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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/28631586/benign-positional-vertigo-and-endolymphatic-hydrops-what-is-the-connection
#1
A F Jahn
BACKGROUND: Although benign paroxysmal positional vertigo and endolymphatic hydrops are considered to be distinct diagnoses, a minority of vertiginous patients exhibit features of both conditions. This coincidence has been reported previously in the literature, and is reviewed here in terms of possible aetiology. RESULTS AND CONCLUSION: A new hypothesis to account for both conditions is offered, implicating free-floating degenerating debris from the otolithic apparatus...
June 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28625187/a-comparison-study-of-complications-and-initial-follow-up-costs-of-transcutaneous-and-percutaneous-bone-conduction-devices
#2
J Godbehere, S D Carr, J Moraleda, P Edwards, J Ray
BACKGROUND: The percutaneous osseointegrated bone conduction device can be associated with more soft tissue complications when compared to the magnetic transcutaneous osseointegrated bone conduction device. This study aimed to determine whether fewer soft tissue complications may result in the transcutaneous osseointegrated bone conduction device being a lower cost option in hearing rehabilitation. METHODS: This retrospective case note review included adult patients who underwent implantation with the transcutaneous Cochlear Attract (n = 22) or percutaneous Cochlear DermaLock (n = 25) bone-anchored hearing aids between September 2013 and December 2014...
June 19, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28625183/simultaneously-occurring-zenker-s-diverticulum-and-killian-jamieson-diverticulum-case-report-and-literature-review
#3
K E Stewart, D R K Smith, S L Woolley
BACKGROUND: Pharyngoesophageal diverticula have many subtypes, with Zenker's diverticulum being the most common. First described in 1983, a Killian-Jamieson diverticulum is an outpouching in the anterolateral wall at the pharyngoesophageal junction. This is located inferiorly to the cricopharyngeus muscle, unlike Zenker's diverticula which occur superiorly. Killian-Jamieson diverticula are rare and are commonly misdiagnosed as Zenker's diverticula. Less than 30 reports of Killian-Jamieson diverticula have been described in the literature...
June 19, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28625178/endoscopic-electrocautery-and-fibrin-obliteration-of-an-acutely-complicated-pyriform-fossa-sinus-tract-in-a-septuagenarian
#4
R Heyes, A G Aulakh, R K Lingam, T Tatla
BACKGROUND: Pyriform fossa sinus tracts classically present with neck abscess, recurrent infections and suppurative thyroiditis in children; acute presentation in a geriatric patient is rare. METHODS: Case report and Medline literature review. CASE REPORT: A 79-year-old female presented with a left-sided neck mass and severe odynophagia of 3 days' duration. Magnetic resonance imaging revealed a large-volume, loculated fluid collection extending throughout the deep spaces of the neck on the left, within and around the thyroid gland capsule...
June 19, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28597806/sinonasal-organised-haematoma-clinical-features-and-successful-application-of-modified-transnasal-endoscopic-medial-maxillectomy
#5
M Suzuki, Y Nakamura, S Ozaki, M Yokota, S Murakami
OBJECTIVE: Although organised haematoma often induces bone thinning and destruction similar to malignant diseases, the aetiology of organised haematoma and the optimal treatment remain unclear. This paper presents the clinical features of individuals with organised haematoma, and describes cases in which a novel modified approach was successfully applied for resection of organised haematoma in the maxillary sinus. METHOD: Pre-operative examination data were evaluated retrospectively...
June 9, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28595674/blunt-laryngeal-trauma-secondary-to-sporting-injuries
#6
D Mendis, J A Anderson
BACKGROUND: Laryngeal injury after blunt trauma is uncommon, but can cause catastrophic airway obstruction and significant morbidity in voice and airway function. This paper aims to discuss a case series of sports-related blunt laryngeal trauma patients and describe the results of a thorough literature review. METHOD: Retrospective case-based analysis of laryngeal trauma referrals over six years to a tertiary laryngology centre. RESULTS: Twenty-eight patients were identified; 13 (46 per cent) sustained sports-related trauma...
