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Annals of Otology, Rhinology, and Laryngology

Steven Micucci, David B Keschner, Jonathan Liang
OBJECTIVES: To review the role of eustachian tube balloon dilation (ETBD) in the setting of chronic Eustachian tube dysfunction (ETD) and ascertain how ETBD is currently being used in practice today. METHODS: An online survey included 20 questions designed by 3 investigators to examine how otolaryngologists utilize ETBD in the management of ETD. The survey was distributed to the members of the American Rhinologic Society (ARS), American Otological Society (AOS), and American Neurotology Society (ANS) in their respective annual electronic mailings in April and May of 2017...
September 19, 2018: Annals of Otology, Rhinology, and Laryngology
Gülpembe Bozkurt, Hassan Ahmed Elhassan, Abdullah Soydan Mahmutoğlu, İrfan Çelebi, Robert W J Mcleod, Pınar Soytaş, Zeynep Nur Erol, Esra Sözen
OBJECTIVE: We investigated the relationship between paravertebral muscle cross-sectional area (PVM CSA) at the third vertebra (C3) level using computerized tomography (CT) neck images and its relationship with complications after total laryngectomy. DESIGN: Retrospective analysis of 60 advanced laryngeal cancer patients who underwent total laryngectomy was performed. The cross-sectional areas of paravertebral neck muscles using neck CT at C3 level images obtained preoperatively were analyzed...
September 9, 2018: Annals of Otology, Rhinology, and Laryngology
Yaser Ghavami, Yarah M Haidar, Omid Moshtaghi, Harrison W Lin, Hamid R Djalilian
OBJECTIVE: To evaluate the change in quality of life (QOL) of patients with Meniere's disease (MD) after treatment with migraine prophylaxis therapy. METHODS: Patients with definite MD were given the Meniere's Disease Outcomes Questionnaire-Retrospective (MDOQ-R) after migraine prophylactic therapy to assess QOL. Changes in physical, emotional, and social parameters affected by MD were calculated, along with a global pre- and posttreatment QOL scores. RESULTS: The MDOQ-R was given to 27 consecutive patients with definite MD...
September 9, 2018: Annals of Otology, Rhinology, and Laryngology
Henrieke W Schutte, Robert P Takes, Piet J Slootweg, Marianne J P A Arts, Jimmie Honings, Frank J A van den Hoogen, Henri A M Marres, Guido B van den Broek
OBJECTIVES: An office-based workup strategy for patients with laryngopharyngeal lesions suspicious for carcinoma is analyzed. The feasibility of office-based transnasal flexible endoscopic biopsies under local anesthesia and the impact on the diagnostic workup are evaluated. METHODS: This study is a prospective analysis of patients with laryngeal, oropharyngeal, and hypopharyngeal lesions suspicious for carcinoma. One hundred eighty-eight participants were divided into 2 groups...
September 7, 2018: Annals of Otology, Rhinology, and Laryngology
John P Naughton, Andrew Y Lee, Eric Ramos, David Wootton, Howard D Stupak
OBJECTIVES: The relative importance of the nasal valve relative to the remainder of the nasal airway remains unknown. The goal of this article was to objectively measure the shape of the nasal inlet and its effect on downstream airflow and nasal cavity volume using a physical model and a physiologic flow model. METHODS: A patient who had isolated nasal valve surgery and had pre- and postoperative computed tomography scans available for analysis was studied. Nasal inlet shape measurements, computational fluid dynamics, and nasal volume analysis were performed using the computed tomography data...
