abstract：:Uvulopalatopharyngoplasty was the first surgical procedure described, other than tracheostomy, for the treatment of obstructive sleep apnea (OSA) in 1981. It was recognized then that there were responders who were cured of OSA with the procedure and others that were not. It took many years for a staging system to be d...

journal_title：Otolaryngologic clinics of North America

authors： Yaremchuk K

更新日期：2016-12-01 00:00:00

abstract：:The endoscope has transformed the way we observe, understand, and treat chronic ear disease. Improved view, exclusive transcanal techniques, assessment of ventilation routes and mastoid tissue preservation have led to decreased morbidity and functional enhancement of minimally invasive reconstruction of the middle ear...

journal_title：Otolaryngologic clinics of North America

authors： Anzola JF,Nogueira JF

更新日期：2016-10-01 00:00:00

abstract：:The most common primary tumors of the frontal sinus are osteomas and inverted papillomas, although a variety of other tumors involving this space have been reported. With the advent of new surgical techniques and instrumentation, an endoscopic approach to this region has become feasible. The preoperative assessment an...

journal_title：Otolaryngologic clinics of North America

authors： Selleck AM,Desai D,Thorp BD,Ebert CS,Zanation AM

更新日期：2016-08-01 00:00:00

abstract：:Frontal recess dissection proposes many challenges to the surgeon. These challenges stem from its highly variable nature, small caliber, difficult visualization, and proximity to vital structures such as the skull base and orbit. As such, delicate mucosal-sparing dissection of the frontal recess with proper instrument...

journal_title：Otolaryngologic clinics of North America

authors： Tajudeen BA,Adappa ND

更新日期：2016-08-01 00:00:00

abstract：:Endovascular techniques can be utilized in many common otolaryngologic conditions. Advancements in in these techniques including but not limited to better distal access catheters, new embolization materials and stents allows this to be a relatively safe and successful procedure. Here we highlighted a few related proce...

journal_title：Otolaryngologic clinics of North America

authors： Jovin T,Aghaebrahim A

更新日期：2016-06-01 00:00:00

abstract：:The larynx is a highly vascularized organ supplied by the superior and inferior laryngeal arteries. Both microphonosurgery and external laryngeal surgery require excellent hemostasis. Topical agents including adrenalin and fibrin-based products as well as surgical instrumentation, such as coagulation devices or in som...

journal_title：Otolaryngologic clinics of North America

authors： Athanasiadis T,Allen J

更新日期：2016-06-01 00:00:00

abstract：:Given the risks and potential complications of allogenic blood transfusion (ABT), as well as the expanding population of patients for whom ABT may not be an option, it is important for the treating physician, anesthesiologist, and surgeon to be well-versed in various alternatives. A good grasp of the concepts discusse...

journal_title：Otolaryngologic clinics of North America

authors： Rabinowitz MR,Cognetti DM,Nyquist GG

更新日期：2016-06-01 00:00:00

abstract：:In this article, various imaging modalities are discussed for evaluation of parotid disease, from congenital to inflammatory to neoplastic etiologies. Key imaging characteristics are outlined using case examples. Introduction to biological imaging is highlighted. Additionally, image-guided biopsy techniques are illust...

journal_title：Otolaryngologic clinics of North America

authors： Prasad RS

更新日期：2016-04-01 00:00:00

abstract：:Endoscopic endonasal approaches to the skull base pathology have developed and evolved dramatically over the past 2 decades, particularly with collaboration between neurosurgery and otolaryngology physicians. These advances have increased significantly the use of such approaches beyond just resection of pituitary aden...

journal_title：Otolaryngologic clinics of North America

authors： Horowitz PM,DiNapoli V,Su SY,Raza SM

更新日期：2016-02-01 00:00:00

abstract：:Since the description of a transnasal approach for treatment of pituitary tumors, transsphenoidal surgery has undergone continuous development. Hirsch developed a lateral endonasal approach before simplifying it to a transseptal approach. Cushing approached pituitary tumors using a transsphenoidal approach but transit...

