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European Archives of Oto-rhino-laryngology

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https://www.readbyqxmd.com/read/29052012/effect-of-nasal-antihistamine-on-secretory-iga-in-nasal-lavage-of-rats
#1
Remzi Doğan, Fadlullah Aksoy, Seda Sezen Goktas, Ilker Kocak, Yavuz Selim Yıldırım, Said Incir, Orhan Özturan
The humoral IgA is an immunoglobulin which plays a defensive role for organisms on mucosal surfaces. Today, intranasal antihistamines are effectively used in the treatment of allergic rhinitis. In our study, the effect of azelastine hydrochloride-a nasal antihistaminic-on humoral IgA of the nasal mucosa has been reviewed empirically. Twenty-four female Sprague-Dawley rats were included in our study. The rats were divided into three groups randomly. Group 1(azelastine hydrochloride): rats in this group had nasal azelastine hydrochloride (0...
October 19, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29043479/altered-auditory-and-vestibular-functioning-in-individuals-with-low-bone-mineral-density-a-systematic-review
#2
REVIEW
Niraj Kumar Singh, Raghav Hira Jha, Aditi Gargeshwari, Prawin Kumar
Alteration in the process of bone remodelling is associated with falls and fractures due to increased bone fragility and altered calcium functioning. The auditory system consists of skeletal structures and is, therefore, prone to getting affected by altered bone remodelling. In addition, the vestibule consists of huge volumes of calcium (CaCO3) in the form of otoconia crystals and alteration in functioning calcium levels could, therefore, result in vestibular symptoms. Thus, the present study aimed at compiling information from various studies on assessment of auditory or vestibular systems in individuals with reduced bone mineral density (BMD)...
October 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29043478/the-compensatory-enlargement-of-the-remaining-thyroid-lobe-following-hemithyroidectomy-is-small-and-without-impact-on-symptom-relief
#3
Frederik Schultz Pustelnik, Casper Gronbek, Helle Døssing, Nina Nguyen, Steen Joop Bonnema, Laszlo Hegedüs, Christian Godballe, Jesper Roed Sorensen
According to previous studies, hemithyroidectomy results in growth of the remaining thyroid lobe by up to 30% in first 12 months after surgery. However, this estimate is based on imprecise methods, high inter- and intra-observer variability, and lack of blinding of the measurements. Furthermore, it is unknown whether enlargement of the remaining hemi-thyroid interferes with the improvement in symptoms after surgery for goiter. We aimed to assess the impact of postoperative thyroid growth on goiter symptom relief following hemithyroidectomy in patients with benign nodular goiter...
October 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29043477/laryngopharyngeal-reflux-is-a-potential-cause-of-nasal-congestion-and-obstructive-sleep-apnea-syndrome
#4
LETTER
Zhengcai Lou, Zi-Han Lou
No abstract text is available yet for this article.
October 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29043476/drug-induced-sedation-endoscopy-dise-data-fusion-system-clinical-feasibility-study
#5
Esuabom Dijemeni, Bhik Kotecha
Drug-induced sleep endoscopy (DISE) is a diagnostic technique for 3D dynamic anatomical visualisation of upper airway obstruction during sedated sleep. There is a lack of standardised procedure and objective measurement associated with information capture, information management, evaluation of DISE findings, treatment planning, and treatment outcomes. The objective of this study is to present clinical feasibility results using a DISE DATA FUSION system for capturing, merging, displaying and storing anatomical data from an endoscopic imaging system and cardiorespiratory data from an anaesthesiological monitoring system simultaneously in real-time during DISE...
October 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29043475/calculation-of-indirect-costs-of-associated-with-postoperative-caregiver-absences-after-pediatric-tonsil-surgery
#6
LETTER
Zhengcai Lou, Zi-Han Lou
No abstract text is available yet for this article.
October 17, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29038860/the-role-of-subtotal-petrosectomy-in-cochlear-implant-recipients
#7
Xabier Altuna, Leire García, Zuriñe Martínez, Mercedes Fernández de Pinedo
Describe the indications and outcome of subtotal petrosectomy for cochlear implant recipients. Tertiary care referral center. This is a retrospective study of all subtotal petrosectomies and cochlear implants performed between January 2012 and December 2014. We review the charts of these patients collecting the following data: age, gender, otologic history, audiologic tests, indication of subtotal petrosectomy, data of surgery, surgical and immediate complications, late complications and follow-up of for at least 2...
