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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/28724461/tuberculous-otitis-media-a-resurgence
#1
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
#2
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
#3
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
#4
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
https://www.readbyqxmd.com/read/28716164/collagen-matrix-as-an-inlay-in-endoscopic-skull-base-reconstruction
#5
G M Oakley, J M Christensen, M Winder, B P Jonker, A Davidson, T Steel, C Teo, R J Harvey
BACKGROUND: Multi-layer reconstruction has become standard in endoscopic skull base surgery. The inlay component used can vary among autografts, allografts, xenografts and synthetics, primarily based on surgeon preference. The short- and long-term outcomes of collagen matrix in skull base reconstruction are described. METHODS: A case series of patients who underwent endoscopic skull base reconstruction with collagen matrix inlay were assessed. Immediate peri-operative outcomes (cerebrospinal fluid leak, meningitis, ventriculitis, intracranial bleeding, epistaxis, seizures) and delayed complications (delayed healing, meningoencephalocele, prolapse of reconstruction, delayed cerebrospinal fluid leak, ascending meningitis) were examined...
July 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28716161/post-adenoidectomy-quality-of-life-in-children-with-refractory-chronic-rhinosinusitis
#6
V Bettadahalli, A Chakravarti
OBJECTIVE: This study aimed to evaluate post-adenoidectomy quality of life in children with refractory chronic rhinosinusitis. METHODS: A prospective interventional study of children aged 4-12 years with chronic refractory rhinosinusitis was conducted. A total of 60 children completed follow up. Nasal endoscopy and non-contrast computed tomography of the paranasal sinuses were performed, and both symptoms and their effects on patient quality of life pre- and post-adenoidectomy were evaluated...
July 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28714431/effectiveness-of-patching-traumatic-eardrum-perforations-with-lens-cleaning-paper-via-an-otoscope
#7
K Yan, M Lv, E Xu, F Fan, Y Lei, W Liu, X Yu, N Li, L Shi
OBJECTIVE: To study the clinical effect of lens cleaning paper patching on traumatic eardrum perforations. METHODS: A total of 122 patients were divided into 2 groups, of which 56 patients were treated with lens cleaning paper patching and 66 acted as controls. The closure rate and healing time were compared between the two groups. RESULTS: The healing rate of small perforations was 96.4 per cent (27 out of 28) in the patching group and 90 per cent (27 out of 30) in the control group...
July 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28714430/laparoscopic-instrument-use-in-laryngeal-surgery-transoral-resection-of-a-supraglottic-haemangioma
#8
R Bannon, R Gohil, J Manickavasagam
BACKGROUND: Adult laryngeal haemangiomas are rare vascular tumours that have been managed by a variety of surgical techniques. METHODS: This paper describes a case of near-fatal acute airway obstruction secondary to such a lesion, followed by our approach to surgical resection using a laparoscopic bipolar tissue-sealing device. RESULTS: This technique resulted in successful excision of the lesion, with no evidence of recurrence at one year of follow up...
July 17, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28693661/bacterial-strain-changes-during-chronic-otitis-media-surgery
#9
G J Kim, S Yoo, S Han, J Bu, Y Hong, D-K Kim
OBJECTIVE: Cultures obtained from pre-operative middle-ear swabs from patients with chronic otitis media have traditionally been used to guide antibiotic selection. This study investigated changes in the bacterial strains of the middle ear during chronic otitis media surgery. METHODS: Pre-operative bacterial cultures of otorrhoea, and peri-operative cultures of the granulation tissue in either the middle ear or mastoid cavity, were obtained. Post-operative cultures were selectively obtained when otorrhoea developed after surgery...
July 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28693628/optimising-the-use-of-otowicks-in-otitis-externa
#10
S Bola, M Rashid, S Hickey
OBJECTIVE: Otowicks are used to treat otitis externa with significant ear canal oedema. This study investigates how well drops penetrate through to reach the deep canal and whether it is safe to leave otowicks in the canal for more than 2 days. METHODS: Sterile otowicks were inserted into mock ear canals and vertically over pseudomonas-seeded agar plates whilst gentamicin or ciprofloxacin drops were administered. The time taken for drops to penetrate through the otowick was recorded...
