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International Journal of Otolaryngology

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https://www.readbyqxmd.com/read/28286522/assessment-of-105-patients-with-angiotensin-converting-enzyme-inhibitor-induced-angioedema
#1
Eva Rye Rasmussen, Christian von Buchwald, Mia Wadelius, Sumangali Chandra Prasad, Shailajah Kamaleswaran, Kawa Khaled Ajgeiy, Georg Authried, Kristine Appel U Pallesen, Anette Bygum
Objective. To asses a cohort of 105 consecutive patients with angiotensin converting enzyme-inhibitor induced angioedema with regard to demographics, risk factors, family history of angioedema, hospitalization, airway management, outcome, and use of diagnostic codes used for the condition. Study Design. Cohort study. Methods. This was a retrospective cohort study of 105 patients with angiotensin converting enzyme-inhibitor induced angioedema in the period 1995-2014. Results. The cohort consisted of 67 females and 38 males (F : M ratio 1...
2017: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/28255303/reduction-of-radiation-dosage-in-visualization-of-paranasal-sinuses-in-daily-routine
#2
Christian Güldner, Isabell Diogo, Julia Leicht, Magis Mandapathil, Thomas Wilhelm, Afshin Teymoortash, Evelyn Jahns
Background. Preoperative imaging of the nose and paranasal sinus is standard in otorhinolaryngology. Previous studies on phantoms demonstrated the potential for dose reduction of cone beam computed tomography (CBCT) by varying the application parameters. Methodology. Based on previous studies, the standard protocol of paranasal sinus imaging by CBCT was altered. One hundred and fifty examinations using the old protocol (01/2010-01/2011, high dosage) and 150 examinations using the new protocol (09/2012-09/2013, low dosage) were evaluated and compared for the visibility of 17 anatomical structures, the Lund-Mackay Score, and technical parameters...
2017: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/28203252/management-of-chyle-leak-after-head-and-neck-surgery-review-of-current-treatment-strategies
#3
REVIEW
Sean W Delaney, Haoran Shi, Alireza Shokrani, Uttam K Sinha
Chyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lower half of the body. Chyle extravasation can result in delayed wound healing, dehydration, malnutrition, electrolyte disturbances, and immunosuppression. Prompt identification and treatment of a chyle leak are essential for optimal surgical outcome...
2017: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/28101106/multiport-combined-endoscopic-approach-to-nonembolized-juvenile-nasopharyngeal-angiofibroma-with-parapharyngeal-extension-an-emerging-concept
#4
Tiruchy Narayanan Janakiram, Shilpee Bhatia Sharma, Vijayshree Nahata Gattani
Background. Surgical approaches to the parapharyngeal space (PPS) are challenging by virtue of deep location and neurovascular content. Juvenile Nasopharyngeal Angiofibroma (JNA) is a formidable hypervascular tumor that involves multiple compartments with increase in size. In tumors with extension to parapharyngeal space, the endonasal approach was observed to be inadequate. Combined Endoscopic Endonasal Approaches and Endoscopic Transoral Surgery (EEA-ETOS) approach has provided a customized alternative of multicorridor approach to access JNA for its safe and efficient resection...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/28083071/-gauze-technique-in-the-treatment-of-the-fungus-ball-of-the-maxillary-sinus-a-technique-as-simple-as-it-is-effective
#5
Pietro Garofalo, Alessandro Griffa, Georges Dumas, Flavio Perottino
Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. Aim. To present our experience of maxillary fungus ball treated by the "gauze technique" that avoids these removal difficulties. Materials and Methods. A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the "gauze technique" and 6 were treated without "gauze technique...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27899950/bone-anchored-titanium-implants-in-patients-with-auricular-defects-three-years-and-27-patients-experience
#6
Emilio Mevio, Luca Facca, Stefano Schettini, Mauro Mullace
Different surgical solutions have been proposed for reconstruction of the auricle following loss of the pinna through traumatic injury or neoplastic disease or in patients with congenital defects. Surgical treatment may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap. Reconstruction with rib cartilage has yielded good results but requires more than one surgical step, and adverse events can occur both at the donor and at the acceptor site; cases of prosthesis rejection have also been described following application of the polymeric prosthesis...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27847516/cerebrospinal-fluid-leak-in-cochlear-implantation-enlarged-cochlear-versus-enlarged-vestibular-aqueduct-common-cavity-excluded
#7
Giovanni Bianchin, Valeria Polizzi, Patrizia Formigoni, Carmela Russo, Lorenzo Tribi
Objective. To share our experience of cerebrospinal fluid gusher in cochlear implantation in patients with enlarged cochlear or vestibular aqueduct. Study Design. Case series with comparison and a review of the literature. Methods. A retrospective study was performed. Demographic and radiological results of patients with enlarged cochlear aqueduct or enlarged vestibular aqueduct in 278 consecutive cochlear implant recipients, including children and adults, were evaluated between January 2000 and December 2015...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27752264/critical-care-admissions-following-total-laryngectomy-is-it-time-to-change-our-practice
