1,398 results match your criteria Current Opinion in Otolaryngology and Head and Neck Surgery[Journal]


Photodynamic therapy in head and neck cancer: indications, outcomes, and future prospects.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Leuven.

Purpose Of Review: To identify and review the recent literature on clinical applications, outcome, and new developments in photodynamic therapy (PDT) for the treatment of head and neck cancer.

Recent Findings: Although PDT and surgery have a similar local control and recurrence rate, the gold standard of treatment for early-stage oral cavity cancer remains local surgery with, on indication, concurrent treatment of the neck. PDT proves its value in treatment of patients with field cancerization and patients with superficial recurrence after previous surgery and/or radiation, in whom surgical salvage would entail important morbidity. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000521DOI Listing
February 2019

Clinical relevance of human papillomavirus outside of oropharynx.

Authors:
Jan Klozar

Curr Opin Otolaryngol Head Neck Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Otolaryngology Head and Neck Surgery, First Faculty of Medicine, Charles University in Prague and University Hospital Motol Prague, Czech Republic.

Purpose Of Review: The role of HPV in oropharyngeal cancer is well recognized. HPV DNA is also found in a fraction of head and neck tumors outside of oropharynx but its clinical importance is unknown. The purpose of this review is to sum up the present knowledge about the prevalence and possible impact of HPV presence in head and neck tumors in nonoropharyngeal sites. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000518DOI Listing
February 2019
2 Reads

Medial femoral condyle free flap for head and neck reconstruction.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb 4. Epub 2019 Feb 4.

Department of Otolaryngology Head and Neck Surgery, Poznan University of Medical Sciences, Poznan, Poland.

Purpose Of Review: The aim of this article is to review the literature on medial femoral condyle (MFC) free flap in head and neck reconstruction.

Recent Findings: The MFC flap is a superb material for head and neck reconstruction, especially in smaller bony defects. As an alternative to fibular free flap, it presents many advantages. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000517DOI Listing
February 2019
1 Read

Unknown primary of the head and neck: a new entry in the TNM staging system with old dilemmas for everyday practice.

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Otorhinolaryngology, Maxillofacial, and Thyroid Surgery, Fondazione IRCCS National Cancer Institute of Milan.

Purpose Of Review: To summarize the most recent nuances in diagnosis, management, and prognostic stratification of carcinoma of unknown primary of the head and neck (CUPHN), in light of its recent re-assessment in the eighth edition of the TNM Classification Manual.

Recent Findings: At least in Western Countries, most CUPHN are expected to be Human Papilloma Virus (HPV)-positive with an oropharyngeal origin. Their appropriate diagnosis starts with fine needle aspiration cytology and/or core biopsy of pathologic lymph node(s) with staining for p16 by immunohistochemistry and subsequent HPV detection by PCR. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000528DOI Listing
January 2019
1 Read

Systemic treatment in elderly head and neck cancer patients: recommendations for clinical practice.

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 28. Epub 2019 Jan 28.

Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp.

Purpose Of Review: Despite the constantly growing number of elderly patients with squamous cell carcinoma of the head and neck (SCCHN), the majority of clinical trials have been focusing on their younger counterparts. However, because of age-related changes and the resulting higher prevalence of frailty, senior people need an adapted evidence-based approach.

Recent Findings: Recommendations presented in this article proceed from those relevant for the general patient population taking into consideration the individual process of aging. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000526DOI Listing
January 2019

Prophylactic human papilloma virus vaccination in head and neck: indications and future perspectives.

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 28. Epub 2019 Jan 28.

Department of Otorhinolaryngology, Amsterdam UMC, University of Amsterdam, Meibergdreef, Amsterdam, the Netherlands.

Purpose Of Review: To gain the evidence-based knowledge concerning the efficacy of HPV vaccination for oropharyngeal sites and to highlight the trials and strategies for vaccine administration in HPV-dependent head and neck diseases.

Recent Findings: Vaccination can be provided in two injections. There is increasing anecdotal evidence that therapeutic vaccination is effective in treatment of recurrent respiratory papillomatosis. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000525DOI Listing
January 2019
8 Reads

Management of the marginal mandibular nerve during and after neck dissection.

