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    3456 results match your criteria American Journal of Otolaryngology[Journal]

    1 OF 70

    Prognostic significance of HPV status in the re-irradiation of recurrent and second primary cancers of the head and neck.
    Am J Otolaryngol 2018 Feb 7. Epub 2018 Feb 7.
    Department of Radiation Oncology, University of California, Los Angeles, David Geffen School of Medicine, United States. Electronic address:
    Purpose: To evaluate the prognostic significance of human papillomavirus (HPV) status among patients treated by salvage radiation therapy for local-regional recurrences and second primary cancers of the head and neck arising in a previously irradiated field.

    Methods And Materials: The medical records of 54 consecutive patients who underwent re-irradiation for squamous cell carcinoma of the head and neck occurring in a previously irradiated field were reviewed. Only patients with biopsy-proven evidence of recurrent disease that had previously been treated with doses of radiation therapy of at least 60 Gy were included. Read More

    Response to comment: Eustachian tube diameter: Is it associated with chronic otitis media development?
    Am J Otolaryngol 2018 Feb 3. Epub 2018 Feb 3.
    Gaziosmanpaşa Taksim Education and Research Hospital Otolaryngology Department, Karayolları Mahallesi, Osmanbey Caddesi 616 Sok. No:10 Gaziosmanpaşa, Istanbul, Turkey.

    Salvage of recurrence after surgery and adjuvant therapy: A systematic review.
    Am J Otolaryngol 2018 Feb 2. Epub 2018 Feb 2.
    Washington University, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, United States.
    Purpose: To determine the oncologic and functional outcomes of patients undergoing salvage surgery for recurrent head and neck squamous cell carcinoma after initial management with surgery and adjuvant therapy.

    Data Sources: Ovid Medline, Embase, Scopus, Cochrane Central Register of Controlled Trials, Database of Abstracts of Reviews of Effects, Cochrane Database of Systematic Reviews, and Clinicaltrials.gov. Read More

    Preoperative laboratory data are associated with complications and surgical site infection in composite head and neck surgical resections.
    Am J Otolaryngol 2018 Jan 31. Epub 2018 Jan 31.
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
    Objectives: 1) Describe normal/abnormal preoperative laboratory testing incidence in head and neck (H&N) composite resections and 2) determine complication, surgical site infection (SSI), and transfusion predictors by laboratory test.

    Methods: The 2006 to 2013 NSQIP databases were queried for H&N composite resections. Laboratory data was categorized within, under, or above the normal reference range according to NSQIP definitions. Read More

    A rare primary leiomyosarcoma of the parotid gland: A case report and literature review.
    Am J Otolaryngol 2018 Jan 27. Epub 2018 Jan 27.
    Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai Hospital, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA.
    Background: Leiomyosarcoma of the head and neck region is very rare. Primary parotid leiomyosarcoma has only been reported nine times in the medical literature.

    Methods: A 68-year-old female presented with a left facial mass. Read More

    Simple laryngeal suspension procedure by suturing the digastric muscle to the periosteum of the mandible in neck dissection for tongue cancer.
    Am J Otolaryngol 2018 Jan 23. Epub 2018 Jan 23.
    Department of Otorhinolaryngology, Head and Neck Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-cho, Aoba-ku, Sendai 980-8575, Japan.
    Purpose: In this article, a simple, new laryngeal suspension procedure is described. The effect of hyoid bone suspension by suturing the digastric muscle to the periosteum of the mandible is analyzed.

    Materials And Methods: To elucidate the effect of hyoid bone suspension, CT scans of 26 patients who underwent ipsilateral neck dissection with primary resection of tongue cancer were retrospectively reviewed, and the distance between the hyoid bone and the mandible was measured on the operated and unoperated sides of the neck. Read More

    Pediatric Cochlear implant soft failure.
    Am J Otolaryngol 2017 Dec 19. Epub 2017 Dec 19.
    Pediatric Ear-Nose-Throat Unit, Schneider Children's Medical Center of Israel, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Purpose: Hard cochlear implant failures are diagnosed by objective tests whereas soft failures are suspected on the basis of clinical signs and symptoms. This study reviews our experience with children in tertiary pediatric medical center who underwent revision cochlear implantation, with emphasis on soft failures.

