Genetics of Hearing Loss—Nonsyndromic
- Abstract
- Full Text
- References
- PDF (237 KB)
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Eighty percent of nonsyndromic hearing losses are caused by autosomal-recessive (AR) inheritance, while most of the other 20% are caused by autosomal-dominant (AD) inheritance. Although AR nonsyndromic SNHL is most commonly caused by GJB2 and SLC26A4, there is no single gene that accounts for any significant proportion of AD SNHL. High-throughput sequencing techniques, also called next-generation sequencing (NGS) or massively parallel sequencing (MPS), may allow for routine definitive diagnosis of all possible genetic causes for hearing loss in the not-too-distant future.
Medical and Surgical Complications in the Treatment of Chronic Rhinosinusitis
- Abstract
- Full Text
- Images
- References
- PDF (94 KB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Early Practice
External Sinus Surgery and Procedures and Complications
- Abstract
- Full Text
- Images
- References
- PDF (1 MB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
External approaches to the paranasal sinuses are rarely used in the endoscopic era. However, their indications for use have not changed, and in every surgeon's career those indications may present themselves. For residents training in the endoscopic era, these procedures are also very rarely seen. In this article, the external approaches to the maxillary, ethmoid, and frontal sinuses are described: their original descriptions, modern use, and potential complications. It is hoped that this article will serve to instruct residents and practitioners alike in these techniques.
Anatomy and Complications
Safe Sinus
- Abstract
- Full Text
- Images
- References
- PDF (833 KB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Safe sinus surgery is predicated on a clear understanding and knowledge of the anatomy. The paranasal sinuses are surrounded by vital vascular and neurologic structures. In every step during the surgical procedure, one should know the regional surrounding anatomy and the potential complications that can be encountered if the procedures traverse these areas. Preoperative assessment of the imaging is important to identify potential hazardous areas.
Neurologic Complications and Treatment
- Abstract
- Full Text
- Images
- References
- PDF (1 MB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Risk is inherent with all surgical procedures. Most endoscopic sinus surgery (ESS) is uncomplicated. Among the many complications inherent with ESS are the neurologic complications, which include cerebrospinal fluid rhinorrhea, traumatic soft tissue and vascular injuries, infection, and seizures. Despite intense review of a patient's preoperative scans, use of stereotactic image guidance, and an expert understanding of anatomy, neurologic complications occur. An understanding of these complications and how to manage them can help to reduce long-term patient injury as well as help prevent recurrence.
Medicolegal Issues in Endoscopic Sinus Surgery and Complications
- Abstract
- Full Text
- Images
- References
- PDF (1 MB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
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.
Does Image-Guided Surgery Reduce Complications?
- Abstract
- Full Text
- Images
- References
- PDF (1 MB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Image-guided surgery (IGS) is progressively used in endoscopic sinus surgery (ESS), and surgeon comfort with the technology has increased. It remains a challenge to determine if the use of IGS in ESS leads to a reduction in surgical complications and improved outcomes. Current literature does not show a clear reduction in surgical complications. The routine use of IGS in ESS as a deterrent to medicolegal liability is not substantiated by recent reported data. There are particular situations in which IGS may be helpful, but its use is likely not required for routine ESS and seems best left to surgeon discretion.
Imaging of the Paranasal Sinuses
Mitigation, Identification, and Workup of Functional Endoscopic Surgery Complications
- Abstract
- Full Text
- Images
- References
- PDF (850 KB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
The purpose of this article is to identify and define the appropriate imaging techniques in the evaluation of post–functional endoscopic surgery (FESS) complications. Although most complications encountered during FESS are identified readily during surgery, some are less conspicuous and require postoperative imaging. As illustrated in this article, these include cerebrospinal fluid leak, vascular injury, brain injury, orbital injury, and infectious complications of the brain and meninges. Some of the common anatomic variants of the paranasal sinuses are identified, and how these may predispose to surgical complications is discussed.
Orbital Complications Associated with the Treatment of Chronic Rhinosinusitis
- Abstract
- Full Text
- Images
- References
- PDF (2 MB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Orbital injuries from endoscopic sinus surgery are rare but potentially catastrophic. The most feared complications from sinus surgery include blindness and diplopia. Recent publications note that the rate of orbital complications has decreased when compared with the past, reflecting the use of endoscopes, better technology, and improved training. The sinus surgeon must have mastery over the procedure she or he plans to undertake and be aware of the specific potential for orbital injury given the patient's anatomy and disease. The sinus surgeon must also have expert knowledge of the appropriate and immediate medical and surgical management of orbital complications.
Rare and Other Notable Complications in Endoscopic Sinus Surgery
- Abstract
- Full Text
- References
- PDF (212 KB)
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
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 urgent management of these problems.
Pitfalls in Sinus Surgery
An Overview of Complications
- Abstract
- Full Text
- Images
- References
- PDF (788 KB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
There is a potential for significant complications from the medical and surgical treatment of rhinosinusitis because of the intimate relationship between the paranasal sinuses and surrounding vital structures. Familiarity with the complex anatomic relationships between the skull base and other critical structures and knowledge of pharmacologic properties of commonly used medical therapies are essential for preventing serious and harmful seqsuelae. The authors hope that this review represents a valuable addition to the otolaryngologist-in-training's therapeutic armamentarium, and also serves as a reminder of the potential pitfalls for the experienced sinus surgeon.
Olfaction in Endoscopic Sinus and Skull Base Surgery
- Abstract
- Full Text
- References
- PDF (235 KB)
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Olfactory dysfunction is a common complaint for patients with chronic rhinosinusitis, because smell loss decreases a patient's quality of life. Smell loss is caused by obstruction from polyps, nasal discharge, and mucosal edema, as well as inflammatory changes within the olfactory epithelium. Addressing olfaction before endoscopic sinus and skull base surgery is important in order to set postoperative expectations, because an improvement in smell is difficult to predict. Several commercially available olfactory testing measures are available and can easily be administered in clinic. During surgery, careful dissection within the olfactory cleft is recommended in order to optimize postoperative olfactory function.
Medicolegal Implications of Common Rhinologic Medications
- Abstract
- Full Text
- References
- PDF (224 KB)
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
As otolaryngologists, we prescribe many medications to our patients. The objective of this article is to review the potential side effects and medicolegal risks of the common medications used to treat chronic rhinosinusitis. The authors evaluate some of the common side effects as well as the published literature on the lawsuits associated with those medications. Finally, the authors review the informed consent discussion and opportunities to improve patient care and decrease the risk of litigation.
Avoiding Complications in Endoscopic Sinus Surgery
- Abstract
- Full Text
- Images
- References
- PDF (951 KB)
- Download Images(.ppt)About Images & Usage
- Email Article
- Add to My Reading List
- Export Citation
- Create Citation Alert
- Cited by in Scopus (0)
Otolaryngologic Clinics of North America
Complications of endoscopic sinus surgery (ESS) can range from the mundane to the catastrophic, with nasal hemorrhage being the most common. Intraorbital and intracranial complications are much less common. Despite the rarity of complications, they are often avoidable. Certain identifiable risk factors can be appreciated during the preoperative, intraoperative, and postoperative evaluations of the sinus patient. With awareness of these risk factors the rhinologist can develop a strategic plan of risk factor mitigation. This article identifies areas of increased risk that are amenable to preventive strategies before complications become realized.
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου