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Voice Case of the Week: When Nodules Need Surgery
A trial of voice therapy was suggested and the patient was compliant. However, she did not note any improvement. A decision was therefore made to perform conservative surgery. Intraoperatively, this is the image of her vocal folds. Note that operative views are rotated 180 degrees, so that right is right and left is left (unlike office laryngoscopy which is like a mirror – left is right and right is left).

Voice Case of the Week: When Nodules Need Surgery

The patient is a 32 year old singer who presented with significant worsening of her voice over a 3 month period. She is typically in meetings for most of the…

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Septal Perforation: Long-Term Outcomes
Figure 1: Nasopharyngoscopy demonstrating nasal septal perforation.

Septal Perforation: Long-Term Outcomes

Nasal Septum Repair/Septal Perforation Surgery/Nose Deformity CLINICAL CHALLENGE Septal perforation surgery is likely one of the most difficult reconstructive surgical procedures performed by a nasal reconstructive surgeon. Long-term follow-up is…

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Saddle Nose Deformity and Septal Perforation:  Correcting Nasal Collapse
Figure 4a,b. Nasal reconstruction of anterior septal perforation. Patient also complained that her nose was droopy and wide after developing the perforation. Pre and post-operative photos demonstrate improvement in tip projection after reconstruction of the septum and rhinoplasty.

Saddle Nose Deformity and Septal Perforation: Correcting Nasal Collapse

Nasal Septum Repair/Septal Perforation Surgery/ Saddle Nose Deformity Jason S. Hamilton, MD, FACS Director of the Division of Plastic and Reconstructive Surgery Osborne Head and Neck Institute, Los Angeles, CA…

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Deviated Septum and Septal Perforation
Figure 3: Nasal endoscopy demonstrates patient right sided deviated nasal septum with anterior septum perforation.

Deviated Septum and Septal Perforation

Nasal Septum Repair/Septal Perforation Surgery Jason S. Hamilton, MD, FACS Director of the Division of Plastic and Reconstructive Surgery Osborne Head and Neck Institute, Los Angeles, CA Ryan Osborne, MD,…

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