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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/28102937/re-implementation-of-an-evidence-based-acute-tonsillitis-protocol-our-experience-in-one-hundred-and-twenty-six-patients
#1
Guled M Jama, Mahmoud Nosseir, Julian Danino, James Barraclough
The 'Portsmouth Tonsillitis Protocol' by Bird et al. (October 2013 issue)([1]) provides the first published treatment algorithm for use in patients with acute tonsillitis presenting to secondary care. Following introduction of the protocol at their centre the authors demonstrate an improved delivery of tonsillitis treatment as well as a reduction in hospital admission rates and inpatient services leading to significant cost savings. The financial implications are particularly relevant to health services facing economic pressures...
January 19, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28101972/an-evaluation-of-the-quality-of-evidence-available-to-inform-current-bone-conduction-hearing-device-national-policy
#2
Rishi Mandavia, Alex Carter, Nadine Haram, Elias Mossialos, Anne Gm Schilder
OBJECTIVES: In 2016 NHS England published the commissioning policy on Bone Conducting Hearing Devices (BCHDs). This policy was informed by updated evidence on the clinical and cost effectiveness of BCHDs as well as by the 2013 Bone Anchored Hearing Aid (BAHA) policy. Commissioning policies set the criteria for service delivery and therefore have a major impact on the care received by patients. It is important that stakeholders have a good appreciation of the available evidence informing policy, since this will promote engagement both with the policy as well as with future research leading on from the policy...
January 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28101918/letter-to-editor-plastic-temporal-bones
#3
Alastair M Pettigrew
I was delighted to note that in Table 2 of this review(1) plastic bones got the most pluses of all the platforms. However, I have to disagree with the quote about the malposition of the facial nerve near the second genu and the inadequate representation of the lateral semicircular canal in Pettigrew Temporal Bones. It is impossible for the facial nerve to be malpositioned in my bones. To make the bone I take an impression of a dissected cadaver bone where the Fallopian canal has been deroofed. This article is protected by copyright...
January 18, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28094473/transmeatal-tympanoplasty-of-subtotal-and-anterior-perforations-a-single-institution-experience-including-94-patients
#4
E A J de Savornin Lohman, J Borgstein
Transmeatal myringoplasty is suitable for all cases of eardrum perforations. Results are 90% closure rate; comparable to other published series of retroauricular techniques. Operation can be completed in 15-20 minute, meaning cost-effective use of surgical resources. Far less patient discomfort and lower morbidity compared to a retroauricular approach. Tragal perichondrium is found to be a suitable and reliable graft material. This article is protected by copyright. All rights reserved.
January 17, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28071856/outcomes-following-conversion-of-a-percutaneous-to-a-transcutaneous-bone-conduction-device-in-eight-children
#5
S D Carr, I A Bruce, D Jones, J Ray
The percutaneous bone conduction device (P-OBCD) is a well-established method of hearing rehabilitation. However, it is associated with soft tissue complications involving the peri-abutment skin. The magnetic osseointegrated bone conduction (T-OBCD) device overcomes this by leaving an intact skin flap over the implant. The current study assesses the outcomes of conversion to a T-OBCD in a paediatric population in two tertiary referral paediatric centres. Eight children underwent conversion. The mean age at conversion was 10 years (range 5-16 years)...
January 10, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28063253/alolateropexy-for-management-of-droopy-nose
#6
Thomas Radulesco, Jean-Marc Thomassin, Patrick Dessi, Justin Michel
The surgical management of droopy nose remains problematic. Corrective techniques described in the literature(1) may be difficult to perform or sometimes lead to unsatisfactory results. Dome sutures or grafts such as columellar strut often give good initial results but may deteriorate over time (2, 3) . This article is protected by copyright. All rights reserved.
January 7, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28063244/single-sided-deafness-affects-language-and-auditory-development-a-case-control-study
#7
Anouk Sangen, Liesbeth Royackers, Christian Desloovere, Jan Wouters, Astrid van Wieringen
OBJECTIVES: To examine auditory, linguistic and cognitive outcomes of children with single sided deafness (SSD). An increasing body of research suggests that children with SSD lag behind with respect to their normal hearing (NH) peers. In the present study we tap into certain developmental skills. DESIGN: Case-control study. PARTICIPANTS: 21 children with SSD between 5 and 15 years of age participated. Per child with SSD two NH control children were matched on age and gender...
January 7, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28063243/local-extension-staging-of-sinonasal-tumors-retrospective-comparison-between-ct-mri-assessment-and-pathological-findings
#8
Geoffrey Mortuaire, Domitille Camous, Claire Vandenhende-Szymanski, Frédérique Dubrulle, Dominique Chevalier
OBJECTIVES: To assess the reliability of clinical staging with CT and MRI in sinonasal cancers. METHODS: We conducted a retrospective review of patients who underwent surgery for a sinonasal cancer. The 7(th) edition of the TNM classification was used to establish tumor staging. Standardized preoperative CT/MRI staging was compared with the pathological staging based on specimens obtained during surgery from each subsite within and around the tumor. RESULTS: We analyzed data from 68 patients between January 2010 and December 2014...
