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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/28446264/hacettepe-cartilage-slicer-a-novel-cartilage-slicer-and-its-performance-test-results
#1
O Ergun, M D Bajin, M F Sargon, L Sennaroglu
OBJECTIVE: This study investigated the performance of a cartilage slicer device referred to as the 'Hacettepe cartilage slicer'. METHODS: Forty-one cartilage pieces were harvested from eight fresh frozen human ears and measured in thickness with a digital micrometer. These pieces were randomly sliced using four different thickness settings and two different types of blades. The thicknesses of the slices and remaining pieces were measured also. Scanning electron microscopy was utilised to determine the surface smoothness of the slices...
April 27, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28424103/olfactory-disturbances-in-ageing-with-and-without-dementia-towards-new-diagnostic-tools
#2
A Gros, V Manera, C A De March, N Guevara, A König, L Friedman, P Robert, J Golebiowski, R David
BACKGROUND: Olfactory disorders increase with age and often affect elderly people who have pre-dementia or dementia. Despite the frequent occurrence of olfactory changes at the early stages of neurodegenerative disorders such as Alzheimer's disease, olfactory disorders are rarely assessed in daily clinical practice, mainly due to a lack of standardised assessment tools. The aims of this review were to (1) summarise the existing literature on olfactory disorders in ageing populations and patients with neurodegenerative disorders; (2) present the strengths and weaknesses of current olfactory disorder assessment tools; and (3) discuss the benefits of developing specific olfactory tests for neurodegenerative diseases...
April 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28424100/out-patient-flexible-carbon-dioxide-laser-surgery-for-benign-laryngopharyngeal-pathologies-via-transnasal-flexible-laryngo-oesophagoscopy
#3
H Mohammed, L Masterson, R Nassif
OBJECTIVE: To assess the feasibility and outcomes of flexible carbon dioxide laser surgery in a clinic-based setting. METHODS: A prospective study was conducted in a tertiary centre. Clinical indications, clinical outcomes and patient satisfaction were assessed in patients treated with flexible carbon dioxide laser surgery via transnasal endoscopy and followed up over a period of up to nine months. Patients who were not fit for general anaesthesia or those with lesions that cannot be accessed by micro-laryngoscopy were included...
April 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28424099/influence-of-opacification-in-the-frontal-recess-on-frontal-sinusitis
#4
K Hashimoto, K Tsuzuki, K Okazaki, M Sakagami
OBJECTIVES: This study aimed to radiologically evaluate the influence of inflammatory changes in frontal recess cells on frontal sinusitis. METHODS: A total of 93 patients (186 sides) who underwent primary sinonasal surgery at Hyogo College of Medicine were enrolled in 2015 and 2016. Opacification of agger nasi, fronto-ethmoidal, ethmoid bulla, suprabullar and frontal bulla cells was determined by pre-operative computed tomography and its influence on frontal sinusitis was investigated...
April 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28412992/acute-otitis-media-associated-bilateral-sudden-hearing-loss-case-report-and-literature-review
#5
A Smith, I Gutteridge, D Elliott, M Cronin
BACKGROUND: Sudden sensorineural hearing loss is a rare otological condition with potential for dire outcomes including permanent hearing loss. Although the majority of cases are deemed idiopathic, bilateral sudden sensorineural hearing loss represents a rare subset typically related to systemic conditions, with higher morbidity and mortality. A controversial association with acute otitis media has been reported, with few bilateral cases published in the literature. CASE REPORT: A very rare case of bilateral sudden sensorineural hearing loss associated with acute otitis media is described, with a review of the literature...
April 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28412985/active-surveillance-management-of-head-and-neck-paragangliomas-case-series-and-review-of-the-literature
#6
L Harrison, R Corbridge
BACKGROUND: Head and neck paragangliomas are rare. They are usually slow-growing, benign, non-catecholamine secreting tumours, traditionally treated with surgical excision. Complications of surgical excision include lower cranial nerve palsies, stroke and death. METHOD: A retrospective case note analysis was conducted of patients with head and neck paragangliomas treated with a watch-and-scan policy from March 2003 to September 2015, and the relevant literature was reviewed...
April 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28412984/facial-carbuncle-a-new-method-of-conservative-surgical-management-plus-irrigation-with-antibiotic-containing-solution
#7
L X Ngui, L S Wong, G Shashi, M N Abu Bakar
OBJECTIVE: This paper reports on a non-conventional method for the management of facial carbuncles, highlighting its superiority over conventional surgical treatment in terms of cosmetic outcome and shorter duration of wound healing. BACKGROUND: The mainstay of treatment for carbuncles involves the early administration of antibiotics in combination with surgical intervention. The conventional saucerisation, or incision and drainage, under normal circumstances results in moderate to large wounds, which may need secondary surgery such as skin grafting, resulting in a longer duration of wound healing and jeopardising cosmetic outcome...
