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    3408 results match your criteria American Journal of Otolaryngology[Journal]

    1 OF 69

    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

    Intraoperative imaging during minimally invasive transoral robotic surgery using near-infrared light.
    Am J Otolaryngol 2017 Sep 6. Epub 2017 Sep 6.
    Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, United States.
    Purpose: The purpose of this study was to determine if the use of the FIREFLY imaging system could be an asset in transoral robotic surgery (TORS) for oropharyngeal squamous cell carcinoma (OPSCC). The system uses indocyanine green dye (ICG), which fluoresces when illuminated by near-infrared light from the Da Vinci robot. The system may improve visualization of tumor margins, highlight important vascular structures, and help identify the location of tumors and unknown primary head and neck cancers. Read More

    Effects of intratympanic dexamethasone on noise-induced hearing loss: An experimental study.
    Am J Otolaryngol 2017 Oct 27. Epub 2017 Oct 27.
    Okmeydanı Training and Research Hospital, ENT Clinic, Turkey.
    Aim: Aim of the study was to evaluate the effect of intratympanic steroid treatment on hearing based on oto-acoustic emission.

    Methods: A total of 16 healthy female Wistar albino rats weighing were used in this study. They were divided in to 2 groups and each group was exposed to noise at 110dB for 25min to induce acoustic trauma. Read More

    Treating laryngopharyngeal reflux: Evaluation of an anti-reflux program with comparison to medications.
    Am J Otolaryngol 2017 Oct 31. Epub 2017 Oct 31.
    Voice and Swallowing Center-Loma Linda University Medical Center, Loma Linda, CA, USA.
    Objective: To determine if an anti-reflux induction program relieves laryngopharyngeal reflux (LPR) symptoms more effectively than medication and behavioral changes alone.

    Study Design: Retrospective study.

    Setting: Tertiary care academic center. Read More

    Pediatric airway study: Endoscopic grading system for quantifying tonsillar size in comparison to standard adenotonsillar grading systems.
    Am J Otolaryngol 2017 Oct 29. Epub 2017 Oct 29.
    New York Eye and Ear Infirmary of Mount Sinai, New York, NY, USA; Icahn school of Medicine at Mount Sinai, New York, NY, USA.
    Significance: Current grading systems may not allow clinicians to reliably document and communicate adenotonsillar size in the clinical setting. A validated endoscopic grading system may be useful for reporting tonsillar size in future clinical outcome studies. This is especially important as tonsillar enlargement is the cause of a substantial health care burden on children. Read More

    Survival in patients with parotid gland carcinoma - Results of a multi-center study.
    Am J Otolaryngol 2017 Oct 24. Epub 2017 Oct 24.
    Department of Otolaryngology - Head & Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.
    Background: Parotid gland carcinoma is a rare malignancy, comprising only 1-4% of head and neck carcinomas; therefore, it is difficult for a single institution to perform meaningful analysis on its clinical characteristics. The aim of this study was to update the clinical knowledge of this rare disease by a multi-center approach.

    Methods: The study was conducted by the Kyoto University Hospital and Affiliated Facilities Head and Neck Clinical Oncology Group (Kyoto-HNOG). Read More

    Prognostic significance of standardized uptake value on F18-FDG PET/CT in patients with extranodal nasal type NK/T cell lymphoma: A multicenter, retrospective analysis.
    Am J Otolaryngol 2017 Oct 12. Epub 2017 Oct 12.
    Department of Otorhinolaryngology and Biomedical Research Institute, Pusan National University School of Medicine, Pusan National University Hospital, Busan, South Korea. Electronic address:
    Objectives: The purpose of this study was to evaluate the value of parameters assessed with F18-flurodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) in predicting relapse free survival and overall survival in patients with extranodal nasal type NK/T cell lymphoma.

