Objectives To evaluate whether elective tracheostomy is justified after tumor resection and bilateral neck dissection (ND) and whether application of tracheostomy scoring systems is reliable for planning of postoperative airway management. Study Design Retrospective cohort study. Methods We retrospectively assessed airway management in 160 patients with head and neck squamous cell carcinomas. Additionally, we applied and analyzed the 1) Cameron, 2) TRACHY, and 3) CASST tracheostomy scoring...
Wed Nov 20, 2019 19:14
Objectives/Hypothesis We aimed to determine whether there was a difference between core and surface bacteriology of Finnish adults with recurrent or chronic tonsillitis to understand whether a surface swab is worthwhile and which bacteria are involved. Study Design Case series. Methods Uninflamed tonsillar surface swabs and core biopsies were taken prior to and during surgery, respectively, in 103 patients aged 16 to 66 years undergoing tonsillectomy for recurrent or chronic tonsillitis....
Wed Nov 20, 2019 19:04
Objective Studies have demonstrated improvement in Eustachian tube dysfunction (ETD) symptomatology after functional endoscopic sinus surgery (FESS); however, factors associated with ETD symptom alteration have not been elucidated. This study evaluated factors associated with improvement and normalization of ETD symptoms after FESS. Methods A case‐control study was performed of FESS patients who had clinically significant ETD symptoms based on the Eustachian Tube Dysfunction Questionnaire‐7...
Wed Nov 20, 2019 18:58
Objectives/Hypothesis To identify the clinical predictors of descending necrotizing mediastinitis (DNM) secondary to deep neck infections (DNIs) before treatment. Study Design Retrospective case series. Methods We reviewed 73 patients with DNIs who had been treated with external drainage at our institute between April 2009 and March 2019. We divided these patients into either a DNI group without mediastinitis (n = 55) or a DNM group secondary to DNI (n = 18). We collected clinical data...
Wed Nov 20, 2019 18:55
Objectives/Hypothesis One risk of radiation therapy exposure (XRTe) is second primary thyroid cancer (SPTC). Previous reports examined this in children, but no population‐based studies have explored XRTe and SPTC across all ages or stratified by histological subtypes. Study Design Database study. Methods We report patient characteristics of a Surveillance, Epidemiology, and End Results (SEER) dataset of SPTC (n = 4,669) using χ2 and t tests. Odds ratio (OR) for SPTC was determined based...
Wed Nov 20, 2019 18:54
Objectives/Hypothesis To evaluate the usefulness of diffusion kurtosis imaging (DKI) and intravoxel incoherent motion (IVIM) in the differentiation of sinonasal malignant tumors (SNMTs) with different histological types. Study Design Retrospective observational and diagnostic study. Methods Sixty‐five patients with SNMTs who underwent DKI and IVIM were enrolled in this retrospective study, including 27 squamous cell carcinomas (SCCs), 13 olfactory neuroblastomas (ONBs), 14 malignant...
Wed Nov 20, 2019 17:40
Objectives Olfactory dysfunction is a common problem. However, too little attention has been paid to questionnaires used to evaluate quantitative olfactory dysfunction. Therefore, the current study aimed to develop a simple self‐reported Mini Olfactory Questionnaire (Self‐MOQ) for the screening of quantitative olfactory dysfunction in clinical practice. Methods Two hundred and eighty‐five patients who had subjective complaints of olfactory disorder participated. The Sniffin’ Sticks test score...
Wed Nov 20, 2019 17:28
Objectives/Hypothesis Randomized controlled trials (RCTs) play a crucial role in advancing patient care within otolaryngology–head and neck surgery (OTL‐HNS), yet studies have shown the reporting of these trials needs improvement. Here, we evaluate the completeness of intervention reporting of RCTs in OTL‐HNS and evaluate whether the publication of the Template for Intervention Description and Replication (TIDieR) checklist has influenced intervention reporting. Study Design Retrospective...
