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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/28429525/induction-chemotherapy-ict-followed-by-radiochemotherapy-for-locally-advanced-head-and-neck-cancer-as-an-individual-treatment-approach-feasibility-safety-and-retrospective-survival-analysis-in-twenty-three-patients
#1
C-J Busch, J Girke, S Tribius, L Bussmann, R Knecht, P Schafhausen, B B Lörincz, A Münscher
Head and neck squamous cell carcinoma (HNSCC) patients with locoregionally advanced disease usually require multi-modality treatment including surgery, chemotherapy, and radiotherapy. Currently, cisplatin-based concurrent chemoradiation (CRT) remains the gold-standard for these patients [1]. Induction chemotherapy (ICT) prior to definitive therapy is regarded as an effective approach to shrink locally advanced disease allowing more effective and less toxic therapy, to select patients for organ preservation, to improve radiotherapy effectiveness, and also to potentially decrease the risk of distant metastasis due to initial systemic exposure [2]...
April 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28429517/primary-laryngeal-sarcomas-in-a-mexican-population-case-series-of-eleven-cases
#2
Kuauhyama Luna-Ortiz, Sarina Navarro-Santiesteban, Veronica Villavicencio-Valencia, Rosa A Salcedo-Hernandez, Leonardo S Lino-Silva, Juan A Delgado
Sarcomas are mesenchymal tumors that represent 1% of malignant diseases in humans. Of these, 4-10% occur in the head and neck and only <1% occur in the larynx.(1) These groups of neoplasms have a wide range of histological variants and, accordingly, their clinical behavior varies widely, from slow-growing, relatively circumscribed tumors, to rapidly growing, locally invasive malignancies. In addition, the heterogeneity of the location of the laryngeal anatomic sub-sites require special therapeutic considerations...
April 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28429472/transoral-orthodromic-temporalis-muscle-transfer-technique-for-the-paralysed-midface-our-learning-curve-experience-from-the-first-10-cases
#3
Lepa Lazarova, Tristram H Lesser, Samuel C Leong
Sir Harold Gillies first described rotating a band of temporalis muscle over the zygoma where the muscle sling was augmented with strips of fascia lata to rehabilitate facial paralysis (1) . McLaughlin later modified this technique in the 1950s without inversion of the temporal muscle but in an orthodromic manner thus avoiding the soft tissue fullness over the zygomatic arch area and depression of the donor site (2) . Although several refinements of this technique have been described, all required skin incisions on the face until a transoral technique was described recently by this clinical group (3) ...
April 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28391653/clinical-case-series-describes-a-contraindication-for-serenocem-granules-%C3%A2-in-mastoid-obliteration-our-experience-in-sixty-four-patients
#4
Laura Harrison, Sonia Kumar, Matthew Bull, Paul V Hatton, Ian Bottrill, Christopher Aldren
Mastoid obliteration has been performed with various materials including muscle, fat, cartilage, musculoperiosteal flaps, chips and pâté(1) . Biocompatible materials used since the 1960s, have a number of potential advantages over autologous tissue. They are sterile, available off the shelf without the need for harvest and have a low risk of implanting cholesteatoma.
April 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28391627/designing-implementing-and-assessing-a-new-formative-osce-for-ent-higher-surgical-trainees-our-experience-in-the-north-west-region
#5
Sadie Khwaja, Nadeem Khwaja, Nirmal Kumar, Nicola Stobbs
Currently Otolaryngology trainees have a six or seven year gap between formal summative assessments, which comprise of the Membership of the Royal College if Surgeons exams (MRCS) during core training and the Fellowship of the Royal Colleges of Surgeons exams (FRCS) at the end of higher surgical training. In between these examinations, trainees undergo formative Work-Place Based Assessments (WPBA) and a summative Annual Review of Competency and Progression (ARCP) however there are no other tests or formal assessments of knowledge and skills to ensure that they are developing and progressing at the required rate...
April 9, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28374981/optimal-timing-for-nasal-fracture-manipulation-is-a-two-week-target-really-necessary-a-single-centre-retrospective-analysis-of-50-patients
#6
V Perkins, A Vijendren, M Egan, D McRae
Nasal bone fractures represent the most common isolated facial fracture and are involved in as many as 50% of facial fractures ((1)) . Its relative prominence in the centre of the face as well as its relatively thin, fragile structures makes it particularly susceptible to injury. Acute management is centred on restoring an aesthetically acceptable external nose with minimal airflow limitation. Conventional UK management typically involves assessment 5-7 days following injury, followed by closed reduction within two weeks, to avoid problems associated with fracture healing and bone remodelling ((2)) ...
