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ENT, otolaryngology

M Khalid-Raja, K Tzifa
OBJECTIVE: This study aimed to evaluate the activity of paediatric otolaryngology services required for children with Down's syndrome in a tertiary referral centre. METHODS: A review of the paediatric otolaryngology input for children with Down's syndrome was performed; data were obtained from the coding department for a two-year period and compared with other surgical specialties. RESULTS: Between June 2011 and May 2013, 106 otolaryngology procedures were performed on children with Down's syndrome...
October 6, 2016: Journal of Laryngology and Otology
Liam J Caffery, Mutaz Farjian, Anthony C Smith
We undertook a scoping review of the published literature to identify and summarise key findings on the telehealth interventions that influence waiting times or waiting lists for specialist outpatient services. Searches were conducted to identify relevant articles. Articles were included if the telehealth intervention restructured or made the referral process more efficient. We excluded studies that simply increased capacity. Two categories of interventions were identified - electronic consultations and image-based triage...
September 28, 2016: Journal of Telemedicine and Telecare
Onyinyechi C Ukaegbe, Nnaemeka G Umedum, Ethel N Chime, Foster T Orji
OBJECTIVES: Despite a global improvement in health care delivery, rural areas in developing countries still have poor access to specialist care. This study aims to assess the occurrences of ear, nose, and throat (ENT) disorders among rural primary school children in south-eastern Nigeria. METHODS: Two rural primary schools were selected randomly from one of the rural regions of South Eastern State of Nigeria. All the pupils of the schools who gave consent were recruited...
October 2016: International Journal of Pediatric Otorhinolaryngology
Anna J Esbensen, Dean W Beebe, Kelly C Byars, Emily K Hoffman
OBJECTIVE: To characterize practice patterns regarding sleep evaluation and intervention among children with Down syndrome (DS). METHOD: Data were obtained from electronic health records from 2009 to 2013 for a retrospective cohort of 954 children with DS, aged 5 to 21 years during the time sampled. International Classification of Diseases, Ninth Revision, diagnoses were used to identify children with obstructive sleep apnea and/or behavioral sleep disturbances...
October 2016: Journal of Developmental and Behavioral Pediatrics: JDBP
Lara Benoiton, Maggie Morgan, Katherine Baguley
OBJECTIVES: Recent studies have shown an association between ankyloglossia (tongue tie) and upper-lip ties to breastfeeding difficulties. Treatment is commonly multidisciplinary involving lactation consultants and surgical management with tongue tie and upper lip tie release. There is currently limited data looking at posterior ankyloglossia and upper lip ties. METHODS: Consecutive patients seen at an ENT outpatient clinic for ankyloglossia and upper-lip ties from May 2014-August 2015 were assessed for an outpatient frenotomy...
September 2016: International Journal of Pediatric Otorhinolaryngology
Mary John, Alicia Parsons, Sunil Abraham
OBJECTIVES: To assess the function of an otolaryngology (ENT) specialist outreach service in a Family Medicine (FM) Unit for the urban poor attached to a Tertiary Teaching Hospital in India. MATERIALS AND METHODS: The study investigated the pattern of ENT diseases in patients who came to the FM Unit and the proportion of these patients who were referred to the ENT specialist clinic at the unit. The study also analyzed the ENT problems that were managed by the ENT specialist at the unit and the conditions, which needed referral to the Tertiary Hospital...
January 2016: Journal of Family Medicine and Primary Care
A S Lau, G H Adan, M Krishnan, S C Leong
OBJECTIVES: The publication rate of some large academic meetings such as the American Academy of Otolaryngology-Head and Neck Surgery has been reported as 32%. We aimed to compare the rate of publication at the British Academic Conference in Otolaryngology (BACO) to allow surveillance of research activity in the United Kingdom (UK). DESIGN AND SETTING: The abstract records of both BACO 2009 and 2012 were examined. The MEDLINE database was searched using PubMed (http://www...
July 7, 2016: Clinical Otolaryngology
Jarosłąw Woroń, Barbara Lorkowska-Zawicka, Elżbieta Dobrowolska, Wojciech Serednicki
Drug interactions are a growing problem in the practice of otolaryngology. The use of drugs in patients treated with polypharmacy generates the risk of adverse drug interactions which requires specialized knowledge and active prevention. The most common interactions encountered by ENT physicians are identified on the basis of the analysis of medical order sheets and discussed in the article.
