For undisplaced temporal bone fractures, nonsurgical treatment leads to near-universal recovery to House-Brackmann grade I/II and is superior to reported surgical results. Recovery is delayed and usually first manifests at 8 to 12 weeks after the fracture. In the current era of high-resolution computed tomography, surgical exploration should not be first-line treatment for undisplaced longitudingal temporal bone fractures associated with complete facial nerve paralysis and unfavorable electrophysiologic features.

Although very rare, this potential complication after unilateral IJV ligation should be kept in mind. Magnetic resonance venogram (MRV) is the investigation of choice to ascertain the underlying etiology. Conservative management should be started immediately. Surgical options are reserved for patients with progressive symptoms. © 2016 Wiley Periodicals, Inc. Head Neck, 2016 © 2016 Wiley Periodicals, Inc. Head Neck 38:E2475-E2478, 2016.

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Juvenile nasopharyngeal angiofibroma (JNA) is a highly vascular tumor in which surgical excision is the main treatment modality. Wide exposure of the surgical field helps in complete surgical excision by subperiosteal dissection with a good vascular control. Conventional maxillary swing is a suitable approach for tumor with lateral extension. Palatal fistula is the major drawback of this approach. To avoid this complication, suprastructure maxillary swing is a suitable approach in which only the suprastructure of the maxilla needs to be swung instead of whole of the maxilla. The palatal cuts and lip split can be avoided with very little compromise in exposure. How to cite this article Singh CA, Hota A, Gupta MP, Yadav V, Jat B. Suprastructure Maxillary Swing for JNA: A Novel Approach to avoid Complication. Int J Otorhinolaryngol Clin 2016;8(1):26-28.