    Materials And Methods: Children (age<18years) who underwent revision cochlear implantation from 2000 to 2012 were identified by database search. Read More

    Safety and efficacy of intratympanic ciprofloxacin otic suspension post-tubes in a real-world pediatric population.
    Am J Otolaryngol 2017 Dec 21. Epub 2017 Dec 21.
    Department of Otolaryngology, Children's Hospital Colorado, 13123 East 16th Avenue, B455, Aurora, CO 80045, United States. Electronic address:
    Purpose: Otorrhea frequently follows tympanostomy tube (TT) placement. We evaluated otorrhea following single 6mg OTO-201 (OTIPRIO®, ciprofloxacin otic suspension 6%) intraoperative injection into each middle ear in a variety of effusion types and concurrent procedures in children undergoing TT placement.

    Secondary Objective: Efficacy based on Medicaid status and safety. Read More

    Tonsillectomy sparing transoral robot assisted styloidectomy.
    Am J Otolaryngol 2018 Jan 23. Epub 2018 Jan 23.
    Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, United States. Electronic address:
    Eagle Syndrome can present with a variety of symptoms and be caused by an elongated styloid process or calcified stylohyoid ligament. Patients failing medical management of this disorder may be treated with surgical excision of the styloid process. In the literature, transoral and transcervical approach have both been described. Read More

    Thirty-day readmissions following parathyroidectomy: Evidence from the National Readmissions Database, 2013-2014.
    Am J Otolaryngol 2018 Jan 10. Epub 2018 Jan 10.
    University of Miami Miller School of Medicine, Miami, FL, USA.
    Purpose: Parathyroidectomy is one of the most common procedures performed in the United States, and are increasingly being performed safely in the outpatient setting. However, complications from surgery can be life-threatening, and thus an understanding of who may be at risk is essential. We analyzed and compared the risk factors for patients readmitted within 30 days following inpatient parathyroidectomy for primary or secondary hyperparathyroidism. Read More

    Surgical management of pulsatile tinnitus secondary to jugular bulb or sigmoid sinus diverticulum with review of literature.
    Am J Otolaryngol 2017 Dec 29. Epub 2017 Dec 29.
    Department of Otolaryngology-Head & Neck Surgery, Changi General Hospital, Singapore.
    Introduction: Jugular bulb and sigmoid sinus anomalies are well-known causes of vascular pulsatile tinnitus. Common anomalies reported in the literature include high-riding and/or dehiscent jugular bulb, and sigmoid sinus dehiscence. However, cases of pulsatile tinnitus due to diverticulosis of the jugular bulb or sigmoid sinus are less commonly encountered, with the best management option yet to be established. Read More

    Image analysis of the interarytenoid area to detect laryngopharyngeal reflux disease.
    Am J Otolaryngol 2018 Jan 4. Epub 2018 Jan 4.
    Department of Anatomy and Experimental Oncology, Mons School of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, Université Libre de Bruxelles, Brussels, Belgium.

    Combined use of a nanocarbon suspension andTc-MIBI for the intra-operative localization of the parathyroid glands.
    Am J Otolaryngol 2017 Dec 13. Epub 2017 Dec 13.
    Department of Head and Neck Surgery, RenJi Hospital, Shanghai JiaoTong University, School of Medicine, Shanghai 200001, China. Electronic address:
    Objective: To investigate the combined use of a nanocarbon (NC) suspension and low-doseTc-MIBI for parathyroid localization during surgery in patients with secondary hyperparathyroidism (sHPT).

    Methods: Between March 2010 and September 2015, 40 patients with sHPT were enrolled in this study and were randomized to receive either low-doseTc-MIBI+NC (group I) or low-doseTc-MIBI (group II). Pre- and post-operative serum levels of intact PTH (iPTH), calcium and phosphorus between groups were compared and the intra-operative radioactive counts of the parathyroid glands were measured. Read More

    Effect of transcranial direct current stimulation on short-term and long-term treatment of chronic tinnitus.
    Am J Otolaryngol 2018 Jan 6. Epub 2018 Jan 6.
    Department of Otorhinolaryngology-Head and Neck Surgery, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:
    Objective: This study was conducted to investigate the effectiveness of anodal and cathodal methods in reducing the intensity of tinnitus and to compare them with the control.

