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https://www.readbyqxmd.com/read/29142835/trachway-video-intubating-stylet-allows-for-optimization-of-electromyographic-endotracheal-tube-placement-for-monitored-thyroidectomy
#1
Pi-Ying Chang, Pin-Yang Hu, Yi-Chu Lin, Hsiu-Ya Chen, Feng-Yu Chiang, Che-Wei Wu, Gianlorenzo Dionigi, I-Cheng Lu
Background: Endotracheal tube-based surface electrodes are now commonly applied to measure evoked electromyographic (EMG) response of the vocal cord during monitored thyroidectomy. The aim of the study was to determine the incidence of difficult intubation and to assess the effectiveness of using video-assisted intubating stylet (Trachway) for EMG tube placement in patients undergoing monitored thyroidectomy. Methods: Medical records were collected from consecutive patients undergoing thyroid surgery before and after implementation of the protocol...
October 2017: Gland Surgery
https://www.readbyqxmd.com/read/29142834/two-stage-thyroidectomy-in-the-era-of-intraoperative-neuromonitoring
#2
Christos Christoforides, Ioannis Papandrikos, Georgios Polyzois, Nikolaos Roukounakis, Gianlorenzo Dionigi, Kyriakos Vamvakidis
Background: The use of intraoperative neuromonitoring (IONM) provides surgeons with real time information about recurrent laryngeal nerves (RLN) functional integrity. Hence, allowing them to modify the initially scheduled bilateral procedure, to a two-stage thyroidectomy in cases of loss of signal (LOS) on the first side of resection resulting in minimization of bilateral RLN injury. The purpose of our study was to present our results since the implementation of the above mentioned process in both malignant and benign thyroid disease...
October 2017: Gland Surgery
https://www.readbyqxmd.com/read/29141288/-application-of-stroboscopy-and-narrow-band-imaging-endoscopy-in-the-diagnosis-of-vocal-cord-leukoplakia
#3
J Li, W Xu, L Y Cheng
Objective: To investigate the value of stroboscopy and narrow band imaging (NBI)endoscopy in the diagnosis of vocal cord leukoplakia. Methods: Two hundred and forty-six patients with vocal cord leukoplakia who underwent laryngeal microsurgery and diagnosed by histopathology were recruited between August 2014 and July 2016 in this retrospective study. The diagnostic accuracy of stroboscopy and narrow band imaging endoscopy in the diagnosis of vocal cord leukoplakia was compared. SPSS21.0 software was used to analyze the data...
November 7, 2017: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/29139140/two-cases-of-infundibular-squamous-cell-carcinoma-on-the-nose-with-aggressive-clinical-behavior-case-report-and-review-of-the-published-work
#4
Takahiro Kiyohara, Sei Nakamaru, Naoko Nagano, Sayaka Terai, Kaoru Makimura, Kenji Suzuki, Hiroshi Iwai, Hirotsugu Tanimura
Case 1 was a 75-year-old Japanese man who presented with a poorly demarcated, dark-red nodule with a destructive defect in the center, measuring 3 cm × 2 cm on the right wing of his nose. The histological diagnosis was a common form of infundibular squamous cell carcinoma. Atypical neoplastic cells radiated from the wall of a follicular infundibulum. The majority of neoplastic cells were positive for AE1/AE3 and 34βE12. Cytokeratin 17 expression was seen in the suprabasal cells of the deeply situated neoplastic components...
