2,592 results match your criteria ORL: Journal for Oto-Rhino-Laryngology and its Related Specialties [Journal]


Mucoepidermoid Carcinoma of the Parotid: Very Close Margins and Adjuvant Radiotherapy.

ORL J Otorhinolaryngol Relat Spec 2019 2;81(1):55-62. Epub 2019 Apr 2.

Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA,

Background/aims: The importance of adjuvant radiotherapy in patients with close margin resections for mucoepidermoid carcinoma of the parotid gland remains unclear.

Methods: Patients who underwent parotidectomy for mucoepidermoid carcinoma with or without adjuvant radiotherapy at a single academic tertiary care center from 2000 to 2014 were identified. Included patients had negative but close (≤2 mm) surgical margins without other high-risk histopathological factors including advanced T-stage, positive nodal disease, lymphovascular or perineural invasion, or high-grade histology. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/497438
Publisher Site
http://dx.doi.org/10.1159/000497438DOI Listing
April 2019
2 Reads

Electro-Natural Stimulation in Partial Deafness Treatment of Adult Cochlear Implant Users: Long-Term Hearing Preservation Results.

ORL J Otorhinolaryngol Relat Spec 2019 Mar 28:1-10. Epub 2019 Mar 28.

World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, Poland,

Background: Due to the constant development of technology and medicine, the eligibility criteria for cochlear implantation (CI) are undergoing gradual expansion.

Objectives: To provide long-term hearing preservation (HP) results for partial deafness treatment (PDT) of a group of adults using electro-natural stimulation (ENS).

Methods: We examined a database of medical records of patients who underwent CI in a single ENT center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000497060DOI Listing

Nonpharmacological Relaxation Technology for Office-Based Rhinologic Procedures.

ORL J Otorhinolaryngol Relat Spec 2019 5;81(1):48-54. Epub 2019 Mar 5.

Department of Otorhinolaryngology - Head and Neck Surgery, John P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas, USA.

Background: Office-based rhinologic procedures are increasingly performed to control costs and enhance patient convenience. Adequate management of pain and anxiety is essential for the technical performance of these procedures, in addition to ensuring patient comfort. Pharmacologic agents are often used to manage anxiety and pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000488323DOI Listing

The Rationale for Endoscopic Inferior Meatal Antrostomy.

ORL J Otorhinolaryngol Relat Spec 2019 8;81(1):41-47. Epub 2019 Feb 8.

Otolaryngology, Head and Neck Surgery, Assuta Medical Center, Ben Gurion University, Tel Aviv, Israel,

Background: Complete removal of some maxillary sinus pathologies may be challenging. We describe our experience in performing endoscopic inferior meatal antrostomy (EIMA) when approaching certain chronic maxillary sinus disease.

Methods: Retrospectively reviewing charts of all patients whose surgery included EIMA between the years 2012 and 2015. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000496087DOI Listing
February 2019
18 Reads

Gene Expression Profiles of Tumor Necrosis Factor-α and Endothelin-1 in Obstructive Sleep Apnea.

ORL J Otorhinolaryngol Relat Spec 2019 11;81(1):16-23. Epub 2018 Dec 11.

Department of Otolaryngology and Head and Neck Surgery, Wakayama University Hospital, Wakayama, Japan.

Background/aims: The aim of this study was to observe the relationship between the gene expression profiles of tumor necrosis factor (TNF)-α and endothelin (EDN)-1 and obstructive sleep apnea (OSA).

Methods: A prospective, cross-sectional study performed at a tertiary-care academic center; 108 patients with snoring and day-time sleeplessness were included in this study carried out in the Otolaryngology Department. All patients were evaluated with 1-night polysomnography (PSG). Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490353
Publisher Site
http://dx.doi.org/10.1159/000490353DOI Listing
December 2018
14 Reads

Transoral Robotic Surgery (TORS) for Bilateral Eagle Syndrome.

ORL J Otorhinolaryngol Relat Spec 2019 11;81(1):36-40. Epub 2018 Dec 11.

Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, Forlì, Italy.

Eagle syndrome is a rare and poorly understood clinical condition caused by an elongated or disfigured styloid process. The possible managements of Eagle syndrome include conservative medical treatment or surgical intervention. The surgical removal of the elongated styloid process may be efficiently achieved either by an intraoral or a transcervical approach. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/493736
Publisher Site
http://dx.doi.org/10.1159/000493736DOI Listing
December 2018
14 Reads

Buccal Fat Pad: Report of 24 Cases and Literature Review of 1,635 Cases of Oral Defect Reconstruction.

ORL J Otorhinolaryngol Relat Spec 2019 11;81(1):24-35. Epub 2018 Dec 11.

