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Otolaryngology
A Surgical Notebook
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Otolaryngology
A Surgical Notebook
K. J. Lee, M.D., F.A.C.S.
Associate Clinical Professor of Otolaryngology
Yale University School of Medicine
Southern New England Ear, Nose, Throat
and Facial Plastic Surgery Group, LLP
New Haven, Connecticut
Elizabeth H. Toh, M.D., F.A.C.S.
Assistant Professor of Otolaryngology
University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania
Thieme
New York • Stuttgart
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With a thankful heart for their love and nurturing, this book is dedicated to my parents,
the late Mr. and Mrs. Lee Cheng Tin.
K. J. Lee
For all their years oflove and support through this journey in medicine so far away
from home, I dedicate this book to my parents.
Elizabeth H. Toh
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Contents
Foreword. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
1. Septoplasty, Septal Reconstruction, Surgery of the Septum
and Turbinates
K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Functional Endoscopic Sinus Surgery
Martin J. Citardi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
3. Image-Guided Surgery in the Paranasal Sinuses
Siow Jin Keat and Martin J. Citardi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
4. Open Sinus Surgery
William Lawson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
5. Transnasal and Transethmoidal Approaches to the Sella Turcica
K. J. Lee and Nilesh R. Vasan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
6. Surgical Treatment of Epistaxis
William A. Numa and Robert G. McRae . . . . . . . . . . . . . . . . . . . . . . . . . . .47
7. Repair of Choanal Atresia
William Lawson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
8. Tonsillectomy, Adenoidectomy, and Uvulopalatopharyngoplasty
Nilesh R. Vasan and K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
9. Palatal Resection and Reconstruction
Eric M. Genden . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63
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viii Contents
10. Approaches to the Clivus
Patrick J. Gullane, Michael J. Odell, Peter C. Neligan,
and Christine B. Novak . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70
11. Resection and Reconstruction of the Tongue, Floor of
the Mouth, and Mandible
Daphne A. Bascom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
12. Surgery of the Parotid Gland
Richard L. Fabian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
13. Phonomicrosurgery
Steven M. Zeitels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
14. Laryngeal and Pharyngeal Cancer Surgery
Eric M. Genden . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
15. Voice Restoration after Laryngectomy
Anna M. Pou . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
16. Tracheostomy
Nilesh R. Vasan and K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .104
17. Laryngeal Framework Surgery (Laryngoplastic Phonosurgery)
Steven M. Zeitels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
18. Thyroid and Parathyroid Surgery
Gregory W. Randolph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .119
19. Cancer Surgery of the Neck
Richard L. Fabian . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .130
20. Noncancer Surgery of the Neck
Mark R. Rowe and Alfred A. Simental Jr. . . . . . . . . . . . . . . . . . . . . . . . . . .137
21. Surgery for Congenital Ear Malformations
Robert A. Jahrsdoerfer and Bradley W. Kesser . . . . . . . . . . . . . . . . . . . . .144
22. Stapedectomy
K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .153
23. Chronic Ear Surgery
K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .160
24. Myringotomy with Tube Placement
K. J. Lee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .169
25. Surgical Treatment for Vertigo
Elizabeth H. Toh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172
26. Inner Ear Perfusion
Elizabeth H. Toh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182
27. Otologic Implants
Elizabeth H. Toh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186
28. Facial Nerve Decompression and Repair
Elizabeth H. Toh and Barry E. Hirsch . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194
29. Facial Reanimation
Barry M. Schaitkin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202
30. Surgery for Acoustic Neuromas
Elizabeth H. Toh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .207
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31. Surgery for Glomus Tumors and Carotid Paragangliomas
Jose N. Fayad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
32. Temporal Bone Resection
Elizabeth H. Toh and Barry E. Hirsch . . . . . . . . . . . . . . . . . . . . . . . . . . . . .222
33. Infratemporal Fossa and Petrous Apex Approaches
Elizabeth H. Toh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .229
34. Partial and Total Maxillectomy
Michael J. Odell and Patrick J. Gullane . . . . . . . . . . . . . . . . . . . . . . . . . . . .236
35. Repair of Cerebrospinal Fluid Leaks
Alan P. Johnson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .247
36. Local Flaps, Regional Flaps, and Free Tissue Transfer
Daphne A. Bascom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
37. Facelift, Blepharoplasty, and Facial Rejuvenation Procedures
Robin M. Brody . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .260
38. Otoplasty
John S. Rhee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .268
39. Rhinoplasty and Nasal Fracture Surgery
Grant S. Gillman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .275
40. Cosmetic Use of Botulinum Toxin
Grant S. Gillman . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .284
41. Cleft Lip and Palate Repair
Anil Gungor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .288
42. Digital Imaging and Archiving
George C. Yang . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