    Methods: Thirty-six patients with extranodal nasal type NK/T cell lymphoma, and who underwent PET/CT prior to curative treatment, were enrolled at five institutions. Volumes of interest covering the entire tumor volume were delineated on PET/CT images, and the maximum standardized uptake value (SUVmax), mean SUV (SUVmean), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) were measured using thresholds of 40% of SUVmax. Read More

    The role of explorative tympanotomy in patients with sudden sensorineural hearing loss with and without perilymphatic fistula.
    Am J Otolaryngol 2017 Oct 9. Epub 2017 Oct 9.
    Department of Otolaryngology - Head and Neck Surgery, Soroka University Medical Center and the Faculty of Health Sciences, Ben-Gurion University in the Negev, Beer-Sheva, Israel. Electronic address:
    Purpose: The purpose of this study was to describe the role of explorative tympanotomy in patients with Profound Sudden Sensorineural Hearing Loss (SSNHL) without clinical evidence of perilymphatic or labyrinthine fistula and to compare intraoperative findings with the postoperative hearing outcome.

    Study Design: Retrospective study of all patients diagnosed with SSNHL who underwent explorative tympanotomy between 2002 and 2005.

    Settings: Tertiary care university-affiliated hospital. Read More

    Identifying eustachian tube dysfunction prior to hyperbaric oxygen therapy: Who is at risk for intolerance?
    Am J Otolaryngol 2017 Oct 10. Epub 2017 Oct 10.
    Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, 219 North Broad Street, 10th Floor, Philadelphia, PA 19107, USA. Electronic address:
    Purpose: Determine whether specific risk factors, symptoms and clinical examination findings are associated with hyperbaric oxygen therapy (HBOT) intolerance and subsequent tympanotomy tube placement.

    Materials And Methods: A retrospective case series with chart review was conducted from 2007 to 2016 of patients undergoing HBOT clearance at a tertiary care university hospital in an urban city. Eighty-one (n=81) patient charts were reviewed for risk factors, symptoms and clinical examination findings related to HBOT eustachian tube dysfunction and middle ear barotrauma. Read More

    Outcome of spray cryotherapy plus functional endoscopic sinus surgery on management of healing in nasal polyposis.
    Am J Otolaryngol 2017 Oct 10. Epub 2017 Oct 10.
    Department of Otorhinolaryngology, head and neck surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address:
    Background: Nasal Polyposis is a benign tumor in nasal or paranasal mucosa, which confronts difficulties in management of healing after treatments with surgery. The aim of this study was to evaluate the effects of Spray Cryotherapy (SCT) on management of healing in patients with nasal polyposis who undergone functional endoscopic sinus surgery.

    Methods: In this prospective, clinical trial study, we investigated on 40 patients with nasal polyposis that had indication for functional endoscopic sinus surgery. Read More

    Reduction of bone mineral density in native Chinese female idiopathic benign paroxysmal positional vertigo patients.
    Am J Otolaryngol 2017 Oct 5. Epub 2017 Oct 5.
    Department of Neurology, Ningbo No. 2 Hospital, Zhejiang 315010, PR China. Electronic address:
    Objective: This study aimed to investigate the clinical association between idiopathic benign paroxysmal positional vertigo (BPPV) and reduction of bone mineral density (BMD).

    Methods: BMD was measured in 78 native Chinese female de novo idiopathic BPPV patients and 126 healthy controls using dual-energy X-ray absorptiometry. We compared the mean T-scores and abnormal BMD prevalence between the two groups. Read More

    Malignant external otitis: The shifting treatment paradigm.
    Am J Otolaryngol 2017 May 25. Epub 2017 May 25.
    Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
    Importance: Malignant external otitis (MEO) is an aggressive infection occurring in immunocompromised hosts. Increasing antimicrobial resistance is making the disease more difficult to treat.

