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Honorary Editor-in-Chief of AOHNS: Dr. Murray Grossan

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Recent Publications

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Laryngopharyngeal Reflux: An Update

Laryngopharyngeal Reflux: An Update

Otolaryngologists and gastroenterologists seem to differ in their definitions and management of laryngopharyngeal reflux (LPR). In this review article, the author suggests a multidisciplinary approach to LPR diagnosis. Based on the latest findings, the author proposes an algorithm to facilitate the assessment and management of LPR.
First Metatarsal Artery Capillary Perforator Flaps

First Metatarsal Artery Capillary Perforator Flaps

The authors proposed a new less invasive island flap, namely the first metatarsal artery capillary perforator flap. The advantages of this flap include the preservation of the first metatarsal artery and the adiposal tissue in the web space, thereby preventing compression around the remaining deep peroneal nerve.
Computer-Assisted Reconstruction of the Hemimaxillectomy Defects With a Composite Iliac Crest Bone Free Flap: Case Reports

Computer-Assisted Reconstruction of the Hemimaxillectomy Defects With a Composite Iliac Crest Bone Free Flap: Case Reports

Authors present a revised application of the composite iliac crest bone free flap for hemimaxillectomy defects. This flap solely can give a support to the eye globe and the dental implants without osteotomies and titanium meshes. The upper ridge of the flap can be shaped to replicate the curvature of the orbital floor. The inner oblique muscle and the deep fascia can serve as an additional material for separation of the oral cavity from the nasal airway. Utilization of the Customized Contour Implants gives a surgeon a refining instrument for aesthetic correction of facial projection.
Acute Cerebral Disease Triggering Takotsubo Syndrome

Acute Cerebral Disease Triggering Takotsubo Syndrome

The authors have addressed comments and concerns about a recent article, by Nasr et al, which reported the clinical characteristics and outcome of 34 patients with Takotsubo syndrome triggered by cerebral disease and collected during five years from a neurological ICU.
Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

Supraclavicular Artery Island Flap: Relation Between Length and Distal End Necrosis

Supraclavicular flap is an excellent fasciocutaneous flap for head and neck reconstruction due to its close color and texture match. In general, long flaps are required, but with the risk of distal necrosis. The aim of this study is to assess the relationship between the length and distal end necrosis of the supraclavicular flap.
Eight-and-a-Half Syndrome Presented with Trigeminal Neuralgia

Eight-and-a-Half Syndrome Presented with Trigeminal Neuralgia

Most isolated syndromes of Eight-and-a-Half Syndrome are associated with vascular etiology. Symptomatic trigeminal neuralgia due to infarction is rare. The author reports a patient with left-sided facial pain. It was followed by one-and-a-half syndrome with facial nerve palsy during the next day. Diffusion-weighted magnetic resonance imaging of his head revealed restricted diffusion in the left inferior pontine tegmentum neighboring the fourth ventricle extending ventrally. This case is the first report of Eight-and-a-Half Syndrome presented with recurrent attacks of unilateral facial pain, fulfilling criteria for classical trigeminal neuralgia.
Relationship between Depression and Cholesteatoma

Relationship between Depression and Cholesteatoma

The study by Dr. Chin-Lung Kuo provided strong evidence, which was unrecognized earlier, to establish the potential link between cholesteatoma and depression. It is necessary to conduct routine psychiatric screening and monitoring of cholesteatoma patients for detection and treatment at the beginning stage itself. Despite the accuracy and acceptability of this population-based study, more prospective studies need to be carried out for additional confirmation.

Insulin Infusion Protocol for Japanese Patients

Insulin Infusion Protocol for Japanese Patients

Here is a piece of good news for the critically ill patients of Japan and other Asian countries who are looking for safer and effective blood glucose control. Thanks to the team of researchers led by Jun Inaishi of Keio University School of Medicine, who modified the original Yale insulin infusion protocol and designed a simplified computer program-based protocol suitable for the Japanese patients.

