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Annals of Otology, Rhinology, and Laryngology

Neel K Bhatt, Wee Tin K Kao, Randal C Paniello
OBJECTIVE: Vocal fold paralysis is caused by injury to the recurrent laryngeal nerve (RLN). Current clinical measures of laryngeal innervation are often nonquantitative. Compound motor action potentials (CMAP) measure motor innervation. The goal of this study was to determine whether CMAP can quantify laryngeal innervation following acute nerve injury. STUDY DESIGN: Animal study. METHODS: Twelve canine hemilaryngeal preparations were used...
July 1, 2018: Annals of Otology, Rhinology, and Laryngology
Galit Almosnino, James R Holm, Seth R Schwartz, Daniel M Zeitler
OBJECTIVE: We sought to evaluate hearing outcomes after salvage therapy with hyperbaric oxygen (HBO2) for the treatment of sudden sensorineural hearing loss (SSNHL). STUDY DESIGN: Matched control retrospective case series. SETTING: Tertiary neurotology referral center. PATIENTS: Thirty-six patients (>18 years) diagnosed with SSNHL. INTERVENTION: Patients received initial therapy with oral and/or intratympanic (IT) steroids with an incomplete response...
July 1, 2018: Annals of Otology, Rhinology, and Laryngology
Chadi A Makary, Alex Limjuco, John Nguyen, Hassan H Ramadan
INTRODUCTION: Functional endoscopic sinus surgery for frontal sinus disease has obviated the need for external approaches. Special circumstances such as acute infection with orbital involvement or significant lateral sinus disease frequently require adjunct access. We describe the clinical outcomes of a combined upper eyelid crease and endoscopic approach for lateral frontal sinus disease with orbital extension. METHODS: A retrospective case series of 7 patients who underwent a combined lid crease approach for frontal sinus disease with orbital extension between April 2012 and October 2016 was performed...
July 1, 2018: Annals of Otology, Rhinology, and Laryngology
Jonathan L Hatch, Michael J Bauschard, Shaun A Nguyen, Paul R Lambert, Ted A Meyer, Theodore R McRackan
OBJECTIVE: To characterize factors that affect outcomes for patients with malignant otitis externa (MOE). METHODS: Retrospective review of inpatients with MOE was performed. Patient demographics, comorbid conditions, complications, procedures, and mortalities were analyzed. RESULTS: A total of 786 patients with MOE were identified. The mean hospitalization length of stay (LOS) was 18.6 days (SD = 19.7). The overall mortality rate was 2.5% (n = 20), and complication rate was 4...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Hannah Kavookjian, Joel W Jones, Sweeti Shah, Hugo Escobar, Douglas Swanson, Pamela Nicklaus
OBJECTIVES: To describe a safe and effective treatment for endobronchial Mycobacterium avium complex. METHODS: Case report and literature review. RESULTS: We present a case of endobronchial M. avium complex in a healthy child treated with serial carbon-dioxide laser excisions and antibiotic triple therapy using azithromycin, rifampin, and ethambutol. No current guideline for the treatment of these lesions in the pediatric population exists...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Nitin A Pagedar, Nathan M Schularick, Phillip C Lee, Lucy H Karnell
OBJECTIVE: The association between online health resources use in specific otolaryngology patients is poorly understood. To better understand health-related Internet use by otolaryngology patients, we surveyed first-visit patients at academic and private practice clinics in Iowa. METHODS: Data on socioeconomic status, access, and utilization of online resources were collected. Age distributions were compared by t test, and categorical variables were compared by chi-square analysis...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Anne Hseu, Nohamin Ayele, Kosuke Kawai, Geralyn Woodnorth, Roger Nuss
INTRODUCTION: The prevalence of voice abnormalities in children born prematurely has been reported to be as high as 58%. Few studies have examined these abnormalities with laryngoscopic or videostroboscopic findings and characterized their laryngeal pathologies. OBJECTIVE: To review voice abnormalities in patients with a history of prematurity and characterize the etiology of their voice problems. A secondary objective is to see if there is a correlation between the findings and the patient's intubation and surgical history...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Daniel C O'Brien, Lane D Squires, Aaron D Robinson, Hassan Ramadan, Rodney Diaz
