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https://www.readbyqxmd.com/read/29148358/all-change%C3%A2-transcanal-endoscopic-ear-surgery-and-house-dust-mite-immunotherapy-for-allergic-rhinitis
#1
Jonathan Fishman, Robin Youngs, Edward Fisher, Musheer Hussain
No abstract text is available yet for this article.
November 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/29137879/identification-and-management-of-inverted-or-everted-edges-of-traumatic-tympanic-membrane-perforations
#2
Zhengcai Lou, Zi-Han Lou
INTRODUCTION: Most of traumatic tympanic membrane perforations have inverted or everted edges, however, the effects of inverted and everted edges on the spontaneous healing of the eardrum remain controversial. OBJECTIVE: We investigated the influence of inverted or everted edges on the spontaneous healing of traumatic tympanic membrane perforations. METHODS: The clinical records of patients with a traumatic tympanic membrane perforations who met the study criteria were retrieved and categorized into two groups, based on whether the eardrum was inverted or everted...
October 28, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29135868/endoscopic-transcanal-transpromontorial-approach-for-vestibular-schwannoma-resection-a-case-series
#3
Cameron C Wick, Demetri Arnaoutakis, Samuel L Barnett, Alejandro Rivas, Brandon Isaacson
OBJECTIVE: To demonstrate successful surgical management of vestibular schwannomas via an exclusively endoscopic transcanal transpromontorial approach (EETTA). PATIENTS: Four patients with vestibular schwannomas. INTERVENTIONS: Surgical excision via EETTA. MAIN OUTCOMES: Technique refinements, tumor access, complete tumor removal, and patient morbidity. RESULTS: Three tumors were Koos grade I and one tumor was Koos grade II...
December 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/29125012/optical-assessment-of-the-in-vivo-tympanic-membrane-status-using-a-handheld-optical-coherence-tomography-based-otoscope
#4
Kibeom Park, Nam Hyun Cho, Mansik Jeon, Sang Heun Lee, Jeong Hun Jang, Stephen A Boppart, Woonggyu Jung, Jeehyun Kim
OBJECTIVE: Conventional otoscopes and oto-endoscopes, which are used to examine the tympanic membrane (TM), do not provide tomographic information. Optical coherence tomography (OCT) non-invasively reveals the depth-resolved internal microstructure of the TM with very high spatial resolution. We designed this study to examine the TMs with middle ear diseases using a handheld otoscope employing 860 nm spectral domain (SD)-OCT, combined with video camera and to demonstrate the clinical applicability of this system...
November 10, 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29122427/transcanal-endoscopic-ear-surgery-for-perilymphatic-fistula-after-electric-acoustic-stimulation
#5
Ryotaro Omichi, Shin Kariya, Yukihide Maeda, Kazunori Nishizaki
Transcanal endoscopic ear surgery (TEES) will become a very useful therapeutic option. A perilymphatic fistula (PLF) is defined as sudden sensorineural hearing loss and/or vertigo caused by leakage of the perilymph through a fistula from the oval window and/or round window. We report a case of PLF after electric acoustic stimulation (EAS), a kind of cochlear implant, successfully treated by TEES. A 38-year-old man presented to our hospital with vertigo and hearing loss (HL). His vertigo was induced by Valsalva maneuvers...
November 6, 2017: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29114890/total-septal-perforation-repair-with-a-pericranial-flap-radio-anatomical-and-clinical-findings
#6
Isam Alobid, Cristóbal Langdon, Mauricio López-Chacon, Joaquim Enseñat, Ricardo Carrau, Manuel Bernal-Sprekelsen, Alfonso Santamaría
OBJECTIVES/HYPOTHESIS: Endonasal surgeries are the primary cause of septal perforation (SP). However, trauma, inflammation, infections, neoplasms, or abuse of inhaled drugs can also cause SP. Septal repair is indicated in patients who experience nasal obstruction, crusting, intermittent epistaxis, purulent discharge, or nasal whistling and in those who fail conservative treatment. Multiple approaches have been suggested to repair the SP; however, none has been universally adopted. This study explores the feasibility of repairing a total SP using the pericranial flap (PCF)...
November 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/29080146/use-of-narrow-band-imaging-and-4k-technology-in-otology-and-neuro-otology-preliminary-experience-and-feasibility-study
#7
Henry Zhang, Phui Yee Wong, Tiarnan Magos, Jabin Thaj, Gaurav Kumar
The advent of the endoscope has facilitated otological surgery in recent years. Advances in optical technology have led to the development of high definition visualisation, such as 4K magnification. Narrow band imaging (NBI) has been shown to improve visualisation of tissue based on varying degrees of vascularity. This is a feasibility study, the first of its kind, aiming to investigate the appearances of middle ear anatomy and pathology (tympanic membrane, tympanosclerosis, cholesteatoma, granulation, endolymphatic sac hydrops, otosclerosis) under the NBI filter, using a high definition 4K endoscope...
