OBJECTIVE To review our experience with intracapsular tonsillectomy using powered instrumentation in the management of tonsillar hypertrophy causing obstructive sleep-disordered breathing in children. STUDY DESIGN Retrospective case series. METHODS Intracapsular tonsillectomy, a form of partial tonsillectomy performed with an endoscopic microdebrider, preserves the tonsillar capsule as a ba...

BACKGROUND Many patients with chronic tendinosis have experienced early pain relief after application of bipolar radiofrequency treatment. It is hypothesized that the mechanism of action may be the acute degeneration and/or ablation of sensory nerve fibers. HYPOTHESIS After ablation or degeneration by bipolar radiofrequency, nerve fibers will have the ability to regenerate with time. STUDY ...

INTRODUCTION Vallecular cysts (VCs), also known as epiglottic mucous retentions or base of the tongue cysts, are ductal cysts resulting from obstruction and retention of mucus in the collecting ducts of the submucosal glands located at the base of the tongue. VCs are covered with ductal cells rather than with acinar cells, and this supports the hypothesis that they are dilated ducts and not dis...

OBJECTIVES Surgical management of children with chronic otitis media with effusion (OME) includes tympanostomy tube insertion or adenoidectomy, alone or with myringotomy and tube insertion. The aim of this study was to compare the effectiveness of transoral microdebrider endoscopic-assisted adenoidectomy (TOMEA) and traditional adenoidectomy in the management of children with mild hearing loss ...

OBJECTIVE To assess whether administration of dexamethasone during tonsillectomy is associated with a dose-dependent increased rate of postoperative tonsillectomy hemorrhage. DESIGN Retrospective review of 2788 children and adolescents who underwent tonsillectomy with or without adenoidectomy for sleep-disordered breathing or infectious tonsillitis and received perioperative dexamethasone bet...

BACKGROUND Juvenile nasopharyngeal angiofibromas (JNAs) are highly vascular tumors that originate in the nasopharynx of young males. The primary treatment is surgical excision. Traditional surgical approaches are associated with significant morbidity and facial deformity. We introduce and outline the clinical advantages of an endoscopic surgical approach to JNAs using the Nd:YAG laser with imag...