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Clinical Otolaryngology

Izabela Korona-Glowniak, Elzbieta Mazur, Piotr Zychowski, Grazyna Niedzielska, Maria Koziol-Montewka, Anna Malm
Acute otitis media (AOM), common childhood infection that is one of leading cause of antibiotic prescriptions for children, is diagnosed at least once in approximately 80% of preschool children and 30-40% of them have recurrent episodes. Antibiotic treatment of AOM is usually empiric, without isolation of otopathogens from middle ear fluid and their antibiotic susceptibility testing. Due to the improper antibiotic use, the infection can persist in some cases, termed AOM treatment failure. This article is protected by copyright...
September 15, 2017: Clinical Otolaryngology
Yahav Oron, Shay Shemesh, Sharon Ovnat Tamir, Abraham Goldfarb, Tal Marom, Ofer Gluck, Sagit Shushan
Tinnitus is the perception of sounds, when no external stimuli exists. Its prevalence has been estimated to be between 8% and 30% in the general population (1). Some patients describe intrusive tinnitus which affects many aspects of their lives, while others describe an insignificant disturbance caused by the tinnitus (2). Since tinnitus is a subjective symptom in most cases, defining its effect on patients' lives can be challenging. Several questionnaires have been developed in order to characterize the effects of tinnitus on patients' lives...
September 15, 2017: Clinical Otolaryngology
Marc El Beaino, Elie Eter
Arabic formats of tinnitus questionnaires are needed to provide clinicians and researchers responsive and reliable tools to assess tinnitus. Arabic versions of the Tinnitus Handicap Inventory and the Mini-Tinnitus Questionnaire are established. Tinnitus Handicap Inventory and Mini-Tinnitus Questionnaire are reliable and valid tools for tinnitus assessment. Tinnitus Handicap Inventory and Mini-Tinnitus Questionnaire are correlated. Mini-Tinnitus Questionnaire is a quicker and more compact method of evaluating tinnitus compared to Tinnitus Handicap Inventory...
September 13, 2017: Clinical Otolaryngology
Oded Cohen, Tom Raz Yarkoni, Yonatan Lahav, Offer Azoulay, Doron Halperin, Moshe Yehuda
DESIGN: Case series with chart review. SETTING: Single academic center. PARTICIPANTS: The data of all patients who underwent surgeon performed ultrasound (SUS(between 7/2009 and 9/2012 was retrospectively reviewed. MAIN OUTCOME MEASURES: A correlation between sonographic features and a non-benign cytology\malignant pathology. RESULTS: Four hundred ninety eight nodules were included. Solid texture, irregular margins, hypoechogenicity and intranodular vascularity were significantly associated with malignancy when benign to non-benign cytology was compared, and when compared to malignant pathology...
September 11, 2017: Clinical Otolaryngology
Grace C Khong, Lepa Lazarova, Amanda Bartolo, Samuel C Leong
Coblation(™) Turbinator(™) is a coblation wand designed specifically for turbinate reduction surgery. We present an audit of 22 patients evaluating the clinical outcome of septoturbinoplasty for nasal obstruction caused by inferior turbinate hypertrophy using the Coblation(™) Turbinator(™) wand and comparing it to a similar-sized cohort who had microdebrider turbinoplasty. Primary clinical outcome was evaluated using the Nasal Obstruction Symptom Evaluation (NOSE) scale and the peak nasal inspiratory flow rate measurement and secondary outcome measures were days of admission or readmission rates and episodes of bleeding...
September 11, 2017: Clinical Otolaryngology
Ying Hu, Hong E, Xiaoping Yu, Feiping Li, Longwu Zeng, Qiang Lu, Xuping Xi, Liangfang Shen
OBJECTIVES: To investigate the correlation of parameters of magnetic resonance perfusion-weighted imaging (MR-PWI) with the expression of vascular endothelial growth factor (VEGF), hypoxia-inducible factor-1α (HIF-1α) and microvessel density (MVD) in nasopharyngeal carcinoma (NPC) so as to explore the value of predicting radiosensitivity. DESIGN: A prospective study. SETTING: Department of Head-and-neck radiotherapy in Hunan Cancer Hospital...
