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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/29782072/a-comprehensive-analysis-of-all-patients-n-509-undergoing-tonsillectomy-during-one-year-in-a-large-centralised-service
#1
Frith Cull, Shimin Choo, Thomas D Milner, Georgios Kontorinis, John Marshall
The annual post-tonsillectomy haemorrhage rates in a large tertiary referral centre were over four times higher than the reported National Prospective Tonsillectomy Audit (NPTA) adult haemorrhage rates. Comprehensive data capture in the study and a single centralised ENT service ensured accuracy of reported outcomes. 'Hot' techniques were not inferior to cold steel dissection methods, with a combination of 'hot' and 'cold' techniques generating the lowest post-tonsillectomy haemorrhage risk. The only other risk factor for post-tonsillectomy haemorrhage identified in the study was male gender...
May 21, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29781561/the-clinical-characteristics-and-histopathological-features-of-chronic-rhinosinusitis-with-unilateral-nasal-polyps-in-136-patients-in-southern-china
#2
Zhuo Chen, Yang Peng, Chew Lip Ng, Peng Jin, Jing Liu, Ying Ying Li, Yan Yan, Yan Hui Liu, Xin Lan Luo, Qian Hui Qiu, De Yun Wang
Based on the presence of nasal polyps (NP) on endoscopy, chronic rhinosinusitis (CRS) has been clinically divided into CRS with nasal polyps (CRSwNP) and CRS without nasal polyps (CRSsNP). While the majority of cases are bilateral, NPs can present unilaterally. CRS with unilateral NP (UNP) is the most common presentation in unilateral polyposis, but there have been few studies on UNP. Lee et al have shown that UNP had more favorable objective surgical outcomes than bilateral disease. This article is protected by copyright...
May 21, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29770614/primary-versus-secondary-tracheoesophageal-puncture-for-voice-rehabilitation-in-laryngectomy-patients-a-systematic-review
#3
Kimberly Luu, Brent A Chang, Dianne Valenzuela, Donald Anderson
BACKGROUND: Among voice restoration options following laryngectomy, tracheoesophageal puncture (TEP) appears to be the most common. Currently, there is no consensus that exists with regards to the timing of performing TEP and the decision to perform a primary or secondary TEP has mostly been based on physician preference and expert opinion rather than data. OBJECTIVE OF REVIEW: The objective of this study was to compare primary and secondary tracheoesophageal puncture (TEP) for voice rehabilitation in laryngectomy patients in terms of success and complication rates...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29770611/the-changing-aetiology-of-head-and-neck-squamous-cell-cancer-a-tale-of-three-cancers
#4
Steven J Thomas, Chris M Penfold, Andrea Waylen, Andrew R Ness
Head and neck cancers are the sixth most common cancers worldwide and an important cause of ill health.(1) Each year about 9000 cases are reported in the UK.(2) Survival is poor and despite advances in treatment, has not improved until recently.(3) The majority of head and neck cancers are squamous cell carcinomas, affecting the larynx, oropharynx and oral cavity. The aetiology is changing and this has implications for prevention and treatment. Twenty years ago, tobacco and alcohol consumption were considered to be the established risk factors and it was estimated that these risk factors accounted for about 75% of cases...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29770588/trends-in-the-prescribing-of-topical-nasal-agents-using-an-nhs-england-data-base
#5
Haroon Shakeel Saeed, Rosie B Wright, Samit Kumar Ghosh
OBJECTIVES: Our aim is to present data depicting geographical prescribing trends and expenditure related to topical nasal agent prescriptions across clinical commissioning groups (CCG's) in England. We assess if prescribing trends can act as a surrogate marker for allergic rhinitis (AR) and rhinosinusitis disease burden (RS). DESIGN: NHS England primary care prescriptions dispensed for topical drugs used in nasal allergy (BNF chapter 12.2.1) were accessed using OpenPrescribing beta software...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29770572/intralesional-steroid-injection-as-an-alternative-treatment-for-57-patients-of-vocal-fold-mucus-retention-cysts
#6
Po-Hsuan Wu, Po-Wen Cheng, Feng-Chuan Lin, Chi-Te Wang
This study intends to validate the effectiveness of vocal fold steroid injection (VFSI) for mucus retention cysts (MRCs) by comparing the treatment outcome with a control group and investigate the risk factors for recurrence. This study recruited 57 patients with vocal fold MRCs treated with in-office VFSI between January 2014 and December 2016. Another 24 patients with MRCs receiving only conservative treatment during the same study period were included as the control group. Treatment outcomes comparison of the 22 age- and sex- matched patients between the VFSI and control groups demonstrated significantly better improvements among the patients receiving VFSI in maximal phonation, perceptual voice quality, and 10-item voice handicap index...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29770566/refining-definitions-within-low-risk-differentiated-thyroid-cancers
#7
Iain J Nixon, Ricard S Simo, Dae Kim
