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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/28805009/using-endoscopy-to-locate-the-round-window-membrane-during-cochlear-implantation-our-experience-with-25-patients
#1
Y H Chen, T C Liu, T H Yang, K N Lin, C C Wu, C J Hsu
Locating the round window membrane during cochlear implantation surgery is crucial to insert the electrode array correctly and to minimize intracochlear damage. However, it can be difficult to access the round window membrane in certain patients, especially in paediatric patients or patients with inner ear malformations. Recently, it has been demonstrated that endoscopy enables excellent visualization and exploration of the round window niche in ear surgery. This article is protected by copyright. All rights reserved...
August 14, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28803450/manoeuvre-to-aid-endoscopic-division-of-aryepiglottic-folds-aryepiglottoplasty
#2
Salil Sood, Raymond Clarke, Andrew Bowhay, Sujata De
Laryngomalacia, a congenital malformation of larynx is the commonest cause of stridor in young infants. Ninety percent of cases resolve by the age of 2 years without any active intervention (1).The most consistent abnormality seen in non-resolving cases is shortening of the aryepiglottic folds (picture 1).(2) This article is protected by copyright. All rights reserved.
August 13, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28800204/comparison-of-robotic-and-coblation-tongue-base-resection-for-obstructive-sleep-apnea
#3
Chi Sang Hwang, Jin Won Kim, Jin Woong Kim, Eun Jung Lee, Chang-Hoon Kim, Joo-Heon Yoon, Hyung-Ju Cho
OBJECTIVES: To compare the efficacy and safety of transoral robotic surgery (TORS) with endoscope-guided coblation tongue base resection. DESIGN: Retrospective case-control study. SETTING: University-based tertiary care medical center. PARTICIPANTS: OSA patients who underwent endoscope-guided tongue base coblation resection or TORS in combination with lateral pharyngoplasty at a single institution in South Korea between April 2013 and December 2016 were investigated...
August 11, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28800202/the-sign-104-guideline-2014-for-topical-antibiotic-prophylaxis-during-grommet-insertion-misguided
#4
Rohit D Gohil, Mohammed Iqbal Syed
We write to express both concern and surprise at the updated SIGN (Scottish Intercollegiate guidelines network) guideline 104 (2014) for antibiotic prophylaxis [1]. The original SIGN guideline 104 (2008)[2] recommended the use of a single dose of prophylactic topical antibiotic during grommet insertion based on 3 RCT's one of which showed no difference in outcome in the use of antibiotic and saline drops. Two of the 3 studies used Ciprofloxacin and Ofloxacin, neither of which is licensed for use in the United Kingdom...
August 11, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28800194/a-comparison-of-two-endoscopic-posterior-cordotomy-techniques-laser-cordotomy-vs-diathermy-assisted-cordotomy
#5
Kerem Ozturk, Goksel Turhal, Isa Kaya, Abdulhalim Aysel, Murat Benzer, Pervin Korkmaz Ekren, Serdar Akyildiz
OBJECTIVES: To compare respiratory function, swallowing and voice quality of bilateral abductor vocal fold paralysis (BAVFP) patients undergoing laser and diathermy assisted posterior cordotomy. DESIGN: Prospective study. SETTING: Tertiary academic hospital. PARTICIPANTS: Thirty patients were included in the study (Group 1 and 2, 15 patients each). Mean age was 53±14.27 years with a range of 31-78 years (12 (40%) male, 18 (60%) female)...
August 11, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28776927/abstracts
#6
(no author information available yet)
No abstract text is available yet for this article.
August 3, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28772342/the-otology-questionnaire-amsterdam-a-generic-patient-reported-outcome-measure-about-the-severity-and-impact-of-ear-complaints-a-cross-sectional-study-on-the-development-of-this-questionnaire
#7
E M Bruinewoud, J T Kraak, L M van Leeuwen, S E Kramer, P Merkus
OBJECTIVE: Development of the Otology Questionnaire Amsterdam (OQUA); a patient reported outcome measure (PROM), measuring the severity and impact of ear complaints of patients visiting an ENT surgeon. DESIGN: Multicenter, cross-sectional study.Phase 1: qualitative research. In depth interviews (N=16) to identify relevant types of ear complaints and to formulate items. Pilot study of the first and second draft of the OQUA (N=32, N=39). Phase 2: quantitative research...
August 3, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28766844/timing-of-cochlear-implantation-in-auditory-neuropathy-patients-with-otof-mutations-our-experience-with-10-patients
#8
C C Wu, C J Hsu, F L Huang, Y H Lin, Y H Lin, T C Liu, C M Wu
Auditory neuropathy spectrum disorder (ANSD) can be caused by a variety of pathologies ranging from inner hair cells, synapses, spiral ganglion neurons, the auditory nerve, to brainstem auditory nuclei.(1) For ANSD patients who derive limited benefit from hearing aids, cochlear implantation constitutes the treatment of last resort. However, corresponding to the heterogeneity in pathology, the outcomes with cochlear implants (CIs) vary significantly among ANSD patients.(1) This article is protected by copyright...
