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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/28807088/posterior-translacrimal-approach-to-the-maxillary-sinus
#1
D Dönmez, E Giotakis, W G Hosemann, T S Kühnel, B Hirt, R K Weber
BACKGROUND: This study aimed to compare the view into the maxillary sinus using the posterior translacrimal approach compared with grade 3 antrostomy. METHODS: Grade 3 antrostomy followed by a posterior translacrimal approach was performed on four cadavers. The maximum intramaxillary view was documented endoscopically guided by electromagnetic navigation. Representative screenshots were evaluated in a blinded manner by three independent sinus surgeons. In addition, a prospective investigation of specific complications in the post-operative course of consecutive patients was performed...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807086/oral-steroids-alone-or-followed-by-intranasal-steroids-versus-watchful-waiting-in-the-management-of-otitis-media-with-effusion
#2
A Hussein, H Fathy, S M Amin, N Elsisy
OBJECTIVE: To evaluate the effects of oral steroids alone or followed by intranasal steroids versus watchful waiting on the resolution of otitis media with effusion in children aged 2-11 years. METHODS: A total of 290 children with bilateral otitis media with effusion were assigned to 3 groups: group A was treated with oral steroids followed by intranasal steroids, group B was treated with oral steroids alone and group C was managed with watchful waiting. Patients were evaluated with audiometry and tympanometry...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807083/microrna-let-7a-up-regulates-opn-expression-in-a-mouse-model-of-allergic-rhinitis
#3
H Yu, H Sun, Z Wang, Y Liu
OBJECTIVE: To investigate the effect of microRNA let-7a on OPN expression in a mouse model of allergic rhinitis. METHODS: Thirty-two mature female C57BL/6 mice were randomly divided into four groups, with eight mice in each group: microRNA let-7a, microRNA control, OVA and phosphate-buffered saline groups. The microRNA let-7a, microRNA control and OVA groups were sensitised with OVA to establish a mouse model of allergic rhinitis. Nose-scratching events were counted...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807082/hearing-status-in-patients-with-rheumatoid-arthritis
#4
A Ahmadzadeh, M Daraei, M Jalessi, A A Peyvandi, E Amini, L A Ranjbar, A Daneshi
OBJECTIVE: Rheumatoid arthritis is thought to induce conductive hearing loss and/or sensorineural hearing loss. This study evaluated the function of the middle ear and cochlea, and the related factors. METHODS: Pure tone audiometry, speech reception thresholds, speech discrimination scores, tympanometry, acoustic reflexes, and distortion product otoacoustic emissions were assessed in rheumatoid arthritis patients and healthy volunteers. RESULTS: Pure tone audiometry results revealed a higher bone conduction threshold in the rheumatoid arthritis group, but there was no significant difference when evaluated according to the sensorineural hearing loss definition...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807078/the-relationship-between-lung-function-and-the-clinical-and-histopathological-features-in-chinese-patients-with-nasal-polyps
#5
Q L Zhao, L Yu, L L Zhi, P Jin, X X Zi, L Zhao, A Li, Y Y Tu, L Shi, H P Zhang
OBJECTIVE: To investigate lung function in Chinese patients suffering from chronic rhinosinusitis with nasal polyps and examine its association with histopathological features. METHODS: The lung function of 99 patients with nasal polyps was measured. Haematoxylin and eosin and immunohistochemistry staining were performed to evaluate any inflammatory cells and epithelial tissue remodelling. RESULTS: Predicted maximal expiratory flow rate at 25 per cent vital capacity was reduced (p < 0...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807077/cochlear-implantation-in-malawi-report-of-the-first-four-cases
#6
W Mulwafu, D R Strachan, R Bartlett, C Caron
OBJECTIVE: This paper reports on the first four cochlear implant cases in Malawi. CASE REPORTS: Three patients were deafened from infectious diseases and one from an unknown cause. They all had post-lingual deafness. Six months after the last implant, they are all progressing well. CONCLUSION: Despite significant practical difficulties, it has proved possible, with the right support, to carry out cochlear implantation in one of the world's poorest countries...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807075/relationship-between-chronic-otitis-media-with-effusion-and-overweight-or-obesity-in-children
#7
S Kaya, E Selimoğlu, S Cureoğlu, M A Selimoğlu
