An anatomic and radiologic evaluation of access to the lateral internal auditory canal via the retrosigmoid approach and description of an internal labyrinthectomy.

Objective: The retrosigmoid approach to the posterior petrous bone may be used as a hearing preservation operation for extirpation of posterior fossa and internal auditory canal (IAC) lesions. However, it is usually not possible to remove tumor from the most lateral portions of the IAC even after removing the retrolabyrinthine bone down to the posterior semicircular canal. Our goal was to examine the advantages and disadvantages of the retrosigmoid approach with respect to approaching the lateral IAC, to find what is gained by drilling down the retrolabyrinthine bone, and to describe an internal labyrinthectomy whereby the labyrinth is removed via a retrosigmoid approach.

Postauricular abscess leading to internal jugular vein thrombosis: a case report.

Thrombosis of the internal jugular vein (IJV) is uncommon. It usually responds to conservative medical treatment. We describe a case of IJV thrombosis in a 31-year-old man.

Image-guided localization of the internal auditory canal via the middle cranial fossa approach.

Objective: We sought to determine the accuracy of an electromagnetic image guidance surgical navigation system in localizing the midpoint of the internal auditory canal (IAC) and other structures of the temporal bone through the middle cranial fossa approach.

Materials And Methods: Seven fresh cadaveric whole heads were dissected via a middle cranial fossa approach. High-resolution CT scans were used with an InstaTrak 3500 Plus electromagnetic image guidance system (General Electric, Fairfield, CT).

Diagnosis and management of salivary fistula after surgery for congenital aural atresia.

Objective: Salivary fistula is an uncommon and unreported yet meaningful complication associated with the repair of congenital aural atresia. The capsule of the parotid gland may be violated during two steps of the operation: the initial dissection around the glenoid fossa or while aligning the auricle with the bony canal at the end of the procedure. We present the first described series of patients with salivary fistula after repair of congenital aural atresia.

Use of a powered shaver to remove multiple oral cavity papillomas.

We report a previously undescribed method of removing multiple oral papillomas, which we performed on 5 men with human immunodeficiency virus (HIV) infection. Patients were brought to the operating room and placed under general anesthesia. In addition, 1% lidocaine with 1:100,000 epinephrine was injected under and around the lesions.

Chronic esophageal foreign bodies in pediatric patients: a retrospective review.

Objective: Chronic esophageal foreign bodies (CEFB) are associated with a high incidence of morbidity and mortality in adults. However, the presentation, management and outcome of chronic esophageal foreign bodies in children are not well described.

Methods: We performed a retrospective chart review of children with chronic esophageal foreign bodies admitted to the Children's Hospital Medical Center, Cincinnati, OH, between May 1990 and January 2002.

The superior petrosal triangle as a constant anatomical landmark for subtemporal middle fossa orientation.

Unlabelled: OBJECTIVES/HYPOTHESIS; Anatomical landmarks including the arcuate eminence and the superficial petrosal nerve serve as orienting landmarks for middle fossa dissection. However, because of considerable variation among patients, these landmarks are not always readily identifiable. We expand on a previously described method for identifying the head of the malleus as a constant anatomical landmark to optimize exposure when employing a middle fossa approach.

The clinical effects of hyaluronic acid ester nasal dressing (Merogel) on intranasal wound healing after functional endoscopic sinus surgery.

Objectives: We sought to determine the efficacy of MeroGel, an absorbable hyaluronic acid nasal dressing (HA) in reducing synechia after functional endoscopic sinus surgery (FESS) compared with Merocel, a nonabsorbable packing (NAP) requiring removal.

Methods: We conducted a blinded, randomized, controlled trial of 37 patients requiring bilateral FESS for chronic sinusitis. Patients were randomized to placement of HA within the right or left middle meatus and NAP on the other side.