简介：AbstractVisualization and access. Historically, these have been the two major factors that have limited advancement in the field of Otolaryngology. No other surgical specialty deals with anatomical challenges quite like those presented by the structures of the head and neck. Otolaryngology is a field of dark cavities, complex and miniscule structures, and awkward angles. The aim of this article is to briefly explore how Otolaryngologists have historically met these challenges, with a specific focus on technological advancements in illumination, visualization, and access. From mirrors reflecting candlelight to fiberoptic illuminated scopes, from bamboo nasal speculums to Transoral Robotic Surgery (TORS), tracing the historical arc of these technologies highlights the innovative spirit that has come to define the field of Otolaryngology.

简介：AbstractObjective:To review current literature and experience with Gore-Tex® implant extrusion following medialization thyroplasty, as well as to report the unique case of Gore-Tex® implant extrusion following revision medialization thyroplasty.Methods:Review of existing literature and description of personal experience with unique case of Gore-Tex® implant extrusion following revision medialization thyroplasty.Results:Review of existing literature found no prior reported cases of Gore-Tex® implant extrusion following revision medialization thyroplasty. Risk factors for implant extrusion include the pressure of the implant on insertion and the inability to secure the implant. Cases of implant extrusion can be managed operatively via an endoscopic or via an external open approach.Conclusion:This is the first reported case of Gore-Tex® implant extrusion following revision medialization thyroplasty. Careful consideration should be given in revision medialization thyroplasty as additional implant material may cause increased pressure, a risk factor for implant extrusion.