The parotid gland is divided into lateral and medial lobes. Most tumors occur in the lateral lobe which is described below. However, tumors can occur in the medial lobe with definitive treatment requiring total parotidectomy. This is accomplished by first performing a lateral lobectomy to identify the facial nerve before the dissection to remove the Continue Reading
Zenker’s diverticulum is an outpouching of the pharyngoesophagus. It is considered a pulsion diverticulum. The resection can be performed through an open or endoscopic approach. Indications Dysphagia (difficulty swallowing) Partial obstruction Aspiration of fluid causing coughing spells Choking sensation Pain on swallowing Diagnosis Barium swallow – this test will show an outpouching from the posterior Continue Reading
Indications Bleeding into the cartilage of the ear from trauma. Surgical Details of Procedure 1. The ear surface is swabbed with a non-chlorhexidine antiseptic. 2. A medium gauge needle (e.g., #18) on a 5-10 cc syringe is inserted into the hematoma while the surgeon aspirates. 3. An antibiotic impregnated dressing is placed over the area Continue Reading
Reduction (replacing the bones in a normal anatomic position) of a fractured (broken) nose should be done within the first 24 hours even in the presence of edema, unless massive. The defect noted on clinical exam is more important than the severity noted on the radiographs (X-ray). Generally, the reduction can be done under local Continue Reading
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