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American Journal of Otolaryngology

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https://www.readbyqxmd.com/read/28502595/a-sustained-increase-of-plasma-fibrinogen-in-sudden-sensorineural-hearing-loss-predicts-worse-outcome-independently
#1
Yoon Ah Park, Tae Hoon Kong, Young Joon Seo
OBJECTIVES: A number of etiologies of idiopathic sudden sensorineural hearing loss (ISSNHL) have been proposed. Vascular disturbance is one cause of ISSNHL and has been reported to be associated with fibrinogen. We aimed to determine whether hyperfibrinogenemia is associated with poor outcome and whether a serial change in fibrinogen level is associated with outcome. METHODS: Twenty-two patients with ISSNHL were enrolled. We compared the levels of fibrinogen in ISSNHL groups classified as improved and non-improved according to improvement of hearing...
May 5, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28502371/decreased-clinic-visits-for-acute-respiratory-infections-following-an-adult-tonsillectomy-a-population-based-study
#2
Shiu-Dong Chung, Shih-Han Hung, Herng-Ching Lin, Kuan-Chen Chen
PURPOSE: This study attempted to investigate the effects of a tonsillectomy on utilization of medical resources for acute respiratory infections by comparing numbers and costs of clinic visits within 1year before and after a tonsillectomy. MATERIALS AND METHODS: Data for this study were retrieved from the Taiwan Longitudinal Health Insurance Database 2005. The study includes 481 patients aged 18-80years who underwent a tonsillectomy and 481 comparison patients. A multivariate regression model employing difference-in-difference was carried out to assess the independent association between a tonsillectomy and the number and costs of clinic visits...
May 5, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28483146/skull-base-osteomyelitis-secondary-to-malignant-otitis-externa-mimicking-advanced-nasopharyngeal-cancer-mr-imaging-features-at-initial-presentation
#3
J P N Goh, A Karandikar, S C Loke, T Y Tan
PURPOSE: Skull base osteomyelitis (SBOM) is an inflammatory process which often arises from malignant otitis externa (MOE); the diffuse skull base and adjacent soft tissue involvement may be mistaken at initial imaging for advanced nasopharyngeal carcinoma (NPC), especially if there is no prior knowledge of MOE, direct spread from the sphenoid sinus or in atypical presentations of MOE. This study aims to evaluate imaging features on MR that may differentiate SBOM from NPC. MATERIALS AND METHODS: The MR examinations of 26 patients diagnosed with SBOM between January 1996 and January 2013 were retrospectively reviewed...
April 26, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28476442/teaching-and-practice-patterns-of-lateral-osteotomies-for-rhinoplasty
#4
Jenny X Chen, Elliott D Kozin, Matthew M Dedmon, Linda N Lee
PURPOSE: Lateral osteotomies are important during rhinoplasty and represent a challenging technique that otolaryngology and plastic surgery trainees must learn. The approaches for osteotomies are difficult to teach as they are accomplished through tactile feedback. Trends in teaching and practice patterns of lateral osteotomies are poorly described in the literature, and this study aims to fill this knowledge gap. MATERIALS AND METHODS: Members of the American Academy of Facial Plastic and Reconstructive Surgery were surveyed to characterize surgeon preferences for intranasal versus percutaneous lateral osteotomies and understand how techniques are taught...
April 26, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28479299/assessment-and-spontaneous-healing-outcomes-of-traumatic-eardrum-perforation-with-bleeding
#5
Zhong-Hai Jin, Zi-Han Lou, Zheng-Cai Lou
OBJECTIVE: This study investigated the influence of the degree of bleeding from the remnant eardrum on the spontaneous healing of human traumatic tympanic membrane perforations (TMPs). STUDY DESIGN: A case series with chart review. SETTING: A tertiary university hospital. MATERIALS AND METHODS: The clinical records of traumatic TMP patients who met the case selection criteria were retrieved and categorized into two groups based on the documented degree of bleeding from the remnant eardrum: with and without bleeding...
April 24, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28528729/pleomorphic-liposarcoma-of-the-head-and-neck-presentation-of-two-cases-and-literature-review
#6
Jay Agarwal, Sameep Kadakia, Abbas Agaimy, Anna Ogadzanov, Azita Khorsandi, Raymond L Chai
BACKGROUND: Pleomorphic liposarcoma (PL) is an exceedingly rare tumor of the head and neck. This aggressive liposarcoma variant portends a poorer prognosis compared to more typical sarcomatous tumors. METHODS: Multi-institutional study including two cases of PL, the first case occurring in the post-auricular region and the second in the cheek with later recurrence within the parotid bed. RESULTS: Both patients were treated surgically with wide local excision...
