This review explores the changes to practice associated with COVID-19 for providers treating patients with head and neck cancer and laryngeal pathology. The aim of the review is to highlight some of the challenges and considerations associated with treating this patient population during the pandemic. Additionally, it seeks to discuss some of the areas of concern related to ramping up clinical volume.
Sat Aug 22, 2020 03:00
The severe acute respiratory syndrome corona virus 2 (SARS-CoV-2), responsible for the worldwide COVID-19 pandemic, has caused unprecedented changes to society as we know it. The effects have been particularly palpable in the practice of medicine. The medical community now has to re-evaluate everything we do on a daily basis, practices once deemed routine are now scrutinized. The field of otolaryngology has not been spared. We’ve had to significantly alter the way we provide care to patients, changes...
Sat Aug 22, 2020 03:00
The development and acceptance of transoral robotic surgery from an experimental procedure to widespread acceptance in the management of head and neck cancers and other disease states occurred over the course of about a decade, from 2005 to 2015. Transoral robotic surgery has cemented its’ place in the treatment of pharyngeal and laryngeal cancer. Education and training was key to broad use and acceptance. This article traces the history and evolution of transoral robotic surgery to its current practice....
Fri Aug 21, 2020 03:00
Robotic-assisted surgery embodies the latest in technological advancement and is being applied to operative management of patients. The current concept of robotic surgery involves performance of surgical procedures by using small wristed instruments attached to a robotic arm. Its extension to otolaryngology is only natural, because it allows for precise surgery through anatomic orifices, often allowing for preservation of critical anatomic structures and functions. Transoral robotic surgery is an...
Fri Aug 21, 2020 03:00
This combined American Neurotology Society, American Otological Society, and American Academy of Otolaryngology – Head and Neck Surgery Foundation document aims to provide guidance during the coronavirus disease of 2019 (COVID-19) on 1) “priority” of care for otologic and neurotologic patients in the office and operating room, and 2) optimal utilization of personal protective equipment. Given the paucity of evidence to inform otologic and neurotologic best practices during COVID-19, the recommendations...
Thu Aug 20, 2020 03:00
Publication date: Available online 22 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Hiroshi Fukumasa, Masayoshi Tsuda, Ryo Ninomiya, Masashi Kobayashi, Kazutaka Nishiyama, Ayami Ito, Yukihiro Tasaki, Masano Amamoto
Sun Aug 23, 2020 19:35
Publication date: Available online 22 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Yuko Kataoka, Maeda Yukihide, Kunihiro Fukushima, Akiko Sugaya, Akiko Shigehara, Shin Kariya, Kazunori Nishizaki
Sun Aug 23, 2020 19:35
Publication date: Available online 22 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Louis F. Insalaco, Emily Karp, Hanan Zavala, Sivakumar Chinnadurai, Robert Tibesar, Brianne Barnett Roby
Sun Aug 23, 2020 19:35
Publication date: Available online 20 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Alanna M. Windsor, Ian Jacobs
Fri Aug 21, 2020 17:12
Objectives/Hypothesis To investigate the definition of a clear margin and the use of frozen section (FS) among practicing head and neck surgeons in oral cancer management. Study Design Cross‐sectional survey. Methods We designed a survey that was sent to American Head and Neck Society (AHNS) members via an email link. Results A total of 185 (13% of 1,392) AHNS members completed our survey. Most surgeons surveyed (96.8%) use FS to supplement oral cavity squamous cell carcinoma resections....
Sat Aug 22, 2020 17:11
Development of In‐Office Laryngeal Nerve Conduction Studies: Computed Tomography and Cadaveric Study
Objectives/Hypothesis In‐office recurrent laryngeal nerve conduction studies (NCSs) are a technique that can potentially provide information about laryngeal innervation. NCS is essential in the management of other neuropathies including carpal tunnel syndrome and spinal cord injury. We hypothesize that laryngeal NCS may have similar utility in managing patients with vocal fold paralysis, atrophy, and neurodegenerative disease. NCSs are technically challenging because they require transcervical stimulation...
Sat Aug 22, 2020 16:44
Objectives/Hypothesis The need for class I and II studies on the efficacy of liberatory maneuvers in the treatment of lateral canal benign paroxysmal positional vertigo (LC‐BPPV) motivated the present double‐blind randomized trial on the short‐term efficacy of the forced prolonged position (FPP). Study Design Double‐blind, randomized controlled trial. Methods Two hundred twenty‐one patients with unilateral LC‐BPPV met the inclusion criteria for a multicentric study. Patients were randomly...
Fri Aug 21, 2020 21:08
Objectives Head and neck cancer (HNC) incidence has been increasing worldwide. We investigated the familial aggregation of developing HNC if a first‐degree relative (FDR) is affected in a large database. Methods This retrospective study utilized Taiwan National Health Insurance Database to assemble a cohort of all registered beneficiaries from 1997 to 2013 and identified diagnosed HNC patients with affected FDRs. Results Of the 55,916 individuals diagnosed with HNC, 566 (1.01%) had affected...
Fri Aug 21, 2020 14:22
Objectives/Hypothesis Obstructive sleep apnea (OSA) and sickle cell disease (SCD) represent two complex disease processes. Current guidelines recommend that children with SCD receive polysomnography (PSG) after presenting with signs or symptoms of sleep‐disordered breathing (SDB). Recent studies suggest a disproportionately elevated prevalence of SDB in the population of children with SCD, and traditional risk factors may not be evident within these patients. Further objective testing might be needed...
Thu Aug 20, 2020 20:20
Objectives To evaluate the safety and feasibility of cochlear implantation (CI) in irradiated ears of nasopharyngeal carcinoma (NPC) patients. Study Design A retrospective study. Methods From 2008 to 2017, 10 adults with binaural severe or profound sensorineural hearing loss subsequent to radiotherapy for NPC underwent CI in our center. The mean follow‐up was 63.2 months. Hearing and speech performance were evaluated pre‐ and postoperatively with audiometric and speech discrimination...
Thu Aug 20, 2020 15:07
Background: Medullary thyroid cancer (MTC) is a neuroendocrine tumour and a rare variant of thyroid cancer with different aetiology, presentation and treatment to differentiated thyroid cancer. Currently available thyroid cancer-specific quality of life (QoL) tools focus on issues and treatments more relevant to patients with differentiated thyroid cancer and therefore may not address issues specific to a MTC diagnosis and cancer journey. Method: This prospective multicentre randomised study involved...
Sun Aug 23, 2020 17:41
Introduction: Analytical problems should be considered in case of a discrepancy between the results of biochemical tests and the clinical findings. Macro-hormones often artefactually elevate biochemical tests. Case Presentation: A young male was referred with persistently elevated TSH (148 mIU/L) measured by a sandwich electrochemiluminescence immunoassay, ECLIA (Cobas; Roche, Basel, Switzerland). The patient’s complaints were unspecific, and he appeared clinically euthyroid. The plasma levels of...
Fri Aug 21, 2020 09:09
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