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Acta Oto-laryngologica

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https://www.readbyqxmd.com/read/29148288/cochlear-volume-as-a-predictive-factor-for-residual-hearing-preservation-after-conventional-cochlear-implantation
#1
Masahiro Takahashi, Yasuhiro Arai, Naoko Sakuma, Kenichiro Yabuki, Daisuke Sano, Goshi Nishimura, Nobuhiko Oridate, Shin-Ichi Usami
OBJECTIVE: The preservation of residual hearing after conventional cochlear implantation (CI) is frequently observed when atraumatic soft surgery is adopted. The purpose of this study was to elucidate the predictive factors for residual hearing preservation after atraumatic CI. PATIENTS: This study included 46 patients who underwent CI based on an atraumatic technique using a standard-length flexible electrode implant through a round window approach. MAIN OUTCOME MEASURE: Cochlear volume was measured using magnetic resonance imaging (MRI)...
November 17, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29141486/recurrent-pleomorphic-adenoma-is-treatment-considerably-delayed-thus-affecting-surgical-morbidity
#2
Eran Glikson, Doron Sagiv, Jobran Mansour, Lev Bedrin, Yoav P Talmi, Eran E Alon
OBJECTIVE: To examine the incidence of late presentation of patients with recurrent pleomorphic adenoma (RPA) of the parotid gland. METHODS: This is a retrospective analysis of patients treated in our center. We examined patients demographics, disease characteristics, treatment, and outcome and as well as the time period length from the first discovery of a recurrent mass until seeking treatment at our clinic and its effect on morbidity. RESULTS: A total of 30 patients were included...
November 16, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29141478/utility-of-quick-oculomotor-tests-for-screening-the-vestibular-system-in-the-subacute-and-chronic-populations
#3
Helen S Cohen, Jasmine Stitz, Haleh Sangi-Haghpeykar, Susan P Williams, Ajitkumar P Mulavara, Brian T Peters, Jacob J Bloomberg
OBJECTIVE: The goal of this study was to determine the sensitivity and specificity of some widely used, easily administered clinical tests. BACKGROUND: Simple tests of oculomotor function have become widely used for clinical screening of patients suspected of having vestibular disorders despite a paucity of evidence showing good statistical support for their use in this highly variable population. METHODS: Healthy controls with no history of otologic or neurologic disorders (n = 291) were compared to patients with known vestibular disorders (n = 62)...
November 16, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29130359/necessity-of-admission-to-improve-the-hearing-recovery-rate-in-idiopathic-sudden-sensorineural-hearing-loss
#4
Min Jae Kim, Kyung Wook Heo, Pil Hyun Jeon, Jae Jun Lee, Jun Ho Lee
OBJECTIVES: The purpose of this study was to determine the prognostic potential of admission of a patient for idiopathic sudden sensorineural hearing loss (ISSNHL). STUDY DESIGN: Retrospective clinical study. METHODS: We conducted a retrospective study of 301 patients with ISSNHL. The patients were divided into a study (57 patients at out-patients department (OPD) based treatment, using systemic steroids and intra-tympanic (IT) steroid injection) and a control groups (301 patients at admission, using systemic steroids and IT steroid injection)...
November 13, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29125012/optical-assessment-of-the-in-vivo-tympanic-membrane-status-using-a-handheld-optical-coherence-tomography-based-otoscope
#5
Kibeom Park, Nam Hyun Cho, Mansik Jeon, Sang Heun Lee, Jeong Hun Jang, Stephen A Boppart, Woonggyu Jung, Jeehyun Kim
OBJECTIVE: Conventional otoscopes and oto-endoscopes, which are used to examine the tympanic membrane (TM), do not provide tomographic information. Optical coherence tomography (OCT) non-invasively reveals the depth-resolved internal microstructure of the TM with very high spatial resolution. We designed this study to examine the TMs with middle ear diseases using a handheld otoscope employing 860 nm spectral domain (SD)-OCT, combined with video camera and to demonstrate the clinical applicability of this system...
