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Journal of Laryngology and Otology

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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
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28318451/bacterial-lysate-for-the-prevention-of-chronic-rhinosinusitis-recurrence-in-children
#7
J Chen, Y Zhou, J Nie, Y Wang, L Zhang, Q Shi, H Tan, W Kong
BACKGROUND: Chronic rhinosinusitis is a common nasal disorder in children that is prone to recurrence. This study investigated the prevention of chronic rhinosinusitis recurrence with bacteria lysate in children. METHODS: Bacteria lysate was administered 10 days per month for 3 months to children with chronic rhinosinusitis, who had just entered a remission phase. Visual analogue score, nasal symptoms scores, rhinitis attack frequency and antibiotic use were assessed at three months and one year...
March 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28316289/post-stapedectomy-granuloma-a-devastating-complication
#8
E Watts, H R F Powell, S R Saeed, R M Irving
OBJECTIVES: This paper reports three cases of severe post-stapedectomy granuloma, emphasising the variable presentation of this devastating complication and the challenges of its management. METHODS: A retrospective review was conducted of three cases of post-stapedectomy granuloma requiring surgical debulking between 2010 and 2015. Clinical symptoms, serial imaging, histopathology and post-operative outcomes were considered. RESULTS: Intra-operatively, extensive granulation tissue with erosion of the otic capsule was found...
March 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28316288/donor-site-morbidities-resulting-from-conchal-cartilage-harvesting-in-rhinoplasty
#9
M Y Lan, J P Park, Y J Jang
OBJECTIVE: Conchal cartilage is frequently used in rhinoplasty, but donor site morbidity data are seldom reported. This study aimed to investigate the complications of conchal cartilage harvesting in rhinoplasty. METHODS: A retrospective chart review of 372 patients who underwent conchal cartilage harvesting for rhinoplasty was conducted. Data regarding patient demographics, types of nasal deformities, graft usage and complications were analysed. RESULTS: A total of 372 patients who underwent conchal cartilage harvesting for rhinoplasty were enrolled...
March 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28294085/serum-cytokine-profile-of-laryngeal-squamous-cell-carcinoma-patients
#10
J Sotirović, A Perić, D Vojvodić, N Baletić, I Zaletel, I Stanojević, M Erdoglija, M Milojević
OBJECTIVES: This study aimed to evaluate serum cytokine concentrations in healthy individuals and laryngeal squamous cell carcinoma patients. METHODS: A total of 59 laryngeal squamous cell carcinoma patients and 44 healthy controls were included. Multiplex analysis of interleukins 2, 4, 5, 6, 10, 12, 13 and 17 and interferon-gamma with respect to the presence of laryngeal carcinoma, tumour-node-metastasis T stage, nodal involvement and larynx subsite was performed...
March 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28294083/tensor-veli-palatini-electromyography-for-monitoring-eustachian-tube-rehabilitation-in-otitis-media
#11
P M Picciotti, G Della Marca, L D'Alatri, D Lucidi, M Rigante, E Scarano
BACKGROUND: The pathogenesis of otitis media is related to Eustachian tube dysfunction. The tensor veli palatini muscle actively opens the Eustachian tube and promotes middle-ear ventilation. This study describes a technique for paratubal electromyography that uses a surface, non-invasive electrode able to record tensor veli palatini muscle activity during swallowing. METHODS: Twenty otitis media patients and 10 healthy patients underwent tensor veli palatini electromyography...
March 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28294080/outcome-and-cost-analysis-of-bilateral-sequential-same-day-cartilage-tympanoplasty-compared-with-bilateral-staged-tympanoplasty
#12
A D Olusesi, O Oyeniran
BACKGROUND: Few studies have compared bilateral same-day with staged tympanoplasty using cartilage graft materials. METHODS: A prospective randomised observational study was performed of 38 chronic suppurative otitis media patients (76 ears) who were assigned to undergo bilateral sequential same-day tympanoplasty (18 patients, 36 ears) or bilateral sequential tympanoplasty performed 3 months apart (20 patients, 40 ears). Disease duration, intra-operative findings, combined duration of surgery, post-operative graft appearance at 6 weeks, post-operative complications, re-do rate and relative cost of surgery were recorded...
March 15, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28290919/intratympanic-methylprednisolone-perfusion-as-a-salvage-treatment-for-profound-idiopathic-sudden-sensorineural-hearing-loss
#13
Y Dai, L Lu, J Hou, X Yang, H Li, Y Yang, W She
OBJECTIVE: This study aimed to examine the effectiveness of intratympanic methylprednisolone perfusion as salvage treatment for profound idiopathic sudden sensorineural hearing loss. METHODS: A retrospective clinical study of 97 patients with unilateral profound idiopathic sudden sensorineural hearing loss was performed. In all, 83 patients who received salvage intratympanic methylprednisolone perfusion plus conventional treatment (except for steroids) as the second-line therapy were assigned to the study group, while 14 patients who received conventional treatment alone were assigned to the comparison group...
