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https://www.readbyqxmd.com/read/28072563/inefficiencies-in-computed-tomography-sinus-imaging-for-management-of-sinonasal-disease
#1
Giriraj K Sharma, Allen Foulad, David Shamouelian, Naveen D Bhandarkar
Objective A subset of patients with sinonasal disease who obtain a diagnostic computed tomography (CT) sinus scan may require repeat preoperative CT due to the inadequacy of diagnostic CT for image-guided sinus surgery (IGSS). This leads to increased CT utilization, health care costs, and patient exposure to ionizing radiation. The objective of this study is to determine the frequencies of diagnostic CT sinus studies that were inadequate for IGSS and repeat CT studies for purposes of IGSS. Study Design A retrospective chart study was performed between May 2012 and August 2013...
January 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28060383/clinimetric-properties-of-the-glasgow-health-status-inventory-glasgow-benefit-inventory-peak-nasal-inspiratory-flow-and-4-phase-rhinomanometry-in-adults-with-nasal-obstruction
#2
M M H T van Egmond, N van Heerbeek, E L M Ter Haar, M M Rovers
BACKGROUND: The validity of many measurement instruments frequently used in rhinology is unknown. This study describes clinimetric properties of well-known subjective and objective outcomes, i.e., the Glasgow Health Status Inventory, Glasgow Benefit Inventory, Peak Nasal Inspiratory Flow, and 4-Phase Rhinomanometry, in adults with nasal obstruction. METHODOLOGY: Construct validity and responsiveness were determined in 111 patients. Inter-rater and intra-rater reliability were analysed in 30 patients...
January 6, 2017: Rhinology
https://www.readbyqxmd.com/read/28056150/trends-in-otolaryngology-consultation-patterns-at-an-academic-quaternary-care-center
#3
Kevin J Choi, Russel R Kahmke, Matthew G Crowson, Liana Puscas, Richard L Scher, Seth M Cohen
Importance: The consultation patterns of an otolaryngology-head and neck surgery service have not previously been reported. The time, resources, and attention required to operate such a consultation service are unknown. Objective: To assess trends in otolaryngology-head and neck surgery consultations conducted in emergency departments (EDs) and inpatient services. Design, Setting, and Participants: A retrospective analysis was conducted of the medical records of patients at a quaternary care center receiving inpatient otolaryngology consultations from January 1 to December 31, 2014...
January 5, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28026838/predictors-of-unanticipated-admission-within-30-days-of-outpatient-sinonasal-surgery
#4
I Gengler, L Carpentier, X Pasquesoone, D Chevalier, G Mortuaire
OBJECTIVES: To identify predictive factors of readmission after day-case rhinologic surgery. METHODS: A 2-year retrospective chart review of patients scheduled for ambulatory sinonasal surgery in a tertiary medical center was conducted. The operating room and the anesthetic files were screened to identify demographic data, types of procedure, comorbidities and post-operative complications. RESULTS: From January 2014 to January 2016, 924 outpatient sinonasal procedures were identified...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28025986/responsiveness-and-reliability-of-the-sinus-control-test-in-chronic-rhinosinusitis
#5
P Kohli, Z M Soler, K A Storck, A Shahangian, S M Banglawala, R J Schlosser
BACKGROUND: The Sinus Control Test (SCT) is a patient-reported questionnaire designed to help physicians identify sub-optimally controlled chronic rhinosinusitis (CRS). This study measures responsiveness to surgery and reliability of the SCT. METHODOLOGY: Adults meeting diagnostic criteria for CRS were recruited from rhinology clinics at a tertiary academic institution. To measure responsiveness, the SCT was administered at baseline and at least 3 months after surgery to 62 CRS patients...
December 27, 2016: Rhinology
https://www.readbyqxmd.com/read/28012521/subspecialist-training-program-in-pediatric-otorhinolaryngology-of-uems-orl-hns-section
#6
Tomislav Baudoin
The ORL Section and Board of Otorhinolaryngology-Head and Neck Surgery of the European Union of Medical Specialists (UEMS) developed pediatric ORL subspecialty program. The program was created with support and consultation of the European Society of Pediatric Otorhinolaryngology. It is divided into four sections: Pediatric Otology, Pediatric Rhinology and Facial Plastic Surgery, Pediatric Laryngology and Phoniatrics and Pediatric Head and Neck Surgery. After completion of the program, the trainee is supposed to achieve an advanced level of competency...
