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American Journal of Otolaryngology

Richard A Roberts, Alejandro Rivas, Kathryn F Makowiec
OBJECTIVE: Benign paroxysmal positional vertigo (BPPV) is a common post-surgical finding in patients managed for superior semicircular canal dehiscence (SSCD). The posterior semicircular canal has been reported as the involved canal in the majority of cases of post-surgical BPPV, with only two cases reported of lateral canal involvement. The objective of this report is to present a case in which an anterior semicircular canal BPPV response was identified in a patient following surgical management for SSCD...
September 12, 2018: American Journal of Otolaryngology
Giuseppe Magliulo, Giannicola Iannella, Antonella Polimeni, Marco De Vincentiis, Giuseppe Meccariello, Giampiero Gulotta, Benedetta Pasquariello, Filippo Montevecchi, Andrea De Vito, Giovanni D'Agostino, Riccardo Gobbi, Giovanni Cammaroto, Claudio Vicini
PURPOSE: Laryngopharyngeal reflux (LPR) is a frequent condition in Obstructive Sleep Apnoea (OSA) patients and different studies have been published in the last years about this topic. A review of the published literature regarding LPR in OSA patients has been reported. A meta-analysis to evaluate the incidence of LPR in OSA patients and correlate LPR positivity with OSA patients' characteristics has been performed. METHODS: A comprehensive review of the English language literature about LPR in OSA patients was performed using the most important electronic databases (PubMed, EMBASE, the Cochrane Library etc...
September 12, 2018: American Journal of Otolaryngology
Naif Bawazeer, Jean Carvalho, Idir Djennaoui, Anne Charpiot
OBJECTIVE: Sialendoscopy is a minimally invasive emerging approach, the general surgical technique has been published but many essential questions still need to be addressed with the aim of improving outcomes. For instance, should we systematically perform sialendoscopy under conscious sedation (CS) or general anesthesia (GA)? What are the limitations of CS? The objective of this study is to compare these two modalities. METHODOLOGY: A retrospective study of 70 patients who had undergone a sialendoscopy between 2014 and 2016 (34 under GA and 36 under CS)...
September 12, 2018: American Journal of Otolaryngology
Wenlong Wang, Fada Xia, Chaoyang Meng, Zhejia Zhang, Ning Bai, Xinying Li
PURPOSE: To assess the value of 24-hour intact parathyroid hormone (iPTH), serum calcium, and decreases in both were evaluated against preoperative values (iPTH and serum calcium decline) and used to determine the existence of permanent hypoparathyroidism (pHPP) after total thyroidectomy (TT). MATERIALS AND METHODS: The clinical data of patients who underwent total thyroidectomy in our hospital between September 2014 and July 2015 were retrospectively analyzed. RESULTS: There were 42 cases with normal parathyroid function, 58 cases with temporary HPP, and 10 cases with pHPP...
September 3, 2018: American Journal of Otolaryngology
Drew H Smith, Christopher D Brook, Shahab Virani, Michael P Platt
The inferior turbinate has well-recognized respiratory and immune functions to provide the airway with appropriate warmth, humidification, and filtration of the inspired air while sampling the environment for pathogens. Normal functioning of the inferior turbinate relies on an intact autonomic system to maintain homeostasis within the nasal cavity. The autonomic nervous system innervates the submucosal glands and the vasculature within the inferior turbinate, resulting in control of major turbinate functions: nasal secretions, nasal patency, warmth, and humidification...
August 31, 2018: American Journal of Otolaryngology
W L Neo, D C W Chin, X Y Huang
BACKGROUND: Optic neuritis resulting from paranasal sinusitis is an infrequently described but clinically important and treatable entity. The role of optic nerve decompression has been well established in atraumatic optic neuropathies which are compressive in origin. However, its role in optic neuritis and other infective or inflammatory processes is lacking, and the role for early surgical intervention remains controversial. CASE REPORT: In this case report, we describe a patient who presented with sudden onset of right vision loss secondary to optic neuritis from pansinusitis...