May 24, 2016: Otolaryngologia Polska. the Polish Otolaryngology
Yuan F Liu, Cherine H Kim, Traci W Bailey, Brian M Hondorp, Khanh Nguyen, Miguel Krishnan, Alfred A Simental, Jared C Inman
Flexible fiberoptic nasopharyngolaryngoscope (FN) examinations are important to the practice of otolaryngology (ENT). We sought to assess whether a portable recording adaptor for the FN can enhance resident learning and improve patient management. The adaptor was used prospectively on consultations by first- and second-year ENT residents, and changes in diagnosis and management were recorded in the patient care workflow. In 43 patients, we found a 23% change in diagnosis, 44% change in management, and 19% change in surgical management after an attending reviewed recorded videos...
October 2016: Otolaryngology—Head and Neck Surgery
Laurie Newton, Cecille Sulman
Approximately 1,500 tonsillectomies are performed annually at a large pediatric academic medical center each year. Families need to be educated on how to care for their child after this surgery. Most tonsillectomy patients are discharged home either the same day as surgery or after one night of observation, resulting in post-operative tonsillectomy recovery and care falling upon the patient's family. Multiple quality improvement efforts to improve family education post tonsillectomy surgery have been performed over the last several years at a large pediatric academic medical center...
2016: ORL-head and Neck Nursing: Official Journal of the Society of Otorhinolaryngology and Head-Neck Nurses
Ali Al-Hussaini, Alun Tomkinson
Undergraduate otolaryngology exposure is limited. It may be consolidated by the use of an iBook as a self-study tool. Following invitation to participate by email, five focus groups were formed, each consisting of six medical students (18 female, 12 male, median age 23 years). The focus group transcripts were imported to the qualitative data analysis software NVivo (QSR International, UK). The iBook was found to have a clear and consistent presentation, and a focused and user-friendly style, with reasonable interactivity and a good range of well-integrated media elements...
January 2016: Journal of Visual Communication in Medicine
H-G Struck, A Glien, M Herzog, A Sandner, S K Plontke, J Heichel
BACKGROUND AND AIM: The lacrimal system (LS) crosses regions of ocular adnexa, the nose, and the paranasal sinuses. Surgery of disorders requires a targeted ophthalmologic and otolaryngologic examination. Since 2013, an Interdisciplinary Conference on Lacrimal System Disorders (ICLSD) has existed at the University Hospital Halle. First results of our experiences with this cooperation between ophthalmic and ENT surgeons are presented. METHODS: In a retrospective study at the Department of Ophthalmology, University Hospital Halle, all patients aged 22-80 years (n = 43, 10 with bilateral manifestation; mean age 65...
June 2016: HNO
Olajide Toye Gabriel
BACKGROUND: Cerumen impaction is a worldwide problem. It constitutes a significant proportion of health problems in many settings and its prevalence varies. Very few studies were done in this region with none from our center. The aim of this study is to review the challenges and management profile of cerumen impaction in a rural health facility in Nigeria. MATERIALS AND METHODS: This was a 3-year retrospective study of all patients that were managed for cerumen impaction from June 2008 to May 2011, in the Department of Otorhinolaryngology, Federal Medical Centre, Ido-Ekiti, Nigeria...
November 2015: Nigerian Medical Journal: Journal of the Nigeria Medical Association
N Oker, N H Alotaibi, P Herman, M Bernal-Sprekelsen, A E Albers
Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists...
