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Journal of Laryngology and Otology

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https://www.readbyqxmd.com/read/29720283/submandibular-gland-invasion-and-feasibility-of-gland-sparing-neck-dissection-in-oral-cavity-carcinoma
#1
A Cakir Cetin, E Dogan, H Ozay, O Kumus, T K Erdag, N Karabay, S Sarioglu, A O Ikiz
OBJECTIVE: This study investigated the incidence and routes of submandibular gland involvement in oral cavity carcinoma to determine the feasibility of submandibular gland sparing neck dissection. METHODS: The records of 155 patients diagnosed with oral cavity squamous cell carcinoma, with a total of 183 neck specimens, including those involving level I, were reviewed retrospectively. RESULTS: Submandibular gland involvement, via direct invasion from the anatomical proximity of T4a tumours, was evident in two patients...
May 3, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29708086/the-value-of-chest-x-ray-in-the-scottish-referral-guidelines-for-suspected-head-and-neck-cancer-in-2144-patients
#2
P Fingland, V Carswell, T Tikka, C M Douglas, J Montgomery
OBJECTIVE: In Scotland, patients with suspected head and neck cancer are referred on the basis of the Scottish Referral Guidelines for Suspected Cancer, rather than the National Institute for Health and Care Excellence guidelines. A chest X-ray should be requested by the general practitioner at the same time as referral for persistent hoarseness. The evidence for this is level 4. METHODS: This audit identified adherence to this recommendation and X-ray results. All 'urgent suspicion of cancer' referrals to the ENT department in the National Health Service Greater Glasgow and Clyde for 2015-2016 were audited...
April 30, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29706138/allergic-rhinitis-and-arterial-blood-pressure-a-population-based-study
#3
O Sakallioglu, C Polat, A Akyigit, H Cetiner, S Duzer
OBJECTIVES: To investigate the likelihood of allergic rhinitis and potential co-morbidities, and to assess whether allergic rhinitis is associated with arterial blood pressure and hypertension. METHODS: In this population-based study, 369 adults with allergic rhinitis and asthma were assessed via a questionnaire and immunoglobulin E levels. There were four groups: control (n = 90), allergic rhinitis (n = 99), asthma (n = 87) and hypertension (n = 93). Arterial blood pressure was measured in all groups...
April 30, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29683104/association-of-epicardial-fat-thickness-with-clinical-and-polysomnographic-parameters-in-non-obese-obstructive-sleep-apnoea-patients
#4
S Derin, I Altun, S Koseoglu, C Sahin, M Yilmaz, F Akin, M Sahan
OBJECTIVES: This study aimed to investigate the relationship of epicardial fat thickness with severity of obstructive sleep apnoea, and clinical and polysomnographic parameters, and to determine independent predictors for epicardial fat thickness. METHODS: A total of 84 patients with a body mass index of less than 30 kg/m2 and suspected sleep-disordered breathing were included in the study. The correlations of epicardial fat thickness with polysomnographic and clinical data, and severity of obstructive sleep apnoea, were investigated...
April 23, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29683103/in-vivo-experiences-with-magnetic-resonance-imaging-scans-in-vibrant-soundbridge-type-503-implantees
#5
I Todt, P Mittmann, A Ernst, S Mutze, G Rademacher
OBJECTIVE: To observe the effects of magnetic resonance imaging scans in Vibrant Soundbridge 503 implantees at 1.5T in vivo. METHODS: In a prospective case study of five Vibrant Soundbridge 503 implantees, 1.5T magnetic resonance imaging scans were performed with and without a headband. The degree of pain was evaluated using a visual analogue scale. Scan-related pure tone audiogram and audio processor fitting changes were assessed. RESULTS: In all patients, magnetic resonance imaging scans were performed without any degree of pain or change in pure tone audiogram or audio processor fitting, even without a headband...
April 23, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29667559/improving-the-rhinomanometry-technique-using-benzoin-tincture
#6
F Arslan, Ü Yıldızoğlu, A Durmaz, S Çetinkaya
OBJECTIVE: In order to achieve a faster and more reliable anterior rhinomanometric evaluation, nasal skin was prepared using benzoin tincture solution, which provides simpler and better adhesion of the foam tape to the nasal skin. METHOD: Two consecutive anterior rhinomanometry measurements were made, one with and one without benzoin tincture application. RESULTS: The average time taken to perform classic foam tape anterior rhinomanometry without benzoin tincture application was 281...
