3,525 results match your criteria American Journal of Otolaryngology[Journal]


Adherence to Continuous Positive Airway Pressure therapy in Singaporean patients with Obstructive Sleep Apnea.

Am J Otolaryngol 2018 May 26. Epub 2018 May 26.

Department of Otolaryngology-Head and Neck Surgery, Changi General Hospital, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Singapore University of Technology and Design, Singapore.

Purpose: To investigate the rates of Continuous Positive Airway Pressure (CPAP) uptake and adherence amongst Singaporean patients diagnosed with Obstructive Sleep Apnea (OSA), and to evaluate factors correlated with CPAP uptake and adherence.

Study Design: Retrospective review of medical records.

Methods: Medical records were reviewed for baseline demographics, daytime sleepiness, presence of nasal symptoms and OSA severity, initial treatment choice, the rate of CPAP treatment uptake and CPAP adherence at 1 and 12 months. Read More

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Is imaging of the brain necessary at diagnosis for cutaneous head and neck melanomas?

Am J Otolaryngol 2018 Jun 8. Epub 2018 Jun 8.

Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, SC, United States.

Objective: To evaluate the frequency of brain metastasis at the time of diagnosis for patients with cutaneous head and neck melanoma (CHNM).

Methods: Patients in the Surveillance, Epidemiology, and End Results (SEER) database were included from 2010 to 2014 based on a diagnosis of CHNM using ICD O-3 histology codes and primary site location documentation. Patients were also included if they had a "yes" or "no" documented in the "Mets at Dx-Brain" category. Read More

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Hypoglossal nerve stimulator generator migration: INSPIRE device reimplantation with parallels to cardiac implantable electronic devices.

Am J Otolaryngol 2018 Jun 11. Epub 2018 Jun 11.

University of Minnesota Department of Otolaryngology, Head and Neck Surgery, Minneapolis, MN 55455, United States of America. Electronic address:

Implantation rates of hypoglossal nerve stimulators, such as INSPIRE, are increasing. The device is still in its early stages of complication reporting, which to date includes implant related infection requiring device removal, and stimulation lead cuff dislodgement requiring replacement. Here we present a 48-year-old female who experienced generator migration and stimulator lead tension requiring an additional operation in order to resecure the generator device. Read More

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Shorter interval between radiation therapy and salvage laryngopharyngeal surgery increases complication rates following microvascular free tissue transfer.

Am J Otolaryngol 2018 Jun 6. Epub 2018 Jun 6.

Department of Otolaryngology - Head and Neck Surgery, University of California, San Francisco, CA, USA. Electronic address:

Purpose: To evaluate how the interval between radiation and salvage surgery for advanced laryngeal cancer with free tissue transfer reconstruction influences complication rates.

Materials And Methods: This is a retrospective series of 26 patients who underwent salvage laryngectomy or laryngopharyngectomy with vascularized free tissue reconstruction (anterolateral thigh or radial forearm) following radiation or chemoradiation between 2012 and 2017 at a single academic center. The primary outcome was incidence of postoperative complications, including pharyngocutaneous fistula. Read More

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Comprehensive approach to reestablishing form and function after radical parotidectomy.

Am J Otolaryngol 2018 Jun 7. Epub 2018 Jun 7.

Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44195, USA.

Introduction: The reconstructive goals following radical parotidectomy include restoration of symmetry, reanimation of the face, and reestablishment of oral competence. We present our experience utilizing the anterolateral thigh (ALT) free flap, orthodromic temporalis tendon transfer (OTTT), and facial nerve cable grafting to reestablish form and function.

Material And Methods: From 2010 to 2016, 17 patients underwent radical parotidectomy followed by immediate reconstruction. Read More

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National trends in inpatient parotidectomy: A fourteen-year retrospective analysis.

Am J Otolaryngol 2018 Jun 7. Epub 2018 Jun 7.

Department of Otolaryngology, Harvard Medical School, Boston, MA, United States; Department of Otolaryngology, Massachusetts Eye and Ear, Boston, MA, United States.

Purpose: Operating room (OR) procedures represent one quarter of hospitalizations, yet OR-related stays account for nearly 50% of hospital costs. Understanding trends in inpatient parotidectomy, associated charges, and key outcomes including length of stay is imperative in the era of evolving health reform.

