Otologic Symptoms after Temporomandibular Joint Arthrocentesis
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 3 δευτερόλεπτα
Outcome of Abstract: The objectives of this study were to determine the prevalence of otologic complaints in patients with temporomandibular joint (TMJ) closed lock (CL), and to evaluate the efficacy of arthrocentesis in temporomandibular disorder (TMD) patients with otologic symptoms. Fifty-seven patients with TMJ CL were included in this study. The pre-treatment evaluations included assessment of the maximum mouth opening (MMO); pain level in palpation of the affected TMJ; pain level with function; and otologic complaints, including otalgia, tinnitus, vertigo, and hearing loss. ... περισσότερα »
Modification of the lengthening temporalis myoplasty for reanimation of facial paralysis
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 3 δευτερόλεπτα
Modification of the Labbé Procedure: Integration of the Deep Temporalis Fascia Turnover Flap by Teven, Chad M.; Bank, Jonathan; Gottlieb, Lawrence J.; Reid, Russell R. via Craniofacial Surgery - Current Issue [image: image]Abstract: Modification of the lengthening temporalis myoplasty for reanimation of facial paralysis is presented. A patient experienced traumatic laceration of the left facial nerve resulting in left hemifacial paralysis. Multiple attempts at nerve repair were unsuccessful. For smile restoration, a Labbé procedure was performed. Because of inadequate length, the tem...περισσότερα »
Accessory Parotid Gland Fistula and Abscess
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 4 δευτερόλεπτα
Accessory Parotid Gland Fistula and Abscess via Craniofacial Surgery - Current Issue [image: image]
Fatigue and Sleep Deprivation on Microvascular Anastomoses
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 6 δευτερόλεπτα
Effects of by Basaran, Karaca; Mercan, Ebru Sen; Aygit, Ahmet Cemal via Craniofacial Surgery - Current Issue [image: image]Abstract: Previous studies have investigated the effects of various human-based factors, such as tremor, exercise, and posture, on microsurgical performance. In this study, the authors investigated the effects of sleep deprivation and fatigue on microsurgery. A total of 48 Wistar Hannover rats were divided into 3 groups (16 anastomoses in each group) to be operated on at 3 different times: in the morning at 08:00 hours (group I), at night on the same day (01:00... περισσότερα »
Globe protrusion,length of medial and lateral walls,interzygomatic distance,and interorbital angle
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 7 δευτερόλεπτα
Globe Protrusion and Interorbital Divergence in Syndromic Faciocraniosynostoses by Cruz, Antonio Augusto Velasco E.; Garcia, Denny Marcos; Akaishi, Patricia Mitiko Santello; Arnaud, Eric; Milbratz, Gherusa Helena; Bertrand, Adriana Leite Xavier via Craniofacial Surgery - Current Issue [image: image]Purpose: The aim of this study was to quantify the relationship between globe protrusion (GP), length of medial and lateral walls, interzygomatic distance, and interorbital angle in syndromic faciocraniosynostoses. Methods: The axial slices of computed tomography of the orbits of 43 patien...περισσότερα »
Nasal Lining Reconstruction
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 8 δευτερόλεπτα
Contralateral Dorsally Based Septal Mucoperichondrial Page Flap, for Nasal Lining Reconstruction by Collins, James B.; Czerwinski, Marcin via Craniofacial Surgery - Current Issue [image: image]Background: Although excellent techniques for reconstruction of nasal cover and support have been described, reconstruction of large nasal lining defects remains a challenge. Currently available methods have several shortcomings including limited size, airway obstruction, need for multiple procedures, and creation of septal fistulae. Methods: We present 2 cases of nasal lining reconstruction fo...περισσότερα »
Heinrich von Pfalzpaint, Pioneer of Arm Flap Nasal Reconstruction in 1460
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 8 δευτερόλεπτα
More Than a Century Before Tagliacozzi by Greig, Aina; Gohritz, Andreas; Geishauser, Max; Mühlbauer, Wolfgang via Craniofacial Surgery - Current Issue [image: image]Abstract: Heinrich von Pfalzpaint (circa 1415–1465) was a Bavarian military surgeon of the Teutonic Order who treated more than 4000 casualties during the siege of Marienberg Fortress (1454–1457). In 1460, he reported “How to create a new nose if it has been chopped off and the dogs have eaten it” in his treatise on wound care Bündt-Ertznei. He used opium-soaked sponges for anesthesia, described the surgical extraction of ... περισσότερα »
Arytenoid Dislocation After Endotracheal Intubation
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 9 δευτερόλεπτα
