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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/29150985/general-illness-and-psychological-factors-in-patients-with-chronic-nasal-symptoms
#1
Naveed Kara, Alexander C Yao, Julia Newton, Vincent Deary, James O'Hara, Janet A Wilson
OBJECTIVES: Only a minority of patients referred to specialists with sinonasal symptoms have clear evidence of chronic rhinosinusitis. This study aims to estimate the prevalence of and associations between (i) general illness factors (fatigue, autonomic dysfunction) and (ii) psychological factors (anxiety, depression, somatisation, personality traits) in patients presenting with sinonasal symptoms. DESIGN: The following validated questionnaires were administered to patients: the Sino-Nasal Outcome Test-22 (SNOT-22) to identify symptom burden, Composite Autonomic Symptom Score-31 (COMPASS-31) measuring autonomic function, Chalder fatigue questionnaire, Patient Health Questionnaire-15 (PHQ-15) addressing somatisation symptoms, Hospital Anxiety and Depression Scale (HADS), and the International Personality Item Pool-50 (IPIP-50)...
November 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29150980/adjuvant-radiotherapy-in-sinonasal-mucosal-melanoma-a-retrospective-analysis
#2
Coosje J I Caspers, Emilie A C Dronkers, Dominiek Monserez, Marjan H Wieringa, Robert J Baatenburg de Jong, Jose A U Hardillo
OBJECTIVES: Evaluation of outcome after curative treatment for sinonasal mucosal melanoma, focused on the effect of adjuvant radiotherapy on recurrence and survival. DESIGN: Retrospective chart analysis. SETTING: Tertiary referral hospital. PARTICIPANTS: 51 patients with primary sinonasal mucosal melanoma who underwent surgical resection with curative intention between 1980 and 2016 at Erasmus Medical Center Rotterdam...
November 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29130649/sino-nasal-outcome-test-22-quality-of-life-patterns-in-patients-presenting-with-nasal-septal-perforation
#3
Samuel C Leong, Christopher J Webb
OBJECTIVES: To assess the impact of nasal septal perforation on quality of life. DESIGN: Retrospective cohort study. SETTING: Rhinology clinics from two hospitals in Liverpool, United Kingdom. PARTICIPANTS: Patients diagnosed with nasal septal perforation (NSP). MAIN OUTCOME MEASURES: Patients (n=26) diagnosed with NSP completed the Sino-Nasal Outcome Test-22 (SNOT-22). The collated data was compared with SNOT-22 scores from a cohort of healthy volunteers (n=34) and a cohort of patients (n=30) diagnosed with chronic rhinosinusitis (CRS)...
November 11, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29125697/vocal-fold-augmentation-under-local-anesthesia-using-autologous-fascia
#4
Teemu J Kinnari, Petra Pietarinen, Ahmed Geneid
Vocal fold augmentation by injection of autologous fascia has been used since the 1990s with excellent safety record in 500 operations done under general anaesthesia. It is safe from risks arising from allergic or other foreign body adverse reactions. Fascia provides long-term augmentation and remains stable 3-10 years after injection. Vocal fold augmentation under local anaesthesia is excellent alternative for those unfit for general anaesthesia, providing aid to fragile and weak persons with vocal fold paralysis...
November 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29119714/cross-cultural-adaptation-and-validation-of-the-spanish-version-of-the-paediatric-throat-disorders-outcome-test-t-14
#5
Francisco Larrosa, Laura Samara, Eduard Esteller, Maria J Dura, Yolanda Escamilla, Anna Alberti, Rosa Rosell, Claire Hopkins
OBJECTIVES: The Paediatric Throat Disorders Outcome Test (T-14) is a disease-specific questionnaire that parents are requested to complete; it aims to assess the quality of life related to tonsil and adenoid disease or its treatment in children with throat disorders. The aim of this study was to validate the Spanish adaptation of the T-14, thus allowing comparison across studies and facilitating international multicentre projects. DESIGN, SETTING AND PARTICIPANTS: This was a multicentre prospective instrument validation study...
