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Ear Nose Throat J 2022 Jun 23:1455613221106218. Epub 2022 Jun 23.

Department of Otolaryngology, 74713Lanzhou University Second Hospital, Lanzhou, PR China.

Ameloblastomas are slow-growing, aggressive odontogenic epithelial tumors that originate from the jawbone. One of the most easily relapsing maxillofacial tumors, ameloblastomas mainly occur in the mandibular molar area and ascending branch, although they can occasionally occur in the nasal cavity and paranasal sinuses. A 14-year-old child with autism spectrum disorder underwent sinus computed tomography (CT) under anesthesia. Read More

Acta Otolaryngol 2022 Jun 23:1-6. Epub 2022 Jun 23.

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Retrosigmoid sinus (RS) approach was not the dominant choice for BONEBRIDGE implantation.

Objective: To investigate the efficacy and safety of auricular reconstruction concomitant with BONEBRIDGE implantation using retrosigmoid approach for aural atresia patients.

Materials And Methods: A retrospective analysis was conducted of 15 children (28 ears) who underwent auricular reconstruction using a completely expanded postauricular flap with a skin expander concomitant with retrosigmoid BONEBRIDGE implantation from July 2019 to September 2020. Read More

Pediatric Health Med Ther 2022 16;13:235-242. Epub 2022 Jun 16.

Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.

Introduction: Cancellation of surgery or delay on the day of service is a huge burden for the patient, family, and healthcare system. Preventable delays impact efficiency and workflow, which may increase costs due to overtime and idle rooms during peak hours. Non-compliance to nil per os (NPO) guidelines remains one of the most common preventable causes for surgical cancellations. Read More

J Maxillofac Oral Surg 2022 Jun 14;21(2):562-570. Epub 2021 Nov 14.

Department of Anatomy, Hacettepe University, Ankara, Turkey.

Objectives: The aim of this study is to investigate the effect of the graft material combined with ozonized blood on bone healing in rabbit in maxillary sinus lifting applications histomorphometrically, immunohistochemically and microtomographically.

Materials And Methods: Twenty-eight New Zealand rabbits were randomly divided into 2 groups as experimental ( = 14) and control ( = 14). In experimental group, 5 ml (milliliter) blood obtained from the ear vein of each rabbit was ozonized by 80 µl (µl)/ml concentration ozone-oxygen mixture. Read More

J Anaesthesiol Clin Pharmacol 2022 Jan-Mar;38(1):124-129. Epub 2021 Dec 1.

Department of Ear, Nose and Throat, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Background And Aims: Awake fibreoptic nasotracheal intubation is associated with adverse airway and hemodynamic complications. The aim of this study was to evaluate the role of endotracheal tube size on nasal and laryngeal morbidity during awake fibreoptic-guided nasotracheal intubation.

Material And Methods: Eighty patients recruited to undergo awake fibreoptic intubation were randomly allocated to Group C (standard size endotracheal tube) and Group S (small size endotracheal tube followed by exchange to standard size using Airway Exchange Catheter under general anesthesia). Read More

Ear Nose Throat J 2022 Jun 14:1455613221108366. Epub 2022 Jun 14.

Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University.

Objective: To investigate the clinical effect of dexmedetomidine combined with dezocine in local anesthesia for endoscopic dacryocystorhinostomy (DCR).

Methods: Ninety patients undergoing elective endoscopic DCR were randomly divided into two groups, local anesthesia group (LA group n = 45) and general anesthesia group (GA group, n = 45). These subjects were all American Society of Anesthesiologists (ASA)-Physical Status I-II patients. Read More

Front Pediatr 2022 25;10:866111. Epub 2022 May 25.

Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario "A. Gemelli", Rome, Italy.

Reliable testing methods for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in children are essential to allow normal activities. Diagnosis of SARS-CoV-2 infection is currently based on real-time reverse transcriptase-polymerase chain reaction (RT-PCR) performed on nasopharyngeal (NP) swabs; concerns have been raised regarding NP swab accuracy in children to detect the virus because of potential lack of cooperation of the patients or due to general uncertainties about concordance between high and low respiratory tract specimens in children. The aim of the study (IRB approval: ST/2020/405) is to prospectively compare RT-PCR results on NP and tracheo-bronchial aspirate (TA) in children admitted to the hospital for surgery or admitted to the Pediatric Intensive Care Unit (PICU) of a tertiary children hospital in Milano, Italy, during a peak of COVID-19 infections in the city. Read More

Int J Mol Sci 2022 Jun 2;23(11). Epub 2022 Jun 2.

