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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/29341454/socioeconomic-deprivation-and-the-burden-of-head-and-neck-cancer-regional-variations-of-incidence-and-mortality-in-merseyside-and-cheshire-north-west-england
#1
B G Taib, J Oakley, Y Dailey, I Hodge, P Wright, R du Plessis, J Rylands, D Taylor-Robinson, S Povall, A Schache, R Shaw, A Dingle, T M Jones
OBJECTIVES: The aim of this longitudinal study is to examine the distribution of head and neck cancer (HANC) disease burden across the region comparing it to national trends. DESIGN: We undertook a retrospective study of routine data combining it with indicators of deprivation and lifestyle at small geographical areas within the nine Local Authorities (LAs) of Merseyside and Cheshire Network (MCCN)for head and neck cancers. Data from the North West of England and England were used as comparator regions...
January 17, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29327502/a-differential-diagnosis-of-a-head-and-neck-bony-lesion-review-of-a-case-series-with-18-patients-with-extra-intestinal-features-of-familial-adenomatous-polyposis
#2
Amy Dickinson, Laura Koskenvuo, Katja Tuomainen, Antti Mäkitie, Anna Lepistö, Suvi Renkonen
We would like to draw to the attention of head and neck surgeons the following disease that can present first to head and neck specialists with either a head and neck lump or following an incidental finding on radiological imaging. Familial Adenomatous Polyposis (FAP) is a hereditary disease caused by a mutation in the APC gene on chromosome 5, which is inherited in an autosomal dominant fashion with complete penetrance but variable expression(1). However in approximately 25% of cases it arises from a de novo mutation of the APC gene(1)...
January 11, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29327499/five-year-outcome-of-endoscopic-laser-cricopharyngeal-myotomy-our-experience-in-10-patients
#3
J H Bird, E Warner, R Corbridge
Cricopharyngeal spasm is a failure of the cricopharyngeus muscle to relax and can be a cause of dysphagia. Endoscopic laser cricopharyngeal myotomy with mucosal repair is associated with reduced operative times, inpatient stay and lower morbidity with favourable subjective short-term outcomes, although long-term outcomes are less well known. In our cohort of patients, the majority had a subjectively improved swallow in the long-term although some did have regression of symptoms but remained better than pre-operatively...
January 11, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29327493/a-prospective-cohort-study-of-122-adult-patients-presenting-to-an-otolaryngologist-s-office-with-globus-pharyngeus
#4
Eva Rye Rasmussen, Didde Traerup Schnack, Andreas Tomaas Ravn
OBJECTIVES: To investigate the epidemiology of globus pharyngeus in adult patients presenting to the otolaryngologist's office. Also the predictors of persisting symptoms, prevalence of anxiety and the effect of clinical assessment were analyzed. DESIGN: This was a prospective cohort study. Follow-up was done using a postal questionnaire. SETTING: One otolaryngologists' office comprising three medical doctors. PARTICIPANTS: 122 consecutive globus patients presenting to one otolaryngology office in a one-year period...
January 11, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29325231/accuracy-of-fdg-pet-ct-response-assessment-following-radiotherapy-alone-for-head-and-neck-squamous-cell-carcinoma-retrospective-analysis-of-45-patients
#5
Jwala Philip, Ekin Ermiş, Finbar Slevin, Sriram Vaidyanathan, Mehmet Sen, Andrew F Scarsbrook, Robin J D Prestwich
FDG PET-CT is an established tool for response assessment following definitive concurrent chemoradiotherapy for head and neck squamous cell carcinoma with a high negative predictive value guiding treatment decisions. Little data is available regarding the accuracy of FDG PET-CT for response assessment following definitive radiotherapy without chemotherapy. We retrospectively analysed the accuracy of FDG PET-CT for response assessment following radiotherapy alone without planned neck dissection in 45 patients...
January 11, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29316307/indications-for-trans-nasal-flexible-laryngo-oesophagoscopy-in-a-head-and-neck-clinic-our-experience-in-194-patients
#6
Hassan Mohammed, Matthew Coates, Liam Masterson, Ramez Nassif
Lamm introduced fibre-optic imaging in 1930s 1 . In the following decades it has been utilized in otolaryngology as an alternative to indirect mirror laryngoscopy. In its present form it allows for image capture and video recording when connected to a camera, it also allows for manoeuvring around anatomical structures due to its flexibility and articulation. It now forms an essential part of any head and neck examination especially when assessing for suspected cancer. This article is protected by copyright...
January 5, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29292581/clinical-evaluation-of-a-new-laser-ablated-titanium-implant-for-bone-anchored-hearing-in-34-patients-1-year-experience
#7
Ivo J Kruyt, Rupan Banga, Anirvan Banerjee, Emmanuel A M Mylanus, Myrthe K S Hol
In specific patient groups, i.e. children or patients with compromised bone quality, the incidence of implant loss of for bone conduction hearing implants is much higher; further implant optimization is, therefore, needed. The new laser-ablated titanium implant for bone-anchored hearing implantation has an enlarged contact area for osseointegration compared to the standard implant, aiming to improve implant loss rates. This retrospective multicenter study is the first to assess the performance of this implant in healthy adults 1 year after surgery...
