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European Archives of Oto-rhino-laryngology

Giancarlo Tirelli, Annalisa Gatto, Alberto Vito Marcuzzo
PURPOSE: In a previous study, we gave a surgical description of a group of lymph nodes in the submandibular area at risk of remaining undissected during neck dissection (ND) for which we have proposed the term "perimarginal nodes" (PMNs) due to their proximity to marginal mandibular nerve (MMN). The aim of this study is to evaluate prevalence of PMNs involvement in oral cavity squamous cell cancer (OCSCC) and to verify if metastases are related to primary tumor characteristics or to the state of the neck...
January 18, 2019: European Archives of Oto-rhino-laryngology
Frederik G Dikkers, Manuel Bernal-Sprekelsen, J Peter Klussmann, Christian Sittel, Witold Szyfter
INTRODUCTION: Since 2015, the European Laryngological Society (ELS) has organized on a yearly basis the European Laryngological Live Surgery Broadcast. The goal of this paper is to demonstrate the increasing worldwide audience. MATERIAL AND METHODS: The number of individual computers logged in, number of estimated audience, and number of countries with an active audience were calculated and compared to the numbers in 2015. RESULTS: In 2018, 19 live interventions were performed in three parallel sessions...
January 17, 2019: European Archives of Oto-rhino-laryngology
Jay K Ferrell, Jess C Mace, Daniel Clayburgh
PURPOSE: Salivary gland carcinomas (SGC) are rare malignancies and data regarding treatment outcomes stratified by histologic subtype are currently limited. This study aims to examine current, national treatment patterns and overall survival (OS) of patients with the major histologic subtypes of salivary gland carcinoma. SUBJECTS AND METHODS: A review was performed of the National Cancer Database (NCDB) of patients with confirmed diagnoses of mucoepidermoid carcinoma, acinic cell carcinoma, adenoid cystic carcinoma, adenocarcinoma, or carcinoma ex pleomorphic receiving curative treatment between 2004 and 2014...
January 16, 2019: European Archives of Oto-rhino-laryngology
Fatih Alper Akcan, Yusuf Dündar, Hümeyra Bayram Akcan, Ahmet Uluat, Derya Cebeci, İlhan Ünlü
OBJECTIVES: The main purpose of the current study was to investigate nasal mucociliary clearance time (NMC) in patients with Vitamin-D deficiency. METHODS: A total of 55 patients with Vitamin-D deficiency and 32 controls were evaluated. NMC time was measured with subjective saccharine test and compared between study and control groups. In addition, NMC time was re-evaluated after Vitamin-D replacement protocol in patients with Vitamin-D deficiency. RESULTS: The mean 25(HO)Vitamin-D levels were 14...
January 14, 2019: European Archives of Oto-rhino-laryngology
Karim Zaoui, Reinald Kuehle, Ingo Baumann, Dorothee Laura Schuessler, Oliver Ristow, Michaela Plath, Christian Freudlsperger
OBJECTIVES: Orthognathic surgery is a well-established procedure for skeletal deformities. Beneficial influences to the posterior airway space (PAS) have been described, but little is known about the subjective aesthetical and functional nasal aspects after orthognathic surgery. The aim of this study was to evaluate nasal airflow by anterior rhinomanometry and volumetric changes in the nasal airway space after mono- or bimaxillary surgery using cone-beam computed tomography (CBCT) and a new segmentation software...
January 14, 2019: European Archives of Oto-rhino-laryngology
S E J Connor, C Dudau, I Pai, M Gaganasiou
BACKGROUND AND PURPOSE: We explored whether there was a difference between measurements obtained with CT and MRI for the diagnosis of large vestibular aqueduct syndrome or large endolymphatic sac anomaly, and whether this influenced diagnosis on the basis of previously published threshold values (Valvassori and Cincinnati). We also investigated whether isolated dilated extra-osseous endolymphatic sac occurred on MRI. Secondary objectives were to compare inter-observer reproducibility for the measurements, and to investigate any mismatch between the diagnoses using the different criteria...
January 11, 2019: European Archives of Oto-rhino-laryngology
Ignacio Javier Fernandez, Domenico Villari, Cecilia Botti, Livio Presutti
PURPOSE: Hearing results in revision stapes surgery are largely dependent on the cause of failure, and an appropriate intraoperative diagnosis is crucial for a good outcome. The endoscope allows a detailed exploration of the middle ear cavity and is particularly suitable for the intraoperative assessment of the cause of failure of previous stapes surgery. The present study analyzes the intraoperative findings and outcomes of patients undergoing revision stapes surgery through the endoscopic transcanal approach...
