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https://www.readbyqxmd.com/read/28543359/impact-of-resident-involvement-in-outpatient-otolaryngology-procedures-an-analysis-of-17-647-cases
#1
Andrew B Baker, Adrian A Ong, Brendan P O'Connell, Alexander D Sokohl, William B Clinkscales, Ted A Meyer
OBJECTIVE: This study examines the impact of resident physician participation on postoperative outcomes in outpatient otolaryngologic surgery. STUDY DESIGN: Retrospective cohort. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was queried for outpatient otolaryngologic procedures performed on adult patients. Cases were analyzed with the following cohorts: attending with resident or attending without resident...
May 23, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28533184/multi-institutional-development-of-a-mastoidectomy-performance-evaluation-instrument
#2
Thomas Kerwin, Brad Hittle, Don Stredney, Paul De Boeck, Gregory Wiet
OBJECTIVE: A method for rating surgical performance of a mastoidectomy procedure that is shown to apply universally across teaching institutions has not yet been devised. This work describes the development of a rating instrument created from a multi-institutional consortium. DESIGN: Using a participatory design and a modified Delphi approach, a multi-institutional group of expert otologists constructed a 15-element task-based checklist for evaluating mastoidectomy performance...
May 20, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28494878/factors-influencing-postoperative-pain-following-discharge-in-pediatric-ambulatory-surgery-patients
#3
Yi Cai, Lindsay Lopata, Arthur Roh, Mary Huang, Matthew A Monteleone, Shuang Wang, Lena S Sun
STUDY OBJECTIVE: To identify demographic, intraoperative, and parental factors that influence the postoperative pain experience in ambulatory surgery pediatric patients. We also monitored postoperative maladaptive behavior changes (PMBCs) to investigate the relationship between pain and PMBCs. DESIGN: Prospective cohort study. SETTING: Discharge period after ambulatory surgery. PATIENTS: 204 patients ages 1-6years undergoing ambulatory orthopedic, urology, general surgery, and otolaryngology surgical procedures who were American Society of Anesthesiologists (ASA) physical status I or II...
June 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28485294/medialization-thyroplasty-in-glottis-insufficiency-due-to-unilateral-vocal-fold-paralysis-and-after-laser-cordectomies-preliminary-report
#4
Anna Rzepakowska, Ewa Osuch-Wójcikiewicz, Ewelina Sielska-Badurek, Kazimierz Niemczyk
Medialization thyroplasty (type I) is surgical procedure performed on the thyroid cartilage. The major indication for this surgery is significant glottis insufficiency due to unilateral vocal fold paresis. However the proce¬dure is also performed after vocal fold resections during cordectomy. THE AIM: The evaluation of voice results in patients after medialisation throplasty. MATERIAL AND METHODS: In Otolaryngology Department of Medical University of Warsaw there were performed so far 8 thyroplasty procedures under local anaesthesia with implantation of medical silicon protesis...
February 28, 2017: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28485287/clinical-outcomes-of-treatment-of-sinonasal-inverted-papillomas-ips-depending-on-the-surgical-technique-and-learning-curve
#5
Roland Zydroń, Małgorzata Wierzbicka, Grażyna Greczka
INTRODUCTION: Sinonasal inverted papillomas (IPs) are a major challenge for ENT specialists. In the last decades, the number of endoscopic procedures has increased, while the percentage of external or double approach procedures has decreased. The aim of this study was to evaluate long-term IP treatment outcomes according to the applied surgical method. MATERIAL AND METHODS: the retrospective study included 69 patients (28 women and 41 men) treated during 2002-2012 in the Department of Otolaryngology and Laryngological Oncology of Poznań University of Medical Sciences...
November 20, 2016: Otolaryngologia Polska
https://www.readbyqxmd.com/read/28477057/real-time-prediction-of-temperature-elevation-during-robotic-bone-drilling-using-the-torque-signal
#6
Arne Feldmann, Kate Gavaghan, Manuel Stebinger, Tom Williamson, Stefan Weber, Philippe Zysset
Bone drilling is a surgical procedure commonly required in many surgical fields, particularly orthopedics, dentistry and head and neck surgeries. While the long-term effects of thermal bone necrosis are unknown, the thermal damage to nerves in spinal or otolaryngological surgeries might lead to partial paralysis. Previous models to predict the temperature elevation have been suggested, but were not validated or have the disadvantages of computation time and complexity which does not allow real time predictions...