Schepens Eye Research Institute/Massachusetts Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA 02114, USA.

Specialized pro-resolving mediators (SPMs), including Maresins (MaR)-1 and 2, contribute to tear film homeostasis and resolve conjunctival inflammation. We investigated MaR2's signaling pathways in goblet cells (GC) from rat conjunctiva. Agonist-induced [Ca] and high-molecular weight glycoconjugate secretion were measured. Read More

Front Med (Lausanne) 2022 20;9:905131. Epub 2022 May 20.

Department of Anesthesiology & Intensive Care, Universiti Kebangsaan Malaysia Medical Center, Kuala Lumpur, Malaysia.

We aim to compare the effects of sugammadex on postoperative nausea and vomiting (PONV) with those of neostigmine-atropine mixture. A total of 136 American Society of Anesthesiology (ASA) I or II patients, aged 18 to 65 years who underwent ear, nose, and throat (ENT) surgery under general anesthesia, were recruited in this prospective, randomized, double-blind study to receive either sugammadex 2 mg/kg or neostigmine 2.5 mg with atropine 1 mg for reversal of neuromuscular blockade. Read More

Aesthet Surg J Open Forum 2022 1;4:ojac019. Epub 2022 Apr 1.

Northern Ontario School of Medicine, Thunder Bay, ON, Canada.

Background: Breast reduction is a common procedure for plastic surgery. The authors have adopted a modified technique using the medial pedicle, with markings using a 15-9-9 framework and a methodical step-wise approach.

Objectives: This study introduces the 15-9-9 framework as a design for medial pedicle breast reductions that is easy to perform and teach, with favorable outcomes. Read More

Zhonghua Yi Xue Za Zhi 2022 Jun;102(21):1596-1602

Department of Anesthesiology, the Eye & ENT Hospital of Fudan University, Shanghai, 200031, China.

To explore the risk factors of anxiety during anesthesia induction in children undergoing eye and ear-nose-throat (ENT) surgeries. The clinical data of 930 children who underwent eye and ENT surgeries in the Eye & ENT Hospital of Fudan University from January to December 2019 were collected. The outcome variable was the degree of anxiety during anesthesia induction. Read More

Zhonghua Yi Xue Za Zhi 2022 Jun;102(21):1559-1563

Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.

With the continuous update of anesthesia techniques, equipment and research field, the techniques and concepts of anesthesia in eye and ear-nose-throat (ENT) surgery are constantly optimized and developed. Eye and ENT anesthesia has its unique technical characteristics and problems. By reviewing related literature extensively and combining with our experience, this article analyzed and discussed the challenges of ENT anesthesia, such as difficult airway, airway hyperactivity, controlled hypotension and so on, as well as summarizing and evaluating the advantages and disadvantages of the techniques applied in ENT anesthesia. Read More

BMJ Case Rep 2022 May 31;15(5). Epub 2022 May 31.

ENT & head and neck surgery, All India Institute of Medical Sciences, New Delhi, India

Zygomatic osteomyelitis is a rare occurrence due to rich collateral blood supply of bone. A man in his 30s presented with complaints of pain over bilateral cheek and pus discharge below the eye on lateral aspect. He was a known case of COVID-19 associated mucormycosis postendoscopic debridement of sinuses 3 months back. Read More

BMJ Case Rep 2022 May 31;15(5). Epub 2022 May 31.

Cardiovascular Institute of Buenos Aires, Buenos Aires, Argentina.

The trigeminocardiac reflex (TCR) is an established brainstem reflex leading to parasympathetic dysrhythmias-including haemodynamic irregularities, apnoea and gastric hypermotility-during stimulation of any sensory branches of the trigeminal nerve. Most of the clinical knowledge about TCR was gathered from general anaesthesia observations, not from procedural sedation.We present a case of a 6-month-old premature baby experiencing the reflex twice under dexmedetomidine-propofol-sedation while undergoing ophthalmic and ear examination. Read More

Ear Nose Throat J 2022 May 30:1455613221106207. Epub 2022 May 30.