OBJECTIVES: (1) Identify knowledge deficits in this cohort regarding basic conditions treated by an otolaryngologist. (2) Determine the training needs of these physicians regarding the care of the head and neck patient. METHODS: This cross-sectional assessment used a 10-question, multiple-choice assessment administered to medical students and resident physicians at the University of California, Davis, University of California, San Francisco, and University of West Virginia in the departments of emergency medicine, family medicine, internal medicine, and otolaryngology...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Ahmed Ibrahim Elsayed, Yasser Ahmed Fouad, Ashraf El Malt, Ahmed Hassan Sweed
BACKGROUND: The nasal valve area is the narrowest point in the nasal airway. External nasal valve (ENV) collapse during inspiration occurs if external valve area is too narrow or its lateral component is too floppy. PATIENTS AND METHOD: Twelve patients (7 males, 5 females) aged 8 to 12 years complaining of nasal obstruction due to ENV dysfunction underwent surgical intervention using alar batten graft assisted by temporary external suspensory suture. RESULTS: All patients showed subjective and objective improvement of the nasal airway...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Thomas Muelleman, Hannah Kavookjian, James Lin, Hinrich Staecker
OBJECTIVES: To describe and increase awareness of a rare cause of unilateral sudden sensorineural hearing loss. METHODS: Case report and literature review. RESULTS: We present a 66-year-old female who suffered left-sided sudden sensorineural hearing loss and dizziness. Diagnostic magnetic resonance imaging (MRI) did not reveal masses or lesions along the eighth cranial nerve or in the inner ear. Upon eventual referral to neurotology clinic, hypertrophic pachymeningitis of her left internal auditory canal and adjacent middle and posterior fossa dura were identified...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Kenneth Akakpo, William J Riggs, Michael S Harris, Edward E Dodson
OBJECTIVES: To describe a case of inadvertent hearing preservation following a classical translabyrinthine resection of a vestibular schwannoma of the internal auditory canal in an otherwise healthy patient. METHODS: Herein, we describe the case of an otherwise healthy patient who underwent resection of an intracanalicular vestibular schwannoma via a translabyrinthine approach. Furthermore, as part of an ongoing study aimed at characterizing hearing changes due to intraoperative events, cochlear hair cell and nerve activity were monitored using electrocochleography throughout surgery...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Suneela Garg, Charu Kohli, Vipra Mangla, Shelly Chadha, M Meghachandra Singh, Neha Dahiya
INTRODUCTION: Hearing loss is the second most common cause of years lived with disability (YLD). The present study was conducted with an objective to determine the prevalence, severity, and sociodemographic correlates of hearing loss among people aged 3 months and above in selected areas of Delhi, India. MATERIAL AND METHODS: A community-based cross-sectional study was conducted in selected rural and urban areas of Delhi among population aged 3 months and above...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Habib G Zalzal, Chadi A Makary, Raquel Evans, Stacy Giardina, Tracy Underwood, Aletha Rowlands, Hassan H Ramadan
OBJECTIVE: To determine whether we could reduce the time that patients undergoing tonsillectomy are observed postoperatively without decreasing the quality of care, which would eliminate the unnecessary use of resources to monitor those patients. STUDY DESIGN: Prospective cohort. METHODS: Patients undergoing tonsillectomy were recruited for the study prior to their operation. Each patient was then monitored in perianesthesia recovery until clinical indicators for discharge readiness were met (baseline respiratory function, afebrile, ambulation per age, adequate consciousness, absence of nausea/vomiting, adequate pain control, no active bleeding, fluid toleration)...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Paul D Judge, Sameer A Alvi, Kareem O Tawfik
