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

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Efficacy of Vein Mapping in Lymphaticovenular Anastomosis

Efficacy of Vein Mapping in Lymphaticovenular Anastomosis

Authors report a case of lower extremity lymphedema treated by LVA that preoperatively mapped not only lymphatic vessels by PDE, but also veins and venules using Veinsite™ .
Management of a Giant Cystic Mass in a Young Otherwise Healthy Woman

Management of a Giant Cystic Mass in a Young Otherwise Healthy Woman

Authors report a new perspective on the case of a 22-year-old female with no significant medical history who posed a diagnostic and therapeutic challenge; a giant cystic mass of the abdominal cavity.
Innovative Management Strategy for Combined Proximal Median and Ulnar Nerve Extensive Injury: A Case Report

Innovative Management Strategy for Combined Proximal Median and Ulnar Nerve Extensive Injury: A Case Report

Authors present a case of combined proximal median and ulnar nerves extensive injury that was successfully managed using a novel safe strategy implemented.
Eustachian Tube Dysfunction in Patients with Localized Amyloidosis of the Nasopharynx and Eustachian Tube

Eustachian Tube Dysfunction in Patients with Localized Amyloidosis of the Nasopharynx and Eustachian Tube

Authors present two cases of dilatory Eustachian tube dysfunction caused by localized nasopharyngeal amyloidosis.
Strategic Incision Placement to Facilitate Successful Supermicrosurgical Lymphaticovenular Anastomoses

Strategic Incision Placement to Facilitate Successful Supermicrosurgical Lymphaticovenular Anastomoses

Combining intraoperative ICG lymphography with NIR vein visualization can aid supermicrosurgeons in identifying lymphatic vessels and superficial venules to guide LVA incision placement. This guided approach significantly improves successful creation of LVAs when compared to the blind (anatomic) approach. In addition, the absence of linear ICG lymphographic patterns does not prevent formation of successful LVAs.
Novel and Efficient Synthetic Microvascular Anastomosis Training Model

Novel and Efficient Synthetic Microvascular Anastomosis Training Model

The authors present a novel synthetic vascular model for microanastomosis training. This model is suitable for trainees with intermediate level of microsurgical skills, and useful as a bridging model between simple suturing exercise and in vivo rat vessel anastomosis during pre-clinical training. It is an easy model to construct, using widely available materials. It simulates arterial anastomosis well, and enables direct observation and feedback of the anastomosis quality. This model is non-commercialized, cost effective, and is readily accessible. This model allows the trainee to grow their microsurgical skills ethically, systematically and confidently.

Editor's Choice

Articles
News
Videos
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.
The Chain of Chirality Transfer as Determinant of Brain Functional Laterality. Breaking the Chirality Silence: Search for New Generation of Biomarkers; Relevance to Neurodegenerative Diseases, Cognitive Psychology, and Nutrition Science

The Chain of Chirality Transfer as Determinant of Brain Functional Laterality. Breaking the Chirality Silence: Search for New Generation of Biomarkers; Relevance to Neurodegenerative Diseases, Cognitive Psychology, and Nutrition Science

The authors briefly summarize advances in the broad field of biochirality connecting two poles of the phenomena: the atomic orbitals and the brain’s cognitive function. Analysis of current results allows introducing the new generation of entangled biomarkers ranging from the molecular chirality to laterality of cognitive and executive functions.
Clinical Laboratory Medicine as the Emerging Healthcare Partner

Clinical Laboratory Medicine as the Emerging Healthcare Partner

The clinical pathologist/laboratory medicine physician serves as the ideal health care partner to synergize with the patient-physician-unit to temper curious results, obviate the “light switch” effect, provide guidance on current and emerging test utilization and management, navigate the DTC marketplace and educate patient and physician alike as required, and to ultimately incorporate lab test results into actual optimization of patient care. It is through this approach that the patient-physician-laboratorian triumvirate can maximize the experience to positively affect patient centric, evidenced based, fiscally responsible healthcare in the ever-changing medical landscape.
Medication Enhancement

Medication Enhancement

In every double blind clinical study of therapies, a certain percentage of subjects obtain the same benefit from a placebo, as with the real drug. Using today’s advanced brain imaging; we can identify the specific centers that supply the healing effect when it is a placebo. To augment therapy, reduce the amount of drug use and speed time of healing, the authors suggest to utilize the known principles of placebo physiology.
Vertigo due to Eustachian Tube Dysfunction

Vertigo due to Eustachian Tube Dysfunction

A comprehensive understanding of the mechanism underlying vertigo is essential to elucidate the reciprocal causal relationship between laryn-gopharyngeal reflux and Eustachian tube obstruction
Neuroplasticity-targeted Intervention for Idiopathic Sudden Sensorineural Hearing Loss

Neuroplasticity-targeted Intervention for Idiopathic Sudden Sensorineural Hearing Loss

This current review addresses the topic of therapeutic strategies for idiopathic SSNHL from the perspective of neuroplasticity. Assertions pertaining to the plausibility of this approach are based on a large body of evidence from animal experiments and recent studies on humans.

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.