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Acta Oto-laryngologica

Teemu Pieskä, Jouko Kotimäki, Minna Männikkö, Martti Sorri, Elina Hietikko
OBJECTIVE: To study comorbidities and their effect on the disease progression in Meniere's disease (MD). METHODS: Retrospective study on 350 definite MD patients diagnosed according to AAO-HNS 1995 criteria using hospital records and postal questionnaire. RESULTS: The prevalence of migraine, hypothyroidism, allergies, coronary heart disease and autoimmune diseases was more common in MD patients than reported in the general population of Finland...
September 15, 2017: Acta Oto-laryngologica
Päivi Helmiö, Riitta Saarinen, Leena-Maija Aaltonen, Lasse Lehtonen, Karin Blomgren
OBJECTIVE: To assess patient injury characteristics and contributing factors in otology. METHODS: Data on the accepted patient-injury claims involving otorhinolaryngology (ORL), closed between 2001 and 2011, from the Finnish Patient Insurance Centre registry was retrieved. We included all injuries concerning otology, with evaluation and classification of their causes and types. RESULTS: During the 10-year study period, a total of 44 claims were accepted as compensated patient injuries in otology...
September 14, 2017: Acta Oto-laryngologica
Shinji Takebayashi, Shogo Shinohara, Hisanobu Tamaki, Ichiro Tateya, Morimasa Kitamura, Masanobu Mizuta, Shinzo Tanaka, Tsuyoshi Kojima, Ryo Asato, Toshiki Maetani, Koji Ushiro, Yoshiharu Kitani, Kazuyuki Ichimaru, Keigo Honda, Koichiro Yamada, Koichi Omori
BACKGROUND: Adenoid cystic carcinoma of the head and neck (ACCHN) is rare and difficult to study effective treatment at one institute. Our aim is to identify prognostic factors for this disease by conducting a multicenter study at 11 institutions in Japan. METHODS: A retrospective multicenter study of ACCHN was performed. One hundred and three patients were identified between 2006 and 2015. The overall survival (OS) rate for all patients was calculated, and OS, locoregional control (LRC) rate, or no distant metastasis (NDM) rate was calculated for patients in that the surgery was performed without distant metastasis (DM)...
September 12, 2017: Acta Oto-laryngologica
Andrew M Vahabzadeh-Hagh, Jean-Claude M Rwigema, Vishad Nabili, Marilene B Wang, William C Lorentz
BACKGROUND: Prolonged radiation treatment time (RTT) is associated with worse tumor control. Here we identify and determine the implications of factors that predict treatment prolongation in Veterans Affairs (VA) patients undergoing chemoradiation. METHODS: Chart review from July 2000 to October 2013. 81 patients with advanced stage oropharyngeal cancer treated with chemoradiation. RESULTS: Twenty-nine patients (35.8%) had RTT prolonged by ≥10 days...
September 12, 2017: Acta Oto-laryngologica
Guillaume Michel, Florent Espitalier, Julie Boyer, Olivier Malard, Phillipe Bordure
OBJECTIVES: To test the clinical and audiometric efficacy of a minimally invasive myringoplasty technique, combining cartilaginous palisades while avoiding flap elevation, for small and wide perforations. METHODS: Over 4 years, this retrospective study included all patients over 6 years of age presenting an indication for myringoplasty. Several clinical and economic criteria were noted at 7 d, 2 months, 6 months and 2 years postoperative. The main outcome was the absence of perforation 2 years postoperative...
September 12, 2017: Acta Oto-laryngologica
Mengjia Fei, Jingwen Zhang, Jiaqing Zhou, Yanan Xu, Jiadong Wang
BACKGROUND: The expression and function of androgen receptors (AR) and estrogen receptor alpha (ER-ɑ) in laryngeal squamous cell carcinoma (LSCC) have remained controversial for decades. Prolactin receptor (PRLR) is a sex-related hormone, that has been rarely documented in terms of expression or function compared with data on other hormone receptors in laryngeal carcinoma. METHODS: This study reports on immunohistochemical and reverse transcription-polymerase chain reaction (RT-PCR) analysis of tumour tissue and adjacent normal tissue in 96 patients with LSCC (82 males and 14 females)...
September 11, 2017: Acta Oto-laryngologica
Ela Araz Server, Deniz Tuna Edizer, Özgür Yiğit, Ahmet Görkem Yasak, Çağrı Erdim
OBJECTIVE: To identify the vertebral artery blood flow in different head positions in patients with positional vertigo with no specific diagnosis. METHODS: Patients with history of vestibular symptoms associated with changes in head position were enrolled into the study. Healthy volunteers were evaluated as control group. Doppler ultrasonography examination of the cervical segment of the vertebral arteries was performed under three different head positions: (i) supine position, (ii) head hyperextended and rotated to the right side and (iii) head hyperextended and rotated to the left side...
