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Practice Focus » How I Do It

How To: Superior Maximization of Sphenoidotomy with Olfaction Preservation in Endoscopic Endonasal Surgery

September 3, 2025

In endoscopic endonasal surgery for anterior skull base lesions, maximizing the anterior sphenoidotomy in the superior part is crucial for ensuring direct visualization and creating a wide working corridor. Authors describe a technique they devised that maximizes upper anterior sphenoidotomy while preserving the olfactory mucosa.

How To: Anatomic-Based Technique for Sensing Lead Placement in Hypoglossal Stimulator Implantation

August 5, 2025

Placement of the sensing lead can be challenging in obese and Down syndrome patients. This article presents an alteration in technique for its placement in these patient populations.

Pages: 1 2 | Single Page

How To: Endolymphatic Duct Blockage and Anatomical Variations Management

August 5, 2025

This article focuses on the surgical approaches and anatomical variations of the endolymphatic sac during the transmastoid route, which varies with the size of the duct within the petrous bone and its accessibility.

Pages: 1 2 | Single Page

How To: Open Expansion Laryngoplasty for Combined Glottic and Subglottic Stenosis

July 8, 2025

Expansion laryngoplasty is a new, combined procedure that can treat both glottic and subglottic stenosis simultaneously. This is a small case series showing how to perform this surgery, as well as outcomes from 15 years.

Pages: 1 2 3 | Single Page

How to: Pediatric Endoscopic Transsphenoidal Skull Base Approach and Closure: Technique and Technical Tips

July 8, 2025

The authors review their pediatric EESS technique in patients with intra-operative high flow cerebrospinal fluid leak, with a focus on details that differ from adult transsphenoidal surgery technique.

Pages: 1 2 3 | Single Page

How To: Endoscopic Total Maxillectomy Without Facial Skin Incision

June 6, 2025

This study presents a pioneering report on an endoscopic-assisted total maxillectomy that allows for en bloc resection without a facial skin incision.

Pages: 1 2 3 4 | Single Page

How To: Full Endoscopic Procedures of Total Parotidectomy

May 6, 2025

The authors presented the surgical procedures of full endoscopic total parotidectomy followed by the sternocleidomastoid muscle flap transplantation via a short postauricular hairline incision and reported patient outcomes to evaluate the feasibility and efficacy of this novel approach.

Pages: 1 2 3 | Single Page

How To: Does Intralesional Steroid Injection Effectively Mitigate Vocal Fold Scarring in a Rabbit Model?

May 6, 2025

This article assesses the efficacy of intralesional steroid treatment in preventing vocal fold scarring following vocal fold surgery using a rabbit model.

Pages: 1 2 3 | Single Page

How To: Endoscope-Assisted Transoral Procedure of Accessory Parotid Gland Tumor Resection

April 3, 2025

This article aimed to present the authors’ experiences with endoscopic-assisted transoral resection of APG tumor and to describe the surgical procedure involved.

Pages: 1 2 3 | Single Page

How To: Tunneled Submental Island Flap for Reconstruction of Endoscopic Nasopharyngectomy Defects

April 3, 2025

Endoscopic nasopharyngectomy in the context of recurrent nasopharyngeal carcinoma may require reconstruction with strongly vascularized flaps. This is fundamental to address the volumetric deficit and prevent complications such as carotid blowout syndrome. The submental island flap is well suited for this purpose.

Pages: 1 2 3 | Single Page
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