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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/27894374/autologous-intratympanic-blood-patch-for-presumed-perilymphatic-fistulas
#1
P K Foster
OBJECTIVE: To assess an alternative to bed rest and surgery for suspected perilymphatic fistulas using intratympanic blood injections. METHOD: A review was conducted of patients' history, physical and audiometric data, before and after treatment by intratympanic blood injections performed from 2009 to 2015. RESULTS: Twelve ears were identified, with trauma associated with air travel, water sports or nose blowing. Ten of these cases had hearing loss, six had vestibular symptoms...
November 29, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27894364/the-changing-landscape-of-oropharyngeal-cancer-management
#2
D Hamilton, M K Khan, J O'hara, V Paleri
BACKGROUND: Oropharyngeal cancer is increasing in prevalence in the UK and this is thought to be due to the emergence of disease related to human papilloma virus. METHOD: A literature review was conducted on the diagnosis and latest management of oropharyngeal cancer. RESULTS: In non-smokers, human papilloma virus related disease is thought to have better outcomes, but this casts doubt on previous research which did not stratify patients according to human papilloma virus status...
November 29, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27839526/cervical-lymph-node-metastasis-in-adenoid-cystic-carcinoma-of-the-sinonasal-tract-nasopharynx-lacrimal-glands-and-external-auditory-canal-a-collective-international-review
#3
(no author information available yet)
OBJECTIVE: To review reports of adenoid cystic carcinomas arising in the head and neck area outside of the major salivary glands, in order to enhance the care of patients with these unusual neoplasms. METHODS: An international team of head and neck surgeons, pathologists, oncologists and radiation oncologists was assembled to explore the published experience and their own working experience of the diagnosis and treatment of adenoid cystic carcinomas arising in the vicinity of the sinonasal tract, nasopharynx, lacrimal glands and external auditory canal...
November 14, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27830635/histological-analysis-of-tonsillectomies-relationship-with-surgical-technique-post-operative-pain-and-haemorrhage
#4
M L Magdalena, A Solé, V Blanco, J P Rodrigo
OBJECTIVES: There is no consensus on the optimal technique to decrease post-tonsillectomy morbidity. Histopathological analysis can estimate collateral tissue damage. This study compared histological findings for tonsils removed by cold or electrocautery dissection and their relationship with post-operative complications. METHODS: Two adult out-patient groups were included in the study: 37 who underwent cold dissection and 37 who underwent electrocautery dissection...
November 10, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27821219/effects-of-two-different-local-anaesthetic-methods-vs-no-anaesthesia-on-pain-scores-for-intratympanic-injections
#5
N Ata, O Erdur, M H Görgülü, E Yilmaz
OBJECTIVE: This study compared the pain associated with the intratympanic injection combined with various local anaesthetics vs without anaesthesia. METHODS: The study included 40 patients (aged 18-78 years) who received intratympanic steroid injections for sudden idiopathic hearing loss or tinnitus. Each patient underwent all three injection methods at one-week intervals. Patients received one of two local anaesthetics (lidocaine injection or lidocaine spray) or no anaesthesia before intratympanic injection, and used a visual analogue scale to indicate the pain level after 5 and 45 minutes...
November 8, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27809939/electrocoagulation-improving-bone-cement-use-in-middle-ear-surgery-short-term-and-middle-term-results
#6
C Galy-Bernadoy, M Akkari, M Mondain, A Uziel, F Venail
BACKGROUND: Bone cement is used for ossicular chain repair and revision stapes surgery. Its efficient use requires cautious removal of mucosa from the ossicles. This paper reports a technique for easy, fast and safe removal of this mucosa prior to cement application. It consists of the application of monopolar electrocoagulation on the ossicles prior to bone cement application. METHODS: The outcomes of six cases of revision stapes surgery and seven cases of partial ossiculoplasty, conducted between 2007 and 2012 using this new technique, were evaluated...
November 4, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27804898/reduction-of-blood-eosinophil-counts-in-eosinophilic-chronic-rhinosinusitis-after-surgery
#7
A Honma, D Takagi, Y Nakamaru, A Homma, M Suzuki, S Fukuda
OBJECTIVE: This study aimed to predict eosinophilic chronic rhinosinusitis prognosis by investigating changes in the blood eosinophil count and other disease biomarkers after surgery. METHODS: Blood eosinophil numbers and serum interleukin-5 levels were measured in 22 eosinophilic chronic rhinosinusitis patients before and after functional endoscopic sinus surgery, and compared with equivalent measures in non-eosinophilic chronic rhinosinusitis patients and chronic rhinosinusitis without polyps patients...
