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Yanping Feng, Fei Liu, Guangyan Cheng, Qigen Fang, Xinyu Niu, Wei He
OBJECTIVE: To analyze the metastasis rate in intraglandular lymph nodes (IGLNs) with a focus on discussing the significance of IGLN metastasis in local control (LC) of parotid gland cancer (PGC). METHODS: A total of 337 patients were enrolled. Information including age; sex; and pathologic variables such as tumor (T) stage, IGLN metastasis, and follow-up findings was extracted and analyzed. RESULTS: IGLN metastasis was noted in 111 (32.9%) patients...
December 14, 2018: Laryngoscope
Mofiyinfolu Sokoya, Sameep Kadakia, Yadranko Ducic, Farshad Chowdhury
No abstract text is available yet for this article.
December 14, 2018: Laryngoscope
Ryan A Rimmer, Alexander N Duffy, Alexander M Knops, Mindy R Rabinowitz, Ian J Koszewski, Marc R Rosen, Timothy Ortlip, Ryan N Heffelfinger, Hermes G Garcia, James J Evans, Gurston G Nyquist, Joseph M Curry
OBJECTIVES/HYPOTHESIS: Chronic frontal sinus infection is managed with a combination of medical and surgical interventions. Frontal bone osteomyelitis due to recurrent infection following trauma or prior open surgery may require more significant debridement. Free tissue transfer may allow for extensive debridement with replacement of tissue, and definitive eradication of osteomyelitis. STUDY DESIGN: Retrospective chart review. METHODS: Patients undergoing free flap obliteration of the frontal sinus for frontal bone osteomyelitis at a single institution were included in the study...
December 14, 2018: Laryngoscope
Ashleigh A Halderman, Stella Lee, Nyall R London, Andrew Day, Raksha Jain, John A Moore, Sandra Y Lin
OBJECTIVE: Understanding of how specific mutations impact the cystic fibrosis transmembrane conductance regulator (CFTR) protein has given rise to the classification of CF patients into low-risk and high-risk genotypes. Few prior studies have investigated differences in sinonasal disease between low-risk and high-risk CF genotypes. This multi-institutional review aimed to evaluate radiographic sinus disease severity based on genotype. METHODS: A review was conducted on adult patients with CF evaluated between 2005 to 2017 at three academic institutions...
December 14, 2018: Laryngoscope
Sagit Stern Shavit, Hanna Bernstine, Vladimir Sopov, Ben Nageris, Ohad Hilly
OBJECTIVE: Imaging is important for the diagnosis and follow-up of necrotizing external otitis (NEO). The best imaging modality is controversy. To suggest 2-deoxy-2-[fluorine-18] fluoro-D-glucose-positron emission tomography/computed tomography (18F-FDG-PET/CT) as an alternative to technetium-99m and gallium-67 scans for diagnosis and assessment of response to treatment for patients with NEO. STUDY DESIGN: Case series. METHODS: Tertiary referral center...
December 14, 2018: Laryngoscope
Skyler W Nielsen, Jayne R Stevens, Gregory J Stevens, Jagatkumar Patel, Robert L Eller
OBJECTIVES/HYPOTHESIS: Isolated case studies have shown improper sterilization or contamination of equipment from anesthesia carts can lead to transmission of disease and even death. Citing this literature, national accrediting agencies mandated all instruments in the otolaryngology airway carts at San Antonio Military Medical Center be packaged to prevent contamination. This study sought to determine the infection and safety implications of packaged airway cart instruments. STUDY DESIGN: Retrospective chart review...
December 13, 2018: Laryngoscope
Seraina M Kunz, David Holzmann, Michael B Soyka
OBJECTIVES/HYPOTHESIS: To investigate the association between epistaxis and atherosclerotic cardiovascular disease. STUDY DESIGN: Case-control cohort study. METHODS: This study included patients from the tertiary-care ear, nose, and throat department at the University Hospital of Zurich between December 1, 2016 and June 1, 2017. We assessed the cardiovascular risk profiles in a group of 41 patients presenting with epistaxis, and a group of 41 matched controls, focusing on a surrogate parameter for atherosclerosis: the carotid intima-media thickness (CIMT)...
December 13, 2018: Laryngoscope
Carol Li, Maurits Boon, Stacey L Ishman, Maria V Suurna
We present three adults with Down syndrome and obstructive sleep apnea (OSA) treated with hypoglossal nerve stimulation. The average age of these three males was 37.3 years. All patients had severe OSA on polysomnography. Postimplantation titration sleep studies exhibited residual OSA according to average total apnea-hypopnea index (AHI), but there were significant reductions (86%-100%) in the titrated AHI at the ideal device setting. Morbidity of the surgery was low, and there was excellent device adherence, with an average of 57...
December 13, 2018: Laryngoscope
Ádám Bach, Balázs Sztanó, Vera Matievics, Zsófia Bere, Fabian Volk, Andreas Müller, Gerhard Förster, Paul F Castellanos, László Rovó
OBJECTIVES/HYPOTHESIS: The aim of this study was to analyze the phoniatric and respiratory outcomes of a subset of bilateral vocal cord paralysis (BVCP) patients who were all treated with unilateral endoscopic arytenoid abduction lateropexy (EAAL). EAAL is a nondestructive, minimally invasive glottis widening operation, which does not damage either the surgically treated or the contralateral vocal cord. Therefore, it does not impair the regeneration potential of the recurrent laryngeal nerve...