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Head and Neck Oncology, Amrita Institute of Medical Science, Kochi, Kerala, India.

Purpose Of Review: Marginal mandibular nerve palsy (MMNP) is often an understated complication after neck dissection. This article reviews literature regarding anatomic landmarks that help define marginal mandibular nerve (MMN) during neck dissection, oncologic safety of surgical maneuvers, implications of MMNP, and reconstructive options.

Recent Findings: A thorough knowledge of anatomy of the nerve can aid in its preservation. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000523DOI Listing
January 2019
5 Reads

Radiation-induced papillary thyroid cancer: is it a distinct clinical entity?

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Otorhinolaryngology, Maxillofacial, and Thyroid Surgery, Fondazione IRCCS, National Cancer Institute of Milan.

Purpose Of Review: To present the current status of knowledge regarding radiation-induced papillary thyroid cancer (RIPTC), defining its epidemiologic, pathologic, and clinical characteristics, with ensuing possible therapeutic and prognostic consequences.

Recent Findings: Cumulative evidence shows that RIPTC resembles sporadic papillary thyroid cancer (PTC) of comparable age, both in terms of clinical-pathological features and prognosis. Therefore, more aggressive treatment does not seem to be required when managing RIPTC as its prognosis is comparable to that of never-irradiated patients. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000522DOI Listing
January 2019
1 Read

Quality assurance in head and neck cancer surgery: where are we, and where are we going?

Curr Opin Otolaryngol Head Neck Surg 2019 Jan 16. Epub 2019 Jan 16.

Department of Otolaryngology - Head and Neck Surgery, VU University Medical Center, Cancer Center Amsterdam, De Boelelaan, HV Amsterdam, The Netherlands.

Purpose Of Review: The scope of this review is to summarize current efforts in quality assurance for head and neck cancer surgery. National and international initiatives are summarized and progress in terms of identification of process indicators and outcome indicators delineated.

Recent Findings: Massive efforts have been made in order to improve quality of head and neck cancer surgery. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000519DOI Listing
January 2019
1 Read

Updates in management of acute invasive fungal rhinosinusitis.

Authors:
John R Craig

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):29-36

Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health System, Grand Blvd, Detroit, Michigan, USA.

Purpose Of Review: Acute invasive fungal rhinosinusitis (AIFRS) is a rare and often fatal disease, that remains incompletely understood. Case series and literature reviews constitute most of the literature on AIFRS, and act as the standards by which we treat these extremely complex patients. This review discusses management of AIFRS, with focuses on optimal diagnostic and therapeutic strategies. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000507DOI Listing
February 2019
1 Read

Open-neck organ preservation surgery for hypopharyngeal cancer: indications, techniques, limits, and outcomes.

Curr Opin Otolaryngol Head Neck Surg 2018 Nov 16. Epub 2018 Nov 16.

Department of Otolaryngology, Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Purpose Of Review: To appraise the practice and role of open-neck organ preserving surgery for hypopharyngeal squamous cell carcinoma and to update the current indications, techniques, limits, and outcomes.

Recent Findings: The role of primary surgery for hypopharyngeal carcinoma has shifted over the past two decades to primary nonsurgical management with the use of induction or concurrent chemoradiotherapy. The preferred and most suitable tumours for open-neck surgery are the small-volume T stage diseases, with small to medium-volume neck metastases, however such patients are exceedingly rare. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000501DOI Listing
November 2018
3 Reads

Management of sphenoid lateral recess encephalocoeles.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):37-46

Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Purpose Of Review: Sphenoid sinus lateral recess encephalocoeles (SSLRE) are rare occurrences and pose unique challenges due to limited surgical access for endoscopic endonasal repair and also the lack of consensus on optimal perioperative managements specifically in the spontaneous cases, which are also believed to be a variant of idiopathic intracranial hypertension (IIH). Endoscopic endonasal approaches have largely replaced the transcranial route and the techniques are continuously being refined to reduce the neurovascular morbidity and improve outcome.

