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American Journal of Otolaryngology

Massimo Ralli, Antonio Greco, Marco De Vincentiis, Adam Sheppard, Giampietro Cappelli, Ilaria Neri, Richard Salvi
PURPOSE: One of the most common complaints among the elderly is the inability to understand speech in noisy environments. In many cases, these deficits are due to age-related hearing loss; however, some of the elderly that have difficulty hearing in noise have clinically normal pure-tone thresholds. While speech in noise testing is informative, it fails to identify specific frequencies responsible for the speech processing deficit. Auditory neuropathy patients and animal models of hidden hearing loss suggest that tone-in-noise thresholds may provide frequency specific information for those patients who express difficulty, but have normal thresholds in quiet...
September 17, 2018: American Journal of Otolaryngology
Alia Saberi, Seyed Hashem Pourshafie, Ehsan Kazemnejad-Leili, Shadman Nemati, Sara Sutohian, Sara Sayad-Fathi
BACKGROUND: Vertigo is a common annoying complaint needing emergent treatment. There are various treatment options for this condition with different outcomes and side effects. OBJECTIVES: Assessment and comparison of the effectiveness of Ondansetron and Promethazine in the treatment of acute peripheral vertigo. MATERIALS AND METHODS: This clinical trial was conducted in an academic hospital in the north of Iran in 2017. A total of 170 eligible patients were randomly allocated to groups A: received intramuscular (IM) promethazine; and B: received intravenous (IV) Ondansetron, using quadripartite blocks...
September 14, 2018: American Journal of Otolaryngology
Natalie A Krane, Brian McKinnon, Michelle White, Dani Ashak, Eileen L Chang, Daniel Park, Sandeep Segar, Jeyanthan Jayakumaran, Clara Grayhack, Robert T Sataloff
PURPOSE: Determine the clinical efficacy of comprehensive neurotologic testing in patients presenting with complaints of hearing loss, tinnitus and/or dizziness. METHODS: This is a retrospective analysis of 1170 consecutive charts of patients who presented between 1980 and 2013 with neurotologic complaints. Demographic data, chief complaint, diagnostic imaging, audiograms, and blood tests were evaluated. RESULTS: Retrospective analysis of 1170 patient charts was performed...
September 14, 2018: American Journal of Otolaryngology
Feng Wang, Yang Yang, Haihong Chen
OBJECTIVE: To evaluate the serum vitamin D level in patients with chronic rhinosinusitis with nasal polyps and its correlation with the disease severity. SETTING: Hospital of Zhejiang University. STUDY DESIGN: Retrospective analysis of collected data. SUBJECTS AND METHODS: Patients with chronic rhinosinusitis with or without nasal polyps who underwent endoscopic sinus surgery were recruited. Demographic information including age, gender, body mass index, smoke history, atopic status and asthma was collected...
September 13, 2018: American Journal of Otolaryngology
Rupavath Ramkumar, Suman Arora, Nidhi Bhatia, Sandeep Bansal
INTRODUCTION: Blindly administered bilateral (B/L) superior laryngeal nerve (SLN) blocks, have been used to decrease the perioperative stress response of endoscopic laryngosurgeries. Use of ultrasound (USG) for giving these blocks is more likely to be successful, with fewer complications. We evaluated the efficacy of USG guided B/L SLN block in decreasing perioperative cough, sore-throat and hoarseness of voice. MATERIAL AND METHODS: This study was conducted on forty patients undergoing endoscopic laryngosurgery under GA...
September 13, 2018: American Journal of Otolaryngology
Kuang-Hsuan Shen, Yu-Hsuan Wang, Ting-Wei Hsu, Li-Chun Hsieh, Fang-Ju Sun, Ying-Piao Wang
PURPOSE: The efficacy of postoperative oral corticosteroids on surgical outcomes in chronic rhinosinusitis with nasal polyps (CRSwNP) patients following endoscopic sinus surgery (ESS) remains controversial. This study evaluated the potential benefits of postoperative oral corticosteroids on surgical outcomes in CRSwNP patients and investigated the differential effects on eosinophilic CRSwNP (ECRSwNP) and noneosinophilic CRSwNP (NECRSwNP). MATERIALS AND METHODS: Patients with bilateral CRSwNP who underwent ESS were enrolled and randomized to receive either oral prednisolone (30 mg/day) or placebo for 2 weeks after surgery...