Wed Nov 20, 2019 17:10
Objective To compare awake endoscopy with Müller's maneuver (MM) during both sitting and supine positions, with drug‐induced sleep endoscopy (DISE) as regard determination of different levels, patterns, and degrees of collapse of the upper airway in adult patients with obstructive sleep apnea (OSA). Methods The study included adult patients with OSA symptoms, who had apnea hypopnea index (AHI) > 15. Patients were examined by MM in a sitting position, then during supine position; DISE then...
Wed Nov 20, 2019 17:04
Objectives/Hypothesis PENTOCLO treatment, associating pentoxifylline, tocopherol, and clodronate, resolves radiation‐induced fibrosis. The main aim of the present study was to prospectively assess efficacy in mandibular osteoradionecrosis (ORN). Study Design Prospective cohort study. Methods Twenty‐seven patients with mandibular ORN were included in the Pentoclauvergne Study between January 2014 and February 2016. After an initial 28‐day phase of antibiotic, antifungal, and corticosteroid...
Wed Nov 20, 2019 16:59
Objectives/Hypothesis To explore patient values associated with their comfort level with surgical trainees and attending surgeon absence from the operating room. Study Design Qualitative interviews with general medical patients. Methods We analyzed data from qualitative interviews with patients that included a quantitative rating on a visual analog scale (VAS) of comfort consenting to three surgical scenarios, including overlapping surgery, to identify subgroups of patients based on...
Wed Nov 20, 2019 16:55
Laryngo-Rhino-OtolDOI: 10.1055/a-1033-7600© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents | Full text
Wed Nov 20, 2019 01:00
Laryngo-Rhino-Otol 2019; 98: 758-759DOI: 10.1055/a-0996-6601© Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents | Full text
Wed Nov 20, 2019 01:00
Background: The levothyroxine absorption test for evaluation of pseudomalabsorption in patients with primary hypothyroid is not standardised. An individual in whom a workup for malabsorption is warranted remains undefined. Methods: Twenty-five euthyroid, 25 newly diagnosed hypothyroid, 25 treated hypothyroid with normalised TSH, and 25 hypothyroid subjects with elevated TSH despite adequate dose of levothyroxine for more than 6 months, and 10 euthyroid subjects with true malabsorption were administered...
Wed Nov 20, 2019 17:02
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Fabián Alzate Amaya, Liliana Invencio da Costa, Mercedes Álvarez-Buylla Blanco
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Martin Marcano Acuña, Iván Doménech Máñez, Francisco Llopis Llopis, Manuel Salvador Marín
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Eduard Esteller, Marina Carrasco, MiguelÁngel Díaz-Herrera, Javier Vila, Gabriel Sampol, Joan Juvanteny, Ramon Sieira, Alex Farré, Isabel VilasecaAbstractIn November 2014 the Spanish Society of Otolaryngology, the Spanish Sleep Society and the Spanish Society of Maxillofacial Surgery proposed and endorsed the development of a Clinical Practice Guideline on the physical examination...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Tomás Pèc)rez-Carbonell, Ignacio Pla-Gil, Antonio Morant-Ventura, Emilia Latorre-Monteagudo, M. Ignacia Pitarch-Ribas, Jaime Marco-AlgarraAbstractOsseointegrated hearing devices Power and Super-Power present indications for bone thresholds of 55 and 65 dB, respectively.We conducted a prospective observational study of a series of six cases with mixed hearing loss for whom implantation...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Juan Pablo Díaz Molina, Jorge Javier Ramírez Argueta, Ricardo Jose Ortiz Oliva, Roman Carlos Bregni, Yomara BustamanteAbstractBackground and objectiveTo describe the results of the treatment of invasive fungal sinusitis with nasal endoscopic surgery in an immunocompromised paediatric oncological population.MethodsRetrospective study of all patients diagnosed with invasive fungal...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Carlos Saga-Gutierrez, Carlos Miguel Chiesa-Estomba, Ekhiñe Larruscain, José Ángel González-García, Jon Alexander Sistiaga, Xabier AltunaAbstractIntroductionThe treatment of salivary obstructive pathology by minimally invasive techniques has been an object of assessment by different studies for decades. Lithiasis at the level of the salivary duct will be the most frequent cause...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): María Fernández-Prada, Jaime Madroñal-Menéndez, Carmen Martínez-Ortega, Pedro Ramos-Martín, Federico Fernández-Noval, Ismael Huerta-González, José Luis Llorente-Pendás, Justo Ramón Gómez-MartínezAbstractBackground and objectiveThe risk of bacterial meningitis increases in cochlear implant (CI) patients. Therefore, pneumococcal, influenza and Haemophilus influenzae type b (Hib)...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Gemma Garmendia Merino, Helena Bascuñana AmbrósAbstractIntroduction and objectivesThe objective of this paper was to show our experience and considerations when quantifying hyoid bone displacement and to observe its correlation with the qualitative scales that evaluate dysphagia.MethodsHyoid displacement was assessed using the method described by Molfenter and Steele’s group...