June 2016: European Archives of Oto-rhino-laryngology
Richard R Orlandi, Todd T Kingdom, Peter H Hwang, Timothy L Smith, Jeremiah A Alt, Fuad M Baroody, Pete S Batra, Manuel Bernal-Sprekelsen, Neil Bhattacharyya, Rakesh K Chandra, Alexander Chiu, Martin J Citardi, Noam A Cohen, John DelGaudio, Martin Desrosiers, Hun-Jong Dhong, Richard Douglas, Berrylin Ferguson, Wytske J Fokkens, Christos Georgalas, Andrew Goldberg, Jan Gosepath, Daniel L Hamilos, Joseph K Han, Richard Harvey, Peter Hellings, Claire Hopkins, Roger Jankowski, Amin R Javer, Robert Kern, Stilianos Kountakis, Marek L Kowalski, Andrew Lane, Donald C Lanza, Richard Lebowitz, Heung-Man Lee, Sandra Y Lin, Valerie Lund, Amber Luong, Wolf Mann, Bradley F Marple, Kevin C McMains, Ralph Metson, Robert Naclerio, Jayakar V Nayak, Nobuyoshi Otori, James N Palmer, Sanjay R Parikh, Desiderio Passali, Anju Peters, Jay Piccirillo, David M Poetker, Alkis J Psaltis, Hassan H Ramadan, Vijay R Ramakrishnan, Herbert Riechelmann, Hwan-Jung Roh, Luke Rudmik, Raymond Sacks, Rodney J Schlosser, Brent A Senior, Raj Sindwani, James A Stankiewicz, Michael Stewart, Bruce K Tan, Elina Toskala, Richard Voegels, De Yun Wang, Erik K Weitzel, Sarah Wise, Bradford A Woodworth, Peter-John Wormald, Erin D Wright, Bing Zhou, David W Kennedy
BACKGROUND: The body of knowledge regarding rhinosinusitis(RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). METHODS: Evidence-based reviews with recommendations(EBRRs) were developed for scores of topics, using previously reported methodology...
February 2016: International Forum of Allergy & Rhinology
Steve Langton, Derrick Siau, Clare Bankhead
The fast-track system in the UK for patients with suspected cancer--the two-week rule--states that if cancer is suspected there should be a maximum of 14 days between referral from primary care and consultation with a specialist. This approach is valued by patients, ensures a universal standard of diagnosis, and speeds up the overall management of cancer. However, some say that the rule has had little or no effect on survival, results in a diagnosis of cancer in only a small proportion of patients referred, and is expensive...
February 2016: British Journal of Oral & Maxillofacial Surgery
Chanchal Gera, Navneet Kumar
Wegener's granulomatosis, Sarcoidosis, Sjögren's Syndrome, Behçet disease, Systemic lupus erythematosus, relapsing polychondritis, Churg-Strauss syndrome and Cogan syndromes are rheumatic diseases commonly encountered by otolaryngologists. The present study was designed to assess the understanding and practice about various ENT problems of rheumatic diseases amongst otolaryngologists. A group of 29 otolaryngologists was asked to fill questionnaire which was based on knowledge and practice of otolaryngologists about various otolaryngologic manifestations of rheumatic diseases...
December 2015: Indian Journal of Otolaryngology and Head and Neck Surgery
S Sharma, A Yao, S Mahalingam, R Persaud
Introduction In 2011 The Royal College of Surgeons of England (RCS) set out best practice standards for emergency surgery. This national pilot audit aimed to determine the compliance of otolaryngology departments in England with these published guidelines. Methods A 26-item online questionnaire was devised that encompassed all the 36 best practices as set out by the RCS for ear, nose and throat (ENT) surgery. This was sent to ENT trainees and consultants based at units in England providing emergency ENT services...
January 2016: Annals of the Royal College of Surgeons of England
A J Millington, A Farboud, M A Buchanan, A P Bath
1.Vagus nerve stimulation (VNS) is a valuable treatment for intractable epilepsy. Our case series is from one of the UK's only Otolaryngology Departments performing this procedure. 2.Between 2006 and 2014, fifty-six patients underwent sixty two VNS procedures. These included 51 primary implantations, 2 lead changes, 8 generator replacements (of which 5 were originally implanted elsewhere), and one explantation, with two patients lost to follow up. 3.Over half of our 'primary VNS implantation' patients experienced a reduction in seizure frequency, with many experiencing other benefits...
December 9, 2015: Clinical Otolaryngology
N Giblett, C Hari
BACKGROUND: An increasing number of inexperienced doctors are rotating through otolaryngology departments and providing care to ENT patients. Numerous acute ENT conditions require basic surgical or technical intervention; hence, effective and efficient simulation induction training has become paramount in providing a safe yet valuable educational environment for the junior clinician. Whilst simulation has developed over the years for numerous ENT skills, to date there has not been a realistic and easily reproducible model for teaching the skills to manage one of the most common ENT emergencies, a peritonsillar abscess or 'quinsy'...
February 2016: Journal of Laryngology and Otology
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