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Otolaryngology

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https://www.readbyqxmd.com/read/29332311/otolaryngology-head-and-neck-region-manifestations-of-brucella
#1
Anna Lazutkin, Maya Korem, Jeffrey M Weinberger, Ron Eliashar, Nir Hirshoren
OBJECTIVES/HYPOTHESIS: Patients with Brucella infection present with nonspecific symptoms originating from different organs. In this study, we investigated the manifestations involving principally the otolaryngology/head and neck region. STUDY DESIGN: Retrospective cohort chart review. METHODS: A retrospective analysis of patients diagnosed with brucellosis in a tertiary medical center. Medical records of 55 patients treated for positive Brucella blood cultures between 2007 and 2016 were analyzed...
January 14, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29331035/noninvasive-optical-spectroscopy-for-identification-of-non-melanoma-skin-cancer-pilot-study
#2
David J Carpenter, Mirabelle B Sajisevi, Nikita Chapurin, Clifford Scott Brown, Tracy Cheng, Gregory M Palmer, Daniel S Stevenson, Caroline L Rao, Russell P Hall, Charles R Woodard
OBJECTIVE: Optical spectroscopy offers a noninvasive alternative to biopsy as a first-line screening tool for suspicious skin lesions. This study sought to define several optical parameters across malignant and benign tissue types. STUDY DESIGN: Prospective pilot trial utilizing the Zenalux IM1 optical spectroscopy device from April 2016 to February 2017. For each skin lesion, provider pre-biopsy probability of malignancy was compared to histolopathologic diagnosis...
January 13, 2018: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/29330861/validity-evidence-as-a-key-marker-of-quality-of-technical-skill-assessment-in-otl-hns
#3
Mathilde Labbé, Meredith Young, Lily H P Nguyen
OBJECTIVE: Quality monitoring of assessment practices should be a priority in all residency programs. Validity evidence is one of the main hallmarks of assessment quality and should be collected to support the interpretation and use of assessment data. Our objective was to identify, synthesize, and present the validity evidence reported supporting different technical skill assessment tools in otolaryngology-head and neck surgery (OTL-HNS). METHODS: We performed a secondary analysis of data generated through a systematic review of all published tools for assessing technical skills in OTL-HNS (n = 16)...
January 13, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29327686/severity-of-dysphonia-in-patients-during-first-days-after-iatrogenic-injury
#4
Katarzyna Jędra, Ewelina Sielska-Badurek, Kazimierz Niemczyk
INTRODUCTION: The most common cause of vocal fold paralysis (VFP) is iatrogenic injury. Patients with symptoms of VFP present to the specialist after a couple of weeks or even months since the onset of symptoms. In the literature, the data regarding speech impairment during the first days after a iatrogenic injury is lacking. AIM: to evaluate the quality of voice during first days of vocal fold paralysis following a iatrogenic injury. MATERIALS AND METHODS: Twenty-five patients with iatrogenic vocal fold paralysis who presented for phoniatric consultation at the Department of Otolaryngology of the Medical University of Warsaw between May 2015 and December 2016 were enrolled in the study...
October 31, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29327682/analysis-of-implementiation-of-4th-head-and-neck-cancer-awareness-week-in-department-of-otolaryngology-in-mi%C3%A4-dzyleski-hospital-in-warsaw
#5
Karolina Dżaman, Karolina Piskadło-Zborowska, Mirosława Pietniczka-Załęska
INTRODUCTION: The aim of the study was to analyze the profile of patients applying for free preventive examinations within The Forth European Head an Neck Cancer (HNC) Awareness Week in the Department of Otorhynolaryngology in Międzyleski Hospital in Warsaw (ORL MSS). MATERIAL AND METHODS: A media campaign was designed to inform HNC risk patients about the opportunity to receive free preventive examinations in ORL MSS. 225 patients were enrolled to the study. Patient age ranged from 26 to 92 (average 63 years)...
August 31, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/29327493/a-prospective-cohort-study-of-122-adult-patients-presenting-to-an-otolaryngologist-s-office-with-globus-pharyngeus
#6
Eva Rye Rasmussen, Didde Traerup Schnack, Andreas Tomaas Ravn
OBJECTIVES: To investigate the epidemiology of globus pharyngeus in adult patients presenting to the otolaryngologist's office. Also the predictors of persisting symptoms, prevalence of anxiety and the effect of clinical assessment were analyzed. DESIGN: This was a prospective cohort study. Follow-up was done using a postal questionnaire. SETTING: One otolaryngologists' office comprising three medical doctors. PARTICIPANTS: 122 consecutive globus patients presenting to one otolaryngology office in a one-year period...
January 11, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29324861/cost-of-treatment-for-head-and-neck-cancer-in-india
#7
Akashdeep Singh Chauhan, Shankar Prinja, Sushmita Ghoshal, Roshan Verma, Arun S Oinam
There are no published data on the cost of cancer treatment for guiding reimbursement decisions in India. The present study was designed to estimate the cost of treating head and neck cancer (HNC) with the aim of determining package rates. The present study was undertaken in the Departments of Radiotherapy and Otolaryngology of a large tertiary care hospital in North India. Economic health system costs incurred were assessed using a bottom-up methodology. Data on all resources-capital or recurrent, incurred on the delivery of HNC treatment were collected from April 2014 to March 2015...