September 13, 2018: American Journal of Otolaryngology
Stephanie Y Chen, Gregory J Zipfel, Cameron C Wick
No abstract text is available yet for this article.
September 13, 2018: American Journal of Otolaryngology
Tyler A Janz, Suhael R Momin, Katherine R Sterba, Masanari G Kato, Kent E Armeson, Terry A Day
INTRODUCTION: The role of human papilloma virus (HPV) in the pathogenesis of oropharyngeal squamous cell carcinoma (OPSCC) is well documented, as is the excellent prognosis of patients with HPV-associated disease; in contrast, oral cavity squamous cell carcinoma (OCSCC) is associated with tobacco and alcohol use and has a worse prognosis. While causative factors, staging, and treatment guidelines differ between these cancer subsets, few studies have compared psychosocial factors in these groups...
August 29, 2018: American Journal of Otolaryngology
Zheng-Cai Lou, Hong Wei, Zi-Han Lou
OBJECTIVE: We investigated the medical costs and effects of ofloxacin drops (OFLX), gelatin sponge patches, spontaneous healing, and endoscopic myringoplasty on healing in large tympanic membrane perforations (TMPs). METHODS: In total, 100 patients with large traumatic TMPs involving >50% of the eardrum were randomly assigned to OFLX, gelatin sponge, spontaneous healing, or endoscopic myringoplasty treatment groups. Medical costs, closure times, and closure rates were compared among groups at 6 months...
August 29, 2018: American Journal of Otolaryngology
Yunsong An, Yanru Li, Dan Kang, S K Sharama-Adhikari, Wen Xu, Yunchuan Li, Demin Han
BACKGROUND: Many studies have indicated associations between impaired nasal breathing and sleep disorders. However, the precise nature of the relationship between nasal patency and sleep remains unclear. PURPOSE: We analysed the effects of nasal patency on sleep architecture and breath in nasal obstruction-predominant obstructive sleep apnoea (NO-OSA) patients by applying nasal decongestant. MATERIAL AND METHODS: A randomized, placebo-controlled double-blind crossover study was performed in OSA patients with chronic nasal obstruction and without obvious pharyngeal narrowing...
August 23, 2018: American Journal of Otolaryngology
Osama G Abdel-Naby Awad, Abdel-Monem H Hamad
PURPOSE: Herpes simplex gingivostomatitis (HSGS) in children is a common painful infectious disease. This study aims to examine the combined efficacy of honey with acyclovir suspension compared to acyclovir alone for treating HSGS in young children. MATERIAL AND METHODS: This Randomized double blind placebo controlled study was conducted from June 2015 to September 2017 in a tertiary referral hospital. One hundred children aged 2-8 years with HSGS were randomly classified into 2 groups; study group: treated with honey plus oral acyclovir and control group: treated with oral acyclovir alone...
November 2018: 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...
November 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...
November 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)...
November 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...
November 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...
November 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...
November 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...
November 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...
November 2018: American Journal of Otolaryngology
Nilam D Patel, Mustafa S Ascha, Nauman F Manzoor, Amit Gupta, Maroun Semaan, Cliff Megerian, Todd D Otteson
PURPOSE: The purpose of this work is to explore audiometry following cochlear implantation (CI) in patients with enlarged vestibular aqueduct (EVA) and to investigate the effects of inner ear morphological variation on post CI audiometry. METHODS: This was a retrospective review of both natural and cochlear-implant-aided audiometry results, using all available measurements in a mixed-effects model accounting for longitudinal change and the grouping structure of ears...
November 2018: American Journal of Otolaryngology
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