#8
Hussein Walijee, Alexandria Morgan, Bethan Gibson, Sandeep Berry, Ali Jaffery
Critical Care Unit (CCU) beds are a limited resource and in increasing demand. Studies have shown that complex head and neck patients can be safely managed on a ward setting given the appropriate staffing and support. This retrospective case series aims to quantify the CCU care received by patients following total laryngectomy (TL) at a District General Hospital (DGH) and compare patient outcomes in an attempt to inform current practice. Data relating to TL were collected over a 5-year period from 1st January 2010 to 31st December 2015...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27725835/flexible-fiber-optic-carbon-dioxide-laser-assisted-stapedotomy-in-otosclerosis
#9
Sertac Yetiser
Objective. The aim of this study is to analyze the hearing and vestibular outcome of patients with otosclerosis who have been operated on by fiber optic flexible CO2 laser. Study Design. A preliminary and retrospective study was conducted in 30 patients with otosclerosis. Results. Comparative analysis of average air conduction thresholds (53.41 ± 11.81 dB versus 26.37 ± 11.04 dB) and air-bone gaps (34 ± 9.92 dB versus 12.03 ± 6.02 dB) before and after the surgery were statistically significant (<0...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27698668/radioactive-merano-spa-treatment-for-allergic-rhinitis-therapy
#10
Desiderio Passali, Giacomo Gabelli, Giulio Cesare Passali, Roberto Magnato, Stefan Platzgummer, Lorenzo Salerni, Salvatore Lo Cunsolo, Alexandra Joos, Luisa Maria Bellussi
Allergic rhinitis is a common nasal disorder with a high impact on quality of life, high social costs in therapies, and a natural development towards asthma. Pharmacological therapy is based on several genres of medications, of which intranasal corticosteroids are currently the most widespread. Thermal water treatment has traditionally been used as adjunctive treatment for chronic rhinitis and sinusitis. The present study was carried out to assess the clinical efficacy of nasal inhalation of radioactive oligomineral water vapours from the Merano hot spring and to compare it with the clinical efficacy of mometasone furoate nasal spray...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27630713/do-times-until-treatment-for-foreign-body-aspiration-relate-to-complications
#11
Walailak Tatsanakanjanakorn, Surapol Suetrong
Introduction. Foreign body aspiration is an emergency condition and may be fatal. Delayed diagnosis and treatment may be associated with complications. This study evaluated the association between time until treatment and complications due to foreign body aspiration. Methods. This study was a retrospective study conducted at Khon Kaen University Hospital, Thailand. We enrolled patients diagnosed with foreign body aspiration with evidence of foreign body detected using direct laryngobronchoscopy at any area from the larynx to the bronchus...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27563311/tympanometric-findings-among-children-with-adenoid-hypertrophy-in-port-harcourt-nigeria
#12
Chibuike Nwosu, Mathilda Uju Ibekwe, Lucky Obukowho Onotai
Introduction. Adenoid hypertrophy (AH) is a common childhood disorder. Adenoid plays a significant role in the pathogenesis of otitis media with effusion (OME). The aim of this study is to critically appraise the tympanometric finding among children with adenoid hypertrophy in Port Harcourt, Nigeria. Methodology. A Prospective, controlled study carried out among newly diagnosed cases of adenoid hypertrophy at the ENT clinic of the UPTH, between November 2014 and June 2015. Tympanometry was done on each child and each ear was considerably studied as a single entity...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27446214/surgical-management-of-myringosclerosis-over-an-entire-perforated-tympanic-membrane-by-simple-underlay-myringoplasty
#13
Masayuki Furukawa, Chieri Hayashi, Osamu Narabayashi, Misato Kasai, Hiroko Okada, Takuo Haruyama, Akira Minekawa, Takashi Iizuka, Katsuhisa Ikeda
The aim of our study is to demonstrate the surgical management of myringosclerosis over a perforated whole tympanic membrane using simple underlay myringoplasty. Simple underlay myringoplasty with fibrin glue was performed in 11 ears with myringosclerosis over the entire tympanic membrane. The patients were one male and ten females and their mean age was 61.8 years (range, 40-73 yr). Surgical success was defined as an intact tympanic membrane 12 months after surgery. Closure of the perforation was successful in 10 (91%) of the 11 patients...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27239199/predictive-factors-for-medical-consultation-for-sore-throat-in-adults-with-recurrent-pharyngotonsillitis
#14
T Koskenkorva, P Koivunen, O-P Alho
