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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/29332609/investigation-of-neutrophil-to-lymphocyte-ratio-platelet-to-lymphocyte-ratio-and-mean-platelet-volume-in-patients-with-tinnitus
#1
B Ulusoy, K Bozdemir, M Akyol, H I Mi┼če, A Kutluhan, M H Korkmaz
OBJECTIVE: This study aimed to evaluate patients with tinnitus in terms of mean platelet volume and platelet distribution width, and to explore neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio, recently reported in the literature as being possible inflammation markers. METHODS: This study comprised 64 tinnitus patients and 64 age-matched healthy controls. Statistical significance level was accepted as p < 0.05. RESULTS: Mean platelet volume (t = 3...
January 15, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29310745/polyps-grommets-and-eosinophilic-granulomatosis-with-polyangiitis
#2
F G Kavanagh, W Hasan, D A Smyth, J E Fenton
OBJECTIVE: To explore the link between nasal polyposis, refractory otitis media with effusion and eosinophilic granulomatosis with polyangiitis. METHODS: A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal polyps. Patients were evaluated to determine if they fulfilled the diagnostic criteria of eosinophilic granulomatosis with polyangiitis. RESULTS: Sixteen patients (10 males and 6 females) were identified...
January 9, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29248029/the-value-of-the-twinkling-artefact-for-the-diagnosis-of-sialolithiasis-of-the-large-salivary-glands
#3
G Pabst, K Strobel, J Zehnder
OBJECTIVE: The imaging of stones in the salivary glands and ducts poses a challenge, even to experienced ultrasound examiners. This study investigated whether the 'twinkling artefact', which occurs at internal calcific foci during Doppler ultrasound examinations, is useful for detecting salivary gland stones. METHODS: In a model test, 20 salivary stones were analysed in vitro, via Doppler ultrasound, with regard to their representability and the triggering of the twinkling artefact...
December 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29248017/an-analysis-of-true-and-false-positive-results-of-vocal-fold-uptake-in-positron-emission-tomography-computed-tomography-imaging
#4
N Seymour, G Burkill, M Harries
OBJECTIVES: Positron emission tomography-computed tomography with fluorine-18 fluorodeoxy-D-glucose has a major role in the investigation of head and neck cancers. Fluorine-18 fluorodeoxy-D-glucose is not a tumour-specific tracer and can also accumulate in benign pathology. Therefore, positron emission tomography-computed tomography scan interpretation difficulties are common in the head and neck, which can produce false-positive results. This study aimed to investigate patients detected as having abnormal vocal fold uptake on fluorine-18 fluorodeoxy-D-glucose positron emission tomography-computed tomography...
December 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29248016/new-generation-cut-and-seal-devices-in-oral-and-oropharyngeal-cancer-resection-clinical-and-cost-effectiveness-study
#5
G Tirelli, G C Del Piero, G Valentinuz, A Monte, A Gatto, A Rebelli, E Quatela
OBJECTIVES: To evaluate the clinical efficacy and cost-effectiveness of ultrasonic shears and the electrothermal bipolar vessel sealing system, in comparison to the traditional cold knife and bipolar forceps, in oral and oropharyngeal cancer surgery. METHODS: Patients who underwent oral or oropharyngeal cancer resection and neck dissection with either ultrasonic shears (n = 36) or electrothermal bipolar vessel sealing (n = 32) were enrolled. Surgical time, intra-operative bleeding, blood drainage, post-operative pain, neck oedema, complications and hospitalisation duration were compared to those of an historical cohort of 36 patients treated using a cold knife and bipolar forceps...
December 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29237517/hypopharyngeal-cancer-associated-with-synchronous-oesophageal-cancer-risk-factors-and-benefits-of-image-enhanced-endoscopic-screening
#6
X-G Ni, Q-Q Zhang, J-Q Zhu, G-Q Wang
OBJECTIVES: To explore the risk factors associated with the occurrence of synchronous oesophageal cancer in patients with hypopharyngeal cancer, and to investigate the roles of image-enhanced endoscopic screening in the prediction and diagnosis of early oesophageal cancer. METHODS: The clinical characteristics of patients with hypopharyngeal cancer (n = 160) were analysed. All patients underwent laryngoscopic and gastroscopic examination using image-enhanced endoscopic techniques before treatment...
