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August 2015
Volume 1 Issue 1
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Research Article
Comprehensive Dissection and Safety of Endoscopic Sinus Surgery with and without Image Guidance System

Clara M. Olcott, MD, McHuy F. McCoy, BA, Brad A. Rawlings, MD, Joseph K. Han*, MD

Preoperative CT in conjunction with image guidance system (IGS) is commonly used during endoscopic sinus surgery (ESS). However, comparison for level of completeness and safety with and without IGS during ESS has not been evaluated. In this study, we compare ESS dissections with and without CT IGS, and evaluate the ability of intraoperative CT (ICT) in identifying the dissection completeness.

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Research Article
External neck trauma in Otolaryngology-Head and Neck Surgery

Kacouchia NB, Vroh BTS, Kouassi-Ndjeundo J*, N’gattia KV, Badou KE, Mpessa EM, Koffi W, Kouamé AD, Yavo KN

The importance of vital anatomical structures present in the cervical region makes the diagnosis and initial management of external neck trauma difficult. These lesions can be life-threatening. Mortality in penetrating forms can reach 12.2%. Despite this high mortality, the literature is relatively poor on this subject. The purpose of this study is to describe the epidemiological, diagnostic and therapeutic aspects of external neck trauma in our workplace.

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Research Article
Composite Mandibular Reconstruction with Liquid Nitrogen-Treated Autograft and Pectoralis Major Flap

Kazuhira Endo*, Satoru Kondo, Naohiro Wakisaka, Shigeyuki Murono, Tomokazu Yoshizaki

Segmental mandibular defects are typically reconstructed with vascularized bone grafts. Free transfer grafts require microvascular anastomosis, which may be difficult in vessel-depleted necks and high-risk patients. We report a case of squamous cell carcinoma of the lower gingiva involving the mandibular bone. We performed a combination of frozen autograft and pectoralis major (PM) flap to reconstruct the mandibular defect. The tumor was resected en bloc with a mandibular segment. To reconstruct the oral defect, we used liquid nitrogen-treated autograft. The PM flap was wrapped around the reconstructed mandible. Frozen autograft and PM flap combined is both oncologically and cosmetically a good procedure in contemporary oral and maxillofacial surgery.

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 Case Report

 Frontal Epidural Empyema as A Complication of Resolving Periorbital Cellulitis

 Usama F. Kamel* MD, FRCSEd, PGCPCE, MBBCh, Callum Faris FRCS, Angeles Espeso FRCS, Ghaly A. Ghaly FDSRCS

 A thirteen years old girl presented with right periorbital cellulitis and right pansinusitis. She made a good recovery on intravenous antibiotics and nasal decongestant. However, she developed signs of frontal lobe involvement. CT scan showed epidural empyema with no bony wall destruction. Microbiology reported streptococcus milleri (anginosus) as the causative organism. Medical management was successful under combined ENT and neurosurgical care.

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Short Report

Can Phonovibrograms be Used in Clinical Voice Pathology?

M. Pedersen* MD, M. Eeg Can. Stat, B. Akram, A. Alexius Agersted, A. Jønsson, Medical students

High-speed film has shown to give more advanced diagnoses in laryngology than video stroboscopy, specially combined with kymography and electroglottography. Documentations in pathology from randomized controlled trials are necessary. The setup by Wolf Ltd. for the high-speed measurements also includes a large amount of acoustical analysis and others. In this presentation we show some of the measures that we believe contain possibilities for randomized controlled trials in the future.

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