Objects. To seek patient- and episode-related factors that associate with medical consultation for acute sore throat because these factors may affect the patient being referred to specialist care and tonsillectomy for recurrent pharyngotonsillitis. Methods. In a secondary analysis of two prior randomised controlled trials, sore throat episodes and medical visits were explored among 156 adult patients referred for tonsillectomy because of recurrent pharyngotonsillitis. Results. The 156 patients (104 females, mean age of 26 years) suffered from 208 acute pharyngotonsillitis episodes during 5-6 months of follow-up...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27190520/the-reliability-of-pharyngeal-high-resolution-manometry-with-impedance-for-derivation-of-measures-of-swallowing-function-in-healthy-volunteers
#15
Taher I Omari, Johanna Savilampi, Karmen Kokkinn, Mistyka Schar, Kristin Lamvik, Sebastian Doeltgen, Charles Cock
Purpose. We evaluated the intra- and interrater agreement and test-retest reliability of analyst derivation of swallow function variables based on repeated high resolution manometry with impedance measurements. Methods. Five subjects swallowed 10 × 10 mL saline on two occasions one week apart producing a database of 100 swallows. Swallows were repeat-analysed by six observers using software. Swallow variables were indicative of contractility, intrabolus pressure, and flow timing. Results. The average intraclass correlation coefficients (ICC) for intra- and interrater comparisons of all variable means showed substantial to excellent agreement (intrarater ICC 0...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/27034677/nasopharyngeal-tuberculosis-epidemiology-mechanism-of-infection-clinical-manifestations-and-management
#16
REVIEW
Chonticha Srivanitchapoom, Pichit Sittitrai
Nasopharyngeal tuberculosis (NPTB) is a noteworthy disease especially in its worldwide spread of the Mycobacterium infection. Although NPTB has been identified in less than one percent of TB cases, recent multiple case reports indicate an either increased awareness or incidence of this disease. The most helpful diagnostic tool is an uncomplicated nasopharyngeal biopsy. However, NPTB is usually ignored because it has varied clinical manifestations and similar presentations with other more common head and neck diseases...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/26977153/sensorineural-tinnitus-its-pathology-and-probable-therapies
#17
REVIEW
Aage R Møller
Tinnitus is not a single disease but a group of different diseases with different pathologies and therefore different treatments. Regarding tinnitus as a single disease is hampering progress in understanding of the pathophysiology of tinnitus and perhaps, more importantly, it is a serious obstacle in development of effective treatments for tinnitus. Subjective tinnitus is a phantom sound that takes many different forms and has similarities with chronic neuropathic pain. The pathology may be in the cochlea, in the auditory nerve, or, most commonly, in the brain...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/26925105/mini-tracheostomy-for-obstructive-sleep-apnea-an-evidence-based-proposal
#18
REVIEW
Macario Camacho, Soroush Zaghi, Edward T Chang, Sungjin A Song, Blake Szelestey, Victor Certal
Objective. To search for articles evaluating the use of tracheostomies (either permanent stomas or tracheostomy tubes) in adult obstructive sleep apnea (OSA) patients and to evaluate the potential for the use of mini tracheostomies as treatment for OSA. Study Design. Systematic review. Methods. Nine databases were searched from inception through July 21, 2015. Results. The overall tracheostomy search yielded 516 articles, of which eighteen studies provided polysomnographic data. No study was identified (empty review) for the use of mini tracheostomies for treating OSA...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/26904127/vestibular-disorders-after-stapedial-surgery-in-patients-with-otosclerosis
#19
Ditza de Vilhena, Inês Gambôa, Delfim Duarte, Gustavo Lopes
Introduction and Objectives. Vertigo is a described complication of stapedial surgery. Many studies have been conducted to assess the improvement of hearing loss, but there are few studies that assess vestibular function after stapedial surgery. The aim of this study was to evaluate the presence and characterize the vertigo after stapedial surgery. Methods. We conducted a prospective observational study. Patients undergoing stapedial surgery in our hospital between October 2013 and December 2014 were invited to participate...
2016: International Journal of Otolaryngology
https://www.readbyqxmd.com/read/26904126/inferior-turbinate-size-and-cpap-titration-based-treatment-pressures-no-association-found-among-patients-who-have-not-had-nasal-surgery
#20
Macario Camacho, Soroush Zaghi, Daniel Tran, Sungjin A Song, Edward T Chang, Victor Certal
Objective. To evaluate the effect of turbinate sizes on the titrated continuous positive airway pressure (CPAP) therapeutic treatment pressures for patients with obstructive sleep apnea (OSA) who have not had nasal surgery. Study Design. Retrospective case series. Methods. A chart review was performed for 250 consecutive patients. Results. 45 patients met inclusion criteria. The mean ± standard deviation (M ± SD) for age was 54.6 ± 22.4 years and for body mass index was 28.5 ± 5.9 kg/m(2). The Spearman's rank correlation coefficient (r s ) between CPAP therapeutic treatment pressures and several variables were calculated and were weakly correlated (age r s = 0...
2016: International Journal of Otolaryngology
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