2,366 results match your criteria access otolaryngology

A multisociety organizational consensus process to define guiding principles for acute perioperative pain management.

Reg Anesth Pain Med 2021 Sep 22. Epub 2021 Sep 22.

Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.

The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public-private partnership which led to the publication of its report in 2019. The report emphasized the need for individualized, multimodal, and multidisciplinary approaches to pain management that decrease the over-reliance on opioids, increase access to care, and promote widespread education on pain and substance use disorders. The Task Force specifically called on specialty organizations to work together to develop evidence-based guidelines. Read More

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September 2021

Pediatric allergic fungal rhinosinusitis: optimizing outcomes.

Curr Opin Otolaryngol Head Neck Surg 2021 Sep 20. Epub 2021 Sep 20.

Department of Surgery-Otorhinolaryngology Head and Neck Surgery, Central Adelaide Local Health Network and the Department of Surgery, Faculty of Health Sciences, University of Adelaide, Adelaide, South Australia, Australia Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.

Purpose Of Review: Allergic fungal rhinosinusitis (AFRS) is a debilitating condition for children. Despite there being several reviews on this topic in the adult population, there is a paucity of reviews of AFRS in the pediatric literature. This article reviews the recent evidence of pediatric AFRS with the aim to optimize outcomes of pediatric patients with this condition. Read More

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September 2021

Physician and executive collaboration on rapid development of pandemic needs response to support physicians and medical staff during the COVID-19 pandemic in an academic medical center: a descriptive review.

Psychol Health Med 2021 Sep 20:1-6. Epub 2021 Sep 20.

Department of Anesthesiology, University of Kansas Medical Center, Kansas City, Kansas, USA.

Dialogue on physician well-being was concerning even prior to onset of the COVID-19 pandemic, which introduced additional unprecedented strain on healthcare workers compounded by increased personal and family stress. This paper describes our process for a rapid needs assessment and creation of a pandemic resiliency and well-being support infrastructure for physicians and healthcare staff at an academic medical center. In March 2020, executive leadership from our health system and physician group created a Resiliency and Support Steering Committee (RSSC) for rapid development of a pandemic needs response for our healthcare providers. Read More

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September 2021

Development of a Cadaveric Multiport Model of Posterior Circulation Aneurysm Clipping for Neurosurgery and Otolaryngology Residents.

J Vis Exp 2021 Sep 3(175). Epub 2021 Sep 3.

Oregon Health & Science University;

Posterior circulation aneurysms are difficult to treat with the current methods of coiling and clipping. To address limitations in training, we developed a cadaveric model to train learners on endoscopic clipping of posterior circulation aneurysms. An endoscopic transclival approach (ETA) and a transorbital precaruncular approach (TOPA) to successfully access and clip aneurysms of the posterior circulation are described. Read More

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September 2021

"Cannot intubate, cannot oxygenate": A novel 2-Operator technique for cannula tracheotomy in an infant animal model - a feasibility study.

Paediatr Anaesth 2021 Sep 19. Epub 2021 Sep 19.

Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, Australia.

Background: Evidence regarding optimal management of the 'Cannot Intubate, Cannot Oxygenate' (CICO) scenario in infants is scarce. When inserting a transtracheal cannula for front of neck access direct aspiration to confirm intratracheal location is standard practice. This post-mortem "infant airway" animal model study describes a novel technique for cannula tracheotomy. Read More

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September 2021

The Impact of the Frequency-Specific Preoperative Sensorineural Hearing Loss to Postoperative Overclosure of Bone Conduction in Stapedotomy.

Otol Neurotol 2021 Oct;42(9):1314-1322

ENT Institute and Otorhinolaryngology Department of the Affiliated Eye and ENT Hospital, State Key Laboratory of Medical Neurobiology.

Objective: To evaluate the frequency-specific relationships between the preoperative sensorineural hearing loss and postoperative overclosure of bone conduction (BC) threshold after stapedotomy.

Methods: We conducted a retrospective analysis of 207 otosclerosis patients who underwent stapedotomy in our hospital. Pre- and postoperative audiometry were collected between patients with or without preoperative sensorineural hearing loss (SNHL) component (i. Read More

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October 2021

Narrowing the Wide Tip via Endonasal Approach.

Facial Plast Surg 2021 Sep 14. Epub 2021 Sep 14.

Department of Otolaryngology, Head and Neck Surgery, University of Illinois at Chicago, Chicago Center for Facial Plastic Surgery - Office of Steven Dayan, Chicago, Illinois.