Maxillo-Facial Surgery Unit, Neurosensorial Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Objective: The buccal fat pad (BFP) has been progressively introduced into clinical practice for oral defect reconstruction. This study describes our experience with this technique and compares indications in the literature and outcomes.

Methods: We prospectively enrolled 24 patients presenting oral surgical defects and treated between January 2012 and January 2015 at our institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000494027DOI Listing
December 2018
2 Reads

The Difficult Secondary Tracheoesophageal Puncture: A Technique for Safe Insertion.

ORL J Otorhinolaryngol Relat Spec 2019 28;81(1):10-15. Epub 2018 Nov 28.

Department of Otolaryngology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA,

Background/aims: The tracheoesophageal prothesis (TEP) has become the primary modality for laryngeal communication after total laryngectomy due to high success rates, minimal morbidity, and more natural pulmonary driven speech. Fibrosis, kyphosis, and post-radiation contracture may preclude TEP placement through rigid esophagoscopy, and certain patients may not tolerate an in-office awake procedure. For such patients, a technique for flexible esophageal stenting and TEP placement is necessary. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000492968DOI Listing
November 2018
8 Reads

Cluster Analysis of Chronic Rhinosinusitis Suggests Gender-Based Differences.

ORL J Otorhinolaryngol Relat Spec 2019 20;81(1):1-9. Epub 2018 Nov 20.

Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb School of Medicine, University Hospital Centre Sestre Milosrdnice, Zagreb, Croatia.

Purpose: We aimed to evaluate the interaction between the overall severity of chronic rhinosinusitis (CRS) before treatment and subjective improvement following surgical or medical treatment.

Procedures: A group of 97 patients with CRS completed the visual analog scale (VAS) symptom score and the Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire in the moment of their sinus computerized tomography (CT) scan. Data were analyzed via a 2-step cluster analysis based on gender, polyp presence, CT scan, and VAS scores for symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000492966DOI Listing
November 2018
12 Reads

Transoral Robotic Surgery and the Unknown Primary.

ORL J Otorhinolaryngol Relat Spec 2018 12;80(3-4):148-155. Epub 2018 Nov 12.

University of Pittsburgh, Department of Otolaryngology, Eye & Ear Institute, Veterans Affairs Pittsburgh Health System, Pittsburgh, Pennsylvania, USA.

Carcinoma of unknown primary (CUP) comprises approximately 1%-5% of all head and neck malignancies. Primary site detection rates for metastatic cervical squamous cell carcinoma (SCC) remain variable, with current diagnostic imaging unable to identify all tumours. Prevailing evidence suggests that most head and neck CUP are located in the oropharynx. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490596
Publisher Site
http://dx.doi.org/10.1159/000490596DOI Listing
November 2018
12 Reads

Next-Generation Robotic Head and Neck Surgery.

ORL J Otorhinolaryngol Relat Spec 2018 7;80(3-4):213-219. Epub 2018 Nov 7.

Division of Head and Neck Surgery, Department of Otolaryngology, Stanford University, Palo Alto, California, USA,

Following the inception of transoral robotic surgery (TORS) in 2005, the field of robotic head and neck surgery has undergone refinement and innovation. Optimizing patient outcome, preserving function, and limiting morbidity are the key drivers. The next leap forward is another generation of flexible robotic surgical systems. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490599
Publisher Site
http://dx.doi.org/10.1159/000490599DOI Listing
November 2018
14 Reads

Transoral Robotic Surgery Total Laryngectomy.

ORL J Otorhinolaryngol Relat Spec 2018 5;80(3-4):171-177. Epub 2018 Nov 5.

Department of Otolaryngology Head and Neck Surgery, CHU UCL Dinant Godinne, Yvoir, Belgium.

Objective: The aim of our study is to demonstrate our technique for performing transoral robotic surgical total laryngectomy (TORS-TL) with the use of the da Vinci robotic system.

Materials And Methods: We provide a comprehensive description of the TORS-TL operative techniques. Two fresh-frozen human cadavers were selected after ethics approval to describe the appropriate step-by-step surgical resection. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490595
Publisher Site
http://dx.doi.org/10.1159/000490595DOI Listing
November 2018
16 Reads
0.667 Impact Factor

Robot-Assisted Reconstruction in Head and Neck Surgical Oncology: The Evolving Role of the Reconstructive Microsurgeon.

ORL J Otorhinolaryngol Relat Spec 2018 5;80(3-4):178-185. Epub 2018 Nov 5.

The Royal Marsden NHS Foundation Trust, London, United Kingdom.

