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American Journal of Otolaryngology

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https://www.readbyqxmd.com/read/28089173/use-of-interactive-ibooks-for-patient-education-in-otology
#1
Omid Moshtaghi, Yarah M Haidar, Ronald Sahyouni, Ramin Rajaii, Afsheen Moshtaghi, Amin Mahmoodi, Yaser Ghavami, Harrison W Lin, Hamid R Djalilian
INTRODUCTION: Physicians in the ambulatory setting face challenges in adequately educating patients in a brief office encounter. OBJECTIVE: To evaluate the efficacy of an iPad-based interactive educational module (iBook) in various otologic pathologies. METHODS: Patients presenting with symptoms of tinnitus, dizziness, hearing loss, or cochlear implant evaluation were included. In total, 44 patients received the iBook and 22 patients served as controls...
December 29, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28081981/impact-of-treatment-modality-on-quality-of-life-of-head-and-neck-cancer-patients-findings-from-an-academic-medical-institution
#2
Kara M Christopher, Nosayaba Osazuwa-Peters, Rebecca Dougherty, Sarah A Indergaard, Christina Popp, Ronald Walker, Mark A Varvares
PURPOSE: The objective of this pilot study was to determine how different treatment modalities (surgery, radiation, and chemotherapy) impact quality of life (QOL) in a population of head and neck cancer (HNC) survivors. METHODS: Fifty-nine newly diagnosed, biopsy-confirmed HNC patients were recruited between 2007-2012. They completed the EORTC Quality of Life Questionnaire and Head & Neck Module at 5 intervals pre- and post-treatment. Participants were grouped into four categories based on modality: surgery only, surgery/radiation, chemoradiation, or surgery/chemoradiation...
December 29, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27974173/multivariate-analysis-as-an-advantageous-approach-for-prediction-of-the-adverse-outcome-in-head-and-neck-microvascular-reconstructive-surgery
#3
Pawel Golusinski, Jakub Pazdrowski, Mateusz Szewczyk, Piotr Pieńkowski, Ewa Majchrzak, Augusto Schneider, Michal M Masternak, Wojciech Golusinski
BACKGROUND: The use of a free flap has become a mainstay of reconstruction following the ablative surgery in head and neck. The success rates are about 90%, however, several factors have been described to have an adverse effect on free flap survival. METHODS: We have performed a retrospective analysis of the treatment outcome of 93 microvascular flaps and evaluated the factors influencing the risk of flap loss including patients' age, body mass index, smoking, general medical history and previous oncological treatment...
December 9, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27979368/extended-high-frequency-audiometry-in-users-of-personal-listening-devices
#4
Poornima Kumar, Prabhakar Upadhyay, Ashok Kumar, Sunil Kumar, Gautam Bir Singh
PURPOSE: Noise exposure leads to high frequency hearing loss. Use of Personal Listening Devices may lead to decline in high frequency hearing sensitivity because of prolonged exposure to these devices at high volume. This study explores the changes in hearing thresholds by Extended High Frequency audiometry in users of personal listening devices. MATERIAL AND METHOD: A descriptive, hospital based observational study was performed with total 100 subjects in age group of 15-30years...
December 8, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27964889/letter-to-the-editor-a-retrospective-study-of-egf-and-ofloxacin-drops-in-the-healing-of-human-large-traumatic-eardrum-perforation
#5
LETTER
Xudan-Lou
No abstract text is available yet for this article.
December 8, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27916282/repair-of-complex-pharyngocutaneous-fistula-using-a-staged-temporoparietal-fascial-flap
#6
Nicholas B Abt, Priya Srikanth, Sidharth V Puram, Daniel G Deschler
INTRODUCTION: PCF is the most common major complication after salvage total laryngectomy (TL), especially for previously irradiated patients with laryngeal or hypopharyngeal cancer. METHODS/RESULTS: A 65-year-old woman presented with recurrent bilateral supraglottic SCC requiring salvage TL 5.5years after initial T1N0M0 epiglottic SCC resection. Her post-operative course was complicated by PCF development one month post-operatively and surgical fistula closure was delayed for adjuvant chemoradiotherapy...
November 25, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27914712/a-6-year-old-presenting-with-headache-and-post-auricular-pain
#7
Naomi Will, Matthew T Whitehead, Holly J Meany, Brian K Reilly
No abstract text is available yet for this article.
