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Ann Otol Rhinol Laryngol 2022 Jun 20:34894221104955. Epub 2022 Jun 20.

Department of Otolaryngology, Children's National Medical Center, Washington, DC, USA.

Objective: To identify factors predicting success in slide tracheoplasty surgery at a regional children's hospital and compare with available published literature.

Measures: Retrospective chart review comparing demographics (age, weight) and clinical (operative and hospital course, need for additional airway intervention) factors experienced with slide tracheoplasty. Findings were compared with a systematic review of published literature. Read More

Ann Otol Rhinol Laryngol 2022 Jun 20:34894221105833. Epub 2022 Jun 20.

Department of Surgery, University of New Mexico School of Medicine MSC08 4720, Albuquerque, NM, USA.

Objectives: To assess outcomes of carotid body tumors (CBTs) managed with active surveillance.

Methods: Retrospective chart review of CBTs managed with active surveillance from 2001 to 2019.

Results: A total of 115 cases were identified during chart review. Read More

Ann Otol Rhinol Laryngol 2022 Jun 20:34894221105831. Epub 2022 Jun 20.

Otolaryngology - Head and Neck Surgery, Pediatric Division, University of Michigan Health Systems, CS Mott Children's Hospital, Ann Arbor, MI, USA.

Importance: Prominotia has functional and esthetic impact for the child and family and proficiency in otoplasty requires experiential rehearsal.

Objectives: To design and validate an anatomically accurate, 3D printed prominotia simulator for rehearsal of otoplasties.

Methods: A 3D prominotia model was designed from a computed tomographic (CT) scan and edited in 3-matic software. Read More

Ann Otol Rhinol Laryngol 2022 Jun 20:34894221098471. Epub 2022 Jun 20.

Department of Family and Community Medicine, UT Southwestern Medical Center, Dallas, TX, USA.

Objectives: The purpose of this study was to explore adherence to the American Cancer Society (ACS) Head and Neck Cancer (HNC) Survivorship Care Guideline and their outlined 33 recommendations among posttreatment HNC survivors.

Methods: A bi-institutional, retrospective, nested cohort study of mucosal or salivary gland HNC survivors diagnosed in 2018 was designed. Guideline adherence was assessed via retrospective chart review between 0 and 13 months after completion of oncologic treatment according to 4 categories: (1) problem assessed, (2) problem diagnosed, (3) management offered; (4) problem treated. Read More

Ann Otol Rhinol Laryngol 2022 Jun 15:34894221104939. Epub 2022 Jun 15.

Washington University School of Medicine, St Louis, MO, USA.

Objective: To determine the efficacy of balloon sinus dilation (BSD) compared to functional endoscopic sinus surgery (FESS) or medical management for chronic rhinosinusitis (CRS).

Methods: A qualified medical librarian conducted a literature search for relevant publications that evaluate efficacy of BSD. Studies were assessed independently by 2 reviewers for inclusion in the systematic review and meta-analysis. Read More

Ann Otol Rhinol Laryngol 2022 Jun 15:34894221104453. Epub 2022 Jun 15.

Department of Otolaryngology, Head & Neck Surgery, Monash Health, Melbourne, VIC, Australia.

Objective: The development of evidence-based medicine has contributed to improved patient outcomes. This study aims to identify the trends in levels of evidence in otolaryngology journals over time, as represented by the 4 most widely circulated peer-reviewed otolaryngology journals.

Methods: A review of all articles from 2007, 2010, 2013, 2016, and 2019, in 4 major otolaryngology journals. Read More

Ann Otol Rhinol Laryngol 2022 Jun 15:34894221104461. Epub 2022 Jun 15.

Division of Pediatric Otolaryngology, Department of Otolaryngology Head and Neck Surgery, New York University School of Medicine, New York, NY, USA.

Objective: This report describes a new observation of hyperglycemia in a child with Type 1 diabetes after off-label use of otic ciprofloxacin/dexamethasone drops in the nasal passage and reviews previous reports of adverse endocrine effects from intranasal corticosteroids in pediatric patients.

Methods: We describe the clinical case and conducted a literature review of MEDLINE (PubMed) and EMBASE.

