Pub Date : 2024-09-30DOI: 10.1016/j.otc.2024.07.022
Tirth R. Patel MD, MS, Christopher M. Welch MD, PhD
{"title":"The Science of Cholesteatoma","authors":"Tirth R. Patel MD, MS, Christopher M. Welch MD, PhD","doi":"10.1016/j.otc.2024.07.022","DOIUrl":"10.1016/j.otc.2024.07.022","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages 1-27"},"PeriodicalIF":1.3,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-24DOI: 10.1016/j.otc.2024.08.011
Donald Tan MD , Natalie Schauwecker MD , Elizabeth L. Perkins MD , Kenneth Lee MD, PhD
{"title":"Outcomes with Management of Cholesteatoma","authors":"Donald Tan MD , Natalie Schauwecker MD , Elizabeth L. Perkins MD , Kenneth Lee MD, PhD","doi":"10.1016/j.otc.2024.08.011","DOIUrl":"10.1016/j.otc.2024.08.011","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages 141-152"},"PeriodicalIF":1.3,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-24DOI: 10.1016/j.otc.2024.08.010
Samantha Anne MD, MS, Michael Hoa MD
{"title":"Cholesteatoma","authors":"Samantha Anne MD, MS, Michael Hoa MD","doi":"10.1016/j.otc.2024.08.010","DOIUrl":"10.1016/j.otc.2024.08.010","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages xix-xx"},"PeriodicalIF":1.3,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-24DOI: 10.1016/j.otc.2024.08.005
Max Feng, Adeeb Derakhshan, Jennifer Fuller
Although no gold-standard test exists for measuring the success of surgery in functional rhinoplasty, the patient's own subjective experience of their nasal airway obstruction and its impact on quality of life is paramount in outcomes assessment. Patient-reported outcome measures (PROMs) are questionnaires designed to evaluate both disease-specific nasal functional and esthetic domains and global health-related quality of life domains. Ideal PROMs are derived from patient input, psychometrically validated, reliable, and responsive. Assessment at both preoperative and postoperative visits allows for quantitative analysis of surgical outcomes and helps promote communication between the patient and surgeon.
{"title":"Patient-Reported Outcome Measures in Nasal Valve Repair and Nasal Obstruction.","authors":"Max Feng, Adeeb Derakhshan, Jennifer Fuller","doi":"10.1016/j.otc.2024.08.005","DOIUrl":"https://doi.org/10.1016/j.otc.2024.08.005","url":null,"abstract":"<p><p>Although no gold-standard test exists for measuring the success of surgery in functional rhinoplasty, the patient's own subjective experience of their nasal airway obstruction and its impact on quality of life is paramount in outcomes assessment. Patient-reported outcome measures (PROMs) are questionnaires designed to evaluate both disease-specific nasal functional and esthetic domains and global health-related quality of life domains. Ideal PROMs are derived from patient input, psychometrically validated, reliable, and responsive. Assessment at both preoperative and postoperative visits allows for quantitative analysis of surgical outcomes and helps promote communication between the patient and surgeon.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-20DOI: 10.1016/j.otc.2024.08.006
Rui Xavier, Munish Shandilya
The diagnosis of nasal valve compromise (NVC) is clinical. However, objective evaluation of the nasal airway can support the clinical diagnosis of NVC and quantify the derangement produced by NVC in nasal airflow and in nasal airway resistance. Computational fluid dynamics analysis can quantify disturbances of the normal nasal airway conditions and, furthermore, localize these disturbances to the nasal valve. Objective evaluation of the nasal airway is useful to assess the results of surgery addressing the nasal valve, being able to quantify the improvement in nasal airflow, nasal airway resistance and nasal airway dimensions achieved by surgery.
{"title":"Objective Outcome Measures in Nasal Valve Repair and Nasal Obstruction.","authors":"Rui Xavier, Munish Shandilya","doi":"10.1016/j.otc.2024.08.006","DOIUrl":"https://doi.org/10.1016/j.otc.2024.08.006","url":null,"abstract":"<p><p>The diagnosis of nasal valve compromise (NVC) is clinical. However, objective evaluation of the nasal airway can support the clinical diagnosis of NVC and quantify the derangement produced by NVC in nasal airflow and in nasal airway resistance. Computational fluid dynamics analysis can quantify disturbances of the normal nasal airway conditions and, furthermore, localize these disturbances to the nasal valve. Objective evaluation of the nasal airway is useful to assess the results of surgery addressing the nasal valve, being able to quantify the improvement in nasal airflow, nasal airway resistance and nasal airway dimensions achieved by surgery.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.otc.2024.08.001
Shayan Fakurnejad, Suresh Mohan, Rahul Seth, Philip Daniel Knott
Gender-affirming facial surgery is increasing in prevalence, and rhinoplasty plays an integral role in its success. The nose displays considerable gender dimorphism, and maneuvers performed during gender-affirming rhinoplasty may differ considerably from those performed during cis-gender surgery. During feminization rhinoplasty in particular, cosmetic goals often rely on reductive techniques such as osteotomies, dorsal reduction, sidewall narrowing, tip narrowing, and alar base narrowing. These maneuvers collectively have important ramifications when considering the functional aspects of the nose. Herein, we outline the status of feminization rhinoplasty, and the interplay of cosmetic and functional considerations of the field.
