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Ear, Nose, and Throat Surgeries

Ear Surgeries:

Outer Ear:

Otoplasty This is often done to make protruding ears smaller or more normal in appearance or to make the ears more symmetrical.

Reconstructive Surgeries on the Outer Ear. Occasionally an outer ear needs to be created or significantly changed, if a person was born without an outer ear or if the ear had to be removed for any reason, such as cancer, infection, or trauma.

 

Tympanic Membrane (Eardrum), Middle Ear, & Mastoid:

Myringotomy with PE Tube making a hole in the eardrum to drain fluid/infection and let air in through the tube.

Tympanoplasty-- repairing the eardrum, usually with a tissue graft that is placed under or on top of a hole in the eardrum.

Tympanoplasty with Ossiculoplasty

Stapedectomy--removing a fixed (stuck) stapes bone and reconnecting the inner ear to the other ear bones, usually using a wire or piston.

Mastoidectomy-- cleaning diseased bone from behind and around the ear

 

Inner Ear:

Labyrinthectomy-- to destroy the inner ear in situations where the inner ear cannot hear and there is chronic dizziness.

Endolymphatic Sac Decompression -- Removing bone from the surface of the endolymphatic sac, which is situated in the dura (the tough tissue) that covers the brain just behind the inner ear in the back part of the mastoid

 

Retrolabyrinthine:

Vestibular Nerve Section -- to cut the nerve to the balance parts of the inner ear in the canal behind the inner ear, sparing the hearing nerve and the nerve to the face that goes through the canal, too.

 

Facial Nerve:

Facial Nerve Decompression  is removing bone from the surface of the facial nerve, the nerve that makes your facial muscles work. This nerve has the longest path through bone of any nerve in the body.

Removal of Facial Nerve Tumors and other tumors

 

Nose & Sinus Surgeries:

Septoplasty-- straightening out the cartilage and bone on inside if the nose

Septorhinoplasty-- making the outside of the nose straighter and more cosmetically pleasing as well as straightening out the inside of the nose.

Functional Endoscopic Surgeries of the Sinuses-- Using small lit telescopes for light and guidance, diseased and/or infected tissues are removed from these sinuses:

  • Maxillary Sinuses, the sinuses in your cheeks
  • Ethmoid Sinuses, the sinuses between your eyes
  • Frontal Sinuses, the sinuses in your forehead
  • Sphenoid Sinuses, the sinuses deep in your head at the base of the skull.

Dacrocystorhinostomy-- opening the sac/duct from the eye to the nose to get the tear ducts to drain into the nose better.

 

Removal of Nasal Tumors

Nasal Polypectomy-- to remove polyps from the nose and sinuses. Avoid aspirin and yellow dyes to decrease the chance of polyps growing back.

 

Surgeries of the Face:

Blepharoplasty -- to fix baggy eyelids

Browlift-- to elevate the eyebrows and upper facial tissues

Facelift-- to lift or tighten midface skin and subcutaneous tissues

Neck lift-- to lift/tighten skin and tissues of the neck

Laser Facial Resurfacing-- to even out the skin surface using the laser.  The outer layer(s) of the skin are removed and the skin regrows, leaving a smoother surface.

Removal of Benign Moles, Tags, and Masses

Removal of Facial Tumors/Cancers

 

Mouth & Oropharynx Surgeries:

LAUP-- Laser Assisted UvuloPalatoplasty--removal of a portion of the edge of the palate and the uvula, sometimes in several stages, to decrease the amount of "floppy" tissue that vibrates as one snores

Uvulopalatoplasty-- removal of a portion of the palate and lateral pharyngeal soft tissues  to decrease the upper pharyngeal obstruction in a person with sleep apnea.

Esophagoscopic Stapling of Zenker's Diverticulum- stapling and cutting the wall between the Zenker's pouch and the esophagus through the throat, with no outside incisions. See www.laparoscopy.com for pictures of this procedure.

Removal of Salivary Glands & Tumors-- usually done for non-cancerous lumps. These surgeries often require identifying nerves to the facial muscles that go through or very close to these glands. Damage to any of these nerve branches can result in weakness of part or all of one side of the face.

Tonsillectomy & Adenoidectomy

Removal of Mouth & Throat Masses & Tumors

 

Throat Surgeries:

Laryngoscopy with Vocal Cord Surgery, Laser or Standard

Laser Removal Pharyngeal Masses

Laryngectomy, Total or Partial--removal of all or part of the voice box, usually for cancer. Small tumors can now be removed using the laser, without neck incisions. Patients can learn to talk if the voice box ix totally removed. Ask your otolaryngologist to outline the different procedures.

Arytenoidectomy--Laser removal of the arytenoid cartilage and sometimes part of a nonfunctioning vocal cord in a patient with a paralyzed vocal cord(s) to create a safe, more open airway

Removal of Cysts and Masses Many of these are from abnormal development of the neck tissues before birth.

Thyroid Surgery Removal of cancerous or noncancerous masses from the thyroid gland. Nerves to the voice box are very close to parts of the thyroid glands and voice problems and/or airway problems can develop if one of these nerves is damaged.

Cancer Surgery--Cancers can occur in the neck, either in lymph nodes or in other tissues of the neck. They often are associated with cancers in the throat. It is very important to get a good examination of the insode of the throat if a mass is present in the neck and it is to be removed.

 

 

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