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Auris, Nasus, Larynx

Mehmet Karataş, Emin Kaskalan
OBJECTIVE: To evaluate the outcomes of simultaneous bilateral inlay butterfly cartilage tympanoplasties (BIBCT) using tragal cartilage from one ear in patients with bilateral chronic otitis media (BCOM). METHODS: 33 patients (66 ears) who underwent bilateral inlay butterfly cartilage tympanoplasties between June 2013 and September 2016 in Department of Otolaryngology-Head and Neck Surgery of Adiyaman University Education and Research Hospital, Adiyaman, Turkey - a tertiary care university teaching hospital...
October 1, 2018: Auris, Nasus, Larynx
Ryoukichi Ikeda, Hiromitsu Miyazaki, Masahiro Morita, Daisuke Yamauchi, Tetsuaki Kawase, Yukio Katori, Toshimitsu Kobayashi
OBJECTIVES: The patulous Eustachian tube (PET) and superior semicircular canal dehiscence syndrome (SCDS) have similarity in their symptoms and similar effects caused by positional changes, causing difficulty in the differentiation between the two disorders. This report describes a case of both SCDS and PET that was eventually successfully treated. METHODS: A 68-year-old man presented with hyperacusis to his own footsteps and gait disturbance. He had been diagnosed as PET two years before and had been treated by insertion of a silicone plug (Kobayashi plug) at the other hospital...
October 1, 2018: Auris, Nasus, Larynx
Rashu Mittal, Li-Ang Lee, Cheng Hui Lin, Li-Jen Hsin, Navdeep Bhusri, Hsueh-Yu Li
OBJECTIVE: To elucidate potential role of cephalometric measurements to predict tongue base obstruction as observed on drug Induced Sleep Computed Tomography (DIS-CT). METHODS: Study included 35 patients with moderate to severe sleep apnea who underwent DIS-CT & cephalometric examination to assess tongue base obstruction. RESULTS: Statistically significant difference was noted for SNA angle & Mandibular posterior airway space (PAS) among groups with total tongue obstruction versus Non-total tongue obstruction identified on DIS-CT...
September 24, 2018: Auris, Nasus, Larynx
Yaxuan Liu, Yangyang Ying, Jaffar S Pandu, Yan Wang, Shuang Dou, Yanzhong Li, Dedong Ma
OBJECTIVE: We have designed the expiratory positive airway pressure (EPAP) mask to provide a new sort of therapeutic strategies for Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS). And this study aims to assess the safety, efficacy and compliance of the EPAP therapy. METHODS: 40 healthy volunteers were enrolled to measure the end-tidal carbon dioxide pressure (PETCO2 ) while being treated by EPAP mask. 40 symptomatic moderate or severe OSAHS patients (AHI≥15/h) recruited were equally divided into two groups randomly and treated with CPAP or mask for a week respectively...
September 24, 2018: Auris, Nasus, Larynx
Takayuki Imai, Shigemi Ito, Tomoyuki Oikawa, Yukinori Asada, Ko Matsumoto, Takefumi Miyazaki, Tomoko Yamazaki, Ikuro Satoh, Tetsuya Noguchi, Kazuto Matsuura
OBJECTIVE: Hypopharyngeal cancer is a head and neck cancer with a poor prognosis, and most cases show metastases on diagnosis. Cervical lymph node (LN) metastasis is a poor prognostic factor in hypopharyngeal cancer patients. The identification of risk factors for LN metastasis can help guide surgical treatment strategies for these patients. METHODS: This retrospective study included 93 superficial hypopharyngeal cancer patients with 109 histopathologically examined lesions treated by endoscopic resection between January 2007 and December 2017...
September 21, 2018: Auris, Nasus, Larynx
Tsuguhisa Nakayama, Naoki Sugimoto, Naoko Okada, Tadao Tsurumoto, Ryoto Mitsuyoshi, Shinya Takaishi, Daiya Asaka, Hiromi Kojima, Mamoru Yoshikawa, Yasuhiro Tanaka, Shin-Ichi Haruna
OBJECTIVE: Recently, JESREC score and mucosal eosinophil count have been used to diagnose eosinophilic chronic rhinosinusitis (ECRS) in Japan. However, it remains unknown whether the subtypes of CRS diagnosed by these criteria have different endotypes. In the present study, we investigated whether JESREC score and mucosal eosinophil count were appropriate for classification of CRS subgroups into endotypes. METHODS: A cross-sectional study involving 71 consecutive patients with CRS with nasal polyps (CRSwNP) and 13 control patients was performed...
September 19, 2018: Auris, Nasus, Larynx
Wataru Konno, Takashi Kashiwagi, Yasuhiro Tsunemi, Kazuki Goto, Shinichi Haruna
OBJECTIVE: We employed a steroid-eluting, sinus-bioabsorbable device for local treatment after surgery for eosinophilic chronic rhinosinusitis (ECRS). One year later, we investigated its efficacy in suppressing recurrence and reducing the use of oral steroids. METHODS: At one year after ECRS surgery, both 18 cases treated with a postoperative steroid-eluting, sinus-bioabsorbable device (Post-ST group) and 25 cases receiving conventional postoperative therapy (Post-Con group) showed significant improvement in the nasal symptoms (nasal obstruction, nasal discharge and olfactory dysfunction), CT score and threshold test (discrimination test)...