    Methodology: This randomized double-blind clinical trial with case and control groups was conducted in Al-Zahra Hospital in Isfahan between 2015 and 2016. In this trial, 51 patients with tinnitus, for at least one year, were selected among those outpatients visiting the throat, nose and ear clinic within this period. Read More

    Risk factors of sensorineural hearing loss in patients with unilateral safe chronic suppurative otitis media.
    Am J Otolaryngol 2018 Jan 5. Epub 2018 Jan 5.
    Otolaryngology, Head and Neck Department, Police Academy Hospital, Cairo, Egypt.
    Purpose: Chronic suppurative otitis media (CSOM) is the major cause of hearing impairment, especially conductive hearing loss. Few patients also had sensorineural component, the sensorineural hearing loss (SNHL) in CSOM is controversial, especially for safe mucosal type. This study aims to assess the relationship between the frequency of SNHL development in patients with safe mucosal CSOM and its relation to patient's age, sex, duration of disease, size of perforation and different audiological findings. Read More

    Primary mucinous eccrine carcinoma of the buccal space: A case report and review of the literature.
    Am J Otolaryngol 2018 Jan 5. Epub 2018 Jan 5.
    Department of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
    Importance: Mucinous eccrine carcinoma is a rare entity that most commonly affects the head and neck. Due to its low frequency of occurrence, review of its etiology, histopathology, and treatment strategies is beneficial to all clinicians who may encounter similar appearing masses.

    Observation: An 84-year-old male presented with a blue mass on the left cheek. Read More

    Inhalant allergen sensitization is an independent risk factor for the development of angioedema.
    Am J Otolaryngol 2017 Dec 27. Epub 2017 Dec 27.
    Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston, MA 02118, United States. Electronic address:
    Background/objective: The etiology and risk factors for angioedema remain poorly understood with causative triggers often going undiagnosed despite repeated reactions. The purpose of this study was to determine the relationship between inhalant allergen sensitization and angioedema.

    Methods: A retrospective review of patients who had in vitro inhalant allergy testing from 2006 to 2010 was performed. Read More

    Gastro-pharyngeal reflux and total laryngectomy. Increasing knowledge about its management.
    Am J Otolaryngol 2017 Dec 11. Epub 2017 Dec 11.
    Clinic of Otorhinolaryngology, Department of Surgery and Translational Medicine, University of Florence, Via Largo Brambilla 3, 50134 Florence, Italy.
    Purpose: Investigate the incidence, the degree and the effect of gastro-pharyngeal reflux (GPR) in laryngectomised patients.

    Materials And Methods: Behavioral and 24-hour pH- and impedance-monitoring data were prospectively analyzed for 25 laryngectomised patients with no previous history of GER in outpateints' setting. Reflux detected was characterized as either acid, weakly acidic or nonacid. Read More

    Mycology of chronic suppurative otitis media-cholesteatoma disease: An evaluative study.
    Am J Otolaryngol 2017 Dec 2. Epub 2017 Dec 2.
    Department of Otorhinolaryngology-Head & Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, Shaheed Bhagat Singh Marg, New Delhi 110001, India.
    Aims & Objectives: To detect the prevalence of fungus in chronic suppurative otitis media-cholesteatoma disease and to evaluate its clinical significance.

    Study Design: Prospective observational study conducted in a sample size of 46 patients at a tertiary care university teaching hospital.

    Materials & Methods: Forty six patients suffering from chronic suppurative otitis media-cholesteatoma disease were recruited in this prospective study. Read More

    A novel method to measure the external auditory canal: Normative data and practical implications.
    Am J Otolaryngol 2017 Dec 14. Epub 2017 Dec 14.
    Otolaryngology - Head & Neck Surgery, Virginia Commonwealth University, Richmond, VA, United States. Electronic address:
    Purpose: To accurately measure external auditory canal (EAC) dimensions by high resolution computed tomography (CT), and compare results with a traditional method of EAC measurement.

    Methods: Using an advanced multidimensional open source digital imaging and communications in medicine (DICOM) analysis program (OsiriX, Pixmeo, Geneva, Switzerland) 91 adult EACs were analyzed on a previously obtained temporal bone CT scan. Tympanometric data were also recorded for each ear. Read More

    Comparison of transcanal endoscopic tympanoplasty with sterile acellular dermal allograft to conventional endaural microscopic tympanoplasty with tragal perichondrium.
    Am J Otolaryngol 2017 Dec 7. Epub 2017 Dec 7.
    Department of Otorhinolaryngology-Head and Neck Surgery, Jeju National University School of Medicine, Jeju, Republic of Korea. Electronic address:
    Objectives: This study aimed to compare the outcome of endoscopic tympanoplasty with sterile acellular dermal allograft (ADA) and conventional endaural microscopic tympanoplasty with tragal perichondrium.

