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Elsevier

Publications in this journal

• Allergic rhinitis and the unified airway: a therapeutic dilemma.

  Authors: Leslie Robin Halpern

  Oral and maxillofacial surgery clinics of North America. 24(2):205-17.

  Inflammatory diseases of the upper and lower airways act not as individual entities but more as an integrated unit-the concept of the unified airway. This article focuses on the role of allergicInflammatory diseases of the upper and lower airways act not as individual entities but more as an integrated unit-the concept of the unified airway. This article focuses on the role of allergic rhinitis (AR) in the unified airway. An overview of AR and its association with upper and lower airway diseases is provided. AR is described in terms of its epidemiology, pathophysiology, and recent options for successful treatment. The recent use of immunotherapy and its future potential as a prophylactic method for the treatment of AR and concomitant diseases within the unified airway are emphasized.

• Oroantral communication.

  Authors: Harry Dym, Joshua C Wolf

  Oral and maxillofacial surgery clinics of North America. 24(2):239-47.

  The practicing oral and maxillofacial surgeon treating patients with oroantral communication (OAC)/oroantral fistulas should be familiar and competent with the various treatment options available.The practicing oral and maxillofacial surgeon treating patients with oroantral communication (OAC)/oroantral fistulas should be familiar and competent with the various treatment options available. Multiple techniques are available from purely soft tissue flaps, which have proved to be successful over time, to a combination of hard tissue grafts (autologous, alloplastic, or allograft), which can prove to be useful with the increased demand for implant restorations. Although different procedures have proved to be successful, all are premised on the treatment of any underlying sinusitis, which is associated with a higher risk of recurrent OAC.

• Tonsillitis, peritonsillar and lateral pharyngeal abscesses.

  Authors: Jonathan M Tagliareni, Earl I Clarkson

  Oral and maxillofacial surgery clinics of North America. 24(2):197-204.

  Oral and maxillofacial surgeons are occasionally called on to diagnose, treat, and rule out peritonsillar abscesses. In this article, the anatomy of the peritonsillar area, its contents, surgicalOral and maxillofacial surgeons are occasionally called on to diagnose, treat, and rule out peritonsillar abscesses. In this article, the anatomy of the peritonsillar area, its contents, surgical approaches, and possible complications are discussed.

• Epistaxis and hemostatic devices.

  Authors: Levon Nikoyan, Stanley Matthews

  Oral and maxillofacial surgery clinics of North America. 24(2):219-28.

  Epistaxis is a common medical problem that rarely requires surgical intervention. However, when medical or surgical intervention is required, epistaxis can sometimes be difficult to control.Epistaxis is a common medical problem that rarely requires surgical intervention. However, when medical or surgical intervention is required, epistaxis can sometimes be difficult to control. Knowledge of nasopharyngeal anatomy is absolutely essential to the proper management of epistaxis. This article begins with a discussion of the essential anatomy of the region and the basic epidemiology of epistaxis, followed by a review of initial treatment as well as devices and procedures specifically designed for the control of epistaxis. Advances and new devices for the control of epistaxis are described.

• Surgical Management of Nasal Obstruction.

  Authors: Jason A Moche, Orville Palmer

  Oral and maxillofacial surgery clinics of North America.

  The proper evaluation of the patient with nasal obstruction relies on a comprehensive history and physical examination. Once the site of obstruction is accurately identified, the patient may benefitThe proper evaluation of the patient with nasal obstruction relies on a comprehensive history and physical examination. Once the site of obstruction is accurately identified, the patient may benefit from medical management. At times, the definitive treatment of nasal obstruction relies on surgical management. Recognizing the nasal septum, nasal valve, and turbinates as possible sites of obstruction and addressing them according dramatically improves a patient's nasal breathing. Conservative resection of septal cartilage and structural grafting of the nasal valve when appropriate provide the optimal improvement in nasal airflow and allow for the most stable results.

• Surgical Anatomy of the Nasal Cavity and Paranasal Sinuses.

  Authors: Orrett E Ogle, Robert J Weinstock, Ezra Friedman

  Oral and maxillofacial surgery clinics of North America.

  The oral cavity and its bony components (maxilla and mandible), along with the nose and its related sinuses, constitute most of the face. Because of their proximity, disease in one may affect theThe oral cavity and its bony components (maxilla and mandible), along with the nose and its related sinuses, constitute most of the face. Because of their proximity, disease in one may affect the other, whereas trauma of the midface will involve bones common to the oral cavity, nose, and paranasal sinuses. The two serve important life-supporting functions, being the portals for nutrition and respiration. The paranasal sinuses are pneumatic cavities lined by mucous membrane and communicate directly with the nasal cavity. This article presents a brief but relevant view of the surgical anatomy of the nasal cavity and paranasal sinuses.

