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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/30457086/the-utility-of-virtual-reality-surgical-simulation-in-the-undergraduate-otorhinolaryngology-curriculum
#1
T Hardcastle, A Wood
OBJECTIVE: To examine the impact of temporal bone virtual reality surgical simulator use in the undergraduate otorhinolaryngology curriculum. METHODS: Medical students attended a workshop involving the use of a temporal bone virtual reality surgical simulator. Students completed a pre-workshop questionnaire on career interests. A post-workshop questionnaire evaluated the perceived usefulness and enjoyment of the virtual reality surgical simulator experience, and assessed changes in their interest in ENT...
November 20, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30457082/effect-of-bidi-smoking-on-nasal-mucociliary-clearance-a-comparative-study
#2
B Paul, S S Menon, R Vasthare, R Balakrishnan, S Acharya
OBJECTIVE: To compare nasal mucociliary clearance in adult non-smokers, cigarette smokers and bidi smokers using the methylene blue dye test. METHODS: The study sample consisted of 20 non-smokers, 20 cigarette smokers and 20 bidi smokers (age range, 20-40 years). A single drop of the methylene blue dye was placed at the anterior end of the inferior turbinate of the participants' nasal cavity. The distance travelled by the methylene blue in 15 minutes inside the nasal cavity was measured...
November 20, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30457073/tongue-base-mucosectomy-for-carcinoma-of-unknown-primary-using-endoscopic-electrocautery-rationale-for-wider-implementation-of-an-institutionally-restricted-technique
#3
C R Davies-Husband
BACKGROUND: Cervical metastasis from an unknown primary site invariably results in pan-mucosal irradiation if a primary tumour is not identified. Transoral robotic and laser-assisted mucosectomy are valid techniques to increase diagnostic rates, but these remain restricted to certain centres. This paper describes, in detail, a technique in which mucosectomy is performed via endoscopic electrocautery. METHODS: Patients were prospectively recruited between May 2017 and June 2018...
November 20, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30457066/epistaxis-and-mortality
#4
(no author information available yet)
BACKGROUND: Epistaxis is a common emergency presentation to ENT. The 'Epistaxis 2016: national audit of management' collected prospective data over a 30-day audit window in 113 centres. A 30-day all-cause mortality rate of 3.4 per cent was identified. This study examines in more detail the subgroup of patients who died during the audit period. METHODS: There were 985 eligible patients identified. Of these, 33 patients died within the audit period. World Health Organization bleeding score, Modified Early Warning System score, haemostasis time, source of referral, co-morbidities and cause of death were investigated from the dataset...
November 20, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30442215/a-simple-quick-validated-method-of-recording-the-nasal-cycle-in-humans-using-a-subjective-scale
#5
M R Williams, R Eccles
BACKGROUND: Studies on the nasal cycle can be limited by time-consuming rhinomanometric measurements. However, quantifiable subjective assessment of nasal airflow has been limited by poor correlation with rhinomanometric data, even when investigating patients with a deviated nasal septum. METHODS: Thirty healthy participants attended two study days for rhinomanometric and subjective assessment of nasal airflow (using the subjective ordinal scale). A nasal partitioning ratio was calculated for both measures...
November 16, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30442210/hearing-recovery-from-deafness-caused-by-bromate-intoxication
#6
J Suzuki, Y Takanashi, A Koyama, Y Katori
OBJECTIVES: Sodium bromate is a strong oxidant, and bromate intoxication can cause irreversible severe-to-profound sensorineural hearing loss. This paper reports the first case in the English literature of bromate-induced hearing loss with hearing recovery measured by formal audiological assessment.Case reportA 72-year-old woman was admitted to hospital with complaints of profound hearing loss, nausea, diarrhoea and anuria after bromate ingestion in a suicide attempt. On admission, pure tone audiometry and auditory brainstem responses showed profound bilateral deafness...
November 16, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30409241/determinants-of-hearing-loss-severity-in-tympanic-membrane-perforations-in-a-sub-saharan-african-setting
#7
E Choffor-Nchinda, F Djomou, R-C Meva'a Biouele, D Mindja, A Bola, I Kewe, J-E Vokwely, R Njock
BACKGROUND: Factors specific to sub-Saharan Africa could have an impact on tympanic membrane perforation characteristics. Obtaining precise information on these characteristics and determinants of hearing loss severity would enable better management. OBJECTIVE: To determine the relationship between characteristics of tympanic membrane perforation and subsequent hearing impairment. METHODS: A cross-sectional study of consenting patients presenting with tympanic membrane perforation was conducted...