July 11, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683848/role-of-local-allergic-inflammation-and-staphylococcus-aureus-enterotoxins-in-chinese-patients-with-chronic-rhinosinusitis-with-nasal-polyps
#11
K-J Cheng, Y-Y Xu, M-L Zhou, S-H Zhou, S-Q Wang
OBJECTIVE: To investigate the role of local allergic inflammation and Staphylococcus aureus enterotoxins in chronic rhinosinusitis with nasal polyps. METHODS: This study included 36 patients with chronic rhinosinusitis with nasal polyps and 18 controls. Total immunoglobulin E, eosinophil cationic protein, staphylococcal enterotoxin types A and B specific immunoglobulin E, staphylococcal enterotoxin types A and B, and myeloperoxidase levels were determined. RESULTS: Four patients with chronic rhinosinusitis with nasal polyps had a local allergy...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683847/paediatric-orbital-cellulitis-and-the-relationship-to-underlying-sinonasal-anatomy-on-computed-tomography
#12
R A Crosbie, W A Clement, H Kubba
OBJECTIVE: To assess if there is an association between sinonasal anatomical variants and the risk of developing orbital cellulitis and associated complications, in children. METHODS: A retrospective case-control series was conducted, examining computed tomography confirmed sinonasal anatomical variants of septal deviation and concha bullosa in children who presented with periorbital cellulitis who went on to develop orbital cellulitis and abscesses. RESULTS: Thirty children had a Chandler score of 2 or greater on computed tomography...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683845/co-phenylcaine-spray-can-we-improve-the-taste-a-randomised-double-blind-crossover-study
#13
S Bailey, B Panizza, P Cabot, B Wallwork
OBJECTIVE: Co-Phenylcaine Forte is a nasal spray routinely prescribed by otolaryngologists in Australia. The taste of Co-Phenylcaine Forte is typically described as unpleasant. This study sought to improve the overall patient experience associated with Co-Phenylcaine Forte by generating a Co-Phenylcaine Forte formulation, referred to as Co-Phenylcaine Zest, which contains an added vanilla flavour and masking agent. METHODS: Participants were randomised to receive two actuations of Co-Phenylcaine Forte in each nostril followed by two actuations of Co-Phenylcaine Zest, or vice versa...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683842/using-3-tesla-magnetic-resonance-imaging-in-the-pre-operative-evaluation-of-tongue-carcinoma
#14
K F Moreno, R S Cornelius, F V Lucas, J Meinzen-Derr, Y J Patil
OBJECTIVE: This study aimed to evaluate the role of 3 Tesla magnetic resonance imaging in predicting tongue tumour thickness via direct and reconstructed measures, and their correlations with corresponding histological measures, nodal metastasis and extracapsular spread. METHODS: A prospective study was conducted of 25 patients with histologically proven squamous cell carcinoma of the tongue and pre-operative 3 Tesla magnetic resonance imaging from 2009 to 2012...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683841/variable-expression-of-molecular-markers-in-juvenile-nasopharyngeal-angiofibroma
#15
A Mishra, A Pandey, S C Mishra
BACKGROUND: Molecular categorisation may explain the wide variation in the clinical characteristics of juvenile nasopharyngeal angiofibroma. METHODS: Variations in molecular markers in juvenile nasopharyngeal angiofibroma in an Indian population were investigated and compared with global reports. RESULTS: Variable molecular marker expression was demonstrated at the regional and global levels. A wide variation in molecular characteristics is evident...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28683839/solitary-fibrous-tumour-of-the-tongue-a-series-of-four-cases
#16
M M Dungarwalla, A W Barrett, A Gulati
BACKGROUND: Solitary fibrous tumour is a soft tissue tumour of mesenchymal origin. It was first described in the pleura and has since been reported in many anatomical locations. Thirteen cases in the tongue have hitherto been reported. A positive CD34 result has traditionally been used to confirm the diagnosis, although this is often non-specific to solitary fibrous tumour. To date, nuclear STAT6 expression has not been reported in solitary fibrous tumour of the tongue. METHOD: This paper presents a further four cases of solitary fibrous tumour of the tongue, the largest series to date...
July 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28679461/cost-analysis-of-injection-laryngoplasty-performed-under-local-anaesthesia-versus-general-anaesthesia-an-australian-perspective
#17
D Chandran, C M Woods, M Schar, N Ma, E H Ooi, T Athanasiadis
OBJECTIVE: To conduct a cost analysis of injection laryngoplasty performed in the operating theatre under local anaesthesia and general anaesthesia. METHODS: The retrospective study included patients who had undergone injection laryngoplasty as day cases between July 2013 and March 2016. Cost data were obtained, along with patient demographics, anaesthetic details, type of injectant, American Society of Anesthesiologists score, length of stay, total operating theatre time and surgeon procedure time...
July 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28677515/metastatic-cutaneous-squamous-cell-carcinoma-of-the-parotid-gland-prognostic-factors
#18
A C Coombs, A Butler, R Allison
BACKGROUND: Metastatic cutaneous squamous cell carcinoma is the most common parotid malignancy in Australasia. Prognostic indicators are not clearly defined and the extent of surgical resection required is controversial. METHODS: A retrospective analysis was conducted of 63 patients who underwent surgery for metastatic cutaneous squamous cell carcinoma of the parotid gland at a tertiary hospital over a 10-year period. RESULTS: The five-year overall survival rate was 53 per cent, the disease-specific survival rate was 78 per cent and the locoregional control rate was 72 per cent...
July 5, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28651683/a-uk-survey-of-current-ent-practice-in-the-assessment-of-nasal-patency
#19
P Andrews, J Joseph, C-H Li, L Nip, T Jacques, T Leung
BACKGROUND: Nasal obstruction is a common ENT complaint; however, decisions on its management are challenging, with high rates of dissatisfaction following surgery. This study investigated the practice of UK clinicians in the evaluation of nasal patency. METHOD: Seventy-eight UK-based rhinologists were surveyed at the 2015 British Academic Conference in Otolaryngology. RESULTS: Clinical history and examination are almost universally used to evaluate nasal blockage...
June 27, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28651654/concomitant-imaging-and-genetic-findings-in-children-with-unilateral-sensorineural-hearing-loss
#20
M Gruber, C Brown, M Mahadevan, M Neeff
OBJECTIVE: To describe the concomitant imaging and genetic findings in children diagnosed with non-syndromic unilateral sensorineural hearing loss. METHODS: A retrospective cohort study was conducted of 60 children diagnosed between January 2005 and December 2015 in a tertiary-level paediatric institution. RESULTS: Average age at diagnosis was 4.3 years. All children were considered non-syndromic. Hearing loss was categorised as mild (17 children), moderate (17 children), severe (7 children) or profound (19 children)...
June 27, 2017: Journal of Laryngology and Otology
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