Improvements in risk stratification have identified three distinct groups of patients with differentiated thyroid cancer. Those at highest risk who require intensive treatment, those at almost no risk who can safely be managed with a conservative approach and a remaining low risk group. This low risk group are at very low risk of death but are at risk of recurrence. Changes in international guidelines now consider such patients as potential candidates for management with thyroid lobectomy rather than total thyroidectomy and radioactive iodine...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29768736/change-of-signs-symptoms-and-voice-quality-evaluations-throughout-a-3-to-6-months-empirical-treatment-for-laryngopharyngeal-reflux-disease
#8
Jérôme R Lechien, Camille Finck, Mohamad Khalife, Kathy Huet, Véronique Delvaux, Myriam Picalugga, Bernard Harmegnies, Sven Saussez
OBJECTIVE: To assess the usefulness of voice quality measurements as a treatment outcome in patients with laryngopharyngeal reflux (LPR)-related symptoms. DESIGN: Prospective uncontrolled multi-center study. MATERIAL AND METHODS: A total of 80 clinically diagnosed LPR patients with a reflux finding score (RFS)>7 and a reflux symptom index (RSI)>13 were treated with pantoprazole and diet recommendations during 3 or 6 months according to their evolution...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29768732/the-effect-of-light-intensity-on-image-quality-in-endoscopic-ear-surgery
#9
Rhona McCallum, John McColl, Arunachalam Iyer
OBJECTIVES: Endoscopic ear surgery is a rapidly developing field with many advantages. But endoscopes can reach temperatures of over 110 C at the tip, raising safety concerns. Reducing the intensity of the light source reduces temperatures produced. However, quality of images at lower light intensities has not yet been studied. We set out to study the effect of light intensity on image quality in EES. DESIGN: Prospective study of patients undergoing EES from April to October 2016...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29768731/cochlear-implant-performance-in-children-deafened-by-congenital-cytomegalovirus-a-systematic-review
#10
V J C Kraaijenga, F Van Houwelingen, S F Van der Horst, J Visscher, J M L Huisman, E J Hollman, I Stegeman, A L Smit
BACKGROUND: Congenital cytomegalovirus (cCMV) infection is a major cause of sensorineural hearing loss in children. OBJECTIVE OF REVIEW: The objective of this systematic review was to compare performance in pediatric cochlear implant users with SNHL caused by cCMV compared to non-cCMV implantees. TYPE OF REVIEW: Systematic review. SEARCH STRATEGY: Pubmed, EMBASE and the Cochrane databases were searched from inception up to May 15th 2017 for children, cochlear implant, performance and their synonyms...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29768730/biofilm-in-voice-prosthesis-a-prospective-cohort-study-and-laboratory-tests-using-sonication-and-sem-analysis
#11
Jacopo Galli, Lea Calo', Duino Meucci, Monica Giuliani, Daniela Lucidi, Gaetano Paludetti, Riccardo Torelli, Maurizio Sanguinetti, Claudio Parrilla
OBJECTIVE: The objective of the study was to compare the biofilm growing pattern and its morphological extent on silicone and a teflon-like material using a sonication process and a Scanning Electron Microscope (SEM). DESIGN: A prospective cohort study and a laboratory study. SETTING: Otolaryngology -Head and Neck surgery Department and the Microbiology Institute. PARTICIPANTS: The participants included fifteen laryngectomized patients with phonatory prostheses, which were removed due to device failure, and two different kinds of phonatory prostheses from the laboratory (Provox 2 and ActiValve) that were artificially colonized by Candida albicans...
May 16, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29763978/circulating-human-papillomavirus-dna-as-a-surveillance-tool-in-head-and-neck-squamous-cell-carcinoma-a-systematic-review-and-meta-analysis
#12
Kristina Kvist Jensen, Christian Grønhøj, David H Jensen, Christian von Buchwald
BACKGROUND: The incidence of human papillomavirus-induced (HPV+) head and neck squamous cell carcinoma (HNSCC) i.e. especially oropharyngeal cancers (OPSCC) is increasing and a significant proportion of patients encounter disease progression. A simple and sensitive test to identify patients with progression is an unmet need. OBJECTIVE OF REVIEW: To systematically review the literature and carry out a meta-analysis of studies, investigated circulating HPV-DNA as a biomarker for disease progression in patients with HNSCC...
May 15, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29752886/individual-funding-requests-a-flawed-process
#13
Matthew Cherko, Abigail Lamyman, Ian Bottrill
1.The Individual Funding Request (IFR) process was introduced by Clinical Commissioning Groups to regulate Procedures of Limited Clinical Value 2.In the South Buckinghamshire region, this affects common ENT procedures including adenotonsillectomy and grommet insertion 3.Only 3 of 118 applications for grommet insertion were rejected and the majority (23/27) of tonsillectomy rejections were due to insufficient supporting evidence from the patients' GPs 4.Despite the majority of applications eventually being accepted, the process has undoubtedly delayed treatment for our patients; impacting 18 week target times 5...