Materials And Methods: The Nationwide Inpatient Sample (NIS) was queried for patients who underwent inpatient parotidectomy (ICD9-CM procedure code 26. Read More

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Magnifying endoscopy with narrow-band imaging to assist the linear stapler closure of the pharynx during total laryngectomy.

Am J Otolaryngol 2018 May 28. Epub 2018 May 28.

Department of Head and Neck Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, Guangdong, China.

Objective: This study aimed to present a novel technique for stapler-assisted laryngectomy under direct visualization using a videoendoscope with narrow-band imaging (NBI-endoscopy).

Methods: A case series of five consecutive patients were treated with stapler-assisted total laryngectomy from December 2014 to March 2016. The technique involved monitoring the stapler closure of laryngopharyngeal cavity under NBI-endoscopic vision, triple checking of neo-pharynx cavity by an endoscopic view inside and transillumination verification outside, air leakage test, and guiding the insertion of feeding tube under direct visualization. Read More

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Outcomes in microvascular head and neck reconstruction in the setting of restricted residency hours.

Am J Otolaryngol 2018 Jun 5. Epub 2018 Jun 5.

Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, United States; Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, NJ, United States.

Background: Resident duty hour restrictions can limit the frequency of resident flap checks at smaller institutions with "home" call. Institutions are compensating with adjuvant nursing flap checks as well as incorporating technology; however, this management remains controversial.

Methods: A prospective cohort of 122 free flaps for reconstruction of the head and neck by a single surgeon. Read More

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June 2018
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Immune checkpoint-mediated myositis and myasthenia gravis: A case report and review of evaluation and management.

Am J Otolaryngol 2018 Jun 5. Epub 2018 Jun 5.

Case Western Reserve University School of Medicine, Cleveland, OH, USA; Department of Radiation Oncology, University Hospitals Seidman Cancer Center, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Background: We present a case of myositis and possible overlapping neuromuscular junction disorder following treatment with nivolumab for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC).

Methods: We report a 75-year-old man with recurrent stage IVA, T1N2cM0 oral cavity HNSCC treated with weight-dosed nivolumab who presented three weeks later with severe fatigue, generalized weakness, and bilateral ptosis. Evaluation demonstrated elevated creatine kinase and myopathic motor units on electromyography, supporting a diagnosis of an underlying muscle disease. Read More

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June 2018
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Widening of posterior glottis through rotation of the arytenoid on its axis: Report of nine cases.

Am J Otolaryngol 2018 Jun 5. Epub 2018 Jun 5.

Airway Surgery Department, Fundación Valle del Lili, Cali, Colombia; Clinical Research Center, Fundación Valle del Lili, Cali, Colombia.

Introduction: Bilateral vocal folds' immobility is a challenge in laryngology. Multiple procedures have been proposed to improve breathing by statically enlarging the glottal airway, what also results in loss of voice and aspiration. We proposed a technique to enlarge the posterior glottis by rotating the arytenoids on its axis, imitating the function of the posterior cricoarytenoid muscle, with the objective of evaluating the results regarding decannulation, voice quality, and bronchoaspiration. Read More

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June 2018
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Novel use of video glasses during binocular microscopy in the otolaryngology clinic.

Am J Otolaryngol 2018 Jun 6. Epub 2018 Jun 6.

Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA. Electronic address:

Introduction: The development of portable, high resolution video displays such as video glasses allows clinicians the opportunity to offer patients an increased ability to visualize aspects of their physical examination in an ergonomic and cost-effective manner. The objective of this pilot study is to trial the use of video glasses for patients undergoing binocular microscopy as well as to better understand some of the potential benefits of the enhanced display option.

Methods: This study was comprised of a single treatment group. Read More

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Comparison of intratympanic dexamethasone therapy and hyperbaric oxygen therapy for the salvage treatment of refractory high-frequency sudden sensorineural hearing loss.

Am J Otolaryngol 2018 Jun 5. Epub 2018 Jun 5.

Departmenet of Otorhinolaryngology, Shanghai East Hospital, Tongji University, Shanghai 200120, People's Republic of China. Electronic address:

Objective: This study aimed to compare the efficacy of intratympanic dexamethasone (ITD) therapy and hyperbaric oxygen(HBO) therapy for the salvage treatment of patients with high-frequency sudden sensorineural hearing loss (SSNHL) after the failure of conventional therapy.

