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    Single Stage Canal Wall Down Mastoidectomy with Reconstruction of the Canal Wall: 5 Years' Experience in Fayoum Province, Egypt.
    J Int Adv Otol 2017 Aug;13(2):181-185
    Department of Ear Nose and Throat, Fayoum University, Fayoum, Egypt.
    Objective: Removing the posterior canal wall or canal wall down mastoidectomy (CWDM) for the management of cholesteatoma remains controversial. We advocate partial removal of the posterior canal wall for complete eradication, followed by canal wall defect reconstruction to restore the normal anatomy and avoid the complications of CWDM.

    Materials And Methods: Sixty-four patients with cholesteatoma (71 ears) were included. Read More

    Components of preoperative anxiety: A qualitative study.
    J Health Psychol 2017 May 1:1359105317709512. Epub 2017 May 1.
    1 The University of Auckland, New Zealand.
    Limited research has explored preoperative anxiety through qualitative methodologies. This study aimed to identify specific factors that contribute to preoperative anxiety. A total of 17 patients awaiting general, plastic reconstructive and hand, orthopaedic, or ear, nose, and throat/otorhinolaryngology surgery were interviewed about their concerns in a public hospital. Read More

    Total Ear Reconstruction Using Porous Polyethylene.
    Semin Plast Surg 2017 Aug 9;31(3):161-172. Epub 2017 Aug 9.
    Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center, Austin, Texas.
    Total ear reconstruction has been approached by several techniques involving autologous graft, prosthetic implant, and alloplastic implant options. Recent studies have shown the superiority of porous polyethylene (Medpor, Porex Surgical) reconstruction over autologous reconstruction based on improved aesthetic results, earlier age of intervention, shorter surgery times, fewer number of required procedures, and a simpler postoperative recovery process. A durable and permanent option for total ear reconstruction, like Medpor, can help alleviate the cosmetic concerns that patients with auricular deformities may be burdened with on a daily basis. Read More

    The Protruding Ear: Cosmetic and Reconstruction.
    Semin Plast Surg 2017 Aug 9;31(3):152-160. Epub 2017 Aug 9.
    Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
    Ear prominence is a relatively common cosmetic deformity with no associated functional deficits, but with profound psychosocial impact, especially in young patients. Protruding ears in children have propagated surgical advances that incorporate reconstructive techniques. Here we outline a systematic framework to evaluate the protruding ear and present various reconstructive surgical options for correction. Read More

    Autologous Ear Reconstruction.
    Semin Plast Surg 2017 Aug 9;31(3):146-151. Epub 2017 Aug 9.
    Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
    Since the pioneering use of autologous rib cartilage for the reconstruction of microtia, there have been significant advances in surgical technique that have helped to ameliorate the psychological burden of microtia. To date, the use of rib cartilage for auricular reconstruction is one of the most enduring and ubiquitous techniques for microtia reconstruction as it provides excellent aesthetic results with lasting durability. In this review, the authors outline the most common methods of microtia reconstruction with a comparison of each technique and illustrative case examples. Read More

    Partial Ear Defects.
    Semin Plast Surg 2017 Aug 9;31(3):134-140. Epub 2017 Aug 9.
    Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
    Reconstruction of partial ear defects represents one of the most challenging areas within reconstructive surgery of the head and neck. Each case of auricular reconstruction is unique and warrants a systematic approach that accounts for defect size and location, the quality of the surrounding skin, patient preference, and operator experience. In this article, the authors outline different reconstructive approaches for defects of the upper-, middle-, and lower-third of the auricle. Read More

    Otologic and Audiology Concerns of Microtia Repair.
    Semin Plast Surg 2017 Aug 9;31(3):127-133. Epub 2017 Aug 9.
    Department of Otolaryngology, Michael E. DeBakey Department of Surgery, Baylor College of Medicine.
    Microtia is a congenital auricular deformity that commonly presents with associated congenital aural atresia. The most acute concern in these patients is concomitant hearing loss at birth. A team-based approach by plastic surgeons and otologists is necessary to address both the otologic and audiologic concerns of microtia and atresia. Read More

