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https://www.readbyqxmd.com/read/29053911/investigating-the-minimal-clinically-important-difference-for-snot-22-symptom-domains-in-surgically-managed-chronic-rhinosinusitis
#1
Naweed I Chowdhury, Jess C Mace, Todd E Bodner, Jeremiah A Alt, Adam S Deconde, Joshua M Levy, Timothy L Smith
BACKGROUND: Prior work has described 5 domains within the 22-item Sino-Nasal Outcomes Test (SNOT-22) that allow for stratification of symptoms into similar clusters and that can be used to direct therapy. Although the outcomes of various interventions on these symptom domains have been reported, minimal clinically important difference (MCID) values have not been investigated, which has limited clinical interpretation of these results. METHODS: This study was designed as a secondary analysis of a prospective, multi-institutional, observational cohort...
October 20, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/29050548/does-intranasal-steroid-spray-technique-affect-side-effects-and-compliance-results-of-a-patient-survey
#2
V Ganesh, A Banigo, A E L McMurran, M Shakeel, B Ram
BACKGROUND: Intranasal steroid sprays are fundamental in the medical management of inflammatory rhinological conditions. Side effects are common, but these may be related to the method of application rather than the medication itself. METHODS: A survey was distributed to patients using intranasal steroid sprays at the ENT out-patient clinic at Aberdeen Royal Infirmary over three months. This evaluated the spray technique used, side effects and compliance. RESULTS: Of 103 patients, 22 patients (21...
October 20, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29028274/the-2017-13-th-annual-david-w-kennedy-md-lecture-the-evolution-of-outcomes-in-sinus-surgery-for-chronic-rhinosinusitis-past-present-and-future
#3
Timothy L Smith
This is an edited transcript from the 2017 13th Annual David W. Kennedy, MD, Lecture, presented to the American Rhinologic Society during the 63rd Annual Meeting.
October 13, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28990685/national-trends-in-otolaryngology-intern-curricula-following-accreditation-council-for-graduate-medical-education-changes
#4
Kevin J Kovatch, Rebecca S Harvey, Mark E P Prince, Marc C Thorne
OBJECTIVES/HYPOTHESIS: In 2016, Accreditation Council for Graduate Medical Education (ACGME) requirements for curriculum and resident experiences were modified to require entering postgraduate year (PGY)-1 residents to spend 6 months of structured education on otolaryngology-head and neck surgery (ORL-HNS) rotations. We aimed to determine how ORL-HNS training programs have adapted curricula in response to 2016 ACGME curriculum requirement changes. STUDY DESIGN: Survey study...
October 9, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28988460/toolbox-of-assessment-tools-of-technical-skills-in-otolaryngology-head-and-neck-surgery-a-systematic-review
#5
REVIEW
Mathilde Labbé, Meredith Young, Lily H P Nguyen
OBJECTIVE: To support the development of programs of assessment of technical skills in the operating room (OR), we systematically reviewed the literature to identify assessment tools specific to otolaryngology-head and neck surgery (OTL-HNS) core procedures and summarized their characteristics. METHODS: We systematically searched Embase, MEDLINE, PubMed, and Cochrane to identify and report on assessment tools that can be used to assess residents' technical surgical skills in the operating room for OTL-HNS core procedures...
October 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28985031/trends-in-sinusitis-research-a-systematic-review-of-extramural-funding
#6
Joshua M Levy, Stephanie Shintani Smith, Rickul Varshney, Eugene H Chang, Vijay R Ramakrishnan, Jonathan Y Ting, Benjamin S Bleier
BACKGROUND: Innovation represents a core value of the American Rhinologic Society (ARS), with multiple efforts to promote research in the advancement rhinologic care. We therefore sought to identify trends in extramural sinusitis funding and underutilized sources of support to facilitate future efforts. METHODS: A systematic review of the National Institutes of Health (NIH) Research Portfolio Online Tools (RePORTER) database (fiscal year 1993 to 2017) was completed with the search strategy: ("chronic sinusitis" OR rhinosinusitis)...
October 6, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28949835/the-canadian-otolaryngology-head-and-neck-surgery-workforce-in-the-urban-rural-continuum-longitudinal-data-from-2002-to-2013
#7
Matthew G Crowson, Vincent Lin
Objectives To evaluate the proportion of otolaryngology-head and neck surgery (OHNS) providers who are rural versus urban based from 2002 to 2013. Secondary objective was to present perspectives of rural primary care providers on unmet needs for OHNS services. Study Design Mixed methods database analysis and prospective survey. Setting National administrative database. Subjects and Methods The Canadian Medical Association OHNS provider Masterfile and the Statistics Canada postal code file were used to determine provincial, urban, rural, and Aboriginal group care coverage...
September 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28944477/long-term-impact-of-endoscopic-orbital-decompression-on-sinonasal-specific-quality-of-life
#8
Sarina K Mueller, Marcel M Miyake, Daniel R Lefebvre, Suzanne K Freitag, Benjamin S Bleier
OBJECTIVE: Endoscopic orbital decompression (EOD) is the workhorse surgical intervention for severe thyroid eye disease in Graves disease. Although EOD is a safe and effective procedure. The objective of this study is to determine the impact of orbital decompression on long-term sinonasal-specific quality of life. METHODS: Retrospective study of 27 patients who underwent EOD by a single surgeon. The primary endpoint was change in preoperative 22-item Sinonasal Outcomes Test (SNOT-22) score at a minimum of 1 year...