Transoral robotic surgery (TORS) is gaining more widespread use among head and neck surgical procedures. As experience grows with this technique, so do the indications of when and in which patients it can be used. Already established in the treatment of small oral cavity tumours, it is expanding into larger multi-site resections and resections, such as through-and-through-into-the-neck defects, that will require reconstruction. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/492787
Publisher Site
http://dx.doi.org/10.1159/000492787DOI Listing
November 2018
12 Reads

Sialendoscopy for Definitive Management of a Submandibular Abscess following Radiotherapy for Oropharyngeal Squamous Cell Carcinoma.

ORL J Otorhinolaryngol Relat Spec 2018 31;80(5-6):223-226. Epub 2018 Oct 31.

Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.

Background/aims: Sialendoscopy has as yet been shown to be ideal for the management of sialolithiasis and chronic inflammatory diseases of the salivary gland. However, its applicability to the management of a broad range of salivary gland disease is continually growing.

Methods: Here we present a case report where sialendoscopy was used to successfully manage an intraparenchymal submandibular gland abscess in a patient with oropharyngeal squamous cell carcinoma managed with primary chemoradiation. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/492967
Publisher Site
http://dx.doi.org/10.1159/000492967DOI Listing
October 2018
15 Reads

Combined Growth Factor and Gene Therapy: An Approach for Hair Cell Regeneration and Hearing Recovery.

ORL J Otorhinolaryngol Relat Spec 2018 25;80(5-6):326-337. Epub 2018 Oct 25.

Cellular and Molecular Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord,

Introduction: Fibroblast growth factor, nerve growth factor neurotrophins, and insulin-like growth factor 1 are considered 3 families of growth factors that can be involved in the process of otic neurogenesis. In this respect, otic neurons can also be connected with mechanoreceptors in the ear, the hair cells (HCs), as well as the central nervous system. As a growth factor is combined with gene transfer technology, it can be used for hair cell regeneration. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/493011
Publisher Site
http://dx.doi.org/10.1159/000493011DOI Listing
October 2018
15 Reads

Arterial Blood Supply of the Nose: An Angiographic Study.

ORL J Otorhinolaryngol Relat Spec 2018 18;80(5-6):238-247. Epub 2018 Oct 18.

Otorhinolaryngology, Ain Shams University Faculty of Medicine, Cairo,

Objective: To define anatomical variations associated with arterial blood supply of the nose which has clinical implications on the management of different disorders, especially intractable posterior epistaxis.

Study Design: Case series.

Methods: Selective angiography of external and internal carotid arteries of 100 patients scheduled for routine angiography was done. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000490254DOI Listing
October 2018
6 Reads
0.670 Impact Factor

Nasal Symptom Questionnaire: Our Proposed Scoring System and Prognostic Factors in Chronic Rhinosinusitis.

ORL J Otorhinolaryngol Relat Spec 2018 11;80(5-6):296-306. Epub 2018 Oct 11.

Department of Otolaryngology-Head and Neck Surgery, Hyogo College of Medicine, Nishinomiya, Japan.

Objectives: We aimed to verify the usefulness of our proposed nasal symptom questionnaire (NSQ) scoring system and to determine predictors linked to the improvement in nasal symptoms in chronic rhinosinusitis (CRS) patients undergoing endoscopic sinus surgery (ESS).

Patients And Methods: Ninety-one CRS patients undergoing ESS and 144 volunteers with results of NSQ available were enrolled. The NSQ consists of 10 items. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/492965
Publisher Site
http://dx.doi.org/10.1159/000492965DOI Listing
October 2018
14 Reads

Extension of the Clinical Significance of the "Cog".

ORL J Otorhinolaryngol Relat Spec 2018 10;80(5-6):317-325. Epub 2018 Oct 10.

Department of Otology, Microsurgery, and Skull Base Surgery, Institute of Otorhinolaryngology, Eye and ENT Hospital of Shanghai Medical School, Fudan University, Shanghai,

Objective: To study the clinical anatomy of the epitympanum, the attic, and its medial wall, to try to discover a new clinical operation-related anatomical landmark, and to investigate the adjacent anatomical relationship with this landmark.

Materials And Methods: Eight donor temporal bone specimens were dissected endoscopically. For 29 healthy persons (17 males and 12 females), CT images of the temporal bone (57 ears) were taken, 3-dimensional (3-D) reconstruction and multidimensional plane reconstruction were performed, and identification and assessment of 3-D spatial relationships between any 2 of these complex structures were done. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/493012
Publisher Site
http://dx.doi.org/10.1159/000493012DOI Listing
October 2018
5 Reads

Anaesthesia and Perioperative Care for Transoral Robotic Surgery.