Clinical Characteristics of by Lee, Dong Hoon; Yoon, Tae Mi; Lee, Joon Kyoo; Lim, Sang Chul via Craniofacial Surgery - Current Issue Objective: The objective of this study was to review the clinical characteristics of the arytenoid dislocations after the endotracheal intubation and to identify the factors affecting voice recovery in the arytenoid dislocation after the endotracheal intubation. Methods: A retrospective chart review was performed at Chonnam National University Hwasun Hospital from April 2008 to February 2014. Results: A total of 13 patients with the arytenoid dislocati... περισσότερα »
Late Posttraumatic Enophthalmos
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 9 δευτερόλεπτα
Correction of Late Posttraumatic Enophthalmos Using an Antral Balloon by Yamashita, Masanobu; Daizo, Haruhisa; Yamashita, Akiko; Kishibe, Miyuki; Shimada, Kenichi via Craniofacial Surgery - Current Issue [image: image]Abstract: Enophthalmos is the posterior displacement of the ocular globe within the bony orbit. Correction of late posttraumatic enophthalmos is one of the most challenging surgical procedures. We have performed a corrective procedure for late enophthalmos using an antral balloon, with or without minimal bone grafting. All orbital contents were separated from the bone fr... περισσότερα »
The reconstruction of mandibular bone grafts of critical size complex defects and posterior segments malpositioned
Alexandros G. SfakianakisστοOroFacial Medicine by Alexandros G.SfakianakisΠριν από 54 δευτερόλεπτα
Mandibular Nonvascularized Bone Grafts of Critical Sizes and Complex Warfare Defects With Interrami Intraoral Fixation by Shuker, Sabri T. via Craniofacial Surgery - Current Issue [image: image]Abstract: The reconstruction of mandibular bone grafts of critical size complex defects and posterior segments malpositioned due to modern warfare injuries is a difficult, challenging task. The condition becomes even more complex if primary reconstruction is carried out inexpertly, which leads to severe disfigurement, rami mesial superior shift, tongue prolapsed, loss of speech, etc. A new inte... περισσότερα »
Autologous Ear Construction
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 56 δευτερόλεπτα
Subcostal Skin Graft Donor Site by Hassanein, Aladdin H.; Greene, Arin K. via Craniofacial Surgery - Current Issue [image: image]Abstract: Autologous ear construction for microtia creates an auricle using a costal cartilage framework. To separate the construct from the mastoid, a skin graft is required to form a retroauricular sulcus. Skin graft donor sites that have been described include the inguinal area (split or full-thickness) or scalp (split-thickness). The purpose of this study is to report a novel skin graft donor site for ear construction. We harvest a full-thickness graft ... περισσότερα »
Cleft lip and palate with midfacial retrusion : Maxillary Distraction Osteogenesis
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 57 δευτερόλεπτα
Using a Rigid External Distractor: Which Clinical Factors Are Related With Relapse? by Kim, Jeenam; Uhm, Ki-il; Shin, Donghyeok; Lee, Jina; Choi, Hyungon via Craniofacial Surgery - Current Issue Introduction: Maxillary distraction osteogenesis is a reliable treatment for cleft lip and palate with midfacial retrusion. The purpose of this study was to evaluate the results of long-term follow-up in patients with cleft lip and palate after maxillary distraction osteogenesis and to find clinical factors related to relapse. From February 2002 to June 2008, 21 patients with severe class II... περισσότερα »
Anterior communicating artery (AcoA) aneurysm
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 57 δευτερόλεπτα
Pure Endoscopic Endonasal Clipping of an Incidental Anterior Communicating Artery Aneurysm by Yildirim, Ali Erdem; Divanlioglu, Denizhan; Karaoglu, Derya; Cetinalp, Nuri Eralp; Belen, Ahmed Deniz via Craniofacial Surgery - Current Issue [image: image]Abstract: Anterior communicating artery (AcoA) aneurysm is the most common form of intracranial aneurysm. It occurs rarely together with other intracranial lesion. Today, microsurgical techniques and endovascular methods are used in the treatment of these aneurysms. Endoscopic endonasal approach is a useful technique for midline lesions o... περισσότερα »
Speech Improvement After Late Cleft Palate Repair
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 59 δευτερόλεπτα
Limited Chances of by Schönmeyr, Björn; Wendby, Lisa; Sharma, Mitali; Raud-Westberg, Liisi; Restrepo, Carolina; Campbell, Alex via Craniofacial Surgery - Current Issue Abstract: Late primary palatal repair is a common phenomenon, and many patients across the world will be operated on at a far later age than is suggested for normal speech development. Nevertheless, little is known about the speech outcomes after these procedures and conflicting results exist among the few studies performed. In this study, blinded preoperative and postoperative speech recordings from 31 patients operat...περισσότερα »
The origin of the lower orbicularis oculi muscle (OOM) in relation to the nasojugal groove
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 59 δευτερόλεπτα