2018: PloS One
https://www.readbyqxmd.com/read/29323794/skills-transfer-to-sinus-surgery-via-a-low-cost-simulation-based-curriculum
#8
R Alex Harbison, Jennifer Dunlap, Ian M Humphreys, Greg E Davis
BACKGROUND: Surgical skill development outside the operating room aims to improve technique and subsequent patient safety. The purpose of this study was to evaluate the correlation between technical and cognitive skills with cadaveric endoscopic sinus surgery (ESS) performance and change in ESS performance before and after implementation of a dedicated ESS simulation-based and knowledge-based curriculum. METHODS: A before-after study design was implemented among 10 medical students and 10 junior otolaryngology residents...
January 11, 2018: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29321124/hearing-tests-based-on-biologically-calibrated-mobile-devices-comparison-with-pure-tone-audiometry
#9
Marcin Masalski, Tomasz Grysiński, Tomasz Kręcicki
BACKGROUND: Hearing screening tests based on pure-tone audiometry may be conducted on mobile devices, provided that the devices are specially calibrated for the purpose. Calibration consists of determining the reference sound level and can be performed in relation to the hearing threshold of normal-hearing persons. In the case of devices provided by the manufacturer, together with bundled headphones, the reference sound level can be calculated once for all devices of the same model. OBJECTIVE: This study aimed to compare the hearing threshold measured by a mobile device that was calibrated using a model-specific, biologically determined reference sound level with the hearing threshold obtained in pure-tone audiometry...
January 10, 2018: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/29318948/a-comparative-clinical-study-of-temporomandibular-disorder-patients-in-the-otolaryngology-clinic-versus-a-rheumatology-clinic
#10
Kamal G Effat, Abeer Berty
Objective Temporomandibular disorders (TMD) may be associated with local or widespread symptoms, including pain. The aim of this study was to compare clinical features of TMD patients presenting to an otolaryngology clinic with TMD patients presenting to a rheumatology clinic. Methods The study included 107 patients in the otolaryngology setting and 103 patients in the rheumatology setting. A comparison between both groups was made regarding the clinical data. Results Patients in the otolaryngology setting featured more otological symptoms, compared with those in the rheumatology setting...
January 10, 2018: Cranio: the Journal of Craniomandibular Practice
https://www.readbyqxmd.com/read/29316307/indications-for-trans-nasal-flexible-laryngo-oesophagoscopy-in-a-head-and-neck-clinic-our-experience-in-194-patients
#11
Hassan Mohammed, Matthew Coates, Liam Masterson, Ramez Nassif
Lamm introduced fibre-optic imaging in 1930s 1 . In the following decades it has been utilized in otolaryngology as an alternative to indirect mirror laryngoscopy. In its present form it allows for image capture and video recording when connected to a camera, it also allows for manoeuvring around anatomical structures due to its flexibility and articulation. It now forms an essential part of any head and neck examination especially when assessing for suspected cancer. This article is protected by copyright...
January 5, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29315192/long-term-hearing-preservation-outcomes-for-small-vestibular-schwannomas-retrosigmoid-removal-versus-observation
#12
Weidong Zhu, Hongsai Chen, Huan Jia, Yongchuan Chai, Jie Yang, Zhaoyan Wang, Hao Wu
OBJECTIVE: Management of small vestibular schwannomas (VSs) consists of three options: serial observation, radiosurgery, and microsurgery. The authors reported the long-term hearing outcomes after retrosigmoid tumor removal in 110 patients and hearing follow-up outcomes in 160 serial observation patients with small VSs to explore the appropriate management strategy and predictive factors of hearing preservation for small VSs. STUDY DESIGN: Retrospective study. SETTING: Tertiary referral center...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29315190/audiological-outcomes-in-growing-vestibular-schwannomas-managed-either-conservatively-or-with-stereotactic-radiosurgery
#13
Thomas Daniel Milner, Richard R Locke, Georgios Kontorinis, John A Crowther
OBJECTIVE: Recent studies have suggested good hearing preservation following stereotactic radiosurgery (STRS) in patients with vestibular schwannomas (VS). This study aims to assess audiological outcomes in patients with growing VS treated either with STRS, or managed conservatively. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary referral center. PATIENTS: Out of 540 patients with VS, 69 patients with growing VS fulfilled the inclusion criteria; 24 treated conservatively and 45 with STRS...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29315187/intra-and-interexaminer-variability-of-two-separate-video-head-impulse-test-systems-assessing-all-six-semicircular-canals
#14
Emil Riis Abrahamsen, Ann-Eva Christensen, Dan Dupont Hougaard
OBJECTIVE: To evaluate intra- and interexaminer variability of the video Head Impulse Test (v-HIT) when assessing all six semicircular canals (SCCs) of two separate v-HIT systems. STUDY DESIGN: Prospective study. SETTING: Department of Otolaryngology, Head and Neck Surgery, Aalborg University Hospital, Denmark. PATIENTS: One hundred twenty healthy subjects. INTERVENTION: Four separate tests of all six SCCs with either system A or system B...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29314068/publication-trends-and-levels-of-evidence-in-obstructive-sleep-apnea-literature
#15
Christopher J Gouveia, Soroush Zaghi, Michael Awad, Macario Camacho, Stanley Y C Liu, Robson Capasso, Robert C Kern
OBJECTIVES/HYPOTHESIS: Examine trends in clinical research and levels of evidence related to obstructive sleep apnea (OSA) in the medical literature. Describe the features and trends of OSA research within otolaryngology journals. STUDY DESIGN: Retrospective analysis. METHODS: Review of OSA research articles from 2006, 2011, and 2016 in four leading medical sleep and otolaryngology journals. Level of evidence was graded, and study characteristics were measured...
