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Clinical Otolaryngology

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https://www.readbyqxmd.com/read/27930877/short-term-results-from-seventy-six-patients-receiving-a-bone-anchored-hearing-implant-installed-with-a-novel-minimally-invasive-surgery-technique
#1
M L Johansson, R J Stokroos, R Banga, M K Hol, E A Mylanus, H Savage Jones, J R Tysome, P Vannucchi, J R Hof, J W Brunings, J van Tongeren, R W Lutgert, A Banerjee, J P Windfuhr, A Caruso, A L Giannuzzi, S Bordin, J Hanif, N Schart-Morén, S Singam, S Jonhede, M Holmberg, C W Cremers, M Hultcrantz
The surgical installation of bone anchored hearing systems (BAHS) has after decades finally undergone changes towards more minimally invasive techniques without soft tissue thinning. Some surgeons are also performing the surgery and installation, using the classical drilling system, through a single punch entry. This article is protected by copyright. All rights reserved.
December 8, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27930870/temperament-and-character-traits-in-patients-with-tinnitus-a-prospective-case-series-with-comparisons
#2
Jae Ho Chung, Hayoung Byun, Seung Hwan Lee, Chul Won Park, Eun Young Jang
OBJECTIVE: To describe the personality traits of temperament and character in patients with tinnitus, and to identify differences in these traits associated with the severity of tinnitus. STUDY DESIGN: Case series with comparisons. SETTING: Tertiary referral centre. PARTICIPANTS: From January to December 2014, one hundred-and-thirty-four adult patients with chronic subjective tinnitus completed psychoacoustic measurements of tinnitus and the Temperament and Character Inventory (TCI)...
December 8, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27930867/squamous-cell-carcinoma-associated-with-inverted-papilloma-of-the-maxillary-sinus-our-experience-with-21-patients
#3
Myeong Sang Yu, Won Sub Lim, Bong-Jae Lee, Yoo-Sam Chung
Sinonasal inverted papillomas (IP) are benign tumors, which represent 0.5-7.0% of all diagnosed sinonasal tumors,(1) and exhibit malignant characteristics, including high rates of recurrence and local aggressiveness and association with malignancy.(1) The incidence of IP associated with SCC differs widely according to various reports (2-53%).(2,3) IP-associated SCC is not considered to be simply a mixture of the two other primary tumors, but rather a malignant transformation of the IP.(3) This article is protected by copyright...
December 8, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27930861/functional-mri-in-seven-borderline-cochlear-implant-candidates-a-preliminary-research-study
#4
F Wagner, S Weder, M D Caversaccio, A Federspiel, R Wiest, P Senn
The indications for cochlear implants (CIs) are constantly expanding, as are the numbers of patients who are not ideal or classical CI candidates. For these patients, a careful decision-making process is needed to minimize the risk of poor outcomes. Preoperatively, it may be unclear whether they will benefit from an implantation. As conventionally performed hearing tests (i.e. subjective and electrophysiological examinations, stapedial reflex testing) have limitations, further objective and effective methods for assessment of the central auditory pathway (CAP) are required [1-3]...
December 8, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27886463/association-between-recovery-from-bell-s-palsy-and-body-mass-index
#5
Sun A Choi, Haeng Seon Shim, Junyang Jung, Ho Joong Kim, Sang Hoon Kim, Jae Yong Byun, Moon Suh Park, Seung Geun Yeo
BACKGROUND: Although many factors have been found to be involved in recovery from Bell's palsy, no study has investigated the association between recovery from Bell's palsy and obesity. This study therefore evaluated the association between recovery from Bell's palsy and body mass index (BMI). METHODS: Subjects were classified into five groups based on BMI (kg/m2). Demographic and clinical characteristics were compared among these groups. Assessed factors included sex, age, time from paralysis to visiting a hospital, presence of comorbidities such as diabetes mellitus and hypertension, degree of initial facial nerve paralysis by House-Brackmann (H-B) grade and neurophysiological testing, and final recovery rate...
