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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/28918759/ultrasonic-bone-aspirator-use-in-endoscopic-ear-surgery-feasibility-and-safety-assessed-using-cadaveric-temporal-bones
#1
E G Gardner, J Sappington, M A Arriaga, S P Kanotra
OBJECTIVES: To describe the feasibility and assess the safety of using an ultrasonic bone aspirator in endoscopic ear surgery. METHODS: Five temporal bones were dissected via endoscopic ear surgery using a Sonopet ultrasonic bone aspirator. Atticoantrostomy was undertaken. Another four bones were dissected using routine endoscopic equipment and standard bone curettes in a similar manner. Feasibility and safety were assessed in terms of: dissection time, atticoantrostomy adequacy, tympanomeatal flap damage, chorda tympani nerve injury, ossicular injury, ossicular chain disruption, facial nerve exposure and dural injury...
September 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28918756/editorial
#2
Roland Hettige, Claire Hopkins
No abstract text is available yet for this article.
September 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28901282/antihistamines-for-treating-rhinosinusitis-systematic-review-and-meta-analysis-of-randomised-controlled-studies
#3
K Seresirikachorn, L Khattiyawittayakun, W Chitsuthipakorn, K Snidvongs
BACKGROUND: Without the release of histamines, patients with rhinosinusitis may not benefit from antihistamines. Additionally, anticholinergic effects may do more harm than good. This study aimed to investigate the effectiveness of antihistamines in treating rhinosinusitis. METHODS: An electronic search was performed. Randomised controlled trials comparing antihistamines with either placebo or other treatments for patients with rhinosinusitis were selected. RESULTS: Two studies (184 patients) met the inclusion criteria...
September 13, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28893326/the-effects-of-nasal-lavage-with-betamethasone-cream-post-endoscopic-sinus-surgery-clinical-trial
#4
B Dawson, I Gutteridge, A Cervin, D Robinson
BACKGROUND: Steroid nasal irrigation for chronic rhinosinusitis patients following endoscopic sinus surgery reduces symptom recurrence. There are minimal safety data to recommend this treatment. This study evaluated the safety of betamethasone nasal irrigation by measuring its impact on endogenous cortisol levels. METHODS: Participants performed daily betamethasone nasal irrigation for six weeks. The impact on pre- and post-intervention serum and 24-hour urinary free cortisol was assessed...
September 12, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28891461/direct-cost-comparison-of-totally-endoscopic-versus-open-ear-surgery
#5
N Patel, A Mohammadi, N Jufas
OBJECTIVE: Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease. This study aimed to test the null hypothesis that open and endoscopic approaches have similar direct costs for the management of attic cholesteatoma, from an Australian private hospital setting. METHODS: A retrospective direct cost comparison of totally endoscopic ear surgery and traditional canal wall up mastoidectomy for the management of attic cholesteatoma in a private tertiary setting was undertaken...
September 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28879826/management-of-paediatric-acute-mastoiditis-systematic-review
#6
R Loh, M Phua, C-K L Shaw
BACKGROUND: Acute mastoiditis remains the commonest intratemporal complication of otitis media in the paediatric population. There has been a lack of consensus regarding the diagnosis and management of acute mastoiditis, resulting in considerable disparity in conservative and surgical management. OBJECTIVES: To review the current literature, proposing recommendations for the management of paediatric acute mastoiditis and appraising the treatment outcomes. METHOD: A systematic review was conducted using PubMed, Web of Science and Cochrane Library databases...
September 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28877768/are-questionnaires-reliable-in-diagnosing-sleep-disordered-breathing-in-university-students
#7
E Migacz, A Wichniak, W Kukwa
OBJECTIVE: This study aimed to screen young adults for sleep-disordered breathing, and compare those with high and low risk for sleep-disordered breathing. METHODS: A survey based on the Berlin questionnaire was completed by 330 university students, and the results were used to divide them into sleep-disordered breathing positive and sleep-disordered breathing negative groups. A representative group was selected from each cohort (positive group, n = 16; negative group, n = 21), and assessed with sleep study, ENT examination, the Nose Obstruction Symptom Evaluation scale, and the Epworth Sleepiness Scale...