    The First Reported Case of Primary Intestinal-type Adenocarcinoma of the Middle Ear and Review of the Literature.
    Otol Neurotol 2017 Aug 8. Epub 2017 Aug 8.
    *Department of Head and Neck Surgery †Department of Pathology ‡Department of Diagnostic Imaging §Department of Neurosurgery ||Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
    Objective: Adenocarcinoma of the middle ear is a rare entity that must be distinguished from other adenomatous tumors of the temporal bone. We present the first patient of an intestinal-type adenocarcinoma originating from the middle ear.

    Patients: A 58-year-old woman presented with an 8-year history of left otorrhea. Read More

    Three-dimensional reconstruction of root cells and interdental cells in the rat inner ear by serial section scanning electron microscopy.
    Biomed Res 2017 ;38(4):239-248
    Division of Microscopic Anatomy, Niigata University Graduate School of Medical and Dental Sciences.
    In the cochlea, a high K(+) environment in the endolymph is essential for the maintenance of normal hearing function, and the transport of K(+) ions through gap junctions of the cochlear epithelium is thought to play an important role in endolymphatic homeostasis. The aim of the present study was to demonstrate the three-dimensional (3D) ultrastructure of spiral ligament root cells and interdental cells, which are located at both ends of the gap junction system of the cochlea epithelium. Serial semi-thin sections of plastic-embedded rat cochlea were mounted on glass slides, stained with uranyl acetate and lead citrate, and observed by scanning electron microscopy (SEM) using the backscattered electron (BSE) mode. Read More

    Assessing the Viability of Hadad Flap by Postoperative Contrast-Enhanced Magnetic Resonance Imaging.
    J Clin Diagn Res 2017 Jun 1;11(6):MC01-MC03. Epub 2017 Jun 1.
    Assistant Professor, Department of Radiodiagnosis, Pondicherry Institute of Medical Sciences, Pondicherry, India.
    Introduction: The Expanded Endonasal Approaches (EEAs) have been widely used for various skull base lesions. The reconstruction of the skull base defects is of vital importance to prevent postoperative complications. The vascular pedicled-nasoseptal flap (Hadad-Bassagasteguy flap) is used as a workhorse in reconstruction of majority of the defects. Read More

    Auricular Tissue Engineering Using Osteogenic Differentiation of Adipose Stem Cells with Small Intestine Submucosa.
    Plast Reconstr Surg 2017 Aug;140(2):297-305
    Taipei, Taiwan From the Division of Plastic Surgery, Taipei Veterans General Hospital; the Department of Surgery, School of Medicine, National Yang-Ming University; and the Department of Chemical Engineering and Biotechnology, National Taipei University of Technology.
    Background: Ear reconstruction remains a challenge for plastic surgeons. A tissue-engineering approach could provide another route for obtaining shape maintenance in neoauricular tissue.

    Methods: The authors designed a novel tissue-engineering auricular construct by culturing human adipose stem cells, which differentiated into osteocytes but not chondrocytes, in small intestine submucosa scaffolds. Read More

    Cost analysis of microtia treatment in the Netherlands.
    J Plast Reconstr Aesthet Surg 2017 Sep 28;70(9):1280-1284. Epub 2017 Jun 28.
    Dutch Center for Ear Reconstruction, University Medical Center Utrecht, Heidelberglaan 100, PO Box 85500, 3508 GA Utrecht, The Netherlands.
    Introduction: Ear reconstruction for microtia is a challenging procedure. Although analyzing esthetic outcome is crucial, there is a paucity of information with regard to financial aspects of microtia reconstruction. This study was conducted to analyze the costs associated with ear reconstruction with costal cartilage in patients with microtia. Read More

