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Annals of Otology, Rhinology, and Laryngology

Yin Yiu, Kathleen M Tibbetts, C Blake Simpson, Laura A Matrka
OBJECTIVES: The aim of this study is to describe a clinical entity the authors term "Shar Pei larynx," characterized by redundant supraglottic and postcricoid mucosa that the authors hypothesize coexists in patients with obstructive sleep apnea, laryngopharyngeal reflux, and obesity. By exploring this hypothesis, the authors hope to set the foundation for future research with the goal of identifying whether Shar Pei larynx is a marker for untreated sleep apnea or other diseases...
November 7, 2018: Annals of Otology, Rhinology, and Laryngology
Ahmed Mansi, Wade N Karam, Mohamad R Chaaban
OBJECTIVE: To determine attitudes of residents and program directors towards research during residency training. STUDY DESIGN: Survey of current otolaryngology residents and program directors. SETTING: Otolaryngology residency programs. METHODS: An anonymous web-based survey ( ) was sent to 106 program directors (PDs) and 115 program coordinators. The program coordinators subsequently sent it to residents...
October 29, 2018: Annals of Otology, Rhinology, and Laryngology
Omer Faruk Calim, Hasan N H Hassouna, Yavuz Selim Yildirim, Remzi Dogan, Orhan Ozturan
OBJECTIVES: The aim of this study was to assess the effectiveness of bilateral submandibular duct relocation and bilateral sublingual gland excision in combination with botulinum toxin A injection into the parotid glands in children with sialorrhea. Previously in the literature, either surgery or botulinum toxin injection but not their combination has been reported. METHODS: Preoperative and at least 6-month postoperative assessments using the Drooling Severity Scale and Drooling Frequency Scale (Thomas-Stonell and Greenberg classification) and the Teacher Drooling Scale and by interviewing parents and caregivers face to face or via telephone were performed...
October 29, 2018: Annals of Otology, Rhinology, and Laryngology
Adam McCann, Sameer A Alvi, Jessica Newman, Kiran Kakarala, Hinrich Staecker, Alexander Chiu, Jennifer A Villwock
BACKGROUND: Cervicofacial actinomycosis is an uncommon indolent infection caused by Actinomyces spp that typically affects individuals with innate or adaptive immunodeficiencies. Soft tissues of the face and neck are most commonly involved. Actinomyces osteomyelitis is uncommon; involvement of the skull base and temporal bone is exceedingly rare. The authors present a unique case of refractory cervicofacial actinomycosis with development of skull base and temporal bone osteomyelitis in an otherwise healthy individual...
October 29, 2018: Annals of Otology, Rhinology, and Laryngology
Luca Giovanni Locatello, Michele Pietragalla, Cecilia Taverna, Luigi Bonasera, Daniela Massi, Giuditta Mannelli
OBJECTIVES: Laryngeal squamous cell carcinoma (LSCC) can involve different anatomic subunits with peculiar surgical and prognostic implications. Despite conflicting outcomes for the same stage of disease, the current staging system considers different lesions in a single cluster. The aim of this study was to critically discuss clinical and pathologic staging of primary and recurrent advanced LSCC in order to define current staging pitfalls that impede a precise and tailored treatment strategy...
October 26, 2018: Annals of Otology, Rhinology, and Laryngology
Keishi Fujiwara, Hiroko Yanagi, Shinya Morita, Kimiko Hoshino, Atsushi Fukuda, Yuji Nakamaru, Akihiro Homma
OBJECTIVES: The aim of this study was to investigate vertical semicircular canal function in patients with vestibular schwannoma (VS) by video head impulse test (vHIT). METHODS: Fifteen patients with VS who had not received any treatment, including surgery or stereotactic radiotherapy, before vHIT examination were enrolled. Vestibulo-ocular reflex gain and catch-up saccade in vHIT were evaluated. RESULTS: Dysfunction of anterior and posterior semicircular canals was detected by vHIT in 26...
October 26, 2018: Annals of Otology, Rhinology, and Laryngology
Tara J Wu, Sean M Lewis, Peak Woo
INTRODUCTION: The presentation, course, and management of a rare laryngeal manifestation of neurosarcoidosis due to central nervous system (as opposed to peripheral nervous system) injury are described. METHODS: The authors present 3 cases of vocal cord paralysis as the initial symptom of isolated neurosarcoidosis at a tertiary care laryngology clinic. RESULTS: Laryngoscopy diagnosed unilateral vocal cord paralysis. Laryngeal electromyography revealed high vagal injury, prompting workup on brain magnetic resonance imaging...