Rhinoplasty is arguably the most complex and intricate surgery performed by facial plastic surgeons. Nasal tip refinement of a broad nasal tip has remained the most challenging part of rhinoplasty as sophisticated techniques are critical to achieve aesthetically pleasing and structurally sound nasal tips that can withstand the contractile forces of healing. Successful tip refinement relies on an in-depth preoperative and intraoperative understanding of the patient's nasal anatomy, well developed arsenal of techniques, the experience of the surgeon, and the aesthetic desires of the patient. Read More

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September 2021

Mobile Surgical Scouts Increase Surgical Access for Patients with Cleft Lip and Palate in Nepal.

Facial Plast Surg Aesthet Med 2021 Sep 13. Epub 2021 Sep 13.

Department of Burns, Plastic and Reconstructive Surgery, Kirtipur Hospital, Kirtipur, Nepal.

In Nepal's remote regions, challenging topography prevents patients with cleft lip and palate (CLP) from seeking care. To measure the effect of a mobile surgical scout program on CLP surgical care in remote regions of Nepal. Forty-four lay people were trained as mobile surgical scouts and over 5 months traversed remote districts of Nepal on foot to detect and refer CLP patients for surgical care. Read More

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September 2021

Diagnostic Accuracy of Smartphone-Based Audiometry for Hearing Loss Detection: Meta-analysis.

JMIR Mhealth Uhealth 2021 Sep 10;9(9):e28378. Epub 2021 Sep 10.

Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taiwan, Taipei City, Taiwan.

Background: Hearing loss is one of the most common disabilities worldwide and affects both individual and public health. Pure tone audiometry (PTA) is the gold standard for hearing assessment, but it is often not available in many settings, given its high cost and demand for human resources. Smartphone-based audiometry may be equally effective and can improve access to adequate hearing evaluations. Read More

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September 2021

Utility of Nasal Access Guides in Endoscopic Endonasal Skull Base Surgery: Assessment of Use during Cadaveric Dissection and Workflow Analysis in Surgery.

J Neurol Surg B Skull Base 2021 Oct 10;82(5):540-546. Epub 2020 Sep 10.

Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, United States.

 A nasal access guide (NAG) for endoscopic endonasal approaches (EEAs) to the skull-base has been developed and approved for clinical use but its utility has not been formally investigated.  The study aims to assess the effect of a NAG on endoscopic visualization during cadaveric dissection and to perform a workflow analysis with process-based performance measures in the operating room and their effect on clinical outcomes.  Skull-base course participants were observed during hands-on cadaveric dissection with and without NAG. Read More

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October 2021

Undiagnosed pharyngeal perforation following a penetrating neck trauma in a 5-year-old child: a proposed treatment algorithm.

BMJ Case Rep 2021 Sep 7;14(9). Epub 2021 Sep 7.

ENT, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Puducherry, India.

External penetrating wounds of the neck leading to pharyngeal perforations are relatively uncommon. The small area of the neck contains the vital vascular, aerodigestive and nervous structures, which are difficult to access surgically. Pharyngeal perforations are challenging to treat, especially in children, as primary wound inspection may be difficult, leading to life-threatening complications like retropharyngeal abscesses, mediastinitis or airway compromise. Read More

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September 2021

Access Challenge Index: A Novel Disparity Measure Predictive of Language Outcomes in Children Who Are Deaf/Hard of Hearing.

Otolaryngol Head Neck Surg 2021 Sep 7:1945998211040017. Epub 2021 Sep 7.

Division of Pediatric Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA.

Objective: To evaluate the effect of demographic disparities on language outcomes in a diverse group of children who are deaf or hard of hearing.

Study Design: Retrospective cohort study.

Setting: UCSF Benioff Children's Hospital (a tertiary care center). Read More

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September 2021

Association of depressive symptomatology with problem alcohol use in rural head and neck cancer patients at diagnosis.

J Psychosoc Oncol 2021 Sep 6:1-13. Epub 2021 Sep 6.

Department of Otolaryngology-Head and Neck Surgery, Carver College of Medicine, The University of Iowa, Iowa City, IA, USA.

Purpose: Problem alcohol use is a risk factor for the development of head and neck cancer (HNC) and continued use is associated with poor outcomes; depressive symptoms may be associated with this behavior.

Design: Exploratory cross-sectional study examined depressive symptoms as a correlate of self-reported problem alcohol use at diagnosis.

Sample/methods: Multivariable linear regression examined depressive symptoms as a correlate of problem alcohol use in a sample of rural HNC patients ( = 249). Read More

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September 2021

Non-English Primary Language is Associated with Emergency Surgery for Diverticulitis.

J Surg Res 2021 Aug 30;268:643-649. Epub 2021 Aug 30.

Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Electronic address:

Background: Language barriers can limit access to care for patients with a non-English primary language (NEPL). The objective of this study was to define the association between primary language and emergency versus elective surgery among diverticulitis patients.

