Paste your Google Webmaster Tools verification code here

Dr. Jason Hamilton

Skin Cancers Involving the Eyebrow: Clinical Considerations

by Dr. Hootan Zandifar
Thumbnail image for Skin Cancers Involving the Eyebrow: Clinical Considerations

Case presentation A female patient in her 40s presented with a lesion of the left eyebrow that had been increasing in size for several months. A biopsy of the lesion was positive for basal cell carcinoma. She underwent Mohs excision of the lesion with a resulting defect. The defect was 1.5 cm by 1.5 cm […]

Read the full article →

Hereditary Hemorrhagic Telangiectasia

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia

Early Diagnosis of Nasal Mucosal Telangiectasias HHT Overview Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of fragile capillaries that bleed with minimal agitation. Telangiectasias, commonly involve the nasal mucosa causing recurrent nosebleeds that may be severe enough to require hospitalization, surgical cauterization as well as blood and/or iron transfusions. Although […]

Read the full article →

Hereditary Hemorrhagic Telangiectasia: Septal Perforation and Nose Bleeds

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia: Septal Perforation and Nose Bleeds

Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Disease, is a genetic disease that is characterized by the aberrant overgrowth and proliferation (dysplasia) of vascular tissue known as telangiectasias and arteriovenous malformations (AVMs). Because these newly formed vascular tissues are located at incorrect locations and improperly formed, they are prone to bleeding and in some […]

Read the full article →

Hereditary Hemorrhagic Telangiectasia: Epistaxis and Septal Perforation

by Dr. Jason Hamilton
Thumbnail image for Hereditary Hemorrhagic Telangiectasia: Epistaxis and Septal Perforation

Diagnosis and Treatment of Epistaxis: Preventing Septal Perforations HHT Overview Hereditary Hemorrhagic Telangiectasia (HHT) is a hereditary disorder characterized by abnormal clusters of weak bulging capillaries that bleed with little to no trauma or insult. They most commonly affect the nasal mucosa, but also involve the gut, skin, brain and lungs as well. Clinically patients most commonly […]

Read the full article →

Wegener’s Granulomatosis: Autoimmune Disease and Multi-Focal Septal Perforation

by Dr. Jason Hamilton
Thumbnail image for Wegener’s Granulomatosis: Autoimmune Disease and Multi-Focal Septal Perforation

Achieving Successful Septal Perforation Repair Background Autoimmune disorders are characterized by autoantibodies directed against the patient’s body instead of external pathogens (i.e. viruses, bacteria, etc.). In Wegener’s granulomatosis autoantibodies attack small blood vessels throughout the body, causing swelling and ultimately small inflammatory nodules called granulomas. Granulomas slow blood flow and eventually cut off vital oxygen […]

Read the full article →

Jet’s Quarterback, Geno Smith, Suffers a Broken Jaw?

by Dr. Hootan Zandifar
Thumbnail image for Jet’s Quarterback, Geno Smith, Suffers a Broken Jaw?

Recently New York Jet’s quarterback, Geno Smith, was involved in an altercation with a teammate and suffered a punch to the face that resulted in a broken jaw. He is expected to miss 6 to 10 weeks and likely the first two games of the regular season. What is a broken jaw? Typically a broken […]

Read the full article →

Facial Trauma and Orbital Fracture

by Dr. Hootan Zandifar
Thumbnail image for Facial Trauma and Orbital Fracture

Question: I had trauma to my face and am bruised around my eye but my vision is normal. Does this mean I don’t have an orbital fracture? Orbital fractures or fractures of the bones that comprise they eye-ball socket are exceedingly common, especially following facial trauma to the areas of the eye or cheekbone. Because […]

Read the full article →

What is the Best Imaging Study to Evaluate a Broken Nose?

by Dr. Hootan Zandifar
Thumbnail image for What is the Best Imaging Study to Evaluate a Broken Nose?

Case Study The patient is a 29-year-old female who sustained a fall and injury to her face. She was seen in the emergency room and was noted to have a swollen face and nose with nose bleed. She was diagnosed with a suspected nasal bone fracture and referred for evaluation. She was seen in office […]

Read the full article →

Russell Westbrook: Facial Injury and Surgery

by Dr. Jason Hamilton
Thumbnail image for Russell Westbrook: Facial Injury and Surgery

OKLAHOMA CITY, Feb. 28, 2015 – Oklahoma City Thunder guard Russell Westbrook underwent a successful procedure to address a fracture to the zygomatic arch of his right cheek, Thunder Executive Vice President and General Manager Sam Presti announced. The procedure was performed by Dr. John Joseph Rehm and Dr. Jason Hamilton with Thunder medical personnel […]

Read the full article →

Outpatient Surgical Center Safety

by Tanitha Ulanowski
Thumbnail image for Outpatient Surgical Center Safety

The recent unexpected death of Joan Rivers has raised many concerns about the safety of outpatient surgery. While the details of this case may never become public knowledge, it is apparent that Ms. Rivers underwent an outpatient endoscopic procedure, which sadly resulted in a respiratory emergency and subsequent cardiac arrest. As a result, many fear […]

Read the full article →

Mega-perforation: Pushing the Limits of Septal Perforation Repair

by Dr. Jason Hamilton
Thumbnail image for Mega-perforation: Pushing the Limits of Septal Perforation Repair

CLINICAL CHALLENGE We have coined the term ‘Mega-perforation’ to refer to a septal perforation that approaches the limits of reparability. Typically perforations greater than 3.0-3.5cm and/or greater than 75% of the anterior septum size fall into this category. MANAGEMENT CONSIDERATIONS The “watch and wait” approach to managing septal peforations is typically the wrong approach because […]

Read the full article →