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Otolaryngology—Head and Neck Surgery

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https://www.readbyqxmd.com/read/28094660/postoperative-bleeding-and-associated-utilization-following-tonsillectomy-in-children
#1
David O Francis, Christopher Fonnesbeck, Nila Sathe, Melissa McPheeters, Shanthi Krishnaswami, Sivakumar Chinnadurai
Objective To assess posttonsillectomy hemorrhage (PTH), associated nonoperative readmissions/revisits, and reoperations in children. Data Sources MEDLINE, EMBASE, and the Cochrane Library. Review Methods Two investigators independently screened studies against predetermined criteria and extracted key data. Investigators independently assessed study risk of bias and the strength of the evidence of the body of literature. We calculated unadjusted pooled estimates of PTH frequency and conducted a Bayesian meta-analysis to estimate frequency of primary and secondary PTH and PTH-associated reoperation and revisits/readmissions by partial and total tonsillectomy and surgical approach...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28093961/submental-ultrasonographic-parameters-among-patients-with-obstructive-sleep-apnea
#2
Suat Bilici, Acioglu Engin, Yigit Ozgur, Celebi Ozlem Onerci, Yasak Ahmet Gorkem, Yardimci Aytul Hande
Objective This study aimed to determine the value of submental ultrasonography (US) parameters for diagnostic workup among patients with obstructive sleep apnea (OSA) and to determine whether there is a correlation between US findings and the severity of OSA. Study Design Cross-sectional analysis. Setting Tertiary education hospital. Subjects and Methods The study included 147 patients with suspected OSA who underwent submental US to evaluate various parameters following overnight polysomnography. US findings were compared with the apnea-hypopnea index and other parameters...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28093947/comparative-effectiveness-of-partial-versus-total-tonsillectomy-in-children
#3
Nila Sathe, Sivakumar Chinnadurai, Melissa McPheeters, David O Francis
Objective To assess the effectiveness of partial versus total tonsillectomy in children. Data Sources MEDLINE, EMBASE, and Cochrane Library from January 1980 to June 2016. Review Methods Two investigators independently screened studies and extracted data. Investigators independently assessed risk of bias and strength of evidence of the literature. Heterogeneity precluded quantitative analysis. Results In 16 eligible randomized controlled trials (RCTs), definitions of "partial" tonsillectomy varied. In addition to comparing partial with total tonsil removal, 11 studies compared surgical techniques (eg, coblation)...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28093943/clinical-evidence-supporting-us-food-and-drug-administration-premarket-approval-of-high-risk-otolaryngologic-devices-2000-2014
#4
Vinay K Rathi, Bo Wang, Joseph S Ross, Nicholas S Downing, Aaron S Kesselheim, Stacey T Gray
The US Food and Drug Administration (FDA) approves high-risk medical devices based on premarket pivotal clinical studies demonstrating reasonable assurance of safety and effectiveness and may require postapproval studies (PAS) to further inform benefit-risk assessment. We conducted a cross-sectional analysis using publicly available FDA documents to characterize industry-sponsored pivotal studies and PAS of high-risk devices used in the treatment of otolaryngologic diseases. Between 2000 and 2014, the FDA approved 23 high-risk otolaryngologic devices based on 28 pivotal studies...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28072564/clinical-factors-associated-with-the-diagnosis-of-granulomatosis-with-polyangiitis
#5
Erdem Eren, Toygar Kalkan, Seçil Arslanoğlu, Mustafa Özmen, Kazım Önal, Emine Figen Tarhan, Servet Akar
Objective To determine the predictive value of nasal endoscopic findings and symptoms in the diagnosis of granulomatosis with polyangiitis (GPA). Study Design A cross-sectional study. Setting A tertiary university hospital. Subjects and Methods A total of 116 adults were enrolled in the study: 19 patients with GPA, 29 patients with other rheumatic diseases, and 68 healthy volunteers. All patients were examined with a flexible endoscope, and nasal endoscopic images were recorded and evaluated blindly. The medical history of each patient was taken by a physician blinded to the patient's diagnosis...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28072563/inefficiencies-in-computed-tomography-sinus-imaging-for-management-of-sinonasal-disease
#6
Giriraj K Sharma, Allen Foulad, David Shamouelian, Naveen D Bhandarkar
Objective A subset of patients with sinonasal disease who obtain a diagnostic computed tomography (CT) sinus scan may require repeat preoperative CT due to the inadequacy of diagnostic CT for image-guided sinus surgery (IGSS). This leads to increased CT utilization, health care costs, and patient exposure to ionizing radiation. The objective of this study is to determine the frequencies of diagnostic CT sinus studies that were inadequate for IGSS and repeat CT studies for purposes of IGSS. Study Design A retrospective chart study was performed between May 2012 and August 2013...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28072562/a-systematic-review
#7
Sarah Drejet, Stacey Halum, Matthew Brigger, Elaine Skopelja, Noah P Parker
