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Otolaryngology, ENT & Sinus News Provided by Dallas ENTEndoscopic vidian neurectomy: update on techniques and evidenceJanuary 31, 2012, 5:00 am by Current Opinion in Otolaryngology & Head and Neck SurgeryPurpose of review: The aim of this work, based on a recent review of the literature, is to update the surgical techniques for endoscopic vidian neurectomy (EVN). Recent findings: Traditionally, vidian neurectomy was performed on the orifice of the vidian canal on the posterior surface of the pterygopalatine fossa (PPF) through an open approach. A major advance in vidian neurectomy is to transect the vidian nerve endoscopically. In the past 2 decades, EVN has been developed and has replaced the traditional open approach because of improved visualization of the vidian nerve and the less invasive procedure. In addition, computed tomographic (CT) scanning has become a routine evaluation tool for EVN. Summary: In the past decade, there has been renewed interest in the procedure of vidian neurectomy because endoscopic techniques have greatly improved. The recent evolution of EVN improves the surgical visualization of the vidian nerve and minimizes surgical complications. Preoperative CT imaging is a key element in determining the surgical approach. This study reviews the literature and summarizes the preferred vidian nerve exposure, recent technical refinements, and our current surgical approach.
More from Current Opinion in Otolaryngology & Head and Neck Surgery Editorial introductions Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am No abstract available Practical clinical management strategies for the allergic patient with chronic rhinosinusitis Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: Allergic rhinitis often coexists with chronic rhinosinusitis (CRS). The purpose of this review is to provide a practical algorithm for the treatment of patients with allergic rhinitis and CRS. Recent Surgical options for the allergic rhinitis patient Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: Allergic rhinitis is a very common disorder that affects millions of patients annually and the hallmark complaint of nasal obstruction significantly impacts the quality of life. Many surgical options Beyond voice: perceptions of gender in male-to-female transsexuals Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am Purpose of review: This review covers recent research findings that demonstrate the effectiveness of speech pathology intervention in enabling male-to-female transsexual individuals to portray their gender identity through speech. Research reports that Speech therapy and rehabilitation Current Opinion in Otolaryngology & Head and Neck Surgery: May 31, 2012, 6:00 am No abstract available
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