September 8, 2017: Acta Oto-laryngologica
Ryoukichi Ikeda, Toshiaki Kikuchi, Hiromitsu Miyazaki, Hiroshi Hidaka, Tetsuaki Kawase, Yukio Katori, Toshimitsu Kobayashi
OBJECTIVE: To assess the efficacy of the Eustachian Tube Dysfunction Questionnaire (ETDQ-7) for patulous Eustachian tube (PET) patients. METHODS: A prospective survey of medical records identified 36 patients and 47 ears with PET, and 15 patients and 15 ears as control. The ETDQ-7, patulous Eustachian tube handicap inventory-10 (PHI-10) and Likert scale were evaluated. PET patients were divided into two groups based on severity of symptoms using the PHI score. RESULTS: The Cronbach α value of the PET group was 0...
September 7, 2017: Acta Oto-laryngologica
Chang Li, Ying Wang
OBJECTIVE: To improve understanding of the initial symptom between pediatric and adult nasopharyngeal carcinoma (NPC) and to improve the early diagnosis of NPC. METHODS: This retrospective cohort study included all 353 patients with a primary diagnosis of NPC in the First Affiliated Hospital of Zhengzhou University from January 2010 to December 2016. Of these, 34 patients were 21 years or younger (pediatric); 319 patients, older than 21 years (adult). Data were analyzed after data collection...
September 6, 2017: Acta Oto-laryngologica
Kazuya Takemura, Yukinori Takenaka, Naoki Ashida, Kotaro Shimizu, Ryohei Oya, Takahiro Kitamura, Yoshifumi Yamamoto, Atsuhiko Uno
OBJECTIVES: To examine the ability of comorbidity indices to predict the prognosis of laryngopharyngeal cancer and their association with treatment modalities. METHODS: This retrospective study included 198 patients with laryngeal, hypopharyngeal, and oropharyngeal cancers. The effect of comorbidity indices on overall survival between surgery and (chemo)-radiation therapy ((C)RT) groups was analyzed. The cumulative incidence rates for cancer mortality and other mortalities according to the age-adjusted Charlson Comorbidity Index (ACCI) and Charlson Comorbidity Index (CCI) were compared...
September 6, 2017: Acta Oto-laryngologica
Annett Szibor, Petteri Hyvärinen, Jarmo Lehtimäki, Ulla Pirvola, Matti Ylikoski, Antti Mäkitie, Antti Aarnisalo, Jukka Ylikoski
CONCLUSION: Music-induced acute acoustic trauma is not inevitably linked to hearing dysfunction as validated by conventional pure tone audiometry. Tinnitus is often in combination with hyperacusis. Our results point at 'silent hearing loss' as the underlying pathology, having afferent nerve terminal damage rather than hair cell loss as the structural correlate. OBJECTIVES: Exposure to loud music is one of the most common causes of acute acoustic trauma, which adolescents and teenagers experience by voluntary exposure to loud music of sound levels up to 110 dB(A)...
August 31, 2017: Acta Oto-laryngologica
Maurizio Barbara, Luigi Volpini, Chiara Filippi, Francesca Atturo, Simonetta Monini
OBJECTIVE: The aim of this article is to report on the long-term follow-up of a new semi-implantable middle ear device utilized for restoration of moderate-to-severe sensorineural hearing loss in a first series of subjects. METHODS: Three subjects, affected by sensorineural hearing loss, have undergone implantation of Maxum(®) middle ear implant, via a transcanal approach. They all underwent an auditory assessment, paying particular attention on the pre- versus post-operative hearing levels under the unaided, best-fitted hearing aided and implant-aided conditions...
August 30, 2017: Acta Oto-laryngologica
Chen Duan, Qi Dai, Quan Liu, Hongmeng Yu
OBJECTIVES: We summarized the characteristics of fibrous dysplasia patients in our department to obtain clinical data on this disease. METHODS: We retrospectively reviewed 28 patients who were diagnosed with sinonasal fibrous dysplasia based on pathological examination results from March 2012 to February 2017 in our department. RESULTS: The 28 patients included 16 females and 12 males, and the median age was 31.5 (range, 7-69) years. The three most common symptoms were nasal obstruction (25%), impaired vision (21%) and headache (18%)...
