Operative Otolaryngology Head and Neck Surgery

Facial Resurfacing: Peels and Lasers

Introduction Facial resurfacing with chemical peels and lasers is indicated for patients with photoaged skin. Photoaging is a term used to describe the changes that occur within the skin with aging and ultraviolet (UV) exposure, such as skin dullness due…

Face lift

Introduction Much has been written about the aging face. The face lift procedure (rhytidectomy) is a critical component in addressing the issues of volume loss, sagging tissues, deep rhytids, jowling, and skin stretching. There are numerous trademarked names and even…

Brow Lift

Introduction The brow lift procedure is a rewarding one to master. It allows for both functional and cosmetic concerns to be addressed, resulting in above average patient satisfaction. One of the earliest signs of aging is brow ptosis coupled with…

Blepharoplasty

Introduction As our population continues to grow older, society’s emphasis on a more youthful appearance continues to increase and has led to rising interest in reversing the visible signs of aging. The periorbital region is one of the first areas…

Rhinoplasty and Surgery of the Nasal Valve

Introduction Rhinoplasty includes functional, cosmetic, and reconstructive surgery to address the function and appearance of the nose. Functionally, the airway begins at the nostril, and issues such as static or dynamic collapse (collapse on inspiration) may present at the level…

Orbital Exenteration

Introduction The radical surgery of orbital exenteration is occasionally necessary in the management of cancer of the head and neck. For the Otolaryngologist, it will most frequently be due to the spread of a malignant tumor from the adjacent paranasal…

Lateral Canthotomy

Introduction The lateral canthotomy coupled with an inferior cantholysis is often the first step in many eyelid and orbital procedures. The detachment of the inferior crus of the lateral canthal tendon allows for greater horizontal laxity of the lower eyelid.…

Orbital Abscess

Introduction Subperiosteal orbital abscess (SPOA) is a well-defined complication of bacterial ethmoid sinusitis with potential vision and life-threatening sequelae. In fact, the most common cause of orbital cellulitis is sinusitis, especially of the ethmoid sinuses. The severity of these potential…

Orbital Decompression

Introduction Decompression of the orbit may be considered for the treatment of space-occupying lesions causing compromise of function as a result of expansion of the orbital contents or a decrease in the rigid orbital confines. The volume of the orbit…

Optic Nerve Decompression

Introduction 1. Visual compromise due to injury or compression of the optic nerve can be debilitating and lead to significant impairment in a patient’s quality of life. 2. Transcranial and transfacial access for optic nerve decompression have been the classical…