Recent Findings: Transpetrygoid is the most utilized approach with modifications suggested to limit bone removal, exposure and preservation of the neurovascular structures as dictated by the extent of the lateral recess. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000508DOI Listing
February 2019
2 Reads

Oncologic management of sinonasal undifferentiated carcinoma.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):59-66

Department of Otolaryngology-Head and Neck Surgery.

Purpose Of Review: This article reviews the latest treatment paradigms in sinonasal undifferentiated carcinoma (SNUC).

Recent Findings: The aggressive biology and associated advanced presentation of SNUC make successful treatment a challenge shared across medical specialties. Still, studies reporting outcomes in SNUC indicate that an aggressive treatment strategy consisting of surgery, radiation and chemotherapy offers the best chance of prolonged survival. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000513DOI Listing
February 2019
18 Reads

The rhinologist's role in the management of rathke's cleft cysts.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):67-71

Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadephia, Pennsylvania, USA.

Purpose Of Review: To review the recent literature regarding the growing role of rhinologists and otolaryngologists with neurosurgeons in the joint multidisciplinary team approach for managing patients with Rathke's cleft cysts (RCC).

Recent Findings: The transnasal endoscopic approach to the skull base has become relatively mainstream for surgical treatment of RCCs. Suprasellar lesions, especially those that are purely suprasellar, are associated with higher recurrence rates, though an extended approach may improve dissection and access and therefore aid in lesion removal. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000512DOI Listing
February 2019
2 Reads

Salivaomics in oral cancer.

Curr Opin Otolaryngol Head Neck Surg 2018 Nov 30. Epub 2018 Nov 30.

Adult's Dentistry Department, Faculty of Biomedical Sciences, Universidad Europea de Madrid, Madrid, Spain.

Purpose Of Review: The goal of cancer screening is to detect tumor at an early stage, and early cancer detection is the hallmark of successful treatment. In addition to traditional tissue biopsy-based diagnostics, more reliable, inexpensive, and noninvasive methods are required for early diagnosis of cancer. In this review, we highlight some of the recent advancements in the field of salivary diagnostics in oral cancer. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000502DOI Listing
November 2018
11 Reads

Endotypes of chronic rhinosinusitis.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):14-19

Division of Rhinology, Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Trillium Health Partners, Mississauga, Ontario, Canada.

Purpose Of Review: In contrast to the phenotypic classification of chronic rhinosinusitis (CRS), endotyping categorizes disease variants based on their underlying pathophysiologic mechanisms. Defining CRS endotypes may provide information on the risk for disease progression, recurrence and comorbid conditions, as well as identify suitable therapeutic targets. With the emergence of biologics, endotyping may enable personalized pharmacotherapy for recalcitrant CRS. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000503DOI Listing
February 2019
10 Reads

Contemporary management of juvenile angiofibroma.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):47-53

Unit of Otorhinolaryngology - Head and Neck Surgery, University of Brescia, Brescia, Italy.

Purpose Of Review: To illustrate the latest developments and trends in the management of juvenile angiofibroma.

Recent Findings: Endoscopic surgery is currently the primary management strategy for juvenile angiofibroma. Recent reports on the use of multiportal approaches have contributed to further extend its indications. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000505DOI Listing
February 2019
4 Reads

Indications and endonasal treatment of petrous apex cholesterol granulomas.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):54-58

Division of Rhinology, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Purpose Of Review: Lesions of the petrous apex of the temporal bone can be challenging to access and approaches laterally through the mastoid as well as medially through an endonasal approach are utilized to access this region while preserving function of adjacent structures. Cholesterol granulomas of the petrous apex requiring surgery are marsupialized to prevent expansion of the inflamed cyst and relieve associated clinical symptoms. The endonasal approach to the petrous apex has in the past been limited to lesions medial to the internal carotid artery. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000511DOI Listing
February 2019
2 Reads

Histopathologic analysis in the diagnosis and management of chronic rhinosinusitis.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):20-24

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

Purpose Of Review: New research in the pathogenesis of chronic rhinosinusitis has shed light on an emerging classification system based on endotypes, which help to explain the individualized mechanism of disease in patients suffering from chronic rhinosinusitis with and without nasal polyps. The purpose of this review is to advocate the use of structured histopathologic analysis in the diagnosis and management of patients affected by chronic rhinosinusitis with and without polyps.