Department of Otolaryngology - Head and Neck Surgery, King Saud University Medical City, 37850King Saud University, Riyadh, Saudi Arabia.

Significance Statement: Pregnancy-related giant nasal masses often present a diagnostic challenge and clinical dilemma due to the obvious restrictions in utilizing imaging and general anesthesia during pregnancy. Therefore, we highlight the importance of clinical judgment, especially during pregnancy, and should not disregard certain clinical cues. In addition, we recommend an in-office polypectomy for giant nasal polyps worsening during pregnancy and nasal steroids to optimize their quality of life while avoiding systemic medications or further interventions. Read More

Ear Nose Throat J 2022 May 29:1455613221106214. Epub 2022 May 29.

Department of Otorhinolaryngology, 518993Habib Bourguiba hospital, Sfax, Tunisia.

True thymic hyperplasia results from stressful situations such as chemotherapy. It commonly presents as an anterior mediastinal mass; cervical location is exceptional. Here we report a case of a cervical true thymic hyperplasia in a 12-year-old girl who had a Hodgkin lymphoma treated by radiotherapy and chemotherapy. Read More

Ear Nose Throat J 2022 May 25:1455613221104683. Epub 2022 May 25.

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, 36630Huazhong University of Science and Technology, Wuhan, China.

Epstein-Barr virus-positive anaplastic plasmacytoma in the sinonasal tract is uncommon. Herein, we present the case of a 40-year-old male patient with a right sinonasal tract filled with a soft tissue mass, as shown on CT. Apart from frequent nosebleeds, he did not report any specific sinonasal symptoms, such as nasal obstruction, discharge, or loss of smell. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 May;57(5):602-606

Department of Otorhinolaryngology, Liaocheng People's Hospital, Liaocheng 252000, China.

To explore the feasibility and short-term effect of tensor tympani muscle Tenotomy in the treatment of Meniere's disease under otoscope. The possible pathogenesis was discussed and our views were put forward. The clinical data of 9 cases of Meniere's disease treated by otoscopic Tenotomy were analyzed retrospectively, including 2 males, 7 females, 5 right ones, 2 left ones and 2 bilateral ones. Read More

J Int Adv Otol 2022 May;18(3):243-251

Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, South Korea.

Background: This study aimed to investigate the outcome of using the human acellular dermal allograft patch compared with the conven- tional paper patch in traumatic tympanic membrane perforation.

Methods: This was a retrospective study including 41 patients (42 ears) treated with 22 human acellular dermal allografts and 20 paper patches for acute traumatic tympanic membrane perforation from April 2013 to June 2020. The procedure was performed by applying human acellular dermal allograft or paper patches after trimming of perforation margins under local anesthesia. Read More

Laryngorhinootologie 2022 May 23;101(S 01):S36-S78. Epub 2022 May 23.

Hals-Nasen-Ohrenklinik der Medizinischen Hochschule Hannover.

Cochlear implant today are an essential method of auditory rehabilitation in patients with severe to profound hearing loss. Due to the rapid development of implant technology the results have been markedly improved. Today about 80 % of patients can use the telephone and children achieve near to normal hearing and speech development. Read More

Risk Manag Healthc Policy 2022 9;15:945-954. Epub 2022 May 9.

Department of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China.

Background: Flexible laryngeal mask airways (FLMAs) ventilation have been widely used as airway devices during general anesthesia, especially in otologic surgery. However, the current literature reports that the clinical success and failure rates for FLMA usage are quite different, and there remains a paucity of data regarding factors associated with FLMA failure and complications related to FLMA usage.

Purpose: To evaluate the success and failure rates of FLMA usage in otologic surgery, the factors associated with FLMA failure and complications related to FLMA usage. Read More

Asian J Endosc Surg 2022 May 16. Epub 2022 May 16.

Department of Transplant and Endocrine Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Aichi, Japan.

A 40-year-old woman underwent right lobe thyroidectomy for thyroid nodules that increased in size from 17 mm to 33.5 mm within 1 year. Identification of arteria lusoria using computed tomography suggested the presence of a right nonrecurrent laryngeal nerve (RNRLN). Read More

BMC Surg 2022 May 14;22(1):182. Epub 2022 May 14.

