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Clinical Otolaryngology

Qingxiu Yao, Qiang Song, Hui Wang, Haibo Shi, Dongzhen Yu
OBJECTIVE: To describe the clinical features of benign paroxysmal positional vertigo (BPPV) in children. DESIGN: A retrospective study. SETTING: Six children diagnosed with BPPV between March 2014 and March 2015 were retrospectively evaluated. BPPV was diagnosed using the Dix-Hallpike and supine roll test and treated with either the modified Epley particle repositioning procedure or Lempert or Gufoni maneuver. Follow-up was performed at 1-week intervals until vertigo and nystagmus disappeared during positional testing...
September 16, 2018: Clinical Otolaryngology
David López-Bru, Antonio Palazón-Bru, David Manuel Folgado-de la Rosa, Vicente Francisco Gil-Guillén
OBJECTIVES: Though predictive models have been constructed to determine the risk of recurrence in differentiated thyroid carcinoma, various aspects of these models are inadequate. Therefore, we aimed to construct, internally validate and implement on a mobile application a scoring system to determine this risk within 10 years. DESIGN: A retrospective cohort study in 1984-2016. SETTING: A Spanish region. PARTICIPANTS: We enrolled 200 patients with differentiated thyroid carcinoma without distant metastasis at diagnosis...
September 16, 2018: Clinical Otolaryngology
Sai D Challapalli, Matthew C Simpson, Eric Adjei Boakye, Ronald J Walker, Jastin L Antisdel, Greg M Ward, Nosayaba Osazuwa-Peters
OBJECTIVE: The literature on nasopharyngeal carcinoma survival in the United States has focused mostly on Whites or Asians, and not much is known about survivorship in other minority racial and ethnic groups. We aimed to determine the disease-specific survival rate and prognostic factors for nasopharyngeal carcinoma survival across the minority United States population. DESIGN: A retrospective cohort study. SETTING: The Surveillance, Epidemiology, and End Results (SEER) 13 database from 1992-2013 was queried for adult cases of nasopharyngeal carcinoma (n = 2418)...
September 14, 2018: Clinical Otolaryngology
Mark Weidenbecher, Akina Tamaki, Claudia Cabrera, Kingman Strohl
This retrospective study examined 20 patients who underwent hypoglossal nerve stimulation implantation for treatment of obstructive sleep apnea at a single institution. We utilized a modification in standard surgical technique allowing improved visualization of the distal hypoglossal nerve. Main outcome and measures included apnea hypoxia index, oxygen desaturation index, mean and minimum saturation and percentage of time below 90% saturation. We examined operative time and adverse events. Epworth Sleepiness Score and post-operative questionnaires was used to assess subjective measures of outcome...
September 12, 2018: Clinical Otolaryngology
Andre Isaac, Hamdy El-Hakim
OBJECTIVE: To report the current state of the literature on type one laryngeal clefts in children and their associated feeding and swallowing difficulties, including presentation, diagnostic work-up, threshold and range of interventions and outcomes. METHOD: A narrative review. RESULTS: Attention to laryngeal clefts has markedly increased in the recent literature. The reported clinical presentations, associations, diagnostic paradigms, and types of interventions used have had significant variation among different authors...
September 6, 2018: Clinical Otolaryngology
Alper Yazici, Mehmet Enes Coskun
OBJECTIVE: To demonstrate the influence of ventilation tube insertion to the quality of life in a group of children in Southeast Anatolia by Otitis Media 6-item (OM6) questionnaire. DESIGN: Patients who underwent ventilation tube insertion due to otitis media with effusion (OME) at Otorhinolaryngology Department of Gaziantep University between December 2016 and April 2017 were enrolled in this prospective study. All patients were evaluated with the OM-6 survey before operation and six weeks after surgery...
August 30, 2018: Clinical Otolaryngology
Senol Comoglu, Comert Sen, Ibrahim Yagci, Said Sonmez, Levent Aydemir
No abstract text is available yet for this article.
August 30, 2018: Clinical Otolaryngology
Byung Chul Kang, Woo Seok Kang, Jun Woo Park, Jung-Hoon Park, Kun Yung Kim, Ho-Young Song, Hong Ju Park
OBJECTIVES: To measure the diameter of inflated balloons at different pressures during Eustachian tube (ET) balloon dilation under fluoroscopic guidance. DESIGN: Prospective cohort study. SETTING: Tertiary academic referral centre. PARTICIPANTS: Eighteen patients who underwent ET balloon dilation with use of a balloon catheter, 20 mm long and 6 mm in diameter, under combined endoscopic and fluoroscopic guidance. MAIN OUTCOME MEASURES: Degrees of inflation at three different portions (proximal, middle and distal) of the balloon at controlled pressures (3, 5, 8 and 10 atmospheres [atm]) and at the maximum pressure manually applied...
August 30, 2018: Clinical Otolaryngology
T T G Jansen, J H A M Kaanders, G N Beute, H J L M Timmers, H A M Marres, H P M Kunst
OBJECTIVES: To identify the risks associated with surgery, radiotherapy or a combined treatment approach for Fisch class C and D jugulotympanic paraganglioma, in order to develop an individualized approach for each patient depending on Fisch class, age, mutation presence, tumor size growth rate and presenting symptoms DESIGN: A retrospective multicenter cohort study with all patient records of patients with a head and neck paraganglioma in the Radboudumc, Nijmegen and the St. Elisabeth Hospital, Tilburg, the Netherlands...