    Costal Cartilage Assessment in Surgical Timing of Microtia Reconstruction.
    J Craniofac Surg 2017 Jul 7. Epub 2017 Jul 7.
    Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
    Background: Rib cartilage growth is closely related to age and determines the feasibility and outcomes of auricular reconstruction. Ear reconstruction is performed as early as age 6 in efforts to treat children before school matriculation while allowing for sufficient rib growth. But there is controversy over the optimal timing of microtia reconstruction. Read More

    Nasal reconstruction: our experience.
    J Biol Regul Homeost Agents 2017 Apr-Jun;31(2 Suppl 1):169-174
    Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
    The nose is a critically important aesthetic and functional portion of the face. We can explore nasal defects following trauma or tumor resections. Reconstructive techniques based on primary closure, skin graft, local flap, regional flap and microvascular free tissue transfer provides an algorithmic framework applicable to any reconstructive problem. Read More

    [Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect].
    Zhong Nan Da Xue Xue Bao Yi Xue Ban 2017 Jun;42(6):662-666
    Department of Medical Cosmetology, First Affiliated Hospital, University of South China, Hengyang Hunan 421001, China.
    Objective: To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect. 
 Methods: Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area. Read More

    Factors influencing hearing outcomes in pediatric patients undergoing ossicular chain reconstruction.
    Int J Pediatr Otorhinolaryngol 2017 Aug 30;99:60-65. Epub 2017 May 30.
    Department of Otolaryngology, University of Pittsburgh Medical Center, Eye and Ear Institute, Suite 519, 203 Lothrop St, Pittsburgh, PA 15213, USA; Division of Pediatric Otolaryngology, Children's Hospital of Pittsburgh of UPMC, 4401 Penn Ave, Pittsburgh, PA 15224, USA. Electronic address:
    Objective: Ossicular chain disruption in children leads to conductive hearing loss. Few studies have focused on factors influencing successful results in pediatric ossicular chain reconstruction (OCR). We aim to determine whether demographic or surgical factors affect hearing outcomes in pediatric OCR. Read More

    Uncovering the pathogenesis of microtia using bioinformatics approach.
    Int J Pediatr Otorhinolaryngol 2017 Aug 22;99:30-35. Epub 2017 May 22.
    Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, People's Republic of China.
    Objective: Bioinformatics is widely used in the field of cancer research, but in the research of pathogenesis of congenital malformations the situation is different. The aim of this study was to explore the underlying mechanism using bioinformatics approach.

    Methods: The data were available from Mouse Genome Informatics and Pubmed. Read More

    A retrospective study on facial nerve schwannomas: a disease with a high risk of misdiagnosis and hearing loss.
    Eur Arch Otorhinolaryngol 2017 Jul 7. Epub 2017 Jul 7.
    Department of the Otology and Skull Base Surgery, Eye and Eye Ear Nose and Throat Hospital, Fudan University, 83 Fenyang Road, Shanghai, 200031, China.
    The objective is to increase awareness of facial nerve schwannomas (FNSs). Clinical data from 32 cases with FNSs who received surgical treatment from 2005 to 2015 were reviewed retrospectively. The clinical data included age, sex, presentations, duration, facial nerve function, temporal-bone high-resolution computed tomography (CT) and magnetic resonance imaging (MRI) findings, surgical approaches, and postoperative histopathological examination. Read More

    Hydroxyapatite bone cement application for the reconstruction of retrosigmoid craniectomy in the treatment of cranial nerves disorders.
    Surg Neurol Int 2017 13;8:115. Epub 2017 Jun 13.
    Department of Neurosurgery, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA.
    Background: Retromastoid craniectomy (RSC) is a cardinal surgical approach used to access the posterior fossa. Hydroxyapetite bone cement (HBC) is frequently employed for cranioplasty in efforts to prevent cerebrospinal fluid (CSF) leak, whilst maintaining low complication rates and good cosmetic satisfaction. The authors aim to determine the safety and effectiveness of HBC for reconstruction RSC used for treatment of various cranial nerves disorders. Read More