Objectives (1) To systematically identify studies evaluating the use of intralesional cidofovir or bevacizumab as an adjunct in adult recurrent respiratory papillomatosis, determine disease severity and functional outcomes, and assess study quality. (2) To compare outcomes between the 2 adjuncts. Data Sources Ovid Medline, EMBASE, Scopus, and Clinical-Trials.gov . Review Methods Data sources were systematically searched. A priori inclusion and exclusion criteria were instituted. Quality was evaluated with the Newcastle-Ottawa Quality Assessment Scale...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28072556/therapeutic-management-of-pyriform-sinus-cancer
#8
Jérôme Donnadieu, Nathalie Klopp-Dutote, Aurélie Biet-Hornstein, Vladimir Strunski, Geoffrey Mortuaire, Cyril Page
Objective To analyze the survival rate of a nonselected pyriform sinus cancer population. Study Design Case series with chart review. Setting University hospital. Subjects and Methods A total of 122 patients were included in this study covering the 2002-2008 period. All patients had squamous cell carcinoma originating from the pyriform sinus. Survival and prognostic factors were analyzed. Results The 3- and 5-year overall survival rates were 39.7% and 2.4%, respectively. The 3- and 5-year survival rates without recurrence were 34% and 27%, respectively...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28025932/thyroid-surgery-in-a-resource-limited-setting
#9
Aria Jafari, David Campbell, Bruce H Campbell, Henry Nono Ngoitsi, Titus M Sisenda, Makaya Denge, Benjamin C James, Susan R Cordes
Objective The present study reviews a series of patients who underwent thyroid surgery in Eldoret, Kenya, to demonstrate the feasibility of conducting long-term (>1 year) outcomes research in a resource-limited setting, impact on the quality of life of the recipient population, and inform future humanitarian collaborations. Study Design Case series with chart review. Setting Tertiary public referral hospital in Eldoret, Kenya. Subjects and Methods Twenty-one patients were enrolled during the study period...
December 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28025918/outcomes-of-upper-airway-stimulation-for-obstructive-sleep-apnea-in-a-multicenter-german-postmarket-study
#10
Clemens Heiser, Joachim T Maurer, Benedikt Hofauer, J Ulrich Sommer, Annemarie Seitz, Armin Steffen
Objective Selective stimulation of the hypoglossal nerve is a new surgical therapy for obstructive sleep apnea, with proven efficacy in well-designed clinical trials. The aim of the study is to obtain additional safety and efficacy data on the use of selective upper airway stimulation during daily clinical routine. Study Design Prospective single-arm study. Setting Three tertiary hospitals in Germany (Munich, Mannheim, Lübeck). Subjects and Methods A multicenter prospective single-arm study under a common implant and follow-up protocol took place in 3 German centers (Mannheim, Munich, Lübeck)...
December 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28025906/accuracy-of-mobile-based-audiometry-in-the-evaluation-of-hearing-loss-in-quiet-and-noisy-environments
#11
Joe Saliba, Mahmoud Al-Reefi, Junie S Carriere, Neil Verma, Christiane Provencal, Jamie M Rappaport
Objectives (1) To compare the accuracy of 2 previously validated mobile-based hearing tests in determining pure tone thresholds and screening for hearing loss. (2) To determine the accuracy of mobile audiometry in noisy environments through noise reduction strategies. Study Design Prospective clinical study. Setting Tertiary hospital. Subjects and Methods Thirty-three adults with or without hearing loss were tested (mean age, 49.7 years; women, 42.4%). Air conduction thresholds measured as pure tone average and at individual frequencies were assessed by conventional audiogram and by 2 audiometric applications (consumer and professional) on a tablet device...
December 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28025905/otolaryngology-education
#12
Nathan D Cass, Tyler S Okland, Kenny Rodriguez, Scott E Mann
Objectives (1) Evaluate peer-reviewed publications regarding education in otolaryngology since 2000. (2) Analyze publication trends as compared with overall otolaryngology publications. Study Design Bibliometric analysis. Setting Academic medical center. Subjects and Methods A search for articles regarding education in otolaryngology from 2000 to 2015 was performed with MEDLINE and EMBASE databases, yielding 1220 articles; 362 relevant publications were categorized by topic, subspecialty, subject, article type, and funding source...
December 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28025904/intracochlear-pressure-changes-due-to-2-electrode-types
#13
Philipp Mittmann, Marlene Mittmann, Arneborg Ernst, Ingo Todt
Objective To preserve residual hearing in cochlear implant surgery, the electrode design has been refined, and an atraumatic insertion has become one aspect of cochlear implant research. Previous studies have described the effect of insertion speed and opening of the round window membrane on intracochlear pressure changes. The aim of our current study was to observe intracochlear pressure changes due to different cochlear implant electrodes in an artificial cochlear model with stable surrounding factors. Study Design Prospective controlled study...