November 15, 2017: Journal of Dermatology
https://www.readbyqxmd.com/read/29137052/arytenoid-cartilage-dislocation-mimicking-bilateral-vocal-cord-paralysis-a-case-report
#5
Eun H Chun, Hee J Baik, Rack K Chung, Hun J Lee, Kwangseob Shin, Jae H Woo
RATIONALE: Arytenoid dislocation is very rare and may be misdiagnosed as vocal cord paralysis or a self-limiting sore throat. PATIENT CONCERNS: A 70-year-old male (70 kg, 156 cm) was scheduled for transurethral resection of bladder tumors. A McGrath videolaryngoscope, with a basic cuffed Mallinckrodt oral tracheal tube of 7.5 mm internal diameter, was used to successfully intubate his trachea. The duration of surgery was 25 minutes. In the recovery room, he complained of sore throat and dyspnea with inspiratory stridor, which were not resolved after intravenous injection of 10 mg of dexamethasone...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29128434/the-korean-version-of-the-voice-symptom-scale-for-patients-with-thyroid-operation-and-its-use-in-a-validation-and-reliability-study
#6
Hee Young Son, Chang-Yoon Lee, Kyung A Kim, Sina Kim, Hee Seok Jeong, Jin Pyeong Kim
OBJECTIVES: The Voice Symptom Scale (VoiSS) questionnaire is a self-reported measure of voice function. Compared with previous voice-rating tools, the VoiSS focuses more on communication difficulties, pharyngeal symptoms, and psychosocial distress. This study aimed to translate the VoiSS into the Korean language, validate it, and assess its reliability. STUDY DESIGN: This is a prospective patient study utilizing questionnaires and acoustic analysis. METHODS: A recognized methodology was used to translate the questionnaires...
November 8, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/29128183/does-intraoperative-neuromonitoring-of-recurrent-nerves-have-an-impact-on-the-postoperative-palsy-rate-results-of-a-prospective-multicenter-study
#7
Éric Mirallié, Cécile Caillard, François Pattou, Laurent Brunaud, Antoine Hamy, Marcel Dahan, Michel Prades, Muriel Mathonnet, Gérard Landecy, Henri-Pierre Dernis, Jean-Christophe Lifante, Frederic Sebag, Franck Jegoux, Emmanuel Babin, Alain Bizon, Florent Espitalier, Isabelle Durand-Zaleski, Christelle Volteau, Claire Blanchard
BACKGROUND: The impact of intraoperative neuromonitoring on recurrent laryngeal nerve palsy remains debated. Our aim was to evaluate the potential protective effect of intraoperative neuromonitoring on recurrent laryngeal nerve during total thyroidectomy. METHODS: This was a prospective, multicenter French national study. The use of intraoperative neuromonitoring was left at the surgeons' choice. Postoperative laryngoscopy was performed systematically at day 1 to 2 after operation and at 6 months in case of postoperative recurrent laryngeal nerve palsy...
November 8, 2017: Surgery
https://www.readbyqxmd.com/read/29127153/analysis-of-unsuccessful-intubations-in-neonates-using-videolaryngoscopy-recordings
#8
Joyce E O'Shea, Prakash Loganathan, Marta Thio, C Omar Farouk Kamlin, Peter G Davis
OBJECTIVES: Neonatal intubation is a difficult skill to learn and teach. If an attempt is unsuccessful, the intubator and instructor often cannot explain why. This study aims to review videolaryngoscopy recordings of unsuccessful intubations and explain the reasons why attempts were not successful. STUDY DESIGN: This is a descriptive study examining videolaryngoscopy recordings obtained from a randomised controlled trial that evaluated if neonatal intubation success rates of inexperienced trainees were superior if they used a videolaryngoscope compared with a laryngoscope...
November 10, 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/29124506/heart-rate-variability-biofeedback-does-not-substitute-for-asthma-steroid-controller-medication
#9
Paul M Lehrer, Charles G Irvin, Shou-En Lu, Anthony Scardella, Beatrix Roehmheld-Hamm, Milisyaris Aviles-Velez, Jessica Graves, Evgeny G Vaschillo, Bronya Vaschillo, Flavia Hoyte, Harold Nelson, Frederick S Wamboldt
Despite previous findings of therapeutic effects for heart rate variability biofeedback (HRVB) on asthma, it is not known whether HRVB can substitute either for controller or rescue medication, or whether it affects airway inflammation. Sixty-eight paid volunteer steroid naïve study participants with mild or moderate asthma were given 3 months of HRVB or a comparison condition consisting of EEG alpha biofeedback with relaxing music and relaxed paced breathing (EEG+), in a two-center trial. All participants received a month of intensive asthma education prior to randomization...
