Although hydroxyapatite cement has dramatically decreased the rate of postoperative cerebrospinal fluid leak in translabyrinthine surgery, its use has also brought a new set of considerations. This study suggests that hydroxyapatite cement removal in the setting of postoperative hematoma after translabyrinthine surgery would require drilling rather than bedside incisional opening alone. Like standard craniotomy approaches, postoperative hemorrhage management requires intraoperative drainage.
Transoral laser microsurgery (TLM) is an important option in the treatment plan for tumors of the oral cavity, oropharynx, larynx, and hypopharynx. For properly selected patients, TLM provides equivalent oncologic outcomes when compared to traditional therapies, while improving the functional aspects of postoperative speech, voice and swallowing.
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