    Objective: Determine if there has been a shift in the microbiology and outcomes of MEO. Read More

    Landmarks for the preservation of the middle temporal artery during mastoid surgery: Cadaveric dissection study.
    Am J Otolaryngol 2017 Oct 9. Epub 2017 Oct 9.
    Department of Otolaryngology - Head and Neck Surgery, Emory University School of Medicine, Atlanta, GA, United States.
    Importance: The middle temporal artery flap is a vascularized periosteal flap that is highly useful for otologic reconstruction including the middle cranial fossa, mastoidectomy defect, and external auditory canal. The course of the artery is close to the external auditory canal and is easily injured during preliminary exposure and elevation of flaps.

    Objectives: To describe the course of the middle temporal artery in relation to the external auditory canal and the superficial temporal artery in order to enhance preservation and use in otologic reconstruction. Read More

    Endoscopic versus microscopic approach in attic cholesteatoma surgery.
    Am J Otolaryngol 2017 Oct 10. Epub 2017 Oct 10.
    Organi di Senso Department University "la Sapienza", Rome, Italy.
    Purpose: Compare the outcomes of primary exclusive endoscopic ear surgery with those of the microscopic ear surgery in a group of patients affected by attic cholesteatoma.

    Materials And Methods: Eighty patients suffered from attic cholesteatoma. Forty patients surgical treated with endoscopic ear surgery and forty patients surgical treated with microscopic ear surgery. Read More

    Payer database and geospatial analysis to evaluate practice patterns in treating allergy in North Carolina.
    Am J Otolaryngol 2017 Oct 10. Epub 2017 Oct 10.
    Division of Head & Neck Surgery and Communication Sciences, Duke Voice Care Center, Duke University Medical Center, Durham, NC, USA.
    Objective: The objective of this study was to characterize the delivery of allergy care in North Carolina using a large payer charge database and visualization techniques.

    Study Design: Geospatial database analysis.

    Setting: North Carolina State claims database. Read More

    Extra-ocular movement restriction and diplopia following orbital fracture repair.
    Am J Otolaryngol 2017 Aug 25. Epub 2017 Aug 25.
    Oculofacial Plastics and Orbital Surgery, Indianapolis, IN, United States; Oculofacial Plastics and Orbital Surgery, Louisville, KY, United States.
    Purpose: To report a series of patients with extra-ocular movement restriction and diplopia after orbital fracture repair, and determine the effect of timing of repair and the type of implant used.

    Methods: A chart review was conducted identifying all patients >18years of age at our institution between June 2005 and June 2008 who underwent orbital fracture repair, and presented with clinically significant diplopia and extra-ocular movement restriction persisting longer than one month after repair. Data collected included timing of repair, implant used within the orbit, and need for revision. Read More

    3D-printed tracheoesophageal puncture and prosthesis placement simulator.
    Am J Otolaryngol 2017 Aug 18. Epub 2017 Aug 18.
    Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, United States; Department of Otology and Laryngology, Harvard Medical School, United States.
    Objectives: A tracheoesophageal prosthesis (TEP) allows for speech after total laryngectomy. However, TEP placement is technically challenging, requiring a coordinated series of steps. Surgical simulators improve technical skills and reduce operative time. Read More

    Marital status as a predictor of survival in patients with human papilloma virus-positive oropharyngeal cancer.
    Am J Otolaryngol 2017 Nov - Dec;38(6):654-659. Epub 2017 Sep 19.
    Department of Otolaryngology Head and Neck Surgery, Boston Medical Center, Boston, MA, United States; Boston University School of Medicine, Boston, MA, United States. Electronic address:
    Purpose: Determine whether marital status is a significant predictor of survival in human papillomavirus-positive oropharyngeal cancer.

    Materials And Methods: A single center retrospective study included patients diagnosed with human papilloma virus-positive oropharyngeal cancer at Boston Medical Center between January 1, 2010 and December 30, 2015, and initiated treatment with curative intent at Boston Medical Center. Demographic data and tumor-related variables were recorded. Read More

    Comparison of radiation doses imparted during 128-, 256-, 384-multislice CT-scanners and cone beam computed tomography for intra- and perioperative cochlear implant assessment.
    Am J Otolaryngol 2017 Nov - Dec;38(6):649-653. Epub 2017 Sep 19.
    Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Essen, Germany.
    Purpose: To examine radiation-doses imparted during multislice (MSCT) and cone-beam computed-tomography (CBCT) for perioperative examination of cochlear-implant insertion.