April 22, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28528730/sir-charles-bell-unheralded-laryngologist
#7
Elliot Abemayor
INTRODUCTION: Sir Charles Bell is renowned and revered as an outstanding surgeon, anatomist, clinician and teacher and his many contributions to various medical fields have been amply described. What are less well-known are his contributions to the field of laryngology. METHODS: Selected clinical and physiological publications by Bell were examined that addressed issues related specifically to the airway or pharynx. These included both case reports and case series...
April 21, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28478092/angiosarcoma-of-the-tongue-a-case-series-and-literature-review
#8
Pratik B Patel, Edward C Kuan, Kevin A Peng, Frederick Yoo, Scott D Nelson, Elliot Abemayor
PURPOSE: Angiosarcoma of the tongue is an exceedingly rare malignancy of the head and neck. Such lesions can be primary in nature or occur in a previously irradiated field. We examine a series of cases with relation to clinical presentation, diagnosis, management, and outcomes. MATERIALS AND METHODS: Retrospective chart review of all patients with angiosarcoma of the tongue at a tertiary academic institution yielded a single case between 2005 and 2016. The MEDLINE database was additionally searched for all case series or reports of angiosarcoma arising in the tongue, and pertinent clinical data were extracted...
April 21, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28449824/primary-mucosal-melanoma-of-the-palatine-tonsil-report-of-a-case-and-review-of-the-literature
#9
Marcela Osorio, Sami P Moubayed, Juan Hernandez-Prera, John C Scott, Mark L Urken
BACKGROUND: Mucosal melanoma of the palatine tonsil is extremely rare. Due to its poor prognosis, primary tonsillar melanoma requires prompt recognition and treatment. METHODS: A 62-year-old female presented with a deeply pigmented and exophytic lesion in the left tonsillar fossa. The patient underwent a partial pharyngectomy through a midline labio-mandibulotomy approach along with a left level I-V neck dissection. Reconstruction with a left radial forearm free flap and a pharyngeal constrictor advancement pharyngoplasty was performed...
April 21, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28449823/the-effect-of-handedness-and-laterality-in-a-microlaryngeal-surgery-simulator
#10
Matthew R Naunheim, Amanda Le, Matthew M Dedmon, Ramon A Franco, Jennifer Anderson, Phillip C Song
PURPOSE: There are no controlled prospective studies evaluating the effect of dominant handedness in left- and right-sided surgery in otolaryngology. Endoscopic microlaryngeal phonosurgery is an ideal procedure to assess technical aspects of handedness and laterality, due to anatomic symmetry. In this study, we analyzed (1) choice of surgical approach and (2) outcomes based on handedness and laterality in a microlaryngeal simulator. METHODS: Using a validated high-fidelity phonosurgery model, a prospective cohort of 19 expert laryngologists undertook endoscopic resection of a simulated vocal fold lesion...
April 18, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28433207/correlation-of-frontal-sinus-recess-anatomy-with-ethnicity-gender-and-pathology
#11
Laura K House, Scott P Stringer, Samantha Seals
PURPOSE: Research on frontal sinus cells has been conflicting regarding relationship between frontal sinus cells and frontal sinus disease. There are no published studies regarding gender differences in frontal sinus disease. No comparisons between African Americans and Caucasians and frontal sinus disease have been published. This study attempts to define the above relationships as well as the relationship between number and types of cells and disease. METHODS: A retrospective chart review was performed on sinus CT scans done from 2003 to 2011 at an academic medical center...
April 12, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28431842/significance-of-intraoperative-findings-in-revision-tympanomastoidectomy
#12
Andro Košec, Iva Kelava, Jakov Ajduk, Mihael Ries, Robert Trotić, Vladimir Bedeković
PURPOSE: The study was designed to assess correlations between intraoperative findings in revision tympanomastoidectomy as predictors of cholesteatoma recurrence. MATERIALS AND METHODS: A retrospective single-institution cohort of 101 patients who underwent surgical treatment for recurrent chronic otitis media in a tertiary referral otology centre. RESULTS: Out of 101 patients, 65 had canal wall up and 36 canal wall down revision surgery. There were 35 cholesteatoma recurrences...
April 12, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28427799/assessing-cumulative-acute-toxicity-of-chemoradiotherapy-in-head-and-neck-cancer-with-or-without-induction-chemotherapy
#13
Bhartesh A Shah, Muhammad M Qureshi, Jennifer M Logue, Timothy P Cooley, Ken S Zaner, Scharukh Jalisi, Minh Tam Truong
BACKGROUND: To compare cumulative acute toxicity in head and neck cancer patients treated with concurrent chemoradiotherapy alone (CCRT) versus induction chemotherapy (IC) followed by CCRT (I/CCRT). METHODS: 77 patients underwent definitive CCRT (30 I/CCRT and 47 CCRT). Toxicity was graded using the Common Terminology Criteria for Adverse Events version 4.0. Using the TAME adverse event reporting system, short-term toxicity (T) scores were generated for IC (TIC), CCRT (TCCRT), total treatment duration (TRx), post-treatment period (TPT) and an overall score (Toverall) from treatment start to post treatment period...