October 26, 2018: Annals of Otology, Rhinology, and Laryngology
Yurika Kimura, Seiji Kishimoto, Takuro Sumi, Mio Uchiyama, Keiko Ohno, Hitome Kobayashi, Makoto Kano
OBJECTIVES: The aim of this study was to elucidate the utility of the Kano method with surgical closure of the larynx by cricoid cartilage removal in improving quality of life in patients with severe dysphagia and their caregivers. METHODS: Nine patients with severe dysphagia who underwent the Kano method were evaluated for oral intake and activities of daily living using the functional oral intake scale and the Barthel index, respectively, as indices of quality of life...
October 22, 2018: Annals of Otology, Rhinology, and Laryngology
Natalie A Krane, Jeffrey D Markey, Myriam Loyo
INTRODUCTION: Congenital unilateral lower lip palsy is an infrequently encountered condition that manifests as lower lip asymmetry during smiling, laughing, and crying. Treatment options are not well characterized. METHODS: The authors present the case of a 51-year-old woman who was referred for surgical intervention for facial paralysis. Physical examination demonstrated a symmetric face at rest that became asymmetric when smiling. The asymmetry, evident by inappropriate inferior displacement of the lower lip, was secondary to unilateral contraction and presence of the depressor labii inferioris...
October 22, 2018: Annals of Otology, Rhinology, and Laryngology
Nael Shoman
OBJECTIVES: The aim of this study was to assess the feasibility and safety of ossiculoplasty under local anesthesia in an office setting without sedation. METHODS: Between May 2017 and November 2017, patients who presented with conductive hearing loss and known isolated ossicular discontinuities were offered ossiculoplasty under local anesthesia. Inclusion criteria included age ⩾ 18 years, adequate transcanal access, and the ability to lie supine for up to 45 minutes...
October 20, 2018: Annals of Otology, Rhinology, and Laryngology
Lauren F Tracy, Paul E Kwak, Semirra L Bayan, Jarrad H Van Stan, James A Burns
OBJECTIVES: Prognostic information about the return of vocal fold mobility in patients with iatrogenic unilateral vocal fold immobility (UVFI) can help with informed decisions about temporary and permanent treatment options. Although many variables can influence the likelihood of recovery, clinical experience suggests that cervical versus thoracic injury is a determining factor. The purpose of this study was to compare recovery rates from UVFI between cervical and thoracic injuries. METHODS: A retrospective review of the medical record was performed on all adult patients diagnosed with complete iatrogenic UVFI from 2005 to 2015 (n = 923)...
October 20, 2018: Annals of Otology, Rhinology, and Laryngology
Ozlem Ozkaya Akagunduz, Sibel Eyigor, Esra Kirakli, Emin Tavlayan, Zeynep Erdogan Cetin, Gulsen Kara, Mustafa Esassolak
Purpose We aimed to restore dose-volume parameters of swallowing-related structures (SRSs) by evaluating long-term swallowing dysfunctions after radiotherapy (RT) in head and neck cancer patients (HNCPs). Materials and Methods Head and neck cancer patients whose pharyngeal region was involved in RT portal and treated with definitive RT/chemoradiotherapy (CRT) were included in the analyses. Patients underwent objective swallowing assessment by flexible endoscopic evaluation of swallowing (FEES). Volumes of SRSs that received 55 Gy (V55 ) (mean dose [Dmean]) were evaluated according to the dose-volume histograms of each patient...
October 20, 2018: Annals of Otology, Rhinology, and Laryngology
Kareem O Tawfik, Zoe A Walters, Gavriel D Kohlberg, Noga Lipschitz, Joseph T Breen, Kelly O'Neal, Mario Zuccarello, Ravi N Samy
OBJECTIVES: Assess the utility of intraoperative transcranial facial motor-evoked potential (FMEP) monitoring in predicting and improving facial function after vestibular schwannoma (VS) resection. STUDY DESIGN: Retrospective chart review. METHODS: Data were obtained from 82 consecutive VS resections meeting inclusion criteria. Sixty-two cases were performed without FMEP and 20 with FMEP. Degradation of FMEP response was defined as a final-to-baseline amplitude ratio of 0...
October 20, 2018: Annals of Otology, Rhinology, and Laryngology
Breanne L Schiffer, Katherine Kendall
OBJECTIVES: The prevalence of Parkinson's disease (PD) increases as the population ages. Dysphagia and subsequent aspiration pneumonia are common causes of morbidity and mortality in those with PD. To maximize the benefit of swallowing therapy, protocol design should be based on an understanding of the physiologic swallowing deficits present in the PD population. The aim of this study was to compare the timing of swallow events in a cohort of patients with PD with that in normal age-matched control subjects to characterize variations in the coordination of structural displacement and bolus movement that may contribute to dysphagia...
