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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/28346767/hormone-replacement-therapy-for-chronic-tinnitus-in-menopausal-women-our-experience-with-13-cases
#1
Jen-Tsung Lai, Chiung-Lin Liu, Tien-Chen Liu
Tinnitus is a common complaint among patients visiting an ENT clinic. It can cause severe annoyance and distress to some patients. Many treatment modalities are available for the management of tinnitus, with different degrees of effectiveness. This article is protected by copyright. All rights reserved.
March 27, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28339165/a-randomised-controlled-trial-of-sodium-citrate-spray-for-non-conductive-olfactory-disorders
#2
Carl Philpott, Sally Erskine, Allan Clark, Alexander Leeper, Mahmoud Salam, Rishi Sharma, George Murty, Thomas Hummel
BACKGROUND: Previous research has suggested that sodium citrate improves hyposmia by decreasing mucus calcium levels in the nose. This study aimed to confirm or refute this effect in a single application and assess potential side effects. METHODOLOGY: Study design was a randomised double-blind controlled trial of sodium citrate nasal spray (intervention) versus sterile water (control) in a tertiary care clinic. Fifty-five patients with non-conductive olfactory loss were randomised to receive the intervention or placebo...
March 24, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28332763/prevalence-of-obstructive-sleep-apnea-syndrome-following-oropharyngeal-cancer-treatment-a-prospective-cohort-study
#3
Anthony Loth, Justin Michel, Roch Giorgi, Laure Santini, Marc Rey, Jean-Marc Elbaum, Nicolas Roux, Antoine Giovanni, Patrick Dessi, Nicolas Fakhry
OBJECTIVES: To evaluate the prevalence of obstructive sleep apnea syndrome (OSAS) in a population of patients treated for an advanced cancer of the oropharynx (AJCC Stage III or IV), depending on treatment strategy and to evaluate its impact on quality of life. DESIGN: Prospective cohort study. SETTING: University Teaching Hospital of La Conception, Marseille, France. PARTICIPANTS: ifty-one disease free patients were included...
March 23, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28326677/implantation-and-positioning-of-a-transcutaneous-magnetic-bone-conduction-hearing-system-for-children-with-microtia-in-preparation-for-auricular-reconstruction
#4
Shradha Sharma, Neil Bulstrode, Andrew Marshall
Microtia is a complex congential issue, which can have a functional and psychosocial effect on patients(1) . It can occur spontaneously or as part of a syndrome. Microtia is a condition in which otolaryngologists and plastic surgeons work closely together in order to reconstruct the ear aesthetically whilst facilitating effective aiding. This article is protected by copyright. All rights reserved.
March 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28326669/limited-endoscopic-high-septoplasty-prior-to-endonasal-dacryocystorhinostomy-our-experience-of-nine-cases
#5
Sang-Wook Kim, Seong Chul Yeo, Yeon-Hee Joo, Hyun-Jin Cho, Seong Wook Seo, Sea-Yuong Jeon
Primary acquired nasolacrimal duct obstruction is a clinical syndrome of unknown cause, manifested by epiphora, infection, blurred vision, and ocular and facial pain. Conservative care is usually ineffective in patients with chronic conditions; thus, dacryocystorhinostomy (DCR) has become the gold standard of treatment for such patients. Since the advent of endoscopic technologies, most patients have undergone endonasal (EN-)DCR; the success rate is comparable to that of external (EX-)DCR. This article is protected by copyright...
March 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28322025/prevalence-of-hearing-loss-and-clinical-otologic-manifestations-in-patients-with-22q11-2-deletion-syndrome-a-literature-review
#6
Emmy Verheij, Laura S M Derks, Inge Stegeman, Henricus G X M Thomeer
BACKGROUND: Hearing loss and otitis media are frequently reported in patients with 22q11.2 deletion syndrome. OBJECTIVE OF REVIEW: Our objective was to review the current literature on the prevalence of hearing loss and otologic manifestations in patients with 22q11.2 deletion syndrome. TYPE OF REVIEW: Systematic review. SEARCH STRATEGY: We conducted a systematic search in PubMed and Embase combining the term '22q11...
March 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28321987/cephalometric-findings-among-children-with-velopharyngeal-dysfunction-following-adenoidectomy-a-retrospective-study
#7
Firas Kassem, Yaniv Ebner, Ben Nageris, Nezar Watted, Ari DeRowe, Ariela Nachmani
OBJECTIVES: To characterize the craniofacial structure by cephalometry, especially the skull base and nasopharyngeal space, in children who underwent adenoidectomy and developed persistent velopharyngeal dysfunction (VPD). DESIGN: Retrospective study. SETTING: Speech and swallowing clinic of a single academic hospital. PARTICIPANTS: 39 children with persistent VPD following adenoidectomy (mean age 8.0±3.6 years) and a control group of 80 healthy children...