    Methods: This was a retrospective comparative study of 53 patients (25 males and 28 females) with tympanic membrane perforation who underwent type I tympanoplasty in the department of otorhinolaryngology at a tertiary medical center from March 2011 to April 2017. The subjects were classified into two groups; transcanal endoscopic tympanoplasty with ADA (TET, n=26), conventional endaural microscopic tympanoplasty with autologous tragal perichondrium (EMT, n=27). Read More

    Is tracheotomy on the decline in otolaryngology? A single institutional analysis.
    Am J Otolaryngol 2017 Dec 20. Epub 2017 Dec 20.
    Cleveland Clinic Head and Neck Institute, 9500 Euclid Ave A71, Cleveland, OH 44106, USA. Electronic address:
    Objective: A recent study reported decreasing trends in tracheotomy procedures by its otolaryngology service. We set out to determine whether the previously reported decrease in otolaryngology performed tracheotomies by one institution is a local or generalizable phenomenon.

    Design: Retrospective cohort study from 2010 to 2015. Read More

    Reconstruction of a skull base defect after endoscopic endonasal resection of a pituitary adenoma: Sphenoid mucosal flaps.
    Am J Otolaryngol 2017 Dec 20. Epub 2017 Dec 20.
    Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
    This report describes a bilateral sphenoid sinus mucosal flap for the repair of a sellar floor defect and CSF leak following endoscopic endonasal skull base surgery. The key advantage of this technique is enabling the sphenoid mucosal flaps to remain vascularized, which reduces postoperative complications including CSF leakage, recurrent sinusitis, meningitis, encephalitis and pneumocephalus. The use of this technique is a viable and possibly favorable alternative to free grafts in the reconstruction of small to medium sized sellar defects with low flow or absent CSF leaks base surgery. Read More

    Primary surgical management with radial forearm free flap reconstruction in T4 oropharyngeal cancer: Complications and functional outcomes.
    Am J Otolaryngol 2017 Dec 18. Epub 2017 Dec 18.
    Mayo Clinic, Department of Otorhinolaryngology, Rochester, MN, United States. Electronic address:
    Purpose: Functional outcomes and complication rates after open surgery for advanced-stage oropharyngeal cancers are rarely reported. These measures are critical for choice of treatment modality and patient counseling. We describe the long term functional outcomes and associated complications of primary surgical management of T4 oropharyngeal cancers reconstructed with radial forearm free flaps. Read More

    Voice and swallowing outcomes following hypoglossal nerve stimulation for obstructive sleep apnea.
    Am J Otolaryngol 2017 Dec 15. Epub 2017 Dec 15.
    Cleveland Clinic Head and Neck Institute, 9500 Euclid Ave., A71, Cleveland, OH 44106, United States. Electronic address:
    Objective: Hypoglossal nerve stimulation is an effective treatment for a subset of patients with Obstructive Sleep Apnea (OSA). Although multiple clinical trials demonstrate its efficacy, no previous literature explores the potential impact the stimulator has on swallowing and voice. Our primary objective is to evaluate patient reported post-operative changes in voice or swallowing following hypoglossal nerve stimulator placement. Read More

    MRI screening of the internal auditory canal: Is gadolinium necessary to detect intralabyrinthine schwannomas?
    Am J Otolaryngol 2017 Dec 13. Epub 2017 Dec 13.
    Department of Radiology, Mayo Clinic, Rochester, MN, USA. Electronic address:
    Objective: Non-contrast MRI of the internal auditory canal (IAC) using high-resolution T2WI (T2 weighted image) has been proposed as the primary screening study in patients with sudden or asymmetric sensorineural hearing loss (ASNHL). However, there are concerns that non-contrast MRI may not detect labyrinthine pathology, specifically intralabyrinthine schwannomas (ILSs). The purpose of this study was to determine if non-contrast high-resolution T2WI alone are adequate to exclude these uncommon intralabyrinthine tumors. Read More

    Reliability of temporal bone high-resolution CT in patients with facial paralysis in temporal bone fracture.
    Am J Otolaryngol 2017 Dec 5. Epub 2017 Dec 5.
    Department of Otolaryngology Head and Neck Surgery, Peking University Health Science Center, Beijing 100191, People's Republic of China.
    Objective: This study aimed to investigate the reliability of temporal bone high-resolution CT (HRCT) in patients with traumatic facial paralysis.

