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Ear, Nose, & Throat Journal

Renuka K Reddy, Kristen A Echanique, Robert W Jyung
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
Tetsuo Watanabe, Masashi Suzuki
We performed a cluster analysis to classify the audiogram shape in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). We also investigated whether the audiogram shape is a prognostic indicator in the management of ISSNHL. A total of 115 inpatients with ISSNHL treated between 2001 and 2010 were analyzed. The data collected included age, sex, duration of hearing loss at the time of treatment, and the presence or absence of tinnitus, vertigo, diabetes, nystagmus, and canal paresis. A hierarchical cluster analysis was performed using the hearing threshold for each frequency on audiograms as variables...
July 2018: Ear, Nose, & Throat Journal
Andrew J Thomas, Kevin F Wilson
We describe a unique case of a 62-year-old patient with recurrent right submandibular sialadenitis. He initially appeared to have extensive sialolithiasis of the right submandibular duct on computed tomography imaging and examination, but sialendoscopy demonstrated a normal-appearing right submandibular duct. An accessory duct posterior and parallel to the normal duct was identified at the time of sialendoscopy and was found to have extensive sialolithiasis, which required removal by both an endoscopic and intraoral technique...
July 2018: Ear, Nose, & Throat Journal
Ivana D Petrovic, Jocelyn Migliacci, Ian Ganly, Snehal Patel, Bin Xu, Ronald Ghossein, Joseph Huryn, Jatin Shah
Ameloblastoma is a histologically benign but locally aggressive tumor of the jaws. We conducted a retrospective cohort study to review the clinical, radiologic, and pathologic features of patients with ameloblastoma of the mandible and maxilla and to report the outcomes of treatment. Our study population was made up of a series of 30 consecutively presenting patients-15 men and 15 women, aged 19 to 81 years (median: 61.5)-who had undergone their primary treatment of ameloblastoma of the mandible or maxilla at Memorial Sloan Kettering Cancer Center from January 1987 through December 2012...
July 2018: Ear, Nose, & Throat Journal
Massimo Ralli, Giuseppe Nola, Massimo Fusconi, Luca Sparvoli, Giovanni Ralli
Intravestibular intralabyrinthine schwannomas (ILSs) are uncommon benign tumors that arise from the saccular, utricular, and lateral and superior ampullary nerves. According to the literature, there is an average delay of 8 years between the onset of symptoms and diagnosis. The diagnosis is based on an audiovestibular examination and magnetic resonance imaging (MRI). We describe a case of intravestibular ILS in which we included the ocular vestibular evoked myogenic potentials (oVEMPs) test in the diagnostic workup...
July 2018: Ear, Nose, & Throat Journal
Shin Hye Kim, Hyun Sook Hong, Jong Dae Lee, Moo Kyun Park
Tympanometric volume is a useful tool for evaluating middle ear status in otitis media. However, its usefulness in chronic otitis media (COM) has not been well evaluated. This study aimed to investigate whether tympanometric volume reflects the status of the middle ear and mastoid or can provide clinical information about patients with COM and subsequent tympanic membrane perforation. A prospective cohort study including 50 adult patients with COM and subsequent tympanic membrane perforation was performed. The volumes of the middle ear and mastoid were preoperatively calculated using tympanometry and three- dimensional computed tomography (CT) reconstruction of the temporal bone, respectively...
July 2018: Ear, Nose, & Throat Journal
Lisha Li, Ruiqi Wang, Le Cui, Kai Guan
The evidence supporting the prophylactic treatment of seasonal allergic rhinitis before the start of pollen dispersal is still lacking. We conducted a study to investigate the efficacy of prophylaxis with montelukast for seasonal allergic rhinitis and to evaluate its influence on the inflammatory condition of the lower airway. Our final study population was made up of 57 adults who were randomized to a prophylactic treatment group and a control group. The prophylaxis group was made up of 31 patients-10 men and 21 women, aged 18 to 54 years (mean: 36...
July 2018: Ear, Nose, & Throat Journal
Irit Duek, Miki Paker, Ziv Gil, Jacob T Cohen
Warthin tumor (papillary cystadenoma lymphomatosum) is a benign salivary gland tumor that occurs almost exclusively in the parotid gland. As far as we know, only 15 cases of laryngeal Warthin tumor have been previously reported worldwide. We describe the case of a 75-year-old woman with a supraglottic tumor that mimicked a mucoepidermoid carcinoma. The tumor was completely excised via a transcervical approach. Pathology identified it as a Warthin tumor. At follow-up, the patient maintained good oral intake...