journal_title：Otolaryngologic clinics of North America

authors： Farrell CJ,Nyquist GG,Farag AA,Rosen MR,Evans JJ

更新日期：2016-02-01 00:00:00

abstract：:Cochlear implantation and cochlear implants (CIs) have a long history filled with innovations that have resulted in the high-performing device's currently available. Several promising technologies have been reviewed in this article, which hold the promise to drive performance even higher. Remote CI programming, totall...

journal_title：Otolaryngologic clinics of North America

authors： Roche JP,Hansen MR

更新日期：2015-12-01 00:00:00

abstract：:Computed tomography (CT) and MRI have become an integral part of the evaluation of children with hearing loss. Abnormalities on CT or MRI are found in 20% to 50% of children with sensorineural hearing loss and correlate with the degree of hearing loss. CT and MRI have distinct advantages and disadvantages in imaging t...

journal_title：Otolaryngologic clinics of North America

authors： DeMarcantonio M,Choo DI

更新日期：2015-12-01 00:00:00

abstract：:Auditory brainstem implants (ABIs) provide auditory perception in patients with profound hearing loss who are not candidates for the cochlear implant (CI) because of anatomic constraints or failed CI surgery. Herein, the authors discuss (1) preoperative evaluation of pediatric ABI candidates, (2) surgical approaches, ...

journal_title：Otolaryngologic clinics of North America

authors： Puram SV,Lee DJ

更新日期：2015-12-01 00:00:00

abstract：:Complications occur during and after endoscopic sinus surgery. Complications leading to temporary or most commonly permanent injury often are involved in litigation for malpractice. This article concentrates on areas of importance that are considered during medicolegal deliberations. ...

journal_title：Otolaryngologic clinics of North America

authors： Stankiewicz JA,Hotaling J

更新日期：2015-10-01 00:00:00

abstract：:This article focuses on the rare and obscure complications of endoscopic sinus surgery. The majority of surgeons will not encounter these complications in their practice, but should be aware of their possibility. With knowledge of these rare complications, the surgeon can understand the possible avoidance as well as u...

journal_title：Otolaryngologic clinics of North America

authors： Martin JR,Patadia MO

更新日期：2015-10-01 00:00:00

abstract：:For early-stage T1-T2 glottic squamous cell carcinoma, transoral laser microsurgery (TLM) is the main surgical modality, with rates of local control and laryngeal preservation ranging from 85% to 100% and low morbidity. For extensive lesions, open conservation laryngeal surgery may enable wider resections than TLM but...

journal_title：Otolaryngologic clinics of North America

authors： Hartl DM,Brasnu DF

更新日期：2015-08-01 00:00:00

abstract：:Petroclival meningiomas are most commonly found in women around 50 years of age and have the general tendency to grow and affect several cranial nerves. At presentation, many patients complain of headaches, gait disturbances and cranial neuropathies. Treatment options include surgery, with a variety of surgical approa...

journal_title：Otolaryngologic clinics of North America

authors： Hunter JB,Weaver KD,Thompson RC,Wanna GB

更新日期：2015-06-01 00:00:00

abstract：:Endolymphatic sac tumors (ELST) are slow-growing, locally aggressive, low-grade malignancies that originate from the epithelium of the endolymphatic duct and sac. ELST often present with sensorineural hearing loss, tinnitus, and vertigo, which may mimic Meniere disease. Large tumors may present with additional cranial...

journal_title：Otolaryngologic clinics of North America

authors： Wick CC,Manzoor NF,Semaan MT,Megerian CA

更新日期：2015-04-01 00:00:00

abstract：:Endoscopic endonasal skull base surgical techniques, initially developed in adult patients, are being utilized with increasing frequency in pediatric patients to treat sinonasal and skull base lesions. This article reviews the current state of endoscopic endonasal approaches to the skull base to both treat disease and...

journal_title：Otolaryngologic clinics of North America

authors： Rastatter JC,Snyderman CH,Gardner PA,Alden TD,Tyler-Kabara E

更新日期：2015-02-01 00:00:00

abstract：:Advances in prenatal imaging in the last 20 years have enabled prenatal diagnosis of obstructive head and neck masses. These advances, coupled with improvements in maternal-fetal anesthesia, have made possible the development of the ex utero intrapartum treatment (EXIT) procedure for management of obstructive head and...