Wed Nov 20, 2019 19:14
Publication date: November–December 2019Source: Acta Otorrinolaringologica (English Edition), Volume 70, Issue 6Author(s): Xavier León, Montserrat López, Jacinto García, Carlota Rovira, María Casasayas, Miquel QuerAbstractIntroduction and objectivesThe treatment of locally advanced carcinomas of the hypopharynx may include surgery or several combinations of radiotherapy and chemotherapy as organ preservation strategies. The objective of the present study is to analyze the results of locally advanced...
Wed Nov 20, 2019 19:14
Publication date: Available online 20 November 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Sunil Dutt Sharma, Andy Hall, Anthony C. Bartley, Paul Bassett, Arvind Singh, Ravi LingamAbstractObjectiveTo assess the diagnostic performance in detecting primary cholesteatoma at various anatomical subsites using Computed Tomography (CT), Diffusion-weighted Magnetic Resonance Imaging (DWMRI) and Fusion of CT and DWMRI (Fusion CT-MRI) images.Study DesignA retrospective study...
Wed Nov 20, 2019 18:42
Publication date: Available online 19 November 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Kasey W. Rawlins, Kevin Y. Zhan, Jameson K. Mattingly, Alex Feldman, Oliver F. AdunkaAbstractA 15-year-old female presented for evaluation of progressive hearing loss over a year. Computed tomographic imaging revealed a 11 x 6 x 6 mm osseous lesion with 'groundglass' appearance within the left posterior petrous bone lateral to vestibular aqueduct suspicious for an endolymphatic...
Wed Nov 20, 2019 18:42
Conditions: Neck Pain; Headache; Musculoskeletal Diseases; Adherence, Patient; Absenteeism; Workplace; Health Promotion; Ergonomics; Efficiency; Presenteeism; Occupational Health; Surveys and Questionnaires; Adult; Exercise Therapy; Work PerformanceInterventions: Other: Multi-component intervention; Other: ControlSponsors: Zurich University of Applied Sciences; Swiss National Science FoundationRecruiting
Wed Nov 20, 2019 17:52
Performance of White Light, NBI and Iodine Staining Endoscopy in the Diagnosis of Esophageal Lesions
Conditions: Mild Dysplasia of Esophagus; Moderate Dysplasia of Esophagus; Severe Dysplasia of Esophagus; Carcinoma in Situ of Esophagus; Esophageal Squamous Cell CarcinomaIntervention: Diagnostic Test: Endoscopic examination using white light, NBI and iodine stainingSponsor: Beijing Cancer HospitalRecruiting
Wed Nov 20, 2019 17:52
J Neurol Surg B 2019; 80: S339-S340DOI: 10.1055/s-0039-3400246Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals:Table of contents | open access Full text
Tue Nov 19, 2019 01:00
Rhinophyma represents a progressive deformity of the nose which leads to cosmetic disfigurement and has a significant impact on the patient’s quality of life. This pathological entity originates from hyperplasia of sebaceous gland tissue, connective tissue, and vessels of the nose and is associated with rosacea and more specifically, stage III rosacea. Surgical treatment is the method of choice. We present five cases of rhinophyma that we treated with microdebrider-assisted excision. The procedure...
Wed Nov 20, 2019 11:05
Parotidectomy is a common treatment option for parotid neoplasms and the complications associated with this procedure can cause significant morbidity. Reconstruction following parotidectomy is utilized to addr...
Tue Nov 19, 2019 02:00
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