March 14, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28290917/evaluation-of-receiver-stimulator-migration-in-cochlear-implantation-using-the-subperiosteal-pocket-technique-a-prospective-clinical-study
#14
Y Güldiken, B Polat, N Enver, L Aydemir, Ş Çomoğlu, K S Orhan
OBJECTIVE: This study aimed to evaluate migration of the receiver-stimulator after cochlear implantation using the subperiosteal pocket technique. METHODS: A prospective clinical study was performed of 32 paediatric patients (aged between 12 months and 8 years; mean ± standard deviation, 28 ± 19 months) who underwent cochlear implantation in tertiary referral centres. The degree of migration was evaluated using measurements between the receiver-stimulator and selected reference points: the lateral canthus, tragus and mastoid tip...
March 14, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28290916/comparing-electronic-recording-with-a-diagrammatic-template-versus-traditional-handwritten-recording-of-tympanomastoid-procedures-third-audit-cycle-of-95-cases
#15
S Fang, A Habeeb, P Gluckman, R Kanegoankar
BACKGROUND: The middle ear and mastoid are complex three-dimensional structures and therefore tympanomastoid procedures require detailed documentation. Traditional written accounts can be inaccurate and difficult to interpret. METHODS: This audit of 95 patients compares the completion of essential operative details using: an all-electronic version of a standardised proforma with a diagrammatic template, a non-electronic version with a diagrammatic template, and a traditional handwritten template...
March 14, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28287060/end-to-end-anastomosis-in-the-management-of-laryngotracheal-defects
#16
E D Gozen, M Yener, Z B Erdur, E Karaman
OBJECTIVE: To present clinical experience and surgical outcomes of end-to-end anastomosis in the management of laryngotracheal stenosis and tracheal defects following invasive thyroid malignancy resection. METHODS: A retrospective analysis was performed of 14 patients with laryngotracheal stenosis and tracheal invasive thyroid malignancy. All patients underwent tracheal or cricotracheal resection and primary end-to-end anastomosis. RESULTS: Length of stenosis was 1...
March 13, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28264728/the-posterior-auricular-muscle-a-useful-anatomical-landmark-for-otoplasty
#17
C Stephen, A G Lowrie
BACKGROUND: The correct anatomical placement of conchomastoid sutures during suture otoplasty can sometimes prove challenging. If the suture vector is inaccurate, reduction can be difficult and this may lead to malrotation of the pinna. METHODS: This paper describes the adoption of the auricularis posterior muscle, which runs from the mastoid to the concha and whose function is to adduct the pinna, as a marker for conchomastoid suture placement. RESULTS AND CONCLUSION: The muscle is easily identified and dissected, providing a landmark for the placement of sutures onto the adjacent concha and mastoid fascia...
March 7, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28249630/effects-of-thiocolchicoside-a-commonly-used-myorelaxant-on-the-acoustic-reflex
#18
H H Arslan, S Cebeci, U Yildizoglu, S Pusat, F Yavuz
OBJECTIVE: To determine whether thiocolchicoside, a commonly used myorelaxant, may impair the acoustic reflex. METHODS: Forty-two patients scheduled to receive thiocolchicoside treatment for different reasons were enrolled in the study. Acoustic reflex thresholds at 500, 1000, 2000 and 4000 Hz were determined and analysed statistically pre-treatment and on the 5th day of treatment. RESULTS: Increases were observed in the mean acoustic reflex thresholds on the 5th day of treatment compared to pre-treatment, at all frequencies, except right contralateral thresholds at 500 and 2000 Hz...
March 2, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28249627/adult-co-morbidity-evaluation-27-scores-of-head-and-neck-cancer-patients-using-touch-screen-technology-patient-satisfaction-and-clinical-verification
#19
C Brammer, D Dawson, M Joseph, J Tipper, T Jemmet, L Liew, C Spinou, N Grew, N Pigadas, K Rehman
OBJECTIVES: This study aimed to assess head and neck cancer patient satisfaction with the use of a touch-screen computer patient-completed questionnaire for assessing Adult Co-morbidity Evaluation 27 co-morbidity scores prior to treatment, along with its clinical reliability. METHODS: A total of 96 head and neck cancer patients were included in the audit. An accurate Adult Co-morbidity Evaluation 27 co-morbidity score was achieved via patient-completed questionnaire assessment for 97 per cent of participants...
March 2, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28249625/migraine-and-benign-paroxysmal-positional-vertigo-a-single-institution-review
#20
M Teixido, A Baker, H Isildak
BACKGROUND: Benign paroxysmal positional vertigo and migraine-associated dizziness are common. The prevalence of benign paroxysmal positional vertigo seems to be higher in patients with migraine-associated dizziness than in those without migraine. METHODS: A database of 508 patients seen at the primary author's balance clinic was analysed to determine the prevalence of migraine, as defined by International Headache Society criteria, in patients with benign paroxysmal positional vertigo...
March 2, 2017: Journal of Laryngology and Otology
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