September 11, 2017: Clinical Otolaryngology
Peter Milad, Hany Kassamy, Anas Askoura, Soha Auelela, Ramy Salem, Dina Ragab
OBJECTIVE: To assess the prevalence of HPV in benign and malignant laryngeal lesions among Egyptian patients. DESIGN: Observational analytical cross-sectional study. SETTING: Ain Shams University hospital, Otorhinolaryngology department. PARTICIPANTS: Formalin-fixed paraffin-embedded specimens of 126 patients (70 benign laryngeal lesions and 56 squamous cell carcinoma lesions) were assessed for the presence of HPV DNA using MY09/11 PCR-based DNA detection...
September 11, 2017: Clinical Otolaryngology
Malene Sine Rokkjaer, Tejs Ehlers Klug
OBJECTIVES: The prevalence of synchronous bilateral tonsil cancer remains unexplored. To date, only 38 cases have been described in the literature. With an aim to substantiate the Danish recommendation of performing bilateral tonsillectomy in patients with suspected or proven tonsil cancer and in patients with cervical carcinoma metastasis from an unknown primary tumour, the current study was undertaken to determine the prevalence of synchronous bilateral tonsil cancer. DESIGN: A retrospective review of all patients diagnosed with tonsil cancer in the period 2000-2015, Aarhus University Hospital, Denmark, was performed...
September 11, 2017: Clinical Otolaryngology
Wei-Yi Lei, Jui-Sheng Hung, Tso-Tsai Liu, Chih-Hsun Yi, Chien-Lin Chen
OBJECTIVE: Secondary peristalsis is important for clearance of retained food bolus and refluxate from the oesophagus. We aimed to investigate whether patients with globus sensation have altered physiological characteristics of secondary peristalsis. DESIGN: Prospective case-controlled study. SETTING: Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan. PARTICIPANTS: 17 globus patients and 18 healthy controls...
September 7, 2017: Clinical Otolaryngology
Annekatrin Coordes, Sonja Maike Loose, Veit M Hofmann, Grant S Hamilton, Frank Riedel, Dirk Jan Menger, Andreas E Albers
BACKGROUND: Patients who have granulomatosis with polyangiitis (GPA, syn. M. Wegener) often develop an external nose deformity which may have devastating psychological effects. Therefore, reconstruction of nasal deformities by rhinoplasty may become necessary to achieve a normal appearance. OBJECTIVE OF REVIEW: The aim of this systematic review was to investigate the efficacy and safety of surgical reconstruction in external nasal deformities and septal perforation in GPA patients...
September 7, 2017: Clinical Otolaryngology
Krishnamurti Matos Araujo Sarmento Junior, Carlos Augusto Costa Pires de Oliveira, André Luiz Lopes Sampaio, Angelo Ferreira Sales
OBJECTIVE: To determine whether patients with simple chronic otitis media and incomplete ossicular discontinuity should undergo ossicular reconstruction. DESIGN: Prospective, randomized surgical trial comparing no intervention with incus interposition over a 5-year period. SETTING: Tertiary referral hospital. PARTICIPANTS: Seventy-six participants with simple chronic otitis media and erosion of the long process of the incus but apparent good transmission throughout the ossicular chain as tested intraoperatively...
September 5, 2017: Clinical Otolaryngology
Giuseppe Malafronte, Barbara Filosa
OBJECTIVE: to evaluate if calcified plaques adjacent to the perforation and marginal perforations are real contraindications to the fat graft myringoplasty. STUDY DESIGN: prospective study. METHODS: This study was conducted, from 1(st) January 2008 to 31 December 2015 at our Otolaryngology Department of S.G. Moscati Hospital. The investigation included 125 patients, 60 males and 65 females, affected by COM who have undergone fat graft myringoplasty between 01/01/2008 to 31/12/2011...