January 11, 2019: European Archives of Oto-rhino-laryngology
Heikki Rihkanen, Ahmed Geneid
PURPOSE: After surgery of vocal folds, almost every patient will need some voice rest. It is common to recommend total silence for some days, followed by less restricted voice use for variable periods. By now, we do not know how voice rest affects the healing process or the current practise in Europe. METHODS: Members of the European Laryngological Society (2012) and the Union of European Phoniatrics (2018) were sent a web-based questionnaire which included two patient cases with a short history and a still picture...
January 10, 2019: European Archives of Oto-rhino-laryngology
Jing Kang, Austin Scholp, Jacob Tangney, Jack J Jiang
PURPOSE: This study investigated the effects of straw phonation therapy on the aerodynamic and acoustic parameters of the vocal folds at different levels of elongation and subglottal pressure. METHODS: 20 excised canine larynges were used in both experimental (straw phonation therapy simulation) and control conditions. Aerodynamic parameters, including phonation threshold pressure (PTP), phonation instability pressure (PIP), phonation pressure range (PPR), phonation threshold flow (PTF), phonation instability flow (PIF), phonation flow range (PFR), were obtained at different levels of vocal fold elongation (0%, 10%, 20%)...
January 10, 2019: European Archives of Oto-rhino-laryngology
Yayou Zhang, Liang Zhao, Jiandong Li, Jie Wang, Huijie Yu
OBJECTIVE: Facial nerve palsy (FNP) is a common disease in the otorhinolaryngological department. Besides the main symptom of motionlessness occurring in the ipsilateral facial muscles in FNP, there are other common complaints of numbness, stiffness and tightness in ipsilateral face described by the patients. Based on our pilot study, we further investigated the relevance between these complaints and facial microcirculation. METHOD: Function of facial microcirculation was evaluated by laser speckle contrast imaging (LCSI)...
January 7, 2019: European Archives of Oto-rhino-laryngology
Adnan Özdemir, Nuray Bayar Muluk, Neşe Asal, Mehmet Hamdi Şahan, Mikail Inal
OBJECTIVES: We investigated the relationship between Onodi cells and optic canal by paranasal sinus computed tomography (PNSCT). METHODS: In this retrospective study, 508 PNSCT (265 males and 243 females) was examined. Onodi cell presence, pneumatization types, optic canal types; and also sphenoid sinusitis and anterior clinoid process pneumatization were evaluated. RESULTS: The prevalence of Onodi cells was 21.2% of the patients. Onodi cells were observed 40...
January 7, 2019: European Archives of Oto-rhino-laryngology
Kristen Rak, Johannes Völker, Philipp Schendzielorz, Wafaa Shehata-Dieler, Andreas Radeloff, Rudolf Hagen
PURPOSE: Bilateral cochlear implant (CI) provision is now widely regarded as the most beneficial hearing intervention for acceptable candidates. This study sought to determine if a number of well-regarded hearing professionals at highly reputable clinics shared similar practices and beliefs regarding bilateral CI provision, use, and rehabilitation in children and adults. METHODS: An 11-question online questionnaire was created and distributed to all 27 clinics in the HEARRING group...
January 7, 2019: European Archives of Oto-rhino-laryngology
Simone E Bernard, Marjan H Wieringa, Cees A Meeuwis, Robert J Baatenburg de Jong, Aniel Sewnaik
PURPOSE: This study aimed at determining the importance of an elective neck dissection (END) in case of a cN0 laryngeal or hypopharyngeal carcinoma after (chemo) radiation. METHODS: Retrospective review was made of patients treated in a single tertiary center between 2002 and 2014. Influence of an END in case of a cN0 salvage laryngectomy on complications, recurrence-free survival and disease-specific survival was assessed. INCLUSION CRITERIA: squamous cell carcinoma and cN0 neck...
