Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
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Reconstruction following endoscopic skull base surgery requires a high degree of success to avoid the morbidity of postoperative cerebrospinal fluid (CSF) leak. The impact on outcomes of CSF visualization with intrathecal fluorescein, however, is unknown. ⋯ The lack of intraoperative fluorescein leakage correlates strongly with a low risk for postoperative CSF leak. This can be used to stratify the extent of skull base reconstruction required during endoscopic skull base surgeries.
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Otolaryngol Head Neck Surg · Aug 2007
ReviewUtilization of free tissue transfer in head and neck surgery.
Free tissue transfer is frequently incorporated into the reconstructive algorithm for a multitude of defects in the head and neck. With the increasing usage of free tissue transfer we undertook to review the most current advances in the field. ⋯ Free tissue transfer continues to be the reconstructive modality of choice for head and neck defects.
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Otolaryngol Head Neck Surg · Jul 2007
Comparative StudyThe role of FDG-PET/CT imaging in head and neck malignant conditions: impact on diagnostic accuracy and patient care.
To assess the value of positron emission tomography/computed tomography (PET/CT) with 18F-Fluorodeoxyglucose (FDG) in patients with head and neck carcinoma as compared with PET and conventional imaging alone, and to assess the impact of PET/CT on further clinical management. ⋯ PET/CT is an imaging modality with high diagnostic performance in the assessment of head and neck cancer, and induced a change in further clinical management in more than half of the study population.
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Otolaryngol Head Neck Surg · Jul 2007
Randomized Controlled Trial Comparative StudySwallowing before and after tonsillectomy as evaluated by surface electromyography.
Surface electromyography (sEMG) was performed on adult patients (n = 40) following tonsillectomy to evaluate recovery by objective means. ⋯ The reported sEMG method and obtained data might be further used: 1) As an additional tool for comparison of different methods of tonsillectomy (eg, cold vs hot dissection, laser surgery, etc); 2) For further development of objective postsurgical pain assessment; 3) As an additional tool for assessment and development of less traumatic surgical technique; and 4) For monitoring of recovery in difficult cases.
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Otolaryngol Head Neck Surg · Jul 2007
Comparative StudyPositive affect predicts improved lip movement in facial movement disorder.
Positive affect in individuals with a facial movement disorder may promote lip corner movement (zygomaticus major) during smiling. We investigated whether a positive affect marker (orbicularis oculi activity) observed in an initial clinic visit of individuals with facial movement disorder (N = 28) predicted increased lip corner movement at a subsequent visit. ⋯ Positive emotion in facial movement patients may be an important factor in recovery of facial movement during therapy.