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Otolaryngologist surgical preferences for orbital decompression in thyroid eye disease: A North American survey.
Laryngoscope Investig Otolaryngol
December 2024
Department of Otolaryngology The Pennsylvania State University, College of Medicine Hershey Pennsylvania USA.
Background: Orbital decompression is recommended for TED especially in the treatment of severe, refractory cases yet there are no clear guidelines regarding the optimal surgical approach. Previously conducted surveys assessed variations in the management of TED but only amongst ophthalmologists. Our study attempts to better characterize surgical and perioperative preferences amongst otolaryngologists in the management of TED.
View Article and Find Full Text PDFNasal breathing: a neglected factor in metabolic regulation?
Eur Arch Otorhinolaryngol
December 2024
Otorhinolaryngology and Head & Neck Surgery, Centro Hospitalar Universitário de Santo António, Largo do Prof. Abel Salazar, 4099-001, Porto, Portugal.
Purpose: Nasal breathing (NB) is a fundamental physiological process, and emerging research indicates its potential role in modulating resting metabolism, impacting energy expenditure and metabolic efficiency. This study investigates the impact of NB on resting metabolic rate (RMR), offering novel insights into metabolic regulation.
Methods: A prospective study was conducted on patients undergoing nasal surgery, with measurements taken before and 3 months after surgery.
Endoscopic Dacryocystorhinostomy Following Nasolacrimal Drainage System Trauma and Medial Orbital Wall Reconstruction.
Craniomaxillofac Trauma Reconstr
April 2024
Ophthalmology, Sussex Eye Hospital, Brighton, UK.
Study Design: Case series.
Objective: To describe the assessment and surgical approach to dacryocystorhinostomy (DCR) for patients with nasolacrimal duct obstruction (NLDO) in the presence of orbital wall hardware.
Methods: The pre-operative assessment, management and outcomes of two patients with secondary acquired NLDO following medial orbital wall fracture repair treated by nasal endoscopic DCR.
Feasibility of navigation-assisted endoscopic transnasal optic nerve decompression for the treatment of traumatic optic neuropathy in patients with midfacial fractures.
J Korean Assoc Oral Maxillofac Surg
October 2024
Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine, Izumo, Japan.
Article Synopsis
- Traumatic optic neuropathy (TON) is a rare but serious condition leading to vision impairment, often resulting from facial trauma, emphasizing the need for effective diagnosis and treatment methods.
- A study analyzed four patients (average age 75) with midfacial fractures and TON, assessing their visual deficits and outcomes following navigation-assisted endoscopic trans-nasal optic nerve decompression (ETOND) treatment.
- Results showed that patients with pre-operative vision loss experienced post-operative improvement, with no complications arising from the procedures, highlighting the effectiveness of ETOND in managing TON.
Radiographic Variants Associated With Allergic Fungal Rhinosinusitis: Key Differences for Pre-Operative Planning.
Ann Otol Rhinol Laryngol
February 2025
Department of Otolaryngology & Head and Neck Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Article Synopsis
- The study investigates how allergic fungal rhinosinusitis (AFRS) affects the length of the anterior ethmoid artery to skull base (AEA-SB) compared to chronic rhinosinusitis with nasal polyps (CRSwNP), which is important for surgical safety during endoscopic sinus surgery (ESS).
- A retrospective chart review analyzed 21 patients each from AFRS and CRSwNP groups, finding that the AFRS group was younger and had a significantly longer AEA-SB length, while no major differences were detected in other anatomical variations.
- The conclusion stresses that the identified anatomical differences should be considered during preoperative planning for ESS in AFRS patients to minimize the risk of AEA injury.
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