November 25, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27914713/true-abscess-formation-is-rare-in-bacterial-orbital-cellulitis-consequences-for-treatment
#8
Eline G Van der Veer, Nicolien A van der Poel, Maartje M L de Win, Roel J Kloos, Peerooz Saeed, Maarten P Mourits
BACKGROUND: Pre- or retroseptal bacterial orbital cellulitis (pOC/rOC) is not an uncommon orbital disease. Treatment consists of antibiotics with or without surgical drainage. Several questions regarding course, complications and outcome of treatment are unanswered and the indication for surgery is not well defined. The aim of this study is to: 1. describe the outcome of orbital cellulitis (OC) in a large cohort, 2. assess the significance of Chandler's classification, 3. assess the incidence of abscess formation in OC, and 4...
November 24, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28041635/clinicopathologic-and-prognostic-factors-in-adenoid-cystic-carcinoma-of-head-and-neck-minor-salivary-glands-a-clinical-analysis-of-130-cases
#9
Shizhi He, Pingdong Li, Qi Zhong, Lizhen Hou, Zhenkun Yu, Zhigang Huang, Xuejun Chen, Jugao Fang, Xiaohong Chen
PURPOSE: This study was to investigate clinicopathologic characteristics and prognostic factors in adenoid cystic carcinoma of head and neck minor salivary glands. MATERIALS AND METHODS: We conducted a retrospective review of 130 patients with adenoid cystic carcinoma of head and neck minor salivary glands that were evaluated between 2000 and 2013 in Beijng Tongren Hospital. RESULTS: Five-year overall survival and disease-free survival rates were 80...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27923495/improved-smell-function-with-increased-nasal-mucus-sonic-hedgehog-in-hyposmic-patients-after-treatment-with-oral-theophylline
#10
Robert I Henkin, Suzanna Hosein, William A Stateman, Alexandra B Knöppel, Mona Abdelmeguid
PURPOSE: We previously demonstrated the presence of sonic hedgehog (Shh) in nasal mucus in normal subjects and in patients with smell loss (hyposmia). Nasal mucus Shh levels were found significantly diminished in untreated hyposmic patients of multiple etiologies. Since treatment with oral theophylline has been previously associated with improvement in smell function we wished to study if such treatment increased nasal mucus Shh as well as improved smell function in patients with hyposmia...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27913069/otolaryngology-sleep-medicine-curriculum-objectives-as-determined-by-sleep-experts
#11
Nathan Cass, Alan Kominsky, Cristina Cabrera-Muffly
PURPOSE: (1) Ascertain the most important concepts and topics for otolaryngology resident education in sleep medicine and surgery, as determined by faculty who teach sleep medicine to otolaryngology residents. (2) Create learning objectives within the area of otolaryngologic sleep medicine in order to design a sleep medicine curriculum for otolaryngology residents. MATERIALS AND METHODS: Two web-based surveys were sent to 163 academic otolaryngologists who teach sleep medicine...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27913068/occult-infratemporal-fossa-neurofibroma-presenting-with-persistent-unilateral-tinnitus-and-middle-ear-effusion-more-than-meets-the-eye
#12
Lucas P Carlstrom, Kathryn M Van Abel, Matthew L Carlson, Eric J Moore, Janalee K Stokken
Herein, we present the case of a previously healthy 54year-old female who developed several weeks of unilateral tinnitus and aural fullness. She subsequently underwent unilateral pressure equalization tube placement at an outside institution after exam demonstrated a middle ear effusion, conductive hearing loss and normal nasopharyngoscopy. Ultimately, an MRI revealed an occult mass in the infratemporal fossa (ITF), which was successfully removed via an endoscopic transnasal ITF approach. Following resection of a histopathologically confirmed benign neurofibroma, she reported complete resolution of her symptoms...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27913067/the-financial-impact-of-clinic-no-show-rates-in-an-academic-pediatric-otolaryngology-practice
#13
Zhen Huang, Mariam Ashraf, Heather Gordish-Dressman, Pamela Mudd
PURPOSE: To investigate determinants of no-show rates in an academic pediatric otolaryngology practice including appointment time, age, sex, new patient status, payer mix, and median household income by zip code. MATERIALS AND METHODS: Retrospective chart review of clinic no-show rates and patient demographics in a free standing children's hospital and affiliated outpatient clinics across eight providers in a one-year period. RESULTS: Analysis shows that the overall no-show rate across all providers was 15% with the highest rate of 19% in the zip code with the lowest median income...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27908568/squamous-cell-carcinoma-presenting-with-trigeminal-anesthesia-an-uncommon-presentation-of-head-neck-cancer-with-unknown-primary
#14
Ameer T Shah, Walid I Dagher, Miriam A O'Leary, Richard O Wein
BACKGROUND: The differential diagnosis of facial anesthesia is vast. This may be secondary to trauma, neoplasm, both intracranial and extracranial, infection, and neurologic disease. When evaluating a patient with isolated facial anesthesia, the head and neck surgeon often thinks of adenoid cystic carcinoma, which has a propensity for perineural invasion and spread. When one thinks of head and neck squamous cell carcinoma with or without unknown primary, the typical presentation involves dysphagia, odynophagia, weight loss, hoarseness, or more commonly, a neck mass...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27908567/the-effect-of-topical-5-flurouracil-application-post-endoscopic-inferior-turbinoplasty
#15
Amjad F Nuseir, Mohammad Alsalem, Mouhamad Alzahr, Muthanna Ababneh, Ahmad I Alomari, Firas Alzoubi
RATIONALE AND OBJECTIVES: Adhesions are the most common complication after nasal surgery and revision. 5-Fluorouracil (5-FU) reduces various adhesions and epithelial growth related complications. The aim of this study was to evaluate the effects of 5-flurouracil application in the nasal cavity after a multi-procedure nasal surgery in term of complications frequency. MATERIALS AND METHODOLOGY: Institutional ethical approval was granted and a double-blinded prospective clinical trial was conducted to study the effect of 5-fu on post-operative complications...