November 2, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27804890/dynamic-cine-imaging-of-the-eustachian-tube-using-four-dimensional-computed-tomography
#8
N Jufas, N Deveau, M Bance
BACKGROUND: Imaging the Eustachian tube has proven difficult as it has an anatomical orientation that is not aligned with standard planes. In addition, the Eustachian tube is a dynamic structure, opening briefly during a variety of physiological manoeuvres. CASE REPORT: A 54-year-old healthy and asymptomatic man underwent computed tomography utilising an area detector scanner. Multiplanar reconstruction was performed at 1 mm intervals. In addition, dynamic clips were constructed to demonstrate air and its movement in the field...
November 2, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27790965/effects-of-anatomical-variation-on-trainee-performance-in-a-virtual-reality-temporal-bone-surgery-simulator
#9
P Piromchai, I Ioannou, S Wijewickrema, P Kasemsiri, J Lodge, G Kennedy, S O'Leary
OBJECTIVE: To investigate the importance of anatomical variation in acquiring skills in virtual reality cochlear implant surgery. METHODS: Eleven otolaryngology residents participated in this study. They were randomly allocated to practice cochlear implant surgery on the same specimen or on different specimens for four weeks. They were then tested on two new specimens, one standard and one challenging. Videos of their performance were de-identified and reviewed independently, by two blinded consultant otolaryngologists, using a validated assessment scale...
October 28, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786150/do-demographics-and-tumour-related-factors-affect-nodal-yield-at-neck-dissection-a-retrospective-cohort-study
#10
R S Lim, L Evans, A P George, N de Alwis, P Stimpson, S Merriel, C E B Giddings, B Billah, J A Smith, A Safdar, E Sigston
BACKGROUND: Nodal metastasis is an important prognostic factor in head and neck squamous cell carcinoma. This study aimed to determine the average nodal basin yield per level of neck dissection, and to investigate if age, gender, body mass index, tumour size, depth of tumour invasion and p16 status influence nodal yield. METHOD: A retrospective review of 185 patients with head and neck squamous cell carcinoma generated 240 neck dissection specimens. RESULTS: The respective mean nodal yields for levels I, II, III, IV and V were 5...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786149/temporomandibular-disorder-in-otolaryngology-systematic-review
#11
L Stepan, C-K L Shaw, S Oue
BACKGROUND: Temporomandibular disorder poses a diagnostic challenge to otolaryngologists as orofacial pain, headache and otology symptoms are very common in temporomandibular disorder, and mimic a number of otolaryngological conditions. Missed diagnosis of temporomandibular disorder can lead to unnecessary investigation and treatment, resulting in further patient suffering. OBJECTIVES: To review the current literature and propose management pathways for otolaryngologists to correctly differentiate temporomandibular disorder from other otolaryngological conditions, and to initiate effective treatment for temporomandibular disorder in collaboration with other health professionals...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786148/cardiopulmonary-functions-and-adenotonsillectomy-surgical-indications-need-revision
#12
M Mahajan, J S Thakur, R K Azad, N K Mohindroo, P C Negi
OBJECTIVE: To assess cardiac functions in adenotonsillar or tonsillar hypertrophy. METHODS: A prospective, interventional, academic centre based study was conducted on 25 children with adenotonsillar or tonsillar hypertrophy. All patients underwent pulsed 2-dimensional Doppler echocardiography, pulse oximetry and 12-lead electrocardiography. These assessments were repeated three months later to determine the impact of adenotonsillectomy. RESULTS: There were significant differences in mean arterial oxygen saturation, pulmonary flow acceleration time and mean pulmonary artery pressure post-operatively...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786147/anticholinergic-medication-use-is-associated-with-globus-pharyngeus
#13
S Haft, R M Carey, D Farquhar, N Mirza
BACKGROUND: Globus pharyngeus has been linked to salivary hypofunction. We hypothesise that a considerable portion of the globus experienced by patients is due to a drying effect secondary to anticholinergic medication use; this study aimed to determine their association. METHODS: A cross-sectional study was conducted of 270 patients who presented to a laryngology practice over 6 months. Participants rated globus sensation on a 5-point severity scale, with those scoring 0 considered as controls (non-globus)...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786146/classification-of-vertebral-artery-loop-formation-and-association-with-cervicogenic-dizziness
#14
A Yenigun, M E Ustun, S Tugrul, R Dogan, O Ozturan
OBJECTIVE: An examination was conducted of the number, level, clinical association and treatment approaches for vertebral arterial loop formation in patients with this condition with and without concurrent cervicogenic dizziness, and classified them according to the vertebral artery segment in which it was present. METHOD: A cross-sectional retrospective study. RESULTS: Thirty-seven patients who had undergone double-sided magnetic resonance angiography were examined; vertebral arterial loop formation was observed at only 1 level in 26 patients and at several levels in 9 patients...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27786145/evaluation-of-non-response-in-quality-control-of-nasal-septal-surgery
#15
M T Egeland, M Tarangen, C Gay, L K Døsen, R Haye
OBJECTIVE: Questionnaires are often used to assess the results of nasal septoplasty, but response rates vary widely. The possible bias caused by non-responders was evaluated to determine the validity of questionnaire results. METHODS: Post-operative questionnaires employing visual analogue scales for nasal obstruction were mailed to 182 patients. The 62 non-responders (34.1 per cent) were contacted by telephone, 58 (93.5 per cent) of whom were contactable and responded orally to the questionnaire...