Recent Findings: Numerous studies have demonstrated the role of inflammation in chronic rhinosinusitis and the ensuing histopatholgic changes. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000510DOI Listing
February 2019
2 Reads

Review and update on extracorporeal septoplasty.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):1-6

Department of Otolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Purpose Of Review: To examine the recent literature on extracorporeal septoplasty.

Recent Findings: The literature suggests that extracorporeal septoplasty is an effective approach for both functional and cosmetic treatment of moderate to severe deformities of the caudal and dorsal septum. The procedure can be performed via an endonasal or external approach based on the nature of the deformity and the experience of the surgeon, although recent literature highlights various advantages of an external approach. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000509DOI Listing
February 2019
3 Reads
1.392 Impact Factor

Current indications for balloon sinuplasty.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):7-13

Rhinology & Endoscopic Skull Base Surgery, UCLA Department of Head & Neck Surgery, Los Angeles, California, USA.

Purpose Of Review: The purpose of the review is to evaluate the current indications and contraindications for balloon sinuplasty and review the clinical trials performed in this area.

Recent Findings: The indications for balloon sinus dilatation are somewhat similar to those for endoscopic sinus surgery. Balloon sinus ostial dilation (BSD) has been found to be most effective in the treatment of recurrent acute sinusitis (RARS) and chronic rhinosinusitis without nasal polyposis (CRSsNP) that has been refractory to medical therapy. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000506DOI Listing
February 2019
4 Reads

Ergonomics in endoscopic sinus surgery.

Curr Opin Otolaryngol Head Neck Surg 2019 Feb;27(1):25-28

Departments of Otolaryngology and Neurosurgery, University of Colorado School of Medicine, Aurora, Colorado, USA.

Purpose Of Review: Awareness of ergonomics is growing into surgical specialties including otolaryngology. Most otolaryngologists experience occupational physical discomfort, and daily incorporation of standard ergonomic principles may alleviate some of this pain.

Recent Findings: Further demonstration of surgery-related physical discomfort has been documented based on surveys of general otolaryngologists and subspecialty rhinologists. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000504DOI Listing
February 2019
2 Reads

Current approaches to instrumental assessment of swallowing in children.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):349-355

Department of Surgery, The University of Auckland.

Purpose Of The Review: This article reviews recent developments in the instrumental assessment of swallowing in children with a specific focus on research published between January 2017 and June 2018.

Recent Findings: Instrumental swallowing assessments reported in the time period included: videofluoroscopic study of swallowing, digital cervical auscultation, dynamic ultrasound, high-resolution impedance manometry, nasal airflow thermistry and respiratory inductance plethysmography. Several studies were found exploring tools to objectively quantify videofluoroscopic study of swallowing data; swallowing from the mouth through to stomach was addressed including approaches to analysing mastication as well as evaluating oesophageal motility disorders. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000492DOI Listing
December 2018
6 Reads

The long and winding road.

Authors:
Jacqui E Allen

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):347-348

Division of Surgery, University of Auckland, Auckland, New Zealand.

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http://dx.doi.org/10.1097/MOO.0000000000000500DOI Listing
December 2018
1 Read

Recurrent laryngeal nerve reinnervation: is this the standard of care for pediatric unilateral vocal cord paralysis?

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):431-436

Division of Pediatric Otolaryngology, Texas Children's Hospital.

Purpose Of Review: Ansa to recurrent laryngeal nerve reinnervation, otherwise known as a nonselective laryngeal reinnervation (NSLR), is growing in popularity for the management of pediatric unilateral neuronal vocal fold movement impairment (VFMI). In this chapter, we will review the current treatment options for neuronal VFMI and role that NSLR plays in the treatment algorithm.