April 12, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28413075/abrasion-and-blunt-tissue-trauma-study-of-a-novel-flexible-robotic-system-in-the-porcine-model
#14
Michael Z Lerner, Michael Tricoli, Marshall Strome
OBJECTIVES: The objective of this study was to determine if a flexible robotic system caused increased tissue reaction when accessing the oropharynx and hypopharynx compared to intubation controls in only 2 scenarios: high speed tissue impact and multiple unit insertions and retractions. The data obtained were submitted as part of the entirety of information submitted for FDA approval. METHODS: This study consisted of 5 groups of Yorkshire pigs (2 animals per group)...
April 11, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28476441/perioperative-cardiac-complications-in-patients-undergoing-head-and-neck-free-flap-reconstruction
#15
Peter J Ciolek, Kate Clancy, Michael A Fritz, Eric D Lamarre
BACKGROUND: Limited data exists on cardiac complications following head and neck free flaps. DESIGN: A retrospective review was performed on patients that underwent free flap reconstruction from 2012 to 2015. RESULTS: 368 flaps were performed. 12.5% of patients experienced a cardiac event. Hypertension, coronary artery disease, heart failure, venous thromboembolism, and anticoagulation were associated with cardiac complications. ASA class was not predictive of cardiac events...
April 6, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28427798/reduced-post-tonsillectomy-bleeding-rates-through-a-refined-technique
#16
Kent Burton, Stephanie Hanke, Anil Gungor
No abstract text is available yet for this article.
April 6, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28413076/detection-of-endolymphatic-hydrops-using-traditional-mr-imaging-sequences
#17
John H Keller, Barry E Hirsch, Ryan S Marovich, Barton F Branstetter
PURPOSE: The purpose of this study was to determine whether Meniere's disease (MD) produces endolymphatic cavity size changes that are detectable using unenhanced high-resolution T2-weighted MRI. MATERIALS & METHODS: This retrospective case-control study included patients with documented MD who had a high-resolution T2-weighted or steady-state free procession MRI of the temporal bones within one month of diagnosis, between 2002 and 2015. Patients were compared to age- and sex- matched controls...
April 6, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28390809/magnetic-resonance-imaging-predicts-chronic-dizziness-after-benign-paroxysmal-positional-vertigo
#18
Wang Woon Cha, Kudamo Song, In Kyu Yu, Myoung Su Choi, Dong Sik Chang, Chin-Saeng Cho, Ho Yun Lee
OBJECTIVES: We aimed to evaluate the clinical implications of magnetic resonance imaging (MRI) findings in patients with benign paroxysmal positional vertigo (BPPV). METHODS: A total of 120 patients diagnosed with BPPV completed MRI at the emergency room between December 2012 and June 2015 and met our criteria for inclusion in this study. Epidemiologic characteristics, the results of audio-vestibular testing, and MRI findings were retrospectively analyzed. RESULTS: The most common findings were white matter hyperintensities (70...
April 4, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28390807/xylitol-nasal-irrigation-in-the-treatment-of-chronic-rhinosinusitis
#19
Lin Lin, Xinyue Tang, Jinjin Wei, Fei Dai, Guangbin Sun
OBJECTIVE: To evaluate the efficacy of xylitol nasal irrigation (XNI) treatment on chronic rhinosinusitis (CRS) and to investigate the effect of XNI on nasal nitric oxide (NO) and inducible nitric oxide synthase (iNOS) mRNA in maxillary sinus. MATERIALS AND METHODS: Patients with CRS were enrolled and symptoms were assessed by Visual Analog Scale (VAS) and Sino-Nasal Outcome Test 22 (SNOT-22). Nasal NO and iNOS mRNA in the right maxillary sinus were also examined...
April 4, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28390806/the-vagal-nerve-stimulation-outcome-and-laryngeal-effect-otolaryngologists-roles-and-perspective
#20
Ahmad I Al Omari, Firas Q Alzoubi, Mohammad M Alsalem, Samah K Aburahma, Diala T Mardini, Paul F Castellanos
INTRODUCTION: Epilepsy is one of the most common neurologic disorders. Vagus nerve stimulation (VNS), first investigated in 1938 and subsequently studied as a potential therapy for epilepsy. The FDA approved the use of VNS in 1997 as an adjunctive non-pharmacologic symptomatic treatment option for refractory epilepsy for adults and adolescents over 12years. VNS can cause laryngeal and voice side effects that can be managed by otolaryngologists safely and effectively. OBJECTIVES: This study is to review the outcomes of vagal nerve stimulator (VNS) implantation in terms of the surgical procedures, complications, seizure frequency, and the clinical effect on larynx and vocal folds motion...
April 4, 2017: American Journal of Otolaryngology
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