September 5, 2017: Clinical Otolaryngology
Marie Louise Juul, Eva Rye Rasmussen, Stig Hebbelstrup Rye Rasmussen, Christian Hjort Sørensen, Michael Frantz Howitz
OBJECTIVE: To update tonsillectomy incidence rates in Denmark and identify whether the incidence rates vary between geographical areas in the country during the period 1991-2012. DESIGN: This was a retrospective nationwide cohort study using data from the comprehensive Danish patient registries. Data included surgical code, gender and date of birth, date and place of surgery. SETTING: Hospitals and private oto-, rhino-, laryngology (ORL) offices...
August 29, 2017: Clinical Otolaryngology
José Alarid-Coronel, Erika Celis-Aguilar, Lucero Escobar-Aispuro, Víctor Muñoz-Estrada
A male patient, in his third decade, with pruritus and hearing loss is the typical clinical presentation of otomycosis in immunocompetent cases. Summer is the season most frequently involved in otomycosis patients, high temperature and humidity are common environmental factors. Microscopic direct exam has a 60% sensitivity for detecting fungal disease. Immunocompetent patients are infected in the majority of cases by Aspergillus, being Aspergillus niger the most frequent species. Culture remains the gold standard in the diagnosis of this disease...
August 18, 2017: Clinical Otolaryngology
Jinsei Jung, Jin Won Kim, In Seok Moon, Sung Huhn Kim, Jae Young Choi
In auditory rehabilitation, the most comfortable listening level (MCL) is important because the conversation partners of patients with hearing impairment are often individuals with normal hearing. Thus, normalizing MCL can help patients with hearing loss to reduce the communication handicap with individuals with normal hearing. While active middle ear implants demonstrate comparable performance with conventional hearing aids (HA) with regard to functional hearing gain and speech intelligibility, little is known about the effect of middle ear implants on the MCL...
August 18, 2017: Clinical Otolaryngology
Mirre Scholte, Mayke A Hentschel, Henricus P Kunst, Stefan C A Steens, Maroeska M Rovers, Janneke P C Grutters
Magnetic resonance imaging (MRI) is used to screen patients at risk for vestibular schwannoma (VS). These MRIs are costly and have an extremely low yield; only 3% of patients in the screening population has an actual VS. It might be worthwhile to develop a test to predict VS, and refer only a subset of all patients for MRI. OBJECTIVE: To examine the potential savings of such a hypothetical diagnostic test before MRI. DESIGN: We built a decision analytical model of the diagnostic strategy of VS...
August 18, 2017: Clinical Otolaryngology
Thomas M Kaffenberger, Jessica H Maxwell, Seungwon Kim
Skip metastasis (SM) in Well Differentiated Thyroid Cancer (WDTC) patients are lateral neck lymph node metastasis that have skipped the central neck compartment. In these patients, prophylactic central neck dissection remains controversial. We sought to identify clinicopathological factors associated with SM and determine the accuracy of central neck metastasis imaging in 68 patients at our institution over 16 years. 12 patients (17.6%) had SMs. Compared to the patients with occult central neck metastases, those with SM were more likely to have T1 tumors (p=0...
August 18, 2017: Clinical Otolaryngology
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No abstract text is available yet for this article.
August 17, 2017: Clinical Otolaryngology
E Nikolaou, E Mitsi, D M Ferreira, A Bartolo, S C Leong
OBJECTIVES: Saline irrigation of the nasal cavity and paranasal sinuses by one-way valved sinus containers has a recognised role in the management of chronic rhinosinusitis. However, bacterial recontamination of irrigation bottles through backflow from the sinonasal cavity is a concern in recurrent sinus cavity infections. While patients are encouraged to clean the irrigation bottles regularly, there remains significant concern that the use of contaminated bottles may perpetuate chronic rhinosinusitis...
August 16, 2017: Clinical Otolaryngology
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
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