    Methods: HRCT with cross-sectional scanning and multi-planar reformation (MPR) was performed on 26 cases with traumatic facial paralysis, and the preoperative imaging manifestations were compared with surgical findings.

    Results: Preoperative HRCT revealed fallopian canal damage at the posterior genu in 1 case, geniculate ganglion in 22 cases, labyrinthine segment in 4 cases, tympanic segment in 13 cases and mastoid segment in 0 case, while surgical findings confirmed fallopian canal damage at the posterior genu in 7 cases, geniculate ganglion in 23 cases, labyrinthine segment in 4 cases, tympanic segment in 17 cases and mastoid segment in 7 cases. Read More

    Symptomatic unilateral vocal fold paralysis following cardiothoracic surgery.
    Am J Otolaryngol 2017 Dec 6. Epub 2017 Dec 6.
    Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, MN 55905, USA. Electronic address:
    Purpose: Unilateral vocal fold paralysis (UVFP) is a complication associated with cardiothoracic procedures that presents clinically as dysphonia and/or dysphagia with or without aspiration. The literature lacks both data on recovery of mobility and consensus on best management. Herein, our goals are to 1) Identify cardiothoracic procedures associated with symptomatic UVFP at our institution; 2) Review timing and nature of laryngology diagnosis and management; 3) Report spontaneous recovery rate of vocal fold mobility. Read More

    A novel technique for superior-based pharyngeal flaps: 10-year results with formal speech outcomes assessment.
    Am J Otolaryngol 2017 Dec 11. Epub 2017 Dec 11.
    Ochsner Clinic Foundation Department of Otolaryngology - Head & Neck Surgery, New Orleans, LA, USA.
    Purpose: Describe a novel technique for superior-based pharyngeal flaps allowing restoration of bulk to the soft palate and intraoperative fine-tuning of lateral port size, while avoiding midline palate-splitting. Validated speech assessment tools are employed for quantitative analysis.

    Methods: Retrospective review of all patients who underwent superior-based pharyngeal flap in a 10-year period by a single surgeon. Read More

    Intestinal permeability and Ménière's disease.
    Am J Otolaryngol 2017 Dec 5. Epub 2017 Dec 5.
    Center for Prevention and Diagnosis of Celiac Disease, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
    Purpose: Ménière disease (MD) is a multifactorial chronic disabling condition characterized by episodic vertigo, ear fullness, and hearing loss. MD patients often complain of aspecific gastrointestinal symptoms associated with autonomic dysregulation, frequently outweighed by the otological manifestations. Dietary modifications have been reported to improve the typical MD symptoms in some cases. Read More

    Image analysis of interarytenoid area to detect cases of Laryngopharyngeal Reflux: An objective method.
    Am J Otolaryngol 2017 Nov 28. Epub 2017 Nov 28.
    Department of Otorhinolaryngology and Head Neck Surgery, Lady Hardinge Medical College and Associated Hospitals, Shaheed Bhagat Singh Marg, New Delhi 110001, India.
    Purpose: To diagnose Laryngopharyngeal Reflux by observing colour (Red, Green, Blue) at the interarytenoid area during 70° laryngeal endoscopy.

    Materials And Methods: Endoscopic images from 50 normal controls and 50 patients of LPR were obtained in this observational study. LPR patients were selected on the basis of RSI and RFS. Read More

    The extent of surgery for benign parotid pathology and its influence on complications: A prospective cohort analysis.
    Am J Otolaryngol 2017 Nov 29. Epub 2017 Nov 29.
    Department of Otolaryngology, Head and Neck Surgery, Whangarei Base Hospital, Northland, New Zealand.
    Background: The surgical management of benign parotid tumors is aimed at complete extirpation of the mass with preservation of facial nerve function. There is a relative paucity of literature pertaining to complications after benign parotid surgery and related risk factors. We aim to critically review the outcomes following treatment of benign parotid pathology when surgery entailed either complete superficial parotidectomy (CSP), partial superficial parotidectomy (PSP) or extracapsular dissection (ECD). Read More

    The malleus cap: Anatomic description of cartilage of the lateral process of the malleus.
    Am J Otolaryngol 2017 Oct 25. Epub 2017 Oct 25.
    Department of Surgery, Section of Otolaryngology, Yale School of Medicine 800, Howard, Avenue New Haven, CT 06519, United States.
    Purpose: To anatomically describe a cartilaginous cap attached to the lateral process of the malleus.