November 9, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30394249/paediatric-tracheostomy-tubes-recent-developments-and-our-current-practice
#8
D J Tweedie, J Cooke, K A Stephenson, S L Gupta, C M Pepper, M D Elloy, L A Cochrane, M E Wyatt
OBJECTIVE: A variety of paediatric tracheostomy tubes are available. This article reviews the tubes in current use at Great Ormond Street Hospital for Children and Evelina London Children's Hospital. METHODS: This paper outlines our current preferences, and the particular indications for different tracheostomy tubes, speaking valves and other attachments. RESULTS: Our preferred types of tubes have undergone significant design changes. This paper also reports further experience with certain tubes that may be useful in particular circumstances...
November 5, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30394239/never-say-never-circumventing-a-contraindication-to-control-apnoea-induced-epileptic-events-with-a-mandibular-advancement-device
#9
J E Fenton, C Fitzgerald, P J Dillon, D O'Shea
BACKGROUND: The benefit of mandibular advancement devices in patients with sleep-disordered breathing and as a potential option for obstructive sleep apnoea syndrome is well recognised. Their use in the setting of epilepsy or other seizure disorders is typically contraindicated.Case reportA 48-year-old patient with a history of poorly controlled epilepsy and obstructive sleep apnoea syndrome was referred for ENT review for possible tracheostomy. The patient was wheelchair-bound with 24-hour continuous positive airway pressure, but sleep studies demonstrated persistent, severe episodes of apnoea and notable sleep disturbance...
November 5, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30392487/nasal-eosinophilia-in-nasal-smears-of-patients-with-persistent-and-intermittent-allergic-rhinitis
#10
G Berkiten, I Aydoğdu, T L Kumral, Z Saltürk, Y Uyar, A Arslanoğlu, B Tutar, A E Göker
BACKGROUND: Eosinophils are the principal effector cells involved in the pathogenesis of allergic rhinitis. Cell numbers increase in non-allergic rhinitis patients with eosinophilia, aspirin hypersensitivity and nasal polyposis, as well as in allergic rhinitis patients. Exfoliative nasal cytology can be used in the differential diagnosis of allergic rhinitis. OBJECTIVE: To evaluate nasal eosinophilia in nasal smears of patients with mild, persistent and intermittent allergic rhinitis...
November 5, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30392484/portable-audiometric-screening-platforms-used-in-low-resource-settings-a-review
#11
A Jayawardena, B Waller, B Edwards, R Larsen-Reindorf, J Esinam Anomah, B Frimpong, A Gina, J Netterville, J Saunders, G J Basura
BACKGROUND: Millions of people across the world suffer from disabling hearing loss. Appropriate interventions lead to improved speech and language skills, educational advancement, and improved social integration. A major limitation to improving care is identifying those with disabling hearing loss in low-resource countries. OBJECTIVES: This review article summarises information on currently available hearing screening platforms and technology available from published reports and the authors' personal experiences of hearing loss identification in low-resource areas of the world...
November 5, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30392474/incidental-mastoiditis-on-magnetic-resonance-imaging-scans-clinical-relevance-and-cost-implications
#12
Y Abbas, H S Yuen, A Trinidade, G Watters
OBJECTIVES: To determine: (1) the incidence of incidental 'mastoiditis' reported on magnetic resonance imaging scans performed in patients with asymmetrical sensorineural hearing loss and/or unilateral tinnitus; (2) how many of those patients have actual otological pathology and/or require treatment; and (3) the financial implications of such a reporting practice. METHOD: Retrospective case series. RESULTS: Between October 2015 and November 2016, 500 patients underwent magnetic resonance imaging of the internal auditory meatus to rule out cerebellopontine angle lesions...
November 5, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30382012/image-guided-transnasal-endoscopic-fine-needle-aspiration-or-biopsy-of-parapharyngeal-space-tumours
#13
J R Abbas, K E L Hamlett, J de Carpentier
BACKGROUND: Parapharyngeal space biopsy is an important investigation in the management of parapharyngeal space tumours. These tumours are relatively rare and the surgeon is often faced with a wide range of differential diagnoses. There are several ways to access the parapharyngeal space, with varying degrees of associated morbidity. METHODS: This paper describes a seldom used, but a simple and safe, image-guided endoscopic approach to parapharyngeal space biopsy that enables tissue to be obtained transnasally...