November 9, 2017: Applied Psychophysiology and Biofeedback
https://www.readbyqxmd.com/read/29124033/intraoperative-recurrent-laryngeal-nerve-monitoring-in-a-patient-with-contralateral-vocal-fold-palsy
#10
Bub-Se Na, Jin-Ho Choi, In Kyu Park, Young Tae Kim, Chang Hyun Kang
Recurrent laryngeal nerve injury can develop following cervical or thoracic surgery; however, few reports have described intraoperative recurrent laryngeal nerve monitoring. Consensus regarding the use of this technique during thoracic surgery is lacking. We used intraoperative recurrent laryngeal nerve monitoring in a patient with contralateral vocal cord paralysis who was scheduled for completion pneumonectomy. This case serves as an example of intraoperative recurrent laryngeal nerve monitoring during thoracic surgery and supports this indication for its use...
October 2017: Korean Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29115820/continuously-producible-ultrasensitive-wearable-strain-sensor-assembled-with-three-dimensional-interpenetrating-agnw-poe-nanofibrous-composite-yarn
#11
Weibing Zhong, Cui Liu, Chenxue Xiang, Yuxia Jin, Mufang Li, Ke Liu, Qiongzhen Liu, Yuedan Wang, Gang Sun, Dong Wang
Fiber shaped strain sensors with great flexibility and knittability have been tremendously concerned due to the wide applications in health manager devices, especially in human motion detection and physicalogical signal monitoring. Herein, a novel fiber shaped strain sensor has been designed and prepared by interpenetrating AgNWs into POE nanofibrous yarn. The easy-to-obtain structure and simple roll-to-roll process make the continuous large-scale production of nanofibrous composite yarn possible. The continuous and alternating stretching and releasing reversibly change the contact probability between AgNWs in this interpenetrating networks, leading to the variations of electrical resistance of the sensor...
November 8, 2017: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/29114939/three-dimensional-endoscopy-for-endoscopic-salvage-nasopharyngectomy-preliminary-report-of-experience
#12
Jimmy Yu Wai Chan, William Ignace Wei
BACKGROUND: Prospective, observational study to assess the efficacy of salvage nasopharyngectomy for recurrent nasopharyngeal carcinoma (NPC) via the endoscopic endonasal approach using a three-dimensional (3D) high-definition endoscopic system. METHODS: Between 2016 and 2017, 30 patients with recurrent NPC were recruited. Patient demographics, tumor characteristics, and perioperative data were recorded. Instrument ergonomics and perceived advantages were assessed by the operating, assisting, and observing surgeons...
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29114421/vocal-cord-paralysis-following-endotracheal-intubation
#13
Hamdi Taşlı, Umut Kara, Mert Cemal Gökgöz, Ümit Aydın
No abstract text is available yet for this article.
October 2017: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/29102939/endo-extralaryngeal-laterofixation-of-the-vocal-folds-in-patients-with-bilateral-vocal-fold-immobility
#14
Susanne Wiegand, Afshin Teymoortash, Holger Hanschmann
BACKGROUND: Bilateral vocal fold paralysis can result in shortness of breath and severe dyspnea which can be life-threatening. PATIENTS AND METHODS: Thirty-five patients with bilateral vocal fold paralysis who underwent endo-extralaryngeal laterofixation according to Lichtenberger were retrospectively analyzed regarding etiology, symptoms, treatment and complications. RESULTS: In 27 patients, laterofixation of the vocal cord alone was performed...
November 2017: In Vivo
https://www.readbyqxmd.com/read/29101559/robotic-assisted-modified-radical-neck-dissection-using-a-bilateral-axillo-breast-approach-robotic-baba-mrnd-for-papillary-thyroid-carcinoma-with-lateral-lymph-node-metastasis
#15
Hyeong Won Yu, Young Jun Chai, Su-Jin Kim, June Young Choi, Kyu Eun Lee
BACKGROUND: Although safe in patients with papillary thyroid carcinoma (PTC), robotic thyroidectomy using a bilateral axillo-breast approach (BABA) has not been frequently performed in patients with advanced PTC. This study describes surgical outcomes in patients with PTC and lymph node metastasis (LNM) in lateral neck compartment who underwent robotic-assisted modified radical neck dissection with BABA (robotic BABA MRND). METHODS: The medical records of patients with PTC and lateral LNM who underwent robotic BABA MRND from March 2010 to July 2016 were retrospectively reviewed...