April 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28412983/piezoelectric-technology-in-otolaryngology-and-head-and-neck-surgery-a-review
#8
C Meller, T E Havas
BACKGROUND: Piezoelectric technology has existed for many years as a surgical tool for precise removal of soft tissue and bone. The existing literature regarding its use specifically for otolaryngology, and head and neck surgery was reviewed. METHODS: The databases Medline, the Cochrane Central Register of Controlled Trials, PubMed, Embase and Cambridge Scientific Abstracts were searched. Studies were selected and reviewed based on relevance. RESULTS: Sixty studies were identified and examined for evidence of benefits and disadvantages of piezoelectric surgery and its application in otolaryngology...
April 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28393742/experience-is-more-important-than-technology-in-paediatric-post-tonsillectomy-bleeding
#9
A D Hinton-Bayre, K Noonan, S Ling, S Vijayasekaran
BACKGROUND: Paediatric tonsillectomy is a common procedure and one of the first skills acquired by surgical trainees. Post-tonsillectomy bleeding is one of the most significant complications. This study examined post-tonsillectomy bleed rates associated with technology and level of surgical experience. METHODS: Data were collected on all tonsillectomies performed by surgical consultants (n = 6) and trainees (n = 10) at affiliated hospitals over a nine-month period...
April 10, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28367790/transoral-laser-resection-or-radiotherapy-patient-choice-in-the-treatment-of-early-laryngeal-cancer-a-prospective-observational-cohort-study
#10
T Zahoor, R Dawson, M Sen, Z Makura
OBJECTIVES: The choices made by patients offered treatment for early laryngeal cancer with radiotherapy or transoral laser resection were reviewed. METHODS: A prospective review was conducted of all patients diagnosed and treated for early laryngeal carcinoma from December 2002 to September 2009 at the Leeds Teaching Hospitals NHS Trust. A total of 209 patients with tumour stage T1 or T2 laryngeal cancer were treated; each new patient suitable for radiotherapy or transoral laser resection was seen jointly by the clinical (radiation) oncologist and head and neck surgeon, and offered the choice of treatment...
April 3, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28367769/the-role-of-race-in-thyroid-cancer-systematic-review
#11
E Keane, E C Francis, É Ó Catháin, H Rowley
BACKGROUND: The incidence of thyroid cancer is increasing. There is conflicting evidence as to why. However, studies suggest that it is not an apparent increase resulting from enhanced diagnostic practices, but a true increase with more affected patients. This study aimed to assess racial variation in thyroid cancer. METHOD: A narrative systematic review of the literature was conducted. RESULTS: Eight retrospective cohort studies were identified, comprising 611 777 adult patients...
April 3, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28366182/first-results-of-frontal-sinus-obliteration-with-a-synthetic-resorbable-and-osteoconductive-bone-graft-of-%C3%A3-tricalcium-phosphate
#12
M Andratschke, H Hagedorn
BACKGROUND: Despite advances in endoscopic sinus surgery, frontal sinus obliteration is still indicated in some cases. Current options for obliteration include autologous and synthetic materials. The use of ß-tricalcium phosphate as a resorbable bone graft substitute is a good alternative for frontal sinus obliteration. This study aimed to report our experience with this material. METHODS: A retrospective chart review of patients who underwent frontal sinus obliteration at our clinic between 2008 and 2013 was performed...
April 3, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28357966/a-randomised-controlled-study-of-mindfulness-meditation-versus-relaxation-therapy-in-the-management-of-tinnitus
#13
M Arif, M Sadlier, D Rajenderkumar, J James, T Tahir
OBJECTIVE: Psychotherapeutic interventions have been adopted effectively in the management of tinnitus for a long time. This study compared mindfulness meditation and relaxation therapy for management of tinnitus. METHODS: In this randomised controlled trial, patients were recruited for five sessions of mindfulness meditation or five sessions of relaxation therapy. Patients' responses were evaluated using the Tinnitus Reaction Questionnaire as a primary outcome measure, and the Hospital Anxiety and Depression Scale, visual analogue scale and a health status indicator as secondary outcome measures...
March 30, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28345505/international-recognition-of-the-chronic-otitis-media-questionnaire-12
#14
S I Kosyakov, J V Minavnina, J S Phillips, M W Yung
OBJECTIVE: The Chronic Otitis Media Questionnaire 12 was developed initially in the UK to assess patient-reported health-related quality of life associated with chronic otitis media. This study aimed to determine whether this tool is applicable to the Russian population, which has a materially different healthcare system. METHOD: A total of 108 patients with different forms of chronic otitis media completed the Russian Chronic Otitis Media Questionnaire 12. RESULTS: The average Russian Chronic Otitis Media Questionnaire 12 score was 19...
