high risk for vascular complications, pre-operative, intra-operative and post-operative strategies to manage expected bleeding and major vessel injury during endoscopic sinus and skull base surgery for inflammatory and neoplastic diseases. Clinically relevant anatomy, physiology, pharmacology, and surgical and interventional radiology techniques to manage bleeding are outlined and an algorithm for management of major vessel injury such as internal carotid artery injury is presented. Because skull base surgery is generally undertaken as a team approach, this information is relevant to the subspecialized ENT surgeon from rhinology or head and neck specializations, to neurosurgeons, to interventional radiologists, and to neurophysiologists who monitors intraoperative cerebral and cranial nerve activity for these operations. Carl Snyderman leads this issue with Harshita Pant and has composed topics and assembled an expert group of practitioners to provide information. The reader will find this a novel, focused, and indispensable resource on all issues of hemostatis in head and neck surgery.
This issue of Otolaryngologic Clinics of North America, devoted to Parotid Disease, is guest edited by Drs. Babak Azizzadeh and Babak Larian. Articles in this outstanding issue include: Parotid Gland and Facial Nerve Anatomy; Parotid Gland Imaging; Evaluation of Parotid Lesions; Benign Parotid Tumors and Management; Diagnosis and Management of Malignant Salivary Gland Tumors of the Parotid Gland; Parotitis and Sialoendoscopy of the Parotid Gland; Parotidectomy for Benign Parotid Tumors; Parotidectomy for Parotid Cancer; Parotid Tumors and the Facial Nerve; Loco-Regional Parotid Reconstruction; Free Tissue Transfer in Parotid Reconstruction; Facial Paralysis Reconstruction; Periocular Reconstruction in Patients with Facial Paralysis; Rare Parotid Diseases; and Management of Frey's Syndrome.
This essential subject to Otolaryngologists on Hearing Loss in Children is edited by leading physicians and academicians Dr. Bradley Kesser and Dr. Margaret Kenna. Topics in this issue on the state of art of diagnosing and managing pediatric hearing loss include: Audiometric evaluation of children with hearing loss; Taking the history and physical exam of the child with hearing loss; Radiographic evaluation of children with hearing loss; Acquired Hearing Loss in Children and Laboratory evaluation of children with hearing loss; Management of children with non-atretic conductive hearing loss; Management of children with congenital aural atresia; Diagnostic evaluation of children with sensorineural hearing loss; Management of children with mild, moderate, and moderate-severe SNHL; Management of children with severe, severe-profound, and profound SNHL; Management of children with unilateral hearing loss; Auditory Neuropathy/Dyssynchrony Disorder; Genetics of Hearing Loss – Syndromic; Genetics of Hearing Loss – Nonsyndromic; Psychosocial aspects of hearing loss in children; Speech and Auditory-Verbal Therapy; On the horizon - cochlear implant technology; Auditory brainstem implants; On the distant horizon - medical therapy for SNHL; Early Practice Considerations for Pediatric Hearing Loss. Each article presents clinically focused diagnosis and management.
This issue of Otolaryngologic Clinics, guest edited by Drs. Jean Anderson Eloy and Michael Setzen, is devoted to the Contemporary Management of Frontal Sinusitis. Articles in this outstanding issue include: Overview of Frontal Sinus Management; Evaluation and Decision-Making in Patients with Frontal Sinusitis; Medical Management of Frontal Sinusitis; Surgical Anatomic Consideration in Frontal Sinus Surgery; Instrumentation in Frontal Sinus Surgery; Preventing and Managing Complications in Frontal Sinus Surgery; Frontal Sinus Balloon Dilation; Utility of Image-Guidance in Frontal Sinus Surgery; Standard Endoscopic Approaches in Frontal Sinus Surgery: Technical Pearls and Approach Selection; Modification of the Standard Frontal Sinus Endoscopic Approaches; Outcomes after Frontal Sinus Surgery: An Evidence-Based Review; Management of Frontal Sinus Cerebrospinal Fluid Leaks and Encephaloceles; Management of Frontal Sinus Tumors; and Open Frontal Sinus Surgery.
This issue of Otolaryngologic Clinics of North America, devoted to Endoscopic Ear and Eustachian Tube Surgery, is guest edited by Drs. João Flávio Nogueira and Muaaz Tarabichi. Articles in this outstanding issue include: Anatomy of the Eustachian Tube; Physiology of the Eustachian Tube; Eustachian Tube Function and Testing; Radiology of the Eustachian Tube; Middle Ear and Eustachian Tube Dysfunction; Endoscopic Eustachian Tube Transnasal Surgery; Endoscopic Anatomy of the Protympanic Space; Outcomes Following Endoscopic Ear Surgery; Endoscopic Management of Superior Semicircular Canal Dehiscence; Endoscopic Management of Tumors in Middle Ear and Mastoid; Outcomes Following Endoscopic Stapes Surgery; Transtympanic Balloon Dilation of the Eustachian Tube; Selective Dysventilation Syndrome; Restoring Petrous Bone Ventilation; and Endoscopic Techniques in Tympanoplasty.