Results: A 9-month-old female with a history of Type 1 diabetes who underwent unilateral choanal atresia repair was started on 1 week of ciprofloxacin 0. Read More

Ann Otol Rhinol Laryngol 2022 Jun 11:34894221098708. Epub 2022 Jun 11.

Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, Buffalo, NY, USA.

Objective: To determine if intolerance of uncertainty, depression, anxiety, worry, or stress are related to post-op regret in otolaryngology patients.

Methods: Adult patients or parents giving consent for pediatric patients meeting criteria for otolaryngologic surgery were recruited and completed the Intolerance of Uncertainty Scale (IUS-12), Penn State Worry Questionnaire (PSWQ), and Depression, Anxiety and Stress Scale-21 (DASS-21) preop and the Decisional Regret (DR) scale 1-month post-op. Pearson correlations were calculated. Read More

Ann Otol Rhinol Laryngol 2022 Jun 11:34894221099355. Epub 2022 Jun 11.

Department of Otolaryngology, Faculty of Medicine, Baskent University, Ankara, Turkey.

Objective: To determine whether budesonide (Bud) and triamcinolone acetate (TA) cause DNA fractures in the nasal mucosa and septal cartilage cells through examinations using the comet assay technique.

Study Design: Prospective, controlled experimental study.

Setting: University hospital. Read More

Ann Otol Rhinol Laryngol 2022 Jun 11:34894221100025. Epub 2022 Jun 11.

Rush University Medical Center, Chicago, IL, USA.

Objectives: Laryngopharyngeal reflux (LPR) is an extraesophageal variant of gastroesophageal reflux disease associated with intermittent dysphonia, throat-clearing, and chronic cough. This study aims to evaluate the impact of race and insurance status on symptoms often attributable to LPR.

Methods: Retrospective review of all patients with suspected LPR from 2017 to 2019 was performed at a tertiary care center. Read More

Ann Otol Rhinol Laryngol 2022 Jun 10:34894221097183. Epub 2022 Jun 10.

Otolaryngology-Head & Neck Surgery Department, Grenoble Alpes University Hospital, Grenoble, France.

Objectives: This study aims to demonstrate the benefit of reconstructive transoral laser microsurgery (R-TLM) in decannulation of tracheostomy-dependent patients with airway obstruction.

Methods: A consecutive series of tracheostomy-dependent patients who underwent R-TLM using multiple techniques described in our previous works, were reviewed for outcomes especially for decannulation. Full airway examination was essential to determine the anatomical and functional sites of obstruction to establish the surgical plan including R-TLM techniques needed to improve airway prior to permanent decannulation. Read More

Ann Otol Rhinol Laryngol 2022 Jun 8:34894221098704. Epub 2022 Jun 8.

Department of Otorhinolaryngology - Head and Neck Surgery, Montefiore Medical Center, The University Hospital of Albert Einstein College of Medicine, Bronx, NY, USA.

Objectives: Surgical repair of nasal septal perforations (NSPs) is technically challenging. Advantages associated with endoscopic NSP repair (ENSPR) include enhanced visualization and its minimally invasive nature. Purely endoscopic techniques have successful outcomes with low morbidity. Read More

Ann Otol Rhinol Laryngol 2022 Jun 5:34894221098804. Epub 2022 Jun 5.

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

Objectives: Video-based coaching might complement general surgery education, but little is known of its applicability for otologic microsurgical teaching. Our purpose was thus to evaluate the content and resident-perceived benefit of video-based coaching for mastoidectomy education.

Methods: In this mixed-methods pilot design, mastoidectomies were recorded from operative microscopes and reviewed during 30-minute video-based coaching sessions at 2 tertiary care centers. Read More

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221098802. Epub 2022 Jun 3.

Digestive Surgery Department, Cho Ray hospital, Ho Chi Minh City, Vietnam.

Objectives: Hypopharyngeal and laryngeal cancers are aggressive and usually diagnosed at advanced stage with esophagus invasion. Total pharyngolaryngoesophagectomy with gastric pull-up reconstruction has been a common surgery for these cancers but long-term outcomes are still questionable. This study aimed to investigate short-term and long-term outcomes of patients who underwent this surgery. Read More

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221098803. Epub 2022 Jun 3.

Department of Otorhinolaryngology, University Hospital, LMU Munich, Munich, Germany.

