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American Journal of Otolaryngology

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https://www.readbyqxmd.com/read/29336898/effect-of-transcranial-direct-current-stimulation-on-short-term-and-long-term-treatment-of-chronic-tinnitus
#1
Hamidreza Abtahi, Ahmadreza Okhovvat, Somaiie Heidari, Azar Gharagazarloo, Motahare Mirdamadi, Mohammad Hossein Nilforoush, Hossein Ghazavi
OBJECTIVE: This study was conducted to investigate the effectiveness of anodal and cathodal methods in reducing the intensity of tinnitus and to compare them with the control. METHODOLOGY: This randomized double-blind clinical trial with case and control groups was conducted in Al-Zahra Hospital in Isfahan between 2015 and 2016. In this trial, 51 patients with tinnitus, for at least one year, were selected among those outpatients visiting the throat, nose and ear clinic within this period...
January 6, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29331307/risk-factors-of-sensorineural-hearing-loss-in-patients-with-unilateral-safe-chronic-suppurative-otitis-media
#2
Abd Elrheem Ahmed Singer, Osama G Abdel-Naby Awad, Rafeek Mohamed Abd El-Kader, Ahmed Rabeh Mohamed
PURPOSE: Chronic suppurative otitis media (CSOM) is the major cause of hearing impairment, especially conductive hearing loss. Few patients also had sensorineural component, the sensorineural hearing loss (SNHL) in CSOM is controversial, especially for safe mucosal type. This study aims to assess the relationship between the frequency of SNHL development in patients with safe mucosal CSOM and its relation to patient's age, sex, duration of disease, size of perforation and different audiological findings...
January 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29331306/primary-mucinous-eccrine-carcinoma-of-the-buccal-space-a-case-report-and-review-of-the-literature
#3
Kirkland N Lozada, Muhammed S Qazi, Azita S Khorsandi, Raymond L Chai
IMPORTANCE: Mucinous eccrine carcinoma is a rare entity that most commonly affects the head and neck. Due to its low frequency of occurrence, review of its etiology, histopathology, and treatment strategies is beneficial to all clinicians who may encounter similar appearing masses. OBSERVATION: An 84-year-old male presented with a blue mass on the left cheek. This mass started as a small bump and grew significantly over one year. His primary care physician monitored its growth and ultimately referred to an otolaryngologist...
January 5, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336901/image-analysis-of-the-interarytenoid-area-to-detect-laryngopharyngeal-reflux-disease
#4
Jerome R Lechien, Bernard Harmegnies, Sven Saussez
No abstract text is available yet for this article.
January 4, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336899/commentary-on-letter-to-the-editor-on-manuscript-image-analysis-of-interarytenoid-area-to-detect-cases-of-laryngopharyngeal-reflux-an-objective-method
#5
Anindya Nayak
No abstract text is available yet for this article.
January 4, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336902/surgical-management-of-pulsatile-tinnitus-secondary-to-jugular-bulb-or-sigmoid-sinus-diverticulum-with-review-of-literature
#6
W X Yeo, S H Xu, T Y Tan, Y M Low, H W Yuen
INTRODUCTION: Jugular bulb and sigmoid sinus anomalies are well-known causes of vascular pulsatile tinnitus. Common anomalies reported in the literature include high-riding and/or dehiscent jugular bulb, and sigmoid sinus dehiscence. However, cases of pulsatile tinnitus due to diverticulosis of the jugular bulb or sigmoid sinus are less commonly encountered, with the best management option yet to be established. In particular, reports on surgical management of pulsatile tinnitus caused by jugular bulb diverticulum have been lacking in the literature...
December 29, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29305220/post-tonsillectomy-hemorrhage-underlying-factors-and-prevention
#7
Zheng-Cai Lou, Zi-Han Lou
No abstract text is available yet for this article.
December 28, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29310846/inhalant-allergen-sensitization-is-an-independent-risk-factor-for-the-development-of-angioedema
#8
Jacob E Kuperstock, Nicholas Pritchard, Michal HornĂ½, Christopher C Xiao, Christopher D Brook, Michael P Platt
BACKGROUND/OBJECTIVE: The etiology and risk factors for angioedema remain poorly understood with causative triggers often going undiagnosed despite repeated reactions. The purpose of this study was to determine the relationship between inhalant allergen sensitization and angioedema. METHODS: A retrospective review of patients who had in vitro inhalant allergy testing from 2006 to 2010 was performed. Patients with a diagnosis of angioedema who underwent inhalant allergy testing were identified...