Materials And Methods: 104 refractory high-frequency SSNHL patients were enrolled in our study. Among them, 31 received ITD alone (ITD group), 32 received HBO alone (HBO group) and 41 received no salvage therapies (control group). Read More

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Otolaryngology resident experience with supraclavicular, submental and other regional flaps in the United States.

Am J Otolaryngol 2018 May 31. Epub 2018 May 31.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, United States.

Objective: Despite the resurgence in regional flap use, otolaryngology resident regional flap experience has been incompletely studied. We sought to characterize United States (US) otolaryngology resident exposure to, and perceptions of, supraclavicular flaps (SCFs), submental flaps (SMFs), and other regional flaps.

Methods: An online survey was disseminated every two weeks to 106 US otolaryngology residency program directors for distribution to residents within their programs between August and October 2016. Read More

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Characteristics of laryngopharyngeal reflux in patients with chronic otitis media.

Am J Otolaryngol 2018 May 22. Epub 2018 May 22.

Department of Otolaryngology-Head and Neck Surgery, China-Japan Friendship Hospital, Beijing, People's Republic of China.

Objective: To summarize the characteristics of laryngopharyngeal reflux (LPR) in patients with chronic otitis media.

Methods: This was a prospective study in which 31 patients with chronic otitis media were enrolled. General patient information, reflux symptom index (RSI), reflux finding scores (RFSs), and Ryan scores were summarized. Read More

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Risks and benefits of local anesthesia versus general anesthesia in tonsillectomy.

Am J Otolaryngol 2018 May 26. Epub 2018 May 26.

Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Centre Sestre Milosrdnice, University of Zagreb School of Medicine, Vinogradska cesta 29, 10000, Zagreb, Croatia. Electronic address:

Purpose: Tonsillectomy is one of the most common surgical procedures in otorhinolaryngology. Modern general anesthetic techniques have reduced surgical risks, but performing the procedure under local anesthesia may still offer significant benefit for both the patient and surgeon. This study analyzed the risks and benefits of performing tonsillectomies under local anesthesia. Read More

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Association of ibuprofen use with post-tonsillectomy bleeding in older children.

Am J Otolaryngol 2018 May 21. Epub 2018 May 21.

Department of Otolaryngology-Head and Neck Surgery, West Virginia University, Morgantown, WV, United States. Electronic address:

Objective: Evaluate post-tonsillectomy outcomes in children discharged with ibuprofen versus those without.

Methods: This was a retrospective review of children who underwent tonsillectomy ± adenoidectomy from 2012 to 2016 at a tertiary care children's hospital. Main outcome measures included bleed rates, ER visits, and nurse phone calls. Read More

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Supraglottoplasty in children with laryngomalacia: A review and parents' appraisal.

Am J Otolaryngol 2018 May 17. Epub 2018 May 17.

Department of Surgery and Physiology/Otorhinolaryngology, University of Porto Faculty of Medicine, Portugal, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal; Department of Otorhinolaryngology, S. João Hospital Center, EPE, Porto, Portugal, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal; CINTESIS - Centre for Health Technology and Services Research, Porto, Portugal, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal.

Purpose: To assess the parents' perspective concerning the children's clinical picture before and after supraglottoplasty for the treatment of laryngomalacia (LM).

Materials And Methods: Retrospective study in 110 children diagnosed with LM followed at the Pediatric Otorhinolaryngology outpatient clinics of S. João Hospital Center, between 2008 and 2016. Read More

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Cochleostomy and facial recess packing alter cochlear implant electrode location in a human cochlea model.

Am J Otolaryngol 2018 May 18. Epub 2018 May 18.

Department of Otolaryngology-Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.

Purpose: Determine the effect of cochleostomy and facial recess packing on cochlear implant electrode distance from the modiolus.

Materials And Methods: Two otolaryngology residents (PGY5 and PGY6) and one attending ear surgeon performed electrode insertions on a human cochlea model using perimodiolar (Cochlear® Slim Modiolar 532™, CI532) and lateral wall electrodes (Cochlear® Slim Straight 522™, CI522) via a cochleostomy. Packing material was simulated using cotton and placed in the cochleostomy and facial recess under the following conditions: 1) inferior to the electrode, 2) superior, 3) both inferior and superior, and 4) no packing. Read More

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Effect of paracetamol/prednisolone versus paracetamol/ibuprofen on post-operative recovery after adult tonsillectomy.

Authors:
Tamer M Attia

Am J Otolaryngol 2018 May 17. Epub 2018 May 17.

