Management of impending necrosis associated with soft tissue filler injections.

Background: As the number of soft tissue filler injections increases, the number of adverse events associated with injection may rise. Impending necrosis represents a serious complication that, if not treated correctly and timely, may have grave consequences.

Objective: We describe a protocol utilizing hyaluronidase, nitroglycerin paste, aspirin, antacid and a topical oxygen therapy that may be used to treat impending necrosis subsequent to injection with soft tissue fillers.

Long-term outcomes of injection laryngoplasty in patients with potentially recoverable vocal fold paralysis.

Objectives/hypothesis: Injection laryngoplasty (IL) is a temporary intervention for unilateral vocal fold paralysis (UVFP). IL is often performed in patients with a potentially recoverable recurrent laryngeal nerve insult while awaiting spontaneous recovery, compensation, or definitive intervention. This study investigates the long-term outcomes of subjects treated with an IL.

Comparison of outcomes and complications between awake and asleep injection laryngoplasty: a case-control study.

Objectives/hypothesis: To compare clinical outcomes and complication rates in patients undergoing injection laryngoplasty (IL) under local versus general anesthesia.

Study Design: Retrospective case-control review

Methods: Charts of 141 consecutive patients undergoing IL were reviewed. Subjects who underwent IL with local anesthesia were grouped as experimental cases.

Preoperative disease severity at sites of subsequent skull base defects after endoscopic sinus surgery.

Background: Skull base (SB) injury is a known complication of endoscopic sinus surgery (ESS). Risk factors for SB injury include poor visualization, low-lying SB, and SB asymmetry. Anecdotal evidence indicates that many SB defects occur in areas with minimal mucosal disease adjacent to the SB.