November 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29119679/noise-induced-hearing-loss-an-examination-of-the-methods-of-assessment-in-a-cross-sectional-study-of-87-industrial-workers
#6
Sudip Das, Michael Mulheran, Melanie Brewster, Anil R Banerjee
OBJECTIVES: The surveillance of noise-induced hearing loss (NIHL) according to the Health & Safety Executive (HSE) differs from the medico-legal criteria used to assess NIHL. Our study compares the two systems and proposes a novel method of simplifying the medico-legal criteria and applying it to ascertain noise-induced hearing loss. DESIGN: The anonymised audiograms of a group of 87 industrial workers from a single site were analysed with both methods. RESULTS: The comparison showed approximately one-third of the workers assessed in this study had their noise-induced hearing loss underestimated by the HSE criteria...
November 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29119670/open-access-is-there-a-predator-at-the-door
#7
R Chandra, E W Fisher, T M Jones, D W Kennedy, D H Kraus, J H Krouse, M Link, L R Lustig, B W O'Malley, J F Piccirillo, R Ruben, R T Sataloff, S Schwartz, R Sindwani, R J Smith, M G Stewart, P C Weber, D B Welling, R Youngs
No abstract text is available yet for this article.
November 8, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29106778/evolution-of-soft-palate-surgery-techniques-for-obstructive-sleep-apnea-patients-a-comparative-study-for-single-level-palatal-surgeries
#8
Mohamed S Rashwan, Filippo Montevecchi, Giovanni Cammaroto, Mohamed Badr El Deen, Nagi Iskander, Diaa El Hennawi, Mohammed El Tabbakh, Giuseppe Meccariello, Riccardo Gobbi, Francesco Stomeo, Claudio Vicini
OBJECTIVES: to compare the results of tissue preservation techniques of soft palate surgeries including expansion sphincter pharyngoplasty (ESP) and barbed reposition pharyngoplasty (BRP) for patients suffering from obstructive sleep apnea (OSA) with the traditional uvulopalatopharyngoplasty (UPPP). DESIGN: interventional comparative study. SETTING: Morgagni- Pierantoni Hospital. PARTICIPANTS: seventy five patients were included in the study, divided into three groups with 25 patients per group: UPPP, ESP or BRP...
November 6, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29106777/quality-of-questionnaires-for-the-assessment-of-otitis-media-with-effusion-in-children
#9
Richard Wei Chern Gan, Matija Daniel, Matthew Ridley, Johanna G Barry
INTRODUCTION: Audiometric tests provide information about hearing in otitis media with effusion (OME). Questionnaires can supplement this information by supporting clinical history-taking as well as potentially providing a standardized and comprehensive assessment of the impact of the disease on a child. There are many possible candidate questionnaires. This study aimed to assess the quality and usability of parent / child questionnaires in OME assessment. METHODS: Fifteen, published questionnaires, commonly used in audiological departments (ABEL, CHAPS, CHILD, COW, ECLiPS, ELF, FAPC, HL-7, LIFE-R Student, LIFE-UK IHP, LittlEARS, LSQ, OM-6, OMQ-14, PEACH) were assessed according to the following 8 criteria: conceptual clarity, respondent burden, reliability, validity, normative data, item bias, ceiling/ floor effects, and administrative burden...
November 6, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29106764/an-ent-smartphone-handbook-adopting-new-practice-for-induction
#10
Hiteshkumar Tailor, Kate Blackmore, Shane Lester
There should be continued support and drive for innovation and implementation of smartphone-based access to local guidelines. This is the first study, that we're aware of, assessing the use of a smartphone-based clinical handbook in ENT surgery. Use of a smartphone-based handbook is superior to printed or intranet-based guidelines. Use of smartphone apps can support junior doctors with delivery of care. Smartphone-based access to guidelines encourage learning and education to improve the induction process for new doctors...
