Inverted papillomas are rare, benign epithelial tumours of the nasal cavity and paranasal sinuses. To evaluate recurrence rates and rates of malignant transformation by lateral rhinotomy and midfacial degloving approaches for inverted papillomas. Retrospective case series, done at Manipal Teaching Hospital, Pokhara, over an 8-year period from 2000 to 2008. We did a review of 20 cases of T3 inve...

Introduction Functional endoscopic sinus surgery has a long-term high rate of success for symptomatic improvement in patients with medically refractory chronic rhinosinusitis. As the popularity of the technique continues to grow, however, so does the population of patients with postsurgical persistent sinus disease, especially in those with a large window for ventilation and drainage. In additi...

IMPORTANCE The trigeminocardiac reflex refers to the sudden development of bradycardia or even asystole with arterial hypotension from manipulation of any sensory branches of the trigeminal nerve. Although it has only rarely been associated with morbidity and tends to be self-limited with removal of the stimulus, it is an important phenomenon for head and neck surgeons to recognize and respond ...

This study applied ERB analysis for measuring acoustic correlates of hypernasal fricatives produced by speakers with different aetiologies (cleft palate, maxillectomy and dysarthria). The speech materials were consonants /n/ and /s/ segmented from two Cantonese single words and four Cantonese oral sentences. Results showed that hypernasal speakers produced /s/ with significantly higher mean amp...

OBJECTIVES/HYPOTHESIS The aim of this study was to describe a technique using the fascia lata (FL) component of the anterolateral thigh (ALT) flap to re-create the orbital floor and lateral nasal wall after total maxillectomy. STUDY DESIGN Retrospective analysis of medical records. METHODS A total of 22 patients underwent maxillary reconstruction using a composite ALT-FL flap following canc...

OBJECTIVE To analyze the incidence of prolonged epiphora after maxillectomy according to transected nasolacrimal duct management technique, type of tumor, radiotherapy, and timing of tube removal and performance of dacryocystorhinotomy. DESIGN Retrospective medical record review. Settings University hospitals. PATIENTS We studied 89 patients (90 cases) who underwent nasolacrimal duct transe...

Mucoepidermoid carcinoma (MEC) is the most common type of malignant neoplasm in the minor salivary gland. The hard palate is a frequently involved site of MEC. The treatment of low-grade MEC on the hard palate is wide local resection with a tumor-free margin. In the present case, the maxillary defect was reconstructed using a buccal fat pad (BFP) flap, followed by application of 4-hexylresorcin...

The nonlinear seismic responses of 3D steel buildings with perimeter moment resisting frames (PMRF) and interior gravity frames (IGF) are studied explicitly considering the contribution of the IGF. The effect on the structural response of the stiffness of the beam-to-column connections of the IGF, which is usually neglected, is also studied. It is commonly believed that the flexibility of shear...

A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated by curettage with wide surgical margins. Later, partial maxillectomy was carried out followed immediately by iliac bone graft. The case was followed with peri...

654 September 2014 A IRWAY management in patients with previous extensive facial surgery can be challenging. We report, after patient’s written consent, a method for transorbital intubation in a 46-yr-old man with partial maxillectomy and right orbital exenteration. Physical examination revealed limited mouth opening, Mallampati 4, and adequate sternomental and thyromental distances. The patien...