December 13, 2018: Laryngoscope
Jin Youp Kim, Doo Hee Han, Tae-Bin Won, Hyun Jik Kim, Chul Hee Lee, Chae-Seo Rhee, Dong-Young Kim
OBJECTIVES/HYPOTHESIS: To compare immunologic modification and treatment outcomes after 2 years of sublingual immunotherapy (SLIT) with house dust mite extracts (HDM) between monosensitized and polysensitized patients with allergic rhinitis. STUDY DESIGN: Retrospective cohort study. METHODS: Among the patients who were prospectively enrolled in the SLIT cohort study, patients with allergic rhinitis who were sensitized to HDM and treated with SLIT for at least 2 years were studied...
December 13, 2018: Laryngoscope
Erin M Mamuyac, Andrew K Pappa, Brian D Thorp, Charles S Ebert, Brent A Senior, Adam M Zanation, Feng-Chang Lin, Adam J Kimple
OBJECTIVE: Active surgical drains minimize fluid accumulation in the postoperative period. The Jackson-Pratt (JP) system consists of a silicone drain connected by flexible tubing to a bulb. When air in the bulb is evacuated, negative pressure is applied at the surgical site to aspirate fluid. The objective of this study was to determine if the evacuation method and volume of accumulated fluid affect the pressure generated by the bulb. METHODS: Bulbs were connected to a digital manometer under various experimental conditions...
December 13, 2018: Laryngoscope
Hassan Mohammed, Marcus Del Pero, Matthew Coates, Liam Masterson, Peter Tassone, Stuart Burrows, Ramez Nassif
OBJECTIVES/HYPOTHESIS: To present yield of transnasal esophagoscopy (TNE) biopsies of upper aerodigestive tract (UADT) lesions and define the role of TNE as a safe alternative to rigid endoscopy. STUDY DESIGN: Retrospective case series. METHODS: All patients who underwent TNE-guided biopsies attempted over a 2-year period were included. Patients were identified using coding records and outpatient diaries. Demographic data were recorded as well as the histological diagnosis and additional histological diagnostic procedures...
December 13, 2018: Laryngoscope
Sinisa Maslovara, Silva Butkovic-Soldo, Ivana Pajic-Matic, Anamarija Sestak
We present the case of a 27-year-old male who presented with vertigo when pressing the entrance of his right auditory meatus and exposing his right ear to loud noise. A diagnostic procedure revealed bilateral labyrinth weakness, which was confirmed by caloric and rotational testing. The ocular vestibular evoked myogenic potentials investigation demonstrated a significant weakness of the right utriculus, whereas the cervical vestibular evoked myogenic potentials were normal, indicating preservation of the saccular response...
December 13, 2018: Laryngoscope
Jamie R Litvack, Elizabeth H Wick, Mark E Whipple
OBJECTIVES: To determine the proportion and relative advancement of women in leadership positions at high-impact otolaryngology journals. METHODS: Nine clinical otolaryngology journals were selected based on high impact factor and subspecialty representation (journal impact factor, 2016: 1.16-2.95). The proportion of women editorial board members associate and/or section editors, and/or editor-in-chief was measured from 1997 to 2017. Comparisons were made to the proportion of women otolaryngology faculty at U...
December 13, 2018: Laryngoscope
Brad deSilva, Drew Crenshaw, Laura Matrka, L Arick Forrest
OBJECTIVE: Demonstrate efficacy of vocal fold botulinum toxin injection for treatment of refractory paradoxical vocal fold motion disorder (PVFMD). METHODS: A retrospective review was completed of patients diagnosed with PVFMD who underwent vocal fold botulinum toxin injection for dyspnea symptoms that persisted despite laryngeal control therapy, medical management, and biofeedback therapy. Outcomes measured included overall improvement and resolution of dyspnea symptoms, number of botulinum toxin injections and dose range, change in dyspnea severity index (DSI) scores, and adverse effects of injection therapy...
December 13, 2018: Laryngoscope
Julina Ongkasuwan, Danielle Devore, Sarah Hollas, Jennifer Yan
OBJECTIVE: Complaints of dysphonia and dysphagia frequently require rigid or flexible laryngoscopy in the office to aid in diagnosis. For young children, flexible laryngoscopy can be uncomfortable and often requires multiple adults to restrain the child. Rigid laryngoscopy does not result in crying but does require patient cooperation; thus, it is used primarily in adults. This project describes our experience using rigid laryngoscopy in a pediatric cohort. METHODS: This was a retrospective chart review of patients at a pediatric voice clinic who underwent laryngoscopy from December 2011 through March 2017...
December 13, 2018: Laryngoscope
Cláudia Schweiger, Catherine K Hart, Meredith E Tabangin, Aliza P Cohen, Nicholas J Roetting, Alessandro de Alarcón
OBJECTIVE: To determine the appropriate balloon size for dilation using a previously described reproducible survival animal model of subglottic stenosis. STUDY DESIGN: Prospective animal study. METHODS: We conducted a prospective study including 16 New Zealand White rabbits. The airway of each animal was sized with an endotracheal tube (ETT), and subglottic stenosis (SGS) was endoscopically induced using Bugbee electrocautery to 75% of the circumference of the subglottis, followed by 4-hour intubation...
December 13, 2018: Laryngoscope
Raj C Dedhia, Arshed A Quyyumi
No abstract text is available yet for this article.
December 13, 2018: Laryngoscope
Wonjae Cha, Jung Hoon Ro, Sun Choel Yang, Chang Jun Choi, Inchul Yang, Hochul Kang, Il-Young Cho, Min-Gyu Jo, Hyoseok Seo
OBJECTIVE: The transcricothyroid (CT) membrane approach is a good option for office-based vocal fold injection (VFI). However, because the needle tip is invisible during injection using the CT approach, precise localization requires a high level of experience, and mastering this approach involves a steep learning curve. To overcome current limitations, we conceptualized a novel technique: real-time light-guided VFI (RL-VFI), which enables simultaneous VFI under direct visualization of the lighted needle tip...
December 12, 2018: Laryngoscope
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