• Management of Frontal Sinus Fractures.

  Authors: Ladi Doonquah, Phillip Brown, Warren Mullings

  Oral and maxillofacial surgery clinics of North America.

  The traditional treatment of frontal sinus fractures is undergoing a review by many clinicians. This review will undoubtedly contribute to the existing controversy surrounding the management ofThe traditional treatment of frontal sinus fractures is undergoing a review by many clinicians. This review will undoubtedly contribute to the existing controversy surrounding the management of patients with this condition. This article seeks to further the review and suggest the authors' perspective on a more appropriate approach to the care of patients with frontal sinus injuries.

• Endoscopic Surgery of the Nose and Paranasal Sinus.

  Authors: Orville Palmer, Jason A Moche, Stanley Matthews

  Oral and maxillofacial surgery clinics of North America.

  Mucosal preservation is of paramount importance in the diagnosis and surgical management of the sinonasal tract. The endoscope revolutionized the practice of endoscopic nasal surgery. As a result,Mucosal preservation is of paramount importance in the diagnosis and surgical management of the sinonasal tract. The endoscope revolutionized the practice of endoscopic nasal surgery. As a result, external sinus surgery is performed less frequently today, and more emphasis is placed on functional endoscopy and preservation of normal anatomy. Endoscopic surgery of the nose and paranasal sinus has provided improved surgical outcomes and has shortened the length of stay in hospital. It has also become a valuable teaching tool.

• Revision Sinus Surgery.

  Authors: Satish Govindaraj, Abib Agbetoba, Samuel Becker

  Oral and maxillofacial surgery clinics of North America.

  Revision sinus surgery for inflammatory disease has been revolutionized by endoscopic sinus surgery. Clinical trials have shown statistically significant positive outcome data for patient symptomsRevision sinus surgery for inflammatory disease has been revolutionized by endoscopic sinus surgery. Clinical trials have shown statistically significant positive outcome data for patient symptoms and quality of life, as well as improvements in objective findings on postoperative nasal endoscopy and computed tomography imaging for patients undergoing revision sinus surgery. The keys to successful revision surgery are adjunctive medical management, aggressive postoperative debridement, mucosal preservation, and removal of osteitic bone. Both the physician and patient should also understand the underlying disease process and comorbid factors so that anticipated postoperative outcomes can be met with realistic expectations.

• Surgery of the Nose and Paranasal Sinuses: Principles and Concepts.

  Authors: Orrett Ogle, Harry Dym

  Oral and maxillofacial surgery clinics of North America.

• Removal of Parotid, Submandibular, and Sublingual Glands.

  Authors: Mohammed Nadershah, Andrew Salama

  Oral and maxillofacial surgery clinics of North America.

  Surgical removal of the major salivary glands is a common task for the oral and maxillofacial surgeon. The major salivary glands have complex anatomic relationships with the surrounding neurovascularSurgical removal of the major salivary glands is a common task for the oral and maxillofacial surgeon. The major salivary glands have complex anatomic relationships with the surrounding neurovascular structures, and a thorough understanding of the surgical anatomy is essential for any surgeon involved in the management of salivary gland disease. This article reviews the indications, surgical anatomy, diagnostic evaluation, and surgical techniques for removal of the major salivary glands.

• Instrumentation and Techniques for Examination of the Ear, Nose, Throat, and Sinus.

  Authors: Marsha James, Orville Palmer

  Oral and maxillofacial surgery clinics of North America.

  Optimal and accurate management of any patient depends on a detailed history and thorough physical examination. The information garnered dictates the definitive management of the patient. AdequateOptimal and accurate management of any patient depends on a detailed history and thorough physical examination. The information garnered dictates the definitive management of the patient. Adequate examination of the head and neck, particularly the upper aerodigestive tract, presents a unique challenge because much of the area to be examined is not easily accessible to direct visualization. However, advances in medical technology have prompted the evolution of the instrumentation and the techniques used to examine this anatomic region. This evolution allows for a more informative assessment of the patient and a more comfortable experience.

• Imaging of the Paranasal Sinuses.

  Authors: R Joshua Dym, Daniel Masri, Keivan Shifteh

  Oral and maxillofacial surgery clinics of North America.

  Evaluation of the paranasal sinuses is often performed in a purely clinical fashion, without the need for imaging. However, in certain instances imaging may be deemed valuable or even necessary inEvaluation of the paranasal sinuses is often performed in a purely clinical fashion, without the need for imaging. However, in certain instances imaging may be deemed valuable or even necessary in helping to solve a diagnostic dilemma, confirm a suspected diagnosis, evaluate the extent of a known condition, or assess for an underlying cause of the condition. Computed tomography (CT) and magnetic resonance imaging (MRI) can be useful in confirming a suspected diagnosis or providing additional information regarding causes or complications. CT and MRI play complementary roles in evaluating the rare tumors that may involve the paranasal sinuses.