Recent Findings: In 2018, Bouhabel and Hartnick published a survey of fellowship trained pediatric otolaryngologists and found an increasing comfort level with NSLR. Read More

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http://Insights.ovid.com/crossref?an=00020840-900000000-9924
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http://dx.doi.org/10.1097/MOO.0000000000000499DOI Listing
December 2018
5 Reads

Vocal fold nodules in children.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):426-430

Department of Hearing & Speech, Children's National Health System.

Purpose Of Review: Vocal nodules are a common presentation in children, representing the most common cause of dysphonia.

Recent Findings: Children with siblings, ADHD, and of male sex are most likely to be affected. Female children, however, tend to have more likely progression into adolescence. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000496DOI Listing
December 2018
2 Reads

Recurrent respiratory papillomatosis: update 2018.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):421-425

Department of Otolaryngology - Head and Neck Surgery.

Purpose Of Review: Recurrent respiratory papillomatosis (RRP) is the most common as well as the costliest benign airway neoplasm in the United States [Ivancic et al. (2018). Laryngoscope Investig Otolaryngol 3:22; Derkay (1995). Read More

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http://Insights.ovid.com/crossref?an=00020840-201812000-0001
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http://dx.doi.org/10.1097/MOO.0000000000000490DOI Listing
December 2018
10 Reads

Velopharyngeal incompetence: role in paediatric swallowing deficits.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):356-366

Department of Otolaryngology Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago.

Purpose Of Review: The purpose of this manuscript is to highlight the latest advances in diagnosis and management of velopharyngeal incompetence (VPI) as it pertains to swallowing deficits in children. This is timely and relevant as otolaryngologists are often amongst the first to diagnose and treat VPI. Although nasal regurgitation of a bolus is frequently transient, persistent problems can be associated with other swallowing problems and other significant medical problems. Read More

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http://Insights.ovid.com/crossref?an=00020840-900000000-9923
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http://dx.doi.org/10.1097/MOO.0000000000000494DOI Listing
December 2018
3 Reads

Update on sinus disease in children with cystic fibrosis: advances in treatment modalities, microbiology, and health-related quality-of-life instruments.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):417-420

Surgical Outcomes Center for Kids.

Purpose Of Review: There is a lack of consensus with regards to the diagnosis and treatment of sinus disease in children with cystic fibrosis. Here, we review literature from the past 18 months in order to highlight the way forward in this contentious field.

Recent Findings: Most of the literature (from the past 18 months) on sinus disease in pediatric cystic fibrosis focused on treatment approaches, bacteriology and immunology, and health-related quality-of-life (HRQOL) instruments. Read More

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http://Insights.ovid.com/crossref?an=00020840-201812000-0001
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http://dx.doi.org/10.1097/MOO.0000000000000495DOI Listing
December 2018
2 Reads

Laryngopharyngeal reflux disease: clinical presentation, diagnosis and therapeutic challenges in 2018.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):392-402

Laryngopharyngeal Reflux Study Group of Young-Otolaryngologists of the International Federations of Oto-rhino-laryngological Societies (YO-IFOS), Paris, France.

Purpose Of Review: To review the recent literature on presentation, diagnosis and treatment of laryngopharyngeal reflux.

Recent Findings: Patients with laryngopharyngeal reflux have a higher risk for gastroesophageal reflux and respiratory-related diseases. Many symptoms and findings are underestimated, contributing to the inconclusive results of many therapeutic trials. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000486DOI Listing
December 2018
15 Reads

Tympanostomy tube otorrhea in children: prevention and treatment.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):437-440

Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, the Netherlands.

Purpose Of Review: One in two children treated with tympanostomy tubes, experience episodes of otorrhea whilst their tubes are in place. In this review, we present the results of the most recent publications on prevention and treatment of tympanostomy tube otorrhea (TTO).

Recent Findings: Recent systematic reviews on water precautions for children with tympanostomy tubes support the American Academy of Otolaryngology - Head and Neck Surgery guideline recommendation against such preventive measures as there is no evidence that it protects against TTO. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000493DOI Listing
December 2018
1 Read

Techniques for evaluation and management of tongue-base obstruction in pediatric obstructive sleep apnea.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):409-416

Division of Pediatric Otolaryngology - Head and Neck Surgery.