    Reconstruction of Cutaneous Nasal Defects.
    Facial Plast Surg Clin North Am 2017 Aug 30;25(3):409-426. Epub 2017 May 30.
    Department of Otolaryngology-Head & Neck Surgery, Eye and Ear Infirmary, University of Illinois-Chicago, 1855 W Taylor St Chicago Room. 2.42 Chicago, IL 60612, USA.
    Mohs micrographic surgery has become the standard of care for the treatment of cutaneous malignancies. Reconstructing cutaneous defects of the nose can be challenging, as form and function must be respected to the greatest extent possible. A wide range of reconstructive techniques are used. Read More

    Experimental Simulation of Clinical Borderline Situations in Temporal Bone Specimens After Ossiculoplasty.
    Ear Hear 2017 Jun 30. Epub 2017 Jun 30.
    1Department of Oto-Rhino-Laryngology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; 2Department of Diagnostic Radiology, Pediatric Radiology, Neuroradiology and Interventional Radiology, Medical Center, RKK Klinikum St Josefskrankenhaus, Freiburg, Germany; 3Department of Radiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Germany; and 4Department of Otorhinolaryngology, Head and Neck Surgery, Technical University of Dresden, Germany.
    Objectives: One reason for insufficient hearing improvement with a distinct air-bone gap after ossiculoplasty with implantation of partial or total ossicular replacement prostheses can be the dislocation or minimal shifting of the prosthesis. The aim of this study was the simulation of common clinical borderline situations with minimal shifting of the prosthesis in temporal bone specimens after ossiculoplasty. It was furthermore the goal to identify these specific situations through imaging by cone beam computed tomography (cbCT) and direct visual inspection using the operation microscope. Read More

    Reconstruction Techniques of Choice for the Facial Cosmetic Units.
    Actas Dermosifiliogr 2017 Jun 27. Epub 2017 Jun 27.
    Servicio de Dermatología, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, España.
    Background And Objectives: A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units.

    Material And Methods: This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. Read More

    Mozart Ear Deformity: a Rare Diagnosis in the Ear Reconstruction Clinic.
    J Craniofac Surg 2017 Jul;28(5):e482-e484
    Plastic and Reconstructive Surgery Division, Hospital General "Dr. Manuel Gea Gonzalez," Mexico City, Mexico.
    Mozart ear is a rare auricular deformity; clinically the auricle is characterized by the bulging appearance of the anterosuperior portion of the auricle due to fusion of the crura of the antihelix, an inversion in the normal form of the cavum conchae resulting in its convexity and a slit-like narrowing of the orifice of the external auditory meatus.A retrospective review of clinical and photographic records of patients attended at the ear reconstruction clinic of our hospital between June of 2010 and May 2016 was performed; out of 576 consecutive patients only 3 fulfilled the inclusion criteria, with a prevalence of 0.5%. Read More

    Clinical application of intense pulsed light depilation technology in total auricular reconstruction.
    Lasers Med Sci 2017 Aug 29;32(6):1367-1373. Epub 2017 Jun 29.
    Department of Otolaryngology-Head and Neck Surgery, EYE and ENT Hospital of Fudan University, 83 Fenyang Road, Shanghai, 200031, China.
    Although ear reconstruction technology has been highly developed in recent years, hair growth on the reconstructed ear has plagued both surgeons and patients. In this paper, the authors introduce a clinical application of intense pulsed light depilation in total auricular reconstruction. From August 2012 to August 2013, 27 patients (28 ears) suffering from congenital microtia were treated by intense pulsed light depilation (650-950-nm filter, initial fluence of 14-16 J/cm(2) and gradually increased, pulse width of 30-50 ms, spot size of 20 × 30 mm(2), intervals of 6-8 weeks, a total of four sessions) either before or after auricular reconstruction. Read More

    Umbilical Cord Patch Transplantation for Corneal Perforations and Descemetoceles.
    J Ophthalmol 2017 4;2017:2767053. Epub 2017 Jun 4.
    Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
    Purpose: To evaluate the clinical outcome of umbilical cord patch (UCP) transplantation for deep corneal ulcers with perforations and descemetoceles.