• Benign Cysts and Tumors of the Paranasal Sinuses.

  Authors: Joseph E Pierse, Avichai Stern

  Oral and maxillofacial surgery clinics of North America.

  To thoroughly understand the biology of any lesion and render the appropriate management, clear and accurate definitions are paramount. For benign cysts and tumors of the oral maxillofacial region,To thoroughly understand the biology of any lesion and render the appropriate management, clear and accurate definitions are paramount. For benign cysts and tumors of the oral maxillofacial region, an accurate depiction of these lesions needs to be elucidated to provide both the treating surgeon and the patient with a clear understanding of the course of treatment and the outcome.

• Microorganisms of the Nose and Paranasal Sinuses.

  Authors: Richard H Haug

  Oral and maxillofacial surgery clinics of North America.

  The endogenous normal flora of the nose and paranasal sinuses works to create an environment of homeostasis within the region. This homeostasis can be interrupted by eliminating the anatomic barriersThe endogenous normal flora of the nose and paranasal sinuses works to create an environment of homeostasis within the region. This homeostasis can be interrupted by eliminating the anatomic barriers created by the skin, bone, and mucosa, such as after trauma and/or surgery; by altering the atmosphere of the surroundings, such as the creation of an anaerobic environment by obstruction of the sinus ostia or foramina; or by a change in the normal flora of the region. To fully understand the microbiological environment of this region, the normal flora of the nose and paranasal sinuses must be understood.

• An Update on Squamous Carcinoma of the Oral Cavity, Oropharynx, and Maxillary Sinus.

  Authors: Joshua E Lubek, Lewis Clayman

  Oral and maxillofacial surgery clinics of North America.

  There are more than 45,000 new cancer cases involving the head and neck diagnosed each year within the United States. Squamous cell carcinoma accounts for the majority of cases, often occurringThere are more than 45,000 new cancer cases involving the head and neck diagnosed each year within the United States. Squamous cell carcinoma accounts for the majority of cases, often occurring within the oral cavity and oropharynx. This article reviews current literature and various controversial topics involving the diagnosis and treatment strategies for patients with oral cavity/oropharyngeal cancers. Although not considered cancer within the oral cavity, maxillary sinus squamous cell carcinoma is discussed.

• History of rhinoplasty.

  Authors: Louis S Belinfante

  Oral and maxillofacial surgery clinics of North America. 24(1):1-9.

  Man has considered the nose to be a key feature, if not the key feature, of facial appearance, beauty, and dynamics. However, because of its central facial location and weak cartilaginous support,Man has considered the nose to be a key feature, if not the key feature, of facial appearance, beauty, and dynamics. However, because of its central facial location and weak cartilaginous support, the nose is susceptible to disfiguring infection, trauma, pathologic entities, and human-associated carnages. This article discusses the various methods (eg, endonasal approach, external approach, and osteoplastic operations) surgeons have tried throughout history to give their patients a more attractive face by altering the one physical anatomic structure that one usually notices first.

• Applied surgical anatomy of the nose.

  Authors: Mark R Stevens, Hany A Emam

  Oral and maxillofacial surgery clinics of North America. 24(1):25-38.

  Although anatomy often seems static, the continual innovation of new surgical techniques and approaches, in reality, make it a dynamic field. The first essential principal of any surgery is theAlthough anatomy often seems static, the continual innovation of new surgical techniques and approaches, in reality, make it a dynamic field. The first essential principal of any surgery is the comprehensive knowledge of the anatomic area and its physiology. This assertion is especially true in functional and or cosmetic nasal surgery.

• Grafting in cosmetic rhinoplasty.

  Authors: James Koehler, Landon McLain

  Oral and maxillofacial surgery clinics of North America. 24(1):59-66.

  As rhinoplasty techniques continue to evolve toward structural support and away from purely reductive techniques, the need for sophisticated grafting options will escalate to augment or replaceAs rhinoplasty techniques continue to evolve toward structural support and away from purely reductive techniques, the need for sophisticated grafting options will escalate to augment or replace critical support mechanisms of the nose. This will result in improved esthetic outcomes and functional results. We have found that well-planned and executed adjunctive grafting techniques can deliver lasting results with preservation of function and cosmesis. This article reviews the various graft materials and the techniques and indications for their use.

• Nasal base surgery.