January 4, 2019: European Archives of Oto-rhino-laryngology
Sophie Deneuve, Barbara Charbotel, Amélie Massardier-Pilonchéry, Emmanuel Fort, Charlotte Milliet-Baude, Olivia Pérol, Jérome Fayette, Philippe Zrounba, Béatrice Fervers
PURPOSE: The importance of occupational exposures in patients with head and neck squamous cell carcinomas (HNSCC) has received little attention. METHODS: In a single-center study, we prospectively characterized occupational exposures in 154 HNSCC cancer patients in a systematic occupational consultation and examined the association between most frequent exposures, HNSCC stage and localization. RESULTS: Patients occupied a mean of 3.3 different positions during their working life...
January 3, 2019: European Archives of Oto-rhino-laryngology
Seda Sezen Goktas, Remzi Dogan, Alper Yenigun, Omer Faruk Calim, Orhan Ozturan, Selahattin Tugrul
PURPOSE: Our aim is identify a new approach to vocal cord leukoplakia treatment and detect to efficiency of proton pump inhibitors. STUDY DESIGN: Prospective, nonrandomized experimental clinical trial. METHODS: A 'First Assessment Scale' was prepared. This scale included the lesion's and the patient's characteristics. Using this scale, 24 patients included to the study. 20 mg rabeprazole twice daily was applied to all patients. At the end of 3rd month, a 'Second Assessment Scale' was used and two groups created...
January 3, 2019: European Archives of Oto-rhino-laryngology
Detlef Brehmer, Robert Bodlaj, Friedemann Gerhards
BACKGROUND: Weak or inward-bent cartilage of the nasal sidewall at the level of the internal nasal valve (INV) can produce narrowness or collapse of the nasal valve. This is a common cause of impaired nasal breathing during daily activities and there is also an established connection between nasal obstruction and snoring. The condition is often difficult to treat, although even a small enlargement of the lumen at the nasal valve can lead to a significant improvement in the ease of nasal breathing...
January 3, 2019: European Archives of Oto-rhino-laryngology
Demet Yazici
PURPOSE: The aim of this study is to determine the effect of frontal sinus pneumatization on various variations of paranasal sinuses on maxillofacial CT. MATERIALS AND METHODS: A total number of 120 patients (62 females, 58 males) were included in this study. Patients were divided into three groups regarding their frontal sinus pneumatization extent on paranasal sinus CT as Type 1 pneumatization (aplasia and hypoplasia), Type 2 pneumatization (medium) and Type 3 pneumatization (hyperplasia)...
January 3, 2019: European Archives of Oto-rhino-laryngology
Min Young Seo, Seung Hoon Lee, Gwanghui Ryu, Sang Duk Hong, Hyo Yeol Kim, Hun-Jong Dhong, Seung-Kyu Chung
PURPOSE: Many physicians recommend endoscopic sinus surgery (ESS) even when an asymptomatic paranasal sinus (PNS) fungal ball is detected incidentally. The aim of this study was to investigate the natural behavior of PNS fungal balls via sinus imaging techniques. METHODS: A follow-up study of 74 pathologically confirmed fungus balls was conducted in 70 patients who underwent multiple head and neck computed tomography (CT) scans or magnetic resonance imaging (MRI)...
January 3, 2019: European Archives of Oto-rhino-laryngology
Renguang Pei, Min Yang, Jian Wang, Xiaoqiang Tong, Guoxiang Wang, Yinghua Zou
PURPOSE: To investigate the efficacy and safety of preoperative internal maxillary arterial embolization with gelfoam particles in patients with nasopharyngeal angiofibroma. MATERIALS AND METHODS: We retrospectively reviewed a total of 27 consecutive patients with pathologically confirmed nasopharyngeal angiofibroma from August 2006 to September 2018. Of the 27 enrolled patients, 10 patients received surgical excision alone; 17 patients received preoperative internal maxillary arterial embolization followed by surgical excision...
January 3, 2019: European Archives of Oto-rhino-laryngology
Fahd Al-Shahrestani, Mads Sølvsten Sørensen, Steven Arild Wuyts Andersen
OBJECTIVE: To investigate validity evidence, and strengths and limitations of performance metrics in mastoidectomy training. METHODS: A systematic review following the PRISMA guidelines. Studies reporting performance metrics in mastoidectomy/temporal bone surgery were included. Data on design, outcomes, and results were extracted by two reviewers. Validity evidence according to Messick's framework and level of evidence were assessed. RESULTS: The search yielded a total of 1085 studies from the years 1947-2018 and 35 studies were included for full data extraction after abstract and full-text screening...
January 2, 2019: European Archives of Oto-rhino-laryngology
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