keyword
https://read.qxmd.com/read/38536466/-practical-instructions-for-recording-vestibular-evoked-myogenic-potentials
#1
JOURNAL ARTICLE
Laura Fröhlich, Lea Babette Löffler
Recording of vestibular evoked myogenic potentials (VEMPs) is a well-established method for functional diagnostics of the otolith organs. VEMPs are vestibular reflexes of the sacculus und utriculus to acoustic stimulation by air-conducted sound or bone-conducted vibration and are recorded by surface electrodes from the cervical (cVEMP) and ocular (oVEMP) muscles. The results of VEMP recordings are part of the neuro-otologic test battery and enable diagnosis of various vestibular disorders or differentiation between non-vestibular and peripheral vestibular vertigo...
March 27, 2024: HNO
https://read.qxmd.com/read/38536465/-speech-discrimination-with-separated-signal-sources-and-sound-localization-with-speech-stimuli-learning-effects-and-reproducibility
#2
JOURNAL ARTICLE
Svenja Buth, Izet Baljić, Alexander Mewes, Matthias Hey
BACKGROUND: Binaural hearing enables better speech comprehension in noisy environments and is necessary for acoustic spatial orientation. This study investigates speech discrimination in noise with separated signal sources and measures sound localization. The aim was to study characteristics and reproducibility of two selected measurement techniques which seem to be suitable for description of the aforementioned aspects of binaural hearing. MATERIALS AND METHODS: Speech reception thresholds (SRT) in noise and test-retest reliability were collected from 55 normal-hearing adults for a spatial setup of loudspeakers with angles of ± 45° and ± 90° using the Oldenburg sentence test...
March 27, 2024: HNO
https://read.qxmd.com/read/38534204/clinical-significance-of-posterior-expansion-of-the-utricular-endolymphatic-space
#3
JOURNAL ARTICLE
Hideyuki Kaida, Tadao Yoshida, Satofumi Sugimoto, Masumi Kobayashi, Shinji Naganawa, Michihiko Sone
BACKGROUND: Posterior expansion of the utricular endolymphatic space (ES) is a finding occasionally observed, and often occurs in bilateral ears. The clinical significance of posterior expansion of the utricular ES is not clear. OBJECTIVES: To investigate the clinical significance of posterior expansion of the utricular ES detected on magnetic resonance imaging (MRI). MATERIALS AND METHODS: Among 957 patients who underwent contrast-enhanced MRI to investigate the presence of endolymphatic hydrops (EH), clinical findings in cases with posterior expansion of the utricular ES were evaluated and the significance of their existence is considered...
March 27, 2024: Acta Oto-laryngologica
https://read.qxmd.com/read/38533742/large-paraganglioma-of-the-larynx-surgical-resection-with-laryngeal-framework-preservation
#4
JOURNAL ARTICLE
Jelena Sotirović, Nenad Baletić, Aleksandar Dimić, Biserka Vukomanović Đurđević, Milanko Milojević, Ognjen Čukić, Aleksandar Perić
No abstract text is available yet for this article.
March 27, 2024: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/38533148/a-rare-recurrence-of-a-thyroglossal-duct-cyst-accompanied-by-several-postoperative-complications-in-an-eight-year-old-boy-a-case-report
#5
Ethan Dimock, Jithin John, Jatin Ahluwalia, Alise Haddad, Michael Haupert
A thyroglossal duct cyst (TGDC) is a fluid-filled mass in the neck resulting from the persistence of a duct from fetal development that typically regresses spontaneously. When it persists, it is most often removed in a surgical procedure known as a Sistrunk operation. This case study presents the intriguing case of an eight-year-old boy who presented to an otolaryngology clinic with both a recurrence of his TGDC, as well as several postoperative complications, after the Sistrunk operation was performed...