This issue on endoscopic cranial base and pituitary surgery is led by experts in the field of Otolaryngology and Neurosurgery. Otolaryngologists/Head and Neck surgeons Dr. Raj Sindwani and Dr. Troy Woodard join with Neurosurgeon Dr. Pablo Recinos to present a comprehensive clinical approach. Topics include: Building an endoscopic skull base program (room setup and key equipment / IGS); Skull Base Anatomy (corridors, intra and extradural); Imaging in skull base surgery – CT, MRI, CT cisternogram, intraop CT; Sellar lesions / pathology; Principles of endoscopic pituitary surgery ; Reconstruction of skull base defects – free graft, pedicle, TPF, alloderm; Lumbar drain utility (role of intrathecal fluorescein); Hemostasis in Skull Base Surgery (control of smaller vessels, maneuvers to minimize bleeding – warm irrigations, HOB up, embolization); Management of ICA Injury (intraop options, late complications); Meningioma; Esthesioneuroblastoma; Cordoma; Sinonasal Malignancies of Skull Base; Craniopharyngioma; Endonasal approaches to the craniocervical junction; Medical complications of Pituitary/skull base surgery – (ie. SIADH, DI, Hypopit); Post-op management of skull base patient (postop Abx, imaging, debridements, topical irrigations, more...). Articles cover surgical procedure, surgical complications, and surgical anatomy as relevant to the clinical discussion.
The small nasal anatomic area can offer challenges and complications to surgeons and physicians treating chronic rhinosinusitis. This compact, focused publication on Medical and Surgical Complications in Chronic Rhinosinusitis offers clinicians a current source of information to avoid complications and to address them when they arise. Sinus surgery expert and patient champion James Stankiewicz leads this issue with authors who are expert in various aspects of sinus treatment and surgery. Topics include: Overview of complications; Anatomy of the sinus and complications; Orbital complications and treatment; Neurologic complications and treatment; Vascular complications and treatment; Smell loss and sinus surgery; Radiology for cases of higher risk of complications; Medication related complications and side effects; Medical-legal issues and complications; Does image guided surgery reduce complications?; Avoiding complications: overriding principles. Especially dedicated to Residents, Fellows and those in early practice is presentation of External Sinus Surgery and Procedures & Complications; when endoscopic procedures are the norm, how does one handle reversion to an open procedure, which often takes place in emergency situations.
The Editors for this 2-part issue of Otolaryngologic Clinics, Dr George Wanna and Dr Matthew Luke Carlson, envisioned a publication that reviews the evaluation and management of common ear and lateral skull base tumors. Intended audience includes Otologists, Neurotologists, General otolaryngologists and Neurosurgeons alike. The development of management of lateral skull base tumors has been rapid, in the past 40 years there has been a tremendous shift toward conservative therapy for benign lesions. Focused chapters review specific pathologies plus a chapter focused on stereotactic radiotherapy. Topics written by reputed leaders in the field of Otology and skull base tumors include: Imaging of temporal bone lesions; Squamous cell carcinoma of the temporal bone; Glomus tympanicum; Adenomatous tumors of the middle ear; Intralabyrinthine schwannomas; Vestibular schwannoma; Neurofibromatosis2 (including ABI and CI); Non-schwannoma tumors of the CPA; Glomus jugulare; Endolymphatic sac tumors; Non-paraganglioma jugular foramen tumors; Primary tumors of the facial nerve; Cholesterol granuloma and other petrous apex lesions; Stereotactic radiosurgery for tumors of the lateral skull base; Pediatric temporal bone malignancy; and Historical perspective on evolution in management of lateral skull base tumors.
The Editors for this issue of Otolaryngologic Clinics, Dr George Wanna and Dr Matthew Luke Carlson, envisioned a publication that reviews the evaluation and management of common ear and lateral skull base tumors. Intended audience includes Otologists, Neurotologists, General otolaryngologists and Neurosurgeons alike. The development of management of lateral skull base tumors has been rapid, in the past 40 years there has been a tremendous shift toward conservative therapy for benign lesions. Focused chapters review specific pathologies plus a chapter focused on stereotactic radiotherapy. Topics written by reputed leaders in the field of Otology and skull base tumors include: Imaging of temporal bone lesions; Squamous cell carcinoma of the temporal bone; Glomus tympanicum; Adenomatous tumors of the middle ear; Intralabyrinthine schwannomas; Vestibular schwannoma; Neurofibromatosis2 (including ABI and CI); Non-schwannoma tumors of the CPA; Glomus jugulare; Endolymphatic sac tumors; Non-paraganglioma jugular foramen tumors; Primary tumors of the facial nerve; Cholesterol granuloma and other petrous apex lesions; Stereotactic radiosurgery for tumors of the lateral skull base; Pediatric temporal bone malignancy; and Historical perspective on evolution in management of lateral skull base tumors.
The thoroughly updated Third Edition of this popular and widely used pocket reference guides the trauma team through every aspect of patient care after injury and before, during, and after acute care surgery—from prehospital care, to resuscitation, treatment of specific organ injuries, priorities in intensive care, and management of special situations. Designed for rapid, on-the-spot information retrieval, this manual will be a staple reference in emergency departments and trauma centers. Flow charts, algorithms, sequential lists, and tables throughout facilitate quick clinical decision-making. More than 200 illustrations demonstrate specific injuries and procedures. Appendices include organ injury scales, tetanus prophylaxis recommendations, and frequently used forms.