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Laryngoscope

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https://www.readbyqxmd.com/read/28815624/morbidity-and-mortality-in-children-undergoing-bronchoscopy-for-foreign-body-removal
#1
Christopher A Roberts, Michele M Carr
OBJECTIVES/HYPOTHESIS: Analyze morbidity and mortality among children undergoing bronchoscopy for foreign body removal. STUDY DESIGN: Multicenter retrospective review using the American College of Surgeons Pediatric National Surgical Quality Improvement Program from 2014 and 2015. METHODS: Patients were identified using Current Procedural Terminology code 31635. Demographics, time to surgery, operative times, hospitalization time, and complications were collected...
August 17, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815717/partial-inferior-turbinectomy-in-rhinoseptoplasty-has-no-effect-in-quality-of-life-outcomes-a-randomized-clinical-trial
#2
Bianca H de Moura, Raphaella O Migliavacca, Rafaela K Lima, José E L Dolci, Martina Becker, Cássia Feijó, Elisa Brauwers, Michelle Lavinsky-Wolff
OBJECTIVE: Evaluate the impact of endoscopic partial inferior turbinectomy (EPIT) associated with primary rhinoseptoplasty on quality-of-life outcomes (QOL), complications, and surgical duration. STUDY DESIGN: Randomized clinical trial. METHODS: Individuals with nasal obstruction aged ≥ 16 years who were candidates for functional and aesthetics primary rhinoseptoplasty were evaluated from March 2014 through May 2015. Eligible participants were randomly allocated to rhinoseptoplasty with or without EPIT (excision of one-third of the inferior turbinates)...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815686/the-cost-of-being-clean-a-cost-analysis-of-nasopharyngoscope-reprocessing-techniques
#3
Leigh J Sowerby, Luke Rudmik
OBJECTIVE: Nasopharyngoscopes are an essential instrument to otolaryngologists; reprocessing them in a high-value manner is paramount. Although several different techniques for reprocessing exist, all methods yield similar effectiveness. Given equivalent effectiveness outcomes, a cost analysis of four nasopharyngoscope reprocessing techniques was performed. STUDY DESIGN: Cost-minimization analysis. METHODS: Four techniques were evaluated: 1) an automated reprocessor using peracetic acid (Steris System 1; Steris Canada Inc...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815627/should-infants-who-fail-their-newborn-hearing-screen-undergo-cytomegalovirus-testing
#4
Albert H Park, Angela G Shoup
No abstract text is available yet for this article.
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815617/disparities-in-sinonasal-squamous-cell-carcinoma-short-and-long-term-outcomes-analysis-from-the-national-cancer-database
#5
Ryan M Carey, Arjun K Parasher, Alan D Workman, Carol H Yan, Jordan T Glicksman, Jinbo Chen, James N Palmer, Nithin D Adappa, Jason G Newman, Jason A Brant
OBJECTIVES/HYPOTHESIS: To examine sociodemographic, hospital-specific, and disease-related characteristics in relation to outcomes in sinonasal squamous cell carcinoma (SCC). STUDY DESIGN: The National Cancer Database was queried for location codes corresponding to the nasal cavity and paranasal sinuses and histology codes representing SCC malignancy. Multivariate analyses were performed against short- and long-term outcomes (overall survival, days to discharge, 30-day readmission, and 30- and 90-day mortality)...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815616/predictors-of-complicated-airway-foreign-body-extraction
#6
Phayvanh P Sjogren, Tyler J Mills, Adrianna D Pollak, Harlan R Muntz, Jeremy D Meier, J Fredrik Grimmer
OBJECTIVES: To evaluate outcomes of foreign body aspiration (FBA) and to investigate surgeon and hospital volume as risk factors for a complicated course. STUDY DESIGN: Retrospective case series. METHODS: Children with FBA in a multihospital network were identified from January 2005 to September 2015. Demographic information, surgeon, and hospital location were reviewed. Mean operative time and hospital length of stay were recorded. Cases requiring intensive care unit admission, hospital stay greater than 24 hours, need for more than one bronchoscopy, operative time greater than 1 hour, or death were considered "complicated...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815611/the-value-of-frontal-sinusotomy-for-chronic-rhinosinusitis-with-nasal-polyps-a-cost-utility-analysis
#7
George A Scangas, Ashton E Lehmann, Aaron K Remenschneider, Brooke M Su, Mark G Shrime, Ralph Metson
OBJECTIVES/HYPOTHESIS: The number of surgical procedures performed for frontal sinusitis and the associated costs have increased dramatically over the past decade. The purpose of this study was to evaluate the cost-effectiveness of endoscopic frontal sinusotomy (EFS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP). STUDY DESIGN: Cohort-style Markov decision-tree economic model with a 36-year time horizon. METHODS: Matched cohorts of CRSwNP patients who underwent endoscopic sinus surgery (ESS) with (n = 139) and without (n = 49) EFS were compared to each other and to patients (n = 139) from the Medical Expenditures Survey Panel database who underwent medical management for chronic rhinosinusitis...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28815608/factors-associated-with-patient-no-show-rates-in-an-academic-otolaryngology-practice
#8
Caitlin E Fiorillo, Allyson L Hughes, Chen I-Chen, Philip M Westgate, Thomas J Gal, Matthew L Bush, Brett T Comer
OBJECTIVES/HYPOTHESIS: Factors affecting access to healthcare is an expanding area of research. This study seeks to identify factors associated with no-show rates in an academic otolaryngology practice to improve clinical efficiency and patient access to care. STUDY DESIGN: Retrospective review. METHODS: A retrospective review of scheduled clinical appointments from February 1, 2015 to January 30, 2016 at a single academic otolaryngology department was performed...