January 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28009229/transoral-robotic-surgery-for-sellar-tumors-first-clinical-study
#7
Dorian Chauvet, Stéphane Hans, Antoine Missistrano, Celeste Rebours, Wissame El Bakkouri, Guillaume Lot
OBJECTIVE The aim of this study was to confirm the feasibility of an innovative transoral robotic surgery (TORS), using the da Vinci Surgical System, for patients with sellar tumors. This technique was designed to offer a new minimally invasive approach, without soft-palate splitting, that avoids the rhinological side effects of classic endonasal approaches. METHODS The authors performed a prospective study of TORS in patients with symptomatic sellar tumors. Specific anatomical features were required for inclusion in the study and were determined on the basis of preoperative open-mouth CT scans of the brain...
December 23, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27994291/the-discrepancy-between-subjective-and-objective-findings-after-septoplasty
#8
Sekib Umihanic, Fuad Brkic, Munevera Osmic, Sefika Umihanic, Suad Imamovic, Samir Kamenjakovic, Samir Hodzic
INTRODUCTION: Surgical and medical treatments of nasal obstruction are a common parts of otolaryngologist practice. The definitive treatment of deviated nasal septum is septoplasty. AIM: In this study was to evaluate the values of subjective parameters, and active anterior rhinomanometry parameters prior and three months after the septoplasty. PATIENTS AND METHODS: We analyzed the subjective parameters ("NOSE" scale), the active anterior rhinomanometry parameters according to International Committee on Standardization of Rhinomanometry, on 40 patients...
October 2016: Medical Archives
https://www.readbyqxmd.com/read/27992119/the-prognostic-role-of-serum-eosinophil-and-basophil-levels-in-sinonasal-polyposis
#9
Giuseppe Brescia, Umberto Barion, Claudia Zanotti, Luciano Giacomelli, Alessandro Martini, Gino Marioni
BACKGROUND: Predicting which patients are at a higher risk for recurrent chronic rhinosinusitis with nasal polyps (CRSwNP) is one of the most challenging problems in clinical rhinology. A direct association between CRSwNP recurrence rates and serum eosinophil and basophil counts was reported. This study aimed to identify best-fitting cutoffs for binarizing preoperative serum eosinophils and basophils (counts/percentages) for prognostic purposes in cases of CRSwNP recurrence after surgery...
December 19, 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27938467/platelet-rich-plasma-in-otolaryngology
#10
M Stavrakas, P D Karkos, K Markou, N Grigoriadis
BACKGROUND: Platelet-rich plasma is a novel material that is being used more frequently in many surgical specialties. METHODS: A literature review on the current and potential uses of platelet-rich plasma in otolaryngology was performed. RESULTS: There is limited evidence on the use of platelet-rich plasma in otolaryngology compared with other specialties: only 11 studies on various subspecialties (otology, rhinology and laryngology) were included in the final review...
December 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27935540/optical-rhinometry-new-challenges-and-possibilities-of-rhinitis-diagnostics-and-not-only
#11
Edyta Krzych-Fałta, Bolesław Samoliński
Optical rhinometry is the only diagnostic tool in rhinitis for assessing real-time changes in nasal occlusion. It illustrates lumen changes of nasal mucosa vessels in response nonspecific/specific factors and not only. The first attempts to standardize the method conducted by German researchers show the potential of optical rhinometry not only as regards challenge tests, but also vice versa, in respect of the anemization of the mucosa it evaluates the extent of the oedema which occurred in the pathomechanism of non-allergic rhinitis...
October 31, 2016: Otolaryngologia Polska. the Polish Otolaryngology
https://www.readbyqxmd.com/read/27922224/international-forum-of-allergy-rhinology-2016-reviewers
#12
(no author information available yet)
No abstract text is available yet for this article.
December 2016: International Forum of Allergy & Rhinology
https://www.readbyqxmd.com/read/27914909/benefits-pitfalls-and-risks-of-phytotherapy-in-clinical-practice-in-otorhinolaryngology
#13
O Laccourreye, A Werner, L Laccourreye, P Bonfils
OBJECTIVES: To elucidate the benefits, pitfalls and risks of phytotherapy in the clinical practice of otorhinolaryngology. MATERIAL AND METHODS: The PubMed and Cochrane databases were searched using the following keywords: phytotherapy, phytomedicine, herbs, otology, rhinology, laryngology, otitis, rhinitis, laryngitis and otorhinolaryngology. Seventy-two articles (18 prospective randomized studies, 4 Cochrane analyses, 4 meta-analysis and 15 reviews of the literature) devoted to clinical studies were analyzed...
