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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/28637097/coding-proforma-in-tnflo-clinic-from-a-uk-center-an-audit-of-85-procedures
#1
Hassan Mohammed, David Chrastek, Liam Masterson, Ramez Nassif
Within the NHS and other health service providers, alphanumeric clinical coding has been introduced as a common language to interpret and compare mortality and morbidity data (1) . The two systems of clinical coding commonly utilised are the International Classification of Diseases 10 (ICD-10) devised by the World Health Organisation(1) and the Office of Population Censuses and Surveys 4 (OPCS-4) published in the UK by the Health and Social Care Information Centre (2) . This article is protected by copyright...
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28637084/integra-dermal-regeneration-template-for-neck-reconstruction-in-a-previously-irradiated-patient
#2
Nikoleta Skalidi, Jenny Montgomery
1 Integra artificial dermal regeneration template can be an alternate product for neck reconstruction in previously irradiated patients with poor performance status. 2 Integra can be succefully used as one stage procedure providing good aesthetic outcomes. 3 One stage procedure of Integra minimizes the surgical time and donor site comorbity from harvesting skin grafts. This article is protected by copyright. All rights reserved.
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28636202/squamous-cell-carcinoma-of-the-temporal-bone-in-30-patients-difference-in-presentation-and-treatment-of-post-irradiation-and-de-novo-disease
#3
Ho Yee Sun, Raymond K Tsang
Squamous cell carcinoma temporal bone (SCCTB) is a rare malignancy with incidence of around 1 to 1.2 case per million populations per year. Risk factors included chronic otitis media and chronic irritation of the skin and mucosa of the external and middle ear. A rare but important aetoloigy is radiation to the region for treatment of head and neck malignancies. This article is protected by copyright. All rights reserved.
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28636155/the-use-of-transnasal-humidified-rapid-insufflation-ventilatory-exchange-thrive-in-17-cases-of-subglottic-stenosis
#4
Kim To, Fleur Harding, McNeill Scott, Pamela Milligan, Iain J Nixon, Richard Adamson, Alistair F McNarry
Shared airway management in patients with subglottic stenosis (SGS) is challenging for both the anaesthetist and surgeon. Various methods of airway management have been described but currently no gold standard exists. Jet ventilation has been described as the preferred technique despite a UK National Survey highlighting potential complications including pneumothorax, pneumomediastinum, surgical emphysema, hypoxia and death. This article is protected by copyright. All rights reserved.
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28636124/the-ips-scale-a-new-soft-tissue-assessment-scale-for-percutaneous-and-transcutaneous-implants-for-bone-conduction-devices
#5
Ivo J Kruyt, Rik C Nelissen, Martin L Johansson, Emmanuel A M Mylanus, Myrthe K S Hol
Percutaneous titanium implants for bone conduction devices (BCDs) have offered, since 1977, a solution for patients with hearing loss not treatable by conventional hearing aids, such as patients with chronic ear infections or microtia and/or ear canal atresia. Percutaneous implants imply a continuous breach in the mechanical defensive barrier of the skin. To compensate for this breach, immunological mechanisms in the subcutaneous tissue surrounding the implant become more active. This article is protected by copyright...
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28636087/extended-inferior-antrostomy-for-maxillary-sinus-surgery
#6
Justin Michel, Thomas Radulesco, Martin Penicaud, Patrick Dessi
Functional endoscopic sinus surgery (FESS) has considerably evolved over the past 20 years while minimally-invasive surgery also applies to sinus procedures. Development of new technologies combined with better knowledge of risks has allowed surgeons to achieve improved results in their FESS indications. One of the most difficult areas to visualize using the exclusive endoscopic approach is still the anterior recess of the maxillary sinus. Hence, external approaches, such as the Caldwell-Luc procedure, are still used by many surgeons to ensure visual control of this area in diseases such as fungal balls, mucoceles, inverted papilloma and other tumors...
June 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28627802/the-length-of-patient-and-primary-care-time-interval-in-the-pathways-to-treatment-in-symptomatic-oral-cancer-a-quantitative-systematic-review
#7
P Varela-Centelles, J Seoane, J L Lopez-Cedrun, J Fernandez-Sanroman, J M García-Martin, B Takkouche, P Alvarez-Novoa, J M Seoane-Romero
BACKGROUND: Only a 5% improvement in overall survival to oral cancer has been achieved in the last 20 years. Almost half of all oral carcinomas are diagnosed at advanced stages essentially due to delay in the diagnosis. Objective of the review: to examine the relative length of the patient and primary care intervals in symptomatic oral cancer. TYPE OF REVIEW: Quantitative systematic review. SEARCH STRATEGY: ((oral cancer OR oral squamous cell carcinoma OR oropharyngeal cancer) AND (time interval OR diagnostic delay))...