Objective: Betahistine is frequently used in the pharmacotherapy for Menière's Disease (MD). Little is known about its mode of action and prescribed dosages vary. While betahistine had an increasing effect on cochlear microcirculation in earlier studies, low dose betahistine of 0. Read More

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221098466. Epub 2022 Jun 3.

Department of Otolaryngology-Head and Neck Surgery, Geisinger Medical Center, Danville, PA, USA.

Objectives: Retrospectively analyze head and neck Langerhans Cell Histiocytosis at a rural tertiary referral center and compare results with previously published data.

Methods: Electronic health record review was performed from 2003 to 2019. Patients with biopsy proven LCH with primary head and neck involvement were included. Read More

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221100024. Epub 2022 Jun 3.

Department of Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, NY, USA.

Objective: To compare NIH funding in the field of Otolaryngology to other medical and surgical specialties between 2009 and 2019.

Methods: Data was collected from the NIH RePORTER database on funding dollars received by each specialty from 2009 to 2019. Along with data on total active physicians per specialty using the Physician Specialty Data Book, comparisons were drawn between Otolaryngology and other medical and surgical specialties with regards to trends in total funding and NIH funding dollars per physician. Read More

Ann Otol Rhinol Laryngol 2022 Jun 3:34894221100026. Epub 2022 Jun 3.

Faculty of Psychology, Universitas Indonesia, Depok, Indonesia.

Objectives: We investigated the satisfaction and nasal airway function of patients who underwent L-shaped augmentation rhinoplasty using rhinoplasty outcomes evaluation (ROE). Nasal obstruction was evaluated using the nasal obstruction symptom evaluation (NOSE) and peak nasal inspiratory flowmeter (PNIF) score. We explored the correlation between tip projection, ROE, NOSE, and PNIF scores. Read More

Ann Otol Rhinol Laryngol 2022 Jun 1:34894221095899. Epub 2022 Jun 1.

Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.

Introduction: Convolutional neural networks (CNNs) represent a state-of-the-art methodological technique in AI and deep learning, and were specifically created for image classification and computer vision tasks. CNNs have been applied in radiology in a number of different disciplines, mostly outside otolaryngology, potentially due to a lack of familiarity with this technology within the otolaryngology community. CNNs have the potential to revolutionize clinical practice by reducing the time required to perform manual tasks. Read More

Ann Otol Rhinol Laryngol 2022 May 23:34894221096976. Epub 2022 May 23.

Department of Otolaryngology-Head and Neck Surgery, Geisinger Medical Center, Danville, PA, USA.

Objective: Patient-provider communication is a major barrier to care, with some providers giving their personal phone number (PPN) to patients for increased accessibility. We investigated participant utilization of provider's PPN, its effect on participant satisfaction, provider's ability to predict abuse of this practice, and evolving provider perceptions.

Study Design: Prospective, randomized study. Read More

Ann Otol Rhinol Laryngol 2022 May 12:34894221088180. Epub 2022 May 12.

Department of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.

Objective: This review provides a summary of the current understanding of the health and well-being of the head and neck cancer (HNC) caregiver. Our goal is to understand the healthcare needs required by the caregivers of our oncologic patients, which may ultimately influence quality of care and support that cancer patients require during treatment and recovery.

Methods: Independent database searches were conducted to identify articles describing HNC caregiver health and healthcare utilization. Read More

Ann Otol Rhinol Laryngol 2022 May 12:34894221093890. Epub 2022 May 12.

Department of Otolaryngology - Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.

Objective: To critically review the literature on nasal nitric oxide (nNO) and its current clinical and research applicability in the diagnosis and treatment of different sinonasal inflammatory diseases, including acute bacterial rhinosinusitis (ABRS), allergic rhinitis (AR), and chronic rhinosinusitis (CRS).

Methods: A search of the PubMed database was conducted to include articles on nNO and sinonasal diseases from January 2003 to January 2020. All article titles and abstracts were reviewed to assess their relevance to nNO and ABRS, AR, or CRS. Read More

Ann Otol Rhinol Laryngol 2022 May 3:34894221094950. Epub 2022 May 3.

Department of Otolaryngology-Head & Neck Surgery, Sinai Health, University of Toronto, Toronto, ON, Canada.

