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https://www.readbyqxmd.com/read/28922249/impact-of-septoplasty-on-eustachian-tube-functions
#1
Metin Yüksel Akyildiz, Ömer Afşin Özmen, Uygar Levent Demir, Fikret Kasapoğlu, Hamdi Hakan Coşkun, Oğuz Ibrahim Basut, Deniz Siğirli
OBJECTIVE: To evaluate the impact of nasal septum deviation (NSD) and septoplasty on eustachian tube (ET) functions. MATERIAL AND METHODS: The study was designed as a prospective controlled study and conducted in a tertiary referral center. A study group of 25 patients who were scheduled for septoplasty for NSD; and a control group of 25 healthy individuals having no ear or nose symptoms were formed. Tympanometric analysis of ET function, subjective and objective analysis of nasal functions with acoustic rhinometry and rhinomanometry were performed...
September 15, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28917121/a-formal-description-of-middle-ear-pressure-regulation
#2
William J Doyle
INTRODUCTION: Middle ear (ME) pressure-regulation (MEPR) is a homeostatic mechanism that maintains the ME-environment pressure-gradient (MEEPG) within a range optimized for "normal" hearing. OBJECTIVE: Describe MEPR using equations applicable to passive, inter-compartmental gas-exchange and determine if the predictions of that description include the increasing ME pressure observed under certain conditions and interpreted by some as evidencing gas-production by the ME mucosa...
August 24, 2017: Hearing Research
https://www.readbyqxmd.com/read/28915135/otolaryngologic-management-of-down-syndrome-patients-what-is-new
#3
Ethan C Bassett, Mary F Musso
PURPOSE OF REVIEW: The management of children with Down syndrome as it pertains to the otolaryngologist continues to evolve. Obstructive sleep apnea (OSA) has dominated the recent literature, but other topics including hearing loss, swallowing, and perioperative considerations are also reported. RECENT FINDINGS: The prevalence of OSA in children with Down syndrome ranges from 57 to 73% in certain cohorts, and, whereas adentonsillectomy can decrease Apnea-Hypopnea Index, up to 80% may have persistent OSA...
September 14, 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/28894011/palpitations-in-a-72-year-old-woman
#4
Claire A Martin, Parag R Gajendragadkar, Sharad Agarwal
CLINICAL INTRODUCTION: A 72-year-old woman presented with an 8-year history of palpitations occurring every few weeks. They were sudden in onset, were associated with dizziness and could last for up to 2 hours. She was prescribed bisoprolol which reduced the frequency of events but did not abolish them. Baseline ECG and echocardiography were normal. She was referred for electrophysiological study. Despite initial difficulties, diagnostic catheters were placed in the right ventricular (RV) apex and in the coronary sinus (CS) via the right internal jugular vein and superior vena cava (SVC) (figure 1A)...
October 2017: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/28880712/the-efficacy-of-the-eustachian-tube-dysfunction-questionnaire-etdq-7-for-patulous-eustachian-tube-patient
#5
Ryoukichi Ikeda, Toshiaki Kikuchi, Hiromitsu Miyazaki, Hiroshi Hidaka, Tetsuaki Kawase, Yukio Katori, Toshimitsu Kobayashi
OBJECTIVE: To assess the efficacy of the Eustachian Tube Dysfunction Questionnaire (ETDQ-7) for patulous Eustachian tube (PET) patients. METHODS: A prospective survey of medical records identified 36 patients and 47 ears with PET, and 15 patients and 15 ears as control. The ETDQ-7, patulous Eustachian tube handicap inventory-10 (PHI-10) and Likert scale were evaluated. PET patients were divided into two groups based on severity of symptoms using the PHI score. RESULTS: The Cronbach α value of the PET group was 0...
September 7, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28846790/can-lateral-nasopharyngeal-radiographs-be-used-to-predict-eustachian-tube-dysfunction
#6
Karen Hawley, Neil Vachhani, Samantha Anne
The objective of our case-control study was to determine whether craniofacial features on lateral nasopharyngeal radiographs (LNPRs) can predict eustachian tube dysfunction (ETD). The study included patients seen in the otolaryngology clinic from 2005 to 2011. Patients 0 to 10 years old with pressure equalization tube (PET) placement and LNPR within 6 months were included. Measurements were compared with age-matched controls selected at random to identify craniofacial features associated with ETD. Using receiver operating curve methodology, selected measurements were used to correlate age, craniofacial features, and ETD...
August 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28838115/endoscopic-endonasal-approach-to-the-ventral-jugular-foramen-anatomical-basis-technical-considerations-and-clinical-series
#7
Francisco Vaz-Guimaraes, Ana Carolina I Nakassa, Paul A Gardner, Eric W Wang, Carl H Snyderman, Juan C Fernandez-Miranda
BACKGROUND: Surgical exposure of the jugular foramen (JF) is challenging given its complex regional anatomy and proximity to critical neurovascular structures. OBJECTIVE: To describe the anatomical basis, surgical technique, and outcomes of a group of patients who underwent the endoscopic endonasal approach to the JF. METHODS: Five silicon-injected anatomical specimens were prepared for dissection. Additionally, a chart review was conducted through our patient database, searching for endonasal exposure of the JF...