{"title":"Functional and Cosmetic Considerations in Gender-Affirming Feminization Rhinoplasty.","authors":"Shayan Fakurnejad, Suresh Mohan, Rahul Seth, Philip Daniel Knott","doi":"10.1016/j.otc.2024.08.001","DOIUrl":"https://doi.org/10.1016/j.otc.2024.08.001","url":null,"abstract":"<p><p>Gender-affirming facial surgery is increasing in prevalence, and rhinoplasty plays an integral role in its success. The nose displays considerable gender dimorphism, and maneuvers performed during gender-affirming rhinoplasty may differ considerably from those performed during cis-gender surgery. During feminization rhinoplasty in particular, cosmetic goals often rely on reductive techniques such as osteotomies, dorsal reduction, sidewall narrowing, tip narrowing, and alar base narrowing. These maneuvers collectively have important ramifications when considering the functional aspects of the nose. Herein, we outline the status of feminization rhinoplasty, and the interplay of cosmetic and functional considerations of the field.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.otc.2024.08.002
Simon I. Angeli MD , Kay W. Chang MD
{"title":"Principles of Cholesteatoma Management","authors":"Simon I. Angeli MD , Kay W. Chang MD","doi":"10.1016/j.otc.2024.08.002","DOIUrl":"10.1016/j.otc.2024.08.002","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages 41-50"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.otc.2024.07.028
Jaclyn Lee, Monica K Rossi-Meyer, Shiayin F Yang, Scott J Stephan, Priyesh N Patel
Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be equivalent to as-needed opioids for postsurgical pain management. Preoperative pain counseling is important to set post-rhinoplasty pain expectations and reduce opioid use. A single intravenous dose of prophylactic antibiotics before incision is sufficient for most cases of functional rhinoplasty. Additional considerations are given to complex revision cases, use of allogenic grafts or implants, external osteotomies, or patients with immunosuppression or at risk of endocarditis.
{"title":"Postoperative Pain and Perioperative Antibiotic Management in Functional Rhinoplasty.","authors":"Jaclyn Lee, Monica K Rossi-Meyer, Shiayin F Yang, Scott J Stephan, Priyesh N Patel","doi":"10.1016/j.otc.2024.07.028","DOIUrl":"https://doi.org/10.1016/j.otc.2024.07.028","url":null,"abstract":"<p><p>Post-rhinoplasty pain control should use a multimodal regimen. Evidence suggests decreasing routine prescriptions of narcotics is reasonable for most individuals, and acetaminophen and nonsteroidal antiinflammatory drug combinations may be equivalent to as-needed opioids for postsurgical pain management. Preoperative pain counseling is important to set post-rhinoplasty pain expectations and reduce opioid use. A single intravenous dose of prophylactic antibiotics before incision is sufficient for most cases of functional rhinoplasty. Additional considerations are given to complex revision cases, use of allogenic grafts or implants, external osteotomies, or patients with immunosuppression or at risk of endocarditis.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-11DOI: 10.1016/j.otc.2024.08.004
Nadine I. Ibrahim MD , Christine Settoon MD , Ken Kazahaya MD, MBA , Emily Z. Stucken MD
{"title":"Complications of Surgery","authors":"Nadine I. Ibrahim MD , Christine Settoon MD , Ken Kazahaya MD, MBA , Emily Z. Stucken MD","doi":"10.1016/j.otc.2024.08.004","DOIUrl":"10.1016/j.otc.2024.08.004","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages 165-175"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-10DOI: 10.1016/j.otc.2024.07.024
Keelin Fallon BA , David Chi MD , Aaron Remenschneider MD, MPH
{"title":"Management of Cholesteatoma","authors":"Keelin Fallon BA , David Chi MD , Aaron Remenschneider MD, MPH","doi":"10.1016/j.otc.2024.07.024","DOIUrl":"10.1016/j.otc.2024.07.024","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":"58 1","pages":"Pages 75-87"},"PeriodicalIF":1.3,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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