Lecturer at Otolaryngology Department, Faculty of Medicine, Menoufia University, Egypt; Consultant at Otolaryngology, Head & Neck Surgery Department, Specialized Medical Care Hospital, Al Ain, United Arab Emirates. Electronic address:

Objective: To compare the effect of Paracetamol/Prednisolone versus Paracetamol/Ibuprofen on post-operative recovery after adult tonsillectomy.

Background: Various analgesic protocols have been proposed for the control of post-tonsillectomy morbidity with need for better control in adult population for having higher severity of post-operative pain and risk of secondary post-tonsillectomy bleeding.

Methods: This is a prospective cohort study conducted on 248 patients with age of 12 years or older distributed as two equal groups; the first one receiving Paracetamol/Prednisolone and the second one receiving Paracetamol/Ibuprofen. Read More

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May 2018
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Sentinel lymph node biopsy in cutaneous melanoma of the head and neck using the indocyanine green SPY Elite system.

Am J Otolaryngol 2018 May 17. Epub 2018 May 17.

Department of Head and Neck Surgery, UCLA David Geffen School of Medicine, 10833 Le Conte Ave, 62-132, Los Angeles, CA 90095, USA. Electronic address:

Purpose: Lymph node status is the single most important prognostic factor for patients with early-stage cutaneous melanoma. Sentinel lymph node biopsy (SLNB) has become the standard of care for intermediate depth melanomas. Modern SLNB implementation includes technetium-99 lymphoscintigraphy combined with local administration of a vital blue dye. Read More

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Total mandibulectomy defect in the setting of chronic bisphosphonate use.

Am J Otolaryngol 2018 May 16. Epub 2018 May 16.

Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, TX, United States.

Bisphosphonates are among several drugs known in modern medicine to have a potentially deleterious effect on the mandible with chronic use. While purportedly causing a necrotic reaction in the bone, the complete mechanism is not fully elucidated yet as cases are quite rare in the general public. Despite the esoteric nature of this entity, patients suffering from bisphosphonate induced necrosis have a complicated and prolonged course often involving varying degrees of mandibular debridement with severe cases requiring reconstruction. Read More

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Surgeon-performed ultrasound for the assessment of parotid masses.

Am J Otolaryngol 2018 Apr 16. Epub 2018 Apr 16.

Division of Head and Neck Oncologic and Endocrine Surgery, Salivary Gland Center, Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, CA, United States. Electronic address:

Background: Studies on parotid gland ultrasound assessments performed specifically by surgeons are seldom reported.

Methods: Retrospective series of a single academic surgeon experience, analyzing 70 new parotid masses with evaluable preoperative SP-US characteristics, location measurements, and perioperative events.

Results: 31/70 masses were malignant. Read More

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A hybrid technique to address exposure keratopathy secondary to facial nerve paresis: A combination of a lateral tarsorrhaphy and lateral wedge resection.

Am J Otolaryngol 2018 May 9. Epub 2018 May 9.

Department of Ophthalmology and Visual Sciences, University of Louisville, 301 E. Muhammad Ali Blvd, Louisville, KY 40202, United States; Department of Ophthalmology, Indiana University, 1160 W. Michigan St, Indianapolis, IN 46202, United States; Oculofacial Plastic and Orbital Surgery LLC, 201 Pennsylvania Parkway Ste 225, Indianapolis, IN 46280, United States. Electronic address:

Purpose: To present the results of treating combined lower eyelid laxity, retraction and midface descent secondary to facial nerve weakness with a hybrid surgical procedure.

Materials And Methods: A retrospective analysis of patients from January 2015 to January 2017 who underwent a hybrid surgical technique for the treatment of corneal exposure secondary to facial nerve paresis with a single surgeon was performed. Age, gender, and presence of exposure symptoms were recorded pre-operatively. Read More

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Septic arthritis of the sternoclavicular joint: A unique late complication after tracheostomy.

Am J Otolaryngol 2018 May 15. Epub 2018 May 15.

THANC (Thyroid, Head and Neck Cancer) Foundation, 10 Union Square East, Suite 5B, New York, NY 10003, USA; Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel Medical Center, 10 Union Square East, Suite 5B, New York, NY 10003, USA.

Background: Septic arthritis of the sternoclavicular joint is a rare infection associated with significant morbidity and mortality. Several risk factors for septic arthritis have been reported in the literature ranging from immunodeficiency to intravenous drug use.

