OBJECTIVES/HYPOTHESIS Endoscopic infratemporal fossa (ITF) surgery is a growing clinical interest. This study presents a method of analyzing approach access and visualization, identifies relevant anatomy in an endoscopic approach to the ITF, and compares endoscopic medial maxillectomy (MMA) and endoscopic-assisted sublabial transmaxillary (SLT) approaches to the ITF as a model for this paradigm...

Inverted papillomas of the nose and paranasal sinuses are uncommon neoplasms, characterized by their tendency to occur and by their association with malignancy. In the past decade there has been a trend toward the use of endoscopic surgical techniques in the management of these tumors. This article presents the results of a prospective study of24 patients with inverted papilloma resected by...

in recent decades, percutaneous endoscopic gastrostomy ( peg), has changed feeding and care of patients who can not feed orally. this outpatient procedure is done in most of the endoscopy wards and provides care, nutrition and medications for these patients outside the hospital. peg has rare complications and significantly reduces the cost of care and treatment .with invention of this procedure...

OBJECTIVES/HYPOTHESIS To assess the effects of a typical otolaryngologic dose of 1 mL of 4% lidocaine on penetration aspiration scale scores and participant discomfort during flexible endoscopic evaluation of swallowing. STUDY DESIGN A prospective pilot study. METHODS Twenty healthy participants consumed 12 swallows consisting of graduated volumes of milk, water, pudding, and cracker in ane...

diagnosis of ampullary tumors during screening en-doscopy or radiological imaging studies is increasing. Traditional management for ampullary tumors is surgical resec-tion. However, surgical intervention needs radical excision, including excision of the surrounding organs around the am-pulla of Vater. With the development of endoscopic techniques , endoscopic resection for ampullary tumors has ...

The optimal diagnostic approach and yield for gastrointestinal bleeding (GIB) in patients with ventricular assist devices (VAD) are unknown. We explored the etiology of bleeding and yield of upper and lower endoscopy, balloon-assisted enteroscopy, and video capsule endoscopy in the evaluation of GIB in patients with VADs. Methods. All VAD patients with overt gastrointestinal bleeding and drop i...

CONTEXT Brunner's gland adenoma is a rare benign duodenal neoplasm. It usually presents with luminal obstruction or gastrointestinal bleeding. In rare cases, it may mimic a pancreatic malignancy and may present with obstructive jaundice. CASE REPORT A 65-year-old female presented with a two-month history of abdominal pain, early satiety and retrosternal burning pain. Liver function tests show...

INTRODUCTION Upper airway nerve and muscle damage associated with obstructive sleep apnea may impair the strength and dynamics of pharyngeal and esophageal contractions during swallowing. OBJECTIVE To evaluate the presence of alterations in pharyngoesophageal manometry in patients with obstructive sleep apnea with and without oropharyngeal dysphagia. METHODS This study prospectively evaluat...

gastric neuroendocrine carcinoma is a rare tumor which has a poor prognosis. herein, we present a 55-year-old woman who presented with complaints of recurrent vomiting, hematemesis and weight loss. endoscopic examination showed a large ulcerated mass in the antrum. microscopic evaluation of the specimen taken through biopsy was compatible with a small round cell tumor. however, definitive histo...

Introduction: To reduce incidence of residual cholesteatoma following ear surgery; and to reduce the need for second look “open” mastoidectomy using endoscopic mastoidotomy. Ten-year retrospective chart review of 249 primary cholesteatoma cases (1994-2004) with a minimum follow-up of two years.  The first objective was to evaluate the effectiveness of otoendoscopy in reducing the incidence of “...