99 research outputs found
sj-pdf-1-aor-10.1177_00034894211036859 – Supplemental material for Flipping the Classroom: An Evaluation of Teaching and Learning Strategies in the Operating Room
No full textSupplemental material, sj-pdf-1-aor-10.1177_00034894211036859 for Flipping the Classroom: An Evaluation of Teaching and Learning Strategies in the Operating Room by Jared Johnson, Emily Misch, Michael T. Chung, Jeffrey Hotaling, Adam Folbe, Peter F. Svider, Cristina Cabrera-Muffly and Andrew P. Johnson in Annals of Otology, Rhinology & Laryngology</p
Do Patients Access Appropriate Information Online?
No full textAbstractHealth care providers should be aware of information available on the Internet to ensure proper patient care. The current analysis assesses the reliability, quality, and readability of internet information describing rhytidectomy. Previously validated survey instruments to assess the reliability, quality, and readability of online websites describing rhytidectomy were used. An internet search using Google with the search term “facelift” was conducted. The first 50 search results were reviewed, and 36 were deemed appropriate to be included in this analysis. Websites were divided based on type of authorship into professional organization, academic, physician based, and unidentified. The validated DISCERN instrument was used to determine reliability, quality, and overall rating of each site. The Flesch Reading Ease Score (FRES) and Flesch–Kincaid Grade Level (FKGL) were used to measure readability. A 1 to 3 point scale was used to rate websites, with a higher number indicating a website that possessed either greater reliability or greater quality. Mean scores for reliability ranged from 1.7 (±0.99) in the academic group to 2.0 (±0.12) in the unidentified group. Mean scores for quality ranged from 1.5 (±0.13) in the unidentified group to 1.7 (±0.38) in the physician-based group. The highest overall rating was 1.4 (±0.22 and ± 0.31, respectively) in the unidentified and physician-based groups. The lowest overall rating was 1 (±0.58) in the academic group. FRESs ranged from 21.6 to 74.6. FKGLs ranged from 6.9 to 13.9. Information available online regarding rhytidectomy may be significantly deficient in reliability, quality, and readability. These deficiencies are present in articles with all types of author affiliations. This underscores the clinicians' duty to provide patients with high-quality information at an adequate level of comprehension.</jats:p
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Surgical Anatomy in Revision Sinus Surgery
No full text• Revision sinus surgery depends on knowing constant bony anatomical landmarks that are unaltered by prior surgery or advanced pathology.
• A wide maxillary antrostomy exposes the posterior lamellae and the medial orbital floor (MOF).
• The superior margin of the maxillary sinusotomy (junction of the inferior aspect of the lamina papyracea and MOF) forms a “bony ridge,” which delineates the anterior ethmoid cells (medially) from the orbital floor (laterally).
• The posterior margin of the maxillary sinusotomy (posterior fontanelle remnant), delineates the middle turbinate/sphenopalatine foramen (medially) from the posterior wall of the maxillary sinus (laterally).
• The relationship between the MOF and adjacent structures can help guide the surgeon.
• The posterior ethmoid cells lie superior to the posterior orbital floor adjacent and medial to the ridge of the antrostomy.
• The sphenoid sinus lies inferior to the MOF, adjacent to the nasal septum, approximately 7 cm from the columella.
• The nasolacrimal duct runs anterior, but parallel to the direction of the frontal recess and infundibulum
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Single-layer Endoscopic Repair of Anterior Skull Base Defects
No full textThis article reviews contemporary strategies for single-layer endoscopic repair of anterior skull base cerebrospinal fluid leaks, which are important for small defects and when multiple layers using vascularized tissue options are not available. Successful reconstruction requires restoring a watertight barrier between the intracranial compartment and the sinonasal tract, with technique selection guided by defect size, location, flow dynamics, and tissue availability. When appropriately selected, patients undergoing single-layer endoscopic repair achieve closure rates exceeding 90%. The article also discusses factors associated with failure and practical considerations for enhancing durability, highlighting the ongoing relevance of single-layer reconstruction in modern skull base surgery
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Analysis of the Cost-Effectiveness of Dural Sealants in the Endoscopic Repair of CSF Leaks
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Traumatic CSF Leaks
No full textThe majority of cerebrospinal fluid (CSF) leaks result from some form of skull base trauma. Injuries to the base of skull can be the result of accidental injury or intraoperative (iatrogenic) injury. The type of injury can have an important impact on CSF leak management. This chapter reviews the types of traumatic CSF leak and the subsequent treatment options that can be considered
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