Background: Traditional, trans-cervical thyroidectomy results in the presence of a neck scar, which has been shown to correlate with lower quality of life and lower patient satisfaction. Transoral thyroid surgery (TOTS) has been utilized as an alternative approach to avoid a cutaneous incision and scar by accessing the neck and thyroid through the oral cavity. This study was designed to evaluate patient preference through health-state utility scores for TOTS as compared to conventional trans-cervical thyroidectomy. Read More

Ann Otol Rhinol Laryngol 2022 May 3:34894221090693. Epub 2022 May 3.

Department of Otolaryngology, Head & Neck Surgery, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.

Objectives: Nurses are increasingly providing routine and emergency ENT care; yet there are often limited training opportunities. The aim of this study was to validate an intensive 1-day ENT emergency simulation course for nurses.

Methods: The course included short lectures, practical skills stations and mannequin simulation scenarios. Read More

Ann Otol Rhinol Laryngol 2022 May 2:34894221092844. Epub 2022 May 2.

Department of Otorhinolaryngology-Head and Neck Surgery, Rush University Medical Center, Chicago, IL, USA.

Introduction: Intralabyrinthine schwannomas, including the intracochlear variety, are rare benign tumors. They can cause a number of symptoms and have the potential to grow to involve other critical structures of the inner ear and skull base. While surgical resection is feasible, there is typically permanent hearing dysfunction as a result of resection and subsequent fibrosis. Read More

Ann Otol Rhinol Laryngol 2022 May 2:34894221092207. Epub 2022 May 2.

Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, WA, USA.

Objectives: Spindle cell neoplasms (SCN) share a single commonality of spindle-shaped cells on histopathology but are diverse in etiology. Expanding our collective knowledge of these neoplasms could further research in targeted therapies. We present a case of pediatric cutaneous SCN with a novel etiology, and the methods used to identify its origination. Read More

Ann Otol Rhinol Laryngol 2022 May 2:34894221093586. Epub 2022 May 2.

Division of Otolaryngology-Head and Neck Surgery, The George Washington University, Washington, DC, USA.

Objectives: Despite the growth of social media in healthcare, the appropriateness of online friendships between otolaryngological residents and attendings is poorly defined in the current literature. This issue is of growing importance, particularly as residency programs increasingly utilize social media as a means of connecting with and evaluating applicants due to limited in-person experiences during the COVID-19 pandemic. Our objective was to better understand the prevalence of and concerns surrounding social media use between residents and faculty. Read More

Ann Otol Rhinol Laryngol 2022 Apr 30:34894221093584. Epub 2022 Apr 30.

Baylor College of Medicine, Department of Otolaryngology-Head and Neck Surgery, Houston, TX, USA.

Objective: To compare the success and complication rates of pediatric external auditory canal foreign body (EAC FB) removal between Emergency Departments (ED), Primary Care Providers (PCP), and Otolaryngologists (ENT).

Methods: PubMed, Scopus, and Embase were searched through January 13, 2022. Studies mentioning EAC FB removal success rates and types of healthcare settings were included. Read More

Ann Otol Rhinol Laryngol 2022 May 2:34894221092201. Epub 2022 May 2.

Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan University, Shanghai, China.

Objective: The aim of this meta-analysis was to critically assess the effect of cochlear implantation on auditory and speech performance outcomes of children with auditory neuropathy spectrum disorder (ANSD).

Material And Methods: A systematic literature search was conducted on PubMed, EMbase, and Web of Science. The outcomes included speech recognition score, Categories of Auditory Performance (CAP), Speech Intelligibility Rating (SIR) score, and open-set speech perception. Read More

Ann Otol Rhinol Laryngol 2022 Apr 26:34894221088176. Epub 2022 Apr 26.

Department of Otorhinolaryngology: Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA.

Objectives: To determine whether 2 different methods of post-operative head and neck free flap monitoring affect flap failure and complication rates.

Methods: A retrospective chart review of 803 free flaps performed for head and neck reconstruction by the same microvascular surgeon between July 2013 and July 2020 at 2 separate hospitals within the same healthcare system. Four-hundred ten free flaps (51%) were performed at Hospital A, a medical center where flap checks were performed at frequent, scheduled intervals by in-house resident physicians and nurses; 393 free flaps (49%) were performed at Hospital B, a medical center where flap checks were performed regularly by nursing staff with resident physician evaluation as needed. Read More