January 7, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28052572/an-undergraduate-otolaryngology-curriculum-comparison-in-the-united-kingdom-using-a-curriculum-evaluation-framework
#9
R A Steven, G J Mires, S K W Lloyd, S McAleer
OBJECTIVE: 1.To compare undergraduate Otolaryngology curricula in the United Kingdom. 2.To develop a tool which would allow undergraduate specialty curricula to be compared. DESIGN: Development of a Curriculum Evaluation Framework and survey. SETTING: UK medical schools. PARTICIPANTS: Otolaryngology curricula were requested from all 32 UK medical schools who award a primary medical qualification. 19 curricula were received and examined...
January 4, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28052522/assessment-of-carotid-artery-intima-media-thickness-in-patients-with-obstructive-sleep-apnea
#10
Li-Jen Liao, Tsung-Yi Cho, Tsung-Wei Huang
OBJECTIVE: This study compares the carotid intima-media thickness (CIMT) in different severity of obstructive sleep apnea (OSA) patients, and assesses the role of OSA in carotid artery vasculopathy with control of multiple co-morbidities. STUDY DESIGN: Prospective case-control study SETTING: Tertiary referral center PARTICIPANTS: This study recruited 36 volunteers without the complaints of sleep-disordered breathing, 27 patients with mild-moderate OSA and 39 patients with severe OSA...
January 4, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28036160/bile-acids-a-potential-role-in-the-pathogenesis-of-pharyngeal-malignancy
#11
Z Shellman, A Aldhahrani, B Verdon, M Mather, V Paleri, J Wilson, J Pearson, C Ward, J Powell
OBJECTIVE: Gastro-oesophageal reflux disease is thought to be a risk factor for head and neck malignancies. Bile acids are one of the principle components of gastric refluxate and have previously been implicated in the development of oesophageal and bowel malignancies. There is clear evidence that bile acids reflux into the laryngopharynx. Despite this, the carcinogenic properties of bile acids in this area are yet to be fully identified. We therefore investigated the potential role of bile acids in pharyngeal malignancy, through the highly conserved process of epithelial-mesenchymal transition (EMT)...
December 30, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28032956/efficacy-and-safety-of-propranolol-for-epistaxis-in-hereditary-hemorrhagic-telangiectasia-hht-retrospective-then-prospective-study-in-a-total-of-21-patients
#12
A Contis, N Gensous, J F Viallard, C Goizet, C Léauté-Labrèze, P Duffau
Hereditary Hemorrhagic Telangiectasia (HHT) is a genetic disorder of angiogenesis associated with disabling epistaxis. Propranolol, a beta-blocker, exerts anti-angiogenic properties. In the retrospective study, nine of ten HHT patients receiving propranolol significantly improved their Epistaxis Severity Score. In the prospective study, after three months of propranolol treatment, the median duration of epistaxis per month significantly decreased as did the number of epistaxis episodes per month in 11 HHT patients...
December 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28032954/an-analysis-of-the-fate-of-917-manuscripts-rejected-from-clinical-otolaryngology
#13
C H Earnshaw, C Edwin, J Bhat, M Krishnan, C Mamais, S Somashekar, A Sunil, S P Williams, S C Leong
OBJECTIVES: The fate of all manuscripts rejected from the journal Clinical Otolaryngology (CO) over a three-year period was investigated. The aim was to review publication rate, delay and the impact factors of the journals that the papers went on to be published in. DESIGN: In total, 917 papers were rejected from CO between 2011 and 2013. The fate of these manuscripts was determined by searching for the corresponding author's surname, and if necessary keywords from the manuscript title, in both PubMed and Google Scholar...
December 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28032952/clinical-outcome-of-salvage-neck-dissections-in-head-and-neck-cancer-in-relation-to-initial-treatment-extent-of-surgery-and-patient-factors
#14
Karlijn van den Bovenkamp, Maartje G Noordhuis, Sjoukje F Oosting, Bernard F A M van der Laan, Jan L Roodenburg, Hendrik P Bijl, György B Halmos, Boudewijn E C Plaat
OBJECTIVE: Salvage surgery has a higher complication rate compared to primary surgical treatment. We evaluated clinical outcome of salvage neck dissections in relation to initial treatment modality, extent of surgery, and patient related factors. DESIGN: Single institution consecutive case series. SETTING: Tertiary Head and Neck Cancer Center. PARTICIPANTS: Eighty-seven patients with head and neck squamous cell carcinoma, who underwent salvage neck dissection after initial radiotherapy (n=30), radiotherapy with carboplatin/5-fluorouracil (n=43), or radiotherapy with cetuximab (n=14)...