ORL J Otorhinolaryngol Relat Spec 2018 2;80(3-4):125-133. Epub 2018 Oct 2.

Department of Surgery, Guy's Hospital, London, United Kingdom.

Minimally invasive surgical techniques have gained increasing interest in recent years for their conferred recovery and postoperative advantages. Robot-assisted surgery requires special consideration for anaesthetic and perioperative management. The introduction of robot- assisted intra-oral surgery has important implications on anaesthesia provision, airway management and patient safety. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000490598DOI Listing
October 2018

Preoperative Serum Thyroglobulin Level as a Useful Predictive Marker to Differentiate Thyroid Cancer.

ORL J Otorhinolaryngol Relat Spec 2018 25;80(5-6):290-295. Epub 2018 Sep 25.

Department of Biostatistics, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

Introduction: Thyroid cancer is the most common endocrine system cancer. Although fine-needle aspiration biopsy is the most commonly used method for diagnosis, it is not always sufficient. The aim of this study was to investigate the influence of preoperative serum thyroglobulin (Tg) concentration on differentiated thyroid cancer risk. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/491932
Publisher Site
http://dx.doi.org/10.1159/000491932DOI Listing
September 2018
3 Reads

The Telomerase and Alternative Lengthening of Telomeres Mechanisms Regulate Laryngeal Cancer Cell Apoptosis via the PI3K/Akt Pathway.

ORL J Otorhinolaryngol Relat Spec 2018 13;80(5-6):227-237. Epub 2018 Sep 13.

Department of Otolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan,

Purpose: To investigate the possible telomerase and alternative lengthening of telomeres (ALT) mechanisms influencing the apoptosis of laryngeal squamous cells.

Materials And Methods: The effects of the telomerase mechanism were observed by knockdown of human telomerase reverse transcriptase (hTERT). The ALT mechanism was induced by silencing related genes including TRF2, RAD51, and NBS1. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/489461
Publisher Site
http://dx.doi.org/10.1159/000489461DOI Listing
September 2018
10 Reads

Conservative Treatment versus Surgery for Laryngeal Contact Granuloma: A Prospective Study.

ORL J Otorhinolaryngol Relat Spec 2018 11;80(5-6):307-316. Epub 2018 Sep 11.

Department of Otolaryngology-Head and Neck Surgery, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai,

Aims: To confirm the efficacy of conservative treatment for laryngeal contact granuloma and identify factors influencing treatment outcome.

Methods: In this prospective study, patients with laryngeal contact granuloma were divided into a group receiving conservative treatment and a group undergoing surgery. Efficacy was assessed by analyzing the complete response after a 48-week follow-up. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/492976
Publisher Site
http://dx.doi.org/10.1159/000492976DOI Listing
September 2018
24 Reads

Long-Term Outcomes after Performing Tympanoplasty without Mastoidectomy for Active and Inactive Noncholesteatomatous Chronic Otitis Media.

ORL J Otorhinolaryngol Relat Spec 2018 21;80(5-6):277-283. Epub 2018 Aug 21.

NHC Key Laboratory of Hearing Medicine (Fudan University), Department of Otology and Skull Base Surgery, Eye Ear Nose and Throat Hospital of Fudan University, Shanghai,

Objective: This study aimed to assess long-term outcomes after performing tympanoplasty without mastoidectomy (TWOM) for active and inactive noncholesteatomatous chronic otitis media (COM) and to estimate the optimal time for surgery.

Methods: The patients were placed into an active ear group (group A) and an inactive ear group (group B). All patients were followed up for 5 years after TWOM. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000491493DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381864PMC

Comparable Electrode Impedance and Speech Perception at 12 Months after Cochlear Implantation Using Round Window versus Cochleostomy: An Analysis of 40 Patients.

ORL J Otorhinolaryngol Relat Spec 2018 17;80(5-6):248-258. Epub 2018 Aug 17.

Department of Otolaryngology, Head and Neck Surgery, Eye and Ear, Nose, Throat Hospital of Fudan University, Shanghai,

Objective: The objective of this study was to examine whether cochlear implantation using the round window (RW) route versus cochleostomy achieves comparable electrode impedance and hearing results.

Methods: This retrospective analysis included 40 patients receiving a cochlear implant (REZ-1): 20 using the RW approach and the remaining 20 using cochleostomy. Electrode impedance and tone, vowel, consonant, disyllable and sentence perception were measured during and after the implantation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000490764DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381868PMC
August 2018
9 Reads
0.667 Impact Factor

Morphological Evaluation of Thyroid Cartilage Invasion in Early Glottic Tumors Involving the Anterior Commissure.