August 16, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28802009/duration-of-tracheostomy-dependence-and-development-of-tracheocutaneous-fistula-in-children
#9
Tu-Anh Ha, Meha Goyal, Julina Ongkasuwan
OBJECTIVE: To determine whether the risk of developing a tracheocutaneous fistula (TCF) increases with longer tracheostomy dependence times in children. STUDY DESIGN: Retrospective review of medical records. METHOD: A retrospective chart review was conducted for all children who both underwent tracheotomy and were decannulated between 2002 and 2011 at a tertiary children's hospital. Charts were analyzed for duration of tracheostomy and evidence of TCF up to 12 months...
August 12, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28799657/treatment-of-eustachian-tube-dysfunction-with-balloon-dilation-a-systematic-review
#10
REVIEW
Jolien Marieke Lieselot Huisman, Froukje Jantina Verdam, Inge Stegeman, Jacob Alexander de Ru
OBJECTIVE: Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction. DATA SOURCES: Embase, PubMed, and Cochrane Library. REVIEW METHODS: The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles...
August 11, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28795409/upper-airway-surgery-for-obstructive-sleep-apnea-reduces-blood-pressure
#11
Kenny P Pang, Edward B Pang, Kathleen A Pang, Claudio Vicini, Yiong Huak Chan, Brian W Rotenberg
OBJECTIVES/HYPOTHESIS: To evaluate if upper airway surgery reduces blood pressure in patients with obstructive sleep apnea (OSA). STUDY DESIGN: Prospective series. METHODS: A prospective series of 112 consecutive OSA patients with hypertension (HTN). All patients were > 18 years old, respiratory disturbance index >5, all levels of apnea-hypopnea index (AHI), with a history of HTN treated with medication for at least 6 months. Surgical procedures included septoplasty, turbinate reduction, palate surgery, and tongue base reduction...
August 10, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28786234/endoscopic-dcr-using-bipedicled-interlacing-mucosal-flaps
#12
Sarina K Mueller, Suzanne K Freitag, Daniel R Lefebvre, Benjamin S Bleier
OBJECTIVE: Obstruction of the nasolacrimal duct is a relatively common condition that affects patients of all ages, races, and sexes. The surgical gold standard for complete nasolacrimal duct obstruction and dacryocystitis is dacryocystorhinostomy (DCR). The purpose of this study was to describe a novel, bipedicled interlacing mucosal sparing flap technique for endoscopic DCR (eDCR). METHODS: A posteriorly based mucosal flap over the fundus is combined with a novel, anteriorly based mucosal flap over the intraosseus portion of the nasolacrimal duct (NLD)...
August 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28786169/use-of-standardized-letters-of-recommendation-for-otolaryngology-head-and-neck-surgery-residency-and-the-impact-of-gender
#13
Remy Friedman, Christina H Fang, Johann Hasbun, Helen Han, Leila J Mady, Jean Anderson Eloy, Evelyne Kalyoussef
OBJECTIVES: To evaluate gender-based differences in narrative letters of recommendation (NLORs) and standardized letters of recommendation (SLORs) submitted for applicants to an otolaryngology head and neck surgery (OHNS) residency program. STUDY DESIGN: Retrospective review. METHODS: Nine hundred fifty-eight letters of recommendation (LORs) submitted to one OHNS program in 2013 to 2014 were analyzed. RESULTS: NLORs (n = 590) and SLORs (n = 368) were reviewed...