    Methods: In this retrospective, noncomparative, interventional case series, 11 eyes of 11 patients with corneal perforation or descemetocele were included. The thickness and microstructure of UCP were measured. Read More

    Rhesus Cochlear and Vestibular Functions Are Preserved After Inner Ear Injection of Saline Volume Sufficient for Gene Therapy Delivery.
    J Assoc Res Otolaryngol 2017 Aug 23;18(4):601-617. Epub 2017 Jun 23.
    Vestibular NeuroEngineering Lab, Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins University School of Medicine, 720 Rutland Ave., Ross Bldg Rm 830, Baltimore, MD, 21205, USA.
    Sensorineural losses of hearing and vestibular sensation due to hair cell dysfunction are among the most common disabilities. Recent preclinical research demonstrates that treatment of the inner ear with a variety of compounds, including gene therapy agents, may elicit regeneration and/or repair of hair cells in animals exposed to ototoxic medications or other insults to the inner ear. Delivery of gene therapy may also offer a means for treatment of hereditary hearing loss. Read More

    Adenoid cystic carcinoma of the head and neck area: Oncologic treatment and plastic-reconstructive options.
    Ear Nose Throat J 2017 Jun;96(6):E37-E40
    Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Ulm, Frauensteige 12, 89070 Ulm, Germany.
    Adenoid cystic carcinoma of the head and neck area is a rare malignant tumor with acceptable short-term but mediocre long-term prognosis. Radical tumor excision with clear resection margins, and sometimes resection of the facial nerve due to perineural growth, remains the fundamental therapy. We present 3 distinct clinical cases and discuss the current therapeutic options with special focus on plastic-reconstructive techniques. Read More

    Anatomical Characteristics of Facial Nerve and Cochlea Interaction.
    Audiol Neurootol 2017 20;22(1):41-49. Epub 2017 Jun 20.
    Department of Surgical Sciences, Sections of Otolaryngology, Head and Neck Surgery, Uppsala University Hospital, Uppsala, Sweden.
    Objective: The aim was to study the relationship between the labyrinthine portion (LP) of the facial canal and the cochlea in human inner ear molds and temporal bones using micro-CT and 3D rendering. A reduced cochlea-facial distance may spread electric currents from the cochlear implant to the LP and cause facial nerve stimulation. Influencing factors may be the topographic anatomy and otic capsule properties. Read More

    The palisade cartilage tympanoplasty technique: a systematic review and meta-analysis.
    J Otolaryngol Head Neck Surg 2017 Jun 17;46(1):48. Epub 2017 Jun 17.
    Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Hospital, 8440 112 Street, Edmonton, AB, T6G 2B7, Canada.
    Background: Tympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the literature and meta-analysis with the aim to evaluate the effectiveness of one of the techniques which is gaining popularity, the palisade cartilage tympanoplasty. Read More

    [Reconstructive otoplasty: differentiated approach to rib cartilage processing and ear framework formation using carving technique].
    Stomatologiia (Mosk) 2017;96(3):30-35
    Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
    The aim of the research was to optimize surgical rehabilitation of patients with auricle defects and deformities by the developing of differentiated approach to the choice of reconstructive otoplasty method. The study involved 30 patients with auricle defects and deformities of congenital (20 patients) and acquired (10 patients) etiology. The defects were total in 25 patients and partial in 5 patients. Read More

    Intracochlear schwannoma : Tumor removal via subtotal cochleoectomy and partial cochlear reconstruction with preservation of semicircular canal function.
    HNO 2017 Jun 14. Epub 2017 Jun 14.
    Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital and Medical School, Martin Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
    We report about a patient, who in 2005, as a 37-year-old, experienced a sudden, mild to moderate, mid-frequency sensorineural hearing loss in the right ear, along with tinnitus and mild dizziness. MRI of the temporal bone revealed a very small (1 mm) enhancing lesion in the second turn of the right cochlea after injection of contrast medium. Hearing gradually deteriorated, with complete hearing loss in 2015. Read More