Case Presentation: A 63-year-old male previously treated for synchronous squamous cell carcinomas of the epiglottis and floor of mouth presented with tenderness and swelling of the sternoclavicular joint two months after tracheostomy decannulation. Read More

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May 2018
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Surgical management of patients with Eagle syndrome.

Am J Otolaryngol 2018 May 9. Epub 2018 May 9.

Head and Neck Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Objective: Eagle syndrome, a spectrum of disease resulting from an elongated styloid process and/or calcified stylohyoid ligament, lacks standardized recommendations regarding indications for surgical intervention and approach.

Study Design: Retrospective cohort study.

Setting: Single tertiary care institution. Read More

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May 2018
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An evidence based protocol for managing neonatal middle ear effusions in babies who fail newborn hearing screening.

Am J Otolaryngol 2018 Apr 12. Epub 2018 Apr 12.

Department of Otolaryngology, Eastern Virginia Medical School, Norfolk, VA, USA; Children's Hospital of the King's Daughters, Norfolk, VA, USA.

Objectives: To evaluate the prevalence of middle ear disease in infants referred for failed newborn hearing screening (NBHS) and to review patient outcomes after intervention in order to propose an evidence-based protocol for management of newborns with otitis media with effusion (OME) who fail NBHS.

Methods: 85 infants with suspected middle ear pathology were retrospectively reviewed after referral for failed NBHS. All subjects underwent a diagnostic microscopic exam with myringotomy with or without placement of a ventilation tube in the presence of a middle ear effusion and had intra-operative auditory brainstem response (ABR) testing or testing at a later date. Read More

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Functional and Anatomical Outcome of Inside Out Technique For Cholesteatoma Surgery.

Am J Otolaryngol 2018 Jul - Aug;39(4):423-430. Epub 2018 Apr 17.

Department of Otorhinolaryngology Bombay Hospital and Institute of Medical Science, Mumbai, India.

Background: To study the efficacy of inside-out technique in completely eradicating the cholesteatoma from middle ear and mastoid, preservation of hearing & and quality of life post mastoidectomy with regards to recurrent discharge, wax, granulations.

Material And Methods: Non-randomized, prospective, observational study performed at the Department of ENT in our hospital. In the study we included 100 patients presenting with chronic suppurative otitis media with cholesteatoma, they underwent inside out mastoidectomy and were followed up till the end of the study to evaluate the efficacy of inside out mastoidectomy in eradicating the disease from the middle ear cleft. Read More

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The fork in the road: A laryngeal filter airway foreign body.

Am J Otolaryngol 2018 Jul - Aug;39(4):464-466. Epub 2018 Apr 18.

Boston University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, Boston, MA 02118, United States. Electronic address:

Objective: Upper aero-digestive tract foreign body management can be complicated and life threatening in both adult and pediatric populations. The variation seen with foreign bodies including shape, material, and duration of ingestion can impact clinical decision making and management. The objective of this report is to demonstrate a complicated case of upper airway obstruction by a plastic fork. Read More

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A cost-effectiveness analysis of the up-front use of balloon catheter dilation in the treatment of pediatric chronic rhinosinusitis.

Am J Otolaryngol 2018 Jul - Aug;39(4):418-422. Epub 2018 Apr 19.

University of Mississippi Medical Center, Department of Otolaryngology, 2500 North State Street, Jackson, MS 39216, United States.

Background: The treatment of pediatric sinusitis continues to be a controversial topic. It has been recommended to treat pediatric chronic rhinosinusitis (CRS) with adenoidectomy before proceeding to more invasive techniques. There are concerns regarding side effects of endoscopic sinus surgery in pediatric patients. Read More

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Electroconvulsive therapy for depression in a patient with an Inspire hypoglossal nerve stimulator device for obstructive sleep apnea: A case report.

Am J Otolaryngol 2018 Jul - Aug;39(4):462-463. Epub 2018 Apr 19.

Department of Otolaryngology, Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Outcome Objectives: METHODS: This is a case report of a patient who underwent placement and initiation of a hypoglossal nerve stimulator device in the context of receiving electroconvulsive therapy for bipolar depression between February and September 2016. To our knowledge, this has not yet been reported in the literature. Outcome measurements included successful device activation and successful device use throughout electroconvulsive therapy. Read More

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The red cell distribution width as a prognostic indicator in upper aerodigestive tract (UADT) cancer: A systematic review and meta-analysis.