ORL J Otorhinolaryngol Relat Spec 2018 17;80(5-6):259-270. Epub 2018 Aug 17.

Department of Head and Neck Surgery, University of São Paulo School of Medicine, São Paulo, Brazil.

Introduction: The anterior commissure is an area of glottic cancer infiltration, even in early stages.

Objective: To evaluate the invasion by tumors into the anterior commissure cartilage in surgical specimens of frontolateral laryngectomy.

Methods: Forty-eight patients who had undergone frontolateral laryngectomy for T1b/T2 squamous cell carcinoma were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000491490DOI Listing
August 2018
23 Reads

The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis.

ORL J Otorhinolaryngol Relat Spec 2018 15;80(5-6):271-276. Epub 2018 Aug 15.

Aims: The aim of the study was to evaluate different irrigation solutions during sialendoscopy to reduce complaints caused by sialodochitis.

Methods: The investigators designed and implemented a retrospective study composed of 94 patients with sialodochitis but no sialolithiasis or relevant stenosis of the salivary duct system. Three different irrigations (normal saline, cortisone single-shot, and cortisone) were used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000491492DOI Listing

Correlation between Serum Squamous Cell Carcinoma Antigen Level and Tumor Volume in Head and Neck Cancer.

ORL J Otorhinolaryngol Relat Spec 2018 9;80(5-6):284-289. Epub 2018 Aug 9.

Department of Pathology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.

Purpose Of Study: An association of squamous cell carcinoma antigen (SCC-Ag) level with cancer prognosis has been reported in many studies. Our investigators conducted the first study determining a correlation between the SCC-Ag level and the tumor volume in head and neck cancer.

Procedures: The SCC-Ag level of patients were measured from the serum, whilst the tumor volume was calculated by the ellipsoid formula and verified by logistic software on radiology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000491494DOI Listing
August 2018
11 Reads

Eight Items to Check on a Temporal Bone CT-Scan.

ORL J Otorhinolaryngol Relat Spec 2018 9;80(5-6):338-344. Epub 2018 Aug 9.

Department of Otorhinolaryngology, Head and Neck Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

Imaging data provided by computed tomography scans of the temporal bone are fundamental for both the diagnosis and treatment of diseases affecting this complex structure. Despite its importance, the expertise required to analyze this exam is seldom properly acquired as it is time-consuming and often neglected among young doctors and even otolaryngologists. Physicians may not even have a look at the scans but rely only on radiology reports. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000491491DOI Listing
August 2018
3 Reads

Congenital Cholesteatoma: The Silent Pathology.

ORL J Otorhinolaryngol Relat Spec 2018 24;80(2):108-116. Epub 2018 Jul 24.

Background: Congenital cholesteatomas (CC) arise from epithelial remnants around the petrous bone. They enlarge gradually causing progressive destruction and functional damage to the ear and surrounding structures. Because of their insidious course, most patients are misdiagnosed and present late with complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000490255DOI Listing
January 2019
1 Read

Transoral Robotic Surgery for Oropharyngeal Cancer.

ORL J Otorhinolaryngol Relat Spec 2018 17;80(3-4):156-170. Epub 2018 Jul 17.

Oxford University Hospitals NHS Trust, Oxford, United Kingdom.

Transoral robotic surgery has shown significant promise in the management of oropharyngeal cancer since its description in 2007. The oncological efficacy of this procedure has been proven in several single-centre studies, multicentre collaborative publications and systematic reviews. The rapid take-up of transoral robotic surgery shows greater acceptance by professionals and is associated with a relatively short learning curve. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/489466
Publisher Site
http://dx.doi.org/10.1159/000489466DOI Listing
July 2018
4 Reads

Mandibular Myalgia and Miniscule Meckel's Caves.

ORL J Otorhinolaryngol Relat Spec 2018 11;80(2):103-107. Epub 2018 Jul 11.

Trigeminal neuropathy manifests as episodic sharp, shooting pain in the maxillofacial region. Contributory etiologies are myriad, ranging from central pathology affecting its origin in the brainstem to peripheral processes affecting their distal-most insertion sites. We present a case of bilateral hypoplastic Meckel's caves in an adult patient leading to the clinical symptomology of trigeminal neuralgia. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000489462DOI Listing
January 2019
2 Reads

Oral Cancer Treatment: Still an Indication for Elective Neck Dissection?

ORL J Otorhinolaryngol Relat Spec 2018 4;80(2):96-102. Epub 2018 Jul 4.

University of São Paulo, São Paulo, Brazil.

Introduction: Oral squamous cell carcinoma has a high incidence and, although elective neck dissection is recommended, the removed nodes frequently present without metastasis. This surgical approach causes disabilities and increases possible surgical complications.