February 2024: Curēus
https://read.qxmd.com/read/38532540/exploring-trauma-patterns-and-contributing-factors-with-slim-straight-electrode-array-after-cochlear-implantation
#6
JOURNAL ARTICLE
Renato Torres, Hannah Daoudi, Wenxi Gu, Eugénie Breil, Evelyne Ferrary, Olivier Sterkers, Yann Nguyen, Isabelle Mosnier
OBJECTIVE: To assess trauma patterns associated with the insertion of lateral wall electrode arrays. The study focused on 3 categories-scala tympani (ST), intermediate, and scala vestibuli (SV)-to identify traumatic patterns and contributing factors. STUDY DESIGN: Retrospective study. SETTING: Data from 106 cochlear implant recipients at a tertiary otologic center. METHODS: Demographic and surgical data were collected from recipients who underwent cochlear implantation manually and with RobOtol®...
March 26, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38532532/treatment-delay-and-hpv-status-on-opscc-with-upfront-surgery-analysis-of-national-cancer-database
#7
JOURNAL ARTICLE
Milind Vasudev, Elaine Martin, Madelyn I Frank, Leo L T Meller, Yarah M Haidar
OBJECTIVE: Evaluate the effect of treatment delay on survival in human papillomavirus (HPV)-positive and HPV-negative oropharyngeal squamous cell carcinoma (OPSCC) patients undergoing primary surgical resection. STUDY DESIGN: Retrospective cohort study using the 2010-2017 National Cancer Database. SETTING: Multicenter database study. METHODS: Patients >18 years old with OPSCC and known HPV status, treated surgically with or without postoperative radiation/chemotherapy were included...
March 26, 2024: Otolaryngology—Head and Neck Surgery
https://read.qxmd.com/read/38532055/tinnitus-clinical-insights-in-its-pathophysiology-a-perspective
#8
JOURNAL ARTICLE
Berthold Langguth, Dirk de Ridder, Winfried Schlee, Tobias Kleinjung
Tinnitus, the perception of sound without a corresponding external sound source, and tinnitus disorder, which is tinnitus with associated suffering, present a multifaceted clinical challenge due to its heterogeneity and its incompletely understood pathophysiology and especially due to the limited therapeutic options. In this narrative review, we give an overview on various clinical aspects of tinnitus including its heterogeneity, contributing factors, comorbidities and therapeutic pathways with a specific emphasis on the implications for its pathophysiology and future research directions...
March 26, 2024: Journal of the Association for Research in Otolaryngology: JARO
https://read.qxmd.com/read/38531753/comorbid-insomnia-and-sleep-apnea-challenges-and-treatments
#9
REVIEW
Kathleen M Sarber, Reena Dhanda Patil
Insomnia and obstructive sleep apnea (OSA) are 2 of the most prevalent sleep disorders and frequently co-occur. Cognitive behavioral therapy for insomnia is the first line treatment for insomnia and has been shown to improve compliance with positive airway pressure therapy. Other alternatives to OSA treatment may have higher acceptance in those with comorbid insomnia and sleep apnea (COMISA). Surgery, particularly hypoglossal nerve stimulation, appears to be well tolerated and may improve insomnia in those with COMISA...
March 26, 2024: Otolaryngologic Clinics of North America
https://read.qxmd.com/read/38530382/-telemedicine-for-patients-with-facial-palsy-current-developments-and-options-in-otorhinolaryngologic-treatment
#10
REVIEW
Jonas Ballmaier, Sabrina Hölzer, Maren Geitner, Anna-Maria Kuttenreich, Christian Erfurth, Orlando Guntinas-Lichius, Gerd Fabian Volk
Digitalization is also becoming increasingly important in medicine. The COVID-19 pandemic has further accelerated this process and politicians are trying to create a framework for successful knowledge transfer and better digital medical care. This article describes the role of telemedicine in the treatment of patients suffering from facial nerve palsy. Facial nerve palsy has a wide range of effects, from limitations in facial mobility to psychological sequelae. While many of the acute, idiopathic facial nerve palsies improve after a few weeks, around a third of those affected develop synkinesis, involuntary movements that have lifelong functional and psychological consequences...