Am J Otolaryngol 2018 Jul - Aug;39(4):453-458. Epub 2018 Apr 21.

Department of Otolaryngology - Head and Neck Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, USA.

Purpose: The aim of this systematic review and meta-analysis was to investigate the relationship between the Red Cell Distribution Width (RDW) and prognosis in upper aerodigestive tract (UADT) cancer.

Methods: PubMed (via the web), Embase, Scopus, and the Cochrane Library were searched. A systematic review and meta-analysis was done to generate the pooled hazard ratios (HR) for overall survival (OS), disease specific survival (DSS), and recurrence free survival (RFS). Read More

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The cartilaginous Eustachian tube: Reliable CT measurement and impact of the length.

Am J Otolaryngol 2018 Jul - Aug;39(4):436-440. Epub 2018 Apr 14.

Department of Otolaryngology, Head and Neck Surgery, Akershus Universitetssykehus, Norway.

Purpose: Balloon dilation of the Eustachian tube is a treatment option for obstructive Eustachian tube dysfunction. The desired balloon position is in the cartilaginous portion. However, the balloon catheter may slide into the bony portion without the surgeon's knowledge. Read More

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Cochlear implants: Insertion assessment by computed tomography.

Am J Otolaryngol 2018 Jul - Aug;39(4):431-435. Epub 2018 Apr 14.

Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (FMB-UNESP), Botucatu, São Paulo, Brazil. Electronic address:

Background And Objectives: Imaging exams play a key role in cochlear implants with regard to both planning implantation before surgery and quality control after surgery. The ability to visualize the three-dimensional location of implanted electrodes is useful in clinical routines for assessing patient outcome. The aim of this study was to evaluate linear and angular insertion depth measurements of cochlear implants based on conventional computed tomography. Read More

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April 2018
2 Reads

Anatomic factors affecting the use of ultrasound to predict vocal fold motion: A pilot study.

Am J Otolaryngol 2018 Jul - Aug;39(4):413-417. Epub 2018 Apr 13.

Department of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, United States.

Purpose: Ultrasonography is a well-established modality for visualization of head and neck anatomy. Using ultrasound to detect vocal fold mobility has been described before, but no study has evaluated factors affecting the exam reliability. The aim of the study is to determine anatomic factors influencing the reliability of ultrasound to detect vocal fold motion. Read More

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April 2018
3 Reads

Infrahyoid involvement may be a high-risk factor in the management of non-odontogenic deep neck infection: Retrospective study.

Authors:
Hui Yuan Rong Gao

Am J Otolaryngol 2018 Jul - Aug;39(4):373-377. Epub 2018 Mar 16.

Otorhinolaryngeal Department of the Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Hangzhou, Zhejiang Province, China. Electronic address:

Objectives: This study sought to investigate the impact of involvement of the infrahyoid neck space on the management of non-odontogenic DNI.

Method: Eighty-one patients treated for non-odontogenic DNI over 5 years were retrospectively recruited into this study. Demographics, etiology, radiology results, treatments, duration/cost of hospital stay, and complications were recorded. Read More

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March 2018
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Effect of changing postoperative pain management on bleeding rates in tonsillectomy patients.

Am J Otolaryngol 2018 Jul - Aug;39(4):445-447. Epub 2018 Apr 5.

McGovern Medical School, University of Texas Health Science Center at Houston, Department of Otorhinolaryngology, 6431 Fannin Street, Houston, TX 77030, United States. Electronic address:

Purpose: To review rates of post-tonsillectomy hemorrhage (PTH) at a quaternary medical center, including the impact of narcotic versus nonsteroidal anti-inflammatory drug (NSAID) postoperative pain management.

Materials And Methods: A retrospective review was performed of tonsillectomies conducted at a single institution between 1/1/2013 and 1/1/2017. The rates of PTH and subsequent intervention were calculated. Read More

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April 2018
2 Reads

The Cochleural Alternating Acoustic Beam Therapy (CAABT): A pre-clinical trial.

Am J Otolaryngol 2018 Jul - Aug;39(4):401-409. Epub 2018 Apr 3.

Department of Otolaryngology Head and Neck, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China. Electronic address:

Purpose: We intend to assess the effectiveness of a novel tinnitus treatment therapy, the Cochleural Alternating Acoustic Beam Therapy (CAABT) using the psychoacoustic measures, the questionnaires and rs-fMRI.