    Hydroxyapatite cement resurfacing the dehiscent jugular bulb: Novel treatment for pulsatile tinnitus.
    Laryngoscope 2017 Jun 13. Epub 2017 Jun 13.
    Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University Health System, Richmond, Virginia.
    Objectives/hypothesis: The objectives were to discuss the presentation and symptomatology of patients with jugular bulb abnormalities, summarize the literature describing jugular bulb abnormalities, compare methods of treating symptomatic dehiscent jugular bulb, describe a novel surgical technique and pitfalls to repair dehiscent bulbs with hydroxyapatite cement, and present a case series to demonstrate outcomes with this technique STUDY DESIGN: Case series presentation, PubMed literature review, and description of operative technique.

    Methods: A series of patients presenting with pulsatile tinnitus due to dehiscent jugular bulbs who underwent operative repair with hydroxyapatite cement resurfacing is described. Literature review was conducted via a PubMed database search. Read More

    Evaluation of Requirements for Staging the Procedure of Reconstruction of Middle Ear After Canal Wall Down Mastoidectomy.
    Indian J Otolaryngol Head Neck Surg 2017 Jun 18;69(2):155-158. Epub 2016 May 18.
    Bangalore Medical College and Research Institute, Bangalore, 560002 India.
    Cholesteatoma is a progressive destructive ear disease which can affect any age group. It has been found to be more severe in children and young adults. It erodes the surrounding bone of middle ear, mastoid and ossicles. Read More

    Role of Autologous Versus Homologous Cartilage in Ossicular Reconstruction: A Comparative Study.
    Indian J Otolaryngol Head Neck Surg 2017 Jun 20;69(2):137-141. Epub 2016 Feb 20.
    Department of ENT, Govt Medical College, Amritsar, 39-B Circular Road, Amritsar, India.
    Ossicular discontinuity is the most common cause of conductive hearing loss. The use of ossicular graft material in ossicular chain reconstruction significantly improves the result in hearing. This study was conducted to compare and analyze the outcome of ossicular reconstruction using autologous conchal cartilage and homologous septal cartilage in terms of hearing results and graft uptake rates. Read More

    Avoiding the Hughes flap in lower eyelid reconstruction.
    Curr Opin Ophthalmol 2017 Sep;28(5):493-498
    aDepartment of Ophthalmology, Hong Kong Sanatorium & Hospital, Happy Valley bDepartment of Ophthalmology, University of Hong Kong, Cyberport cDepartment of Ophthalmology, Grantham Hospital, Aberdeen, Hong Kong.
    Purpose Of Review: To review current surgical practices of lower eyelid reconstruction with a focus on recent studies.

    Recent Findings: Combination techniques and new flap techniques offer efficacy comparable with existing reconstructive approaches, with the advantage of less local trauma. Inappropriate handling of posterior lamellar grafts, such as kerfing, may predispose to graft failures. Read More

    Silent sinus syndrome and maxillary sinus atelectasis in children.
    Int J Pediatr Otorhinolaryngol 2017 07 11;98:150-157. Epub 2017 May 11.
    Ear, Nose and Throat Metropolitan Unit, Surgical Department, AUSL Bologna, Bellaria Hospital, Via Altura 3, 40139 Bologna, Italy. Electronic address:
    Objective: Silent sinus syndrome (SSS) and chronic maxillary atelectasis (CMA) are unusual conditions having subtle symptoms with a possible progressive evolution. They are particularly infrequent in the pediatric population. Our objective was to review our experience with pediatric patients having SSS or CMA, and to review all cases involving patients under 14 years of age reported in the literature. Read More

    A Meta-Analysis of Outcomes After In Situ Reconstructions for Aortic Graft Infection.
    Angiology 2017 Jan 1:3319717710114. Epub 2017 Jan 1.
    2 Laboratory of Biostatistics and Epidemiology, University Institute for Clinical Research, Montpellier, France.
    Objective: To confirm the advantage of in situ reconstruction (ISR) over extra-anatomic reconstruction (EAR) for aortic graft infection and determine the most appropriate conduit including autogenous veins, cryopreserved allografts, and synthetic prosthesis (standard, rifampicin of silver polyesters).