    Methods: Radiation-doses were assessed during standardized petrous-bone CT-protocols at different MSCT ((I) single-source CT-scanner Somatom-Definition-AS+, (II) 2nd generation of dual-source CT-scanner Somatom-Definition-Flash, (III) 3rd generation of dual-source CT-scanner Somatom-Force and at the CBCT Ziehm-Vision-RFD3D ((IV) (a) RFD-3D (Standard-modifier), (b) RFD-3D (Low-dose-modifier)). Image quality was examined by two radiologists appraising electrode-array placement, quality-control of cochlear-implant surgery and complications based on real patients' examinations (n=78). Read More

    An unusual case of temporal bone encephalomeningocele occurring together with normal pressure hydrocephalus.
    Am J Otolaryngol 2017 Nov - Dec;38(6):704-705. Epub 2017 Sep 20.
    Department of Otorhinolaryngology-Head & Neck Surgery, Changi General Hospital, Singapore, Singapore.
    Temporal bone encephalomeningoceles are uncommon clinical entities that can be challenging to diagnose and treat. Common presenting complaints include symptoms of aural fullness, hearing loss, clear otorrhea and meningitis. Common etiologies are chronic middle ear disease and trauma. Read More

    The folded postauricular flap: A novel approach to reconstruction of large full thickness defects of the conchal bowl.
    Am J Otolaryngol 2017 Nov - Dec;38(6):706-709. Epub 2017 Sep 19.
    Department of Otolaryngology - Head and Neck Surgery, Mount Sinai Beth Israel, New York, NY, United States; Thyroid, Head and Neck Cancer (THANC) Foundation, New York, NY, United States.
    Extensive subtotal full-thickness auriculectomy defects pose a challenge for the reconstructive surgeon. The posterior island flap (PIF), based on the posterior auricular artery, has been described as a reconstructive option for auricular defects, with reports describing a "pull-through" or "revolving door" technique to reconstruct subtotal partial thickness and full thickness auricular defects. These techniques may result in posterior "pinning" of the auricle. Read More

    Survival trends in patients with tracheal carcinoma from 1973 to 2011.
    Am J Otolaryngol 2017 Nov - Dec;38(6):673-677. Epub 2017 Aug 26.
    Department of Surgery, Bassett Healthcare Network, Cooperstown, NY, USA. Electronic address:
    Purpose: The prognosis for primary tracheal cancer is dismal. We investigated whether there has been improvement in survival in tracheal cancer patients and how treatment modality affected overall and cancer-specific survival.

    Materials And Methods: Using the Surveillance, Epidemiology, and End Results database, 1144 patients with tracheal cancer were identified between 1973 and 2011. Read More

    Shrinkage in oral squamous cell carcinoma: An analysis of tumor and margin measurements in vivo, post-resection, and post-formalin fixation.
    Am J Otolaryngol 2017 Nov - Dec;38(6):660-662. Epub 2017 Sep 12.
    Department of Otolaryngology - Head and Neck Surgery, University of Missouri School of Medicine, Columbia, MO, USA. Electronic address:
    Purpose: To quantify changes in tumor size and tumor-free margins following surgical resection and formalin fixation of oral cavity squamous cell carcinoma.