November 1, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30376900/endoscopic-triple-c-tympanoplasty-an-alternative-approach-to-anteriorly-located-tympanic-membrane-repair
#14
H Demirhan, Ö Yiğit, B Hamit, M Çakır
OBJECTIVE: Anteriorly located tympanic membrane perforations can negatively affect surgical success rates. This study aimed to present, using our case series results, endoscopic triple-C (composite chondroperichondrial clip) tympanoplasty as an alternative method in the repair of tympanic membrane anterior quadrant perforations. METHODS: This study included patients with a perforation sized greater than 3 mm, who had an anterior quadrant dominant perforation where the anterior portion could not be seen during microscopic examination; all underwent endoscopic triple-C tympanoplasty...
October 31, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30370887/hearing-loss-in-the-trenches-a-hidden-morbidity-of-world-war-i
#15
K Conroy, V Malik
BACKGROUND: One hundred years ago, millions of British and Allied troops were fighting in the trenches of the Great War. With a tenth of soldiers losing their lives, hearing loss seemed a low priority; however, vast numbers of troops sustained significant hearing loss. METHOD: A review was conducted of literature published between 1914 and 1925. RESULTS: Soldiers were exposed to up to 185 dB of sustained noise from new, high-energy weapons, which caused 'labyrinthine concussion'...
October 29, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30370884/scalar-localisation-of-peri-modiolar-electrodes-and-speech-perception-outcomes
#16
C Shaul, A S Dragovic, A K Stringer, S J O'Leary, R J Briggs
OBJECTIVE: To identify the intracochlear electrode position in cochlear implant recipients and determine the correlation to speech perception for two peri-modiolar electrode arrays. METHODS: Post-operative cone-beam computed tomography images of 92 adult recipients of the 'CI512' electrode and 18 adult recipients of the 'CI532' electrode were analysed. Phonemes scores were recorded pre-implantation, and at 3 and 12 months post-implantation. RESULTS: All CI532 electrodes were wholly within scala tympani...
October 29, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30370874/moffett-s-muted-mules-the-science-of-laryngology-in-the-art-of-war
#17
V Sekhar, E Wong, H A Elhassan, N Singh
BACKGROUND: Mules and other equine species have been used in warfare for thousands of years to transport goods and supplies. Mules are known for 'braying', which is disadvantageous in warfare operations. This article explores the fascinating development of surgical techniques to stop military mules from braying, with particular emphasis on the key role played by the otolaryngologist Arthur James Moffett in devoicing the mules of the second Chindit expedition of World War II. METHOD: The PubMed database (1900-2017) and Google search engine were used to identify articles related to devoicing mules in the medical and veterinary literature, along with information and images on the Chindit expedition...
October 29, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30370872/studying-the-result-of-underlay-myringoplasty-using-platelet-rich-plasma
#18
S P S Yadav, J S Malik, P Malik, P K Sehgal, J S Gulia, R K Ranga
OBJECTIVE: Perforations of the tympanic membrane are treated with various surgical techniques and materials. This study aimed to determine the efficacy of platelet-rich plasma during underlay myringoplasty. METHODS: The study included 40 patients. Autologous platelet-rich plasma was applied in-between temporalis fascia graft and tympanic membrane remnant during underlay myringoplasty in group 1 (n = 20). The outcome was evaluated after three months and compared with group 2 (n = 20), a control group that underwent routine underlay tympanoplasty...
October 29, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30370871/plasma-levels-of-endothelial-cell-specific-molecule-1-and-pentraxin-3-in-idiopathic-sudden-sensorineural-hearing-loss
#19
F Gündoğan, A Bayram, M Kalkan, I Özcan
OBJECTIVES: To evaluate the plasma levels of endothelial cell-specific molecule-1 (ESM-1) and pentraxin-3 (PTX-3) in patients with idiopathic sudden sensorineural hearing loss, and to compare the pre- and post-treatment levels in patients responsive and non-responsive to therapy. METHODS: The study included 108 subjects: 51 with idiopathic sudden sensorineural hearing loss and 57 controls. For ESM-1 and PTX-3 analyses, blood samples were collected before and three months after treatment initiation in the idiopathic sudden sensorineural hearing loss group and once for the control group...
October 29, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/30353795/tinnitus-information-online-does-it-ring-true
#20
R M McKearney, R C MacKinnon, M Smith, R Baker
OBJECTIVE: To assess, using standardised tools, the quality and readability of online tinnitus information that patients are likely to access. METHODS: A standardised review was conducted of websites relating to tinnitus and its management. Each website was scored using the DISCERN instrument and the Flesch Reading Ease scale. RESULTS: Twenty-seven unique websites were evaluated. The mean DISCERN score of the websites was 34.5 out of 80 (standard deviation = 11...
October 24, 2018: Journal of Laryngology and Otology
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