July 2018: Ear, Nose, & Throat Journal
Gábor Répássy, Marianna Küstel, Magdolna Szőnyi, Ádám Enreiter, Ede Birtalan, László Tamás
When cochlear implantation was first introduced, the mastoidectomy and posterior tympanotomy approach was the most frequently used technique to gain access to the middle ear and the cochlea. Since 2000, several authors have routinely used a non-mastoidectomy nonposterior tympanotomy technique, which has undergone several modifications. Alternative surgical techniques for cochlear implantation have recently been introduced, such as endomeatal-alone or suprameatal-alone and combined posterior tympanotomy/endomeatal approaches...
July 2018: Ear, Nose, & Throat Journal
Shira L Koss, William E Karle, Gregory Dibelius, Ameet Kamat, Craig Berzofsky
We report a case of cervical esophageal perforation caused by the Heimlich maneuver in a healthy 16-year-old boy. The patient reported a short coughing episode while eating rice, and his mother performed the Heimlich maneuver on him. Five days later, he presented to the emergency department with throat pain, odynophagia, secretion intolerance, muffled voice, and neck stiffness. He was admitted to the pediatric intensive care unit for conservative management. The next day he underwent transcervical incision and drainage of purulence, but the esophageal perforation could not be visualized at that time...
July 2018: Ear, Nose, & Throat Journal
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
David Forner, Blair A Williams, Fawaz M Makki, Jonathan R Trites, S Mark Taylor, Robert D Hart
Our objectives were to review all reported cases of late flap failure in head and neck surgery and describe any relevant patterns. We conducted a systematic review of all published cases of free flap failure after postoperative day 7 in head and neck surgery from January 1990 to January 2018. Data were collected with respect to flap type, site of reconstruction, reason for failure, and time to failure. A total of 45 cases of late free flap failure in the head and neck were identified. Among the 34 cases in which the necessary data were available for analysis, 50% of late failures occurred between postoperative day 7 and 14...
July 2018: Ear, Nose, & Throat Journal
T Edward Imbery, Brian D Nicholas, Parul Goyal
The study objective was to analyze Medicare payment data to otologists compared to otolaryngologists, using the publicly released Centers for Medicare and Medicaid Services dataset. Charges, payments, and common Current Procedural Terminology codes were obtained. Otology providers were selected from the roster of the American Otological Society. Descriptive statistics and unequal variance two-tailed t tests were used for comparisons between otologists (n = 147) and otolaryngologists (n = 8,318). The mean overall submitted charge was $204,851 per otology provider and was $211,209 per other otolaryngology providers (non-otologists) (p = 0...
July 2018: Ear, Nose, & Throat Journal
Janet W Lee, Derrick R Randall, Maggie A Kuhn
Pharyngoesophageal foreign bodies (FBs) are common otolaryngologic problems, but challenging cases cause significant patient and surgeon frustration. Extraluminal migration of an FB from the pharynx or esophagus is rare and usually necessitates external neck exploration. Approaching these complicated FBs endoscopically may avoid undue surgical morbidity. We present a case using real-time, intraoperative ultrasound (US) guidance for safe retrieval of a migrated submucosal FB. Intraoperative US is a widely available, powerful technology that can aid in the retrieval of difficult pharyngoesophageal FBs...
July 2018: Ear, Nose, & Throat Journal
Jeremy Lavy, Fiona McClenaghan
The objective of this study was to determine hearing outcomes in patients undergoing stapes surgery with a preoperative air-bone gap (ABG) <21.25 dB. Patients with a unilateral or bilateral preoperative ABG <21.25 dB undergoing primary stapes surgery were identified from a database of all stapes surgeries performed in a tertiary center over 15 years. A total of 254 ears met the inclusion criteria. The primary outcome measure was the degree of closure of the preoperative ABG. A secondary outcome measure was improvement in bone-conduction thresholds at 4 kHz...
July 2018: Ear, Nose, & Throat Journal
Ashley P Ferster, Guy Slonimsky, Einat Slonimsky, Henry Crist, David Goldenberg
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
C Claire Melancon, Oluwakemi Onajin, Lyndsay L Madden
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
Yuntsung Hung, Yu-Yen Chung, Mei-Ling Chen, Jyun-Ying Guo
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
Yu-Hsuan Wang, Yi-Shing Leu, Wei-Chin Chang
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
Dewey A Christmas, Joseph P Mirante, Eiji Yanagisawa
No abstract text is available yet for this article.
July 2018: Ear, Nose, & Throat Journal
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