Objective: To evaluate the possibility of a watchful waiting approach in oral cancer. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/490253
Publisher Site
http://dx.doi.org/10.1159/000490253DOI Listing
January 2019
8 Reads

Radiographic Imaging Does Not Reliably Predict Macroscopic Extranodal Extension in Human Papilloma Virus-Associated Oropharyngeal Cancer.

ORL J Otorhinolaryngol Relat Spec 2018 3;80(2):85-95. Epub 2018 Jul 3.

Department of Radiology and Imaging Sciences, Winship Cancer Institute, Emory University, Atlanta, Georgia, USA.

Background: Radiographic concern for lymphatic extranodal extension (ENE) impacts upfront management decisions for patients with human papilloma virus (HPV) oropharyngeal squamous cell carcinoma (OPSCC). Therefore, we set out to evaluate the accuracy of preoperative contrast-enhanced computed tomography (CECT) to predict major ENE (> 2 mm).

Methods: Twenty-seven consecutive patients with HPV-associated OPSCC who presented at our institutional multidisciplinary tumor board were staged radiographically with positron emission tomography (PET/CT) and CECT, and underwent primary transoral robotic resection and neck dissection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000487239DOI Listing
January 2019
11 Reads

Transoral Robotic Surgery for Obstructive Sleep Apnoea-Hypopnoea Syndrome.

ORL J Otorhinolaryngol Relat Spec 2018 22;80(3-4):134-147. Epub 2018 Jun 22.

Department of Otorhinolaryngology and Head and Neck Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.

Obstructive sleep apnoea-hypopnoea (OSAH) syndrome constitutes a major health care problem. Surgical modalities for the treatment of OSAH are regaining momentum in view of the increasing prevalence of OSAH and the low compliance rates associated with continuous positive airway pressure. There are several investigations to complement clinical examination in accurately determining the level of airway collapse to ensure correct patient selection and a targeted surgical approach. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000489465DOI Listing
June 2018
2 Reads

Transoral Robotic Surgery: Image Guidance and Augmented Reality.

ORL J Otorhinolaryngol Relat Spec 2018 22;80(3-4):204-212. Epub 2018 Jun 22.

Department of Otorhinolaryngology and Head and Neck Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.

Transoral robotic surgery (TORS) is being used increasingly as an alternative to conventional open procedures, as its minimally invasive approach results in significant benefits for the patient. This includes faster recovery times and better functional outcomes, less postoperative pain and morbidity associated with open access, shorter operative times, and a reduction in the risk of infection. However, the confined working spaces and sensory deficit, due to a lack of haptic sensation, and proximity to critical vasculature and other vitally important anatomical structures bestow significant challenges on the surgeon. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000489467DOI Listing
June 2018
1 Read

Robotic Head and Neck Surgery: History, Technical Evolution and the Future.

ORL J Otorhinolaryngol Relat Spec 2018 20;80(3-4):117-124. Epub 2018 Jun 20.

Department of Otorhinolaryngology and Head and Neck Surgery, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom.

The first application of robotic technology in surgery was described in 1985 when a robot was used to define the trajectory for a stereotactic brain biopsy. Following its successful application in a variety of surgical operations, the da Vinci® robot, the most widely used surgical robot at present, made its clinical debut in otorhinolaryngology and head and neck surgery in 2005 when the first transoral robotic surgery (TORS) resections of base of tongue neoplasms were reported. Subsequently, the indications for TORS rapidly expanded, and they now include tumours of the oropharynx, hypopharynx, parapharyngeal space, and supraglottic larynx, as well as obstructive sleep apnoea (OSA). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000489464DOI Listing
June 2018
17 Reads

The Impact of Two-Stage Subtotal Petrosectomy and Round Window Vibroplasty on Bone Conduction Thresholds.

ORL J Otorhinolaryngol Relat Spec 2018 14;80(2):77-84. Epub 2018 Jun 14.

Department of Otorhinolaryngology, HELIOS Klinikum Hildesheim, Hildesheim, Germany.

Objective: To evaluate possible increases in bone conduction (BC) hearing thresholds in patients undergoing subtotal petrosectomy (SP) with fat obliteration and blind sac closure of the outer ear canal and subsequent round window vibroplasty.

Patients And Interventions: Between 1997 and 2013, 43 patients (45 ears) with combined hearing loss and recurrent chronic otitis or status post formation of a radical cavity underwent SP around 6 months prior to implantation of a Vibrant SoundbridgeTM. Pure tone audiograms (0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000489463DOI Listing
January 2019
2 Reads

Development and Assessment of a Transoral Robotic Surgery Curriculum to Train Otolaryngology Residents.