June 9, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28592347/management-of-the-thyroid-gland-during-laryngectomy
#7
S X Li, M A Polacco, B J Gosselin, L X Harrington, A J Titus, J A Paydarfar
OBJECTIVES: This study aimed to: describe the incidence of thyroid gland involvement in advanced laryngeal cancer, analyse patterns of spread to the thyroid and elucidate predictors of thyroid involvement. METHODS: A retrospective review was performed on patients who underwent laryngectomy from 1991 to 2015 as a primary or salvage treatment for squamous cell carcinoma of the larynx, hypopharynx or base of tongue. The incidence of thyroidectomy during total laryngectomy, type of thyroidectomy, incidence of gland involvement, route of spread, and positive predictors of spread were analysed and reported...
June 8, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28589872/did-the-croaky-voice-public-health-campaign-have-any-impact-on-the-stage-of-laryngeal-cancer-at-presentation-in-84-cases-from-the-humber-and-yorkshire-coast-cancer-network
#8
S G Mistry, J Jose, V Allgar
BACKGROUND: A public health campaign on laryngeal cancer was conducted in 2011 in the Humber and Yorkshire Coast Cancer Network. This study evaluated its subsequent impact (if any) upon the stage of laryngeal cancer at presentation. METHODS: Cases of laryngeal cancer diagnosed in the Humber and Yorkshire Coast Cancer Network from January 2009 to July 2014 were identified from cancer registries and were dichotomised into early (tumour stage T1-2) and late (T3-4) disease...
June 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28578716/univariate-and-multivariate-models-for-the-prediction-of-life-threatening-complications-in-586-cases-of-deep-neck-space-infections-retrospective-multi-institutional-study
#9
J Mejzlik, P Celakovsky, L Tucek, M Kotulek, A Vrbacky, P Matousek, L Stanikova, T Hoskova, A Pazs, P Mittu, V Chrobok
OBJECTIVE: To identify deep neck infection factors related to life-threatening complications. METHODS: This retrospective multi-institutional study comprised 586 patients treated for deep neck infections between 2002 and 2012. The statistical significance of variables associated with life-threatening complications of deep neck infections was assessed. RESULTS: During treatment, life-threatening complications occurred in 60 out of 586 cases...
June 5, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28578713/delayed-onset-haematoma-formation-after-cochlear-implantation
#10
W-K Low, S Xu
OBJECTIVE: This paper presents our experience on delayed-onset haematoma formation after cochlear implantation, a topic which has not been well discussed in the literature. METHOD: Retrospective case review study. RESULTS: Five children who had undergone cochlear implant surgery at 1.5 to 4 years of age (median, 2.5 years) were studied. The haematoma episodes occurred 2-12 years (median, 6 years) after cochlear implantation. Two patients had recurrent episodes...
June 5, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28566097/bony-cochlear-nerve-canal-and-internal-auditory-canal-measures-predict-cochlear-nerve-status
#11
E Tahir, M D Bajin, G Atay, B Ö Mocan, L Sennaroğlu
OBJECTIVES: The bony cochlear nerve canal is the space between the fundus of the internal auditory canal and the base of the cochlear modiolus that carries cochlear nerve fibres. This study aimed to determine the distribution of bony labyrinth anomalies and cochlear nerve anomalies in patients with bony cochlear nerve canal and internal auditory canal atresia and stenosis, and then to compare the diameter of the bony cochlear nerve canal and internal auditory canal with cochlear nerve status...
June 1, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28535837/choroidal-thickness-evaluation-in-paediatric-patients-with-adenotonsillar-hypertrophy
#12
A Yenigun, A Elbay, A M Hafiz, O Ozturan
OBJECTIVE: To investigate choroidal thickness using enhanced-depth imaging optical coherence tomography in paediatric patients with adenotonsillar hypertrophy, with comparison to healthy children, three months after adenotonsillectomy. METHODS: The patients were assigned to three groups: an adenotonsillar hypertrophy group, an adenotonsillectomy group and a healthy control group. In all groups, subfoveal, temporal and nasal choroidal thickness measurements were taken...
May 24, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28534455/effect-of-modern-surgical-treatment-on-the-inflammatory-anti-inflammatory-balance-in-patients-with-obstructive-sleep-apnoea
#13
M Binar, T M Akcam, O Karakoc, R I Sagkan, U Musabak, M Gerek
OBJECTIVE: To investigate the inflammatory/anti-inflammatory cytokine balance - T helper 1/T helper 2 ratios - in obstructive sleep apnoea patients, before and after treatment. METHODS: Twenty-eight patients received continuous positive airway pressure treatment and 29 patients who could not tolerate continuous positive airway pressure were scheduled for surgery. Serum levels of interleukins 2, 4 and 10, tumour necrosis factor-alpha, and interferon gamma were analysed by enzyme-linked immunosorbent assays before and three months after treatment...
