Otolaryngologists discuss the nuances of humanitarian work
SM12: Nasal Reconstruction after Cancer Treatment Includes Variety of Options
The right way to restore a patient’s nose after cancer depends on subtle factors: The shape, the depth, and the precise location of the wound all dictate how to go about the reconstruction, according to experts at the Triological Society Combined Sections Meeting.
Repair Revolution: Surgeons use fat grafts to address extensive facial deformities
Fat grafts have been used to repair the aging face for about two decades, but recently, surgeons have been using grafts to repair more extensive facial deformities caused by injury, illness or congenital abnormalities. Success, they said in interviews with ENT Today, depends on proper patient selection, matching the fat graft to defects that are most amenable to repair with fat injections and an understanding of the biology of the graft and how it reacts with surrounding facial structures.
Structural Support: Surgeons extol the cartilage stability provided by a new nasal implant
For patients who undergo septoplasty to repair a crooked septum, reconnecting pieces of cartilage and stabilizing the cartilage during the healing process is critical to achieving straight alignment of the nasal septum. Stabilizing cartilage is particularly challenging for patients who require correction of severe septal deviations or severe post-traumatic deformities that are often both functional and cosmetic.
Targeting Headaches: Trigger release surgery an option for patients with chronic migraine
Surgically releasing specific “trigger sites” may provide long-term relief for some sufferers of chronic migraine. According to a recent study published in Plastic and Reconstructive Surgery, 88 percent of patients who underwent surgical deactivation of targeted trigger sites reported at least a 50 percent reduction in the frequency, severity and duration of their migraine headaches five years later.
Baseball Foul Tip Causing Frontal Sinus Fracture
A 14-year-old boy sustained blunt trauma to the forehead from a foul-tipped baseball. Significant past medical history consisted of allergic rhinitis treated with over-the-counter cetirizine (Zyrtec). On examination, the patient had right frontal sinus depression with overlying edema. There were no palpable nasal bone or orbital rim abnormalities. Baseball threads were seen on the overlying skin as well as ecchymosis on the nasal dorsum and under both eyes.
A Clinical Challenge: Nasal valve compromise can be a dicey problem, panelists say
Problems with the nasal valve that lead to difficulty with breathing can be tricky, in terms of both diagnosis and treatment, said a group of experts here at the Triological Society’s Combined Sections Meeting on Jan. 28.
Managing Expectations: Facial plastic surgeons emphasize the limits of injectable fillers
With the availability of noninvasive procedures that use injectable fillers to do the work surgery once monopolized, more people than ever before are seeking the elixir of youth that comes now at the end of a needle rather than a knife.
The Voice Lift: Should vocal fold surgery be considered a cosmetic procedure?
People get face-lifts and other types of cosmetic surgery to look better. They exercise so that they’ll feel better. But few people consider a voice lift, which combines surgery and exercise to make them sound better.
Unintended Consequences: Combat-related injuries lead to advances in facial plastic and reconstructive surgery
Ever since the first fully equipped otolaryngology team was sent to the Air Force Theater Hospital (AFTH) in Balad, Iraq in 2004, an otolaryngologist-head and neck surgeon has become a permanent member of any deployed multispecialty head and neck team, working alongside a neurosurgeon, ophthalmologist and oral and maxillofacial surgeon.
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