August 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/28833757/the-sawtooth-ekg-pattern-of-typical-atrial-flutter-is-not-related-to-slow-conduction-velocity-at-the-cavotricuspid-isthmus
#8
Arunashis Sau, Markus B Sikkel, Vishal Luther, Ian Wright, Fernando Guerrero, Michael Koa-Wing, David Lefroy, Nicholas Linton, Norman Qureshi, Zachary Whinnett, Phang Boon Lim, Prapa Kanagaratnam, Nicholas S Peters, D Wyn Davies
INTRODUCTION: We hypothesized that very high-density mapping of typical atrial flutter (AFL) would facilitate a more complete understanding of its circuit. Such very high-density mapping was performed with the Rhythmia(TM) (Boston Scientific) mapping system using its 64 electrode basket catheter. METHODS AND RESULTS: Data were acquired from 13 patients in AFL. Functional anatomy of the right atrium (RA) was readily identified during mapping including the Crista Terminalis and Eustachian ridge...
August 22, 2017: Journal of Cardiovascular Electrophysiology
https://www.readbyqxmd.com/read/28833181/the-effect-of-inferior-turbinate-surgery-on-ear-symptoms
#9
Teemu Harju, Ilkka Kivekäs, Jura Numminen, Markus Rautiainen
OBJECTIVE: The aim of this placebo-controlled study was to evaluate the effect of various inferior turbinate surgery techniques on Eustachian tube dysfunction-related symptoms. STUDY DESIGN: Outcomes were evaluated using the Eustachian Tube Dysfunction Questionnaire (ETDQ-7) and tympanometry results. METHODS: A total of 72 consecutively blinded and randomized adult patients with enlarged inferior turbinates due to persistent year-round rhinitis underwent either a radiofrequency ablation, diode laser, microdebrider-assisted inferior turbinoplasty, or sham surgery procedure...
August 22, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28818348/a-case-of-otitis-media-with-effusion-due-to-leiomyoma-of-the-eustachian-tube
#10
Woo Sub Shim, Young Su Kim, Dong Keun Shin, Hahn Jin Jung
No abstract text is available yet for this article.
July 29, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/28816691/eustachian-tube-obliteration-and-its-effect-on-rhinoliquorrhea-in-translabyrinthine-vestibular-schwannoma-excision
#11
Christophe Moderie, Anastasios Maniakas, Robert Moumdjian, Salman F Alhabib, Issam Saliba
OBJECTIVE: Rhinoliquorrhea is defined as a cerebrospinal fluid leakage from the nose. Our objective in this study is to determine the reduction of rhinoliquorrhea rates by Eustachian tube (ET) obliteration in the context of a translabyrinthine approach performed following vestibular schwannoma (VS) excision. MATERIALS AND METHODS: This is a prospective study achieved in a tertiary-care center where the chart review revealed 94 VS operated by the translabyrinthine approach between 2009 and 2015...
August 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/28799657/treatment-of-eustachian-tube-dysfunction-with-balloon-dilation-a-systematic-review
#12
REVIEW
Jolien Marieke Lieselot Huisman, Froukje Jantina Verdam, Inge Stegeman, Jacob Alexander de Ru
OBJECTIVE: Balloon dilation is a new entity in the therapeutic approach of Eustachian tube dysfunction. The aim of this systematic review is to evaluate the success of balloon dilation of the tuba auditiva in reducing symptoms in adult patients with Eustachian tube dysfunction. DATA SOURCES: Embase, PubMed, and Cochrane Library. REVIEW METHODS: The systematic literature search was conducted independently by two authors based on title and abstracts, and resulted in 36 articles...
August 11, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28796094/patulous-eustachian-tube-dysfunction-patient-demographics-and-comorbidities
#13
Bryan K Ward, Yehia Ashry, Dennis S Poe
OBJECTIVE: The objective is to describe a large cohort of patients presenting with patulous Eustachian tube (pET) dysfunction. STUDY DESIGN: Retrospective patient series. SETTING: Tertiary referral center. PATIENTS: All outpatient visits (2004-2016) that were assigned ICD9 code (381.7-Patulous Eustachian tube) were screened. Only patients with observed tympanic membrane movements during ipsilateral nasal breathing or acoustic reflex decay testing demonstrating transmitted nasal breathing were included (n = 190, n = 239 ears)...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28796082/the-first-reported-case-of-primary-intestinal-type-adenocarcinoma-of-the-middle-ear-and-review-of-the-literature
#14
Marc-Elie Nader, Diana Bell, Lawrence Ginsberg, Franco DeMonte, G Brandon Gunn, Paul W Gidley
OBJECTIVE: Adenocarcinoma of the middle ear is a rare entity that must be distinguished from other adenomatous tumors of the temporal bone. We present the first patient of an intestinal-type adenocarcinoma originating from the middle ear. PATIENTS: A 58-year-old woman presented with an 8-year history of left otorrhea. Her middle ear effusions were quite thick and gummy. She underwent eight sets of pressure-equalization tubes within 3 years. In 2011, her physical examination identified a middle ear mass, and she underwent mastoidectomy...