    Methods: A meta-analysis was conducted with rate of mortality, graft occlusion, amputation, and reinfection. A meta-regression was performed with 4 factors: patients' age, presence of prosthetic-duodenal fistula (PDF), virulent organisms, or nonvirulent organisms. Read More

    Chronic maxillary atelectasis and silent sinus syndrome: two faces of the same clinical entity.
    Eur Arch Otorhinolaryngol 2017 Jun 1. Epub 2017 Jun 1.
    ENT Department, Université Catholique de Louvain, Centre Hospitalier Universitaire UCL Namur, Av. Docteur Gaston Therasse 1, 5530, Yvoir, Belgium.
    Chronic maxillary atelectasis (CMA) and silent sinus syndrome (SSS) are rare clinical entities characterized by an implosion of the maxillary sinus that may or may not be associated with sinonasal symptoms, and are complicated by ipsilateral enophthalmos. The objective of this article is to discuss the definitions, physiopathology, clinical and radiographic characteristics, and surgical management of these entities. We retrospectively reviewed 18 patients (7 women, 11 men, aged 12-70 years) diagnosed and treated in the ear, nose, and throat departments of four Belgian teaching hospitals between 2000 and 2015. Read More

    Epidemiology and Outcomes of Auricular Burn Injuries.
    J Burn Care Res 2017 May 23. Epub 2017 May 23.
    From the *Division of Plastic Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY; and †Department of Surgery, State University of New York Upstate Medical University, Syracuse, NY.
    Auricular burns represent a unique type of injury. The acute management and clinical course of these injuries can be different from other facial burns. There is a paucity of literature pertaining to the epidemiology and acute management of auricular burns. Read More

    Innovative 3D Model of the Human Middle Ear in High Resolution with a Histological Microgrinding Method: A Feasibility Study and Comparison with μCT.
    Int J Otolaryngol 2017 3;2017:6753604. Epub 2017 May 3.
    Institute for Neuroanatomy and Cell Biology, Hannover Medical School, Hannover, Germany.
    Conclusion. The development of a histological 3D model of the tympanic cavity visualizes the exact microanatomy of the sound conduction organ and is therefore essential for finite elements simulations and surgical training. Objectives. Read More

    Iris suture fixation: Push-knot needle.
    J Cataract Refract Surg 2017 Apr;43(4):456-458
    From Dongguan Aier Ophthalmic Hospital (Liu), Dongguan, the Department of Ophthalmology (Geng), the First Affiliated Hospital of Kunming Medical University, Kumming City, and the Department of Ophthalmology (Chen), First Hospital of Xi'an, Shanxi Institute of Ophthalmology, Shanxi Provincial Key Laboratory of Ophthalmology, Xi'an, Shanxi, China; the Department of Ophthalmology and Visual Sciences (Zhou, Yu, Guaiquil, Rosenblatt), Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA. Electronic address:
    We describe a technique to create a locking knot for iris reconstruction or intraocular lens fixation. A modified needle is prepared by straightening the tip of an ophthalmic viscosurgical device needle or a lacrimal cannula needle. After the suture is passed through 2 sides of an iris defect, the 2 ends are externalized and looped. Read More