April 4, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28374944/reliability-of-eustachian-tube-function-measurements-in-a-hypobaric-and-hyperbaric-pressure-chamber
#7
Moritz F Meyer, Stefanie Jansen, Oxana Mordkovich, Karl-Bernd Hüttenbrink, Dirk Beutner
OBJECTIVES: Measurement of the Eustachian tube (ET) function is a challenge. The demand for a precise and meaningful diagnostic tool increases - especially since more and more operative therapies are being offered without objective evidence. The measurement of the ET function by continuous impedance recording in a pressure chamber is an established method, although the reliability of the measurements is still unclear. METHODS: 25 participants (50 ears) were exposed to phases of compression and decompression in a hypo and hyperbaric pressure chamber...
April 4, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28374943/the-mira-scale-a-new-standardised-scale-for-evaluating-nasal-deformities-before-and-after-septorhinoplasty-a-prospective-study-comparing-patient-satisfaction-and-the-surgeon-s-assessment
#8
Thomas Radulesco, Martin Penicaud, Laure Santini, Jean-Marc Thomassin, Patrick Dessi, Justin Michel
OBJECTIVES: The objective was to assess the reliability of a new standardised scale for evaluating nasal anomalies in order to compare the surgeon's assessment and patient satisfaction. DESIGN: Monocentric prospective cohort study. SETTINGS: First, we validated the reliability of the MiRa scale; then, we compared the surgeon's assessment and patient satisfaction. PARTICIPANTS: Fifty-two patients underwent septorhinoplasty surgery and gave their written consent before inclusion...
April 4, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28371358/hearing-optimization-in-neurofibromatosis-type-2-a-systematic-review
#9
Simon Kingsley Wickham Lloyd, Andrew Thomas King, Scott Alexander Rutherford, Charlotte Lucy Hammerbeck-Ward, Simon Richard MacKenzie Freeman, Deborah Jane Mawman, Martin O'Driscoll, Dafydd Gareth Evans
BACKGROUND: It is common for patients with Neurofibromatosis type 2 to develop bilateral profound hearing loss hearing loss and this is one of the main determinants of quality of life in this patient group. OBJECTIVES: The aim of this systematic review was to review the current literature regarding hearing outcomes of treatments for vestibular schwannomas in neurofibromatosis type 2 including conservative and medical management, radiotherapy, hearing preservation surgery and auditory implantation in order to determine the most effective way of preserving or rehabilitating hearing Search Strategy: A MESH search in PubMed using search terms (("Neurofibromatosis 2"[Mesh]) AND "Neuroma, Acoustic"[Mesh]) AND "Hearing Loss"[Mesh] was performed...
April 1, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28371312/intraoperative-and-postoperative-hyperkalaemia-after-total-parathyroidectomy-following-exposure-to-cinacalcet-in-sixteen-patients-for-renal-hyperparathyroidism
#10
LETTER
G C Chong, J D W Choi, T T Lee, G Carney
No abstract text is available yet for this article.
April 1, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28371145/sixty-three-patients-based-survey-can-sinonasal-outcome-test-22-be-a-suitable-evaluation-method-for-septoplasty-and-turbinectomy
#11
Hayarpi H Kordjian, Lars P Schousboe
In this study we evaluated the patient-perceived benefit of surgery for nasal obstruction. Data were collected prospectively from both sexes of all ages who underwent elective surgery for nasal obstruction. All patients completed Sinonasal Outcome Test-22 (SNOT-22) questionnaire pre- and postoperatively. During the study period 63 subjects underwent surgery for nasal obstruction (septoplasty and/or turbinectomy). The median total SNOT-22 score was 35 and 14 pre- and postoperatively, respectively. The median difference between post- and preoperative scores was -15...
April 1, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28346767/hormone-replacement-therapy-for-chronic-tinnitus-in-menopausal-women-our-experience-with-13-cases
#12
Jen-Tsung Lai, Chiung-Lin Liu, Tien-Chen Liu
Tinnitus is a common complaint among patients visiting an ENT clinic. It can cause severe annoyance and distress to some patients. Many treatment modalities are available for the management of tinnitus, with different degrees of effectiveness. This article is protected by copyright. All rights reserved.
March 27, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28339165/a-randomised-controlled-trial-of-sodium-citrate-spray-for-non-conductive-olfactory-disorders
#13
C M Philpott, S E Erskine, A Clark, A Leeper, M Salam, R Sharma, G E Murty, T Hummel
OBJECTIVES: Previous research has suggested that sodium citrate improves hyposmia by decreasing mucus calcium levels in the nose. This study aimed to confirm or refute this effect in a single application and assess potential side-effects. DESIGN: Study design was a randomised double-blind controlled trial of sodium citrate nasal spray (intervention) vs sterile water (control). Fifty-five patients with non-conductive olfactory loss were randomised to receive the intervention or placebo...