Materials And Methods: In this study, we enrolled 11 older than 18 years old Chinese patients with normal hearing who had unilateral, chronic (longer than 6 months), sensorineural tinnitus, of frequencies between 125-8000 Hz, and an average loudness of 31 dB. The patients underwent the treatment with the CAABT method for 12 weeks and the outcomes were evaluated with tinnitus questionnaire scores, a set of psychoacoustic measures, and rs-fMRI testing before treatment and at 3 months. Read More

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April 2018
4 Reads

A boy presenting with chronic ear drainage and associated middle ear mass.

Am J Otolaryngol 2018 Jul - Aug;39(4):459-461. Epub 2018 Apr 4.

Children's National Medical Center, George Washington University Medical Center, Department of Otolaryngology, United States. Electronic address:

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April 2018
1 Read

In whom does horizontal canal BPPV recur?

Am J Otolaryngol 2018 Jul - Aug;39(4):410-412. Epub 2018 Apr 5.

Department of Neurology, Barzilai Medical Center, Ashkelon, Israel affiliated to Ben Gurion University of the Negev, Beer Sheva, Israel.

Purpose: The objective of this study is to examine the rate of horizontal canal BPPV recurrence of the same type and search for predisposing factors. Read More

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April 2018
1 Read

Financial outcomes of transoral robotic surgery: A narrative review.

Am J Otolaryngol 2018 Jul - Aug;39(4):448-452. Epub 2018 Apr 3.

Drexel University College of Medicine, 2900 West Queen Lane, Philadelphia, PA 19129, United States; Philadelphia Ear, Nose, and Throat Associates, 219 North Broad Street, Philadelphia, PA 19107, United States. Electronic address:

Objective: To determine the current cost impact and financial outcomes of transoral robotic surgery in Otolaryngology.

Data Sources: A narrative review of the literature with a defined search strategy using Pubmed, MEDLINE, CINAHL, and Web of Science.

Review Methods: Using keywords ENT or otolaryngology, cost or economic, transoral robotic surgery or TORs, searches were performed in Pubmed, MEDLINE, CINAHL, and Web of Science and reviewed by the authors for inclusion and analysis. Read More

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April 2018
1 Read

Tube patency: Is there a difference following otic drop administration?

Am J Otolaryngol 2018 Jul - Aug;39(4):392-395. Epub 2018 Mar 29.

Medical Affairs, Otonomy, Inc., 4796 Executive Drive, San Diego, CA 92121, United States.

Purpose: Many surgeons instill peri-operative otic drops to maintain tube patency. A post-hoc analysis of three randomized, controlled studies involving a one-time administration of ciprofloxacin (OTO-201) given instead of otic drops perioperatively was conducted to evaluate tube patency in patients who did and did not receive otic drops as defined within the study protocol.

Materials And Methods: Post-hoc, retrospective analysis from three prospective, randomized, double-blind trials, (Phase 1b study [n = 83] and two Phase 3 studies [n = 532]) which enrolled children with confirmed middle ear effusion on the day of tympanostomy tube surgery and then randomized to placebo/sham (tubes alone) or OTO-201 and studied over a 28-day observation period. Read More

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March 2018
1 Read

Butterfly cartilage tympanoplasty outcomes: A single-institution experience and literature review.

Am J Otolaryngol 2018 Jul - Aug;39(4):396-400. Epub 2018 Mar 29.

Department of Otolaryngology-Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, Saint Louis, MO 63110, USA. Electronic address:

Purpose: In 1998, Dr. Eavey described the trans-canal inlay butterfly cartilage tympanoplasty technique, also known as cartilage button tympanoplasty. Many retrospective studies have since demonstrated its efficacy and decreased operative time when compared to underlay and overlay tympanoplasty techniques. Read More

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March 2018
1 Read

Correlation between body mass index and obstructive sleep apnea severity indexes - A retrospective study.

Am J Otolaryngol 2018 Jul - Aug;39(4):388-391. Epub 2018 Mar 27.

Department of Clinical and Experimental Medicine, University of Foggia, Viale Pinto, 1, 71122 Foggia, Italy.

Purpose: To evaluate if Body Mass Index (BMI) is correlated to Apnea-Hypopnea Index (AHI), mean arterial oxygen saturation (SaO) and Nadir SaO, which are all indexes defining the severity of the respiratory stress associated with Obstructive Sleep Apnea (OSA).

