Search Results for: literature review

What Is Considered Adequate Surgery for Chronic Rhinosinusitis with Nasal Polyps?

Chronic rhinosinusitis (CRS) is among the most prevalent chronic medical conditions globally. A survey of Canadian households reported the prevalence of CRS to be 5%. CRS is a clinical syndrome defined by persistent symptomatic inflammation of the mucosa in the nasal cavities and sinuses. A common subtype of CRS is CRS with nasal polyps (CRSwNP), which is identified through endoscopy or imaging

Empty Nose Syndrome: Physiological, Psychological, or Perhaps a Little of Both?

ENS represents one of the more complex conditions in otolaryngology, characterized by the paradoxical feeling of nasal obstruction despite objectively patent airways. In addition to the feeling of severe nasal obstruction—one patient called it “suffocating with every breath”—patients also report dryness, burning, and crusting. The quality-of-life impact can be so great that some patients travel the world seeking multiple consultations and revision surgeries.

Is Fresh Frozen Homologous Costal Cartilage a Suitable Substitute for Autologous Costal Cartilage in Rhinoplasty?

Fresh frozen homologous costal cartilage in rhinoplasty represents an alternative approach that has been described mostly through single-surgeon case series in the existing literature.

Management of Pediatric Tracheocutaneous Fistulae

Tracheocutaneous fistulae (TCF) involve a remnant skin tract that connects the external cervical skin with the anterior trachea following decannulation of a tracheostomy tube (TT). Due to the young age at insertion, length of TT dependence, and propensity for removal with aging, persistent pediatric TCF (PPTCF) are more frequent than in adults. Methods of management are varied, and ideal approaches to management are debated.

Finesse, Patience, and Courage Can Help Physicians Reach a Resolution Juggling Difficult Patients and Conflicting Interests

Otolaryngologists say that carefully choosing the right words, understanding the goals and values of the other party involved, and having a good dose of self-awareness go a long way, both in helping to avoid conflicts and in preventing escalation when they arise.