November 10, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29105549/value-of-extranodal-extension-detected-by-computed-tomography-for-predicting-clinical-response-after-chemoradiotherapy-in-head-and-neck-squamous-cell-cancer
#6
Hyun Moon, Young Jun Choi, Yoon Se Lee, Sang Wook Lee, Sung Bae Kim, Jong-Lyel Roh, Seung-Ho Choi, Soon Yuhl Nam, Sang Yoon Kim
OBJECTIVES: Radiological extranodal extension (rENE) upon CT is obtained before concurrent chemoradiation therapy (CCRT) for head and neck squamous cell carcinoma (HNSCC). We evaluated the prognostic value of rENE, rather than pathologically proven ENE, in patients who received CCRT for HNSCC. MATERIALS AND METHODS: We reviewed 117 patients. We divided the patients into rENE(+) and rENE(-) groups and evaluated overall survival (OS) and disease-specific survival (DSS), and factors affecting these outcomes...
November 6, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29105542/cervical-necrotizing-fasciitis-an-overlooked-diagnosis-of-a-fatal-disease
#7
Mohamed A Al-Ali, Ashraf F Hefny, Kamal M Idris, Fikri M Abu-Zidan
BACKGROUND: Necrotizing fasciitis of the neck is a rare potentially lethal condition if not early diagnosed and managed. We aimed to study the clinical presentation, radiological and microbiological diagnosis, management, and surgical outcome of patients having cervical necrotizing fasciitis (CNF). MATERIALS AND METHODS: We retrospectively studied patients having a final diagnosis of CNF who were treated at Al Ain Hospital during the period of January 2000 to December 2016...
November 6, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29081260/diagnostic-significance-of-serum-periostin-in-eosinophilic-chronic-sinusitis-with-nasal-polyps
#8
Ming Xu, Weiwei Zhang, Daishi Chen, Haojie Zhou, Lei Chen
OBJECTIVES: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a heterogeneous disease. Eosinophilic CRSwNP (ENP) exhibits a strong tendency for recurrence after surgery. Given that the treatment strategy of ENP differs from that of non-eosinophilic CRSwNP (nENP), clinical diagnostic criteria that distinguish ENP from nENP are needed. METHODS: In total, 94 CRSwNP patients were enrolled in the cohort. Factors associated with ENP were determined with regression analysis, and optimal cutoff points of the predictors were determined by a receiver operating characteristic curve...
October 28, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29073815/effect-of-esterified-hyaluronic-acid-as-middle-ear-packing-in-tympanoplasty-for-adhesive-otitis-media
#9
Rui Deng, Yanqing Fang, Jun Shen, Xiong Ou, Wenyi Liuyan, Bin Wan, Yasheng Yuan, Xiaoting Cheng, Yilai Shu, Bing Chen
OBJECTIVES: The goal of this study was to evaluate the effects of middle ear packing agents (MEPA) on post-operative hearing improvement and complications after tympanoplasty in patients with adhesive otitis media (OM). MATERIALS AND METHODS: Patients with adhesive OM who underwent tympanoplasty surgery were enrolled in the study between January 2012 and January 2015. A total of 205 patients who received canal wall-down tympanoplasty with ossicular chain reconstruction were randomized into one of the three groups with different MEPA...
October 26, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29069961/factors-affecting-hearing-deterioration-in-vestibular-schwannoma-patients-treated-with-gamma-knife-radiosurgery-the-asan-medical-center-experience
#10
Marn Joon Park, Hong Ju Park, Jong Woo Chung, Do Heui Lee, Young Hyun Cho, Young Jun Choi, Joong Ho Ahn
OBJECTIVES: To investigate the changes in hearing and to determine factors predicting hearing deterioration in patients with vestibular schwannoma (VS) who undergo gamma knife radiosurgery (GKRS). DESIGN: A retrospective review of medical records in patients diagnosed with VS and initially treated with GKRS at a tertiary care medical center between 1995 and 2015 was performed. Tumor factors (location, volume), parameters related to irradiation to the tumor and cochlea, and distance between the tumor and cochlea were reviewed...
