• Adenoid Hypertrophy

    Adenoid hypertrophy is unusual growth of the lymphatic tissue in the oropharynx known as the adenoid pad. Enlargement can cause obstruction of the nasal airways, leading to mouth breathing and snoring. It can

  • The surgical removal of the adenoids has typically been performed through a various number of methods. Using a laryngeal mirror, the adenoids are visualized through the mouth, and an instrument is used to remove

  • Coblation stands for controlled ablation. The technology uses radiofrequency in combination with low temperatures to “ablate” tissues, commonly using a saline rinse to wash away ablated tissues. The tem

  • The Medtronic RADenoid blade is a suction microdebrider that is curved to ergonomically reach the adenoid tissue. There is no coagulation setting, which may reduce postoperative pain, but may also require using

  • The Bovie Medical Suction Coagulator allow suction of tissues with or without coagulation of the tissue. The hand piece has a flexible tip that can be bent to fit in various areas of the oropharynx. A hole in the

  • The Coblator II tool uses coblation technology, and can be applied to many areas in ENT surgery. It is particularly useful when minimizing thermal effect on surrounding tissue is desired. The wand allows the

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  • Pleomorphic Adenoma/Parotid Cancer

    Pleomorphic adenoma is the most common benign salivary gland tumor. Anatomically, the parotid gland is the most commonly affected of the three major salivary glands, comprising about 80 percent of the cases. In

  • Typically, a modified Blaire incision is made in front of the ear, within a skin crease. A skin flap is elevated anteriorly to expose the fascia overlying the parotid gland. The facial nerve or one of its

  • Fungal Sinusitis/Mycetoma

    Fungal sinusitis is a disorder of the paranasal sinuses, caused by fungal colonization after inhalation of fungal spores in the environment. Individuals with impaired sinus clearance may be at increased risk of

  • Maxillary sinus debridement is aimed at mucosal preservation, while also removing obstructions in maxillary ostium outflow. After identification of the uncinate process, the opening to the maxillary can be

  • Endoscopic sinus irrigation systems allow for directed, higher-powered irrigation of sinus contents directly where disease is located. Over the counter sinus irritations are often unable to reach diseased areas

  • The Smith and Nephew’s Serpent Articulating Instrument has a tip that is capable of also articulating in 220 degrees, as well as 7 different locking positions. The tip can be altered to include grasping and

  • The Stryker Cyclone Sinonasal Suction Irrigation System includes a bendable tip, which allows for malleability to reach sharp and anterior angles in the maxillary sinus. The hand piece can also both suction and

  • The Hydrodebrider Endoscopic Sinus Irrigation System has a flexible tip which allows 220 degrees of articulation, making the difficult to reach maxillary and frontal sinus locations accessible. There is a smaller

  • Chronic Sinusitis

    Chronic rhinosinusitis is an inflammatory disorder of the paranasal sinuses, defined as lasting 12 weeks or longer. It is commonly diagnosed in middle-aged individuals, and may present with purulent drainage from

  • FESS is aimed at mucosal preservation, while also removing obstructions in sinus anatomy, with the main goal being restoration of normal sinus anatomy and physiology. Endoscopy for sinus surgery was first

  • Pituitary Adenoma

    Pituitary adenomas are benign tumors of the anterior pituitary gland, with incidence rates between 4 and 78 per 100,000 individuals. They are more common in individuals with Multiple Endocrine Neoplasia type 1,

  • Endoscopic Pituitary resection via a trans-sphenoidal approach is relatively noninvasive, using the nasal passages and knowledge of the anatomy of the paranasal sinuses to navigate to the base of the skull. Both

  • Surgical navigation systems are popular tools during sinus and skull base surgery, which allow the surgeon to upload CT scans of individual patients into a computer. The scans are then synchronized with the

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