December 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27899468/favorable-swallowing-outcomes-following-vagus-nerve-sacrifice-for-vagal-schwannoma-resection
#14
Mira A Patel, Danielle F Eytan, Justin Bishop, Joseph A Califano
OBJECTIVE: To determine the impact of unilateral vagal sacrifice for vagal schwannoma on postoperative swallowing function. STUDY DESIGN: Case series, chart review. SETTING: Academic medical institution. SUBJECTS AND METHODS: Ten patients underwent vagus nerve sacrifice for vagal schwannoma resection. Archived pathology records dating from 1985 through 2012 at our institution were retrospectively queried for cases of vagal schwannoma with vagus nerve sacrifice...
November 29, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27879419/tympanoplasty-outcomes-for-blast-induced-perforations-from-iraq-and-afghanistan-2007-2012
#15
Sungjin A Song, Shankar K Sridhara, Philip D Littlefield
OBJECTIVE: To describe characteristics of blast-induced tympanic membrane perforations that do not spontaneously heal, evaluate the outcomes of tympanoplasty techniques, and understand the factors associated with surgical success. SETTING: Two tertiary military health care institutions. STUDY DESIGN: Case series with chart review. SUBJECTS AND METHODS: This study reviewed the practice of 1 military neurotologist and included all tympanoplasties for combat blast-induced perforations from 2007 to 2012, which comprised a total of 55 patients...
November 22, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27879418/histopathologic-effects-of-onabotulinum-toxin-a-treatment-in-pediatric-submandibular-glands
#16
Ashley Mosseri, Isabel Cardona, Miriam Blumenkrantz, Sam J Daniel
Onabotulinum toxin A (OBTXA) is an effective treatment for drooling. Our objective was to determine if there are histologic changes in the submandibular glands (SMGs) after repetitive OBTXA injections. The study included blinded histologic analysis and comparison of SMGs with ≥4 OBTXA injections versus controls who never received OBTXA. The number of acinar cells were counted, and the morphology of the cells was evaluated within each histologic sample of the SMGs. Thirty-one glands were analyzed (14 control, 17 cases)...
November 22, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27879417/factors-influencing-likelihood-of-voice-therapy-attendance-report-from-the-cheer-network
#17
Stephanie Misono, Schelomo Marmor, Nelson Roy, Ted Mau, Seth M Cohen
OBJECTIVE: To identify factors associated with the likelihood of attending voice therapy among patients referred for it in the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. STUDY DESIGN: Prospectively enrolled cross-sectional study. SETTING: CHEER network of community and academic sites. METHODS: Data were collected on patient-reported demographics, voice-related diagnoses, voice-related handicap (Voice Handicap Index-10), likelihood of attending voice therapy (VT), and opinions on factors influencing likelihood of attending VT...
November 22, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27803079/effect-of-botulinum-toxin-and-surgery-among-spasmodic-dysphonia-patients-a-systematic-review
#18
Babette F van Esch, Inge Wegner, Inge Stegeman, Wilko Grolman
OBJECTIVE: The effect of botulinum toxin among patients with adductor spasmodic dysphonia (AdSD) is temporary. To optimize long-term treatment outcome, other therapy options should be evaluated. Alternative treatment options for AdSD comprise several surgical treatments, such as thyroarytenoid myotomy, thyroplasty, selective laryngeal adductor denervation-reinnervation, laryngeal nerve crush, and recurrent laryngeal nerve resection. Here, we present the first systematic review comparing the effect of botulinum toxin with surgical treatment among patients diagnosed with AdSD...
November 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/27803078/the-role-of-helicobacter-pylori-in-laryngopharyngeal-reflux-a-systematic-review-and-meta-analysis
#19
REVIEW
Ross Campbell, Shaun J Kilty, Brian Hutton, James P Bonaparte
OBJECTIVE: The primary objective was to determine the prevalence of Helicobacter pylori among patients with laryngopharyngeal reflux. The secondary objective was determining if H pylori eradication leads to greater symptom improvement in patients with laryngopharyngeal reflux as compared with standard proton pump inhibitor therapy alone. DATA SOURCES: EMBASE, Cumulative Index to Nursing and Allied Health Literature, MEDLINE, World Health Organization International Clinical Trials Registry Platform, European Union Clinical Trials Register, Cochrane Library databases of clinical trials, and ClinicalTrials...
November 1, 2016: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28045642/resident-reviewer-development-program-mentors-list
#20
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Otolaryngology—Head and Neck Surgery
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