August 2, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28756648/objective-assessment-of-hearing-during-second-stage-of-tympanoplasty-surgical-technique-and-measurement-methodology-presented-in-ten-patients
#9
Kazimierz Niemczyk, Krzysztof Morawski, Rafael Delgado, Antoni Bruzgielewicz, Magdalena Lachowska
In this paper, a complete integrated method of intraoperative monitoring of hearing (IOMH) during ossiculoplasty performed via posterior tympanotomy is presented. The method integrates auditory steady state responses (ASSR) with Laser-Doppler Vibrometry (LDV) and allows intraoperative optimization of ossicular prosthesis positioning and coupling. Both ASSR and LDV are acquired simultaneously. The results of the integrated measurements are analyzed and evaluated automatically on-line which makes this strategy unaffected by individual differences in interpretations of collected recordings...
July 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28744995/idiopathic-sudden-sensorineural-hearing-loss-and-m%C3%A3-ni%C3%A3-re-syndrome-the-role-of-cerebral-venous-drainage
#10
Marco Matteo Ciccone, Pietro Scicchitano, Michele Gesualdo, Francesca Cortese, Annapaola Zito, Fabio Manca, Barbara Boninfante, Pasquale Recchia, Domenico Leogrande, Domenico Viola, Marialessia Damiani, Valeria Gambacorta, Antonio Piccolo, Vincenzo De Ceglie, Nicola Quaranta
AIM: to evaluate the influence of cerebral venous drainage on the pathogenesis of idiopathic sudden sensorineural hearing loss (ISSHL) and Ménière syndrome (MD). METHODS: we enrolled 59 consecutive patients (32 males, mean age 53.05+15.37 years): 40 ISSHL and 19 MD. All underwent physical examination, biochemical evaluation (glycemic and lipid profile, viral serology, C reactive protein, etc), audiometric (tonal, vocal, vestibular evoked myogenic potentials and auditory brainstem response test) and impedentiometric examination...
July 26, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28742261/the-clinical-characteristics-and-audiogram-in-103-meniere-disease-patients-with-and-without-vestibular-migraine
#11
Yixu Wang, Tongxiang Diao, Yixin Zhao, Lisheng Yu
1 There was a close relationship between MD and VM. 48 MD patients(46.6%) had VM, 18 MD patients (17.5%)were probable to have VM. 2 MD patients with VM have better hearing than those without VM at 500 Hz, 1000Hz, and 2000Hz. 3 Among MD patients with VM, the mean monthly frequency of vertigo attack was 7.1,which can differ significantly from those among MD patients with probable VM and those without VM.(P<0.01). 4 The female MD patients were 7.92 times to have VM than male MD patients(95% CI, 2.97 to 21.08; P=0...
July 25, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28736878/optimal-positioning-to-image-the-subglottis-during-transnasal-flexible-laryngoscopy
#12
C Blake Sullivan, Joe Peterson, Henry Hoffman
Flexible transnasal laryngoscopy in the office setting has improved assessment of the upper aero-digestive tract.(1) Techniques designed to improve visualization of the oropharynx, hypopharynx, and larynx have included use of a chin-tuck described by Cherko et al. designed to permit full view of the subglottis.(2) .(3)(4) Our experience with both standard mirror examination of the larynx as well as transoral videostroboscopy has identified improved visualization of the subglottis through anterior chin and tongue positioning...
July 24, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28734109/the-cost-of-oropharyngeal-cancer-in-england-a-retrospective-hospital-data-analysis
#13
Sam T Keeping, Michael J Tempest, Stephanie J Stephens, Stuart M Carroll, Richard Simcock, Terence M Jones, Richard Shaw
OBJECTIVES: To estimate the total costs of treating head and neck cancers, specifically oropharyngeal, laryngeal and oral cavity cancer, in secondary care facilities in England during the period 2006/2007 to 2010/2011. DESIGN: Patient records were extracted from an English hospital database to estimate the number of patients treated for oropharyngeal, laryngeal and oral cavity cancer in England. Identified resource use was linked to published United Kingdom cost estimates to quantify the reimbursement of treatment through the Payment by Results system...