March 26, 2024: HNO
https://read.qxmd.com/read/38530381/-online-training-for-hearing-implant-surgery-a%C3%A2-new-approach-to-otological-training-german-version
#11
JOURNAL ARTICLE
Kristen Rak, Stefan Kaulitz, Johannes Voelker, Tassilo Müller-Graff, Jonas Engert, Björn Spahn, Stephan Hackenberg, Peter Grasso, Rudolf Hagen
OBJECTIVE: Education in microsurgery of the ear includes staged training to allow for mastering of the complex microsurgical procedures, particularly in the context of middle ear reconstruction and cochlear implantation. Traditional surgical training includes temporal bone preparations by cadaver dissection and supervised operating room practice. As these on-site trainings are limited, there is a need to broaden education facilities in an on-line format. Therefore, a first basic on-line training for otosurgery was developed...
March 26, 2024: HNO
https://read.qxmd.com/read/38530367/active-tricros-a-simultaneous-stimulation-with-a-bi-cros-system-and-a-hearing-aid-in-the-worst-ear-for-severely-asymmetrical-hearing-loss
#12
JOURNAL ARTICLE
Jérome Lefeuvre, Stéphane Gargula, Marc Boulet, Morgan Potier, Denis Ayache, Mary Daval
OBJECTIVE: Severely asymmetrical hearing loss (SAHL) is characterized by a moderately severe or severe hearing loss in one side and normal or mildly impaired controlateral hearing in the other. The Active tri-CROS combines the Contralateral Routing-of-Signal System (CROS, or BiCROS if the best ear is stimulated) and the stimulation of the worst ear by an in-the-canal hearing aid. This study aims to evaluate the benefit of the Active tri-CROS for SAHL patients. STUDY DESIGN: This retrospective study was conducted from September 2019 to December 2020...
March 26, 2024: Otology & Neurotology
https://read.qxmd.com/read/38530360/microdrill-versus-diode-laser-in-endoscopic-stapedotomy-a-comparative-study
#13
JOURNAL ARTICLE
Dan Wang, Fan Peng, Nina Lin, Wuqing Wang
BACKGROUND: Microdrill and diode laser are two different methods used in endoscopic stapedotomy for otosclerosis. These two methods have not been compared in endoscopic stapedotomy. AIMS/OBJECTIVES: To analyze the differences between microdrill and diode laser in endoscopic stapedotomy for otosclerosis. MATERIALS AND METHODS: This is a randomized clinical trial; patients with otosclerosis were randomly divided into microdrill group (group A: n = 69) and diode laser group (group B: n = 62)...
March 26, 2024: Otology & Neurotology
https://read.qxmd.com/read/38530353/tensor-tympani-and-stapedial-tendon-reconstruction-for-postoperative-hyperacusis-after-tendon-lysis-for-middle-ear-myoclonus
#14
JOURNAL ARTICLE
Karl R Khandalavala, James R Dornhoffer, Gayla L Poling, Colin L Driscoll
OBJECTIVE: To present a method for repair of the stapedial and tensor tympani tendons in a patient with hyperacusis after a tendon lysis procedure. PATIENTS: A 71-year-old professional musician who presented to clinic with debilitating hyperacusis following a tensor tympani and stapedial tendon lysis procedure to treat middle ear myoclonus. INTERVENTIONS: A novel procedure for reapproximation of the tensor tympani and stapedial tendons into their native insertion points using periosteal grafts and nitinol wire...
March 26, 2024: Otology & Neurotology
https://read.qxmd.com/read/38530196/incidental-18f-fdg-avid-focuses-in-parotid-glands-on-pet-ct
#15
JOURNAL ARTICLE
Tejs Ehlers Klug, Sara Hillerup, André Henrique Dias, Lars Christian Gormsen, Peter Nørgaard Kristensen
BACKGROUND: The number of unexpected focal [18F]FDG-avid findings (incidentalomas) within the parotid gland (PGI) continues to increase with the expanding use of PET/CT scanning. The prevalence of malignancy in PGIs is uncertain and appropriate management is unsettled. AIMS: We aimed to explore the underlying pathologies associated with PGI. MATERIALS AND METHODS: A retrospective review of all patients with parotid gland incidentaloma(s) treated at the Ear-Nose-Throat Department, Aarhus University Hospital, Denmark in the period 2012-2021, was performed...