May 12, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29752885/oxford-radiographic-chart-of-foreign-bodies
#14
John Frederick Curran, Ali Qureishi, Pablo Martinez Devesa
The Oxford radiographic chart of foreign bodies is a useful clinical tool for identifying the radio-opacity of foreign bodies. It may be used in all emergency departments with radiography facilities. The methods can easily be replicated if desired. Foreign body shape can alter visibility despite known opacity. This tool should be used as an aid and does not replace appropriate clinical examination. This article is protected by copyright. All rights reserved.
May 12, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29747245/undergraduate-ear-nose-and-throat-training-how-do-we-inspire-the-next-generation
#15
Bhavesh Vijay Tailor
Historically, ENT has been a very competitive surgical specialty. In recent years, the number of applicants to higher surgical ENT training has been in decline. This is not surprising, given that the proportion of foundation doctors directly entering specialty training has fallen from 71.3% in 2011 to 42.6% in 2017. If this continues, there is a real possibility of under-filling training posts, which would be a setback to the British Association of Otorhinolaryngologists (ENT-UK) recommendation for an expansion of the specialist workforce...
May 10, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29741293/minimally-invasive-surgery-for-superior-semicircular-canal-dehiscence-results-of-a-four-fenestration-technique-in-twenty-one-adults
#16
Raquel Nogueira, Benjamin Verillaud, Charlotte Hautefort, Domitille Fiaux-Camous, Romain Kania, Philippe Herman
Superior canal semicircular dehiscence (SCCD) may cause vestibular and audiological symptoms that are sometimes debilitating. Computed tomography (CT) and the vestibular evoked myogenic potential (VEMP) test are essential for the diagnosis of SCCD. Various surgical techniques have been developed to manage SCCD but have many associated complications. Our technique uses an approach that otologists and surgeons are highly familiar with and that has other advantages, such as minimizing surgical trauma and preventing recurrences...
May 9, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29738635/nasopharyngeal-versus-hypopharyngeal-packing-during-sino-nasal-surgeries-randomized-controlled-trial
#17
Mohamed G Alfiky, Osama A Margalani, Afnan F Rajeh, Fares E Alghamdi, Omar A Abu Suliman, Sumaiya H Muathen, Soha A Elmorsy
OBJECTIVES: Primary: to compare the severity of postoperative throat pain between patients who received a nasopharyngeal pack, and those who received a hypopharyngeal pack during their sino-nasal surgery. Secondary: to assess the efficacy of using a nasopharyngeal pack in preventing postoperative nausea and vomiting (PONV) and to compare its result with patients who received a hypopharyngeal pack. DESIGN: Prospective, randomized, controlled trial. SETTING: Tertiary Hospital...
May 8, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29733506/a-comparison-of-intraoperative-hemostatic-techniques-during-tonsillectomy-suture-versus-electrocautery-a-study-to-assess-post-operative-pain-scores-and-duration-to-resumption-of-normal-diet
#18
Michele Cassano, Nuray Bayar Muluk, Francesco Di Taranto, Somasundaram Subramaniam
OBJECTIVES: To assess postoperative pain and pattern of recovery to normal diet in children who underwent tonsillectomy. METHODS: Cold steel tonsillectomy (or adenotonsillectomy) was performed in 61 children. Hemostasis was attained with sutures in Group 1 (n=30, 8 tonsillectomy and 22 adenotonsillectomy), and electrocautery in Group 2 (n=31,6 tonsillectomy and 25 adenotonsillectomy). Information obtained included post-operative pain scores and the number of postoperative days taken to resume normal diet...
May 7, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29733111/physical-outcome-measures-for-conductive-and-mixed-hearing-loss-treatment-a-systematic-review
#19
M L Johansson, J R Tysome, P Hill-Feltham, W E Hodgetts, A Ostevik, B J McKinnon, P Monksfield, R Sockalingam, T Wright
BACKGROUND: The number of potential options for rehabilitation of patients with conductive or mixed hearing loss is continually expanding. To be able to inform patients and other stakeholders there is a need to identify and develop patient-centred outcomes for treatment of hearing loss. OBJECTIVE OF REVIEW: To identify outcome measures in the physical core area used when reporting the outcome after treatment of conductive and mixed hearing loss in adult patients...
May 7, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29718589/comorbid-inner-ear-disorders-in-50-patients-with-congenital-nystagmus
#20
Yun-Chen Huang, Shuo-Yen Hsu, Yi-Ho Young
Congenital nystagmus patients had abnormal oculomotor function because congenital nystagmus was superimposed on the oculomotor traces. One-third of them had comorbid inner ear disorders. Two-thirds of them lacked inner ear disorders, but just sought evaluations at a neurotological clinic. This article is protected by copyright. All rights reserved.
May 2, 2018: Clinical Otolaryngology
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