November 6, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29106763/higher-prevalence-and-increased-severity-of-sleep-disordered-breathing-in-male-patients-with-chronic-tinnitus-our-experience-with-173-cases
#11
Jen-Tsung Lai, Ping-Hung Shen, Che-Yang Lin, Chun-Lin Liu, Tien-Chen Liu
Tinnitus and sleep are closely related. One of the most important aspects of tinnitus is its association with sleep disturbance. According to the literature, up to 71% of patients with tinnitus report sleep problems (1); furthermore, insomnia is also associated with more distressing tinnitus (2). Conversely, sleep disturbance was proposed as one of the causes of chronic tinnitus (3). The relationship of tinnitus with sleep-disordered breathing (SDB) and obstructive sleep apnea (OSAS) has rarely been mentioned (4)...
November 6, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29078021/what-are-the-clinically-important-outcome-measures-in-the-surgical-management-of-nasal-obstruction
#12
Wouter L Lodder, Samuel C Leong
OBJECTIVES: to assess the correlation between the Nasal Obstruction Symptom Evaluation (NOSE) scale and peak nasal inspiratory flow (PNIF) measurement, and to determine which outcome variable correlates with patient satisfaction and thereby, successful surgical outcome. DESIGN: Prospective case series. SETTING: Rhinology practice in a tertiary referral centre (Liverpool, U.K). PARTICIPANTS: Patients having surgery (septoplasty, turbinoplasty) for nasal obstruction...
October 27, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29069534/developing-control-algorithms-of-a-voluntary-cough-for-an-artificial-bioengineered-larynx-using-surface-electromyography-of-chest-muscles-a-prospective-cohort-study
#13
M S Banus, M A Birchall, J A Graveston
OBJECTIVE: This prospective cohort study investigates the prediction of a voluntary cough using surface electromyography (EMG) of intercostal and diaphragm muscles, in order to develop control algorithms for an EMG controlled artificial larynx. SETTING: The Ear Institute, London. MAIN OUTCOME MEASURES: EMG onset compared to voluntary cough exhalation onset and to 100ms (to give the artificial larynx the time to close the bioengineered vocal cords) before voluntary cough exhalation onset, in twelve healthy participants...
October 25, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29069526/needs-and-preferences-of-patients-with-head-and-neck-cancer-in-integrated%C3%A2-care
#14
Lydia F J van Overveld, Robert P Takes, Ayla S Turan, Jozé C C Braspenning, Ludi E Smeele, Matthias A W Merkx, Rosella P M G Hermens
OBJECTIVES: Incorporation of patients' perspectives in daily practice is necessary to adapt care to users' needs. However, information on patients' needs and preferences for integrated care is lacking. The aim was to explore these needs and preferences, taking patients with head and neck cancer (HNC) as example, to adapt current integrated care to be more patient-centered. DESIGN: Semi-structured interviews were held with current and former patients and chairmen of patient associations...
October 25, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29055081/a-new-endoscopic-technique-to-close-big-nasal-septal-perforations-prospective-evaluation-of-the-double-meat-hook-technique-in-19-consecutive-cases
#15
H Dixon, F R Datema
Despite the variety of surgical techniques available to close big symptomatic septum perforations, closure rates of 30 to 70% indicate the difficulty of obtaining a good end result. The double meat hook technique is a new endoscopically assisted technique that delivers excellent visualization and control of mucosal flap elevation, extension and suturing. Mucosa from the nasal floor, lateral nasal wall and inferior turbinate bone are valuable donor site extensions. There is no need for additional incisions into the nasal septal mucosa in order to perform a tension-free closure...