June 19, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28621024/the-validity-of-nasal-endoscopy-in-patients-with-chronic-rhinosinusitis-an-interrater-agreement-study
#8
K L Larsen, B Lange, P Darling, G Jørgensen, A D Kjeldsen
OBJECTIVES: Nasal endoscopy is a cornerstone in diagnosing sinonasal disease but different raters might generate different results using the technique. Our study aims to evaluate the agreement between multiple raters to assess the validity of nasal endoscopy. DESIGN/PARTICIPANTS: Three independent and blinded raters evaluated 28 patients (56 nasal cavities) diagnosed with chronic rhinosinusitis according to the European Position Paper on Rhinosinusitis and Nasal Polyps...
June 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28620984/saliva-testing-for-hpv-in-oropharyngeal-squamous-cell-carcinoma-opscc-a-diagnostic-accuracy-study
#9
Ali Qureishi, Mohammad Ali, Lisa Fraser, Ketan A Shah, Henrik Møller, Stuart Winter
BACKGROUND: New cases of oropharyngeal squamous cell carcinoma (OPSCC) are routinely tested for HPV. HPV in saliva can be detected with PCR, but its clinical applicability in the context of OPSCC remains unknown. METHODS: Forty-six consecutive patients diagnosed with OPSCC had pre-treatment saliva specimens collected. PCR for HPV on saliva was compared to p16 IHC and HPV DNA in-situ hybridisation (ISH) on surgical biopsies. RESULTS: The sensitivity and specificity of saliva testing when compared to the reference test of p16 IHC and HPV DNA ISH was 72...
June 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28620964/does-gene-expression-in-laryngeal-sub-sites-differ-between-patients-with-laryngopharyngeal-reflux-and-controls
#10
John M Wood, Damian J Hussey, Charmaine M Woods, David Astill, David I Watson, Bernard Lee, A Simon Carney
OBJECTIVE: to identify laryngeal mRNA gene changes in patients with laryngopharyngeal reflux (LPR). METHOD: Laryngeal biopsies from non-smoking LPR patients (n=10; Reflux Symptom Index (RSI) >12 and a Reflux Finding Score (RFS) >6) and controls (n=9; RSI <12 and RFS <6) were collected from 4 sub-sites (true vocal cord, false vocal cord, medial arytenoid, posterior commissure) of the larynx. qRT-PCR analyses were conducted on 20 reflux and inflammation related genes, including interleukin 6 and 8, cytokeratin 8 and 14, mucin genes MUC 1, 2, 3B, 4, 5B, 6 & 7, and carbonic anhydrase III...
June 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28620931/assault-at-the-workplace-in-147-patients-resulting-in-cochleovestibular-dysfunction
#11
Ophir Ilan, Mohammed Iqbal Syed, Eitan Aziza, David D Pothier, John A Rutka
Assault and violence at the workplace although uncommon are occupational health and safety hazards. Although there is no paucity of literature on cochleovestibular dysfunction after head injuries, there is little published on cochleovestibular dysfunction as a consequence of assault at the workplace. This article is protected by copyright. All rights reserved.
June 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28616866/vocal-palsy-increases-the-risk-of-lower-respiratory-tract-infection-in-low-risk-low-morbidity-patients-undergoing-thyroidectomy-for-benign-disease-a-big-data-analysis
#12
S A R Nouraei, J Allen, H Kaddour, S E Middleton, P Aylin, A Darzi, N S Tolley
OBJECTIVES: Thyroidectomy is the commonest and most rapidly-growing operation which places normally-functioning laryngeal nerves at risk of injury. Laryngeal palsy is a major risk-factor for dysphonia, dysphagia, and less commonly, airway obstruction. We investigated the association between post-thyroidectomy vocal palsy and long-term risks of pneumonia and laryngeal failure. DESIGN: An N=near-all analysis of the English administrative dataset using a previously-validated informatics algorithm to identify young and otherwise low-risk patients undergoing thyroidectomy for benign disease...
June 14, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28605121/do-laryngoscopic-findings-reflect-the-characteristics-of-reflux-in-patients-with-laryngopharyngeal-reflux
#13
Y C Lee, O E Kwon, J M Park, Y G Eun
OBJECTIVE: To analyze the association between 24-hour multichannel intraluminal impedance-pH (24h MII-pH) parameters and each item of the reflux finding score (RFS) to determine whether the laryngoscopic findings of the RFS could reflect the characteristics of reflux in patients with laryngopharyngeal reflux (LPR). STUDY DESIGN: Prospective cohort study. SETTINGS: Tertiary care referral medical center. PARTICIPANTS: Patients complaining of LPR symptoms were evaluated via a 24h MII-pH...
June 12, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28585768/allergic-rhinitis-rather-than-asthma-is-a-risk-factor-for-dental-caries
#14
Chun-Yi Chuang, HaiLun Sun, Min Sho Ku
OBJECTIVES: The association between AS (asthma) and dental caries is controversial, while that between AR (allergic rhinitis) and caries has not been established. This study aimed to verify the relationship among AR, AS, and dental caries. DESIGN: retrospective cohort study. SETTING: Data from Health Insurance Database of the Taiwan's National Health Insurance Research. DATABASE: Participants: Nine thousand and thirty eight children born in 2004 were obtained...