May 5, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28463637/declining-otolaryngology-resident-training-experience-in-tracheostomies-case-log-trends-from-2005-to-2015
#7
David Lesko, Jason Showmaker, Ceisha Ukatu, Qiwei Wu, C W David Chang
Objective To evaluate recent tracheostomy surgical experience among otolaryngology residents and general surgery residents. Study Design Retrospective database review. Setting Accreditation Council for Graduate Medical Education otolaryngology and general surgery programs. Subjects and Methods Accreditation Council for Graduate Medical Education case log data from 2005 to 2015 for resident graduates in otolaryngology and general surgery were used to obtain mean graduate tracheostomy numbers, mean graduate composite case numbers, and number of graduating residents...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28462609/the-effects-of-double-gloving-on-microsurgical-skills
#8
Scott A Hardison, Grace Pyon, Audrey Le, Wen Wan, Daniel H Coelho
Objective To determine whether double gloving would negatively affect participants' ability to perform a simulated microsurgical task. Study Design Randomized single-blinded controlled crossover trial. Setting Temporal bone laboratory of an academic otolaryngology department. Subjects and Methods This study involved the simulated insertion of a stapes prosthesis into a model of the ossicular chain under microscopy. Forty-one participants were recruited from our medical and dental school and randomized into 2 groups...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28449823/the-effect-of-handedness-and-laterality-in-a-microlaryngeal-surgery-simulator
#9
Matthew R Naunheim, Amanda Le, Matthew M Dedmon, Ramon A Franco, Jennifer Anderson, Phillip C Song
PURPOSE: There are no controlled prospective studies evaluating the effect of dominant handedness in left- and right-sided surgery in otolaryngology. Endoscopic microlaryngeal phonosurgery is an ideal procedure to assess technical aspects of handedness and laterality, due to anatomic symmetry. In this study, we analyzed (1) choice of surgical approach and (2) outcomes based on handedness and laterality in a microlaryngeal simulator. METHODS: Using a validated high-fidelity phonosurgery model, a prospective cohort of 19 expert laryngologists undertook endoscopic resection of a simulated vocal fold lesion...
April 18, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28439206/is-operavox-a-clinically-useful-tool-for-the-assessment-of-voice-in-a-general-ent-clinic
#10
Richard Teck Kee Siau, Jay Goswamy, Sue Jones, Sadie Khwaja
BACKGROUND: Objective acoustic analysis is a key component of multidimensional voice assessment. OperaVOX is an iOS app which has been shown to be comparable to Multi Dimensional Voice Program for most principal measures of vocal function. As a relatively cheap, portable and easily accessible form of acoustic analysis, OperaVOX may be more clinically useful than laboratory-based software in many situations. This study aims to determine whether correlation exists between acoustic measurements obtained using OperaVOX, and perceptual evaluation of voice...
2017: BMC Ear, Nose, and Throat Disorders
https://www.readbyqxmd.com/read/28436022/ventilation-via-the-2-4%C3%A2-mm-internal-diameter-tritube-%C3%A2-with-cuff%C3%A2-new-possibilities-in-airway-management
#11
REVIEW
M S Kristensen, M W P de Wolf, L S Rasmussen
BACKGROUND: A small tube may facilitate tracheal intubation and improve surgical access. We describe our initial experience with the Tritube(®) that is a novel cuffed endotracheal tube with a 2.4 mm internal diameter. METHODS: The Tritube(®) was used in seven adult Ear-Nose-and Throat surgical patients with airway narrowing or whose surgical access was facilitated by this small-bore endotracheal tube. Ventilation through Tritube(®) is performed with the manually operated Ventrain(®) -ventilator that allows active suctioning during expiration, therefore facilitating normoventilation through small diameter airways...
April 23, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28432675/transoral-thyroidectomy-advantages-and-limitations
#12
G Dionigi, R P Tufano, J Russell, H Y Kim, E Piantanida, A Anuwong
In this opinion paper of the Journal of Endocrinological Investigation, leading experts in the field report on their current clinical experience with a novel approach for thyroid gland surgery, namely, "transoral thyroidectomy" (TOT). This feasible and novel surgical procedure does not require visible incisions and is, therefore, a truly scarless surgery. Patients meeting the following criteria can be considered as candidates for TOT: (a) an ultrasonographically (US) estimated thyroid diameter ≤10 cm; (b) US-estimated gland volume ≤45 mL; (c) nodule size ≤50 mm; (d) presence of a benign tumor such as a thyroid cyst or a single- or multi-nodular goiter; (e) Bethesda 3 and/or 4 category and (f) papillary microcarcinoma without the evidence of metastasis...
April 21, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28425579/myringoplasty-outcomes-from-the-swedish-national-quality-registry
#13
Malin Berglund, Rut Florentzson, Mattias Fransson, Malou Hultcrantz, Per O Eriksson, Erling Englund, Eva Westman
OBJECTIVES/HYPOTHESIS: Data from patients registered for myringoplasty during 2002 to 2012 in the Swedish National Quality Registry for Myringoplasty. STUDY DESIGN: Both conventional myringoplasty and fat-graft techniques were used aimed at healing the tympanic membrane in noninfected ears. METHODS: Analysis was performed on data in a national database collected from 32 ear, nose, and throat clinics. Surgical procedures and outcomes, and patient satisfaction from a questionnaire were studied...