September 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28874221/the-relationship-between-tinnitus-pitch-and-parameters-of-audiometry-and-distortion-product-otoacoustic-emissions
#8
H Keppler, S Degeest, I Dhooge
OBJECTIVES: Chronic tinnitus is associated with reduced auditory input, which results in changes in the central auditory system. This study aimed to examine the relationship between tinnitus pitch and parameters of audiometry and distortion product otoacoustic emissions. For audiometry, the parameters represented the edge frequency of hearing loss, the frequency of maximum hearing loss and the frequency range of hearing loss. For distortion product otoacoustic emissions, the parameters were the frequency of lowest distortion product otoacoustic emission amplitudes and the frequency range of reduced distortion product otoacoustic emissions...
September 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28874217/impact-of-pre-operative-serum-25-hydroxyvitamin-d-on-post-operative-serum-calcium-in-patients-undergoing-total-thyroidectomy-for-benign-goitre-retrospective-study-of-246-patients
#9
M Erlem, N Klopp-Dutote, A Biet-Hornstein, V Strunski, C Page
OBJECTIVE: To determine whether pre-operative serum 25-hydroxyvitamin D has an impact on post-operative parathyroid hormone and serum calcium levels in patients undergoing total thyroidectomy for benign goitre. METHODS: This single-centre, retrospective study comprised 246 unselected surgical patients who had undergone total thyroidectomy for bilateral, benign, multinodular goitre. The correlation between pre-operative serum 25-hydroxyvitamin D and post-operative serum parathyroid hormone and serum calcium was studied to determine whether low pre-operative serum 25-hydroxyvitamin D was predictive of post-operative hypocalcaemia...
September 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28874214/a-histopathological-connection-between-a-fatal-endolymphatic-sac-tumour-and-von-hippel-lindau-disease-from-1960
#10
J A Bellairs, M B Gluth
OBJECTIVE: To highlight a case from 1960 connecting endolymphatic sac tumour and von Hippel-Lindau disease. CASE REPORT: In 1960, a 24-year-old woman presented with unilateral hearing loss, pulsatile tinnitus and a mass visible on otoscopy. The patient underwent surgical biopsy, which was complicated by haemorrhage, and ultimately resulted in death. At autopsy, a destructive temporal bone neoplasm with cystic and papillary architecture was observed that had eroded into the otic capsule...
September 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28874211/audiological-outcome-of-stapes-surgery-for-far-advanced-cochlear-otosclerosis
#11
C Heining, R Banga, R Irving, C Coulson, P Monksfield
BACKGROUND: Patients with advanced otosclerosis can present with hearing thresholds eligible for cochlear implantation. This study sought to address whether stapes surgery in this patient group provides a clinically significant audiological benefit. OBJECTIVES: To assess pre- and post-operative hearing outcomes of patients with advanced otosclerosis, and to determine what proportion of these patients required further surgery including cochlear implantation. METHODS: Between 2002 and 2015, 252 patients underwent primary stapes surgery at our institution...
September 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28874208/throat-swabs-have-no-influence-on-the-management-of-patients-with-sore-throats
#12
L Cheung, V Pattni, P Peacock, S Sood, D Gupta
BACKGROUND: Throat swabs are neither specific nor sensitive for micro-bacteria causing sore throat symptoms; however, current guidelines suggest they are still useful in some cases. METHOD: Retrospective and prospective analyses were conducted of throat swabs requested within the months of January 2016 and August 2016, respectively. RESULTS: The study comprised 247 patients. Fifty-nine (24 per cent) had a positive culture. Forty-six grew group A beta-haemolytic streptococci, with the remainder growing candida (n = 10), coliform (n = 1) and klebsiella (n = 2)...
September 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28870268/multi-level-obstruction-in-obstructive-sleep-apnoea-prevalence-severity-and-predictive-factors
#13
C Q Phua, W X Yeo, C Su, P K H Mok
OBJECTIVES: To characterise multi-level obstruction in terms of prevalence, obstructive sleep apnoea severity and predictive factors, and to collect epidemiological data on upper airway morphology in obstructive sleep apnoea patients. METHODS: Retrospective review of 250 obstructive sleep apnoea patients. RESULTS: On clinical examination, 171 patients (68.4 per cent) had multi-level obstruction, 49 (19.6 per cent) had single-level obstruction and 30 (12 per cent) showed no obstruction...
September 5, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28807088/posterior-translacrimal-approach-to-the-maxillary-sinus
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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