October 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29055085/current-use-of-baseline-medical-treatment-in-chronic-rhinosinusitis-data-from-the-national-chronic-rhinosinusitis-epidemiology-study-cres
#16
Carl Philpott, Sally Erskine, Rupert Smith, Claire Hopkins, Naveed Kara, Amir Farboud, Mahmoud Salam, Alasdair Robertson, Rob Almeyda, B Nirmal Kumar, Shahram Anari, Jaydip Ray, Russell Cathcart, Sean Carrie, Shahzada Ahmed, Hisham Khalil, Allan Clark, Mike Thomas
OBJECTIVES: According to clinical and comissioning guidelines for chronic rhinosinusitis (CRS), patients being referred to secondary care should have failed primary medical treatment with nasal douching (ND) and intranasal corticosteroids (INCS). The study objectives were to identify the rate of specific medical therapy in CRS patients and establish any differences in medication use, for both CRS and associated medical conditions, between CRS phenotypes. DESIGN AND SETTING: Case-control study in a secondary care setting...
October 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29054126/a-review-of-periorbital-cellulitis-guidelines-in-fifty-one-acute-admitting-units-in-the-united-kingdom
#17
Arthur C O Okonkwo, Steven Powell, Sean Carrie, Stephen L Ball
Periorbital cellulitis is an acute infection of the periorbital soft tissues with potential sight and life threatening complications that most commonly occurs in children([1]) . Post-septal abscess formation can cause loss of sight; furthermore, posterior spread of infection may progress to cavernous sinus thrombosis and intracranial infection([1, 2]) . In England April 2014-March 2015, 3687 patients attended hospital with periorbital cellulitis costing the National Health Service over £9.5 million per annum before considering the cost of treating its complications([3]) ...
October 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29054125/external-validation-of-a-cancer-risk-prediction-model-for-suspected-head-and-neck-cancer-referrals
#18
T Tikka, V Paleri, K MacKenzie
Head and neck cancer (HNC) affects more than 9000 new patients every year in England and Wales with an additional 1200 in Scotland. (1,2) Patients are urgently referred to head and neck clinics for further assessment when a suspicion of cancer is raised in the primary care setting. In England, the referral criteria are based on the NICE recommendations for symptoms associated with HNC. (2) A different combination of symptoms is described in the Scottish cancer referral guidelines. (3) There is currently no unified referral proforma across the different UK cancer networks...
October 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29054118/efficacy-of-laryngectomy-alone-for-treatment-of-locally-advanced-laryngeal-cancer-a-stage-and-subsite-specific-survival-analysis
#19
Brian P Cervenka, Shyam Rao, D Gregory Farwell, Arnaud F Bewley
OBJECTIVE: Total laryngectomy is a well-established treatment for locally advanced laryngeal cancer. Evidence for the benefit of post-operative radiotherapy after laryngectomy in patients with locally advanced primaries and N0 or N1 nodal disease is limited. This study aims to determine whether total laryngectomy alone is adequate therapy for certain patient subgroups with locally advanced laryngeal cancer. DESIGN: We performed a retrospective survival analysis of patients in the surveillance epidemiology and end results (SEER) database with locally advanced laryngeal cancer between 2004-2012...
October 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29054113/post-operative-corticosteroid-irrigation-for-chronic-rhinosinusitis-after-endoscopic-sinus-surgery-a-meta-analysis
#20
Ho Young Yoon, Ho Seok Lee, In Hye Kim, Se Hwan Hwang
BACKGROUND: Recently, topical steroid therapy delivery using high-volume sinonasal irrigations has been used more frequently, following endoscopic sinus surgery (ESS), to improve drug delivery into the paranasal sinuses. OBJECTIVE: The goal of this study was to perform a systematic review with meta-analysis of the efficacy of steroid nasal irrigation on postoperative management of CRS following ESS. METHODS: Five databases (PubMed, SCOPUS, Embase, Web of Science, and the Cochrane database) from inception to March 2017 were independently reviewed by two researchers...
October 20, 2017: Clinical Otolaryngology
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