    Study Design: Histologic and gross anatomic review.

    Methods: Twenty temporal bones were histologically reviewed. Read More

    ACS NSQIP risk calculator reliability in head and neck oncology: The effect of prior chemoradiation on NSQIP risk estimates following laryngectomy.
    Am J Otolaryngol 2017 Nov 13. Epub 2017 Nov 13.
    Department of Otolaryngology Head and Neck Surgery and Communicative Disorders. Electronic address:
    Purpose: To determine whether inclusion of chemoradiation history increases estimated risk for complications following total laryngectomy using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) Surgical Risk Calculator.

    Materials And Methods: A retrospective review of 96 patients with laryngeal cancer, approximately half of who had received prior chemoradiation, who underwent laryngectomy between January 2010 and December 2014. NSQIP estimates were calculated and compared to actual event occurrence using receiver operating characteristic (ROC) curves, Brier scores, and risk estimates. Read More

    Application of endoscopy in otology: Changes over the last 8years in Korean Otological Society.
    Am J Otolaryngol 2017 Sep 22. Epub 2017 Sep 22.
    Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine, Yangsan Pusan National University Hospital, Yangsan, Republic of Korea. Electronic address:
    Objectives: Despite the worldwide availability of endoscope in otology, it still has not replaced the microscopic surgery as it has for nose surgery. In 2008, we administered a questionnaire on the preference of using otoscopes in Korea. In light of the worldwide availability of endoscopic ear surgery, we have now conducted a more detailed survey to determine if this preference has changed over 8years. Read More

    Total caloric eye speed in patients with vestibular migraine.
    Am J Otolaryngol 2017 Nov 14. Epub 2017 Nov 14.
    Saint Louis University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, 3635 Vista Ave., 6FDT, St. Louis, MO 63110, USA. Electronic address:
    Purpose: Vestibular migraine is a common cause of dizziness that lacks a known objective test. This study examined total eye speed on caloric testing as a diagnostic marker for vestibular migraine.

    Materials And Methods: Retrospective chart review of patients seen in a tertiary otologic practice between 2004 and 2016 who had undergone caloric testing with water irrigation and had a diagnosis of vestibular migraine (n=34). Read More

    Development and face validation of a Virtual Reality Epley Maneuver System (VREMS) for home Epley treatment of benign paroxysmal positional vertigo: A randomized, controlled trial.
    Am J Otolaryngol 2017 Nov 14. Epub 2017 Nov 14.
    Guided Therapeutics Lab, Techna Institute, 101 College St, Toronto, ON M5G 1L7, Canada; Department of Otolaryngology, University of Toronto, 190 Elizabeth Street, Toronto, ON M5G 2C4, Canada.
    Purpose: To develop and validate a smartphone based Virtual Reality Epley Maneuver System (VREMS) for home use.

    Methods: A smartphone application was designed to produce stereoscopic views of a Virtual Reality (VR) environment, which when viewed after placing a smartphone in a virtual reality headset, allowed the user to be guided step-by-step through the Epley maneuver in a VR environment. Twenty healthy participants were recruited and randomized to undergo either assisted Epleys or self-administered Epleys following reading instructions from an Instructional Handout (IH). Read More

    Tailored resections in oral and oropharyngeal cancer using narrow band imaging.
    Am J Otolaryngol 2017 Nov 10. Epub 2017 Nov 10.
    ENT Clinic, Head and Neck Department, Azienda Sanitaria Universitaria Integrata di Trieste, Strada di Fiume 447, 34149 Trieste, Italy. Electronic address:
    Purpose: In a previous pilot study we observed that intra-operative narrow-band imaging (NBI) helps achieve clear superficial resection margins. The aim of this study was to verify if the use of intra-operative NBI can help to obtain tailored resections and if it is influenced by the lesion site, aspects not investigated in our previous study.

    Materials And Methods: The resection margins of 39 oral and 22 oropharyngeal squamous cell carcinomas were first set at 1. Read More

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