August 29, 2018: American Journal of Otolaryngology
Weiwei Han, Dongliang Wang, Yunqin Wu, Zhenyi Fan, Xu Guo, Qiongfeng Guan
PURPOSE: To investigate the relationship between cerebrovascular risk factors, including carotid plaques, and vestibular neuritis (VN). MATERIALS AND METHODS: According to the inclusion and exclusion criteria, this retrospective study included 90 VN patients and 74 age- and sex-matched healthy controls from January 2016 to December 2017. All subjects' records of cerebrovascular risk factors, such as age, sex, height, weight, history of hypertension and diabetes mellitus, living habits, serum levels of glucose, lipids, glycosylated haemoglobin (HbA1c), creatinine (CR), albumin (ALB), haemoglobin (HGB); and results of carotid colour Doppler ultrasound, were obtained and compared...
August 29, 2018: American Journal of Otolaryngology
Yasser Ahmed Fouad, Mohammad Abdelhady, Mohammad El-Anwar, Ezzat Merwad
OBJECTIVES: To evaluate the effect of adding platelet rich plasma (PRP) or Hyaluronic acid (HA) to fat graft myringoplasty (FGM) for medium sized central tympanic membrane (TM) perforations. METHODS: This is a retrospective study conducted on 69 patients with medium sized central TM perforations. In 21 patients, PRP was used with the FGM; and in 23 patients, HA was used with the FGM; while in 25 patients, pure FGM was performed without adding an enhancing material...
August 24, 2018: American Journal of Otolaryngology
Madison Buras, Alberto Simoncini, Anil Gungor
BACKGROUND: Cystic Fibrosis is an autosomal recessive disorder with a mutation in the cystic fibrosis transmembrane regulator gene, leading to dysregulation of epithelial fluid transport, dehydration of airway surfaces and impaired mucociliary function in the sinuses, lungs, pancreas and other organs. This leads to thickened secretion which blocks the sinus ostia and promotes chronic bacterial overgrowth and destruction of the mucosa. Chronic rhinosinusitis in cystic fibrosis patients leads to a decreased quality of life involving increased hospitalizations, infections, pneumonia, and acute exacerbations, warranting multiple sinus surgeries...
August 18, 2018: American Journal of Otolaryngology
Laura Garcia-Rodriguez, Jeffrey H Spiegel
No abstract text is available yet for this article.
August 7, 2018: American Journal of Otolaryngology
Poramate Pitak-Arnnop
No abstract text is available yet for this article.
August 4, 2018: American Journal of Otolaryngology
Danielle R Trakimas, Judith S Kempfle, Katherine L Reinshagen, Daniel J Lee, Elliott D Kozin, Aaron K Remenschneider
PURPOSE: Effective operative approaches for the treatment of refractory vertigo in Meniere's disease are invasive. Vestibular neurectomy can preserve hearing and has been shown to be effective; however, current approaches require an extensive craniotomy. Transcanal endoscopic approaches to the internal auditory canal (IAC) with cochlear preservation have been recently described and may offer a minimally invasive approach to selectively sectioning the distal vestibular nerves while preserving residual hearing...
August 1, 2018: American Journal of Otolaryngology
Mustafa Sitki Gozeler, Muhammed Sedat Sakat, Korhan Kilic, Ozgur Ozmen, Abdullah Can, Ilker Ince
PURPOSE: Septorhinoplasty is a surgical procedure widely employed by otolaryngologists and plastic surgeons. The purpose of this study was to investigate the effects of a single pre-emptive dose of iv ibuprofen on postoperative pain and opioid consumption in patients undergoing septorhinoplasty. MATERIAL AND METHODS: 50 patients scheduled for septorhinoplasty were included in this prospective, randomized, double-blinded study. Control group (n = 25) was administered 100 mL iv saline solution 30 min preoperatively, while Ibuprofen group (n = 26) received 800 mg ibuprofen iv...
July 30, 2018: American Journal of Otolaryngology
Zheng-Cai Lou, Hong Wei, Zi-Han Lou
OBJECTIVE: The use of epidermal growth factor (EGF) to achieve closure of human traumatic tympanic membrane perforations (TMPs) was recently reported. However, pretreatment factors affecting healing outcomes have seldom been discussed. This study was performed to evaluate pretreatment factors contributing to the success or failure of TMP healing using EGF. DESIGN AND PARTICIPANTS: This was a retrospective cohort study of 95 TMPs who were observed for at least 6 months after EGF treatment...