OBJECTIVES: To ascertain motivations and priorities for neurotology fellowship applicants and program directors during the match process. METHODS: Anonymous online survey distributed to 20 fellowship program directors and 40 current and incoming neurotology fellows. A 5-point Likert scale was used to assess the priorities of fellowship applicants and program directors in the match process. RESULTS: Twenty-four of 40 (60%) current or incoming fellows and 14 of 20 (65%) program directors responded to the survey...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Matthew Shew, Thomas Muelleman, Michael Harris, Michael Li, Kevin Sykes, Hinrich Staecker, Oliver Fr Adunka, James Lin
OBJECTIVE: Multiple investigators have sought to identify risk factors for cerebrospinal fluid (CSF) leak following cerebellopontine angle (CPA) tumor resection. We evaluated whether pneumatization of the petrous apex (PA) is a risk factor for CSF fistula. METHOD: We conducted a retrospective chart review at 2 major tertiary academic institutions undergoing CPA tumor resection and analyzed their respective head or temporal computed tomography (CT) scans if available...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Chi-Chih Lai, Pei-Wen Lin, Hsin-Ching Lin, Michael Friedman, Hsueh-Wen Chang, Anna M Salapatas, Meng-Chih Lin, Pa-Chun Wang
OBJECTIVE: To develop an adequate model using reliable clinical and physical factors to predict pediatric obstructive sleep apnea/hypopnea syndrome (OSAS). METHODS: Complete anthropometric measurements including BMI z score, tonsil size grading, and updated Friedman tongue position (uFTP) were evaluated. Subjective assessments of clinical symptoms/signs, including snoring visual analog scale (VAS), nasal obstruction, and mouth breathing, were recorded. RESULTS: Eighty-eight children (57 boys and 31 girls, mean age = 9...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Fasil Mathews, Amber D Shaffer, Matthew W Georg, Matthew D Ford, Noel Jabbour, Jeffrey P Simons
OBJECTIVE: To characterize differences in the clinical presentation and treatment outcomes of laryngomalacia in patients with and without craniosynostosis. METHODS: A retrospective cohort study was performed comparing all patients with concomitant laryngomalacia and craniosynostosis seen at a tertiary care children's hospital between 2000 and 2016 with a control group of patients with isolated laryngomalacia. Thirty-two patients with craniosynostosis (59% male) and 68 control patients (56% male) were included...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Boquan Liu, Evan Polce, Jack Jiang
PURPOSE: The overall aim of this study was to apply local intrinsic dimension ( Di ) estimation to quantify high-dimensional, disordered voice and discriminate between the 4 types of voice signals. It was predicted that continuous Di analysis throughout the entire time-series would generate comprehensive descriptions of voice signal components, called voice type component profiles (VTCP), that effectively distinguish between the 4 voice types. METHOD: One hundred thirty-five voice recording samples of the sustained vowel /a/ were obtained from the Disordered Voice Database Model 4337 and spectrographically classified into the voice type paradigm...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Rajini K Yatavelli, Steven N Levine
OBJECTIVES: Transient hyperthyroidism has been documented following surgical manipulation or direct trauma to the normal thyroid gland. This has best been studied in patients following parathyroidectomy and also reported following trauma to the neck, strangulation, and vigorous palpation of the thyroid gland. It has not previously been reported following a thyroid ultrasound. METHODS: We report the case of a 58-year-old euthyroid woman with a large nontoxic multinodular goiter who developed transient hyperthyroidism following an ultrasound of the thyroid gland...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
Nelson Roy, Kristine M Tanner, Ray M Merrill, Charisse Wright, Jenny L Pierce, Karla L Miller
OBJECTIVE: This investigation examined the prevalence, symptoms, risk factors, and quality-of-life burden of swallowing disorders in rheumatoid arthritis (RA), a chronic, progressive autoimmune inflammatory disease. METHODS: One hundred individuals with RA (84 women, 16 men; mean age = 61.1 years, SD = 13.1) were interviewed regarding the presence, nature, and impact of swallowing symptoms and disorders. Associations between swallowing disorders, medical factors, RA disease severity, and quality of life were examined...
June 1, 2018: Annals of Otology, Rhinology, and Laryngology
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