Purpose Of Review: Tongue-base obstruction (TBO) is a common cause of persistent obstructive sleep apnea (OSA) after tonsillectomy and adenoidectomy in children. This review discusses available diagnostic modalities and surgical treatment options for the management of TBO.

Recent Findings: Recently, a systematic review that included nine studies using drug-induced sleep endoscopy (DISE) in the evaluation of children with persistent OSA after tonsillectomy and adenoidectomy identified the tongue-base as the most common site of obstruction. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000489DOI Listing
December 2018
3 Reads

High-resolution manometry: what about the pharynx?

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):382-391

Human Physiology & Centre for Neuroscience, College of Medicine and Public Health, Flinders University, South Australia, Australia.

Purpose Of Review: High-resolution pharyngeal manometry (HRPM) is a well tolerated, catheter-based, method for recording the pressures and bolus flow generated by the pharyngeal muscles during swallowing. Despite a body of published evidence and a critical mass of investigators in the field, there is a lack of consensus surrounding what biomechanical phenomena to measure. The purpose of this review is to provide some insights into the information on swallowing physiology that can be gathered using HRPM. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000491DOI Listing
December 2018
2 Reads

Cervical osteophytosis and spine posture: contribution to swallow disorders and symptoms.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):375-381

Department of Otolaryngology.

Purpose Of Review: The article reviews the effects of cervical osteophytosis and spine posture on swallowing, and how they can cause dysphagia.

Recent Findings: Cerivical osteophytosis which is a bony overgrowth of the cervical spines, it affects the swallowing through different mechanisms, including direct mechanical compression of the pharynx and esophagus, disturbances of normal epiglottic tilt over the inlet of the larynx by the osteophytes at C3-C4 level, inflammatory reactions in the tissues around the esophagus and cricopharyngeal spasm. Also, cervical spine posture in normal individuals could affect the swallowing mechanism by disturbance of the sphincteric action of the larynx and upper esophageal sphincter. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000488DOI Listing
December 2018
3 Reads

IgG4-related disease in the head and neck.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):403-408

Department of Surgery, University of Auckland, Auckland, New Zealand.

Purpose Of Review: To summarize current evidence regarding the pathophysiology, diagnostic criteria, and management of IgG4 disease in the head and neck.

Recent Findings: The anti-CD20 antibody, rituximab is being used increasingly as a primary treatment modality in cases with a definitive diagnosis. Despite the favorable prognosis, it is now recognized that the incidence of cancer development within 3 years of diagnosis is higher than that of the general population. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000487DOI Listing
December 2018
2 Reads

Swallowing function in advanced age.

Curr Opin Otolaryngol Head Neck Surg 2018 Dec;26(6):367-374

Waitemata District Health Board.

Purpose Of Review: To present current literature regarding swallowing function in advanced age, including healthy ageing, dysphagia and trends in multidisciplinary team service delivery.

Recent Findings: Normative studies support swallowing efficiency but greater variability in healthy advanced age, through to 100 years old. Deviations from normative data and symptoms of dysphagia leading to aspiration or nutritional risk, imply swallowing disorder, rather than simply the ageing process. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000485DOI Listing
December 2018
3 Reads

Facial nerve decompression.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):280-285

Department of Otolaryngology - Head and Neck Surgery.

Purpose Of Review: Facial nerve paralysis is a debilitating condition. Bell's palsy and temporal bone trauma are common causes of acute facial palsy, with recurrent idiopathic paralysis and Melkersson-Rosenthal syndrome accounting for a smaller subset of cases. Properly selected patients may benefit from facial nerve decompression. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000478DOI Listing
October 2018
5 Reads

Reconstructive considerations in low and middle-income countries.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):340-346

Department of Otolaryngology-Head and Neck Surgery, University Hospitals Cleveland MC, Cleveland, Ohio, USA.

