The low skull base-is it important?

Abstract:

PURPOSE OF REVIEW:Little is published regarding variations of skull-base anatomy and their relevance to the performance of endoscopic sinus surgery. Several catastrophic complications have occurred in patients with low-lying skull-base variation. This review's purpose is to make the reader aware of skull-base variation, their recognition, and a surgical plan for sinus surgery in these patients. RECENT FINDINGS:Only a few papers are available for review discussing variations of the low-skull base. Recent findings in reviewing multiple CT scan indicate several variations of the skull. It has also been noted that there are variations of thickening in the skull (ie, lateral ethmoid, thicker bone, more medial, thinner bone). Several case reports have surfaced reflecting how a low-lying skull-base can play a role in brain-related complications. These figures are reviewed. SUMMARY:A knowledge of orbital and skull-base variations preoperatively can help plan the surgical procedure and avoid major complication. The preoperative CT scan is the key to preoperative knowledge. The use of special techniques to aid in localization of a low-lying skull-base including image computer guidance is recommended.

authors

Stankiewicz JA,Chow JM

doi

10.1097/00020840-200502000-00006

keywords:

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

19-21

issue

1

eissn

1068-9508

issn

1531-6998

pii

00020840-200502000-00006

journal_volume

13

pub_type

杂志文章,评审
  • Endoscopic surgery for juvenile nasopharyngeal angiofibroma: where are the limits?

    abstract:PURPOSE OF REVIEW:This article will examine recent publications on the endoscopic management of juvenile nasopharyngeal angiofibromas. RECENT FINDINGS:The use of an endoscopic approach to resect small juvenile nasopharyngeal angiofibromas is supported by excellent results from a number of operative series published in...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000188859.91607.65

    authors: Douglas R,Wormald PJ

    更新日期:2006-02-01 00:00:00

  • Collaborative working between pediatric speech and language therapy and ENT colleagues: what is good practice?

    abstract:PURPOSE OF REVIEW:This article considers current evidence pertaining to good practice in joint paediatric speech and language therapy (SLT) and ear, nose and throat (ENT) assessment and management in the general hospital clinic. Because of space limitations, this review excludes those cases that are typically referred ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000057

    authors: Gardner H

    更新日期:2014-06-01 00:00:00

  • Patient adherence to allergy immunotherapy.

    abstract:PURPOSE OF REVIEW:This article reviews the literature on patient adherence to two different approaches to allergen-specific immunotherapy for allergic disease. Factors related to adherence in general, as well as the various methods used to measure adherence, will be discussed. RECENT FINDINGS:Although a complex intera...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32835f8048

    authors: Reisacher WR,Visaya JM

    更新日期:2013-06-01 00:00:00

  • What is new and promising with drug-eluting stents in sinus surgery?

    abstract:PURPOSE OF REVIEW:In the surgical management of chronic rhinosinusitis, medical therapy is often used to prevent postoperative complications such as adhesions. These complications often require painful debridements in the clinic or revision surgery. Systemic steroids are not without risk and topical steroids are not id...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000012

    authors: Campbell RG,Kennedy DW

    更新日期:2014-02-01 00:00:00

  • Current research in otosclerosis.

    abstract:PURPOSE OF REVIEW:The aim of this article is to summarize and put into historical perspective current advances in research in otosclerosis, a disorder of the human temporal bone with a hereditary predisposition that is among the most common causes of acquired hearing loss. RECENT FINDINGS:Genetic studies have revealed...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000244194.97301.19

    authors: Stankovic KM,McKenna MJ

    更新日期:2006-10-01 00:00:00

  • Facial reanimation after nerve sacrifice in the treatment of head and neck cancer.

    abstract:PURPOSE OF REVIEW:This article reviews literature on the facial reanimation technique, from direct facial nerve repair and grafting to neuromuscular-free transplantation. The discussion will focus on the indications of the different approaches based on timing of the facial palsy and on patient's features. RECENT FINDI...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834fa744

    authors: Bianchi B,Ferri A,Sesenna E

    更新日期:2012-04-01 00:00:00

  • Reconstructive techniques in skull base surgery after resection of malignant lesions: a wide array of choices.

    abstract:PURPOSE OF REVIEW:In this manuscript, we will provide a panorama of the current status of skull base reconstruction following endoscopic endonasal or open resection of malignant lesions, focusing on novel options and recent modifications of previously described techniques. RECENT FINDINGS:New developments in skull bas...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000233

    authors: Hachem RA,Elkhatib A,Beer-Furlan A,Prevedello D,Carrau R

    更新日期:2016-04-01 00:00:00

  • The role of botulinum toxin in the management of airway compromise due to bilateral vocal fold paralysis.

    abstract:PURPOSE OF REVIEW:The management of a patient with bilateral vocal fold motion impairment (BVFMI) can be challenging for the otolaryngologist. The treatment traditionally involves tracheotomy, which can be very distressful for some patients. Alternatively, there are endoscopic procedures, which irreversibly sacrifice v...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834c1e4f

    authors: Ongkasuwan J,Courey M

    更新日期:2011-12-01 00:00:00

  • Indications for open procedures in the endoscopic era.