March 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317337/role-of-transnasal-flexible-laryngo-oesophagoscopy-tnflo-in-investigating-patients-with-globus-symptoms
#8
Hassan Mohammed, Matthew Coates, Liam Masterson, Wei Yee Chan, Yasmeen Hassan, Ramez Nassif
Globus pharyngeus is the feeling of foreign body sensation in the throat. This feeling can be intermittent or persistent. In the past, the term "globus" was attributed to a psychological cause, hence the term "globus hystericus". The term "globus pharyngeus" was suggested in 1968 to dissociate the symptom from its psychological stigma. This article is protected by copyright. All rights reserved.
March 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317336/a-novel-radiologic-check-test-of-round-window-accessibility-for-cochlear-implantation-our-experience-in-198-cases
#9
Mahmoud F Mandour, Mohammed Adel Khalifa, Hossam M Adel Khalifa, Mohammed Tomoum
Clear visualization of the round window niche (RWN) and round window membrane (RWM) through the facial recess using standard posterior tympanotomy approach is a prime requisite for the surgeon. Moreover, even with the traditional cochleostomy approach, proper identification of RWN is essential for accurate localization of promontory cochleostomy site. (1) This article is protected by copyright. All rights reserved.
March 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317322/cerebrospinal-fluid-leaks-during-endoscopic-sinus-surgery-in-thirty-two-patients
#10
Georg J Ledderose, Klaus Stelter, Christian S Betz, Anna S Englhard, Carola Ledderose, Andreas Leunig
The inadvertent cerebrospinal fluid (CSF) leak is a very rare but potentially hazardous complication in endoscopic sinus surgery. We performed a systematic review of a series of 32 cases of CSF leaks occurring during sinus surgery. We identified surgical inexperience and impaired orientation in the surgical field as the main risk factors for iatrogenic CSF leaks. The lateral lamella of the cribriform plate and the anterior ethmoid roof are predilection sites for CSF leaks in the anterior skull base. We determined suitable methods of repair based on the location of the leak and found high success rates after endoscopic leak closure...
March 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317321/development-of-a-home-based-auditory-training-to-improve-speech-recognition-on-the-telephone-for-patients-with-cochlear-implants-a-randomized-trial
#11
Friedrich Ihler, Jenny Blum, Gino Steinmetz, Bernhard G Weiss, Stefan Zirn, Martin Canis
OBJECTIVES: Speech recognition on the telephone poses a challenge for patients with cochlear implants due to a reduced bandwidth of transmission. This trial evaluates a home-based auditory training with telephone-specific filtered speech material to improve sentence recognition. DESIGN: Randomized controlled parallel double-blind. SETTING: One tertiary referral center. PARTICIPANTS: 20 postlingually deafened patients with cochlear implants...
March 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28306201/a-helpful-technique-for-water-precautions-following-ear-surgery-utilising-the-anaesthetic-air-cushion-mask
#12
M S Osborne, M P A Clark
Water avoidance in the immediate post-operative period following ear surgery is vital to prevent infection, allow incisions to heal and so lead to an improvement in recovery rates. Advice regarding this is varied from 24 hours - several weeks depending on the surgical approach and surgeon preference. Advice is usually given to prevent water from entering the ear canal by barrier methods such as cotton wool covered in petroleum jelly, custom ear plugs, putty or bathing caps. This article is protected by copyright...
March 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28306200/cross-sectional-study-about-impact-of-parental-smoking-on-rhinitis-symptoms-in-children
#13
Ana Faraldo-García, Angel Lopez-Silvarrey, Sonia Pertega, María-Jesús Cruz, Manuel Sampedro, Juan Sánchez-Lastres, Miguel Angel San-José Gónzalez, Luis Bamonde, Luciano Garnelo, Teresa Pérez-Castro, Luis Valdés-Cuadrado, Francisco-Javier Gonzalez-Barcala
OBJECTIVE: assess the prevalence of rhinitis and exposure to environmental tobacco smoke of children in our community and its relationship with symptoms of rhinitis METHODS (DESIGN, SETTING, PARTICIPANTS, MAIN OUTCOME MEASURES): cross-sectional study using questionnaire on rhinitis of the International Study of Asthma and Allergies in Childhood, in children (6-7 years) and adolescents (13-14 years). Categories: "rhinitis ever", "recent rhinitis", "recent rhinoconjunctivitis", "severe rhinoconjunctivitis"...
March 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28306199/surgical-management-of-extensive-osteoradionecrosis-in-nasopharyngeal-carcinoma-patients-with-the-maxillary-swing-approach-and-free-muscular-flaps
#14
N Y Choi, H J Kim, Chung-Hwan Baek
Radiation therapy has been a standard treatment for nasopharyngeal carcinoma. However, it can cause extensive osteoradionecrosis which is associated with catastrophic complications including carotid artery rupture, cerebral infection, brain necrosis and cachexia.(1,2,3,4) Most of the cases of limited osteoradionecrosis of the nasopharynx have been treated by endoscopic debridement with a favorable success rate.(3.) This article is protected by copyright. All rights reserved.