Origin of the Lower Orbicularis Oculi Muscle in Relation to the Nasojugal Groove by Hwang, Kun; Kim, Han Joon; Kim, Hun; Kim, Dae Joong; Hwang, Se Won via Craniofacial Surgery - Current Issue [image: image]Abstract: The aim of this study was to clarify the location of the origin of the lower orbicularis oculi muscle (OOM) in relation to the nasojugal groove. In 45 lower eyelids of 44 patients, the origin of the lower OOM was identified. In 4 lower eyelids of 2 fresh cadavers, the breaking strength was measured. In 4 lower eyelids of 4 fixed cadavers, 3 parasagittal sections and 2 hor... περισσότερα »
Orbital lobe resection provides a definite diagnosis of lacrimal gland lesions
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 59 δευτερόλεπτα
: a report of three cases via Oral and Maxillofacial Surgery AbstractBackgroundEntities of lacrimal gland lesions comprise almost inflammatory and lymphoproliferative processes as well as benign and malignant solid tumors and usually cannot be differentiated by magnetic resonance imaging (MRI) exclusively. Hence, representative tissue samples are needed to arrive at sufficient histopathological diagnosis for further treatment decisions. Case reportThree women aged between 18 and 67 years were admitted to our center with clinical signs of a space-occupying mass in the lacrimal fossa. ... περισσότερα »
The spatial resolution of brain single-photon emission computed tomography (SPECT)
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
High-resolution brain SPECT imaging by combination of parallel and tilted detector heads via Latest Results for Annals of Nuclear Medicine AbstractObjectiveTo improve the spatial resolution of brain single-photon emission computed tomography (SPECT), we propose a new brain SPECT system in which the detector heads are tilted towards the rotation axis so that they are closer to the brain. In addition, parallel detector heads are used to obtain the complete projection data set. We evaluated this parallel and tilted detector head system (PT-SPECT) in simulations. MethodsIn the simulation ...περισσότερα »
Trismus in patients with HNC
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Etiopathogenesis, diagnosis and management by Alexander D. Rapidis, Pieter U. Dijkstra, Jan L.N. Roodenburg, Juan P. Rodrigo, Alessandra Rinaldo, Primož Strojan, Robert P. Takes, Alfio Ferlito via Clinical Otolaryngology Abstract Background Trismus indicates severely restricted mouth opening of any etiology. A mouth opening of 35 mm or less should be regarded as trismus. Aim of the present study was to review the etiopathogenesis, incidence, treatment and prevention of trismus in head and neck cancer patients. Objective of review Trismus is frequently seen in patients suffering from ma... περισσότερα »
Arteriovenous malformations (AVMs) in jaws with acute hemorrhage
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Salvage treatment of hemorrhagic arteriovenous malformations in jaws via ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery *Source:*Journal of Cranio-Maxillofacial Surgery Author(s): Lixin Su , Deming Wang , Yifeng Han , Zhenfeng Wang , Xindong Fan ObjectiveTo present our clinical experience on embolotherapy of arteriovenous malformations (AVMs) in jaws with acute hemorrhage.Materials and MethodsTwelve patients with a history of hemorrhage were selected for this study. Continuous interdental sling suture, digital pressure on the extraction socket, and iodoform gauze pa...περισσότερα »
Diplopia and ocular motility in orbital blow out fractures
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
10 Year Retrospective Study via ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery *Source:*Journal of Cranio-Maxillofacial Surgery Author(s): Faaiz Alhamdani , Justin Durham , Mark Greenwood , Ian Corbett ObjectivesTo investigate diplopia (BSV) and ocular motility (UFOF) characteristics in blow out fractures of the orbit and their value in fracture management.MethodsPatients with isolated blow out fractures treated 2000-2010 were included.BSV scores were stratified into 3 categories: low BSV category (0-60); mid BSV category (61-80) and high BSV category (81-100). UF...περισσότερα »
BRONJ : Vascular changes in the mandible and eye
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Correlation of Changes in the Mandible and Retina/Choroid Vascular of a Rat Model of BRONJ via ScienceDirect Publication: Journal of Cranio-Maxillofacial Surgery *Source:*Journal of Cranio-Maxillofacial Surgery Author(s): James L. Borke , Bennett McAllister , Tiffenie Harris , Maryke Neiberg , Chestine Guevarra-Toth , Sadanand Fulzele , Charles Stoianovici , Carlos Guerra Bisphosphonate-related osteonecrosis of the jaw (BRONJ) causes bones of the mandible and maxilla to become necrotic and protrude into the oral cavity. Compromised blood supply to bone is also a feature of BRONJ. The ... περισσότερα »
Cervicocerebral atherosclerosis