April 20, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28417670/case-logging-practices-in-otolaryngology-residency-training-national-survey-of-residents-and-program-directors
#14
Sarah M Dermody, William Gao, Johnathan D McGinn, Sonya Malekzadeh
Objective (1) Evaluate the consistency and manner in which otolaryngology residents log surgical cases. (2) Assess the extent of instruction and guidance provided by program directors on case-logging practices. Study Design Cross-sectional national survey. Setting Accreditation Council for Graduate Medical Education otolaryngology residency programs in the United States. Subjects and Methods US otolaryngology residents, postgraduate year 2 through graduating chiefs as of July 2016, were recruited to respond to an anonymous questionnaire designed to characterize surgical case-logging practices...
April 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28406849/current-management-practices-in-m%C3%A3-ni%C3%A3-re-s-disease
#15
Joseph W Clyde, Benjamin S Oberman, Huseyin Isildak
OBJECTIVE: To evaluate current trends in managing Ménière's disease (MD) by both general otolaryngologists and otologists/neurotologists and discuss treatment modalities. STUDY DESIGN: Cross-sectional study. SETTING: Survey of physicians. SUBJECTS AND METHODS: An electronic questionnaire was disseminated to all members of American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). RESULTS: Eight hundred and sixty members replied for a response rate of 14...
April 11, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28398899/principles-of-ear-nose-and-throat-surgery-for-pregnant-women
#16
Paramita Baruah, Kailey Jasraj, Ijaz Ahmad
Management of the pregnant surgical patient is challenging. The surgical procedure is usually postponed until the postpartum period, although this may not be possible in emergency situations. This article highlights the optimal management of the pregnant woman requiring ear nose and throat surgery.
April 2, 2017: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/28361174/eustachian-tuboplasty-and%C3%A2-shrinkage-of-ostial-mucosa-with-new-devices-including-a-proposal-of-a-classification%C3%A2-system
#17
L Di Rienzo Businco, A Di Mario, M Tombolini, A Mattei, M Lauriello
OBJECTIVE: A new combined approach to Eustachian tube dysfunction (ETD) employing new minimally invasive devices is described. STUDY DESIGN: An anatomoclinical classification of ETD was conceived to allow correct categorization of patients and enable comparative studies to be performed. Herein, the authors report on their experience with a consecutive series of obstructive ETD patients treated by balloon dilation of the Eustachian tube using AERA (Acclarent, Menlo Park, CA, USA), combined with a quantic molecular resonance (QMR)-mediated rhinopharyngeal tubal ostial mucosa shrinkage technique with a dedicated "Mitto" hand piece (Telea, Sandrigo-Vicenza, Italy)...
March 30, 2017: HNO
https://www.readbyqxmd.com/read/28358175/the-safety-and-efficacy-of-the-use-of-the-flexible-laryngeal-mask-airway-with-positive-pressure-ventilation-in-elective-ent-surgery-a-15-year-retrospective-single-center-study
#18
Vladimir Nekhendzy, Vijay K Ramaiah, Jeremy Collins, Hendrikus J Lemmens, Sam P Most
BACKGROUND: The use of flexible laryngeal mask airway (FLMA) in elective ear, nose and throat (ENT) surgery offers significant advantages, but is frequently considered inferior to tracheal intubation (TI) for ventilation and airway protection. We investigated the safety and success rate of intraoperative FLMA use with positive pressure ventilation (PPV), and the factors responsible for FLMA failure. METHODS: A 15-year single center retrospective study. FLMA failure was defined as the need for FLMA removal and TI, either during induction (primary failure), or after turning the patient over to the surgeon (secondary failure)...
March 28, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28346293/comparison-of-experts-and-residents-performing-a-complex-procedure-in-a-temporal-bone-surgery-simulator
#19
Ioanna Ioannou, Yun Zhou, Sudanthi Wijewickrema, Patorn Piromchai, Bridget Copson, Gregor Kennedy, Stephen O'Leary
OBJECTIVE: To investigate the use of automated metrics from a virtual reality (VR) temporal bone surgery simulator to determine how the performance of experts and trainees differs when performing a complex otological procedure (mastoidectomy with posterior tympanotomy and cochleostomy). STUDY DESIGN: Cohort study. METHODS: Using the University of Melbourne VR temporal bone surgery simulator, seven ENT consultants and seven ENT residents performed two trials of the surgical approach to cochlear implantation on a virtual temporal bone...
March 24, 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/28324180/lateral-pharyngotomy-approach-in-the-treatment-of-oropharyngeal-carcinoma
#20
Andy Bertolin, Guido Ghirardo, Marco Lionello, Luciano Giacomelli, Marco Lucioni, Giuseppe Rizzotto
Surgery for early-intermediate oropharyngeal squamous cell carcinoma (OPSCC) may involve using transoral endoscopic approaches or open surgical procedures. "Lateral pharyngotomy" (LP) is an open surgical approach that improves exposure of the oropharyngeal region, while avoiding mandibulotomy. The aim of the present study was to retrospectively analyze our experience with the surgical treatment of early-intermediate OPSCC using the LP approach, and to investigate the potentially prognostic clinical and/or pathological factors that might identify patients at higher risk of recurrence after primary surgery...
March 21, 2017: European Archives of Oto-rhino-laryngology
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