March 27, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28330521/can-trainees-design-and-deliver-a-national-audit-of-epistaxis-management-a-pilot-of-a-secure-web-based-audit-tool-and-research-trainee-collaboratives
#15
N Mehta, R J Williams, M E Smith, A Hall, J C Hardman, L Cheung, M P Ellis, J M Fussey, R Lakhani, O McLaren, P C Nankivell, N Sharma, W Yeung, S Carrie, C Hopkins
OBJECTIVE: To investigate the feasibility of a national audit of epistaxis management led and delivered by a multi-region trainee collaborative using a web-based interface to capture patient data. METHODS: Six trainee collaboratives across England nominated one site each and worked together to carry out this pilot. An encrypted data capture tool was adapted and installed within the infrastructure of a university secure server. Site-lead feedback was assessed through questionnaires...
March 23, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28325172/travelling-for-treatment-does-distance-and-deprivation-affect-travel-for-intensity-modulated-radiotherapy-in-the-rural-setting-for-head-and-neck-cancer
#16
B Cosway, L Douglas, N Armstrong, A Robson
OBJECTIVE: NHS England has commissioned intensity-modulated radiotherapy for head and neck cancers from Newcastle hospitals for patients in North Cumbria. This study assessed whether travel distances affected the decision to travel to Newcastle (to receive intensity-modulated radiotherapy) or Carlisle (to receive conformal radiotherapy). METHODS: All patients for whom the multidisciplinary team recommended intensity-modulated radiotherapy between December 2013 and January 2016 were included...
March 22, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28325168/impact-of-pharyngofixation-in-cleft-palate-repair-surgery-on-the-development-of-chronic-adhesive-otitis-media
#17
L Otruba, P Schalek, Z Hornáčková
BACKGROUND: A significant percentage of children with cleft palate suffer from otitis media with effusion and its consequences, such as deafness, chronic adhesive otitis and cholesteatoma. This study aimed to determine whether these effects can be minimised by selecting pharyngofixation as the surgical technique for cleft palate correction. METHODS: A retrospective study was performed of 155 patients (308 ears) who underwent surgery from age 5 months to 8 years and were followed up for 36-84 months...
March 22, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28318477/importance-of-a-dedicated-neuroradiologist-in-reporting-high-resolution-computed-tomography-for-otosclerosis-a-retrospective-comparison-study-of-40-patients
#18
H Kanona, I Rana, C Offiah, N Patel
OBJECTIVES: This study aimed to compare the reporting of high-resolution computed tomography of temporal bones for otosclerosis by general radiologists and a neuroradiologist within a local National Health Service Trust. METHODS: A retrospective case review of 36 high-resolution temporal bone computed tomography images obtained between 2008 and 2015 from 40 otosclerosis patients (surgically confirmed) was performed in a district general hospital setting. The main outcome measures were correct identification of otosclerosis by high-resolution computed tomography and adherence to the petrous temporal bone imaging protocol...
March 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28318475/impact-of-the-nature-of-the-temporalis-fascia-graft-on-the-outcome-of-type-i-underlay-tympanoplasty
#19
Z Jiang, Z Lou
OBJECTIVES: Temporalis fascia has become the most widely used graft for tympanoplasty, as it is strong, durable, and easy to procure and handle. However, the type of temporalis fascia graft to use (i.e. dry or wet) remains controversial. The present review aimed to evaluate the success rates of dry and wet temporalis fascia grafts in type I underlay tympanoplasty. METHODS: A literature search was performed, using PubMed up to August 2016, to identify all studies of dry and wet temporalis fascia grafts in type I underlay tympanoplasty...
March 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28318453/helicobacter-pylori-in-the-tonsillar-tissue-a-possible-association-with-chronic-tonsillitis-and-laryngopharyngeal-reflux
#20
N Siupsinskiene, I Katutiene, V Jonikiene, D Janciauskas, S Vaitkus
OBJECTIVE: To identify Helicobacter pylori infection in tonsillar tissue samples from patients undergoing tonsillectomy for chronic tonsillitis versus tonsillar hypertrophy, and to assess the possible relationships between H pylori and patients' sociodemographic data and laryngopharyngeal reflux. METHODS: In this prospective study, 97 patients who underwent tonsillectomy were divided into the following 2 groups: patients with chronic tonsillitis (n = 62) and patients with tonsillar hypertrophy (control group; n = 35)...
March 20, 2017: Journal of Laryngology and Otology
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