Purpose Of Review: Surgical mission trips in head and neck surgery are common. There are an increasing number of surgical groups performing complex reconstructions in low and middle-income countries (LMIC). Consideration of reconstructive options that are location and patient specific are critical for optimum patient care and local physician education. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000484DOI Listing
October 2018
13 Reads

Editorial: the middle cranial fossa approach.

Authors:
Ravi N Samy

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):275

Division of Otology/Neurotology, Department of Otolaryngology, University of Cincinnati/Cincinnati Children's Hospital Medical Center, UC Gardner Neuroscience Institute, Cincinnati, Ohio, USA.

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http://dx.doi.org/10.1097/MOO.0000000000000483DOI Listing
October 2018
2 Reads

Pediatric free flap reconstruction for head and neck defects.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):334-339

Department of Otorhinolaryngology-Head and Neck Surgery, Jose R. Reyes Memorial Medical Center, San Lazaro Compound, Rizal Avenue Sta. Cruz, Manila, Philippines.

Purpose Of Review: The aim of this study was to review recent literature on the use of pediatric free flap reconstruction for head and neck defects with focus on skull base, congenital deformities, mandibular reconstruction and operative considerations.

Recent Findings: Reconstruction of the skull base depends on the defect size, location, bony involvement, and pedicle length with a variety of flaps to choose from. Free flaps may be used to correct congenital anomalies due to facial clefts and syndromic causes requiring bony and tissue bulk. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000473DOI Listing
October 2018
1 Read

Molecular therapy for genetic and degenerative vestibular disorders.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):307-311

Purpose Of Review: The primary purpose of this review is to summarize current literature in the field of vestibular regeneration with a focus on recent developments in molecular and gene therapies.

Recent Findings: Since the discovery of limited vestibular hair cell regeneration in mammals in the 1990s, many elegant studies have improved our knowledge of mechanisms of development and regeneration of the vestibular system. A better understanding of the developmental pathways of the vestibular organs has fueled various biological strategies to enhance regeneration, including novel techniques in deriving vestibular hair cells from embryonic and induced pluripotent stem cells. Read More

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http://Insights.ovid.com/crossref?an=00020840-900000000-9925
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http://dx.doi.org/10.1097/MOO.0000000000000477DOI Listing
October 2018
7 Reads

Combined petrosal approach.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):293-301

Section of Otolaryngology - Head & Neck Surgery, Department of Surgery, University of Chicago Medicine and Biological Sciences, Chicago, Illinois, USA.

Purpose Of Review: The combined petrosal approach to the lateral skull base merges a retrolabyrinthine-presigmoid posterior fossa craniotomy with an adjacent middle fossa craniotomy, which are rendered continuous by division of the tentorium. This is a hearing-preserving approach that affords wide access to the lateral aspect of the clivus, the prepontine space, and the cerebellopontine angle.

Recent Findings: This article details the historical development of the combined petrosal approach alongside a description. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000480DOI Listing
October 2018
2 Reads

The anteromedial thigh free flap: a primary reconstructive option or second best?

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):312-318

Department of Otolaryngology - Head and Neck Surgery, UC Davis Medical Center, California, USA.

Purpose Of Review: This article reviews the recent literature on the anteromedial thigh free flap.

Recent Findings: The anteromedial thigh (AMT) free flap is an excellent reconstructive option for head and neck defects. It is often overshadowed by the anterolateral thigh (ALT) free flap. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000475DOI Listing
October 2018
3 Reads

Advances in computer-aided design for bony free-flap reconstruction.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):319-325

Otolaryngology - Head and Neck Surgery Department, Western University, London, Ontario, Canada.

Purpose Of Review: The current article reviews the most recent publications of computer-assisted reconstruction using bony free flaps, emphasizing on comparative reports using these novel techniques.

Recent Findings: Computer-aided reconstruction has shown some benefits in comparison with traditional techniques and some of the perceived limitations are currently being addressed in the latest reports. Still, there is a lack of appropriate comparative studies and unblinded measurements to establish solid conclusions. Read More

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http://Insights.ovid.com/crossref?an=00020840-900000000-9925
Publisher Site
http://dx.doi.org/10.1097/MOO.0000000000000472DOI Listing
October 2018
4 Reads

Assessment of vestibular function in elderly patients.