July 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28727298/nine-patients-with-chronic-granulomatous-disease-having-selective-neck-dissection-for-severe-cervical-lymphadenitis
#14
Laura R Wingfield, Jack Liu, Michael Hu, David Bianchi, Kenneth Hauck, Brian Driscoll, John I Gallin, Harry L Malech, Steven M Holland, Carter Van Waes
Chronic Granulomatous Disease (CGD) is a rare, inherited disorder due to an X-linked or autosomal genetic defect, in which patients experience a high rate of lymphadenitis. To date, no studies have examined the best treatment for severe lymphadenitis in this patient population. We present a nine CGD patient retrospective case series, examining surgical treatment of cervical lymphadenitis. Our evolving surgical strategy shows that an initially more aggressive surgical approach (selective neck dissection) can help prevent recurrent infection...
July 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28727263/hearing-outcomes-of-incus-interposition-versus-titanium-partial-ossicular-replacement-prostheses-our-experience-in-115-patients
#15
Elisabeth Sterrer, Benjamin Loader
Both, PORP and incus interpositions, are valuable techniques for the reconstruction of the conductive mechanism. In our study we were able to show that, in certain aspects, the audiological outcome was better in incus remodelling reconstruction than in PORP placement. A detailed analysis of all frequencies showed significantly better results in the incus group especially for the frequencies 250Hz, 1000Hz, 2000Hz and 3000Hz. If clinical conditions warrant it, a reconstruction of the ossicular chain with incus interposition may be preferred to PORP...
July 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28719036/a-novel-method-for-achieving-optimal-neck-extension
#16
David Black, Thomas Snooks, Matthew Clark
From tonsillectomies to major neck dissections, a large proportion of ENT operations require the neck to be extended. This is normally achieved by a gel pad or sand bag shoulder bolster, or in more frugal hospitals - a bag of normal saline. In our theatres two sizes of shoulder bolster are generally available. This article is protected by copyright. All rights reserved.
July 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28714274/the-relevance-of-the-lymph-node-ratio-as-predictor-of-prognosis-is-higher-in-hpv-negative-than-in-hpv-positive-oropharyngeal-squamous-cell-carcinoma
#17
Moritz F Meyer, Jeannine Meinrath, Julia Seehawer, Axel Lechner, Margarete Odenthal, Alexander Quaas, Robert Semrau, Christian U Huebbers, Simone Marnitz, Reinhard Büttner, Dirk Beutner
OBJECTIVES: Lymph node ratio (LNR) is an established predictor in different entities of carcinoma, including head and neck malignancies. In oropharyngeal squamous cell carcinoma (OPSCC), lymph node involvement differs between Human Papilloma Virus (HPV)-positive and negative tumours. Herein, we evaluate the impact of HPV association on the concept of LNR. METHODS: 88 surgically treated patients were included in this retrospective chart review. HPV-positive and negative OPSCC were evaluated for prediction of outcome by LNR separately...
July 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28714226/extranasopharyngeal-angiofibroma-revisited
#18
Jochen P Windfuhr, Julia Vent
BACKGROUND: Angiofibromas in the head and neck region usually arise in the nasopharynx, but may also occur elsewhere. This study aims at evaluating the incidence and clinical features of extranasopharyngeal angiofibroma (ENA). MATERIAL AND METHODS: Systematic review of the literature (Medline(®) and Google(™) ) up to December 31(st) , 2015. RESULTS: 174 cases of ENA were retrieved from a total of 170 publications. In contrast to former publications and previous understanding, the nasal septum was by far the most common site of the disease...
July 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28714203/posterior-cordotomy-in-bilateral-vocal-cord-paralysis-using-monopolar-microelectrodes-and-radiofrequency-in-18-patients
#19
J Basterra, Y Castillo-Lopez, R Reboll, E Zapater, C Olavarria, F Krause, R Hernandez, M Torres, F Tocornal
Posterior cordotomy is an option in the surgical treatment of bilateral vocal cord paralysis in adduction. We present results obtained in 18 patients with bilateral vocal cord paralysis in adduction treated using microelectrodes terminal with tips in several angles, and a radiofrequency generator from 2008 to 2013. The functional outcome was evaluated using postoperative spirometry, the decannulation time, and swallowing. All patients except one were successfully decannulated and showed an increase in mid-inspiratory flow rates...
July 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28710824/a-novel-study-on-association-between-untreated-hearing-loss-and-cognitive-functions-of-older-adults-baseline-non-verbal-cognitive-assessment-results
#20
Dona M P Jayakody, Peter L Friedland, Robert H Eikelboom, Ralph N Martins, Hamid R Sohrabi
BACKGROUND: Age-related hearing loss (ARHL) is highly prevalent in older adults and more than two-thirds above age 70 years suffer from ARHL. Recent studies have established a link between ARHL and cognitive impairment, however, most of the studies have used verbally loaded cognitive measures to investigate the association between ARHL and cognition. It is possible that due to hearing impairment, the elderly may experience difficulty in following verbal instructions or completing tasks that heavily rely on hearing during cognitive assessments...
July 15, 2017: Clinical Otolaryngology
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