July 27, 2018: American Journal of Otolaryngology
Fatemeh Azadegan-Dehkordi, Reza Ahmadi, Tayyeb Bahrami, Nasrin Yazdanpanahi, Effat Farrokhi, Mohammad Amin Tabatabaiefar, Morteza Hashemzadeh-Chaleshtori
The autosomal recessive non-syndromic hearing loss (ARNSHL) can be associated with variants in solute carrier family 26, member 4 (SLC26A4) gene and is the second most common cause of ARNSHL worldwide. Therefore, this study aims to determine the contribution of the SLC26A4 genotype in the hearing loss (HL) of 40 ARNSHL pedigrees in Iran. A cohort of the 40 Iranian pedigrees with ARNSHL, having no mutation in the GJB2 gene, was selected. The linkage analysis with five short tandem repeat (STR) markers linked to SLC26A4 was performed for the 40 ARNSHL pedigrees...
July 27, 2018: American Journal of Otolaryngology
Tam-Lin Chow, Wilson W Y Kwan, Siu-Chung Fung, Lai-In Ho, Ka-Lai Au
PURPOSE: Submental flap is gaining popularity for head and neck reconstruction. We have reported in 2007 our early experience of using submental flap for aggressive orofacial malignancy. Novel flap design and application is described in this updated series. MATERIALS AND METHODS: 15 patients who had received submental flap reconstruction after extirpation of newly diagnosed aggressive orofacial lesions were retrieved. The details of the flap harvest was studied for flap size, inclusion of mylohyoid muscle, antegrade versus retrograde blood supply, and compared with our previous series...
July 27, 2018: American Journal of Otolaryngology
Christopher Badger, Sunil P Verma
LEVEL OF EVIDENCE: Level 4 (Case Series). OBJECTIVE: Dysphagia is a debilitating condition that is associated with many etiologies. It can have a devastating effect on a patient's quality of life with long-term sequelae that make it a source of medical malpractice litigation. This study analyzed medical malpractice cases involving dysphagia and looked for factors determining legal liability. METHODS: The Westlaw Next legal database (Thomson Reuters, New York, NY) was searched for relevant malpractice cases and assessed for several factors including if the dysphagia was iatrogenic, the amount paid by the defendant, and the medical specialty of the defendants...
July 26, 2018: American Journal of Otolaryngology
Valeria Silva Merea, Paul C Bryson
OBJECTIVES: The utility of topical mitomycin C (MMC) as an adjuvant treatment in the management of laryngeal and tracheal stenosis has been studied; however, the ideal timing of MMC application has not been fully elucidated. There is a paucity of studies evaluating the timing of MMC application after surgical airway intervention for stenosis. The purpose of this study is to describe a novel technique for MMC application that allows for delayed application in the unsedated, office-based setting, approximately one week following endoscopic airway dilation...
July 26, 2018: American Journal of Otolaryngology
Mohsen Naraghi, Neda Baghbanian, Melorina Moharari, Amene Saghazadeh
OBJECTIVES: Mucociliary clearance is an important defense mechanism for upper and lower airway. Chronic rhinosinusitis has been frequently associated with mucociliary dysfunction. Endoscopic sinus surgery (ESS) is recommended for treatment-resistant sinusitis in order to improve mucociliary function. The present study investigated the effect of ESS on the saccharin time (mucociliary clearance time) in relation to symptom profile assessed by the Sino-nasal Outcome Test (SNOT)-22, and disease severity based on the Lund-Kennedy endoscopic scores and Lund-Mackay computed tomographic (CT) scores...
July 25, 2018: American Journal of Otolaryngology
Joseph B Meleca, Andrea Hanick, Eric Lamarre, Paul C Bryson
OUTCOME OBJECTIVES: METHODS: Case Report, April 2016. RESULTS: A 27-year-old female presented with a three-week history of flu-like symptoms including sore throat, myalgia and insidious nasal congestion. Her hospital course was complicated by pancytopenia, extensive GI bleed of unknown origin and fever. Radiographic studies revealed multifocal centrilobular ground-glass lung nodules, splenomegaly, frontal and paranasal sinus opacification and mucosal thickening and inflammatory process of false and true vocal cords with concentric multi-level narrowing...
July 25, 2018: American Journal of Otolaryngology
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