New Therapeutic Strategies for Idiopathic Sudden Sensorineural Hearing Loss

New Therapeutic Strategies for Idiopathic Sudden Sensorineural Hearing Loss

The review by Dr. Chin-Lung Kuo presented different acoustic models providing a deep insight regarding the fundamental mechanisms behind hearing restoration effected by acoustic stimulation on patients with idiopathic SSNHL. Nevertheless, in the future, it is necessary to conduct more severe experiments to provide further evidence confirming the hypothesis that sound therapy can restore hearing in idiopathic SSNHL patients.

2500 Cancer Cases Can Be Barred Every Week

2500 Cancer Cases Can Be Barred Every Week

Based on the report submitted by the Cancer Research UK landmark, the life of 13500 cancer patients can be saved and cured if there would be a change in the habit and lifestyle of every individual.

Money can Buy Happiness, but to a Certain Point

Money can Buy Happiness, but to a Certain Point

There is an adage that “money can’t buy happiness”, but a recent research proves that it is not absolutely true. The study reveals that money can definitely make a person happy, but the exact amount required to maximize a person’s happiness varies globally. Beyond that point of satiation, money does not have any effect on the emotional well-being of a person.

Asthma Medicines and Women’s Sterility

Asthma Medicines and Women’s Sterility

Worldwide researchers state that women who have asthma take time to conceive when she is using short-acting asthma medications.

Laryngoscopic examination for signs of laryngeal irritation associated with reflux

This video shows  a laryngoscopic examination for signs of laryngeal irritation associated with laryngopharyngeal reflux. Large bilateral granulomas are identified on the surface of bilateral arytenoids

Role of Trapezius Transfer for Shoulder Reconstruction in Adult Traumatic Brachial Plexus Injuries: Literature Review

This is a video abstract regarding the article on the role of trapezius transfer for shoulder reconstruction in adult traumatic brachial plexus injuries.

Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

In this video, the authors describe how they set out to assess the effect of external limb compression on the lymphaticovenular anastomosis.

An Unusual Nasal Mass: The Sinonasal Teratocarcinosarcoma

In this video, the author discusses an unusual nasal mass (i.e., teratocarcinosarcoma) in the the sinonasal cavity.

Strategic Incision Placement to Facilitate Successful Supermicrosurgical LVA

In this video, the author describes their guided approach to incision placement to increase the likelihood of creating a successful lymphaticovenular anastomosis at each incision for an effective treatment for lymphedema.

Surgical Technique and Risk of Post-tonsillectomy Hemorrhage

A study conducted by Motta et al. showed that no significant difference in the primary, secondary and total hemorrhage frequency between surgical techniques for tonsillectomy.

Editor's Choice

Articles
News
Videos
Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

Lymphaticovenular Anastomosis for Persistent Immunosuppressant-Related Eyelid Edema

This case report demonstrates an important supermicrosurgical technique for lymphedema, which was established by Isao Koshima in 1994. So far, over 2,000 cases of limb edema have been treated by this surgical method.
Implementation Experiences with Improving Safe Medication Practices for Oxytocin and Magnesium Sulfate During Labor and Delivery

Implementation Experiences with Improving Safe Medication Practices for Oxytocin and Magnesium Sulfate During Labor and Delivery

Oxytocin and magnesium sulfate are high-alert medications with risks for significant patient harm. This paper describes experiences of 25 Labor and Delivery (LD) units which sought to apply safety science principles such as standardization, learning from defects, independent checks, teamwork and communication, and in situ simulation training for safe administration of oxytocin and magnesium sulfate. This effort was part of the Agency for Healthcare Research and Quality’s Safety Program for Perinatal Care.
Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

Immediate Limb Compression Following Supermicrosurgical Lymphaticovenular Anastomosis – Is It Helpful or Harmful?