    Materials And Methods: Nineteen patients were studied via cohort design. Between May and December 2011, measurements of tumor size and tumor-free margin were made in patients with squamous cell carcinoma of the oral cavity. Read More

    Commentary on: Treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study.
    Am J Otolaryngol 2017 Nov - Dec;38(6):726. Epub 2017 Sep 6.
    Department of Otorhinolaryngology, the affiliated Yiwu Hospital, Yiwu City, 322000, Zhejiang Province, China; Department of Otorhinolaryngology, the affiliated Yiwu Hospital, 699 Jiangdong road, Yiwu City, 322000, Zhejiang Province, China. Electronic address:

    Adjuvant radiation and survival following surgical resection of sinonasal melanoma.
    Am J Otolaryngol 2017 Nov - Dec;38(6):663-667. Epub 2017 Aug 30.
    Pritzker School of Medicine, The University of Chicago, Chicago, IL, United States; Division of Otolaryngology, NorthShore University Health System, Evanston, IL, United States. Electronic address:
    Background: Surgery remains the mainstay of treatment for sinonasal melanoma, but it is often difficult to obtain clear, negative margins. Therefore, patients often receive adjuvant radiation therapy (RT), however its impact on overall survival (OS) is not well understood.

    Methods: Patients with surgically resected sinonasal melanoma were identified from the National Cancer Data Base (NCDB, n=696). Read More

    Effects of surgical treatment of hypertrophic turbinates on the nasal obstruction and the quality of life.
    Am J Otolaryngol 2017 Nov - Dec;38(6):668-672. Epub 2017 Aug 30.
    Department of Otorhinolaryngology, Head and Neck Surgery, Charité-Universitätsmedizin, Campus Charité Mitte, Chariteplatz 1, 10117 Berlin, Germany.
    Purpose: Chronic hyperplasia of the inferior nasal concha is accompanied by a nasal obstruction; however, there is no standardised surgical treatment for this condition. Here, we compared the outcome of three surgical techniques frequently used to treat the hyperplasia of inferior turbinates: turbinectomy with lateralization, submucosal electrocautery and laser cautery additional to septoplasty.

    Materials And Methods: One hundred and nine patients participated in this prospective randomized study upon signing written consent. Read More

    Transtympanic pseudoaneurysm of the internal carotid artery complicating a myringotomy in a four-year old child: Case report and literature review.
    Am J Otolaryngol 2017 Nov - Dec;38(6):713-717. Epub 2017 Aug 24.
    Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital of Bordeaux, Bordeaux F-33000, France.
    We report the first case of a transtympanic iatrogenic internal carotid artery (ICA) pseudoaneurysm diagnosed in a 4-year-old child following a myringotomy. An endovascular treatment with a covered-stent was decided; spontaneous thrombosis was found during the therapeutic arteriography, and the procedure was aborted. Otoscopy and computed tomography (CT) scan monitoring showed a prolonged thrombosis and the disappearance of the pseudoaneurysm 18months after the diagnostic arteriography. Read More

    Metastatic squamous cell carcinoma to the superior cervical ganglion mimicking a retropharyngeal lymph node.
    Am J Otolaryngol 2017 Nov - Dec;38(6):720-723. Epub 2017 Jul 5.
    Thyroid, Head and Neck Cancer (THANC) Foundation, New York, NY, United States; Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Beth Israel, New York, NY, United States.
    Background: Metastasis of squamous cell carcinoma (SCC) to the superior cervical ganglion (SCG) has never been reported. Its anatomic location may easily be mistaken for a retropharyngeal lymph node. We present the first case of SCC metastasis to the SCG. Read More

    Conchal contractility after inferior turbinate hypertrophy treatment:A prospective, randomized clinical trial.
    Am J Otolaryngol 2017 Nov - Dec;38(6):678-682. Epub 2017 Aug 19.
    Bezmialem Vakif University, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey. Electronic address:
    Objective: The aim of this study is to evaluate the effects of these two methods (Nasal corticosteroids (NCS) and radiofrequency (RF) application) on conchal contractility utilizing objective rhinologic measurement parameters.