August 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28786113/adjuvant-photodynamic-therapy-in-head-and-neck-cancer-after-tumor-positive-resection-margins
#14
Thérèse E M van Doeveren, M Barış Karakullukçu, Robert L P van Veen, Marta Lopez-Yurda, Willem H Schreuder, I Bing Tan
OBJECTIVE: In case of close or positive resection margins after oncological resection in head and neck surgery, additional treatment is necessary. When conventional options are exhausted, photodynamic therapy (PDT) can play a role in achieving clear margins. The purpose of the current study was to evaluate the clinical benefit of PDT as adjuvant therapy next to surgery with positive resection margins. The role of the time interval between surgery and PDT on survival outcomes also was investigated...
August 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782301/in-reference-to-otoconia-and-otolithic-membrane-fragments-within-the-posterior-semicircular-canal-in-benign-paroxysmal-positional-vertigo
#15
LETTER
Dennis Bojrab, Christopher Schutt
No abstract text is available yet for this article.
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782294/selective-patient-experience-with-the-blom-singer-dual-valve-voice-prosthesis
#16
Ben Brownlee, Saniya Ahmad, Tracy Grammer, Greg Krempl
OBJECTIVES/HYPOTHESIS: This study compares the overall durability, phonation effort, and speech quality achieved by the Blom-Singer Dual Valve prosthesis to the same characteristics achieved by the single-valve prosthesis used in a select population of total laryngectomy patients who have demonstrated single-valve prosthesis failure within 3 months of placement. STUDY DESIGN: Prospective phase IV study. METHODS: Fourteen patients who had previously experienced early valve failure using a single-valve prosthesis had a Dual Valve placed by a speech language pathologist...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782289/development-and-validation-of-an-endoscopic-ear-surgery-classification-system
#17
Michael S Cohen, Razan A Basonbul, Samuel R Barber, Elliott D Kozin, Alejandro C Rivas, Daniel J Lee
OBJECTIVES/HYPOTHESIS: To design and validate a classification system for endoscopic ear surgery. STUDY DESIGN: Validation study. METHODS: A classification system was devised that quantifies use of the endoscope during middle ear surgery. Otologic operative reports were reviewed by attending surgeons and trainees. A power analysis was performed to determine number of cases needed to review. The following categories were used: class 0 is defined by using the microscope only; class 1 describes the use of endoscope for inspection without dissection; and class 2 describes mixed use of the endoscope and the microscope...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782193/resident-responses-to-after-hours-otolaryngology-patient-phone-calls-an-overlooked-aspect-of-residency-training
#18
Ashton E Lehmann, Elliott D Kozin, Rosh K V Sethi, Kevin Wong, Brian M Lin, Stacey T Gray, Michael J Cunningham
OBJECTIVES/HYPOTHESIS: Otolaryngology residents are often responsible for triaging after-hours patient calls. However, residents receive little training on this topic. Data are limited on the clinical content, reporting, and management of otolaryngology patient calls. This study aimed to characterize the patient concerns residents handle by phone and their subsequent management and reporting. STUDY DESIGN: Retrospective review. METHODS: Five hundred consecutive after-hours patient calls in a tertiary pediatric hospital were reviewed...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782189/epidermal-growth-factor-receptor-detection-in-serum-and-saliva-as-a-diagnostic-and-prognostic-tool-in-oral-cancer
#19
Laura Zanotti, Alberto Paderno, Cesare Piazza, Eleonora Pagan, Eliana Bignotti, Chiara Romani, Elisabetta Bandiera, Stefano Calza, Francesca Del Bon, Piero Nicolai, Antonella Ravaggi
OBJECTIVES/HYPOTHESIS: Epidermal growth factor receptor (EGFR) is a type I transmembrane glycoprotein that is overexpressed in a wide variety of malignancies, including oral squamous cell carcinoma (OSCC). Our objective was to assess the EGFR diagnostic and prognostic value in OSCC by investigating its expression in serum and saliva of patients in comparison with healthy subjects. STUDY DESIGN: Prospective case-control study. METHODS: Serum and saliva samples were collected from a cohort of 63 treatment-naïve OSCC patients before surgery and a matched group of 60 healthy subjects...
August 7, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28782107/perceptions-of-the-laryngology-match-a-survey-of-program-directors-and-recent-trainees
#20
Eric J Formeister, Mark S Courey, Katherine C Yung
OBJECTIVES/HYPOTHESIS: Evaluate program director and recent trainee perceptions of the advantages and disadvantages of the laryngology Match. STUDY DESIGN: Web-based survey study. METHODS: A Web-based survey study was distributed to program directors and recent laryngology trainees to evaluate perceptions of the laryngology Match. A 15-item questionnaire with free-form, Likert, and multiple selection answers was emailed to 115 recent/current trainees and 22 laryngology directors...
August 7, 2017: Laryngoscope
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