October 27, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29072656/-the-endoscopic-anatomy-of-the-middle-ear-a-dissection-study
#8
R M Rzaev, R R Rzaev
The objective of the present work was to study the specific endoscopic anatomical features of the middle ear using the dissected temporal bones with the intact tympanic membrane. The 18 cm long endoscopes 4 mm in diameter with a visual angle from 0 to 45 degrees in the combination with some other microinstruments, such as ear pincers, needles, curettes, elevators, and suction tubes, were used during the examination. It was shown that endomeato-transtympanic endosopy provides a panoramic view of almost all structures of the middle ear...
2017: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/29056128/successful-treatment-of-zenker-s-diverticulum-by-endoscopic-staple-assisted-diverticulotomy-in-a-75-year-saudi-female
#9
Mohiyuddin A Q Ali, Sultan O Al-Harthy
Zenker's diverticulum (hypopharyngeal pouch) is a rare medical entity caused by herniation of esophageal mucosa and submucosa through an anatomical defect between the layers of the inferior constrictor muscle. It is believed that this occurs mainly due to incoordination between the stages of swallowing and timely opening of the cricopharyngeus. It usually affects the elderly and patients usually present with dysphagia, regurgitation of food, halitosis and aspiration. We describe one case of Zenker's diverticulum in a 75-year Saudi female whom we successfully managed in Ear Nose Throat (ENT) department, North West Armed Forces Hospital, Tabuk, Saudi Arabia by endoscopic staple-assisted diverticulotomy resulting in successful division of the intervening septum between the diverticulum and the esophagus...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29040142/proposal-of-a-budget-friendly-camera-holder-for-endoscopic-ear-surgery
#10
Orhan Ozturan, Alper Yenigun, Fadlullah Aksoy, Burak Ertas
Endoscopic ear surgery (EES) is increasingly a preferred technique in otologic society. It offers excellent visualization of the anatomical structures directly and behind the corners with variable angled telescopes. It also provides reduced operative morbidity due to being able to perform surgical interventions with less invasive approaches. Operative preparation and setup time and cost of endoscopy system are less expensive compared with surgical microscopes. On the other hand, the main disadvantage of EES is that the surgery has to be performed with 1 single hand...
October 16, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29039235/short-term-subjective-and-objective-outcomes-of-patients-receiving-endoscopic-transcanal-myringoplasty-for-repairing-tympanic-perforations
#11
Chih-Chieh Tseng, Ming-Tang Lai, Chia-Che Wu, Sheng-Po Yuan, Yi-Fang Ding
Objective Endoscopic transcanal myringoplasty (ETM) has been an emerging technique for repairing tympanic perforations since the late 1990s. Objective outcomes (ie, graft success rates and hearing results) of patients who received ETM are well documented; however, subjective outcomes of these patients have rarely been reported. Hence, this study evaluated subjective and objective outcomes of patients who received ETM for repairing tympanic perforations. Study Design Prospective study. Setting Tertiary care university hospital...
October 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29037582/endoscopic-versus-microscopic-approach-in-attic-cholesteatoma-surgery
#12
Giuseppe Magliulo, Giannicola Iannella
PURPOSE: Compare the outcomes of primary exclusive endoscopic ear surgery with those of the microscopic ear surgery in a group of patients affected by attic cholesteatoma. MATERIALS AND METHODS: Eighty patients suffered from attic cholesteatoma. Forty patients surgical treated with endoscopic ear surgery and forty patients surgical treated with microscopic ear surgery. RESULTS: No statistical differences were found in the parameters analysed (frequency of facial nerve dehiscence, age, disease duration, site of dehiscence) between the endoscopic and microscopic groups indicating a homogeneous selection thus providing a good comparison of the outcomes between the two groups...
October 10, 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28990012/impact-of-endoscopic-sinus-surgery-on-otologic-symptoms-associated-with-chronic-rhinosinusitis
#13
Neville W Teo, Jess C Mace, Timothy L Smith, Peter H Hwang
OBJECTIVE: To evaluate improvements in otologic symptoms after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis (CRS), and identify differences in symptoms, if any, between CRS patients with (CRSwNP) and without (CRSsNP) nasal polyposis. STUDY DESIGN: Prospective multi-center observational cohort study. SETTING: Academic tertiary medical centers. SUBJECTS AND METHODS: Adults with medically recalcitrant CRS who elected ESS were enrolled in a prospective, multi-center, observational cohort study between March, 2011 and October, 2014...