September 18, 2018: Auris, Nasus, Larynx
Soon-Hyun Ahn, Eun Jae Chung
OBJECTIVE: The survival benefit of prophylactic lateral neck dissection in medullary thyroid carcinomas remains unclear; thus, recent clinical guidelines have deferred the recommendation of lateral neck dissection. This review is to assess the role of lateral neck dissection in treatment of clinically overt medullary thyroid carcinoma. METHODS: A meta-analysis was performed on full-text publications written in English sourced using Embase and Medline databases. Publications with data regarding lateral neck dissection and clinical outcome were included...
September 17, 2018: Auris, Nasus, Larynx
Dongwon Kim, Sung-Won Choi, Hyun-Min Lee, Soo-Keun Kong, Il-Woo Lee, Se-Joon Oh
OBJECTIVES: This study aimed to assess the differences in the extrusion rate, patency and incidence of otorrhea according to the material properties of tubes in tympanostomy tube (TT) procedures. SUBJECTS AND METHODS: A total of 75 children with bilateral chronic otitis media with effusion were randomized in this prospective trial to receive 1.02-mm-sized TTs (thermoplastic elastomer) in one ear and 1.14-mm-sized TTs (silicone) in the other ear. Data were obtained on ventilation tube type, time to extrusion, comorbidities, tube plugging, incidence of TT otorrhea during following up, and age of the patient...
September 15, 2018: Auris, Nasus, Larynx
Ismail Guler, Deniz Baklaci, Ihsan Kuzucu, Rauf Oguzhan Kum, Muge Ozcan
OBJECTIVE: To investigate the success rates and hearing outcomes of temporalis fascia and tragal cartilage grafts used for type-1 tympanoplasty in the elderly (³65 years) METHODS: The medical records of 73 elderly patients who underwent type-1 tympanoplasty at our center between January 2010 and June 2017 were retrospectively reviewed for age, gender, perforation side, presence of contralateral perforation, type and location of perforation, graft material types, preoperative and postoperative hearing levels, and length of follow-up...
September 14, 2018: Auris, Nasus, Larynx
Fatma Tulin Kayhan, Arzu Karaman Koc, Ibrahim Erdim
OBJECTIVE: Although glottic level is an off-label use of da Vinci system, the feasibility and early-term outcomes of transoral robotic surgery (TORS) for the treatment of early-stage (Tis, T1, T2) glottic carcinoma have been documented. But little is known about the oncological outcomes. We investigated the oncological outcomes of TORS in patients followed at least three years and mean follow-up time was over five years. METHODS: We retrospectively investigated patients with early glottic carcinoma (Tis, T1, T2) who underwent TORS cordectomy in a tertiary hospital between January 2010 and June 2018...
September 11, 2018: Auris, Nasus, Larynx
Nicolas Pérez-Fernández, Pablo Dominguez, Raquel Manrique-Huarte, Diego Calavia, Lorea Arbizu, Reyes Garcia-Eulate, Laura Alvarez-Gomez, Carlos Guajardo, Jose Luis Zubieta
OBJECTIVES: It has been suggested that in Ménière's disease (MD) a dissociated result in the caloric test (abnormal result) and video head-impulse test (normal result) probably indicates that hydrops affects the membranous labyrinth in the horizontal semicircular canal (HSC). The hypothesis in this study is that based on endolymphatic hydrops' cochleocentric progression, hydrops should also be more severe in the vestibule of these patients than in those for whom both tests are normal...
September 8, 2018: Auris, Nasus, Larynx
Yo Kishimoto, Hiroyuki Harada, Makiko Funakoshi, Shin-Ichi Miyamoto, Atsushi Suehiro, Morimasa Kitamura, Manabu Muto, Ichiro Tateya, Koichi Omori
OBJECTIVE: Due to the rising number of elderly patients and advances in endoscopic devices, early laryngeal and pharyngeal cancers are increasingly found in elderly patients. In these cases, minimally invasive endoscopic larygo-pharyngeal surgery (ELPS) may be indicated. However, the safety and efficacy of ELPS in elderly populations has not been established. The purpose of this study was to investigate the safety, outcomes and feasibility of ELPS in very elderly patients. METHODS: Between February 2010 and April 2016, 29 pharyngeal cancerous or pre-cancerous lesions in 19 patients aged 75 years or older were treated with ELPS...
September 8, 2018: Auris, Nasus, Larynx
Eun-Jae Chung, Sung-Jin Cho, Min-Woo Park, Young-Soo Rho
OBJECTIVE: The purpose of this study was to analyze the impact of lymph node harvest on the lymph node ratio (LNR). METHODS: We retrospectively reviewed 106 patients diagnosed preoperatively with PTMC (papillary thyroid microcarcinoma), no evidence of central or lateral neck nodal metastasis, and who underwent a total thyroidectomy and bilateral central lymph node neck dissection (CND). RESULTS: The median number of retrieved lymph nodes in the central compartments was 7±6...