October 16, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29038859/refashioned-lamb-tissue-as-an-animal-model-for-training-complex-techniques-of-laryngotracheal-stenosis-surgery
#8
Lluís Nisa, Pedro Teiga, Gustavo Barreto da Cunha, Biswanath Roy, Riza Onder Gunaydin, Kishore Sandu
Open reconstructive upper airway surgery for laryngotracheal stenosis (LTS), whether for subglottic or tracheal stenosis, constitutes a group of complex approaches. LTS requiring open reconstruction is overall rare and primarily performed at tertiary centres. This poses an obvious challenge for the acquisition and maintenance of surgical skills for this group of complex approaches. In this context, animal models provide a unique opportunity for open reconstructive airway surgery training. Such models ought to take into consideration ethical aspects, be easily available and easy to maintain, and have similar macroscopic anatomical features to the human laryngotracheal frame...
October 16, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29038858/surgical-management-of-primary-hyperparathyroidism
#9
Stephen Ryan, Danielle Courtney, Julia Moriariu, Conrad Timon
We reviewed the surgical management of primary hyperparathyroidism through a retrospective chart review of 200 parathyroidectomy procedures performed over a 12 year period. Epidemiological data and accuracy of radiological investigations used in identifying pathological parathyroid tissue location were assessed. We determined how often simultaneous removal of thyroid tissue was required during parathyroidectomy and the associated pathology. Radiology reports were screened to determine if confirmed thyroid pathology from histological specimens were referenced pre-operatively...
October 16, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29032420/cochlear-implantation-with-the-nucleus-slim-modiolar-electrode-ci532-a-preliminary-experience
#10
Domenico Cuda, Alessandra Murri
To combine the benefits of perimodiolar stimulation with minimal insertion trauma, a thin, pre-curved electrode (CI532) was recently developed by Cochlear Ltd. (Sidney). This array is held straight prior to insertion by an external polymer reloadable sheath that is removed after full electrode insertion. Sixty-seven patients suffering from severe-to-profound sensorineural hearing loss (mean age 42.2 years; mean duration of the hearing loss 19.6 years; mean PTA thresholds at 250-2000 Hz 92.4 dB HL) were implanted with the CI532...
October 14, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29032419/objective-assessment-of-the-reliability-of-the-house-brackmann-and-fisch-grading-of-synkinesis
#11
Verena Meier-Gallati, Henning Scriba
The objective of this paper is to assess synkinesis associated with post paretic voluntary facial movements using the objective OSCAR method and to investigate the correlation between synkinesis and paresis to compare the objective results with the subjective scaling systems of Fisch and House-Brackmann. The development of an objective assessment of synkinesis with the OSCAR method is focused on the clinically most relevant eye-mouth and forehead-mouth synkinetic movements. Thirteen patients with unilateral facial paralysis and synkinesis of the University Hospital Zurich were examined...
October 14, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29032418/transoral-robotic-surgery-for-squamous-cell-carcinomas-of-the-posterior-pharyngeal-wall
#12
B Lallemant, S Moriniere, P Ceruse, M Lebalch, K Aubry, S Hans, G Dolivet, O Malard, Q Bonduelle, S Vergez
Posterior pharyngeal wall squamous cell carcinomas (SCCs) are rare and have an associated poor prognosis. Progress in transoral resection techniques, in particular, transoral robotic surgery (TORS), have renewed the role of surgery in their treatment. This article presents the oncological and functional results obtained by the French Group of Head and Neck Robotic Surgery for TORS for posterior pharyngeal wall SCC-curative surgery. This retrospective, multicentre study presents data collected between September 2009 and November 2013 for patients treated with TORS for posterior pharyngeal wall SCCs...
October 14, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29026985/deep-lobe-parotidectomy-why-when-and-how
#13
EDITORIAL
Kerry D Olsen, Miquel Quer, Remco de Bree, Vincent Vander Poorten, Alessandra Rinaldo, Alfio Ferlito
This editorial explores the controversies concerning the surgical management of the deep portion of the parotid gland. Specifically, when should the parotid deep lobe be removed if there is metastatic cancer to a superficial parotid node or when a primary aggressive cancer is found in the superficial lobe? The background, indications, rationale, and results of removing the deep lobe nodes are reviewed. Removal of the deep lobe is done to optimize the oncologic outcome for the patient. Deep lobe parotidectomy plays an important role in the treatment of many parotid gland malignancies...