December 14, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29231150/quality-of-reporting-and-risk-of-bias-in-therapeutic-otolaryngology-publications
#7
N M Kaper, K M A Swart, W Grolman, G J M G Van Der Heijden
BACKGROUND: High-quality trials have the potential to influence clinical practice. METHODS: Ten otolaryngology journals with the highest 2011 impact factors were selected and publications from 2010 were extracted. From all medical journals, the 20 highest impact factor journals were selected, and publications related to otolaryngology for 2010 and 2011 were extracted. For all publications, the reporting quality and risk of bias were assessed. RESULTS: The impact factor was 1...
December 12, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29224575/a-systematic-review-of-patient-reported-outcome-measures-in-paediatric-otolaryngology
#8
J Powell, S Powell, A Robson
BACKGROUND: Recently, there has been increased emphasis on the development and application of patient-reported outcome measures. This drive to assess the impact of illness or interventions, from the patient's perspective, has resulted in a greater number of available questionnaires. The importance of selecting an appropriate patient-reported outcome measure is specifically emphasised in the paediatric population. The literature on patient-reported outcome measures used in paediatric otolaryngology was reviewed...
December 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29179790/mobile-phone-usage-does-not-affect-sudden-sensorineural-hearing-loss
#9
D Sagiv, L Migirov, O Madgar, G Nakache, M Wolf, Y Shapira
OBJECTIVE: Recent studies found that mobile phone users had a significantly greater risk of having elevated thresholds in speech frequencies. This study investigated the correlation between the laterality of sudden sensorineural hearing loss, handedness and the preferred ear for mobile phone use. METHODS: The study included all patients who presented with sudden sensorineural hearing loss to the Department of Otolaryngology - Head and Neck Surgery in our tertiary referral medical centre between 2014 and 2016...
November 28, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29173202/necrotising-otitis-externa-in-the-immunocompetent-patient-case-series
#10
S Unadkat, T Kanzara, G Watters
BACKGROUND: Necrotising otitis externa can be a devastating form of otitis externa. It typically tends to affect patients who are immunocompromised or diabetic. To date, there is very little in the literature about necrotising otitis externa in the immunocompetent patient population. CASE REPORTS: The present paper discusses both the clinical and radiological findings in three cases of necrotising otitis externa in an immunocompetent patient cohort. The common factor among all three patients was their advanced age...
November 27, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151384/endoscopic-ear-surgery-in-the-ear-camp-setting-forward-thinking-or-folly
#11
M P A Clark
BACKGROUND: Endoscopic ear surgery is becoming an accepted technique in otological surgery, in the management of chronic otitis media. METHODS: The technique was introduced to the humanitarian care setting of an ear camp in Nepal to consider the appropriateness of the technique in this type of clinical setting. RESULTS: Fifteen cases of myringoplasty were successfully completed. CONCLUSION: The apparent advantages of the endoscopic approach over the traditional microscopic one were the ease of transporting the equipment and the optimal view obtained of the tympanic membrane...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151381/feasibility-of-a-septal-mucosal-flap-for-preventing-re-stenosis-following-the-draf-iii-procedure
#12
O Erdur, K Ozturk, K Erkan
BACKGROUND: Re-stenosis and a consequent need for revision surgery are the most common problems in the follow-up period following endoscopic modification of the Lothrop procedure. METHOD: This paper reports a new technique for reconstructing and resurfacing of the posterior frontal recess bone for prevention of re-stenosis. RESULTS: A 46-year-old man presented with a frontal sinus osteoma, and treatment featured an endoscopic modification of the Lothrop procedure...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151379/a-study-of-bacterial-pathogens-and-antibiotic-susceptibility-patterns-in-chronic-suppurative-otitis-media
#13
M R Mofatteh, F Shahabian Moghaddam, M Yousefi, M H Namaei
OBJECTIVE: To assess the frequency of bacterial agents in chronic suppurative otitis media and the antibiotic susceptibility patterns of isolates among patients. METHODS: A total of 185 patients clinically diagnosed with chronic suppurative otitis media were interviewed and middle-ear effusion samples were collected using sterile swabs. All bacterial isolates were identified by conventional microbiological methods. Antibiotic susceptibility patterns of the isolates were determined by Kirby-Bauer disc diffusion...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151378/therapeutic-and-protective-effects-of-autologous-serum-in-amikacin-induced-ototoxicity
#14
I B Arslan, G G Aslan, G C Mercan, S Vatansever, I Cukurova, S Gokalp, A Aslan