    Methods: 82 patients were presented with the complaint of nasal obstruction and diagnosed with inferior turbinate hypertrophy and were included in the study. Patients in Group 1 received NCS for 12weeks. Read More

    Surgical management of temporal bone osteoradionecrosis: Single surgeon experience of 47 cases.
    Am J Otolaryngol 2017 Nov - Dec;38(6):688-691. Epub 2017 Jul 23.
    Otolaryngology and Facial Plastic Surgery Associates, 923 Pennsylvania Ave, Fort Worth, TX 76104, United States. Electronic address:
    Purpose: To report the outcomes of 47 patients with temporal bone osteoradionecrosis treated primarily with surgical resection in order to analyze whether flap type and hyperbaric oxygen use affect wound breakdown.

    Materials And Methods: Between January 1998 and January 2016, 47 patients were treated for temporal bone osteoradionecrosis with surgery. Some patients were also treated with hyperbaric oxygen. Read More

    Hearing loss in enlarged vestibular aqueduct and incomplete partition type II.
    Am J Otolaryngol 2017 Nov - Dec;38(6):692-697. Epub 2017 Jun 23.
    Ear, Nose, and Throat Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States; Center for Clinical Investigation, Department of Epidemiology and Biostatistics, Case Western Reserve University School of Medicine, Cleveland, OH, United States. Electronic address:
    Purpose: The purpose of this work is to identify the role of incomplete partition type II on hearing loss among patients with enlarged vestibular aqueduct (EVA).

    Background: EVA is a common congenital inner ear malformation among children with hearing loss, where vestibular aqueduct morphology in this population has been shown to correlate to hearing loss. However, the impact of incomplete partition between cochlear turns on hearing loss has not been, despite meaningful implications for EVA pathophysiology. Read More

    Randomized double blind trial of amitriptyline versus placebo in treatment of chronic laryngopharyngeal neuropathy.
    Am J Otolaryngol 2017 Nov - Dec;38(6):683-687. Epub 2017 Jul 12.
    Department of Otolaryngology, Boston Medical Center, Boston University, Boston, MA 02118, United States. Electronic address:
    Objective: A neuropathic etiology has been suggested for patients with chronic laryngopharyngitis symptoms without visible structural pathology. Prior studies have shown that treatment with neuro-modulating medications is beneficial, but it is unknown if this was due to placebo effect. Our objective was to compare the efficacy of amitriptyline versus placebo in treating chronic laryngopharyngeal neuropathy. Read More

    Parathyroidectomy for tertiary hyperparathyroidism: A systematic review.
    Am J Otolaryngol 2017 Sep - Oct;38(5):630-635. Epub 2017 Jun 21.
    Chicago ENT: Advanced Center for Specialty Care, 3000 North Halsted Street Suite 400, Chicago, IL 60657, USA; Rush University Medical Center, Department of Otorhinolaryngology, 1653 West Congress Parkway, Chicago, IL 60612, USA. Electronic address:
    Objective: Analyze the efficacy and indications for parathyroidectomy as an intervention for tertiary hyperparathyroidism.

    Data Sources: PubMed, MEDLINE, and Cochrane Library databases.

    Review Methods: A systematic literature search was performed using the. Read More

    Total lower lip and chin reconstruction with radial forearm free flap: A novel approach.
    Am J Otolaryngol 2017 Sep - Oct;38(5):618-625. Epub 2017 Jul 8.
    Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, 10 Union Square East, Suite 5B, New York, NY 10003, USA.
    Background: The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip. Read More

    Eosinophilic hyperplastic lymphogranuloma: Clinical diagnosis and treatment experience of 41 cases.
    Am J Otolaryngol 2017 Sep - Oct;38(5):626-629. Epub 2017 Jul 12.
    Department of otolaryngology, Hubei Material and Child Health Hospital, Wuhan, China.
    Purpose: The purpose of this study was to investigate the clinical features of eosinophilic hyperplastic lymphogranuloma (EHLG) in the head and neck.