March 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28296174/vestibulotoxicity-with-systemic-gentamicin-in-different-dosing-regimens-our-experience-in-46-patients
#15
Mohammed Iqbal Syed, Jerome A Leis, Ophir Ilan, Wayne L Gold, David D Pothier, John A Rutka
Although the use of topical gentamicin has declined systemic gentamicin remains an important antimicrobial agent in the management of infections caused by multidrug-resistant gram-negative bacteria. Nephrotoxicity and Ototoxicity from systemic gentamicin is well documented despite normal gentamicin levels (peak and trough) and normal renal function tests Nephrotoxicity is a predisposing factor for vestibulotoxicity however vestibulotoxicity can still occur, in patients without nephrotoxicity [19 of 46 (43.1%) % in our series] much more significantly in single daily dosing (SDD) compared to multiple daily dosing (MDD) From our database of 46 patients we analyzed 19 patients with vestibulotoxicity without nephrotoxicity...
March 11, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28296244/-watchful-observation-follow-up-scheme-after-endoscopic-co2-laser-treatment-for-small-glottic-carcinomas-a-retrospective-study-of-93-cases
#16
Patrice Gallet, Cécile Rumeau, Duc Trung Nguyen, Pedro Augusto Teixeira, Cédric Baumann, Bruno Toussaint
OBJECTIVES: Evaluate the clinical outcome of patients treated with CO2-laser surgery for early-stage glottic carcinomas followed-up with 3 month laryngoscopy regardless of tumor grade and margins. DESIGN: Case series. SETTING: Retrospective review of the clinical records of patients treated at the ENT department of a tertiary university hospital. PARTICIPANTS AND METHOD: Clinical records from patients with early-stage glottic carcinomas (Tis-T2) treated with curative intent by CO2-laser surgery in a ten year period were evaluated...
March 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28296237/inpatient-treatment-of-patients-with-acute-idiopathic-peripheral-facial-palsy-a-population-based-healthcare-research-study
#17
Katharina Plumbaum, Gerd Fabian Volk, Daniel Boeger, Jens Buentzel, Dirk Esser, Andreas Steinbrecher, Katrin Hoffmann, Peter Jecker, Andreas Mueller, Gerald Radtke, Otto W Witte, Orlando Guntinas-Lichius
OBJECTIVES: To determine the inpatient management for patients with acute idiopathic facial palsy (IFP) in Thuringia, Germany. DESIGN: Population-based study. SETTING: All inpatients with IFP in all hospitals with departments of otolaryngology and neurology in 2012 in the German federal state Thuringia. MAIN OUTCOME MEASURES: Patients' characteristics and treatment were compared between departments, and the probability of recovery was tested...
March 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28296204/closure-of-the-trans-columellar-incision-in-open-septorhinoplasty-in-100-patients-use-of-an-absorbable-multi-filament-suture
#18
Nadia Ashraf, Neil Foden, Alwyn D'Souza
Open septorhinoplasty with an inverted-V incision is an established technique for primary and revision cases. Achieving an aesthetic scar is often a paramount concern for the patient and surgeon and can influence patient satisfaction with the overall procedure. This article is protected by copyright. All rights reserved.
March 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28296017/application-of-ultrasound-guided-pigtail-catheter-drainage-for-abscesses-in-the-head-and-neck
#19
Byung Yoon Joo, Ae Lan Jang, Joon Hyung Lee, Heon Soo Park, Myung Koo Kang, Jong Chul Hong
Abscesses in the head and neck are relatively common diseases with varied symptoms and severities. These abscesses are usually caused by upper respiratory infections, trauma, foreign bodies, postoperative infections, malignancies or dental infections.(1,2) The regions where abscesses can develop in the head and neck, include fascial planes and potential spaces such as submandibular, sublingual, submental, parapharyngeal, retropharyngeal, pretracheal, masticator or infratemporal areas.(3) This article is protected by copyright...
March 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28258624/trans-oral-robotic-assisted-tongue-base-mucosectomy-for-investigation-of-cancer-of-unknown-primary-in-the-head-and-neck-region-the-uk-experience
#20
S C Winter, E Ofo, D Meikle, P Silva, L Fraser, J O'Hara, D Kim, M Robinson, V Paleri
OBJECTIVES: The diagnosis of cancer of unknown primary (CUP) in head and neck occurs when the treating clinicians have utilised all available diagnostic tests and failed to identify the origin of the disease. There is no agreed consensus on which diagnostic investigations to use, or the order in which to use them in, although broad recommendations exist. Small tumours arising in the tongue base can be below the limits of resolution of conventional diagnostic techniques. Given the difficulty in targeting the tongue base, current practice involves blind random biopsies, which leads to a variable detection rate...
March 4, 2017: Clinical Otolaryngology
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