    Cartilage engineering in reconstructive surgery: auricular, nasal and tracheal engineering from a surgical perspective.
    Regen Med 2017 Apr 19;12(3):303-314. Epub 2017 May 19.
    Department of Hand, Plastic & Aesthetic Surgery, Ludwig Maximilian University of Munich, Pettenkoferstrasse 8a, Munich DE 80336, Germany.
    This review provides an update on cartilage tissue engineering with particular focus on the head and neck. It is aimed at scientists and clinicians who are interested in tissue engineering and its clinical applicability. Principal tissue engineering strategies are summarized in the first part of this review. Read More

    Data and Reporting Quality in Tympanoplasty and Ossiculoplasty Studies.
    Otolaryngol Head Neck Surg 2017 Aug 16;157(2):281-288. Epub 2017 May 16.
    1 Department of Otorhinolaryngology-Head and Neck Surgery, Technische Universität Dresden, Dresden, Germany.
    Objective The objective of our study was to check the documentation of hearing outcome parameters and influencing factors (surgical, pathological, and methodological) in published literature evaluating hearing outcome after tympanoplasty. We aimed to assess how effectively the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) 1995 guidelines were applied. Study Design Retrospective noncontrolled study. Read More

    Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting.
    Plast Reconstr Surg Glob Open 2017 Apr 19;5(4):e1301. Epub 2017 Apr 19.
    Department of Plastic and Reconstructive Surgery, New Tokyo Hospital, Chiba, Japan; Department of Plastic and Reconstructive Surgery, Asakadai Central General Hospital, Saitama, Japan; and Department of Plastic and Reconstructive Surgery, National Defense Medical College, Saitama, Japan.
    Background: The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. Read More

    [Long-term Follow up and patient satisfaction after tympanoplasty with Titanium Clip-Prothesis].
    Laryngorhinootologie 2017 May 12. Epub 2017 May 12.
    HNO, Klinikum der Stadt Ludwigshafen gGmbH, Ludwigshafen.
    Aim of the present study is to evaluate the long term results of ossiculoplasty using titanium clip prosthesis. A retrospective analysis with prospective follow-up has been done including for all patients who had a Clip-PORP implanted between the years 2002-2013. Following this, audiometric hearing results were measured with clinical examination including otoscopy and quality of life evaluation using Glasgow benefit inventory. Read More

    [Tympanoplasty - News And New Perspectives].
    Laryngorhinootologie 2017 Apr 12;96(S 01):S66-S83. Epub 2017 May 12.
    Technische Universität Dresden.
    Techniques and biomaterials for reconstructive middle ear surgery are under steady, ongoing development. At the same time, clinical post-surgery results are evaluated to determine success or failure of the therapy. Routine quality assessment and assurance is of growing importance in the medical field, and therefore also in middle ear surgery. Read More

    Transcanal Endoscopic Ear Surgery for Excision of a Facial Nerve Venous Malformation With Interposition Nerve Grafting: A Case Report.
    Otol Neurotol 2017 Jul;38(6):895-899
    *Department of Otolaryngology-Head and Neck Surgery †University of Texas Southwestern Medical School ‡Department of Pathology, University of Texas Southwestern Medical Center, Dallas, Texas.
    Objective: To illustrate a novel approach for the surgical management of a venous malformation of the facial nerve, including interposition nerve grafting, via an exclusively transcanal endoscopic ear surgery (TEES) approach.

    Patient: Thirty nine-year-old woman with a preoperative House-Brackmann (HB) grade IV facial paresis secondary to a facial nerve tumor.

    Intervention(s): Surgical excision and interposition nerve graft via a transcanal endoscopic approach. Read More

    Functional outcomes of tympanoplasty surgery.
    Otolaryngol Pol 2016 Nov;70(6):12-19
    Department of Otolaryngology and Laryngological Oncology Ludwik Rydygier Memorial Collegium Medicum at the Nicolaus Copernicus University in Bydgoszcz. Director: prof. dr hab. Henryk Kaźmierczak.
    Objective: We reviewed functional outcomes of tympanoplasty.

    Study Design: The results of tympanoplastic surgery are changing in time. We present late treatment outcomes among different types of tympanoplasty. Read More

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