OBJECTIVE To evaluate the use of topical mitomycin in choanal atresia repair to reduce the development of granulation tissue and cicatrix. DESIGN AND SETTING Retrospective case series in 2 tertiary care centers. PATIENTS Twenty patients with either unilateral or bilateral congenital choanal atresia underwent repair using the transnasal endoscopic approach, the transpalatal approach, or both...

Background: Choanal atresia (CA) is a widely recognized craniofacial disorder characterized by the obliteration of posterior nasal opening, due to imperforation oronasal membrane and overgrowth horizontal vertical process palatine bone during weeks 4-11 gestation process. Objective: To evaluate efficacy trans-nasal endoscopic cross-over flap technique in repair choanal with long-term follow-up. ...

BACKGROUND The purpose of this prospective, observational study was to evaluate the management of skull base chordomas surgically resected via a 3D-endoscopic transnasal approach. METHODS Thirteen consecutive patients were observed and only 9 were surgically treated using a 3D-endoscopic transnasal approach assisted by a novel 3D visualization system. RESULTS Nine consecutive male patients ...

INTRODUCTION Adult choanal atresia is a rare congenital malformation of the nasal cavity characterized by the complete obliteration of the posterior choanae, only ninth cases are reported in the literature, we present in our observation the tenth case of adult bilateral choanal atresia. PRESENTATION OF CASE A 18-year-old man presented at our department with complaints of nasal obstruction, na...

Background: Benign vocal fold lesions (BVFLs) are usually caused by abuse or misuse. Conservative treatment and micro laryngeal surgery (MLS) recommended in the treatment. However, conservative measures difficult to perform some patients contraindicated for general anesthesia.Objective: This study is designed assess practical application, effectiveness, side effects of office-based steriod inje...

OBJECTIVE Endoscopic transsphenoidal approach has become the gold standard for surgical treatment of treating pituitary adenomas or other lesions in that area. Opening of bony skull base has been performed with burrs, chisels, and hammers or standard instruments like punches and circular top knives. The creation of primary bone flaps-as in external craniotomies-is difficult.The piezoelectric os...

PURPOSE To report the case of a silastic sheet that was found during an endoscopic transnasal dacryocystorhinostomy for treatment of acute dacryocystitis with necrosis of the lacrimal sac. METHODS A thirty-two year old male presented with painful swelling on the nasal side of his left lower lid two weeks prior to visiting this clinic. Fourteen years ago, the patient was involved in a traffic ...