October 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28767574/increased-risk-of-eustachian-tube-disorders-in-patients-with-sleep-disordered-breathing
#15
Meng-Shih Chou, Wen-Dien Chang, Che-Chen Lin, Yu-Fen Li, Yung-An Tsou
Sleep-disordered breathing (SDB) and Eustachian tube disorders (ETDs) share the same risk factors. The specific aim of this study was to determine the correlation between these 2 conditions and to determine whether treatments for SDB reduce the risk of ETD.This is a retrospective and large population-based cohort study. According to Taiwan's National Health Insurance Research Database, out of 1,000,000 insured patients, 24,251 patients were newly diagnosed with SDB from year 2000 through 2009. The control group for this study comprised 96,827 patients without SDB who were randomly selected from the same database at a ratio of 1:4, frequency matched for sex, age, and index year of SDB...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28758602/eustachian-tube-dysfunction-leading-to-middle-ear-pathology-in-patients-on-chronic-mechanical-ventilation
#16
O Ilan, E-L Marcus, Y Cohen, T Farkash, R Levy, A Sasson, C Adelman
OBJECTIVE: This study aimed to investigate the prevalence of and risk factors for Eustachian tube dysfunction leading to middle-ear pathology in patients on chronic mechanical ventilation via tracheostomy tube. METHODS: A total of 40 patients on chronic ventilation were included in a prospective cohort study. Middle-ear status was determined by tympanometry. Tympanograms were categorised as types A, B or C; types B and C were defined as middle-ear pathology. RESULTS: In all, 57 ears of 40 patients were examined...
September 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28757935/cleft-palate-only-current-concepts
#17
L Tettamanti, A Avantaggiato, M Nardone, J Silvestre-Rangil, A Tagliabue
Cleft palate only (CPO) is one of the most common congenital malformations worldwide. The etiopathogenesis of CPO is not completely understood. Environmental factors, such as smoking, alcohol consumption, intake of drugs during pregnancy, advanced paternal age, have been demonstrated to be a risk of CPO, but conflicting results have also been published. Insufficient intake of folic acid during the pregnancy has been suggested to increase the risk for CPO. The demonstrated risk for siblings and the higher risk for monozygotic twins suggest a genetic etiopathogenesis for CPO...
January 2017: Oral & Implantology
https://www.readbyqxmd.com/read/28742632/the-middle-ear-cleft-status-in-a-natural-cohort-with-eustachian-tube-dysfunction
#18
Udi Cinamon, Dov Albukrek, Yahav Oron, Sharon Ovnat Tamir, Abraham Goldfarb, David Dvir, Tal Marom
BACKGROUND: The Eustachian tube (ET) has a major role in the middle ear (ME) pressure homeostasis. ET dysfunction is the accepted paradigm for pressure-related ME disorders. We studied the ME status in patients with severely diminished ET opening abilities, and anticipated to find ME disorders in most of them. PATIENTS AND METHODS: ME status was evaluated in unconscious adults, who were hospitalized in a rehabilitation center with severe brain damage, requiring tracheotomy and gastrostomy...
September 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28734727/treatment-of-pharyngotympanic-tube-dysfunction
#19
REVIEW
Holger H Sudhoff, Stefan Mueller
Eustachian tube dysfuntion intends to describe a variety of signs, symptoms, and physical findings that result from the impairment of ET function. A large variety of methods have been employed to assess ET function in the literature. Due to the lack of high level evidence, it is difficult to draw conclusions on the effectiveness of medical and surgical treatments. There are various medical and surgical interventions available for chronic obstructive ET dysfunction including balloon Eustachian tuboplasty (BET) and laser or microdebrider tuboplasty...
July 19, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/28731399/expanding-the-endoscopic-transpterygoid-corridor-to-the-petroclival-region-anatomical-study-and-volumetric-comparative-analysis
#20
Jacob L Freeman, Raghuram Sampath, Steven Craig Quattlebaum, Michael A Casey, Zach A Folzenlogen, Vijay R Ramakrishnan, A Samy Youssef
OBJECTIVE The endoscopic endonasal transmaxillary transpterygoid (TMTP) approach has been the gateway for lateral skull base exposure. Removal of the cartilaginous eustachian tube (ET) and lateral mobilization of the internal carotid artery (ICA) are technically demanding adjunctive steps that are used to access the petroclival region. The gained expansion of the deep working corridor provided by these maneuvers has yet to be quantified. METHODS The TMTP approach with cartilaginous ET removal and ICA mobilization was performed in 5 adult cadaveric heads (10 sides)...
July 21, 2017: Journal of Neurosurgery
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