Head and Neck Medicine by Alexandros G.Sfakianakis

A variety of pathology commonly affects the salivary glands including both benign and malignant tumors as well as infectious and inflammatory disease. Although newer techniques including sialo-endoscopy are emerging for the treatment of inflammatory and obstructive disorders, excision of the submandibular gland remains the treatment of choice for tumors of the submandibular gland and remains an important option for the treatment of refractory inflammatory disease. Relevant surgical anatomy, perioperative management, surgical technique, and possible complications are discussed.

https://ift.tt/2QPYzDT

Deep Lobe Parotidectomy

Publication date: Available online 22 September 2018

Source: Operative Techniques in Otolaryngology-Head and Neck Surgery

Author(s): Kathryn M. Van Abel, Kerry D. Olsen

Abstract

Deep lobe parotidectomy (DLP) is a critical procedure to master for any head and neck oncologic surgeon. This procedure is indicated for any deep lobe malignancy, a superficial lobe malignancy with extension into the deep lobe, refractory inflammatory conditions, and the presence of metastatic disease within a superficial or periparotid lymph node. This article describes the relevant anatomy and steps required to perform a DLP with and without facial nerve sacrifice. In addition, the history of the procedure, patient work up, indications, and possible complications are discussed.

https://ift.tt/2xJ6Ctr

Identification and Dissection of the Facial Nerve During Parotidectomy

Publication date: Available online 22 September 2018

Source: Operative Techniques in Otolaryngology-Head and Neck Surgery

Author(s): Guy J. Petruzzelli

Abstract

Facial nerve injury during parotidectomy remains one of the most significant complications associated this operation. Preventing facial nerve injury begins with a detailed understanding of the extra-temporal course of the facial nerve beginning with identification of the main trunk at the stylomastoid foramen. Reliable anatomic landmarks are present which facilitate identification and preservation of the main trunk of the facial nerve and facilitate antegrade dissection and preservation of the facial nerve distally. This article reviews the skeletal, cartilaginous, and muscular landmarks necessary for the reliable identification of the main trunk of the facial nerve during parotid surgery. Meticulous identification of these landmarks and attention to surgical detail we'll facilitate safe identification and dissection of the facial nerve and contributes significantly to successful parotid surgery.

https://ift.tt/2QTyGmB

Peripheral group 2 innate lymphoid cells are decreased following nasal allergen challenge in allergic rhinitis

Allergy, Volume 0, Issue ja, -Not available-.

https://ift.tt/2QSWVRR

Breathing pattern disorderin difficult asthma: characteristics and improvement in asthma control and quality of life after breathing re‐training

Allergy, Volume 0, Issue ja, -Not available-.

https://ift.tt/2xKjEqD