journal_title：Otolaryngologic clinics of North America

authors： Walz PC,Schroeder JW Jr

更新日期：2015-02-01 00:00:00

abstract：:This review addresses the diagnosis and treatment of acute and chronic rhinosinusitis. Antimicrobial and adjuvant therapies, including topical treatments, are discussed. Surgical intervention is included in the treatment options. Clinical characteristics of rhinosinusitis are presented with an emphasis on history and ...

journal_title：Otolaryngologic clinics of North America

authors： Magit A

更新日期：2014-10-01 00:00:00

abstract：:Thyroid cancer is the most common endocrine malignancy and its incidence has increased over the past few decades. Most patients with thyroid cancer have an excellent prognosis, but there is a 15% recurrence rate within 10 years after initial treatment and mortality is possible. To date, there are no prospective, well-...

journal_title：Otolaryngologic clinics of North America

authors： Ozgursoy OB,Eisele DW,Tufano RP

更新日期：2014-08-01 00:00:00

abstract：:The use of minimally invasive and endoscopic thyroidectomy techniques has become widespread. However, these procedures all result in a visible neck incision. Several remote access thyroidectomy approaches that place the necessary incision in inconspicuous, noncervical locations have recently been described. Robotic fa...

journal_title：Otolaryngologic clinics of North America

authors： Singer MC,Terris DJ

更新日期：2014-06-01 00:00:00

abstract：:We review the therapies for primary headache disorders: migraine, chronic migraine, tension-type headache, and cluster headache. Recommendations follow the evidence-based treatments so far as is possible with expert opinion to give clinical guidance. Headache has 2 levels of care: acute treatments designed to stop a h...

journal_title：Otolaryngologic clinics of North America

authors： Freitag FG,Schloemer F

更新日期：2014-04-01 00:00:00

abstract：:Therapy for asthma has undergone substantial changes in the past three decades, prompted by a better understanding of the role of inflammation in reversible airway disease. Improved therapies and a workable algorithm of therapy guidelines have provided an improved quality of life for the patient with asthma. This arti...

journal_title：Otolaryngologic clinics of North America

authors： Fornadley JA

更新日期：2014-02-01 00:00:00

abstract：:This article provides an overview of nonsurgical and nonpharmacologic treatments for oropharyngeal dysphagia. The speech-language pathologist (SLP) is the primary member of the swallowing management team who will provide this type of dysphagia management. The primary focus of the SLP for dysphagia management is first ...

journal_title：Otolaryngologic clinics of North America

authors： Hegland KW,Murry T

更新日期：2013-12-01 00:00:00

abstract：:Facial nerve trauma can be a devastating injury resulting in functional deficits and psychological distress. Deciding on the optimal course of treatment for patients with traumatic facial nerve injuries can be challenging, as there are many critical factors to be considered for each patient. Choosing from the great ar...

journal_title：Otolaryngologic clinics of North America

authors： Lee LN,Lyford-Pike S,Boahene KD

更新日期：2013-10-01 00:00:00

abstract：:Fanconi anemia (FA) is a rare disorder inherited in an autosomal recessive fashion, with an estimated incidence of 1:360,000 births. Although hematologic complications are the most common manifestation of this disease, cancers, especially of the head and neck, are also prominent. The chromosomal fragility of patients ...

journal_title：Otolaryngologic clinics of North America

authors： Lin J,Kutler DI

更新日期：2013-08-01 00:00:00

abstract：:This article discusses the use of an integrative approach in the evaluation and management of the voice. The article begins with a look at the larynx and antioxidant therapy, followed by methods to relieve the pain associated with myofacial trigger points, and the herbs and supplements that can be used by vocalists to...

journal_title：Otolaryngologic clinics of North America

authors： Asher BF

更新日期：2013-06-01 00:00:00

abstract：:Allergic rhinitis (AR) is a global disease affecting hundreds of millions internationally. Substantial pharmacologic gains have been made in the treatment of allergy, including antihistamines, steroids, and leukotriene inhibitors. Pharmacology and immunotherapy are the 2 primary choices in an otolaryngologist's armame...

journal_title：Otolaryngologic clinics of North America

authors： Garbo G,Tessema B,Brown SM

更新日期：2013-06-01 00:00:00

abstract：:The otolaryngologist will find in this article a direct and frank discussion and useful advice for how to get started performing solely endoscopic ear surgery for abnormalities of the middle ear. The author provides discussion and photos based on his experience with this procedure. Presented herein are selection of th...

journal_title：Otolaryngologic clinics of North America

authors： Pothier DD

更新日期：2013-04-01 00:00:00

abstract：:A detailed and comprehensive discussion of transcanal endoscopic management of cholesteatoma is presented. After a presentation of the anatomy of the area, the rationale, advantages and limitations, technique, and long-term results of each technique are presented. A case presentation follows each technique. Techniques...

journal_title：Otolaryngologic clinics of North America

authors： Tarabichi M,Nogueira JF,Marchioni D,Presutti L,Pothier DD,Ayache S

更新日期：2013-04-01 00:00:00

abstract：:This article presents the evolution of current office-based surgery of the larynx, focusing on the development of the tools and techniques for these ambulatory procedures, including laryngoscopy, bronchoscopy, esophagoscopy, and current office-based interventions. Additionally, a historical timeline is presented for t...

journal_title：Otolaryngologic clinics of North America

authors： Clary MS,Courey MS

更新日期：2013-02-01 00:00:00

abstract：:Cross-sectional imaging plays an important role in the evaluation of the retropharyngeal space (RPS) and the prevertebral space (PVS). Because of their deep location within the neck, lesions arising within these spaces are difficult, if not impossible, to evaluate on clinical examination. This article details the cros...

journal_title：Otolaryngologic clinics of North America

authors： Debnam JM,Guha-Thakurta N

更新日期：2012-12-01 00:00:00

abstract：:The main issue in the management of glottic squamous cell carcinoma, as for all cancers, is adequate disease control while optimizing functional outcomes and minimizing morbidity. This is true for early-stage disease as for advanced tumors. This article evaluates the current evidence for the diagnostic and pretherapeu...

journal_title：Otolaryngologic clinics of North America

authors： Hartl DM

更新日期：2012-10-01 00:00:00

abstract：:Balloon catheter dilation (BCD) is a treatment paradigm for surgical management of paranasal sinus inflammatory disease. There are few robust clinical trials evaluating the efficacy of balloon technology in chronic rhinosinusitis (CRS). The available database largely comprises retrospective, uncontrolled studies with ...

journal_title：Otolaryngologic clinics of North America

authors： Batra PS

更新日期：2012-10-01 00:00:00

abstract：:Human papillomavirus (HPV) is now recognized to cause a subset of head and neck squamous cell carcinomas (HNSCC). Although excessive tobacco and alcohol use continue to be important risk factors for HNSCC, epidemiologic studies suggest that more than 25% of HNSCC are now caused by HPV. The incidence of HPV-related HNS...

journal_title：Otolaryngologic clinics of North America

authors： Joseph AW,D'Souza G

更新日期：2012-08-01 00:00:00

abstract：:Allergic fungal sinusitis (AFS) is a subtype of eosinophilic chronic rhinosinusitis (CRS) characterized by type I hypersensitivity, nasal polyposis, characteristic computed tomography scan findings, eosinophilic mucus, and the presence of fungus on surgical specimens without evidence of tissue invasion. This refractor...

journal_title：Otolaryngologic clinics of North America

authors： Thorp BD,McKinney KA,Rose AS,Ebert CS Jr

更新日期：2012-06-01 00:00:00

abstract：:Facial nerve dysfunction after resection of a vestibular schwannoma is one of the most common indications for facial nerve habilitation. This article presents an overview of common and emerging management options for facial habilitation following resection of a vestibular schwannoma. Immediate and delayed nerve repair...

journal_title：Otolaryngologic clinics of North America

authors： Rudman KL,Rhee JS

更新日期：2012-04-01 00:00:00

abstract：:This article summarizes available evidence on various management options for vestibular schwannoma as they relate to the decision-making strategies used in selection. After a brief consideration of individual options, the literature directly comparing two or more management options is examined, noting the level of evi...

journal_title：Otolaryngologic clinics of North America

authors： Sheth SA,Kwon CS,Barker FG 2nd

更新日期：2012-04-01 00:00:00