May 23, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28532527/how-i-do-it-underwater-endoscopic-ear-surgery-for-plugging-in-superior-canal-dehiscence-syndrome
#14
D Yamauchi, Y Hara, H Hidaka, T Kawase, Y Katori
BACKGROUND: Underwater endoscopic ear surgery does not require suction and so protects the inner ear from unexpected aeration that may damage its function in the treatment of labyrinthine fistula. A method of underwater endoscopic ear surgery is proposed for the treatment of superior canal dehiscence. METHODS: Underwater endoscopic ear surgery was performed for plugging of the superior semicircular canal through the transmastoid approach. Saline solution was infused into the mastoid cavity through an Endo-Scrub Lens Cleaning Sheath...
May 23, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28532519/a-case-of-severe-obstructive-sleep-apnoea-in-madelung-s-disease-treated-by-lateral-pharyngoplasty
#15
V Pinto, P G Morselli, D Tassone, O Piccin
BACKGROUND: Madelung's disease is a rare disorder characterised by the presence of multiple, symmetric, non-capsulated fat masses in the face, neck and other areas of upper extremities. In some cases, severe clinical complications such as upper airway compression can occur. CASE REPORT: A 56-year-old man affected by Madelung's disease complained of snoring and severe daytime sleepiness. Polysomnography revealed severe obstructive sleep apnoea. An attempt to treat sleep apnoea by continuous positive airway pressure failed because of poor compliance...
May 23, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28502256/survival-outcomes-following-salvage-surgery-for-oropharyngeal-squamous-cell-carcinoma-systematic-review
#16
S S-T Kao, E H Ooi
BACKGROUND: Recurrent oropharyngeal squamous cell carcinoma causes great morbidity and mortality. This systematic review analyses survival outcomes following salvage surgery for recurrent oropharyngeal squamous cell carcinoma. METHODS: A comprehensive search of various electronic databases was conducted. Studies included patients with recurrent or residual oropharyngeal squamous cell carcinoma treated with salvage surgery. Primary outcomes were survival rates following salvage surgery...
May 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28490396/prognostic-factors-for-therapeutic-sialendoscopy
#17
D Cox, L Chan, D Veivers
OBJECTIVE: To review our experience with therapeutic sialendoscopy in both the submandibular and parotid glands in order to determine prognostic factors and improve successful outcomes. STUDY DESIGN: Single-centre, retrospective chart review. METHOD: The medical records of patients who had undergone sialendoscopy for sialolithiasis were reviewed, and demographic details, stone data (location, size, multiplicity, mobility), and operative technique and success were recorded...
May 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28480836/a-comparison-of-oncological-outcomes-between-transoral-surgical-and-non-surgical-treatment-protocols-in-the-management-of-oropharyngeal-squamous-cell-carcinoma
#18
S S Kao, J Micklem, E Ofo, S Edwards, D Dhatrak, A Foreman, S Krishnan, J-C Hodge
BACKGROUND: The incidence of oropharyngeal squamous cell carcinoma in the Western world is increasing, with the human papillomavirus epidemic implicated in this observed trend. The optimal treatment modality is yet undetermined regarding oncological outcomes. METHODS: This study comprised 98 patients with oropharyngeal squamous cell carcinoma, treated with either primary transoral surgery with adjuvant therapy or primary chemoradiotherapy with curative intent, between 2008 and 2012...
May 8, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28462766/vocal-fold-paresis-a-debilitating-and-underdiagnosed-condition
#19
G Harris, C O'Meara, C Pemberton, J Rough, P Darveniza, S Tisch, I Cole
OBJECTIVES: To review the clinical signs of vocal fold paresis on laryngeal videostroboscopy, to quantify its impact on patients' quality of life and to confirm the benefit of laryngeal electromyography in its diagnosis. METHODS: Twenty-nine vocal fold paresis patients were referred for laryngeal electromyography. Voice Handicap Index 10 results were compared to 43 patients diagnosed with vocal fold paralysis. Laryngeal videostroboscopy analysis was conducted to determine side of paresis...
May 2, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28446264/hacettepe-cartilage-slicer-a-novel-cartilage-slicer-and-its-performance-test-results
#20
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
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