August 22, 2017: Acta Oto-laryngologica
Ann Marlene Gram Kjaerulff, Maria Rusan, Tejs Ehlers Klug
INTRODUCTION: The significant pathogens in acute epiglottitis (AE) are poorly defined in the post Haemophilus influenza type b-vaccine era. Furthermore, there is a lack of clinical evaluations of antibiotic regimens in patients with AE. We aimed to evaluate the effectiveness of empiric intravenous ampicillin in the treatment of patients with AE. MATERIALS & METHODS: All patients admitted with AE to the Ear-Nose-Throat Department, Aarhus University Hospital, Denmark, from 2001 to 2015 were included...
August 21, 2017: Acta Oto-laryngologica
Anton Bohman, Martin Oscarsson, Kenneth Holmberg, Leif Johansson, Eva Millqvist, Salmir Nasic, Mats Bende
OBJECTIVES: The aim of this study was to investigate the relative frequency of important symptoms of chronic rhinosinusitis with nasal polyps (CRSwNP), the link between CRSwNP and the lower airways and the importance of smoking in CRSwNP. METHOD: Three hundred and sixty-eight patients with CRSwNP and 1349 controls were recruited to the study and underwent a structured interview about symptoms from the upper and lower airways, and about smoking habits. Furthermore, all participants were clinically examined using nasal endoscopy...
August 21, 2017: Acta Oto-laryngologica
Dong Sun Kim, Dong Woo Park, Tae Yoon Kim, Sang Joon Lee, Young-Jun Lee, Ji Young Lee, Seung Hwan Lee, Jae Ho Chung
OBJECTIVES: To evaluate the magnetic resonance imaging (MRI) findings of labyrinthine hemorrhage as a cause of sudden sensorineural hearing loss (SSNHL). METHODS: MRI scans of 59 patients with SSNHL were retrospectively analyzed and compared to clinical features and audiometry data. MR images included pre-enhanced T1-weighted, 3D FLAIR VISTA, post-enhanced T1-weighted and 4-h-delayed enhanced FLAIR volume isometric turbo spin-echo acquisition (VISTA), and 3D thin-section proton density-weighted images...
August 21, 2017: Acta Oto-laryngologica
Asli Tanrivermis Sayit, Muzaffer Elmali, Ozgur Kemal, Yuksel Terzi
OBJECTIVE: The aim of this study is to determine the prevalence of jugular bulb-vestibular aqueduct dehiscence (JBVAD) in patients undergoing temporal bone multidetector computed tomography (MDCT) and assess the relationship between JBVAD and hearing loss with the findings of audiometry. METHODS: About 1503 temporal bone MDCT scans were evaluated for the prevalence of JBVAD. Correlation of the imaging findings and audiometric data was performed. Patients were divided into two groups, those with and those without hearing loss, and were statistically compared...
August 11, 2017: Acta Oto-laryngologica
Ahmad Rezaeian
BACKGROUND: Management of postoperative pain is a common problem in endoscopic sinus surgery. The objective of this study is the evaluation of pregabalin and acetaminophen effects on the management of postoperative pain in patients with nasal polyposis undergoing functional endoscopic sinus surgery (FESS). MATERIALS AND METHODS: In this clinical trial, double-blinded study, 70 patients with nasal polyposis who have indication of FESS were enrolled to this study...
August 8, 2017: Acta Oto-laryngologica
Angel Ramos-Macias, Angel R De Miguel, Juan Carlos Falcon-González
OBJECTIVES: This study evaluates the design of a thin perimodiolar cochlear implant electrode array (CI532) and assesses insertion-related rotation and fold-over. METHODS: The study consisted on a cochlear model and temporal bone insertion studies. Twenty insertions were studied, under four different surgical insertion conditions in vitro, the intracochlear disposition of the electrode array and presence of tip fold over were recorded. Also, eight fresh human temporal bones were studied after insertion in two conditions: correct alignment of the electrode array during the insertion and misaligned...
August 8, 2017: Acta Oto-laryngologica
Jing Wang, Zhao Yu, Jianjun Ren, Yang Xu, Yuke Zhang, Lei Lei, Yongbo Zheng, Ligao Huang, Zhaoping He
OBJECTIVES: We investigated the relationship between laryngopharyngeal reflux (LPR) and chronic rhinosinusitis (CRS), and explored the effects of pepsin A on the level of heat shock protein 70 (HSP70) in CRS. METHODS: We included 23 CRS patients with nasal polyps (CRSwNP), 26 CRS patients without nasal polyps (CRSsNP) and nine normal controls to measure pepsin A levels in nasal secretions, blood plasma and nasal tissues, to measure HSP70 levels in nasal tissues, and to detect pepsinogen A, HSPA5, cyclo-oxygenase-2 (COX-2), and carbonic anhydrase III (CAIII) mRNA expression levels in nasal tissues...
August 8, 2017: Acta Oto-laryngologica
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