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27889105/corrigendum-to-methylene-blue-staining-in-the-parotid-surgery-randomized-trial-144-patients-am-j-otolaryngol-37-2016-22-26
#16
Michael Vaiman, Basel Jabarin, Rani Abuita
No abstract text is available yet for this article.
November 23, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27931523/a-blue-middle-ear-mass-cholesterol-granuloma-mimicking-a-glomus-tumor-and-endolymphatic-sac-tumor
#17
Clara Olcott, Barry Strasnick
Cholesterol granuloma (CG) is the most common benign lesion of the petrous apex, however, it can grow significantly large and become destructive causing a diagnostic dilemma. This case presents a 25-year-old female with 2-year history of left-sided progressive and profound hearing loss, a transient left-sided facial paralysis and cranial nerve 10 palsy who presented with a blue middle ear mass. Her diagnosis did not become apparent until direct visualization intraoperatively. The objective of this case study is to highlight the destructive capabilities of CG and the importance to keep it in the differential diagnosis of a large, erosive, expansile skull base lesion in order to avoid overly aggressive resection or other unnecessary treatment...
January 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27931522/effectiveness-of-fibrin-coating-in-the-management-of-web-formation-after-laryngomicrosurgery
#18
REVIEW
K Adachi, T Umezaki
PURPOSE: To explore the effectiveness of fibrin coating in reducing web formation after endoscopic management of the anterior commissure of the larynx. MATERIALS AND METHODS: Using a spray device that is generally used for laparoscopic operations, we covered the wound with fibrin glue (Bolheal®) to avoid web formation. This technique was employed in cases wherein the anterior commissure was mainly managed by laser operation; the glue was sprayed after vaporization...
January 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27838151/use-of-concurrent-chemoradiation-in-advanced-staged-t4-laryngeal-cancer
#19
Cameron C Wick, Rod P Rezaee, Tammy Wang, Andrea M Garcia-Jarchow, Chad A Zender, Michael Gibson, Min Yao, Pierre Lavertu
HYPOTHESIS: Patients with advanced laryngeal cancer sometimes desire organ preservation protocols even if it portends a worse outcome. BACKGROUND: To assess outcomes of patients with T4 laryngeal cancer treated with chemoradiation therapy. METHODS: Case series with chart review at a tertiary university hospital. Twenty-four patients with T4 laryngeal cancer all declined total laryngectomy with adjuvant radiation as the primary treatment modality and alternatively received concurrent chemoradiation therapy...
January 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27832924/nasopharyngectomy-with-operating-microscope-a-case-series
#20
Jia Hui Jang, Hiang Khoon Tan, N Gopalakrishna Iyer, Khee Chee Soo, Ngian Chye Tan
BACKGROUND: Nasopharyngectomy for excision of nasopharyngeal tumors is challenging, as access to the nasopharynx is difficult. Recently our institution embarked on two new approaches - robotic nasopharyngectomy and open nasopharyngectomy with operating microscope (NOM) via maxillary swing approach. This article proposes that the novel approach of NOM via maxillary swing aids visualization for resection of locally invasive nasopharyngeal tumors. METHODS: Over a thirteen-month period, eight patients required nasopharyngectomy in our single Asian institution...
January 2017: American Journal of Otolaryngology
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