Orelhinha Institute, 55 Oriente ST, Chácara da Barra, Campinas, São Paulo, 13090-740, Brazil.

Objectives: This study proposes a new surgical alternative for the most common deformity in the ears, the so-called "protruding/prominent ears", which is a condition that affects 5% of the Caucasian population (Goulart et al. in Rev Bras Cir Plast 26:602-607, 2011). This technique comes with the benefits of reduced surgical time, shallow learning curve, and a low revision rate. Read More

Front Cell Neurosci 2022 25;16:856855. Epub 2022 Apr 25.

Laboratory of Neuropharmacology, Department of Medicine and Life Sciences, Universitat Pompeu Fabra, Barcelona, Spain.

Brain electrical stimulation techniques take advantage of the intrinsic plasticity of the nervous system, opening a wide range of therapeutic applications. Vagus nerve stimulation (VNS) is an approved adjuvant for drug-resistant epilepsy and depression. Its non-invasive form, auricular transcutaneous VNS (atVNS), is under investigation for applications, including cognitive improvement. Read More

BMJ Case Rep 2022 05 10;15(5). Epub 2022 May 10.

Bedfordshire Hospitals NHS Foundation Trust, Luton, UK.

Front Med (Lausanne) 2022 19;9:863917. Epub 2022 Apr 19.

Organic Chemistry Department, Faculty of Science, Menoufia University, Shebin El-Kom, Egypt.

The COVID-19 pandemic is still posing challenging health and economic problems. Effective broad-spectrum antiviral therapy is urgently needed for the control of early SARS-CoV-2 infection to limit its spread and mutations. In this randomized placebo-controlled clinical study, we tested the effects of intranasal and oropharyngeal delivery of a compound of povidone-iodine 0. Read More

Drug Des Devel Ther 2022 28;16:1211-1216. Epub 2022 Apr 28.

Department of Anesthesiology, Eye & and ENT Hospital, Fudan University, Shanghai, People's Republic of China.

Purpose: To investigate the tolerability of midazolam intravenous (IV) solution by masking its bitter taste through the addition of syrup.

Methods: In the waiting area before surgery at our institution, Eye and ENT Hospital, from May to November of 2021, pediatric patients scheduled for anterior ear fistula removal or eardrum catheterization were randomly assigned to receive a mixture of IV midazolam and water (Group C) or IV midazolam and syrup (Group S) in equal volumes. We measured the difference between the groups in terms of drug tolerability with a 5-point facial hedonic scale given to every patient, parent, and nurse involved in the study. Read More

Eye (Lond) 2022 May 3. Epub 2022 May 3.

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Background/objectives: To evaluate current routine trabeculectomy technique preferences among Australian and New Zealand Glaucoma Society surgeons regularly performing trabeculectomy surgery.

Subjects/methods: Survey of experienced surgeons who perform trabeculectomy.

Results: Forty-nine surgeons (33 male:16 female) participated in the survey. Read More

Ear Nose Throat J 2022 Apr 29:1455613221097201. Epub 2022 Apr 29.

Department of Otorhinolaryngology and Head and Neck Surgery, 9290European Institute of Oncology, IRCCS, Milan, Italy.

Laryngeal carcinoma represents one-third of all head and neck cancers and is burdened by significant morbidity and mortality for advanced-stage disease. Surgical treatments, including Open Partial Horizontal Laryngectomy (OPHL), are often followed by long-lasting swallowing rehabilitation and more rarely, persistent dysphagia. Some authors reported single cases, successfully treated with fat injection of the base of tongue, but nowadays, a standardized technique has never been described so far. Read More

Ear Nose Throat J 2022 Apr 11:1455613221094441. Epub 2022 Apr 11.

Department of Respiratory and Critical Care Medicine, Beijing Tiantan Hospital, 105738Capital Medical University, Beijing, China.

Superimposed high-frequency jet ventilation (SHFJV) is a new type of jet ventilation that simultaneously uses high- and low-frequency types of jet ventilation. We compared SHFJV with the conventional high-frequency jet ventilation (CHFJV) in interventional bronchoscopy in terms of safety and effectiveness. : A multi-centre prospective random single-blind clinical trial was conducted by three interventional bronchoscopy centres. Read More