September 7, 2018: Annals of Otology, Rhinology, and Laryngology
Kelli L Hicks, Kris S Moe, Ian M Humphreys
OBJECTIVE: Describe a novel treatment approach to a rare bony neoplasm in the frontal sinus. STUDY DESIGN: Case report. METHODS: Retrospective chart review of an osteoblastoma of the frontal sinuses complicated by a right orbital mucocle. Demographic, endoscopic, radiographic, pathologic, and surgical data were collected for synthesis and review. MEDLINE, Embase, and Cochrane databases were searched from 1977 to 2017 to review publications of surgical management of frontal sinus neoplasms...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Albert H Zhou, Varesh R Patel, Soly Baredes, Jean Anderson Eloy, Wayne D Hsueh
OBJECTIVE: To study and review the currently available mobile applications relating to allergic rhinitis. METHODS: The Apple and Google mobile app stores were queried with search terms relating to allergic rhinitis. Apps were assigned to categories and analyzed based on description and characteristics such as popularity, reviews, cost, platform, and physician involvement in development. RESULTS: A total of 72 apps related to allergic rhinitis were identified...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Xinlin Xu, Pan Yang, Peiyun Zhuang, Jiao Yanchao, Ma Yanli, Colin Schrof, Jack J Jiang
OBJECTIVE: The aim of this study was to investigate the physiological activity of intrinsic laryngeal muscle under different functional states of larynx by measuring the normal laryngeal electromyography parameters. METHODS: Laryngeal electromyography (EMG) was performed in 112 patients with unilateral vocal cord movement disorder. The duration and amplitude of the motor unit potential (MUP) of the thyroarytenoid muscle (TA), posterior cricoarytenoid muscle (PCA), and cricothyroid muscle (CT) were measured when patients were asked to make a deep inspiration and phonate /i/...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Raluca Tavaluc, Howard Herman, Juan Lin, Melin Tan
OBJECTIVE: Reinke's edema (RE) is a benign disease of the vocal folds with a wide spectrum of clinical severity. We aim to evaluate the clinical impact of RE grade and determine if RE grade correlates with severity of dysplasia and tobacco exposure. METHODS: Patients with isolated RE who underwent surgical excision between December 2010 and December 2014 were retrospectively reviewed. The RE grade was determined from archived laryngeal videostroboscopy exams. Pathologic severity of dysplasia, categorized by squamous intraepithelial neoplasia (SIN) classification, and tobacco history were extracted from medical records...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Florian Christov, Michael B Gluth
INTRODUCTION: Balloon dilation of the cartilaginous segment of the Eustachian tube has emerged as a means to directly augment tubal dilatory function, and this has been applied as a potential treatment for otitis media with effusion (OME). Although results of clinical studies involving this modality appear promising, there are still a moderate number of ears affected by OME that do not respond. The purpose of this study was to investigate the status of mucosa of the Eustachian tube at the middle ear orifice in OME as it may relate to some cases of tuboplasty failure...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Adrianna C Shembel, Christopher J Hartnick, Glenn Bunting, Catherine Ballif, Jessie Vanswearingen, Susan Shaiman, Aaron Johnson, Vanessa de Guzman, Katherine Verdolini Abbott
OBJECTIVES: (1) Identify laryngeal patterns axiomatic to exercise-induced laryngeal obstruction (EILO) and (2) investigate the role of autonomic function in EILO. METHODS: Twenty-seven athletic adolescents (13 EILO, 14 control) underwent laryngoscopy at rest and exercise. Glottal configurations, supraglottic dynamics, systolic blood pressure responses, and heart rate recovery were compared between conditions and groups. RESULTS: Inspiratory glottal angles were smaller in the EILO group than the control group with exercise...
September 6, 2018: Annals of Otology, Rhinology, and Laryngology
Minsu Kwon, Mi Rye Bae, Yoon Se Lee, Jong-Lyel Roh, Seung-Ho Choi, Soon Yuhl Nam, Sang Yoon Kim
OBJECTIVES: This study aimed to compare the characteristics of idiopathic unilateral vocal fold paralysis (IUVFP) in elderly versus younger patients, including the diagnostic yield of computed tomography (CT) scans for identifying the structural causes of IUVFP. METHODS: We retrospectively analyzed medical records of the patients initially diagnosed with IUVFP in a single referral tertiary hospital. We compared patients' baseline characteristics, initial symptoms, laryngoscopic findings, and prevalence of structural causes on CT scans with respect to age (younger, <65 years vs older, ⩾65 years)...
September 5, 2018: Annals of Otology, Rhinology, and Laryngology
Jonathan S Ni, Jocelyn Kohn, Jessica R Levi
OBJECTIVES: Epistaxis is a common condition that rarely warrants hospital admission in the pediatric population, making its inpatient management difficult to study. This study aims to use a nationwide database to analyze trends in the treatment of pediatric patients admitted with epistaxis and determine factors impacting total charges. METHODS: The latest (2012) version of the Kids' Inpatient Database (KID), Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality was used to identify weighted discharges with the primary diagnosis of epistaxis...