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Lesion location, stability, and pretreatment management: factors affecting outcomes of endovascular treatment for vertebrobasilar atherosclerosis by Alexander, M. D., Rebhun, J. M., Hetts, S. W., Kim, A. S., Nelson, J., Kim, H., Amans, M. R., Settecase, F., Dowd, C. F., Halbach, V. V., Higashida, R. T., Cooke, D. L. via Journal of NeuroInterventional Surgery Online First Background and purposeThe proper role of endovascular treatment of cervicocerebral atherosclerosis is unclear. Posterior circulation disease has not been investigated as extensively as disease in the anterior circula... περισσότερα »
Concomitant coronary and carotid atherosclerosis
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
J NeuroIntervent Surg doi:10.1136/neurintsurg-2015-011700 - Commentary It's time to think about the head and heart! 1. P Bhogal1, 2. S K Gill2, 3. P A Brouwer1, 4. H L D Makalanda3 1. Dr P Bhogal, Department of Neuroradiology, The Karolinska Hospital, Karolinskavagen Stockholm, Stockholm 17176, Sweden; bhogalweb@aol.com - Introduction In developed countries atherosclerotic cardiovascular and cerebrovascular events are the cause of death in almost 50% of people.1 The presence of disease in multiple vascular beds is associated with a greater risk of recu... περισσότερα »
Sudden bilateral hearing loss after vertebral artery stenting
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Improvement of by Kim, J. H., Roh, K. J., Suh, S. H., Lee, K.-Y. via Journal of NeuroInterventional Surgery Online First Bilateral deafness is a rare but possible symptom of vertebrobasilar ischemia. We report a case of sudden bilateral sensorineural hearing loss caused by bilateral vertebral artery (VA) occlusion which dramatically improved after stenting. A 54-year-old man was admitted with sudden onset of bilateral deafness, vertigo, and drowsy mental status. Brain diffusion-weighted MRI showed acute infarction involving both the posterior inferior cerebellar artery and left post... περισσότερα »
Cerebral venous sinus thrombosis (CVST)
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Reversible changes in diffusion- and perfusion-based imaging in cerebral venous sinus thrombosis by Lin, N., Wong, A. K., Lipinski, L. J., Mokin, M., Siddiqui, A. H. via Journal of NeuroInterventional Surgery Online First Diffusion- and perfusion-based imaging studies are regularly used in patients with ischemic stroke. Cerebral venous sinus thrombosis (CVST) is a rare cause of stroke and is primarily treated by systemic anticoagulation. Endovascular intervention can be considered in cases of failed medical therapy, yet the prognostic value of diffusion- and perfusion-based imaging f... περισσότερα »
Jugular bulb diverticula causing debilitating pulsatile tinnitus
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Endovascular treatment of by Mortimer, A. M., Harrington, T., Steinfort, B., Faulder, K. via Journal of NeuroInterventional Surgery Online First We describe the case of a patient who presented with debilitating pulsatile tinnitus in association with two jugular bulb diverticula. The diverticula were treated with stenting of the jugular bulb and coil embolization of the diverticula over two procedures. This resulted in successful resolution of symptoms and at 10 months follow-up the patient is asymptomatic. The technique is discussed with regard to similar published cases and surrogat... περισσότερα »
Selective moderate hypothermia
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Catheter based selective hypothermia reduces stroke volume during focal cerebral ischemia in swine by Mattingly, T. K., Denning, L. M., Siroen, K. L., Lehrbass, B., Lopez-Ojeda, P., Stitt, L., Pelz, D. M., Das, S., Ang, L.-C., Lee, D. H., Lownie, S. P. via Journal of NeuroInterventional Surgery Online First BackgroundTotal body hypothermia is an established neuroprotectant in global cerebral ischemia. The role of hypothermia in acute ischemic stroke remains uncertain. Selective application of hypothermia to a region of focal ischemia may provide similar protection with more rapid cool... περισσότερα »
Thyroid Hemiagenesis Associated with Hyperthyroidism
Alexandros G. SfakianakisστοOtoRhinoLaryngology - Alexandros G. SfakianakisΠριν από 1 ώρα
Thyroid Hemiagenesis Associated with Hyperthyroidism via Case Reports in Otolaryngology Thyroid hemiagenesis (TH), very rare congenital anomaly, is generally asymptomatic. We report two cases of TH with hyperthyroidism. Case One. The patient presented with signs and symptoms of thyrotoxicosis. Physical examination revealed asymmetric nodular goitre at right lobe. Biochemical analysis revealed the diagnosis of hyperthyroidism. Ultrasound showed multinodular hypertrophy in the right lobe and absence of the left lobe. Nuclear scan, confirming absence of the left lobe, showed hot nodules ...περισσότερα »
Staphylococcus aureus triggers nitric oxide production
Alexandros G. Sfakianakisστο<a href="http://orl-agios.blogspot.com/" style="margin: 0px 2px; padding: 0px; text-decoration: none;