OBJECTIVES: Otitis media with effusion and obesity are both common in childhood and might share some immunological alterations. This study aimed to investigate the relationship between chronic otitis media with effusion and childhood overweight or obesity, including the potential effects of adenoid or tonsillar hypertrophy on that relationship. METHODS: This study included 60 children with chronic otitis media with effusion and 86 healthy children aged from 2 to 10 years...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807072/clavicle-fracture-with-osteomyelitis-after-neck-dissection-and-post-operative-radiotherapy-case-report
#8
R Shodo, Y Sato, H Ota, A Horii
BACKGROUND: Non-traumatic bone fractures in cancer patients are usually pathological fractures due to bone metastases. In head and neck cancer patients, clavicle stress fractures may occur as a result of atrophy of the trapezius muscle after neck dissection in which the accessory nerve becomes structurally or functionally damaged. CASE REPORT: A 71-year-old man underwent modified radical neck dissection with accessory nerve preservation and post-operative radiotherapy for submandibular lymph node metastases of tongue cancer...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807070/evaluation-of-cardiovascular-risks-and-recovery-of-idiopathic-sudden-sensorineural-hearing-loss-in-hospitalised-patients-comparison-between-complete-and-partial-sudden-sensorineural-hearing-loss
#9
C Haremza, N Klopp-Dutote, V Strunski, C Page
OBJECTIVE: To evaluate the presence of cardiovascular risk factors and recovery of idiopathic sudden sensorineural hearing loss in hospitalised patients. METHODS: A single-centre retrospective study of 80 patients hospitalised for idiopathic sudden sensorineural hearing loss was conducted over a 6-year period. Mean pure tone hearing thresholds were assessed by pure tone audiometry. RESULTS: Twenty-three of 80 patients (28.75 per cent) initially had no cardiovascular risk factors...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807066/laser-assisted-management-of-a-symptomatic-anterior-pharyngeal-diverticulum
#10
K Pujary, A C Agarwal, R Balakrishnan, A Bhandarkar
BACKGROUND: Dysphagia is a relatively common symptom following laryngectomy. An anterior pharyngeal diverticulum is a rare cause of post-laryngectomy dysphagia. However, it is often an incidental finding on rigid telescopic examination. METHODS AND RESULTS: This article describes two patients with a symptomatic anterior pharyngeal diverticulum. They were treated by transoral micro-endoscopic potassium titanyl phosphate 532 nm laser assisted resection. Both patients could take feeds orally after the procedure without any difficulty...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807065/possible-role-of-dickkopf-1-protein-in-the-pathogenesis-of-tympanosclerosis-in-a-rat-model
#11
Y Zhang, S Wang, Y Zheng, A Liu
OBJECTIVES: This study aimed to investigate the expression of DKK1 protein in an experimental model of tympanosclerosis and its possible role in the pathogenesis of this disorder. METHODS: Forty Sprague Dawley rats were included in the study: 20 in the control group (which received no treatment) and 20 in the experimental group (which received an incision to induce tympanosclerosis). Otomicroscopy was performed to observe the development of myringosclerosis. Haematoxylin and eosin staining was performed to observe the morphological changes...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807064/stage-is-a-prognostic-factor-for-surgically-treated-patients-with-early-stage-lip-cancer-for-whom-a-wait-and-see-policy-in-terms-of-neck-status-has-been-implemented
#12
G Eskiizmir, E Ozgur, G Karaca, P Temiz, N Hacioglu Yanar, B Cengiz Ozyurt
OBJECTIVES: To determine the locoregional control and survival rates (in terms of risk factors) of patients who underwent surgical resection of early-stage lip cancer and for whom a 'wait and see' policy in terms of neck status had been implemented. METHODS: The sociodemographic data, tumour stage, tumour characteristics and histopathological features of 41 patients with early-stage lip cancer were evaluated. Factors predictive of survival and locoregional recurrence were analysed...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807061/the-incidence-of-hyperthermia-during-cochlear-implant-surgery-in-children
#13
A Schwartz, D Kaplan, V Rosenzweig, M Klein, B F Gruenbaum, S E Gruenbaum, M Boyko, A Zlotnik, E Brotfain
BACKGROUND: Inadvertent hyperthermia during anaesthesia is a rare but life-threatening complication. We have encountered several cases of severe hyperthermia in paediatric patients undergoing anaesthesia for cochlear implantation. METHODS: This study aimed to describe the clinical characteristics of children who developed hyperthermia while undergoing cochlear implantation, and to explore possible mechanisms and predisposing factors. The anaesthetic charts of all patients aged under 18 years who underwent cochlear implantation, or mastoid or ophthalmic surgery, between 1 January 2006 and 31 December 2009, at Soroka Medical Center in Beer Sheva, Israel, were reviewed...