December 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28032947/controversies-in-the-management-of-caustic-ingestion-injury-an-evidence-based-review
#15
J H Bird, S Kumar, C Paul, J D Ramsden
BACKGROUND: Caustic ingestion of acid or alkaline substances can cause damage to the upper respiratory and upper digestive tract. Initial presentation following caustic ingestion can include oropharyngeal pain, dysphagia and stridor. Due to this clinical presentation that the resident otolaryngologist is consulted to review and examine these patients to assess for airway compromise and commence initial management and care until airway concern has passed. OBJECTIVE OF REVIEW: This review aims to provide evidence based guidance in the management of those presenting with acute ingestion injury so that informed initial medical therapy can be commenced and appropriate investigations arranged to optimise patient outcome...
December 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28004533/new-olfactometric-findings-in-parkinson-s-disease
#16
Giulio Cesare Passali, Francesco Bove, Lucrezia Vargiu, Anna Rita Bentivoglio, Roberta Anzivino, Eugenio De Corso, Jacopo Galli, Mario Rigante, Manlio Pandolfini, Bruno Sergi, Monica Giuliani, Francesca Cianfrone, Gaetano Paludetti, Alfonso Fasano
OBJECTIVES: to investigate in Parkinson's Disease affected patients a correlation between hyposmia and gastrointestinal dysfunction and their possible identical etiopathogenesis. DESIGN: retrospective cohort study. SETTING: ENT and Neurology departments (Gemelli Hospital, Rome, Italy). PARTICIPANTS: 78 patients with diagnosis of PD according to the UK Brain Bank criteria. INCLUSION CRITERIA: informed consent; olfactory testing executed; exclusion criteria: signs of dementia according to the DSM-IV criteria; Mini Mental State Examination score ≤ 26; head trauma; central neurological disorders, nasal or systemic diseases potentially affecting olfactory function...
December 22, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28004527/efficacy-of-balloon-sinuplasty-in-treatment-of-frontal-rhinosinusitis-a-prospective-study-in-sixty-patients
#17
Philippe F Bowles, Satish Agrawal, Mahmoud A Salam
Balloon dilatation of sinus ostia (sinuplasty) was introduced in 2005 as a treatment for Chronic Rhinosinusitis (CRS).(1) It has been described as a 'transition space' tool for the ethmoidal infundibulum and frontal recess.(1) It can been used as a lone procedure or in combination with functional endoscopic sinus surgery (FESS) as a "hybrid" technique. Balloon sinuplasty applies the Seldinger technique to cannulate and dilate stenosed or occluded sinus ostia re-establishing drainage pathways and ventilation...
December 22, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28004525/uk-tertiary-centre-experience-of-outcomes-from-osseointegrated-transcutaneous-magnetic-bone-conduction-hearing-system-implanted-in-twenty-five-patients-using-a-linear-incision-technique
#18
S Sharma, G Reddy-Kolanu, A H Marshall
Bone-anchored hearing aids are an established means of managing both single-sided and bilateral conductive or mixed hearing loss. Magnetic bone conduction hearing implants have been designed to provide an alternative bone conduction system to the existing aids which couple to a traditional percutaneous abutment. The BAHA(®) Attract (Cochlear Bone Anchored Solutions AB. Mölnlycke, Sweden) system, which has been reviewed, uses an osseointegrated titanium implant coupled to an implantable magnet. This article is protected by copyright...
December 22, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28004504/association-between-24-hour-combined-multichannel-intraluminal-impedance-ph-monitoring-and-symptoms-or-quality-of-life-in-patients-with-laryngopharyngeal-reflux
#19
S I Kim, O E Kwon, S Y Na, Y C Lee, J M Park, Y G Eun
OBJECTIVE: To evaluate the association between the parameters of 24-hour multichannel intraluminal impedance (MII)-pH monitoring and the symptoms or quality of life (QoL) in laryngopharyngeal reflux (LPR) patients. DESIGN: Prospective cohort study without controls. SETTING: University teaching hospital. METHODS: Forty-five LPR patients were selected from subjects who underwent 24-hour MII-pH monitoring and were diagnosed with LPR from September 2014 to May 2015...
December 22, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28004496/maxillary-sinus-volume-new-physiopathological-data-in-fungal-ball-genesis-a-retrospective-study
#20
Justin Michel, Thomas Radulesco, Julien Mancini, Arnaud Paganelli, Arthur Varoquaux, Pascal Adalian, Stéphane Ranque, Patrick Dessi
OBJECTIVES: The goal of this study was to compare maxillary sinus (MS) volume in patients with, or without; maxillary fungal ball. DESIGN: Monocentric retrospective study performed on 115 patient CT scans. SETTINGS: We defined 2 groups of patients according to the absence (control group) or the presence (Fungal ball group) of unilateral fungal ball in the MS. Sinus 3D reconstruction was created from CT Scan. PARTICIPANTS: Control group: 71 patients (36 women - 50...
December 22, 2016: Clinical Otolaryngology
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