Paste your Google Webmaster Tools verification code here

Dr. Ryan Osborne

Parotidectomy: Deep vs Superficial Lobe

by Rafael Enciso
Thumbnail image for Parotidectomy: Deep vs Superficial Lobe

What is the Parotid Gland? The parotid gland is a bilateral salivary gland, located on either sides of the mouth and in front of both ears, anatomically it is shaped like an upside-down triangle and lies in front of and below the opening of the ear canal. The facial nerve, which runs through the parotid […]

Read the full article →

Treatment of Multiple Skin Cancer Lesions

by Dr. Hootan Zandifar
Thumbnail image for Treatment of Multiple Skin Cancer Lesions

Question: I have multiple skin cancers on my face. Should I remove them all at once or at different times?  Case Study A male patient in his 60s is noted to have two separate skin cancers on the right side of his face. He has a larger squamous cell carcinoma on the cheek just below […]

Read the full article →

Skin Cancer: Nasal Reconstruction and Scar Management

by Dr. Hootan Zandifar
Thumbnail image for Skin Cancer: Nasal Reconstruction and Scar Management

Question: I’m having skin cancer removed from my nose. How long should I expect to have before my scar is noticeable? Case Study  The patient is a male in his 50s who noticed a small bump growing over the tip of his nose for a few months. He presented to his dermatologist who took a […]

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 →

Squamous Cell Carcinoma: Reconstruction of the Scalp

by Dr. Hootan Zandifar
Thumbnail image for Squamous Cell Carcinoma: Reconstruction of the Scalp

I’ve had a large squamous cell cancer on my scalp. I would like it removed but I am also concerned about the defect. What should I do?  Case Study  The patient is a 74-year-old male who noticed a crusting lesion of his scalp. This grew rapidly. A biopsy of the lesion was consistent with squamous […]

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 →

Basal Cell Carcinoma of the Nose and Nasal Reconstruction

by Dr. Hootan Zandifar
Thumbnail image for Basal Cell Carcinoma of the Nose and Nasal Reconstruction

I have a small bump on my nose. My doctor says it is basal cell carcinoma and I should have it removed. What should I expect to happen when I get it removed? Case study  A patient in his forties noted a growing bump on the side of his nose. The mass was biopsied and […]

Read the full article →

Basal Cell Cancer: Nasal Reconstruction

by Dr. Hootan Zandifar
Thumbnail image for Basal Cell Cancer: Nasal Reconstruction

Do I need a forehead flap for my nasal reconstruction after removal of a basal cell skin cancer? Case Study The patient is a 56-year-old male who was diagnosed with basal cell carcinoma of the nasal dorsum. His type of basal cell carcinoma was quite aggressive. He first presented to a Mohs surgeon who was […]

Read the full article →

Sleep Disorders: Sleep Apnea and Upper Stimulation Therapy

by Dr. Ryan Osborne
Thumbnail image for Sleep Disorders: Sleep Apnea and Upper Stimulation Therapy

In a recent segment on NPR, the topic of sleep disorders was brought up. How can sleep problems affect more than our attention? How can sleep problems affect our health? The story follows Michael Arnott, a 67-year-old former marathon runner, described as having a runner’s build. Indeed, his slim build was exactly why he didn’t […]

Read the full article →