Materials And Methods: Retrospective cohort study of adult patients from the 2009-2014 New Jersey State Inpatient Database. Read More

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Characterizing Swallows From People With Neurodegenerative Diseases Using High-Resolution Cervical Auscultation Signals and Temporal and Spatial Swallow Kinematic Measurements.

J Speech Lang Hear Res 2021 Sep 24;64(9):3416-3431. Epub 2021 Aug 24.

Department of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, PA.

Purpose The prevalence of dysphagia in patients with neurodegenerative diseases (ND) is alarmingly high and frequently results in morbidity and accelerated mortality due to subsequent adverse events (e.g., aspiration pneumonia). Read More

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September 2021

Geographic Distribution of Otolaryngology Advance Practice Providers and Physicians.

Otolaryngol Head Neck Surg 2021 Aug 24:1945998211040408. Epub 2021 Aug 24.

Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Objectives: Advanced practice providers (APPs), namely physician assistants (PAs) and nurse practitioners (NPs), play an increasing role in meeting growing demands for otolaryngologic services, particularly in rural communities. This study analyzes the geographic distribution of otolaryngology providers, which is essential to addressing future demands.

Study Design: Cross-sectional study. Read More

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A Review of Cordocentesis: Percutaneous Umbilical Cord Blood Sampling.

Cureus 2021 Jul 16;13(7):e16423. Epub 2021 Jul 16.

Pediatrics, Jawaharlal Nehru Medical College, Belgaum, IND.

We discuss the current indications, technical variation and procedure-related complications of percutaneous umbilical cord blood sampling (PUBS). The term PUBS is commonly used in the United States. Cordocentesis and funipuncture are equivalent terms. Read More

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Risk factors for gastrostomy tube dependence in transoral robotic surgery patients.

Am J Otolaryngol 2021 Aug 13;43(1):103175. Epub 2021 Aug 13.

Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, 925 Chestnut Street, 6th Floor, Philadelphia, PA 19107, USA.

Objectives: To determine the rate of gastrostomy tube dependence after transoral robotic surgery (TORS), and to determine which patient or surgical factors increase the likelihood of gastrostomy tube dependence.

Methods: Retrospective chart review of all patients who underwent TORS for oropharyngeal squamous cell carcinoma (OPSCC) at a single institution from January 2011 through July 2016. Patients who underwent TORS for recurrent OPSCC were excluded. Read More

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The Relationship Between Open Access Article Publishing and Short-Term Citations in Otolaryngology.

Ann Otol Rhinol Laryngol 2021 Aug 20:34894211039627. Epub 2021 Aug 20.

Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Objectives: The purpose of this study is to compare the number of citations received by open access articles versus subscription access articles in subscription journals in the Otolaryngology literature.

Methods: Using the Dimensions research database, we examined articles indexed to PubMed with at least 5 citations published in 2018. Articles were included from --, and . Read More

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Predictive value of the Eustachian Tube Dysfunction Questionnaire-7 for identifying obstructive Eustachian tube dysfunction: A systematic review.

Laryngoscope Investig Otolaryngol 2021 Aug 24;6(4):844-851. Epub 2021 Jun 24.

Department of Otolaryngology-Head and Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA.

Objective: To perform a systematic review to determine if a total score of ≥14.5 (mean score ≥ 2.1) on the ETDQ-7 accurately identifies patients with obstructive Eustachian tube dysfunction (OETD) on impedance tympanometry (peak compliance <0. Read More

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The Quest for a DISE Protocol.

Otolaryngol Head Neck Surg 2021 Aug 17:1945998211036645. Epub 2021 Aug 17.

Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Colorado, Aurora, Colorado, USA.

Objective: The objective of this quality initiative project was to modify our existing institutional drug-induced sleep endoscopy (DISE) protocol so that the surgeon could consistently determine obstructive breathing patterns while minimizing children's discomfort.

Methods: A quality initiative study utilizing the well-described plan-do-study-act (PDSA) process was conducted at a tertiary hospital for children with polysomnogram-documented obstructive sleep apnea who were undergoing DISE. A 4-point Likert measurement tool was created. Read More

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Impact of Treatment Parameters on Racial Survival Differences in Oropharyngeal Cancer: National Cancer Database Study.

Otolaryngol Head Neck Surg 2021 Aug 17:1945998211035056. Epub 2021 Aug 17.

Department of Otolaryngology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.

Objective: To investigate how differences in treatment parameters account for survival differences between races of patients with oropharyngeal squamous cell carcinoma (OPSCC).

Study Design: Retrospective cohort study.

Setting: National Cancer Database. Read More

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The readability and reliability of online information about adenoidectomy.

O Ahmadi A J Wood

J Laryngol Otol 2021 Aug 16:1-5. Epub 2021 Aug 16.