December 27, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29287719/is-tracheotomy-on-the-decline-in-otolaryngology-a-single-institutional-analysis
#9
Andrew J Bowen, Amy S Nowacki, Michael S Benninger, Eric D Lamarre, Paul C Bryson
OBJECTIVE: A recent study reported decreasing trends in tracheotomy procedures by its otolaryngology service. We set out to determine whether the previously reported decrease in otolaryngology performed tracheotomies by one institution is a local or generalizable phenomenon. DESIGN: Retrospective cohort study from 2010 to 2015. SETTING: Tertiary care hospital and affiliated regional hospitals. SUBJECT AND METHODS: All patients who received tracheotomy during the period of analysis were included...
December 20, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29279249/reconstruction-of-a-skull-base-defect-after-endoscopic-endonasal-resection-of-a-pituitary-adenoma-sphenoid-mucosal-flaps
#10
Erden Goljo, Eliezer Kinberg, Katelyn Stepan, Jill K Gregory, Alfred M Iloreta, Satish Govindaraj, Hongyan Zou
This report describes a bilateral sphenoid sinus mucosal flap for the repair of a sellar floor defect and CSF leak following endoscopic endonasal skull base surgery. The key advantage of this technique is enabling the sphenoid mucosal flaps to remain vascularized, which reduces postoperative complications including CSF leakage, recurrent sinusitis, meningitis, encephalitis and pneumocephalus. The use of this technique is a viable and possibly favorable alternative to free grafts in the reconstruction of small to medium sized sellar defects with low flow or absent CSF leaks base surgery...
December 20, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29279248/primary-surgical-management-with-radial-forearm-free-flap-reconstruction-in-t4-oropharyngeal-cancer-complications-and-functional-outcomes
#11
John R Sims, Eric J Moore
PURPOSE: Functional outcomes and complication rates after open surgery for advanced-stage oropharyngeal cancers are rarely reported. These measures are critical for choice of treatment modality and patient counseling. We describe the long term functional outcomes and associated complications of primary surgical management of T4 oropharyngeal cancers reconstructed with radial forearm free flaps. MATERIALS AND METHODS: A retrospective review was performed of 40 patients with T4 oropharyngeal cancers treated between 2005 and 2015 at a tertiary care center...
December 18, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29277289/voice-and-swallowing-outcomes-following-hypoglossal-nerve-stimulation-for-obstructive-sleep-apnea
#12
Andrew J Bowen, Amy S Nowacki, Alan H Kominsky, Douglas K Trask, Michael S Benninger, Paul C Bryson
OBJECTIVE: Hypoglossal nerve stimulation is an effective treatment for a subset of patients with Obstructive Sleep Apnea (OSA). Although multiple clinical trials demonstrate its efficacy, no previous literature explores the potential impact the stimulator has on swallowing and voice. Our primary objective is to evaluate patient reported post-operative changes in voice or swallowing following hypoglossal nerve stimulator placement. STUDY DESIGN: Prospective cohort study...
December 15, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29305222/a-novel-method-to-measure-the-external-auditory-canal-normative-data-and-practical-implications
#13
Jason Barnes, Roy T Sabo, Daniel H Coelho
PURPOSE: To accurately measure external auditory canal (EAC) dimensions by high resolution computed tomography (CT), and compare results with a traditional method of EAC measurement. METHODS: Using an advanced multidimensional open source digital imaging and communications in medicine (DICOM) analysis program (OsiriX, Pixmeo, Geneva, Switzerland) 91 adult EACs were analyzed on a previously obtained temporal bone CT scan. Tympanometric data were also recorded for each ear...