April 18, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29665890/a-novel-technique-to-identify-the-nerve-of-origin-in-head-and-neck-schwannomas
#7
H H Ching, A G Spinner, N H Reeve, R C Wang
OBJECTIVE: Identifying the nerve of origin in head and neck schwannomas is a diagnostic challenge. Surgical management leads to a risk of permanent deficit. Accurate identification of the nerve would improve operative planning and patient counselling. METHODS: Three patients with head and neck schwannomas underwent a diagnostic procedure hypothesised to identify the nerve of origin. The masses were infiltrated with 1 per cent lidocaine solution, and the patients were observed for neurological deficits...
April 18, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29665880/post-operative-course-prediction-during-endoscopic-sinus-surgery-in-patients-with-chronic-rhinosinusitis
#8
K Tsuzuki, K Hashimoto, K Okazaki, M Sakagami
OBJECTIVE: This study aimed to analyse findings of functional endoscopic sinus surgery to estimate the post-operative course of patients with chronic rhinosinusitis. METHODS: From 2007 to 2015, 291 adult patients with bilateral chronic rhinosinusitis, divided into eosinophilic chronic rhinosinusitis (n = 210) and non-eosinophilic chronic rhinosinusitis (n = 81) groups, who underwent primary functional endoscopic sinus surgery were enrolled. Functional endoscopic sinus surgery findings, scored as operating score, were analysed in relation to pre-operative olfactory recognition threshold and sinonasal computed tomography imaging score, as well as post-operative endoscopic appearance...
April 18, 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29722643/a-focus-on-paediatric-obstructive-sleep-apnoea
#9
Edward Fisher, Robin Youngs, Musheer Hussain, Jonathan Fishman
No abstract text is available yet for this article.
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29517474/determinants-of-re-operation-for-bleeding-in-head-and-neck-cancer-surgery
#10
E Haapio, I Kinnunen, J K E Airaksinen, H Irjala, T Kiviniemi
OBJECTIVE: Post-operative bleeding in the head and neck area is potentially fatal. This 'real world' study sought to assess factors that increase the risk of re-operation for post-operative bleeding in head and neck cancer surgery. METHODS: A total of 456 patients underwent surgery for head and neck cancer (591 operations). The primary endpoint was re-operation for bleeding. RESULTS: The rate of re-operation for bleeding was 5 per cent of all operations...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29517472/curved-adjustable-fibre-optic-diode-laser-in-microscopic-cholesteatoma-surgery-description-of-use-and-review-of-the-relevant-literature
#11
REVIEW
C J McCaffer, L Pabla, C Watson
OBJECTIVE: The use of lasers in cholesteatoma surgery is common and well accepted. The most commonly used laser fibres are straight and non-adjustable; these have several limitations. This paper describes the use of an alternative laser fibre. METHOD: This 'How I Do It' paper describes and illustrates the use of an alternative curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery. RESULTS: The curved, adjustable laser fibre allows accurate and atraumatic disease removal when the use of a straight laser fibre may be less effective or accurate...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29510774/patient-experience-of-nasal-obstruction-and-its-clinical-assessment
#12
L Nip, M Tan, K L Whitcroft, R Gupta, T S Leung, P Andrews
BACKGROUND: The correlation between objective and subjective nasal obstruction is poor, and dissatisfaction rates after surgery for nasal obstruction are high. Accordingly, novel assessment techniques may be required. This survey aimed to determine patient experience and preferences for the measurement of nasal obstruction. METHOD: Prospective survey of rhinology patients. RESULTS: Of 72 questionnaires distributed, 60 were completed (response rate of 83 per cent)...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29486808/bisphosphonate-induced-osteonecrosis-of-the-ear-canal-our-experience-and-a-review-of-the-literature
#13
L McCadden, C G Leonard, W J Primrose
BACKGROUND: Oesophageal disorders and osteonecrosis of the jaw are recognised complications of the commonly prescribed medication bisphosphonate. Despite these diagnoses being seen comparatively frequently within the ENT clinic, osteonecrosis of the external ear is a less well reported complication. METHODS: The current literature is reviewed and our experience with six cases of bisphosphonate-related ear canal osteonecrosis is presented. RESULTS: Six cases were identified as suffering from ear canal osteonecrosis as a result of bisphosphonate treatment...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29463342/segmental-superficial-parotidectomy-in-the-surgical-treatment-of-benign-parotid-tumours
#14
E Eski, M F Sökmen, I Yilmaz
