The likelihood of donor site ischemia following the harvesting of a fibula flap is extremely low, but it is potentially lethal if it occurs. The authors describe a case of ischemia of the lower extremity following a free fibula harvest for head and neck reconstruction. The authors discuss preoperative, intraoperative, and postoperative strategies to assist in diagnosing and managing risks associated with free fibula flap harvesting in this paper.

The authors report a case of otogenic Lemierre's syndrome in a male patient who presented with atypical symptoms and was subsequently treated aggressively with antibiotics and surgery. In this article, the authors demonstrate how they could have avoided serious complications by diagnosing and treating the patient earlier. The authors suggest key points that should be noted in clinical practice in order to prevent misdiagnosis or delayed diagnosis of Lemierre's syndrome.

A novel shockwave tubodilation technique was developed based on the hypothesis that shock waves are key regulators of macrophage functions associated with Eustachian tube dysfunction. The first study of its kind to demonstrate shockwaves in the Eustachian tube is being presented in this work. Based on subjective and objective assessments, shockwave tubodilation has proven to be effective in treating patients with otitis media with effusion due to Eustachian tube dysfunction.

Psammoma bodies are a characteristic of papillary thyroid carcinoma. The prognostic value of thyroid psammoma bodies, however, has not been clarified. The authors conducted this study to ascertain whether non-tumoral psammoma bodies are associated with undesirable histological findings. A study of 584 cases discovered that non-tumoral psammoma bodies were associated with extensive lymphatic spread and more aggressive tumor growth in classic type papillary thyroid carcinoma. As recommended by the authors, it is crucial to mention the presence of psammoma bodies in the pathology report.

This study examined two surgical techniques commonly used for turbinate reduction (i.e., submucous resection and partial excision) and their associated complications in functional nasal surgery patients. So far, there has been no direct comparison of these two methods with endpoints of epistaxis and nasal congestion. It was found neither technique was statistically significantly different from the other, so both are clinically useful with a low incidence of postoperative epistaxis.

Osteoarthritic finger joints are often repaired with joint implants, arthrodesis, or a vascularized interphalangeal joint graft. However, grafts can damage the donor toe. Based on the results of this study, the authors suggest that vascularized distal interphalangeal joint transfers from the second toe may be suitable for reconstructing these defects through microsurgery.

During the COVID-19 pandemic, audition rotations were cancelled, limiting fourth year students' exposure to the breadth and depth of otolaryngology. The authors propose a virtual rotation for fourth-year medical students applying to otolaryngology. As a result of this study, virtual rotators were able to practice their outpatient management skills, observe a variety of otolaryngologic conditions, and form relationships with attending physicians. Virtual rotations, they concluded, could increase equity and access to high-quality otolaryngology training.

The video presents a useful technique for microvascular anastomosis in reconstructive surgery of the head and neck. It is advantageous to use this series of sutures when working with limited space, weak vessels (vessels irradiated, or with atheroclastic plaques), suturing in tension, or suturing smaller vessels (less than 0.8 cm in diameter).

According to this article, Meniere's disease might actually be a generic term referring to an inner ear disorder that causes vertigo and hearing loss. The author suggests that physicians should pay more attention to discussing any pathological changes associated with hearing loss and vertigo with patients rather than narrowly focusing on confirming the diagnosis of diseases.

The authors describe their experience in treating severe recurrent respiratory papillomatosis with systemic bevacizumab in two young children with intractable papillomatosis requiring multiple surgical debridements. This is the first report to describe the successful management of recurrent respiratory papillomatosis with systemic bevacizumab in young children. The findings illustrate that systemic bevacizumab can have a dramatic effect on patient outcomes, eliminating the need for repeat surgical interventions. Furthermore, the findings suggest that this novel antiangiogenic agent can safely be used in young children using the same dosing recommendations used in the adolescent and adult populations.