December 14, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29336900/combined-use-of-a-nanocarbon-suspension-and-99mtc-mibi-for-the-intra-operative-localization-of-the-parathyroid-glands
#14
Jun Chen, Qinyi Zhou, Jialin Feng, Jiadong Wang
OBJECTIVE: To investigate the combined use of a nanocarbon (NC) suspension and low-dose 99mTc-MIBI for parathyroid localization during surgery in patients with secondary hyperparathyroidism (sHPT). METHODS: Between March 2010 and September 2015, 40 patients with sHPT were enrolled in this study and were randomized to receive either low-dose 99mTc-MIBI+NC (group I) or low-dose 99mTc-MIBI (group II). Pre- and post-operative serum levels of intact PTH (iPTH), calcium and phosphorus between groups were compared and the intra-operative radioactive counts of the parathyroid glands were measured...
December 13, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29273441/mri-screening-of-the-internal-auditory-canal-is-gadolinium-necessary-to-detect-intralabyrinthine-schwannomas
#15
Johnathan C Valesano, Carrie M Carr, Laurence J Eckel, Matthew L Carlson, John I Lane
OBJECTIVE: Non-contrast MRI of the internal auditory canal (IAC) using high-resolution T2WI (T2 weighted image) has been proposed as the primary screening study in patients with sudden or asymmetric sensorineural hearing loss (ASNHL). However, there are concerns that non-contrast MRI may not detect labyrinthine pathology, specifically intralabyrinthine schwannomas (ILSs). The purpose of this study was to determine if non-contrast high-resolution T2WI alone are adequate to exclude these uncommon intralabyrinthine tumors...
December 13, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29307652/gastro-pharyngeal-reflux-and-total-laryngectomy-increasing-knowledge-about-its-management
#16
Giuditta Mannelli, Roberto Santoro, Francesco Segala, Elisabetta Surrenti, Oreste Gallo
PURPOSE: Investigate the incidence, the degree and the effect of gastro-pharyngeal reflux (GPR) in laryngectomised patients. MATERIALS AND METHODS: Behavioral and 24-hour pH- and impedance-monitoring data were prospectively analyzed for 25 laryngectomised patients with no previous history of GER in outpateints' setting. Reflux detected was characterized as either acid, weakly acidic or nonacid. Proximal reflux was found at 15cm above the LES. RESULTS: 40% of patients presented a pathological number of reflux episodes in the upright position (p<0...
December 11, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29254702/a-novel-technique-for-superior-based-pharyngeal-flaps-10-year-results-with-formal-speech-outcomes-assessment
#17
Ryan Winters, John Carter, J Lindhe Guarisco
PURPOSE: Describe a novel technique for superior-based pharyngeal flaps allowing restoration of bulk to the soft palate and intraoperative fine-tuning of lateral port size, while avoiding midline palate-splitting. Validated speech assessment tools are employed for quantitative analysis. METHODS: Retrospective review of all patients who underwent superior-based pharyngeal flap in a 10-year period by a single surgeon. Pittsburgh Weighted Values for Speech Symptoms Associated with VPI and the Goldman-Fristoe Test of Articulation were used for formal speech assessment...
December 11, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29248203/in-response-to-letter-to-the-editor-entitled-is-an-endoscopic-or-a-microscopic-approach-optimal-for-management-of-attic-cholesteatoma
#18
Giuseppe Magliulo, Giannicola Iannella
No abstract text is available yet for this article.
December 8, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29246391/is-an-endoscopic-or-a-microscopic-approach-optimal-for-management-of-attic-cholesteatoma
#19
LETTER
Zhengcai-Lou, Zihan-Lou, Zhenqi-Gong
No abstract text is available yet for this article.
December 8, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29290312/comparison-of-transcanal-endoscopic-tympanoplasty-with-sterile-acellular-dermal-allograft-to-conventional-endaural-microscopic-tympanoplasty-with-tragal-perichondrium
#20
Jia Min, Se-Hyung Kim
OBJECTIVES: This study aimed to compare the outcome of endoscopic tympanoplasty with sterile acellular dermal allograft (ADA) and conventional endaural microscopic tympanoplasty with tragal perichondrium. METHODS: This was a retrospective comparative study of 53 patients (25 males and 28 females) with tympanic membrane perforation who underwent type I tympanoplasty in the department of otorhinolaryngology at a tertiary medical center from March 2011 to April 2017...
December 7, 2017: American Journal of Otolaryngology
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