June 6, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28585263/combined-interventional-sialendoscopy-and-intraductal-steroid-therapy-for-recurrent-sialadenitis-in-sj%C3%A3-gren-s-syndrome-results-of-a-pilot-monocentric-trial
#15
Pasquale Capaccio, Pietro Canzi, Sara Torretta, Veronica Rossi, Marco Benazzo, Anna Bossi, Claudio Vitali, Lorenzo Cavagna, Lorenzo Pignataro
OBJECTIVES: To evaluate the effectiveness of interventional sialendoscopy alone or combined with outpatient intraductal steroid irrigations in patients with sialoadenitis due to Sjögren's syndrome (SS). DESIGN: A pilot therapeutic study. SETTING: ENT Clinics, Universities of Milan and Pavia. STUDY POPULATION: We included 22 patients with SS of whom 12 underwent interventional sialendoscopy followed by intraductal steroid irrigations (group A), and 10 interventional sialendoscopy alone (group B)...
June 5, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28561944/a-global-bibliometric-analysis-of-otolaryngology-head-and-neck-surgery-literature
#16
T F C Saunders, B C Rymer, K J McNamara
OBJECTIVE: Bibliometrics uses analysis of content and citations of journal articles to quantify trends in published data. We aim to use bibliometric analysis to identify the global contribution by country to the ENT surgical literature over a five-year period. DATA SOURCE: The top 20 countries for number of articles published in surgery and the 11 English Language Otolaryngology surgical journals with the highest impact factors (IF) were included. Numbers of scientific articles per year (2009-2013) per country for each journal were identified through PubMed...
May 31, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28556609/psychological-impact-of-a-genetic-diagnosis-on-hearing-impairment-an-exploratory-study
#17
A M M Oonk, S Ariens, H P M Kunst, R J C Admiraal, H Kremer, R J E Pennings
OBJECTIVE: Genetic testing for hereditary hearing impairment has become more routinely available as a diagnostic tool in the outpatient clinic. However, little is known about the psychological impact of a genetic diagnosis. To evaluate this impact, an exploratory study was conducted. DESIGN: Prospectively, 48 individuals who underwent genetic testing for hereditary hearing impairment were included in this study. Study participants were asked to fill out the following questionnaires: Hospital Anxiety Depression Scale, Impact of Event Scale, Self-Efficacy 24, Illness Cognition Questionnaire and the Inventory for Social Reliance...
May 29, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28556524/effects-of-comorbidity-and-medication-use-on-the-haemodynamic-status-during-office-based-laryngeal-procedures-a-prospective-cohort-study
#18
C T Wang, L J Liao, W C Lo, T W Huang, P W Cheng
OBJECTIVE: Office-based laryngeal procedures are emerging as effective alternative modalities for vocal disorders. This study systematically investigates the haemodynamic status of patients, specifically focusing on the potential effects of underlying comorbidity and medication use. DESIGN: Prospective cohort study. SETTING: Tertiary referral center. PARTICIPANTS: We prospectively recruited 214 consecutive patients who received office-based laryngeal procedures during January-December 2015...
May 29, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28544707/the-use-of-co2-laser-in-skin-complications-following-baha-implantation-our-experience-in-the-eight-patients
#19
Maciej Sokola, Katarzyna Malec, Pawel Brzewski, Pawel Dobosz
1 Skin reactions are the most common complications after BAHA implantation. 2 The excess of soft tissue leads to inability to tack the hearing ad to the abutment which prevents the effective use of sound processor. 3 This is a prospective case series of 8 patients with skin overgrowth around the BAHA abutments treated with CO2 laser. 4 This case-series suggest that CO2 laser is safe and easy method for the treatment of the skin overgrowth around the BAHA abutment. 5 This is the first case series presentation of the CO2 laser surgery for treatment of the skin overgrowth around the abutment of BAHA This article is protected by copyright...
May 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28544805/a-comparison-of-attitudes-to-laryngeal-cancer-treatment-outcomes-a-time-trade-off-study
#20
David W Hamilton, Ami Pedersen, Hannah Blanchford, Janneke E Bins, Peter McMeekin, Richard Thomson, Vinidh Paleri, Janet A Wilson
DESIGN: Time trade-off choice experiment. SETTING: Two large head and neck cancer centres. PARTICIPANTS: Patients who have received treatment for head and neck cancer and members of the head and neck cancer multidisciplinary team. MAIN OUTCOME MEASURES: Participants were asked to rank the outcome scenarios, assign utility values using time trade-off and rate the importance of survival on treatment choice. RESULTS: 49 head and neck cancer patients and 73 staff members were recruited...
May 19, 2017: Clinical Otolaryngology
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