November 25, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882709/technical-note-using-a-tracheal-stent-for-conservative-management-of-speaking-valve-associated-tracheo-oesophageal-fistula
#6
M Cunnane, S Patil, R Sothinathan, D Walker, M Gaulton, L Pitkin
Surgical voice rehabilitation is an essential dimension of treatment following total laryngectomy. The gold standard is tracheo-oesophageal puncture and speaking valve placement. Whilst offering excellent phonation in many patients, there is a well-documented risk of valve associated fistula formation, the incidence of which varies from 1 to 21% (1) . Risk factors for delayed valve associated tracheo-oesophageal fistula include post chemo-radiotherapy (salvage laryngectomy), oesophageal stricture, persistent fungal infection and poor patient compliance in managing their speaking valve(2) ...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882691/image-guided-fna-cytology-and-flow-cytometry-phenotyping-of-neck-lymphadenopathy-for-the-diagnosis-of-recurrent-lymphoma
#7
F Lumachi, A Fassina, R Tozzoli, A Tregnaghi, S M M Basso, M Ermani
OBJECTIVE: In patients with a history of lymphoma, each lymphadenopathy should be carefully evaluated. The aims of this study were to evaluate (i) the usefulness of high-resolution ultrasonography (US), US-guided fine-needle aspiration cytology (FNAC) and flow cytometry phenotyping (FCP) together in the diagnosis of recurrent lymphoma, and (ii) whether these tools were independent predictors of correct results. DESIGN: Retrospective cohort study with stepwise forward logistic regression analysis of results...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882657/using-a-semi-conductor-sequencing-based-panel-for-genotyping-of-hpv-positive-and-hpv-negative-oropharyngeal-cancer-a-retrospective-pilot-study
#8
Janneke C Ham, Bastiaan B J Tops, Chantal M L Driessen, Annemiek W M van Raaij, Piet J Slootweg, Willem J G Melchers, Marjolijn J L Ligtenberg, Carla M L van Herpen
OBJECTIVES: The aim of this study was to assess the feasibility of testing actionable mutations in small amounts of formalin fixed paraffin embed material in multiple genes of the receptor tyrosine kinase pathway and to determine the frequency of these mutations in human papillomavirus (HPV)-positive and HPV-negative oropharyngeal cancer (OPC). DESIGN: A retrospective pilot study was performed. SETTING: In OPC no predictive markers for response to epidermal growth factor receptor (EGFR) inhibition are known...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882653/synkinesis-in-bell-s-palsy-in-a-randomised-controlled-trial
#9
N Bylund, D Jensson, S Enghag, T Berg, Elin Marsk, Malou Hultcrantz, N Hadziosmanovic, A Rodriguez-Lorenzo, L Jonsson
OBJECTIVES: To study the development of synkinesis in Bell's palsy. Frequency, severity, gender aspects and predictors were analysed. DESIGN: Data from the randomised controlled Scandinavian Bell's palsy trial including 829 patients. MAIN OUTCOME MEASURES: Frequency and severity of synkinesis at 12 months were the main outcome measures. Mean Sunnybrook synkinesis scores, voluntary movement scores and composite scores between 6 and 12 months were compared...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27882651/pandas-in-otolaryngology
#10
Jack Limbrick, Shahram Anari
We would like to bring to the attention of the readership a rare condition known as PANDAS (paediatric autoimmune neuropsychiatric disorder associated with streptococcal infection), which is mostly seen by paediatric psychiatric or neurological physicians(1,3) . Due to its relationship with the tonsils and an increasing small number of cases reported in the literature of improvement or even cure by tonsillectomy, we feel it warrants further review and discussion(3,4) . This article is protected by copyright...
November 24, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27863011/congenital-anosmia-our-experience-of-eleven-patients-with-aplasia-or-hypoplasia-of-the-olfactory-tract
#11
Jason Powell, Ivan Zammit-Maempel, Sean Carrie
Anosmia is present in approximately 1% of the population and can have a significant impact on quality of life (1) . In contrast to acquired anosmia, congenital anosmia is a relatively rare condition characterized by a complete lack of olfactory perception and the aplasia or hypoplasia of the olfactory bulb. Kallmann syndrome (congenital hypogonadotropic hypogonadism and anosmia) is the best known condition assoicated with congenital anosmia (2,3) . Kallmann Syndrome has a prevalence of around 1 in 8000, and is five times more common in men than women (2,3) ...
November 14, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27863042/role-of-honey-after-tonsillectomy-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#12
Avtar Lal, Karan Chohan, Alisha Chohan, Arunabha Chakravarti
BACKGROUND: Honey reduced post-tonsillectomy pain, but its effects on awakening at night, inflammation and healing of the tonsillar fossa were controversial. OBJECTIVES: This systematic review and meta-analysis of randomized controlled trials (RCTs) evaluated the effect of oral honey on pain, consumption of painkillers, awakening at night, healing of tonsillar fossa, and adverse effects in children after tonsillectomy. METHODS: A search of MEDLINE, EMBASE, SCOPUS, CINAHL and COCHRANE Collaboration library databases was performed without any restriction of publication year...
November 12, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27863036/newborn-hearing-screening-in-prematurity-fate-of-screening-failures-and-auditory-maturation
#13
Hyung Chae Yang, Chung Man Sung, Dong Joo Shin, Yong Beom Cho, Chul Ho Jang, Hyong-Ho Cho
OBJECTIVES: The purpose of this study was to identify delayed auditory maturation and the fate of premature infants who failed the newborn hearing screening (NHS) in neonatal intensive care unit. MATERIALS AND METHODS: A total of 1,375 neonates underwent NHS using the transient evoked otoacoustic emission (TEOAE) in a tertiary hospital between 2007 and 2010 according to the Joint Committee on Infant Hearing Guidelines. In addition, a structured telephone survey was given to caregivers of infants who were lost to follow-up NHS...