Authors:
Rachael Krager

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):302-306

Department of ENT-Audiology, UC Davis Medical Center, Sacramento, California, USA.

Purpose Of Review: Individuals over the age of 60 are at an increased risk of falls, even if they do not have an isolated dysfunction of the vestibular system. The aim of this article is to review the various vestibular testing currently available and its usefulness in determining the presence of vestibular dysfunction in the elderly population. The primary vestibular tests to be reviewed include: balance function testing, vestibular evoked myogenic potentials (VEMPs), and video head impulse testing (vHIT). Read More

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http://dx.doi.org/10.1097/MOO.0000000000000476DOI Listing
October 2018
16 Reads

Pearls for the middle fossa approach in acoustic neuroma surgery.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):276-279

House Clinic, Los Angeles, California, USA.

Purpose Of Review: To discuss the use of the middle fossa craniotomy for resection of vestibular schwannomas; to present pearls of and modifications to the approach.

Recent Findings: The middle fossa craniotomy allows for hearing preservation in the resection of intracanalicular vestibular schwannomas. Over recent years, the approach has been modified to address larger tumors with a limited cerebellopontine angle component. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000479DOI Listing
October 2018
11 Reads

Functional considerations in oral cavity reconstruction.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):326-333

Massachusetts Eye and Ear Infirmary, Harvard School of Medicine, Boston, Massachusetts, USA.

Purpose Of Review: The treatment of oral cavity cancer may impair speech and swallowing function. Optimizing posttreatment function may lead to significant improvement of quality of life.

Recent Findings: Although oncologic control remains the main goal of treatment for oral cavity cancer, posttreatment function for surviving patients has over the last decades been recognized as an important secondary outcome. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000474DOI Listing
October 2018
19 Reads

Comprehensive review of the extended middle cranial fossa approach.

Curr Opin Otolaryngol Head Neck Surg 2018 Oct;26(5):286-292

Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine.

Purpose Of Review: To review the current literature on the extended middle cranial fossa (xMCF) approach and to provide a comprehensive description of the relevant anatomy, indications, surgical technique, results, and complications.

Recent Findings: The xMCF approach expands the surgical exposure provided by the sMCF approach, allowing access to the internal auditory canal, cerebellopontine angle, prepontine cistern, anterior petrous apex, petrous carotid artery, Meckel's cave, cavernous sinus, mid and upper clivus, and posterior lesions approaching the jugular foramen. Preservation of serviceable hearing is possible with success rates approximating 50% in vestibular schwannoma and meningioma resection, and facial nerve outcome is excellent. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000471DOI Listing
October 2018
2 Reads

Contemporary considerations in concurrent endoscopic sinus surgery and rhinoplasty.

Curr Opin Otolaryngol Head Neck Surg 2018 Aug;26(4):209-213

Department of Otolaryngology - Head and Neck Surgery, University of California Davis.

Purpose Of Review: Characterize indications, perioperative considerations, clinical outcomes and complications for concurrent endoscopic sinus surgery (ESS) and rhinoplasty.

Recent Findings: Chronic rhinosinusitis and septal deviation with or without inferior turbinate hypertrophy independently impair patient-reported quality of life. Guidelines implore surgeons to include endoscopy to accurately evaluate patient symptoms. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000469DOI Listing
August 2018
4 Reads

Multidisciplinary management of oculo-auriculo-vertebral spectrum.

Curr Opin Otolaryngol Head Neck Surg 2018 Aug;26(4):234-241

Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento, California, USA.

Purpose Of Review: Oculo-auriculo-vertebral spectrum (OAVS) is a complex disorder that is represented by wide variations in phenotypic presentation. Recent publications and systematic reviews of the available literature are presented here.

Recent Findings: Treatment strategies vary among craniofacial centers across the country. Read More

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http://dx.doi.org/10.1097/MOO.0000000000000468DOI Listing
August 2018
3 Reads