ORL J Otorhinolaryngol Relat Spec 2018 30;80(2):69-76. Epub 2018 May 30.

Purpose Of The Study: (1) To develop a multifaceted didactic and hands-on curriculum to prepare otolaryngology residents to perform transoral robotic surgery (TORS) and safely transition to the operating room. (2) To assess the effectiveness of the TORS curriculum.

Procedures: Learning objectives were developed and a curriculum was formulated utilizing five unique modalities: focused didactic reading, online training modules, backpack console simulations, videos of TORS cases, and hands-on cadaveric dissections with the robotic surgical system in a simulated operating room. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/479744
Publisher Site
http://dx.doi.org/10.1159/000479744DOI Listing
January 2019
4 Reads

Robotic Thyroid Surgery: Current Perspectives and Future Considerations.

ORL J Otorhinolaryngol Relat Spec 2018 22;80(3-4):186-194. Epub 2018 May 22.

Department of Otorhinolaryngology, Head and Neck Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, United

Robotic transaxillary thyroidectomy, pioneered in South Korea, is firmly established throughout the Far East but remains controversial in Western practice. This relates to important population differences (anthropometry and culture) compounded by the smaller mean size of thyroid nodules operated on in South Korea due to a national thyroid cancer screening programme. There is now level 2 evidence (including from Western World centres) to support the safety, feasibility, and equivalence of the robotic approach to its open counterpart in terms of recurrent laryngeal nerve injury, hypoparathyroidism, haemorrhage, and oncological outcomes for differentiated thyroid cancer. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000488354DOI Listing
May 2018
2 Reads

Robotic Parathyroid Surgery: Current Perspectives and Future Considerations.

ORL J Otorhinolaryngol Relat Spec 2018 22;80(3-4):195-203. Epub 2018 May 22.

Department of Otorhinolaryngology and Head and Neck Surgery, St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.

Robotic parathyroidectomy represents a novel surgical approach in the treatment of primary hyperparathyroidism when the parathyroid adenoma has been pre-operatively localised. It represents the "fourth generation" in the evolution of parathyroid surgery following a process of surgical evolution from cervicotomy and 4-gland exploration to a variety of minimally invasive, open and endoscopic, targeted approaches. The existing evidence (levels 2-3) supports it as a feasible and safe technique with equivalent results to targeted open parathyroidectomy for primary hyperparathyroidism in carefully selected patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000488355DOI Listing
May 2018
5 Reads

Congenital Pyriform Sinus Fistula: Management of an Extra-Delayed and Atypical Case.

ORL J Otorhinolaryngol Relat Spec 2018 16;80(2):65-68. Epub 2018 May 16.

Head and Neck Department, ENT and Oral Surgery Unit, G.B. Morgagni, L. Pierantoni Hospital, Forlì, Italy.

Clinical presentations of pyriform sinus fistulas vary, and this sometimes leads to a delay in diagnosis and treatment. Recently, we experienced a case of recurrent cervical abscesses occurring after thyroidectomy in an adult affected by a bifidus pyriform sinus fistula. The diagnostic dilemma was related to the timing of events, with a single episode of acute suppurative thyroiditis having occurred 16 years before the onset of the more recent clinical scenario. Read More

View Article

Download full-text PDF

Source
https://www.karger.com/Article/FullText/488322
Publisher Site
http://dx.doi.org/10.1159/000488322DOI Listing
January 2019
6 Reads

Vibrant Soundbridge Implantation: Floating Mass Transducer Coupled with the Stapes Head and Embedded in Fat.

ORL J Otorhinolaryngol Relat Spec 2018 26;80(2):59-64. Epub 2018 Apr 26.

Subtotal petrosectomy may be performed for refractory chronic middle ear diseases, such as massive cholesteatoma or recurrent otitis media. It involves permanent obliteration of the operative cavity, thus precluding the chance to restore conductive hearing via traditional inertial ossicular prostheses. The Vibrant Soundbridge (VSB) is an alternative option for hearing rehabilitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000487241DOI Listing
January 2019
2 Reads

Correlation between Preoperative Auditory Steady-State Response and Postoperative Electrically Evoked Auditory Brainstem Response and T Level in Cochlear Implantation for Child Patients with Inner-Ear Malformations.

ORL J Otorhinolaryngol Relat Spec 2018 19;80(1):51-57. Epub 2018 Apr 19.

ENT and HN Surgery Department, Shanxi Provincial People's Hospital Affiliated to Shanxi Medical University, Taiyuan, China.