November 12, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27860393/dura-and-sinus-compression-with-a-transcutaneous-bone-conduction-device-hearing-outcomes-and-safety-in-38-patients
#14
E Vyskocil, D Riss, C Arnoldner, J S Hamzavi, R Liepins, A Kaider, C Honeder, J Fumicz, W Gstöttner, W D Baumgartner
In 2011 a bone conduction implant that utilizes electromagnetic signals transmitted through the skin instead of vibrations was introduced onto the market. The implantable portion (the bone conduction floating mass transducer, or BC-FMT) is an electromagnetic transducer that is fixed to the skull bone with screws and delivers mechanical vibrations to the inner ear (1) . It is often not possible to place the relatively large BC-FMT (15.8 mm in diameter and 8.7 mm in height) exclusively in the bone of the mastoid...
November 12, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27860271/postauricular-submental-approach-endoscopic-thyroidectomy
#15
Patorn Piromchai, Pattaramon Wijakkanalan, Watchareporn Teeramatwanich, Pornthep Kasemsiri, Supawan Laohasiriwong, Teeraporn Ratanaanekchai
There was a concern on the cosmetic perspective of conventional thyroidectomy that usually left a transcervical incision scar. To solve this problem, the endoscopic thyroidectomy approaches were developed. However, there was no generally accepted recommendations exist for which approach is the best choice. The choice for a particular case depended mainly on the surgeon's experience and preference. This article is protected by copyright. All rights reserved.
November 12, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27863075/transoral-laser-microsurgery-versus-radiotherapy-for-t2-glottic-squamous-cell-carcinoma-a-systematic-review-of-local-control-outcomes
#16
L Warner, K Lee, J J Homer
BACKGROUND: Systematic reviews comparing treatment of early glottic cancer with transoral surgery or radiotherapy demonstrate similar oncological outcomes. Most studies of "early stage" laryngeal cancer include Tis, T1a, T1b and T2 cases. The data is dominated by patients with T1 and Tis tumours, although extrapolating these results and applying them for T2 cases may be inappropriate. No previous systematic reviews have focused on T2 cancers as a separate group. OBJECTIVE OF REVIEW: This review compares local control outcomes for T2 glottic squamous cell carcinoma, treated with transoral microsurgery or external beam radiotherapy...
November 10, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27860366/the-effect-of-intranasal-sodium-citrate-on-olfaction-in-post-infectious-loss-results-from-a-prospective-placebo-controlled-trial-in-49-patients
#17
K L Whitcroft, M Ezzat, M Cuevas, P Andrews, T Hummel
OBJECTIVES: Free calcium plays an integral role in peripheral olfactory processing, including feedback inhibition. It has therefore been suggested that reduction of intranasal free calcium with buffer solutions such as sodium citrate may improve olfactory function in patients with smell impairment. Several previous studies have supported this hypothesis, particularly in post-infectious olfactory loss. We therefore aimed to determine whether treatment with intranasal sodium citrate improves olfactory function in patients with post-infectious impairment...
November 10, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27862982/upper-aerodigestive-tract-cancer-summary-of-the-national-institute-for-health-and-care-excellence-guidelines-for-england-and-wales
#18
V Paleri, C Kerawala, S Winter, M Robinson, D Jarrom, M Prettyjohns
No abstract text is available yet for this article.
November 9, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27905190/the-diagnostic-accuracy-of-non-imaging-screening-protocols-for-vestibular-schwannoma-in-patients-with-asymmetrical-hearing-loss-and-or-unilateral-audiovestibular-dysfunction-a-diagnostic-review-and-meta-analysis
#19
M Hentschel, M Scholte, S Steens, H Kunst, M Rovers
BACKGROUND: Currently, all patients presenting with asymmetrical sensorineural hearing loss and/or unilateral audiovestibular dysfunction (i.e. tinnitus, dizziness) undergo MRI, leading to a substantial amount of MRIs with negative findings as the incidence of vestibular schwannoma (VS) in this screening population varies between 1% and 4.7% (i.e. more than 95% of MRIs are negative for VS). OBJECTIVE OF REVIEW: The aim was to assess the diagnostic accuracy of different non-imaging screening protocols that can be used prior to MRI to select patients at high risk of VS...
November 5, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27813336/evaluating-the-efficacy-of-voice-therapy-for-functional-organic-and-neurological-voice-disorders
#20
P Carding, M Bos-Clark, S Fu, P Gillivan-Murphy, S M Jones, C Walton
No abstract text is available yet for this article.
November 3, 2016: Clinical Otolaryngology
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