Immediate limb compression following the LVA procedure facilitates lymphatic drainage and increases the surgical efficacy by increasing the number of functioning anastomoses, and is a recommended postoperative practice.
Glue Ear in Children with Cleft Lip and Palate: An Update

Glue Ear in Children with Cleft Lip and Palate: An Update

Cleft lip/palate (CLP) in children is psychologically stressful for family members and debilitating for the patients themselves. The author reviews the pathogenesis, clinical manifestations, and diagnoses of OME in children with CLP as well as the controversies surrounding treatment. He also provides a flowchart to guide the management of OME in children with CLP.
Birth Outcomes After Implementing an Evidence-Based Guideline for Managing Delayed Pushing in Second Stage Labor in Women with Epidural Anesthesia

Birth Outcomes After Implementing an Evidence-Based Guideline for Managing Delayed Pushing in Second Stage Labor in Women with Epidural Anesthesia

An evidence-based guideline for managing the second stage of labor can improve outcomes in women with epidural anesthesia.
Increased Risk of Depression in Patients with Cholesteatoma

Increased Risk of Depression in Patients with Cholesteatoma

Newly discovered epidemiological evidence linking cholesteatoma to depression suggests that routine screening and monitoring of psychological status among cholesteatoma patients is warranted. Policies aimed at the early detection and timely treatment of comorbid depression following diagnosis with cholesteatoma could enhance health promotion and disease prevention.

Experience with Robotic-assisted Microsurgery

Over the past decade, Da Vinci Surgical System has made great strides in surgery. It has been widely applied in urology, gynecology, bariatric surgery, hepatobiliary surgery, thoracoscopic surgery, cardiac surgery, neurological surgery, and transoral otolaryngologic neoplasm resection. However, its application in plastic and reconstructive surgery still in the preliminary stages of development. I went to Hong Kong in April 2013 for the robotic surgical system training program and was awarded console surgeon certificate.

Chang's Technique of Sequential End-to-Side Microvascular Anastomosis

This novel technique of sequential ETS micro-venous anastomosis is a modified technique from its classical form. The unique use of vessel loops provides protection to the vessel, while it achieves equisegmental IJV occlusion for sequential (proximal to distal) venous anastomosis. This method not only saves precious operating time from repetitive positioning of instruments and recipient vessel (IJV), but also creates a safer operating field for the microsurgeons. Utilizing a second single vascular clamp over the anastomosis junction provides an anchoring point for self-retraction by revealing and maintaining an accessible position to the posterior wall, once it is turned at 180 degrees laterally. This maneuver allows the surgeon to have full control of the surgical field and perform ETS micro-venous anastomosis confidently and independently.

Lateral Plantar Artery as Recipient Vessel for Microsurgical Lateral Plantar Forefoot Reconstruction

Division of the lateral plantar artery does not jeopardize the foot circulation because of anastomosis of the lateral plantar artery with the dorsalis pedis artery at the first intermetatarsal space. However, care should be taken with patients with peripheral artery occlusive disease and the flow of dorsalis pedis artery should be confirmed before surgery. Given the advantages of sizable vessel, easy dissection, and proximity to the defect, we believe that the lateral plantar artery might be a valuable option as recipient vessel for lateral plantar forefoot reconstruction.

The Versatility of Pedicled Anterolateral Thigh Flap - A Tertiary Re-ferral Center Experience from India

Pedicled anterolateral thigh flap is a versatile option for reconstruction of complex soft tissue defects in varied anatomical regions. Its wide arc of rotation and less donor site morbidity are its added advantages.

A Great Opportunity to Meet and Learn from Peripheral Nerve Experts

The 2nd instructional course for adult brachial plexus injuries is a fantastic opportunity to meet and learn from experts in the field. We cordially invite you to visit Chang Gung Memorial Hospital to participate in this unique learning experience.

Interview with Dr. Murray Grossan, the Honorary Editor-in-Chief of AOHNS

An exciting conversation with Dr. Murray Grossan, the Honorary Editor-in-Chief of Archives of Otorhinolaryngology-Head & Neck Surgery (AOHNS). Dr. Murray Grossan talked about AOHNS’s new direction and the important means for communicating scientific work to complement teaching and training in the field of medicine.