  Authors: Behnam Bohluli, Nima Moharamnejad, Amin Yamani

  Oral and maxillofacial surgery clinics of North America. 24(1):87-94.

  The nasal base is an important aspect of the nose with a complex anatomic architecture comprising a combination of cartilages, skin, connective tissues, and ligaments. Recent studies show that allThe nasal base is an important aspect of the nose with a complex anatomic architecture comprising a combination of cartilages, skin, connective tissues, and ligaments. Recent studies show that all nasal base deformities cannot be corrected by simple excision and suturing techniques. Alar release and medialization would be effective in some of these deformities. This article presents an overview of conventional concepts of alar base surgeries, which have remained unchanged over many years. Indications and limitations of each technique are discussed, followed by a more detailed description of alar release and medialization.

• Revision rhinoplasty.

  Authors: Angelo Cuzalina, Clement Qaqish

  Oral and maxillofacial surgery clinics of North America. 24(1):119-30.

  We partition this discussion of revisional surgery based on perceived problems with the primary rhinoplasty. This will focus on either underresection or overresection of tissues and the ensuingWe partition this discussion of revisional surgery based on perceived problems with the primary rhinoplasty. This will focus on either underresection or overresection of tissues and the ensuing clinical result. We also discuss some select problems associated with manipulation of tissues via suturing or grafting and briefly discuss functional considerations in secondary surgery. We advocate an open approach when performing most revision rhinoplasty. Visualization and access provided by the open approach enables the surgeon to achieve treatment goals in a more predictable fashion, particularly in cases requiring extensive grafting or when a different surgeon performed the primary rhinoplasty.

• Primary cosmetic rhinoplasty.

  Authors: Shahrokh C Bagheri

  Oral and maxillofacial surgery clinics of North America. 24(1):39-48.

  The last 2 decades have witnessed significant changes in both technical and philosophic aspects of rhinoplasty surgery. Many of these changes are designed to provide more predictable, lasting, andThe last 2 decades have witnessed significant changes in both technical and philosophic aspects of rhinoplasty surgery. Many of these changes are designed to provide more predictable, lasting, and enhanced cosmetic results of surgery without compromise of function. Although the aim of this procedure remains unchanged, the techniques and methodology have evolved. What is also continuously changing is the patients' requests and expectations of favorable cosmetic outcome. This article outlines the basic concepts that are essential in performing cosmetic rhinoplasty.

• Rhinoplasty: initial consultation and examination.

  Authors: Husain Ali Khan

  Oral and maxillofacial surgery clinics of North America. 24(1):11-24.

  Many cosmetic surgeons consider rhinoplasty to be the most complex surgical and artistically challenging of all aesthetic surgery today. It is the most common facial procedure performed for women andMany cosmetic surgeons consider rhinoplasty to be the most complex surgical and artistically challenging of all aesthetic surgery today. It is the most common facial procedure performed for women and the second most common for men. The art and science of cosmetic rhinoplasty begins with the initial examination. The surgeon must visualize and predict like Leonardo Da Vinci, be a sculptor like Michelangelo, and be an analyzer like Einstein. This article describes the components and complexities of the initial examination in cosmetic rhinoplasty.

• Dorsal hump surgery and lateral osteotomy.

  Authors: Behnam Bohluli, Nima Moharamnejad, Mohammad Bayat

  Oral and maxillofacial surgery clinics of North America. 24(1):75-86.

  Lateral osteotomy is a controversial step in rhinoplasty, which is usually performed to narrow a wide nose, widen a narrow bony pyramid, straighten a deviated nose, or close an open roof deformity.Lateral osteotomy is a controversial step in rhinoplasty, which is usually performed to narrow a wide nose, widen a narrow bony pyramid, straighten a deviated nose, or close an open roof deformity. The osteotomy is performed using several methods, although the internal continuous and external perforator are the main ways to perform the lateral osteotomy. Most other techniques are modifications of these basic methods. The purpose of this article is to review the essential concepts of nasal hump surgery and lateral osteotomy as used in cosmetic rhinoplasty.

• Correction of the crooked nose.

  Authors: Jason K Potter

  Oral and maxillofacial surgery clinics of North America. 24(1):95-107.

  Correction of the deviated nose is one of the most difficult tasks in rhinoplasty surgery and should be approached in a systematic manner to ensure a satisfied patient and surgeon. Correction of theCorrection of the deviated nose is one of the most difficult tasks in rhinoplasty surgery and should be approached in a systematic manner to ensure a satisfied patient and surgeon. Correction of the deviated nose is unique in that the patient's complaints frequently include aesthetic and functional characteristics. Equal importance should be given to the preoperative, intraoperative, and postoperative aspects of the patient's treatment to ensure a favorable outcome.

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