OBJECTIVES/HYPOTHESIS Endoscopic medial maxillectomy (EMM) has become the surgical procedure of choice for resection of maxillary sinus inverted papillomas (IPs). Traditionally, IPs pedicled on the anterior and/or lateral walls of the maxillary sinus have required an adjuvant Caldwell-Luc approach due to decreased visualization with transnasal endoscopy in these locations. The objective of the ...

OBJECTIVES We explored the possible effects of neuromuscular electrostimulation on the swallowing function of patients with multiple sclerosis and swallowing problems. METHODS Twenty-five patients (average age, 53.1 years; SD, 9.8 years) with multiple sclerosis and swallowing problems were treated for 3 weeks with 2 sessions per week of neuromuscular electrostimulation. The average time since...

OBJECTIVES/HYPOTHESIS The objective of this study was to evaluate the "Modified Killian's method," a recently proposed endoscopic technique to observe a wider area of the hypopharngeal space than is possible with the conventional method. STUDY DESIGN Prospective case series. METHODS Fifty-seven patients underwent transnasal flexible endoscopy in a sequence of eight different procedures with...

Objectives: Sinonasal schwannomas account for less than 4% of head and neck schwannomas, with the primary treatment modality being surgical excision via external approaches. The aim of this report is to present a rare case of recurrent schwannoma of the ethmoid cavity involving the anterior skull base which was successfully managed with endoscopic resection. Study Design: Case report and review...

https://www.journal-imab-bg.org 1657 ABSTRACT Variations in the anatomical course of the cervical portion of the internal carotid arteries appear to be more common than expected and recognised, reaching a prevalence of 10-43%. A case of atypical course of both internal carotid arteries with medial transposition is described. The general clinical implications are presented in the base of review ...

BACKGROUND In Japan, ultrathin transnasal esophagogastroduodenoscopy (EGD) with a 4.9-mm diameter endoscope (Olympus XP260) is routinely used to examine the upper gastrointestinal tract. This procedure does not require sedation and does not affect vital signs. Gastric lavage is not empirically employed in the management of all poisoning patients. It is considered only for potentially life-threa...

OBJECTIVE To compare pathologic results obtained via in-office transnasal fiberoptic laryngoscopy (TFL) to those of subsequent direct laryngoscopy in order to assess the accuracy of TFL as a diagnostic tool. PATIENTS One hundred and seventeen patients with suspicious laryngeal lesions. METHODS All patients underwent in-office biopsies. All patients with malignant diagnosis were referred to ...

OBJECTIVES: Congenital choanal atresia is a complete obliteration of the posterior nasal aperture leading to life-threatening airway emergencies. Several surgical options including sublabial, transpalatal, transseptal or external approaches have been developed for the repair of choanal atresia. So far, no gold standard has been established, but transnasal endoscopic approaches have been favored...

The recent introduction of the 3D endoscope for endonasal surgery has been welcomed because of its promise to overcome the main limitation of endoscopy, namely the lack of stereoscopic vision. This innovation particularly regarded the most complex transnasal surgery of the skull base. We therefore discuss our early experience as ENT surgeons with the use of a purely 3D endoscopic expanded endon...

OBJECTIVES/HYPOTHESIS Our study evaluates the efficacy of extraluminal bioresorbable plates to treat refractory localized airway malacia in patients undergoing corrective surgery for complex multilevel laryngotracheal stenosis. STUDY DESIGN Retrospective case series. METHODS Secondary malacic airway segments were characterized (severity, site, type) by a dynamic transnasal flexible laryngot...