January 2, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29292578/a-novel-succinate-dehydrogenase-subunit-b-germline-variant-associated-with-head-and-neck-paraganglioma-in-a-dutch-kindred-a-family-based-study
#8
Berry de Vos, Johannes A Rijken, Muriel A Adank, Arjan W J Hoksbergen, Jean-Pierre Bayley, C René Leemans, Erik F Hensen
OBJECTIVE: In the Netherlands, the majority of hereditary head and neck paragangliomas (HNPGL) are caused by germline variants in the succinate dehydrogenase genes (SDHD, SDHB, SDHAF2). Here, we evaluate a four-generation family linked to a novel SDHB gene variant with the manifestation of a HNPGL. DESIGN: a family based study. SETTING: The VU University Medical Center (VUmc) Amsterdam, a tertiary clinic for Otolaryngology and Head and Neck Surgery...
January 2, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29288566/double-suspension-sutures-a-simple-surgical-technique-for-selected-cases-of-obstructive-sleep-apnea-our-experience-with-twenty-two-patients
#9
Sherif M Askar, Mohammad W El-Anwar
This work aimed at presenting a simple modification of expansion pharyngoplasty using bilateral double palatal suspension sutures for the treatment of selected cases of snoring and OSA. Between Marsh 2013 and August 2017, twenty- two patients underwent the double suspension sutures technique as a treatment for retropalatal collapse of obstructive sleep apnea. Postoperatively, the mean AHI and the mean lowest oxygen saturation level showed highly significant improvement. Both the retropalatal and interpillar distances were increased significantly...
December 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29288561/the-effect-of-flurbiprofen-oral-spray-and-ibuprofen-vs-ibuprofen-alone-on-postoperative-tonsillectomy-pain-an-open-randomised-controlled-trial
#10
B Türk, M Akpınar, Z N Erol, K S Kaya, Ö Ünsal, B U Coşkun
OBJECTIVE: This prospective clinical study was carried out to evaluate the analgesic efficacy and safety of oral spray form of flurbiprofen in the treatment of postoperative pain in tonsillectomy patients. STUDY DESIGN: Open, randomised, controlled clinical study. SETTING: Tertiary care training and research hospital. PARTICIPANTS: One hundred (53 males, 47 females) with an age range of 18-53 years old (mean 27.4 ± 9...
December 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29288539/cold-cold-vs-bipolar-dissection-tonsillectomy-a-surgeon-controlled-study-of-400-cases
#11
Simon Morris, Thomas Martin, Steven Lewis
Surgeon controlled study of 200 cold/cold and 200 hot/hot tonsillectomy cases in one institution Hot/hot resulted in higher overall rates of early and late post-tonsillectomy haemorrhage and return-to-theatre when compared to cold/cold methods. Bipolar diathermy tonsillectomy resulted in a statistically significant higher rate of secondary post-tonsillectomy haemorrhage than cold-steel of nearly three times. Trainee surgeons performed better in bipolar haemostasis than cold-steel dissection with regard to post-operative morbidity...
December 30, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29281765/psychosocial-health-of-cochlear-implant-users-compared-to-that-of-adults-with-and-without-hearing-aids-results-of-a-nationwide-cohort-study
#12
Jizzo R Bosdriesz, Mariska Stam, Cas Smits, Sophia E Kramer
OBJECTIVES: This study aimed to examine the psychosocial health status of adult cochlear implant (CI) users, compared to that of hearing aid (HA) users, hearing-impaired adults without hearing aids, and normally hearing adults. DESIGN: Cross-sectional observational study, using both self-reported survey data and a speech-in-noise test. SETTING: Data as collected within the Netherlands Longitudinal Study on Hearing (NL-SH) between September 2011 and June 2016 were used...
December 27, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29280292/hypopharyngeal-evaluation-in-obstructive-sleep-apnea-with-awake-flexible-laryngoscopy-validation-and-updates-to-cormack-lehane-and-modified-cormack-lehane-scoring-systems
#13
Carlos Torre, Soroush Zaghi, Macario Camacho, Robson Capasso, Stanley Yung-Chuan Liu
OBJECTIVE: To validate the use of Cormack-Lehane and Modified Cormack-Lehane scoring systems to classify patterns of hypopharyngeal airway visualization seen during awake flexible laryngoscopy among patients with obstructive sleep apnea. STUDY DESIGN: Validation study using samples collected from a prospective database. SETTING: University Medical Center. PARTICIPANTS: Data was obtained from a retrospective review of a prospective database of flexible fiberoptic examination recordings in 274 consecutive OSA subjects (Stanford Sleep Medicine/Surgery Clinic)...