    abstract:PURPOSE OF REVIEW:Endoscopic sinus surgery became the gold standard in inflammatory disorders of the nose and paranasal sinuses, in cerebrospinal fluid leak and epistaxis management, and established its efficacy in the oncology of the region. However, there are certain limitations which make an external approach mandat...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000219

    authors: Konstantinidis I,Constantinidis J

    更新日期:2016-02-01 00:00:00

  • Postoperative management of patients with spontaneous cerebrospinal fluid leak.

    abstract:PURPOSE OF REVIEW:To explore key management principles and outcomes following surgical intervention for spontaneous CSF leaks of the lateral skull base. RECENT FINDINGS:Outcomes following surgery for spontaneous CSF leaks of the lateral skull base depend on the surgical approach utilized. The approach reported most fr...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000559

    authors: Stevens SM,Smith CJ,Lawton M

    更新日期:2019-10-01 00:00:00

  • Biofilms in chronic rhinosinusitis.

    abstract:PURPOSE OF REVIEW:Rhinosinusitis is one of the most common medical complaints in the United States, affecting up to 16% of the population. It is associated with over 13 million physician visits per year and an estimated aggregated cost of over $6 billion annually. Patients with chronic rhinosinusitis (CRS) demonstrate ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e328334f670

    authors: Suh JD,Cohen NA,Palmer JN

    更新日期:2010-02-01 00:00:00

  • Microvascular reconstruction in the vessel-depleted neck.

    abstract:PURPOSE OF REVIEW:Microvascular reconstruction for head and neck cancers has improved both cosmesis and functionality of patients undergoing treatment. Many patients have had prior surgery (neck dissection), radiation and/or chemotherapy as part of their management. When microvascular reconstruction is required after p...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32833a2e50

    authors: Wong KK,Higgins KM,Enepekides DJ

    更新日期:2010-08-01 00:00:00

  • Management and reconstruction of blast wounds of the head and neck.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to highlight recent literature related to the initial management and reconstruction of blast injuries to the head and neck. RECENT FINDINGS:An increasing percentage of combat-related injuries are caused by blast trauma. Management of blast trauma over the last 10 years h...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000285

    authors: Stevens JR,Brennan J

    更新日期:2016-10-01 00:00:00

  • Advances in free flap monitoring: have we gone too far?

    abstract:PURPOSE OF REVIEW:Timely recognition of vascular compromise of free flaps is crucial to salvaging failing flaps. This review summarizes the most recent available literature about free flap monitoring over the period of 2008-2009. Novel techniques are discussed. RECENT FINDINGS:Several case series have been published t...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32832cba6a

    authors: Luu Q,Farwell DG

    更新日期:2009-08-01 00:00:00

  • Contemporary management of orbital blowout fractures.

    abstract:PURPOSE OF REVIEW:Orbital floor blowout fractures may lead to significant morbidity, including debilitating double vision and globe malposition. Thorough evaluation and timely surgical intervention may prevent long-term sequelae. RECENT FINDINGS:New studies have demonstrated certain patients with orbital floor fractur...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000550

    authors: Homer N,Huggins A,Durairaj VD

    更新日期:2019-08-01 00:00:00

  • Hypothyroidism in postradiation head and neck cancer patients: incidence, complications, and management.

    abstract:PURPOSE OF REVIEW:To describe the incidence, risk factors, prevention, and management of hypothyroidism among patients treated with radiation and other modalities for head and neck cancers. RECENT FINDINGS:Hypothyroidism may occur in up to 48% of patients treated for head and neck malignancies. It has been observed af...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/moo.0b013e328325a538

    authors: Miller MC,Agrawal A

    更新日期:2009-04-01 00:00:00

  • Chronic rhinosinusitis and sleep quality.

    abstract:PURPOSE OF REVIEW:To review the recent literature describing the association between chronic rhinosinusitis and its effects on sleep quality. RECENT FINDINGS:Chronic rhinosinusitis (CRS) causes significantly worse sleep by both subjective and objective measures. CRS is also strongly associated with obstructive sleep a...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000600

    authors: Papagiannopoulos P,Kuan EC,Tajudeen BA

    更新日期:2020-02-01 00:00:00

  • The diagnosis and management of globus: a perspective from Ireland.

    abstract:PURPOSE OF REVIEW:Globus pharyngeus is a common condition of unknown cause, with no 'current opinion' on the optimum investigation and treatment. As such, the scope of this article is to review the current literature and to describe, from an Irish perspective, the current best practice on the management of globus. REC...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章

    doi:10.1097/MOO.0b013e3283169258

    authors: Burns P,O'Neill JP

    更新日期:2008-12-01 00:00:00

  • Temporomandibular joint reconstruction.