November 30, 2016: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/27900768/is-nonabsorbable-nasal-packing-after-septoplasty-essential-a-meta-analysis
#14
Jong Seung Kim, Sam Hyun Kwon
OBJECTIVES: Septoplasty is one of the most frequently performed rhinologic surgeries. Complications include nasal bleeding, pain, headache, septal hematoma, synechia, infection, residual septal deviation, and septal perforation. In this study, we aimed to compare complication rates among patients according to packing method. METHODS: We performed a literature search using PubMed, Embase, and the Cochrane Library through August 2016. Our systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27734983/monolateral-sinonasal-complications-of-dental-disease-or-treatment-when-does-endoscopic-endonasal-surgery-require-an-intraoral-approach
#15
G L Fadda, M Berrone, E Crosetti, G Succo
The widespread use of dental implants and reconstructive procedures for their positioning has led to an increase in sinonasal complications of dental disease and treatment (SCDDT). Diagnosis requires accurate dental and rhinological evaluation, including computed tomography (CT). The aim of this study is to investigate a multidisciplinary approach for the treatment of SCDDT by combining endoscopic endonasal surgery (EES) and an intraoral approach on the basis of a preliminary classification system already proposed by other authors...
August 2016: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27717953/the-usefulness-of-free-dicom-viewers-in-rhinologic-practice
#16
Marcin Frączek, Mateusz Kolator, Tomasz Kręcicki
: Indroduction: The planning of the course of surgery in patients with paranasal sinus disorders requires the meticulous evaluation of computed tomography (CT) scans. However, ENT doctors still often receive unsatisfactory DICOM images, which require multiplanar reconstruction (MPR). THE AIM: The objective of the present study was to evaluate and test DICOM viewers with MPR function currently available on the Internet for free. MATERIAL AND METHODS: Detailed Internet searches and analysis of databases were carried out to find the maximum number of browsers...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/27652195/direct-tumor-embolization-of-sinonasal-unclassified-spindle-cell-sarcoma-with-onyx
#17
Ankit Kansal, Prateek Srinet, Richard Peter Manes
OBJECTIVES: To evaluate the use of a new tumor embolization agent, Onyx (Covidien, Dublin, Ireland), for the use of intraoperative embolization of a sinonasal unclassified spindle cell sarcoma. METHODS: A 45-year-old female patient presented to the rhinology clinic with a nasal mass. A biopsy revealed a highly vascular mass consistent with a sinonasal unclassified spindle cell sarcoma. Secondary to its extensive vascularity, the patient underwent preoperative transarterial embolization (TAE) before definitive resection...
July 2016: Journal of Neurological Surgery Reports
https://www.readbyqxmd.com/read/27593773/late-postoperative-rhinological-complications-after-microscopic-transnasal-hypophysectomy
#18
Lütfi Postalci, İbrahim Erdim, Bülent Demirgil, Ömür Günaldi, Murad Asiltürk, Hakan Demirci, Hakan Kina, Uzay Erdoğan, Mine Yazici, Erhan Emel
AIM: Major complications from microscopic transnasal hypophyseal surgery (MTHS), such as cerebrospinal fluid rhinorrhea, carotid injury, and optic nerve injury, are very rare. However, late rhinological complications can be ignored because they are a minor cause of morbidity compared with major complications. In this study, we extensively examined postoperative rhinological complications in patients who underwent MTHS for pituitary adenoma. MATERIAL AND METHODS: Thirty-one patients diagnosed with pituitary adenoma, who underwent MTHS and whose preoperative nasal examinations were recorded between January 2007 and January 2014, were included in the study...
October 2, 2015: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27586390/free-middle-turbinate-mucosal-graft-reconstruction-after-primary-endoscopic-endonasal-pituitary-surgery
#19
Samuel J C Fishpool, Anthony Amato-Watkins, Caroline Hayhurst
The objective is to assess whether free middle turbinate (FMT) graft reconstruction, after endoscopic endonasal pituitary surgery, combines an acceptably low post-operative cerebrospinal fluid (CSF) leak rate with acceptable rhinological morbidity. This study identified 50 patients who underwent endoscopic endonasal pituitary surgery by the senior author in our teaching hospital between May 2011 and June 2012. FMT graft reconstruction was used in 32 cases. 18 patients were judged pre-operatively as not suitable for FMT reconstruction according to a novel skull base reconstructive algorithm...
September 1, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27572086/medicolegal-aspects-of-rhinology-practice
#20
N Apaydin, S Çomoğlu, Y Özer, H Avci, H Eş, K S Orhan
OBJECTIVE: To investigate rhinology-related malpractice claims with the aim of optimising safe practice. METHODS: The database of the National Institute of Forensic Medicine was reviewed. In total, 241 otorhinolaryngology malpractice case reports dating from 2005 to 2012 were evaluated, and 83 malpractice cases related to rhinology treatments were separated. RESULTS: There was no significant difference between the number of male (n = 42) and female (n = 41) claimants...
October 2016: Journal of Laryngology and Otology
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