December 26, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29247602/a-systematic-review-of-validated-sinus-surgery-simulators
#14
B Stew, S S-T Kao, N Dharmawardana, E H Ooi
BACKGROUND: Simulation provides a safe and effective opportunity to develop surgical skills. A variety of endoscopic sinus surgery (ESS) simulators has been described in the literature. Validation of these simulators allows for effective utilisation in training. OBJECTIVE OF REVIEW: To conduct a systematic review of the published literature to analyse the evidence for validated ESS simulation. SEARCH STRATEGY: Pubmed, Embase, Cochrane and Cinahl were searched from inception of the databases to 11 January 2017...
December 16, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29247495/presenting-symptoms-and-long-term-survival-in-head-and-neck-cancer
#15
C M Douglas, K Ingarfield, A D McMahon, S A Savage, D I Conway, K MacKenzie
OBJECTIVES: To assess how type and number of symptoms are related to survival in head and neck cancer patients. DESIGN: Patients were followed-up for over 10 years from the Scottish Audit of Head and Neck Cancer; (national cohort of head and neck cancer patients in Scotland 1999 - 2001). September 2013, cohort was linked to national mortality data. First, second and third presenting symptoms were recorded at diagnosis. SETTING: National prospective audit - Scotland...
December 15, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29240312/garden-terror-case-series-of-twenty-eight-serious-ear-injuries-caused-by-yucca-plants
#16
Maria Vartanyan, Kumiko Orimoto, Adrian Dragovic, Carmel Crock, Michael Dobson, Stephen O'Leary
The yucca plant (genus Yucca, family Asparagaceae, subfamily Agavoideae) is a ubiquitous plant whose long and sharp leaf spines (Fig 1) are accountable for an increasing number of ear injuries presenting to the Emergency Department of our specialised tertiary hospital. Whereas most cases presented as easy-to-diagnose traumatic tympanic membrane perforations (TMP) which healed quickly, 4 cases were complicated by perilymphatic fistula (PLF), and these presented a diagnostic dilemma that resulted in late diagnoses...
December 14, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29240310/diagnostic-accuracy-of-high-resolution-t2-weighted-mri-versus-contrast-enhanced-t1-weighted-mri-to-screen-for-cerebellopontine-angle-lesions-in-symptomatic-patients
#17
Mayke A Hentschel, Henricus P M Kunst, Maroeska M Rovers, Stefan C A Steens
OBJECTIVE: To evaluate diagnostic accuracy of high resolution T2-weighted MRI (T2w) for detecting cerebellopontine angle (CPA) lesions compared to a combined protocol including gadolinium enhanced T1-weighted MRI (GdT1w). SETTING: Department of Radiology & Nuclear Medicine, Radboud University Medical Centre, Nijmegen, the Netherlands. PARTICIPANTS: A random sample of MRIs from 350 patients (700 CPAs) with asymmetrical audiovestibular complaints was used, acquired between 2013-2016...
December 14, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29240305/surgical-anatomy-of-the-round-window-implications-for-cochlear-implantation
#18
REVIEW
Jan Christoffer Luers, Karl-Bernd Hüttenbrink, Dirk Beutner
BACKGROUND: The round window is an important portal for the application of active hearing aids and cochlear implants. The anatomical and topographical knowledge about the round window region is a prerequisite for successful insertion for a cochlear implant electrode. OBJECTIVE OF REVIEW: To sum up current knowledge about the round window anatomy and to give advice to the cochlear implant surgeon for optimal placement of an electrode. TYPE OF REVIEW: Systematic Medline search...
December 14, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29235232/signs-of-electrocochleography-on-endolymphatic-sac-decompression-for-patients-with-m%C3%A3-ni%C3%A3-re-s-disease-our-experience-in-12-patients
#19
Wei Li, Yan Lei, Jiang Zhu, Yi Qian, Guo-Ting Ma, Tao Lu, Guo-Hua Hu, Hou-Yong Kang
Endolymphatic hydrops (ELH) is a well-established histological marker of Ménière's Disease (MD). The diagnosis of MD still depends on clinical symptoms complemented with inner ear function tests. Thus far, definitive diagnosis remains difficult. It is necessary for clinicians to explore an objective examination to diagnose MD and to monitor patients' ELH. This article is protected by copyright. All rights reserved.
December 13, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29222838/results-of-a-systematic-literature-review-of-treatment-modalities-for-jugulotympanic-paraganglioma-stratified-per-fisch-class
#20
Thijs T G Jansen, Henri J L M Timmers, Henri A M Marres, Johannes H A M Kaanders, Henricus P M Kunst
OBJECTIVE: Key for successful jugulotympanic paraganglioma management is a personalized approach aiming for the best practice for each individual patient. To this end, a systematic review is performed, evaluating the local control- and complication rates for the different treatment modalities stratified by the broadly accepted Fisch classification. DESIGN: A systematic literature review according to the PRISMA statement was performed. A detailed overview of individual treatment outcomes per Fisch class is provided...
December 8, 2017: Clinical Otolaryngology
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