    abstract:PURPOSE OF REVIEW:Temporomandibular joint (TMJ) reconstruction represents one of the more challenging clinical problems that a head and neck surgeon encounters. Fortunately, the problem is fairly uncommon; however, at the same time, clear clinical guidelines have not been formulated. The goal of this review is to prese...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000282

    authors: Imola MJ,Liddell A

    更新日期:2016-08-01 00:00:00

  • Update on eustachian tube dysfunction and the patulous eustachian tube.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to summarize the recent knowledge on eustachian tube dysfunction and the patulous eustachian tube. RECENT FINDINGS:A clinically useful test for eustachian tube function is still lacking. Narrowing of the isthmus alone was demonstrated to be an insufficient cause of otiti...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000176465.68128.45

    authors: Grimmer JF,Poe DS

    更新日期:2005-10-01 00:00:00

  • Does our swallow go to sleep? Changes in swallow function during sleep and implications for symptoms.

    abstract:PURPOSE OF REVIEW:Swallowing is a vital function and the clearance of the pharynx by deglutition, which removes matter that could be aspirated, and the respiratory phase patterns associated with deglutition are important in protecting the airways and lungs against aspiration. This article reviews swallowing and respira...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章

    doi:10.1097/MOO.0000000000000670

    authors: Sato K

    更新日期:2020-12-01 00:00:00

  • Measuring outcomes in facial plastic surgery: a decade of progress.

    abstract:PURPOSE OF REVIEW:To describe contemporary interpretations of 'outcomes research' in facial plastic surgery and to summarize and evaluate some of the existing validated outcome measures for use in facial plastic surgery. RECENT FINDINGS:Outcome measures can be broadly categorized into two categories - patient-reported...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283031ac9

    authors: Rhee JS,McMullin BT

    更新日期:2008-08-01 00:00:00

  • Vitamin D: immunomodulation of asthma, allergic rhinitis, and chronic rhinosinusitis.

    abstract:PURPOSE OF REVIEW:To discuss the role of vitamin D in asthma, allergic rhinitis, and chronic rhinosinusitis (CRS). RECENT FINDINGS:Over the last several years, the role of vitamin D in immunomodulation has been studied and shown to have a significant impact on immune function. A causal relationship exists between vita...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283465687

    authors: Akbar NA,Zacharek MA

    更新日期:2011-06-01 00:00:00

  • Adenoid cystic carcinoma of the head and neck: a review.

    abstract:PURPOSE OF REVIEW:This purpose of this article is to review and provide an update of current publications on the evaluation and management of adenoid cystic carcinoma. RECENT FINDINGS:Adenoid cystic carcinoma is an uncommon salivary gland malignancy that presents insidiously and is generally advanced when diagnosed. C...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200404000-00013

    authors: Bradley PJ

    更新日期:2004-04-01 00:00:00

  • The use of fractional exhaled nitric oxide is valuable in select asthmatic patients.

    abstract:PURPOSE OF REVIEW:Clinical management of asthma is challenging and measuring fractional exhaled nitric oxide (FeNO) can be another tool to assist in meeting this challenge. RECENT FINDINGS:Asthma is a heterogeneous condition. There are many different phenotypes. FeNO can help the physician identify which patients have...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000247

    authors: Damask C

    更新日期:2016-06-01 00:00:00

  • An update on hair restoration therapy.

    abstract:PURPOSE OF REVIEW:This study is aimed towards clinicians involved in the rapidly developing field of hair restoration. We provide a review of recent literature on this topic. RECENT FINDINGS:Recent studies discussed in this article focus on various aspects of follicular unit transplant surgery, including hairline desi...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32832da13b

    authors: Lee TS,Minton TJ

    更新日期:2009-08-01 00:00:00

  • Advances in nasal dorsal augmentation with diced cartilage.

    abstract:PURPOSE OF REVIEW:The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular. RECENT FINDINGS:In the western wor...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283627600

    authors: Tasman AJ

    更新日期:2013-08-01 00:00:00

  • Review of perforator flaps in head and neck cancer surgery.

    abstract:PURPOSE OF REVIEW:Perforator flaps are increasingly being used to reconstruct head and neck defects. They offer several advantages over nonperforator-based flaps with lower donor site morbidity and a versatile range of reconstructive options. The anterolateral thigh flap is well established in the head and neck and is ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000293

    authors: Cho A,Hall FT

    更新日期:2016-10-01 00:00:00

  • MicroRNAs in hair cell development and deafness.

    abstract:PURPOSE OF REVIEW:The identification of transcriptional activators and repressors of hair cell fates has recently been augmented by the discovery of microRNAs (miRNAs) that can function as post-transcriptional repressors in sensory hair cells. RECENT FINDINGS:miRNAs are approximately 21-nucleotide single-stranded ribo...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章

    doi:10.1097/MOO.0b013e32833e0601

    authors: Li H,Fekete DM

    更新日期:2010-10-01 00:00:00

  • Surgical robotics in otolaryngology: expanding the technology envelope.

    abstract:PURPOSE OF REVIEW:Surgical robotics arose as an extension of virtual reality and robotic technology developed by the United States Department of Defense. Current surgical robotic systems have been used to perform a variety of minimally invasive surgical procedures. RECENT FINDINGS:The Food and Drug Administration rece...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000122309.13359.af

    authors: Gourin CG,Terris DJ

    更新日期:2004-06-01 00:00:00