September 7, 2018: Auris, Nasus, Larynx
Ryoukichi Ikeda, Hiroshi Hidaka, Takaki Murata, Hiromitsu Miyazaki, Yukio Katori, Toshimitsu Kobayashi
OBJECTIVE: A method of Vibrant Soundbridge (VSB) placement to the round window (RW) via the retrofacial approach with preoperative evaluation of the relationship between the facial nerve (FN) and RW by 3D-CT reconstruction was proposed for the treatment of congenital aural atresia (CAA) patient. METHODS: A fenestration to the mesotympanum was made mastoid portion of the FN. During the approach, part of the stapedial muscle was encountered and removed. The RW niche was identified, and the floating mass transducer was placed from an inferior approach into the RW niche...
September 7, 2018: Auris, Nasus, Larynx
Yasue Uchida, Saiko Sugiura, Yukiko Nishita, Naoki Saji, Michihiko Sone, Hiromi Ueda
The amount of attention to age-related hearing loss (ARHL) has been growing, not only from the perspective of being one of the most common health conditions affecting older adults, but also from the perspective of its relation to cognition. Results from a number of epidemiological and laboratory studies have demonstrated a significant link between ARHL and cognitive decline. The Lancet International Commission on Dementia, Prevention, Intervention, and Care has estimated that mid-life hearing loss, if eliminated, might decrease the risk of dementia by nine percent, since hearing loss is a modifiable age-associated condition linked to dementia...
August 31, 2018: Auris, Nasus, Larynx
K Thomas Robbins, Asterios Triantafyllou, Carlos Suárez, Fernando López, Jennifer L Hunt, Primož Strojan, Michelle D Williams, Boudewijn J M Braakhuis, Remco de Bree, Michael L Hinni, Luiz P Kowalski, Alessandra Rinaldo, Juan P Rodrigo, Vincent Vander Poorten, Iain J Nixon, Robert P Takes, Carl E Silver, Alfio Ferlito
OBJECTIVE: To provide a perspective on the significance of recent reports for optimizing cancer free surgical margins that have challenged standard practices. METHODS: We conducted a review of the recent literature (2012-2018) using the keywords surgical margin analysis, frozen and paraffin section techniques, head and neck cancer, spectroscopy and molecular markers. RESULTS: Of significance are the reports indicating superiority of tumor specimen directed sampling of margins compared to patient directed (tumor bed) sampling for frozen section control of oral cancers...
August 30, 2018: Auris, Nasus, Larynx
Toshio Ueda, Tatsunori Sakamoto, Masayoshi Kobayashi, Fumihiko Kuwata, Masaaki Ishikawa, Koichi Omori, Takayuki Nakagawa
OBJECTIVE: Optical coherence tomography (OCT) is an imaging tool that exploits the coherence of infrared light and is clinically utilized in the field of ophthalmology and dermatology. This study aimed to examine the feasibility of using OCT for diagnosing degeneration and regeneration of the olfactory epithelium in mice. METHODS: The olfactory and respiratory epithelia in excised nasal septa of adult mice were observed using OCT. Subsequently, histological assessments were performed with hematoxylin and eosin (H-E) staining...
August 28, 2018: Auris, Nasus, Larynx
Karolina A Plonowska, Patrick K Ha, William R Ryan
OBJECTIVES: To assess the perspectives of OHNS residents with regards to their training in the following advanced head and neck surgery techniques: transoral robotic surgery (TORS), transoral laser microsurgery (TLM), sialendoscopy, and surgeon-performed ultrasound (SP-US) for possible curricula development. METHODS: Cross-sectional survey. A 20-item questionnaire was electronically distributed to OHNS residency programs assessing volume of cases, training barriers, satisfaction, additional training preferences, and pertinence to future practice...
August 28, 2018: Auris, Nasus, Larynx
Takeshi Okamura, Takeshi Beppu, Takao Tokumaru, Masato Yamada, Tomonori Sugiyama, Nobuaki Koide, Miyuki Tani, Masayuki Kaneko, Atsumori Hamahata, Yu Nishimura, Takashi Fukuda
Head and neck cancer metastasizing to the small intestine is very rare. Here we report a case of cancer of the mandibular gingiva metastasizing to the small intestine. The patient was an 82-year-old man who had squamous cell carcinoma of the mandibular gingiva staged as T2N2bM0. Two months after surgery, he presented with lower abdominal pain accompanied by signs of peritoneal irritation. Urgent abdominal surgery was performed, during which a crater-shaped perforation was noted on the wall of the ileum. Microscopic findings at this site confirmed a diagnosis of metastatic squamous cell carcinoma in the small intestine from the mandibular gingiva...
August 28, 2018: Auris, Nasus, Larynx
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