OBJECTIVE: Possible therapeutic and protective benefits of intratympanic autologous serum application in amikacin-induced ototoxicity were investigated. METHODS: Twenty-four guinea pigs were separated equally into two groups: therapeutic (group A) and protective (group B). Transient evoked otoacoustic emissions were recorded before and after autologous serum application. Apoptotic cells were identified in the organ of Corti, spiral limbus and spiral ganglion by the terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling ('TUNEL') method...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151376/the-debate-continues-a-prospective-randomised-single-blind-study-comparing-coblation-and-bipolar-tonsillectomy-techniques
#15
D Wiltshire, M Cronin, N Lintern, K Fraser-Kirk, S Anderson, R Barr, D Bennett, C Bond
OBJECTIVES: Tonsillectomy is a common procedure with significant post-operative pain. This study was designed to compare post-operative pain, returns to a normal diet and normal activity, and duration of regular analgesic use in Coblation and bipolar tonsillectomy patients. METHODS: A total of 137 patients, aged 2-50 years, presenting to a single institution for tonsillectomy or adenotonsillectomy were recruited. Pain level, diet, analgesic use, return to normal activity and haemorrhage data were collected...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29151373/nasoseptal-flap-for-palatal-reconstruction-after-hemi-maxillectomy-case-report
#16
M K Alwashahi, P Battaglia, M Turri-Zanoni, P Castelnuovo
OBJECTIVE: Palatal reconstruction following maxillectomy is a surgical challenge, and a nasoseptal flap is a feasible approach. This paper reports the first known successful clinical case of a nasoseptal pedicle flap applied for the reconstruction of maxillary bone following hemi-maxillectomy. CASE REPORT: This report describes hemi-maxillectomy in a 60-year-old Italian male diagnosed with stage IV squamous cell carcinoma of the left maxilla. Endoscopic transnasal extended medial maxillectomy was performed, followed by a transoral modified midfacial degloving technique for removal of the maxillary bone...
November 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29143715/scar-satisfaction-and-body-image-in-thyroidectomy-patients-prospective-study-in-a-tertiary-referral-centre
#17
P Sethukumar, D Ly, Z Awad, N S Tolley
BACKGROUND: This study is the first to evaluate scar satisfaction and body image in thyroidectomy patients using validated assessment tools. METHODS: A total of 123 thyroidectomy patients were recruited over 8 months. Both patients and clinicians completed assessment tools that included: the Manchester Scar Scale (to measure scar perception), Dysmorphic Concern Questionnaire (to assess body image), Body Dysmorphic Concern Questionnaire (to screen for body dysmorphic disorder) and EQ-5D (to measure life quality)...
November 16, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29143693/a-rare-case-of-extra-nasopharyngeal-angiofibroma-of-the-septum-in-a-female-child
#18
G B Singh, S Shukla, P Kumari, I Shukla
BACKGROUND: Extra-nasopharyngeal angiofibroma is a rare but distinct clinical entity, different from juvenile angiofibroma. METHODS: This clinical record elucidates the only case of extra-nasopharyngeal angiofibroma arising from the septum in a female child, who presented with epistaxis. RESULTS: The histopathological diagnosis was confirmed by immunohistochemistry, and the case was managed surgically with no recurrence. CONCLUSION: In a female paediatric patient presenting with epistaxis, extra-nasopharyngeal angiofibroma (of the inferior turbinate) is a rare albeit important differential diagnosis, as it challenges the hormonal theory of angiofibroma aetiopathogenesis...
November 16, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29122022/prognostic-value-of-lymph-node-ratio-in-metastatic-papillary-thyroid-carcinoma
#19
J Mansour, D Sagiv, E Alon, Y Talmi
OBJECTIVE: Cervical metastases in papillary thyroid carcinoma are associated with increased recurrence. However, their effect on survival remains controversial. This study evaluated literature on the prognostic value of lymph node ratio for loco-regional recurrence and survival in metastatic papillary thyroid carcinoma. METHODS: The PubMed database was systematically searched using the terms 'papillary thyroid carcinoma' and 'lymph node ratio'. Articles addressing the association between lymph node ratio and loco-regional recurrence or survival were identified...
November 10, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29103390/how-to-avoid-life-threatening-complications-following-head-and-neck-space-infections-an-algorithm-based-approach-to-apply-during-times-of-emergency-when-and-why-to-hospitalise-a-neck-infection-patient
#20
O Gallo, G Mannelli, M S Lazio, R Santoro
BACKGROUND: Head and neck space infections present with a potential mortality rate of 40-50 per cent. This paper proposes an algorithm-based management of head and neck space infection to prevent life-threatening events. METHODS: A total of 225 patients with head and neck space infection were prospectively analysed at our institution. An experimental scoring system determined the level of clinical risk for the development of major complications. Accordingly, patients were classified into three risk groups: low-, intermediate- and high-risk...
November 6, 2017: Journal of Laryngology and Otology
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