August 30, 2018: Clinical Otolaryngology
Kiran Varadharajan, Natasha Choudhury, Hesham A Saleh
Septal repositioning in septo-columelloplasty and septorhinoplasty requires anchoring of the caudal septum to the anterior nasal spine. 1,2 Failure to do this securely may result in recurring dislocation of the caudal septum and further symptoms of nasal blockage. However, passing a standard appropriate sized suture needle through the anterior nasal spine can be challenging. One proposed method is using a drill to create a bony tunnel 3 , however this can be time consuming and requires additional equipment...
August 29, 2018: Clinical Otolaryngology
Guilherme Pilla Caminha, Emilio Pizzichini, José Faibes Lubianca Neto, Claire Hopkins, José da Silva Moreira, Marcia Margaret Menezes Pizzichini
OBJECTIVE (S): To estimate the prevalence and associations among rhinosinusitis symptoms, smoking and chronic obstructive pulmonary disease (COPD). DESIGN: Cross-sectional study. SETTING: Population-based. PARTICIPANTS: All adults aged 40 years or more living in the selected households in the city of Florianópolis (Florianópolis, Santa Catarina, Brazil). MAIN OUTCOME MEASURES: Assessment instruments comprised household interviews, anthropometric measurements and spirometry...
August 27, 2018: Clinical Otolaryngology
Jérôme Nevoux, Cyrille Coudert, Marc Boulet, Cécile Czajka, Laurent Tavernier, Mary Daval, Denis Ayache, Renaud Meller, Stéphane Rossetto, Jean-François Papon, Arnaud Deveze
BACKGROUND: Bone conduction implants based on abutment-driven acoustic transmission result in good hearing outcomes; however, skin complications impact the quality of life (QOL) and possibly the viability of the device for many patients. The transcutaneous magnetic Baha® Attract technology was developed with the goal of minimising skin complications. OBJECTIVES: To analyse surgical, auditory and QOL outcomes for patients implanted with the Baha® Attract. DESIGN: Prospective multicentre cohort study...
August 23, 2018: Clinical Otolaryngology
Andrea De Vito, Marina Carrasco Llatas, Madeline Ravensloot, Bhik Kotecha, Nico De Vries, Evert Hamans, Joachim Maurer, Marcello Bosi, Marc Blumen, Clemens Heiser, Michale Herzog, Filippo Montevecchi, Massimo Ruggero Corso, Alberto Braghiroli, Riccaro Gobbi, Anniclaire Vroegop, Patty E Vonk, Winfried Hohenhorst, Ottavio Piccin, Giovanni Sorrenti, Olivier Vandervenker, Claudio Vicini
BACKGROUND: the first edition of the European position paper (EPP) on drug-induced sleep endoscopy (DISE) was published in 2014 with the aim to standardize the procedure, to provide an in-depth insight into the main aspects of this technique and to have a basis for future research. Since 2014, new studies have been published concerning new sedative agents or new insights in the pattern/levels of the obstruction depending on the depth of sedation. Therefore an enlarged group of European experts in the field of Sleep Breathing Disorders (SBD), including the most of the first DISE EPP main Authors, have decided to publish an update of the European position paper on DISE, in order to include new evidence and to find a common language useful for reporting the findings of this endoscopic evaluation in adult population affected by sleep breathing disorders (SBD)...
August 22, 2018: Clinical Otolaryngology
Jayesh Doshi
No abstract text is available yet for this article.
August 13, 2018: Clinical Otolaryngology
Samuel Rack, Rizwana Rahman, Louise Carter, Craig McKay, Robert Metcalf
No abstract text is available yet for this article.
August 13, 2018: Clinical Otolaryngology
Chi-Maw Lin, Chen-Han Chou, Ting-Yi Li, Tseng-Cheng Chen
No abstract text is available yet for this article.
August 11, 2018: Clinical Otolaryngology
Meydan Turan, Mehmet Orhan Ersoz, Mehmet Fatih Ozhan
No abstract text is available yet for this article.
August 11, 2018: Clinical Otolaryngology
Max S Osborne, Sandya Krishna, Ajith George, Declan Costello, Rogan Corbridge
No abstract text is available yet for this article.
August 9, 2018: Clinical Otolaryngology
Jae-Yoon Kang, Jee-Hye Chung, Hee-Sung Park, Yong-Ho Park, Jin Woong Choi
OBJECTIVES: To evaluate the radiologic parameters related to success of round window (RW) approach for cochlear implantation (CI). DESIGN: A retrospective cohort study. SETTING: Academic-tertiary centre. PARTICIPANTS: Eighty-four consecutive patients without inner ear anomaly who underwent CI with the intent of the RW approach were included. The RW approach was performed through the facial recess after posterior tympanotomy (RW group)...
August 9, 2018: Clinical Otolaryngology
Cameron Davies-Husband, Jennifer Murphy, Charles Kelly, Michael Drinnan, Vinidh Paleri
BACKGROUND: The long-term effect of concurrent chemoradiation on voice outcomes in the context of non-laryngeal head and neck cancer is not established. METHODS: A prospective, observational study to evaluate the voice quality in disease-free patients receiving concurrent chemoradiation for advanced non-laryngeal squamous cell carcinoma of the upper aerodigestive tract. Voice assessment occurred at four distinct time-points: pretreatment, 3, 12 and 92.6 months (mean) post-treatment in 34, 21 and nine patients, respectively...
August 1, 2018: Clinical Otolaryngology
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