Localized laryngeal amyloidosis is a rare disease that requires surgical management when symptomatic. CT two-dimensional reconstruction can be helpful in detailing the extent of disease and planning surgery. A lateral external supraglottic approach has been found to be successful in treating patients with large supraglottic masses.
The intraoperative rapid PTH assay may be of significant benefit in permitting directed unilateral parathyroid explorations for adenoma when combined with preoperative localization with a technetium-99m sestamibi scan. Additionally, the rapid PTH assay has proved to be of benefit in confirming excision of all hyperfunctioning parathyroid tissue in patients with multiple gland hyperplasia, particularly those who may harbor ectopic parathyroid tissue.
Otolaryngology-Head and Neck Surgery August T999 (30/451). These minor hematomas were all recognized in the later postoperative period and treated with subsequent needle aspirations. Conclusion: The incidence of hematoma formation following the deep plane facelift was 2.22% at this institution. None of these hematomas occurred beneath the SMAS flap, and all developed in the subcutaneous plane of dissection. This is just an additional benefit.
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