October 17, 2018: Annals of Otology, Rhinology, and Laryngology
Brittany N Burton, Sapideh Gilani, Milli Desai, Robert Saddawi-Konefka, Lindia Willies-Jacobo, Rodney A Gabriel
OBJECTIVES: Pediatric sinus surgery is indicated for a wide range of sinonasal and skull base pathologies, but it is most commonly performed for recalcitrant chronic rhinosinusitis or complicated acute sinusitis. The authors aim to report medical risk factors of morbidity and mortality following inpatient sinus surgery in the pediatric population. METHODS: Using data from the Kids' Inpatient Database from 2003 to 2012, patients with International Classification of Diseases, Ninth Revision, procedure codes for primary sinus surgery were identified...
October 17, 2018: Annals of Otology, Rhinology, and Laryngology
Qiubei Zhu, Amanda Hu, John Paul Giliberto, Samantha Carlson, Samantha Jensen, Ryan Tiu, Tanya K Meyer
OBJECTIVES: Vocal function is critical to employability in the modern era. Although research clearly demonstrates that a disordered voice affects quality of life, few studies have attempted to quantitate the effects of a disordered voice on work productivity. The Voice-Related Statements battery, which originally had 20 items, was previously developed to qualitatively describe how an individual's dysphonia affects his or her job performance. The aim of this study was to refine and reduce the item number and provide preliminary validation of this shortened instrument...
October 12, 2018: Annals of Otology, Rhinology, and Laryngology
Lotta Sjögreen, Margareta Gonzalez Lindh, Madeleine Brodén, Corinna Krüssenberg, Irvina Ristic, Agneta Rubensson, Anita McAllister
OBJECTIVES: Dysphagia and impaired saliva control are common in children and adolescents with congenital and developmental disabilities. The aim of the present review was to investigate the evidence base for oral sensory-motor interventions in children and adolescents with dysphagia or impaired saliva control secondary to congenital or early-acquired disabilities and to make recommendations regarding methods for intervention. METHODS: A review of the literature from 2000 to 2016, including oral sensory-motor intervention studies for children and adolescents (3-18 years of age) with dysphagia or impaired saliva control secondary to congenital or early-acquired disabilities, was performed...
December 2018: Annals of Otology, Rhinology, and Laryngology
Liane Sousa Teixeira, Carlos Augusto Costa Oliveira, Ronaldo Campos Granjeiro, Carine Petry, Adra Brasil Leitão Travaglia, Fayez Bahmad
OBJECTIVES: Tinnitus is an auditory sensation in the absence of any external stimulus. It has a negative impact on quality of life and interferes with concentration, sleep, social activities, and even emotional stability. The aim of this study was to compare sleep architecture in patients with and without chronic subjective tinnitus. METHODS: This was an observational, noninterventional, and prospective study. The sample consisted of 50 individuals of both sexes aged 20 to 60 years...
December 2018: Annals of Otology, Rhinology, and Laryngology
Alexander N Goel, Bhavani S Gowda, Mysore S Veena, Travis L Shiba, Jennifer L Long
OBJECTIVES: Cell therapies using mesenchymal stromal cells (MSCs) have been proposed as a promising new tool for the treatment of vocal fold scarring. However, the mechanisms by which MSCs promote healing as well as their duration of survival within the host vocal fold have yet to be defined. The aim of this work was to assess the persistence of embedded MSCs within a tissue-engineered vocal fold mucosal replacement in a rabbit model of vocal fold injury. METHODS: Male rabbit adipose-derived MSCs were embedded within a 3-dimensional fibrin gel, forming the cell-based outer vocal fold replacement...
December 2018: Annals of Otology, Rhinology, and Laryngology
Adriana Chou, Colin Schrof, Evan Polce, Maia Braden, James McMurray, Jack Jiang
OBJECTIVES: The aims of this study were to compare nondysphonic adult and pediatric voices using linear and nonlinear acoustic parameters and to evaluate the ability of adult spectrum convergence ratio (SCR) and rate of divergence (ROD) reference values to correctly identify a pediatric voice type as periodic or aperiodic. METHODS: Twenty adult and 36 pediatric nondysphonic voice samples were collected and analyzed using linear and nonlinear acoustic parameters...
December 2018: Annals of Otology, Rhinology, and Laryngology
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