OBJECTIVE: To evaluate the efficacy and safety of segmental superficial parotidectomy in the surgical treatment of benign parotid tumours. METHODS: Patients who underwent parotidectomy for benign primary parotid tumours limited to the superficial lobe were retrospectively reviewed. Tumour location, size, surgical procedure, follow-up period, complications and recurrence rates were noted. RESULTS: The study included a total of 39 patients: 22 underwent segmental superficial parotidectomy (group 1) and 17 underwent superficial parotidectomy (group 2)...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29463328/bilateral-sudden-sensorineural-hearing-loss-as-a-first-symptom-of-infective-endocarditis-two-case-reports
#15
M Chroni, E Prappa, I Kokkevi
BACKGROUND: Septic emboli are an unusual cause of sudden sensorineural hearing loss, for which few reports exist in the literature. CASE REPORT: This paper presents two cases of sudden sensorineural hearing loss, initially considered as idiopathic, but which were caused by septic emboli. Hearing loss in these cases was bilateral, sequential and total. The first patient had mild fever one week prior to their presentation with sudden sensorineural hearing loss; the other patient had no additional symptoms at presentation...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29463325/paediatric-obstructive-sleep-apnoea-is-our-operative-management-evidence-based
#16
L Pabla, J Duffin, L Flood, K Blackmore
BACKGROUND: Despite the plethora of publications on the subject of paediatric obstructive sleep apnoea, there seems to be wide variability in the literature and in practice, regarding recourse to surgery, the operation chosen, the benefits gained and post-operative management. This may reflect a lack of high-level evidence. METHODS: A systematic review of four significant controversies in paediatric ENT was conducted from the available literature: tonsillectomy versus tonsillotomy, focusing on the evidence base for each; anaesthetic considerations in paediatric obstructive sleep apnoea surgery; the objective evidence for the benefits of surgical treatment for obstructive sleep apnoea; and the medical treatment options for residual obstructive sleep apnoea after surgical treatment...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29463320/medialisation-thyroplasty-with-tensor-fascia-lata-a-novel-approach-for-reducing-post-thyroplasty-complications
#17
T N Chao, A Mahmoud, K Rajasekaran, N Mirza
BACKGROUND: Medialisation thyroplasty is considered the 'gold standard' treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion. METHODS: This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29444719/the-significance-of-atherosclerosis-in-hypertensive-patients-with-epistaxis
#18
S Elwany, A A Ibrahim, A I Soliman, R Bazak, H A Ibrahim
BACKGROUND: The relationship between hypertension and epistaxis is controversial and poorly understood. The present research investigated atherosclerosis as a potential risk factor in hypertensive patients with epistaxis. METHODS: A prospective study of 141 hypertensive patients with epistaxis was conducted. The laboratory tests included full blood count, lipid profile and coagulation profile. All patients underwent funduscopic examination of the eye and were classified in terms of four retinopathy grades...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29444717/good-correlation-between-visual-analogue-scale-and-numerical-rating-scale-in-the-assessment-of-nasal-obstruction
#19
R Haye, L K Døsen, M Tarangen, O Shiryaeva
OBJECTIVE: Results from telephone interviews may be needed to supplement those from mailed questionnaires when response rates are inadequate. This study assessed the correlation between visual analogue scale ratings used in mailed questionnaires and numerical rating scale scores used in telephone interviews. METHODS: Patients scheduled for nasal septal surgery routinely respond to a visual analogue scale of obstruction during the day and at night. In this study, they were also asked to verbally rate their sense of obstruction using whole numbers...
April 2018: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29439747/paediatric-obstructive-sleep-apnoea-can-our-identification-of-surgical-candidates-be-evidence-based
#20
L Pabla, J Duffin, L Flood, K Blackmore
BACKGROUND: Paediatric obstructive sleep apnoea is a common clinical condition managed by most ENT clinicians. However, despite the plethora of publications on the subject, there is wide variability, in the literature and in practice, on key aspects such as diagnostic criteria, the impact of co-morbidities and the indications for surgical correction. METHODS: A systematic review is presented, addressing four key questions from the available literature: (1) what is the evidence base for any definition of paediatric obstructive sleep apnoea?; (2) does it cause serious systemic illness?; (3) what co-morbidities influence the severity of paediatric obstructive sleep apnoea?; and (4) is there a medical answer? RESULTS AND CONCLUSION: There is a considerable lack of evidence regarding most of these fundamental questions...
April 2018: Journal of Laryngology and Otology
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