November 3, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/29099841/arytenoid-cartilage-movements-are-hypokinetic-in-parkinson-s-disease-a-quantitative-dynamic-computerised-tomographic-study
#16
Laura Perju-Dumbrava, Ken Lau, Debbie Phyland, Vicki Papanikolaou, Paul Finlay, Richard Beare, Philip Bardin, Stephen Stuckey, Peter Kempster, Dominic Thyagarajan
BACKGROUND: Voice change is one of the earliest features of Parkinson's disease. However, quantitative studies of vocal fold dynamics which are needed to provide insight into disease biology, aid diagnosis, or track progression, are few. METHODS: We therefore quantified arytenoid cartilage movements and glottic area during repeated phonation in 15 patients with Parkinson's disease (symptom duration < 6 years) and 19 controls, with 320-slice computerised tomography (CT)...
2017: PloS One
https://www.readbyqxmd.com/read/29098372/radiological-tumor-thickness-as-a-risk-factor-for-local-recurrence-in-early-glottic-cancer-treated-with-laser-cordectomy
#17
Ho-Jin Son, Yoon Se Lee, Ja Yoon Ku, Jong-Lyel Roh, Seung-Ho Choi, Soon Yuhl Nam, Sang Yoon Kim
OBJECTIVES: Despite the excellent prognosis of early glottic cancer (T1-T2), the significance of preoperatively measured tumor thickness has not been elucidated. We evaluated the role of tumor thickness measured using computed tomography (CT) as a predictive factor for recurrence of early glottic cancer after transoral laser microsurgery (TLM). METHODS: The medical records of 134 patients who were diagnosed with early glottic squamous cell carcinoma and underwent TLM were reviewed...
November 2, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29089157/a-rare-case-of-bilateral-vagus-nerve-schwanomatosis
#18
Makoto Hosoya, Nobuko Yamamoto, Takeshi Wakabayashi, Keitaro Toshikuni, Haruna Yabe, Shujiro B Minami
Schwanomatosis is the third most common form of neurofibromatosis. Schwanomatosis affecting the vagus nerve is particularly rare. In this report, we describe an extremely rare case bilateral vagus nerve schwanomatosis in a 45-year-old male patient. The patient initially presented with bilateral neck tumors and hoarseness arising after thoracic surgery. We performed left neck surgery in order to diagnose and resect the remaining tumors followed by laryngeal framework surgery to improve vocal cord closure and symptoms of hoarseness...
October 28, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29083118/self-healing-sensors-based-on-dual-noncovalent-network-elastomer-for-human-motion-monitoring
#19
Jie Cao, Xu Zhang, Canhui Lu, Yongyue Luo, Xinxing Zhang
Nowadays, it is still a challenge to prepare flexible sensors with great mechanical strength, stretchability, high sensitivities, and excellent self-healing (SH) abilities. Herein, a nanostructured supramolecular elastomer is reported with a dual noncovalent network of hydrogen bonding interactions and metal-ligand coordination. The resultant flexible sensor presents ultrafast (30 s), autonomous, and repeatable SH ability with high healing efficiency (80% after the 3rd healing process), as well as enhanced mechanical properties...
October 30, 2017: Macromolecular Rapid Communications
https://www.readbyqxmd.com/read/29079123/is-the-voice-of-professional-voice-users-with-no-vocal-cord-lesions-similar-to-that-of-non-professional-voice-users
#20
Chandala Chitguppi, Anoop Raj, Ravi Meher, P K Rathore
OBJECTIVE: The objective of this study was to analyze if the voice of professional voice users (PVU) is comparable with that of a nonprofessional voice users (NPVUs), both of whom have no obvious vocal cord lesions. MATERIALS AND METHODS: Fifty professional and 50 NPVUs with no obvious vocal fold pathologies underwent voice analysis and videostroboscopic study, and various parameters were analyzed. RESULTS: Majority of the participants were found to be less than 40 years...
October 24, 2017: Journal of Voice: Official Journal of the Voice Foundation
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