Objective: This study aims to investigate the correlation between thresholds of preoperative multiple auditory steady-state response (ASSR) and electrically evoked auditory brainstem response (EABR) and the behavioral threshold.

Methods: A total of 72 patients were elected to receive a multichannel cochlear implant. According to the residual hearing determined in a preoperative test using high-, moderate-, and low-frequency ASSR, these patients were divided into the following 2 groups: residual hearing and hearing loss. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000487238DOI Listing
November 2018
28 Reads

Low CT Attenuation Values of Sinonasal Benign Tumours Relative to the Brainstem Identify Schwannomas.

ORL J Otorhinolaryngol Relat Spec 2018 17;80(1):41-50. Epub 2018 Apr 17.

Department of Otolaryngology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.

Objectives: On computed tomography (CT), sinonasal schwannoma displays as a soft-tissue mass without any distinctive features. Our aim was to define the radiological criteria for distinguishing schwannoma from other sinonasal benign tumours.

Methods: We retrospectively identified consecutive patients who were pathologically diagnosed with benign sinonasal tumours between 2007 and 2016. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000487240DOI Listing
November 2018
7 Reads

A Novel Device for Placement of a Secondary Tracheoesophageal Voice Prosthesis: A Preliminary Feasibility Study.

ORL J Otorhinolaryngol Relat Spec 2018 28;80(1):36-40. Epub 2018 Mar 28.

Background: Tracheoesophageal puncture (TEP) for post-laryngectomy speech rehabilitation can be performed at the time of laryngectomy (primary) or at a subsequent time (secondary). Traditionally, the secondary procedure is performed using a rigid esophagoscope. Diseases like esophageal stricture, limited neck extension, and soft-tissue fibrosis can make this procedure technically challenging or impossible. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000485513DOI Listing
November 2018
6 Reads

Infraorbital Nerve Located Medially to Postoperative Maxillary Cysts: A Risk of Endonasal Surgery.

ORL J Otorhinolaryngol Relat Spec 2018 20;80(1):28-35. Epub 2018 Feb 20.

Background/aims: This study aimed to examine variations in the location of the infraorbital nerve relative to postoperative maxillary cysts to assess the potential risk of nerve injury during endonasal marsupialization.

Methods: Coronal computed tomography images of 130 patients (162 sides) with postoperative maxillary cysts who visited our clinic between 2003 and 2014 were reviewed from the viewpoint of the anatomical relationship between the infraorbital nerves and cysts.

Results: The proportions of the six locations were as follows: upside 45. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000486372DOI Listing
November 2018
6 Reads

Intratympanic Injections of Dexamethasone in Delayed Endolymphatic Hydrops: A Prospective Clinical Study.

ORL J Otorhinolaryngol Relat Spec 2018 16;80(1):19-27. Epub 2018 Feb 16.

Objective: This study was designed to evaluate the effectiveness of intratympanic dexamethazone (ITD) for the treatment of ipsilateral delayed endolymphatic hydrops (DEH).

Methods: Forty-one patients were diagnosed with ipsilateral DEH. Only 37 patients completed this study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000486373DOI Listing
November 2018
8 Reads

Editorial.

Authors:
Bert W OʼMalley

ORL J Otorhinolaryngol Relat Spec 2017 15;79(6). Epub 2018 Feb 15.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000485578DOI Listing
February 2018
5 Reads

Feasibility of Salvage Selective Neck Dissection after Primary Irradiation of Pharyngeal and Laryngeal Carcinoma.

ORL J Otorhinolaryngol Relat Spec 2018 9;80(1):10-18. Epub 2018 Feb 9.

Department of Head and Neck Surgical Oncology, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands.

Introduction: The concept of neck dissection (ND) in the management armamentarium of head and neck squamous cell carcinoma has evolved throughout the years. Nowadays, ND becomes more functional.

Methodology: A retrospective study of 865 patients was performed at Netherlands Cancer Institute-Antoni Van Leeuwenhoek Hospital to investigate the feasibility of selective ND (SND). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000486371DOI Listing
November 2018
11 Reads
0.670 Impact Factor

The Impact of Skeletal Muscle Depletion on Head and Neck Squamous Cell Carcinoma.

ORL J Otorhinolaryngol Relat Spec 2018 26;80(1):1-9. Epub 2018 Jan 26.

Background: Skeletal muscle depletion and sarcopenia have been reported as poor prognostic factors for several types of cancer. The aim of this study was to investigate the prognostic impact of skeletal muscle depletion and sarcopenia on the outcomes in head and neck cancer patients.

Methods: Patients with head and neck squamous cell carcinoma (HNSCC) treated from January 2013 to June 2014 were included in this study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000485515DOI Listing
November 2018
4 Reads