October 12, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29022079/co2-laser-stapedotomy-safety-influence-of-laser-energy-and-time-on-bone-conduction-hearing-levels
#14
Uwe Schönfeld, Hu Weiming, Veit M Hofmann, Sergije Jovanovic, Andreas E Albers
Total laser energy in CO2 stapedotomy depends on the laser settings and the amount of applications. It is unclear if the amount of total laser energy affects bone-conduction hearing thresholds and if possible effects are temporary or permanent. Alterations of bone-conduction hearing thresholds after single or multiple-shot CO2 laser stapedotomy were analyzed between 1 and 3 weeks and 1.5-6 months after primary (n = 501) or revision surgeries (n = 153) and correlated to time, laser energy, frequency, surgical technique, and pathology encountered in revision stapedotomy...
October 11, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29019001/anaplastic-thyroid-cancer-and-hyperfractionated-accelerated-radiotherapy-hart-with-and-without-surgery
#15
Anne-Birgitte Jacobsen, Krystyna K Grøholt, Bianca Lorntzsen, Terje A Osnes, Ragnhild Sørum Falk, Eva Sigstad
Anaplastic carcinoma of the thyroid gland (ATC) is one of the most aggressive cancers in humans. With insufficient treatment, the disease most often leads to death in suffocation. From 2002, our treatment strategy has been hyperfractionated accelerated radiotherapy (HART) with high doses (64 Gy) to the neck, followed by surgery 4-8 weeks later if feasible, with the aim to gain control in the neck. After a pathology review, 51 patients were diagnosed with ATC in the period 2002-2014 in the south-east of Norway...
October 10, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29018947/endoscopic-management-of-petrous-apex-cholesteatoma
#16
Hisashi Sugimoto, Miyako Hatano, Masao Noda, Hiroki Hasegawa, Tomokazu Yoshizaki
We describe a technique for approaching petrous apex cholesteatoma using combined lateral microscopic/endoscopic approaches, and discuss the utility of endoscopy in managing matrix inside the petrous apex. In our two cases, total view inside the petrous apex was achieved under endoscopy without mobilizing the internal carotid artery, and the matrix was successfully removed. Neither patient has presented with postoperative recurrence thanks to the wide-angle endoscopic view inside the petrous apex. Since the number of patients was small, comparisons with microscopic treatments are not yet valid, but endoscopes could offer a helpful tool for operating inside the petrous apex...
October 10, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28993939/treatment-of-sphenopalatine-artery-bleeding
#17
LETTER
Zhengcai Lou, Zi-Han Lou
No abstract text is available yet for this article.
October 9, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28986671/transcervical-fat-injection-laryngoplasty-for-unilateral-vocal-fold-paralysis-an-easy-way-to-do-the-job
#18
Hisham E M Elbadan, Wael K A Hussein, Riham M Elmaghraby
Unilateral vocal fold paralysis resulting in glottic incompetence can cause impairment of laryngeal functions, including airway protection and phonation. The objective of this study is to present an easy new technique for harvesting and injection of abdominal fat into the vocal fold for patients with unilateral vocal fold paralysis. This is a retrospective study of patients carried out on 16 patients suffering from unilateral vocal fold paralysis resulting from different etiologies. All patients were subjected to the protocol of voice assessment pre- and postoperatively...
October 6, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28975399/palatal-ancient-schwannoma-optical-immunohistochemical-and-ultrastructural-study-with-literature-review
#19
Beatriz Vera-Sirera, Lorena Fernades-Ciacha, Luis M Floria, Francisco Vera-Sempere
Schwannoma or neurilemmoma is a benign encapsulated slow-growing tumor that originates from a Schwann cell of a nerve, and is rare at intraoral locations. Different histological variants of schwannomas have been described, of these degenerative or ancient schwannoma is probably one of the least common in the oral cavity with only 16 previously reported cases, of which only one has been described in palatal location. Although ancient schwannoma shows particular characteristics, it is difficult to diagnose based on clinical and imaging appearance alone; as a result, morphological examination assisted by ancillary techniques is necessary to establish a definite diagnosis...
October 3, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28975391/reduced-upper-obstructions-in-n3-and-increased-lower-obstructions-in-rem-sleep-stage-detected-with-manometry
#20
Markus Wirth, Juliane Schramm, Maximilian Bautz, Benedikt Hofauer, Günther Edenharter, Armin Ott, Clemens Heiser
In obstructive sleep apnea (OSA), airway obstruction occurs at different anatomic levels. The frequency and location of obstructions play a crucial role in the planning of surgical treatment. The aim of this study was to evaluate the pharyngeal obstruction levels in different sleep stages with manometry in OSA patients. In addition, the manometry results were compared with drug-induced sleep endoscopy (DISE). Forty-one patients with OSA received manometry measurements during one night of sleep. All patients were simultaneously evaluated with polysomnography...
October 3, 2017: European Archives of Oto-rhino-laryngology
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