March 26, 2024: Acta Oto-laryngologica
https://read.qxmd.com/read/38530192/in-office-transoral-hilar-sialolithotomy-a-cost-effective-and-patient-centered-procedure
#16
Alexandra E Tunkel, Tatiana Ferraro, Timothy B Shaver, Weston L Niermeyer, Esther Lee, Arjun S Joshi
Transoral sialolithotomy performed in-office under local anesthesia is routinely performed for distal submandibular stones. We demonstrate the senior author's novel practice of in-office transoral sialolithotomy for hilar and intraglandular stones. A review of cases performed by the senior author revealed similar rates of complication and stone recurrence as those reported in the literature from removal under general anesthesia. Laryngoscope, 2024.
March 26, 2024: Laryngoscope
https://read.qxmd.com/read/38530098/trends-in-botulinum-toxin-related-industry-payments-to-physicians
#17
JOURNAL ARTICLE
Sina J Torabi, Milind Vasudev, Ashley Lonergan, Timothy I Hsu, Poonam P Dalwadi, Brian J F Wong, Edward C Kuan
Objectives: To evaluate trends in botulinum toxin (BTX) industry payments to physicians. Methods: Cross-sectional analysis of nonroyalty, BTX-specific payments made by Allergan (Botox), Ipsen (Dysport), and Merz (Xeomin) to physicians using the 2016-2020 Open Payments Database. Results: Between 2016 and 2020, >$27 million in payments was made for BTX-related activities to dermatologists, neurologists, ophthalmologists, otolaryngologists, and plastic surgeons, with payments ranging from $3.9 million in 2016 to $8...
March 26, 2024: Facial plastic surgery & aesthetic medicine
https://read.qxmd.com/read/38529719/quantification-of-heavy-metals-in-the-nasal-turbines-of-smokers-and-nonsmokers
#18
JOURNAL ARTICLE
Fatih Öner, Muhammet Recai Mazlumoğlu, Osman Kurt, Nezahat Kurt, Harun Ücüncü
OBJECTIVES: Cigarette smoke is known to contain toxic heavy metals. In this study, heavy metal levels in the nasal turbinate tissues of smokers and nonsmokers were measured and compared with Inductively Coupled Plasma-Mass Spectrometry (ICP-MS). METHODS: Forty patients who come to the Otorhinolaryngology outpatient clinic due to nasal obstruction and are given an appointment for partial turbinate reduction operation due to inferior turbinate hypertrophy, according to their smoking status, were divided into two groups: those who had smoked one pack/day for at least 10 years and those who had never smoked...
March 26, 2024: Laryngoscope
https://read.qxmd.com/read/38529714/removal-of-metal-tracheal-stent-a-difficult-foreign-body
#19
Matthew J Marget, Alexander Gelbard
INTRODUCTION: With its introduction in 1986, the use of metal tracheal stents gained favor due to relative ease of deployment and reduced risk of stent migration and mucus plugging. However, adverse events associated with metal stenting led the FDA to publish a recommendation against its use for benign airway stenosis in 2005. We present a case which illustrates the difficulty in removal of a metal stent from the airway. CASE REPORT: Our patient is a 47-year-old woman with a history of postintubation tracheal stenosis...
March 26, 2024: Laryngoscope
https://read.qxmd.com/read/38529708/the-effects-of-nebulized-lidocaine-on-the-laryngeal-adductor-reflex
#20
M Ángeles Sánchez Roldán, Héctor Duque, Bernat Masso, Dulce Moncho, Ramón Vilallonga, Manuel Armengol, Óscar González
The laryngeal adductor reflex (LAR) is a brainstem reflex that closes the vocal fold and constitutes a new method for continuously monitoring the vagus and laryngeal nerves during different surgeries. Previous reports concluded that topical lidocaine in spray inhibited LAR responses. However, topical anesthesia in the upper airway may be necessary in awake intubation. We present six patients who underwent neck endocrine surgery due to an intrathoracic goiter that compromised the airway. Before awake intubation, a nebulization of lidocaine 5% was applied for at least 10 min...
March 26, 2024: Laryngoscope
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