Department of Otolaryngology-Head & Neck Surgery, Waikato District Health Board, Hamilton, New Zealand.

Objective: There is limited understanding amongst patients and parents of paediatric patients regarding adenoidectomy. Most patients access health-related information online. The aim of this study was to assess the suitability of online information on adenoidectomy. Read More

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Travel distance is associated with stage at presentation and laryngectomy rates among patients with laryngeal cancer.

J Surg Oncol 2021 Aug 14. Epub 2021 Aug 14.

Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Background: The impact of travel distance on stage at presentation and management strategies of laryngeal squamous cell carcinoma (SCC) is unknown. We investigated this relationship.

Methods: Retrospective review of patients with laryngeal SCC in the National Cancer Data Base from 2004 to 2016. Read More

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Canadian consensus statement on the management of radioactive iodine-resistant differentiated thyroid cancer.

Oral Oncol 2021 Oct 10;121:105477. Epub 2021 Aug 10.

Departments of Oncology and Otolaryngology/Head & Neck Surgery, University of Western Ontario, London, Ontario, Canada. Electronic address:

Radioactive iodine-resistant differentiated thyroid cancer (RAIRTC) is an aggressive form of thyroid cancer that is uncommon and heterogeneous in its clinical behavior. With the emergence of more effective systemic therapy, the need for guidance in decision-making was recognized and a consensus committee of national experts was assembled. The consensus committee consisted of 13 clinicians involved in treating RAIRTC from across Canada and included endocrinologists, nuclear medicine physicians, surgeons, and radiation and medical oncologists. Read More

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October 2021

Eligibility for live, interactive otolaryngology telemedicine: 19-month experience before and during the COVID-19 pandemic in Taiwan.

Biomed J 2021 Aug 7. Epub 2021 Aug 7.

Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:

Background: Unequal access to healthcare is a global medical problem. Telemedicine, recently made possible by technological advances, may mitigate this inequity. However, the usefulness of telemedicine for procedure-driven disciplines, such as otolaryngology, under infectious conditions (e. Read More

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Immersive Surgical Anatomy of the Retrosigmoid Approach.

Cureus 2021 Jun 30;13(6):e16068. Epub 2021 Jun 30.

Neurological Surgery, University of California San Francisco, San Francisco, USA.

The retrosigmoid approach (RS) approach is the workhorse of the posterolateral neurosurgical techniques to access various posterior fossa structures and even extends into the middle fossa. Many studies have detailed two-dimensional (2D) descriptions of the RS technique from either the lateral or posterior view. This study is the first to provide a comprehensive analysis of the RS technique, soft tissue, extracranial landmarks, and intracranial structures of the posterolateral region using interactive three-dimensional (3D) volumetric models (VMs). Read More

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Radiological Assessment of High Anterior Septal Deviation and Its Impact on Sinus Access.

Laryngoscope 2021 Aug 7. Epub 2021 Aug 7.

Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago College of Medicine, Chicago, Illinois, U.S.A.

Objectives/hypothesis: High anterior septal deviation (HASD) is an underreported anatomic variant that can affect the decision to perform septoplasty for access during sinus surgery and ease of postoperative debridement. This study aims to 1) describe an objective method of assessing HASD, and 2) explore its prevalence and implications for performing septoplasty.

Study Design: Retrospective cross-sectional study. Read More

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Symptom monitoring in cancer and fully automated advice on supportive care: Patients' perspectives on self-management strategies and the eHealth self-management application Oncokompas.

Eur J Cancer Care (Engl) 2021 Aug 2:e13497. Epub 2021 Aug 2.

Department of Clinical, Neuro and Developmental Psychology, Faculty of Behavioral and Movement Sciences, Amsterdam Public Health Research Institute, Amsterdam, Netherlands.

Objective: The web-based application Oncokompas was developed to support cancer patients to self-manage their symptoms. This qualitative study was conducted to obtain insight in patients' self-management strategies to cope with cancer and their experiences with Oncokompas as a fully automated behavioural intervention technology.

Methods: Data were collected from semi-structured interviews with 22 participants (10 head and neck cancer survivors and 12 incurably ill patients). Read More

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Ensuring communication access for all during the COVID-19 pandemic and beyond: supporting patients, providers, and caregivers in hospitals.

Augment Altern Commun 2021 Aug 2:1-13. Epub 2021 Aug 2.

Speech-Language Pathology Department, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA.

The COVID-19 pandemic has revealed substantial gaps in communication access for patients across hospital settings. With the rise in positive cases globally, the need for communication enhancement strategies, including augmentative and alternative communication (AAC), has emerged as a critical need. Many resources exist that describe AAC assessment and intervention processes in the acute care setting; however, AAC service provision in the COVID-19 pandemic is fraught with many unanticipated challenges. Read More

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