January 4, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29313440/validations-of-the-om-6-parent-proxy-survey-for-infants-toddlers-with-otitis-media
#16
Joy Tao, Kristine Schulz, Donna B Jeffe, Judith E C Lieu
Objective To validate the Otitis Media-6 (OM-6), a parent-proxy quality-of-life (QOL) questionnaire for infants/young children with OM, against other previously validated generic QOL questionnaires. Study Design Multi-institutional cross-sectional study. Setting Twenty-three otolaryngology, pediatric, and family practices across the United States. Subjects and Methods Caregivers of 6- to 24-month-old children with a history of OM completed the OM-6, OM History Form, and Pediatric Quality of Life (PedsQL) Infant Scales survey...
January 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29310703/management-of-persistent-epistaxis-using-floseal-hemostatic-matrix-vs-traditional-nasal-packing-a-prospective-randomized-control-trial
#17
Scott Murray, Adrian Mendez, Alexander Hopkins, Hamdy El-Hakim, Caroline C Jeffery, David W J Côté
BACKGROUND: Epistaxis is the most common emergent consultation to otolaryngology-head & neck surgery (OHNS) and with 60% of the population having experienced an episode and 1.6 in 10,000 requiring hospitalization in their lifetime. In preliminary studies Floseal® (Baxter, USA) Hemostatic Matrix has shown efficacy in up to 80% of persistent anterior epistaxis. We sought to evaluate the clinical efficacy and cost-effectiveness of Floseal® (Baxter, USA) compared to traditional nasal packing for persistent epistaxis...
January 8, 2018: Journal of Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/29309683/congress-of-neurological-surgeons-systematic-review-and-evidence-based-guidelines-on-hearing-preservation-outcomes-in-patients-with-sporadic-vestibular-schwannomas
#18
Matthew L Carlson, Esther X Vivas, D Jay McCracken, Alex D Sweeney, Brian A Neff, Neil T Shepard, Jeffrey J Olson
Question 1: What is the overall probability of maintaining serviceable hearing following stereotactic radiosurgery utilizing modern dose planning, at 2, 5, and 10 yr following treatment? Recommendation: Level 3: Individuals who meet these criteria and are considering stereotactic radiosurgery should be counseled that there is moderately high probability (>50%-75%) of hearing preservation at 2 yr, moderately high probability (>50%-75%) of hearing preservation at 5 yr, and moderately low probability (>25%-50%) of hearing preservation at 10 yr...
December 20, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29309340/role-of-nonsurgical-chin-augmentation-in-full-face-rejuvenation-a-review-and-our-experience
#19
Monique J Vanaman Wilson, Isabela T Jones, Kimberly Butterwick, Sabrina G Fabi
BACKGROUND: The chin is a critical component to the perception of facial attractiveness. Dermal fillers offer a nonsurgical, temporary method of correcting mild to moderate chin retrusion and resorption. Thus far, discussion of this procedure has been largely limited to the plastic surgery and otolaryngology literature. OBJECTIVE: To review pertinent aspects of anatomy, patient evaluation, injection technique, concomitant therapies, and complications in chin augmentation using injectable fillers...
January 5, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29306226/does-fibromyalgia-have-an-effect-on-hearing-loss-in-women
#20
Zeliha Kapusuz Gencer, Özlem Balbaloğlu, Mahmut Özkırış, Levent Saydam
Background/aim: Fibromyalgia (FM) patients may have several neuroendocrine dysfunctions, resulting in a hypervigilant sensory output that may be responsible for sensorineural complaints. In this study, we evaluated the audiological findings of a cohort of female fibromyalgia patients. Materials and methods: Between 1 September 2012 and 1 June 2013, 35 female FM patients, followed by the Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Bozok University, were recruited for the study. The patients were referred to the Department of Otolaryngology for routine otolaryngological and audiological evaluations...
December 19, 2017: Turkish Journal of Medical Sciences
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