October 25, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29043905/the-value-of-narrow-band-imaging-combined-with-stroboscopy-for-the-detection-of-applanate-indiscernible-early-stage-vocal-cord-cancer
#11
Yifan Yang, Jugao Fang, Qi Zhong, Wen Xu, Hongzhi Ma, Ling Feng, Qian Shi, Meng Lian, Ru Wang, Lizhen Hou
BACKGROUND: Narrow band imaging (NBI) and stroboscopy are non-invasive techniques to detect the malignant lesions of the vocal cord. This study was to assess the diagnostic value of combined endoscopic analysis in the applanate indiscernible early-stage vocal cord cancer. METHODS: A total of 110 patients with 160 suspicious vocal cord malignant lesions were included in this retrospective study. Stroboscopy was immediately performed after NBI and white light endoscopy (WLE) were performed in all patients...
October 18, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29043904/effects-of-anesthesia-with-nitrous-oxide-on-tympanoplasty-outcomes-a-randomized-controlled-trial
#12
Ali Kouhi, Fatemeh Hajimohammadi, Sasan Dabiri, Amin Amali, Neda Enayati, Sahar Manavi, Niloufar Saeedi, Ziba Bidar
OBJECTIVES: To investigate effects of nitrous oxide (N2O), as inhalational anesthetic agent, on tympanoplasty outcomes. METHODS: In this randomized controlled trial, patients were randomized into two groups: 39 patients who received N2O as an inhalant anesthesia and 47 patients who did not receive. All were operated on with standard type of ear surgery. The protocol for the two groups was identical. Before surgery baseline audiometry was performed. Postoperative audiological controls were carried out at 3 months...
October 18, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29043888/effect-of-sound-generator-on-tinnitus-and-hyperacusis
#13
Jung Mee Park, Woo Jin Kim, Jin Bu Ha, Jung Ju Han, So Young Park, Shi Nae Park
OBJECTIVE: Sound generator (SG) plays a role as effective sound therapy of tinnitus retaining therapy (TRT) in patients with severe tinnitus (Category 1) or hyperacusis (Category 3). This study was performed to evaluate the therapeutic effect of SGs. METHODS: A total of 120 tinnitus patients who visited our tinnitus clinic and were treated with SG along with TRT from January 2008 to December 2016 were included. The patients were divided into two groups by tinnitus category; 78 patients of category 1 and 42 patients of category 3...
October 18, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29037099/eosinophilic-otitis-media-diagnosis-using-flow-cytometric-immunophenotyping
#14
Issam Saliba, Musaed Alzahrani, Xiaoduan Weng, Alain Bestavros
OBJECTIVES: (1) To assess the ability of flow cytometric immunophenotyping to detect and quantitate eosinophils in patients with eosinophilic otitis media (EOM). (2) to evaluate the association of EOM to bronchial asthma. METHODS: Twenty-one patients with chronic otorrhea or middle ear effusion (MEE) were included in this prospective cohort study. Group I composed of 10 patients (14 ears) and associated to bronchial asthma. Group II included 11 patients (11 ears) without bronchial asthma...
October 16, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29022419/speech-evoked-auditory-brainstem-response-with-ipsilateral-noise-in-adults-with-unilateral-hearing-loss
#15
Nihal Mohamed Abd El-Ghaffar, Amani Mohamed El-Gharib, Enaas A Kolkaila, Trandil Hassan Elmahallawy
INTRODUCTION: Subjects with unilateral hearing loss (UHL) report difficulties in speech understanding in noise. Speech-evoked auditory brainstem response (S-ABR) provides cues for temporal and spectral encoding of speech in the brainstem. S-ABR recording in noise increases its sensitivity in evaluating the auditory processing and related disorders. OBJECTIVES: Study speech encoding at the level of brainstem when the auditory system relies on one ear and to study the effect of noise on this encoding...