October 27, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27762179/laryngeal-manifestations-of-pachyonychia-congenita-a-clinical-case-and-discussion-on-management-for-the-otolaryngologist
#16
A M O'Kane, C P Jackson, M Mahadevan, C Barber
BACKGROUND: Pachyonychia congenita is a rare keratinising disorder, which typically presents during the first three years of life and usually affects the nails and palmoplantar surfaces. It can involve the larynx and potentially result in life-threatening airway obstruction. METHODS: A case report is presented and the findings of a literature review are reported. The review involved a PubMed search using the keywords 'pachyonychia congenita' together with 'larynx', 'laryngeal involvement', 'laryngeal obstruction', 'airway obstruction', 'hoarseness' and/or 'stridor'...
October 20, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27762178/role-of-targeted-magnetic-resonance-imaging-sequences-in-the-surgical-management-of-anterior-skull-base-pathology
#17
S Chawla, J Bowman, M Gandhi, B Panizza
BACKGROUND: The skull base is a highly complex anatomical region that provides passage for important nerves and vessels as they course into and out of the cranial cavity. Key to the management of pathology in this region is a thorough understanding of the anatomy, with its variations, and the relationship of various neurovascular structures to the pathology in question. Targeted high-resolution magnetic resonance imaging on high field strength magnets can enable the skull base surgeon to understand this intricate relationship and deal with the pathology from a position of relative advantage...
October 20, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27748208/a-survey-of-how-and-why-medical-students-and-junior-doctors-choose-a-career-in-ent-surgery
#18
M Bhutta, R Mandavia, I Syed, A Qureshi, R Hettige, B Y W Wong, S Saeed, J Cartledge
OBJECTIVE: To ascertain determinants of an interest in a career in ENT surgery through a survey of medical students and junior doctors. METHODS: A survey was administered, comprising Likert scales, forced response and single option questions, and free text responses, at five different courses or events for those interested in a career in ENT. RESULTS: The survey had an 87 per cent response rate; respondents consisted of 43 applicants for national selection, 15 foundation doctors and 23 medical students...
October 17, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27748206/prognostic-effect-of-pre-and-post-admission-antibiotic-treatment-in-paediatric-acute-mastoiditis
#19
E Carmel, J H Curotta, A T Cheng
OBJECTIVE: To evaluate the effect of pre- and post-admission antibiotic treatment in paediatric acute mastoiditis. DESIGN: Retrospective study. METHOD: Eighty-eight children with acute mastoiditis, from 2003 to 2012, were studied to investigate the effect of antibiotic therapy on short and long-term sequelae. RESULTS: The median period of antibiotic therapy immediately following hospital discharge was 10 days (range, 5-49 days; standard deviation = 7...
October 17, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27739380/stimulation-parameters-differ-between-current-anti-modiolar-and-peri-modiolar-electrode-arrays-implanted-within-the-same-child
#20
M J Polonenko, S L Cushing, K A Gordon, B Allemang, S Jewell, B C Papsin
OBJECTIVE: To compare stimulation parameters of peri-modiolar and anti-modiolar electrode arrays using two surgical approaches. METHODS: Impedance, stimulation thresholds, comfortably loud current levels, electrically evoked compound action potential thresholds and electrically evoked stapedial reflex thresholds were compared between 2 arrays implanted in the same child at 5 time points: surgery, activation/day 1, week 1, and months 1 and 3. The peri-modiolar array was implanted via cochleostomy in all children (n = 64), while the anti-modiolar array was inserted via a cochleostomy in 43 children and via the round window in 21 children...
October 14, 2016: Journal of Laryngology and Otology
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