August 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28768555/is-there-any-relationship-between-right-and-left-hand-dominance-and-right-and-left-nasal-airflow-dominance
#14
A Price, R Eccles
BACKGROUND: Left- or right-handedness is a common human trait, and it has been previously reported that human nasal airflow dominance correlates with hand dominance. Any relationship between hand dominance and nasal airflow dominance would be unusual. This study aimed to measure nasal airflow and look for any relationship to handedness. METHODS: The modified Glatzel mirror was used to record the dominant nasal passage at 15-minute intervals over a 6-hour period in 29 healthy participants consisting of 15 left-handers and 14 right-handers...
August 3, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28758609/lateral-neck-dissection-affects-the-voice-in-thyroid-cancer-patients
#15
I-C Nam, J-S Bae, S-H Lee, J-O Park, S-Y Kim, Y-H Joo, Y-H Park, D-I Sun
OBJECTIVE: This study aimed to identify the effect of lateral neck dissection on voice change in thyroidectomised patients. METHODS: Medical records from 264 patients who underwent thyroidectomy with (n = 65) or without (n = 199) lateral neck dissection were reviewed. Clinical and voice evaluation data were compared between the two groups. RESULTS: Patients who underwent surgery that included lateral neck dissection had lower fundamental frequencies and speaking fundamental frequencies...
July 31, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28758602/eustachian-tube-dysfunction-leading-to-middle-ear-pathology-in-patients-on-chronic-mechanical-ventilation
#16
O Ilan, E-L Marcus, Y Cohen, T Farkash, R Levy, A Sasson, C Adelman
OBJECTIVE: This study aimed to investigate the prevalence of and risk factors for Eustachian tube dysfunction leading to middle-ear pathology in patients on chronic mechanical ventilation via tracheostomy tube. METHODS: A total of 40 patients on chronic ventilation were included in a prospective cohort study. Middle-ear status was determined by tympanometry. Tympanograms were categorised as types A, B or C; types B and C were defined as middle-ear pathology. RESULTS: In all, 57 ears of 40 patients were examined...
July 31, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28724461/tuberculous-otitis-media-a-resurgence
#17
M Kameswaran, K Natarajan, M Parthiban, P V Krishnan, S Raghunandhan
OBJECTIVE: Tuberculosis is a global health problem that is especially prevalent in developing countries such as India. Recently, atypical presentation has become more common and a high index of suspicion is essential. This study analysed the various presenting symptoms and signs of tuberculous otitis media and the role of diagnostic tests, with the aim of formulating criteria for the diagnosis. METHODS: A total of 502 patients underwent tympanomastoidectomy over a two-year period...
July 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28720161/validity-of-the-american-college-of-surgeons-national-surgical-quality-improvement-program-risk-calculator-in-south-australian-glossectomy-patients
#18
S S Kao, C Frauenfelder, D Wong, S Edwards, S Krishnan, E H Ooi
BACKGROUND: Appropriate selection of tongue cancer patients considering surgery is critical in ensuring optimal outcomes. The American College of Surgeons' National Surgical Quality Improvement Program ('ACS-NSQIP') risk calculator was developed to assess patients' 30-day post-operative risk, providing surgeons with information to guide decision making. METHOD: A retrospective review of 30-day actual mortality and morbidity of tongue cancer patients was undertaken to investigate the validity of this tool for South Australian patients treated from 2005 to 2015...
July 19, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28720154/human-papillomavirus-tumour-status-is-not-associated-with-a-positive-depression-screen-for-patients-with-oropharyngeal-cancer
#19
J R Qualliotine, J A Califano, R J Li, D Gold, B Messing, G Lee, P Ha, C Fakhry
BACKGROUND: Several risk factors for depression in patients with oropharyngeal cancer have been determined. However, it is unknown whether human papillomavirus associated oropharyngeal cancer, which has a distinct clinico-demographic profile, modulates this risk. METHODS: A retrospective analysis was conducted of patients with oropharyngeal cancer. These patients had completed a 10-item depression screening questionnaire before receiving treatment for their disease from 2011 to 2014...
July 19, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28718395/ultrasound-guided-wire-localisation-to-facilitate-removal-of-an-abnormal-neck-lymph-node-a-technical-note
#20
J Golding, P Kirkland, D Howlett
BACKGROUND: Ultrasound-guided wire localisation is a technique that is well established in breast surgery, but is not well described in head and neck practice. It can be used to locate impalpable lesions for surgical removal, without the need for more extensive surgery. METHOD: This paper describes a case where the technique was used to assist in the removal of an impalpable but radiologically abnormal lymph node. CONCLUSION: The technique offers a safe and effective method for removing lesions within the head and neck...
July 18, 2017: Journal of Laryngology and Otology
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