September 25, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28941169/three-dimensional-image-analysis-for-staging-chronic-rhinosinusitis
#9
Sooyoung Lim, Michael V Ramirez, Jonathan C Garneau, Megan K Ford, Katherine McKeough, Daniel T Ginat, Fuad M Baroody, Samuel G Armato, Jayant M Pinto
BACKGROUND: Traditional methods of staging chronic rhinosinusitis (CRS) through imaging do not differentiate between degrees of partial mucosal sinus inflammation, thus limiting their utility as imaging biomarkers. We hypothesized that software-aided, quantitative measurement of sinus inflammation would generate a metric of disease burden that would correlate with clinical parameters in patients with suspected sinus disease. METHODS: Adults with rhinologic complaints undergoing computed tomography imaging were recruited at an urban, academic, tertiary care center (n = 45 with Lund-Mackay [LM] scores ≥4)...
September 22, 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28931199/maxillary-sinus-mucoceles-and-other-side-effects-of-external-beam-radiation-in-the-pediatric-patient-a-cautionary-tale
#10
Anthony Sheyn, Tate Naylor, Felicity Lenes-Voit, Eric Berg
A sinonasal mucocele can develop after the obstruction of a sinus ostium, which can occur secondary to trauma, infection, a neoplasm, or an iatrogenic cause. These mucoceles typically arise in the frontal and ethmoid sinuses. Sinonasal mucoceles are epithelium-lined cysts that can gradually expand to fill a paranasal sinus. They can present with ophthalmologic, rhinologic, and neurologic symptoms. There are reports in the literature of sinonasal mucocele development after radiation for nasopharyngeal carcinoma...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28925316/objective-assessment-of-technical-skills-in-otorhinolaryngology-head-and-neck-surgery-residents-a-systematic-review
#11
Érika Mercier, Ségolène Chagnon-Monarque, François Lavigne, Tareck Ayad
Objectives The primary goal is the indexation of validated methods used to assess surgical competency in otorhinolaryngology-head and neck surgery (ORL-HNS) residents. Secondary goals include assessment of the reliability and validity of these tools, as well as the documentation of specific procedures in ORL-HNS involved. Data Sources MEDBASE, OVID, Medline, CINAHL, and EBM, as well as the printed references, available through the Université de Montréal library. Review Methods The PRISMA method was used to review digital and printed databases...
September 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28910886/-the-interactive-role-of-rhinology-and-ophthalmology-in-the-development-of-transnasal-endoscopic-rhino-orbital-related-surgery
#12
B Zhou
No abstract text is available yet for this article.
September 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/28894822/randomized-controlled-trial-demonstrating-cost-effective-method-of-olfactory-training-in-clinical-practice-essential-oils-at-uncontrolled-concentration
#13
Zara M Patel, Sarah K Wise, John M DelGaudio
OBJECTIVES: Published data examining the efficacy of olfactory training (OT) has used standardized concentrations of odorants and the Sniffin' Sticks testing method. Although well-validated, these methods are costly and time-intensive for the average otolaryngology practice. The purpose of our study was to evaluate the efficacy of using essential oils at random concentrations and the University of Pennsylvania Smell Test (UPSIT) for training and testing, and compare this with the existing data on OT...
April 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/28887831/quality-improvement-in-rhinology
#14
EDITORIAL
David W Kennedy
No abstract text is available yet for this article.
October 2017: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/28871839/association-between-asthma-and-chronic-rhinosinusitis-severity-in-the-context-of-asthma-control
#15
Adam P Campbell, Katie M Phillips, Lloyd P Hoehle, Robert A Gaudin, David S Caradonna, Stacey T Gray, Ahmad R Sedaghat
Objective Comorbid asthma is associated with decreased quality of life (QOL) in chronic rhinosinusitis (CRS). It is unclear whether this association is independent of the patients' clinical asthma status. We therefore sought to determine if asthma is associated with lower QOL in CRS, independent of asthma control. Study Design Cross-sectional cohort study of 350 patients with CRS. Setting Tertiary academic rhinology clinic. Subjects and Methods In total, 350 participants with CRS were recruited and 28.3% were asthmatic...
September 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28865090/sinonasal-quality-of-life-after-endoscopic-resection-of-malignant-sinonasal-and-skull-base-tumors
#16
Jordan T Glicksman, Arjun K Parasher, Steven G Brooks, Alan D Workman, Justina L Lambert, Jenna E Bergman, James N Palmer, Nithin D Adappa
OBJECTIVES: Improvement in sinonasal quality of life (QoL) following sinus surgery has been well-documented across the literature. To our knowledge, only one series has evaluated long-term QoL in patients undergoing tumor resection, and that study demonstrated no improvement in rhinologic QoL following malignant tumor resection at 2-year follow-up. The objective of the present study was to evaluate QoL in the 2 years following endoscopic malignant tumor resection. METHODS: A prospective cohort study was performed, including patients with both malignant and benign sinonasal tumors in a tertiary academic medical center...
September 2, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28854036/rhinology-allergy
#17
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28854024/rhinology-allergy
#18
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28854005/rhinology-allergy
#19
(no author information available yet)
No abstract text is available yet for this article.
September 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28844494/conchal-contractility-after-inferior-turbinate-hypertrophy-treatment-a-prospective-randomized-clinical-trial
#20
Remzi Dogan, Erol Senturk, Orhan Ozturan, Yavuz Selim Yildirim, Selahattin Tugrul, Aysenur Meric Hafiz
OBJECTIVE: The aim of this study is to evaluate the effects of these two methods (Nasal corticosteroids (NCS) and radiofrequency (RF) application) on conchal contractility utilizing objective rhinologic measurement parameters. METHODS: 82 patients were presented with the complaint of nasal obstruction and diagnosed with inferior turbinate hypertrophy and were included in the study. Patients in Group 1 received NCS for 12weeks. Patients in Group 2 were administered RF to their inferior turbinates...
August 19, 2017: American Journal of Otolaryngology
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