March 24, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28332763/prevalence-of-obstructive-sleep-apnea-syndrome-following-oropharyngeal-cancer-treatment-a-prospective-cohort-study
#14
Anthony Loth, Justin Michel, Roch Giorgi, Laure Santini, Marc Rey, Jean-Marc Elbaum, Nicolas Roux, Antoine Giovanni, Patrick Dessi, Nicolas Fakhry
OBJECTIVES: To evaluate the prevalence of obstructive sleep apnea syndrome (OSAS) in a population of patients treated for an advanced cancer of the oropharynx (AJCC Stage III or IV), depending on treatment strategy and to evaluate its impact on quality of life. DESIGN: Prospective cohort study. SETTING: University Teaching Hospital of La Conception, Marseille, France. PARTICIPANTS: ifty-one disease free patients were included...
March 23, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28326677/implantation-and-positioning-of-a-transcutaneous-magnetic-bone-conduction-hearing-system-for-children-with-microtia-in-preparation-for-auricular-reconstruction
#15
Shradha Sharma, Neil Bulstrode, Andrew Marshall
Microtia is a complex congential issue, which can have a functional and psychosocial effect on patients(1) . It can occur spontaneously or as part of a syndrome. Microtia is a condition in which otolaryngologists and plastic surgeons work closely together in order to reconstruct the ear aesthetically whilst facilitating effective aiding. This article is protected by copyright. All rights reserved.
March 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28326669/limited-endoscopic-high-septoplasty-prior-to-endonasal-dacryocystorhinostomy-our-experience-of-nine-cases
#16
LETTER
S-W Kim, S C Yeo, Y-H Joo, H-J Cho, S W Seo, S-Y Jeon
No abstract text is available yet for this article.
March 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28322025/prevalence-of-hearing-loss-and-clinical-otologic-manifestations-in-patients-with-22q11-2-deletion-syndrome-a-literature-review
#17
Emmy Verheij, Laura S M Derks, Inge Stegeman, Henricus G X M Thomeer
BACKGROUND: Hearing loss and otitis media are frequently reported in patients with 22q11.2 deletion syndrome. OBJECTIVE OF REVIEW: Our objective was to review the current literature on the prevalence of hearing loss and otologic manifestations in patients with 22q11.2 deletion syndrome. TYPE OF REVIEW: Systematic review. SEARCH STRATEGY: We conducted a systematic search in PubMed and Embase combining the term '22q11...
March 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28321987/cephalometric-findings-among-children-with-velopharyngeal-dysfunction-following-adenoidectomy-a-retrospective-study
#18
Firas Kassem, Yaniv Ebner, Ben Nageris, Nezar Watted, Ari DeRowe, Ariela Nachmani
OBJECTIVES: To characterize the craniofacial structure by cephalometry, especially the skull base and nasopharyngeal space, in children who underwent adenoidectomy and developed persistent velopharyngeal dysfunction (VPD). DESIGN: Retrospective study. SETTING: Speech and swallowing clinic of a single academic hospital. PARTICIPANTS: 39 children with persistent VPD following adenoidectomy (mean age 8.0±3.6 years) and a control group of 80 healthy children...
March 21, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317337/role-of-transnasal-flexible-laryngo-oesophagoscopy-tnflo-in-investigating-patients-with-globus-symptoms
#19
Hassan Mohammed, Matthew Coates, Liam Masterson, Wei Yee Chan, Yasmeen Hassan, Ramez Nassif
Globus pharyngeus is the feeling of foreign body sensation in the throat. This feeling can be intermittent or persistent. In the past, the term "globus" was attributed to a psychological cause, hence the term "globus hystericus". The term "globus pharyngeus" was suggested in 1968 to dissociate the symptom from its psychological stigma. This article is protected by copyright. All rights reserved.
March 20, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28317336/a-novel-radiologic-check-test-of-round-window-accessibility-for-cochlear-implantation-our-experience-in-198-cases
#20
Mahmoud F Mandour, Mohammed Adel Khalifa, Hossam M Adel Khalifa, Mohammed Tomoum
Clear visualization of the round window niche (RWN) and round window membrane (RWM) through the facial recess using standard posterior tympanotomy approach is a prime requisite for the surgeon. Moreover, even with the traditional cochleostomy approach, proper identification of RWN is essential for accurate localization of promontory cochleostomy site. (1) This article is protected by copyright. All rights reserved.
March 20, 2017: Clinical Otolaryngology
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