    Materials And Methods: Collecting the patients who diagnose with EHLG by pathological examination. The EHLG patients with the masses involved regions, such as involved inguinal region, chest wall, abdominal wall, anterior superior iliac spine or clavicle, instead of head and neck were excluding. Read More

    The effect of training level on complications after free flap surgery of the head and neck.
    Am J Otolaryngol 2017 Sep - Oct;38(5):560-564. Epub 2017 Jun 2.
    Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA. Electronic address:
    Objectives: Analyze postoperative complications after free flap surgery based on PGY training level.

    Methods: Data on free flap surgeries of the head and neck performed from 2005 to 2013 was collected from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database. Cases identifying the status of resident participation in the surgery and the PGY level were included. Read More

    Temporal bone computed tomography findings associated with feasibility of endoscopic ear surgery.
    Am J Otolaryngol 2017 Nov - Dec;38(6):698-703. Epub 2017 Jun 14.
    Department of Otology and Laryngology, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA. Electronic address:
    Purpose: There are no formal radiologic criteria to stratify patients for transcanal (TEES) or transmastoid endoscopic ear surgery for resection of cholesteatoma. We aim to determine 1) whether standard preoperative computed tomography (CT) findings are associated with the need for conversion to a transmastoid approach and 2) the amount of time added for conversion from TEES to transmastoid techniques.

    Materials And Methods: Retrospective chart review of consecutive pediatric and adult cases of TEES for primary cholesteatoma from 2013 through 2015 (n=52). Read More

    Histopathological investigation of intranodular echogenic foci detected by thyroid ultrasonography.
    Am J Otolaryngol 2017 Sep - Oct;38(5):608-613. Epub 2017 Jul 5.
    Department of Radiology, University of Health Sciences, Istanbul Training and Research Hospital, Istanbul, Turkey.
    Objective: To determine the predictability of sonography for detection of calcifications in thyroid nodules by histopathologic examination and to demonstrate the association between calcification pattern and malignancy.

    Methods: We prospectively evaluated 81 dominant nodules from 81 patients. Thyroid glands were assessed preoperatively with thyroid ultrasonography, and the presence of sonographic calcification was specified as intranodular macro (coarse) and micro calcification. Read More

    The contemporary utility of intraoperative frozen sections in thyroid surgery.
    Am J Otolaryngol 2017 Sep - Oct;38(5):614-617. Epub 2017 Jul 5.
    Head and Neck Institute, Cleveland Clinic Foundation, United States. Electronic address:
    Purpose: To determine the accuracy of intraoperative frozen section analysis on thyroidectomy specimens stratified by the Bethesda classification scheme and its utility for intraoperative decision-making.

    Study Design: Retrospective chart review.

    Methods: A retrospective review was performed on all patients who underwent thyroidectomy or thyroid lobectomy with intraoperative frozen sections at a tertiary care academic center from 2009 to 2015. Read More

    Treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study.
    Am J Otolaryngol 2017 Sep - Oct;38(5):603-607. Epub 2017 Jun 27.
    Cleveland Clinic Head and Neck Institute, 9500 Euclid Ave/A71, Cleveland, OH 44195, United States.
    Objective: Laryngopharyngeal reflux (LPR) symptoms are often resistant to management and cause significant quality of life impairment to patients with this disease. This study assesses the utility of a sleep-positioning device (SPD) in treating LPR.

    Design: Single center prospective cohort study. Read More

    Quantitative imaging analysis of transcanal endoscopic Infracochlear approach to the internal auditory canal.
    Am J Otolaryngol 2017 Sep - Oct;38(5):518-520. Epub 2017 Apr 4.
    Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA, USA; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, USA.
    Purpose: A transcanal endoscopic infracochlear surgical approach to the internal auditory canal (IAC) in a human temporal bone model has previously been described. However, the proportion of patients with favorable anatomy for this novel surgical technique remains unknown. Herein, we perform a quantitative analysis of the transcanal endoscopic infracochlear corridor to the IAC based on computed tomography. Read More

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