October 12, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29017385/patient-satisfaction-in-the-long-term-effects-of-eustachian-tube-balloon-dilation-is-encouraging
#16
Veera Luukkainen, Matej Vnencak, Antti A Aarnisalo, Jussi Jero, Saku T Sinkkonen
OBJECT: To investigate the long-term effects of balloon Eustachian tuboplasty (BET) from patient's perspective and to discover which symptoms of Eustachian tube dysfunction (ETD) benefit the most from BET. METHOD: We designed a retrospective postal questionnaire based on the seven-item ETD questionnaire (ETDQ-7). Our questionnaire covered the severity of present ETD symptoms in comparison with the preoperative situation, the severity of current overall ear symptoms, and possible surgical interventions after BET...
October 10, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28990844/impact-of-nasal-conditions-on-chronic-otitis-media-a-cross-sectional-study-in-koreans
#17
Kyung Wook Heo, Min Jae Kim, Jun Ho Lee
OBJECTIVES: We evaluated the relationship between pathological nasal conditions and pathological middle ear conditions on a large-scale epidemiological basis, conducted as a cross-sectional study at the population level using Korean National Health and Nutrition Examination Survey (KNHANES) data. STUDY DESIGN: A cross-sectional study. METHODS: In a retrospective cohort study, we analyzed data from the KNHANES (2008-2012), which used a stratified, multi-stage, probability-cluster sampling method in a rolling sampling survey of South Korean citizens...
October 9, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28990841/utilization-patterns-of-systemic-corticosteroid-use-for-chronic-rhinosinusitis
#18
Stacey T Gray, Katie M Phillips, Lloyd P Hoehle, Allen L Feng, Alisa Yamasaki, David S Caradonna, Ahmad R Sedaghat
OBJECTIVE: We sought to characterize the utilization pattern and factors associated with use of systemic corticosteroids for CRS. METHODS: This was a cross-sectional study of 236 participants with CRS who were prospectively recruited. Participants reported the number of CRS-related oral corticosteroid courses taken in the last year. Baseline CRS symptomatology was measured using the 22-item Sinonasal Outcome Test (SNOT-22) and SNOT-22 sleep, nasal, otologic/facial pain and emotional subdomain scores...
October 9, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28990834/eustachian-tube-evaluation-in-patients-with-obstructive-sleep-apnea-syndrome
#19
Giuseppe Magliulo, Marco de Vincentiis, Giannicola Iannella, Andrea Ciofalo, Alessandra Manno, Benedetta Pasquariello, Diletta Angeletti, Annalisa Pace, Giampiero Gulotta, Antonella Polimeni
OBJECTIVES: Investigate the presence of Eustachian Tube Dysfunction (ETD) in Obstructive sleep apnea (OSA) patients. Correlate the ET function and the severity of the sleep apnea syndrome. Correlate nasal resistance and nasal mucociliary clearance with the onset of ETD in these patients. MATERIALS AND METHODS: Forty patients affected by OSA were enrolled in our clinical prospective study. Thirty patients were also investigated as a control group. All of the analyzed subjects underwent ENT examination, anterior rhinomanometry and test for mucociliary transport time...
October 9, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28990830/value-of-pulse-oximetry-watch-for-diagnosing-pediatric-obstructive-sleep-apnea-hypopnea-syndrome
#20
Jing-Ru Ma, Jing-Jing Huang, Qi Chen, Hai-Tao Wu, Kuan-Lin Xiao, Yu-Tian Zhang
OBJECTIVE: To evaluate the clinical value of pulse oximetry watch (POW) for diagnosing pediatric Obstructive sleep apnea/hypopnea syndrome (OSAHS). METHODS: We selected 32 children (boys: 25, 4-16 years old) who came to the hospital for diagnosing OSAHS from July to October 2016. Polysomnography (PSG) and POW were used simultaneously and recorded the apnea hypopnea index (AHI), LSpO2, and ODI4. Pearson analysis, t test, and receiver-operating characteristic (ROC) were used to analyze the correlation between PSG-AHI and other indicators, the diagnosis accordance rate, and the sensitivity and specificity of POW, respectively...
October 9, 2017: Acta Oto-laryngologica
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