March 2017: World journal of otorhinolaryngology—head and neck surgery
https://www.readbyqxmd.com/read/28988650/learning-curve-of-endoscopic-pituitary-surgery-experience-of-a-neurosurgery-ent-collaboration
#14
Giorgio Lofrese, Vera Vigo, Mario Rigante, Domenico Luca Grieco, Maddalena Maresca, Carmelo Anile, Annunziato Mangiola, Pasquale De Bonis
For neurosurgeons, who are accustomed to the binocular microscope, there is a new learning curve that must be overcome for monocular endoscopic pituitary surgery. Different studies describe a learning curve between 15 and 200 procedures, after which both operative time and complications stabilize. In this retrospective study, we evaluate the endoscopic learning curve of our group, already trained in microsurgical transsphenoidal surgery, with the assistance of ear, nose, and throat (ENT) surgeons. From 2010 to 2015, a total of 95 patients with pituitary adenomas were treated with a purely endoscopic approach...
October 5, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28972409/endoscope-i-an-innovation-in-mobile-endoscopic-technology-transforming-the-delivery-of-patient-care-in-otolaryngology
#15
N Mistry, C Coulson, A George
Digital and mobile device technology in healthcare is a growing market. The introduction of the endoscope-i, the world's first endoscopic mobile imaging system, allows the acquisition of high definition images of the ear, nose and throat (ENT). The system combines the e-i Pro camera app with a bespoke engineered endoscope-i adaptor which fits securely onto the iPhone or iPod touch. Endoscopic examination forms a salient aspect of the ENT work-up. The endoscope-i therefore provides a mobile and compact alternative to the existing bulky endoscopic systems currently in use which often restrict the clinician to the clinic setting...
October 17, 2017: Expert Review of Medical Devices
https://www.readbyqxmd.com/read/28953148/mucosal-melanoma-originating-from-the-eustachian-tube
#16
Jeong Hong Kim, Gil-Chai Lim, Ju Wan Kang
A 77-year-old man was referred with a 4-month history of hearing impairment and ear fullness of the left ear. Otoscopic examination revealed an effusion in the left middle ear, and nasal endoscopic examination revealed a dark polypoid lesion at the opening of the left Eustachian tube. In addition to the lesion of the Eustachian tube, a dark mucosal lesion was seen at the posterior choana and the posterior end of the nasal septum. Endoscopic biopsy was done and pathologic result was consistent with malignant melanoma...
November 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28929068/endoscopic-myringoplasty-versus-microscopic-myringoplasty-in-tubotympanic-csom-a-comparative-study-of-120-cases
#17
A C Jyothi, B H Shrikrishna, N H Kulkarni, Ajay Kumar
Myringoplasty is one of the commonest operations performed on the middle ear. Our aim was to compare the results of endoscopic permeatal myringoplasty with that of conventional myringoplasty by post aural approach using operating microscope. A total of 120 patients having central perforation of tympanic membrane were randomly divided into two equal groups of 60 patients each. In the first group, endoscope was used and in the second group microscope was used to do myringoplasty. Temporalis fascia was used as a graft material...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28929062/comparative-study-of-outcome-of-endoscopic-myringoplasty-in-active-and-inactive-mucosal-chronic-otitis-media-patients
#18
Mohd Tasleem, A Rahman, M Aslam
The objective of this study was to compare graft uptake and hearing improvement in active and inactive mucosal chronic otitis media patients after endoscopic myringoplasty. This is prospective study conducted at a government medical college and hospital from February 2014 to August 2015. A total of 40 active (wet) ears with mucoid discharge and 40 inactive (dry) ears (at least 6 weeks dry before surgery) with mucosal chronic otitis media were operated on by endoscopic myringoplasty by transcanal approach. Graft uptake and hearing gain rates 3 months after surgery were compared for both groups...
September 2017: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/28918759/ultrasonic-bone-aspirator-use-in-endoscopic-ear-surgery-feasibility-and-safety-assessed-using-cadaveric-temporal-bones
#19
E G Gardner, J Sappington, M A Arriaga, S P Kanotra
OBJECTIVES: To describe the feasibility and assess the safety of using an ultrasonic bone aspirator in endoscopic ear surgery. METHODS: Five temporal bones were dissected via endoscopic ear surgery using a Sonopet ultrasonic bone aspirator. Atticoantrostomy was undertaken. Another four bones were dissected using routine endoscopic equipment and standard bone curettes in a similar manner. Feasibility and safety were assessed in terms of: dissection time, atticoantrostomy adequacy, tympanomeatal flap damage, chorda tympani nerve injury, ossicular injury, ossicular chain disruption, facial nerve exposure and dural injury...
September 18, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28891461/direct-cost-comparison-of-totally-endoscopic-versus-open-ear-surgery
#20
N Patel, A Mohammadi, N Jufas
OBJECTIVE: Totally endoscopic ear surgery is a relatively new method for managing chronic ear disease. This study aimed to test the null hypothesis that open and endoscopic approaches have similar direct costs for the management of attic cholesteatoma, from an Australian private hospital setting. METHODS: A retrospective direct cost comparison of totally endoscopic ear surgery and traditional canal wall up mastoidectomy for the management of attic cholesteatoma in a private tertiary setting was undertaken...
September 11, 2017: Journal of Laryngology and Otology
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