Materials And Methods: Seventy-five adult patients (mean age 51.4) referred for polysomnography were retrospectively recruited. Read More

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March 2018
2 Reads

Optical imaging with a high-resolution microendoscope to identify sinonasal pathology.

Am J Otolaryngol 2018 Jul - Aug;39(4):383-387. Epub 2018 Mar 20.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, United States.

Objectives: High-resolution microendoscopy (HRME) is an optical imaging modality that allows real time imaging of epithelial tissue and structural changes within. We hypothesize that HRME, using proflavine, a contrast agent that preferentially stains cell nuclei and allows detection of cellular morphologic changes, can distinguish sinonasal pathology from uninvolved mucosa, potentially enabling real-time surgical margin differentiation.

Study Design: Ex vivo imaging of histopathologically confirmed samples of sinonasal pathology and uninvolved, normal sinus epithelium. Read More

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March 2018
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YouTube as a source of information for obstructive sleep apnea.

Am J Otolaryngol 2018 Jul - Aug;39(4):378-382. Epub 2018 Mar 19.

Department of Otolaryngology - Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA; Department of Otolaryngology - Head and Neck Surgery, Stanford University Medical Center, Stanford, CA, USA.

Purpose: Assess the quality of information on obstructive sleep apnea (OSA) presented on YouTube for patients.

Materials And Methods: "Obstructive sleep apnea" was entered into the YouTube search. Two independent reviewers categorized and analyzed videos utilizing a customized scoring-system along with search position, likes, and views. Read More

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March 2018
3 Reads

Are surgeons overdosing patients with lidocaine?

Am J Otolaryngol 2018 May - Jun;39(3):370-371. Epub 2018 Mar 14.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, Boston University School of Medicine, Boston, MA 02118, United States; The Spiegel Center, Newton, MA 02459, United States. Electronic address:

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March 2018
2 Reads

Mucoepidermoid carcinoma of the parotid gland: A National Cancer Database study.

Am J Otolaryngol 2018 May - Jun;39(3):321-326. Epub 2018 Mar 14.

Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA 19104, United States.

Objective: To describe the demographics, tumor characteristics, and prognostic features of mucoepidermoid carcinoma of the parotid gland.

Materials And Methods: A retrospective study of the National Cancer Database was reviewed for all mucoepidermoid carcinomas of the parotid gland between 2004 and 2012). Patient demographics and tumor characteristics were abstracted and analyzed. Read More

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March 2018
2 Reads

Commentary on letter to editor titled "The clinical value of the RGB value of an image of the interarytenoid area for diagnosis of laryngopharyngeal reflux".

Authors:
Anindya Nayak

Am J Otolaryngol 2018 May - Jun;39(3):364. Epub 2018 Mar 4.

Department of Otorhinolaryngology and Head-Neck Surgery, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, New Delhi 110001, India. Electronic address:

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March 2018
4 Reads

Efficacy and safety of eberconazole 1% otic solution compared to clotrimazole 1% solution in patients with otomycosis.

Am J Otolaryngol 2018 May - Jun;39(3):307-312. Epub 2018 Mar 6.

Enfermería Militar la Boticaria, Boca del Río, Veracruz, México.

Purpose: To demonstrate non-inferiority of eberconazole 1% otic solution to clotrimazole 1% solution, and to compare their safety profiles in the treatment of otomycosis.

Materials And Methods: Multicenter, randomized, double-blind, active treatment-controlled phase 3 clinical trial. One hundred and ninety patients with diagnosis of otomycosis were randomly assigned to eberconazole 1% otic solution or clotrimazole 1% solution. Read More

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March 2018
4 Reads

Nasal polyposis pathophysiology: Endotype and phenotype open issues.

Am J Otolaryngol 2018 Jul - Aug;39(4):441-444. Epub 2018 Mar 7.

Department of Neuroscience DNS, Otolaryngology Section, Padova University, Padova, Italy.

Purpose: Endotyping chronic rhinosinusitis with nasal polyps (CRSwNP) poses a challenge for rhinologists nowadays. Phenotyping CRSwNP proved inappropriate as an approach to their classification because of their common clinical features. Endotyping, being based on the pathogenic mechanism, provides a precise picture more appropriate for use in clinical practice. Read More

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March 2018
3 Reads