September 5, 2018: Annals of Otology, Rhinology, and Laryngology
Cecil Bryant Rhodes, Anas Eid, Grant Muller, Amanda Kull, Tim Head, Madhu Mamidala, Boyd Gillespie, Anthony Sheyn
INTRODUCTION: Patients undergoing adenotonsillectomy (T&A) for severe obstructive sleep apnea (OSA) are usually admitted for observation, and many surgeons use the intensive care unit (ICU) for observation due to the risk of postsurgical airway obstruction. Given the limited resources of the pediatric ICU (PICU), there is a push to better define the patients who require postoperative monitoring in the PICU for monitoring severe OSA. METHODS: Forty-five patients were evaluated...
September 5, 2018: Annals of Otology, Rhinology, and Laryngology
Eileen M Foecking, Bridget D Burgess, Zachary C Fridrici, Samantha E Bialek, Christopher Low, Steven J Charous
INTRODUCTION: Facial nerve denervation can be devastating for patients. Primary neurorrhaphy and interposition (IP) nerve grafting are common reinnervation techniques. Muscle-nerve-muscle (MNM) grafting is a lesser known alternative. After previously demonstrating significant return of function using MNM grafting in a rat facial nerve model, the authors compare the use of multiple MNM nerve grafts with that of single MNM and IP nerve grafts. METHODS: Thirty-six male rats were randomized into 4 groups: (1) repair with IP grafts, (2) 1 MNM graft, (3) 3 MNM grafts, and (4) control with no intervention...
September 5, 2018: Annals of Otology, Rhinology, and Laryngology
Suming Shi, Ping Guo, Wuqing Wang
OBJECTIVES: A three-dimensional (3D) inversion-recovery (IR) sequence with real reconstruction (3D-real IR) sequence 4 hours after intravenous (IV) gadolinium injection has been used to visualize the endolymphatic hydrops (ELH) in Ménière's disease (MD). This study was designed to investigate the ELH characteristics in clinically diagnosed definite MD and to explore the pathology of MD with magnetic resonance imaging (MRI). METHODS: One hundred fifty-four patients with definite MD were included in this study...
August 29, 2018: Annals of Otology, Rhinology, and Laryngology
Siti Zamratol Mai Sarah Mukari, Wan Fazlina Wan Hashim
INTRODUCTION: The aims of this study were to examine the validity of self-perceived hearing loss in detecting hearing loss and factors associated with self-perceived hearing loss and hearing-help seeking and to report hearing aid adoption among a group of community-dwelling older adults in Malaysia. METHODS: A total of 301 older adults (⩾60 years of age) participating in a study on aging had their hearing tested using pure-tone audiometry. Self-perceived hearing loss was assessed using a single question...
August 23, 2018: Annals of Otology, Rhinology, and Laryngology
Neel K Bhatt, Patrik Pipkorn, Randal C Paniello
INTRODUCTION: Unilateral vocal fold paralysis (UVFP) without an identifiable cause is termed idiopathic unilateral vocal fold paralysis (IUVFP). Some authors have postulated that select cases of IUVFP have a viral etiology, but the causality has not been established. We set out to review institutional cases of IUVFP and determine if there is a correlation between upper respiratory infection symptoms and presentation of IUVFP. METHODS: Cases of IUVFP were reviewed over a 10-year period (2002-2012)...
August 20, 2018: Annals of Otology, Rhinology, and Laryngology
Anne K Maxwell, Hiroki Takeda, Samuel P Gubbels
OBJECTIVE: To present a case of primary middle ear mucosal melanoma and perform a comprehensive literature review of middle ear and eustachian tube mucosal melanoma. PATIENT: A 61-year-old female presented with no prior history of melanoma and 3 months of aural fullness. A middle ear mass demonstrated primary mucosal melanoma. The mass extended from mesotympanum into hypotympanum, epitympanum, protympanum, eustachian tube, and mastoid antrum. Additionally, a nonenhancing expansile lesion of the petrous apex was noted on magnetic resonance imaging...
August 13, 2018: Annals of Otology, Rhinology, and Laryngology
Hyun Gi Sohn, Seung Jin Park, In Sun Ryu, Hyun Woo Lim, Yong Jin Song, Nam-Kyung Yeo
INTRODUCTION: The authors assessed clinical presentations and anatomic variants among patients with recurrent acute rhinosinusitis (RARS), chronic rhinosinusitis (CRS) without nasal polyps (CRSsNP), and CRS with nasal polyps (CRSwNP). Additionally, differences in the postoperative improvement of each category were evaluated. METHODS: The authors performed an analysis of 304 patients who underwent endoscopic sinus surgery. They were divided into groups with RARS, CRSsNP, and CRSwNP...
August 10, 2018: Annals of Otology, Rhinology, and Laryngology
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