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Ear, Nose & Throat Bulletin: Healthcare Library of Northern Ireland

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18 papers 0 to 25 followers Collection of new ENT articles, prepared by Richard Fallis, Specialist Librarian for Medicine, Dentistry & Healthcare Sciences: http://libguides.qub.ac.uk/healthcarelibrary/medicinebulletins/ent
By Richard Fallis Medical, Dentistry & Healthcare Sciences Librarian, Healthcare Library of Northern Ireland/Queen's University Belfast
https://read.qxmd.com/read/31647509/machine-learning-by-ultrasonography-for-genetic-risk-stratification-of-thyroid-nodules
#1
Kelly Daniels, Sriharsha Gummadi, Ziyin Zhu, Shuo Wang, Jena Patel, Brian Swendseid, Andrej Lyshchik, Joseph Curry, Elizabeth Cottrill, John Eisenbrey
Importance: Thyroid nodules are common incidental findings. Ultrasonography and molecular testing can be used to assess risk of malignant neoplasm. Objective: To examine whether a model developed through automated machine learning can stratify thyroid nodules as high or low genetic risk by ultrasonography imaging alone compared with stratification by molecular testing for high- and low-risk mutations. Design, Setting, and Participants: This diagnostic study was conducted at a single tertiary care urban academic institution and included patients (nā€‰=ā€‰121) who underwent ultrasonography and molecular testing for thyroid nodules from January 1, 2017, through August 1, 2018...
October 24, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31225905/postoperative-opioid-prescribing-practices-in-otolaryngology-a-multiphasic-study
#2
Sophia Dang, Alexander Duffy, Jonathan C Li, Zachary Gandee, Tanvi Rana, Brittany Gunville, Tingting Zhan, Joseph Curry, Adam Luginbuhl, Elizabeth Cottrill, David Cognetti
OBJECTIVES: In otolaryngology, postoperative pain management lacks evidence-based guidelines. We designed a prospective, multiphasic study aimed to develop evidence-based guidelines for postoperative pain management within our institution. In this first phase of our project, we investigated opioid prescription and consumption as well as pain trends for common otolaryngologic procedures. METHODS: Patients (n = 161) who underwent procedures between July 2018 and February 2019 were surveyed on their postoperative opioid usage and pain from day of discharge to first clinic visit...
March 2020: Laryngoscope
https://read.qxmd.com/read/31856420/an-unmet-need-patients-with-smell-and-taste-disorders
#3
Sally E Erskine, Carl M Philpott
OBJECTIVES: There are large numbers of patients with olfactory disturbance in the UK and shortfalls in assessment and support amongst mainstream practice in both primary and secondary care leading to significant quality-of-life impairment and potential missed diagnoses. The aim of this study was to determine the key themes which can be identified from the accounts of anosmia sufferers and to identify important areas to target for future research or service development. DESIGN: Qualitative analysis of written patient accounts from patients corresponding with a tertiary smell and taste clinic in the UK...
March 2020: Clinical Otolaryngology
https://read.qxmd.com/read/30982993/contemporary-analysis-of-otolaryngic-allergy
#4
Willard C Harrill, Gavin Setzen, Douglas Farquhar, Harold C Pillsbury
OBJECTIVES: Investigate the current trends in otolaryngic allergy (OA). STUDY DESIGN: Cross-sectional survey. METHODS: Survey of active AAOA membership. RESULTS: Response rate was 27.3%. Regional response distribution rates were proportional to the AAOA membership distribution within the United States (R2 = 0.95; P < 0.001), with no significant regional response bias demonstrated (P = 0.428). Self-reported duration to OA competency was 5...
February 2020: Laryngoscope
https://read.qxmd.com/read/31697348/risk-and-rate-of-occult-contralateral-nodal-disease-in-surgically-treated-patients-with-human-papillomavirus-related-squamous-cell-carcinoma-of-the-base-of-the-tongue
#5
Aisling S Last, Patrik Pipkorn, Stephanie Chen, Dorina Kallogjeri, Joseph Zenga, Jason T Rich, Randal Paniello, Jose Zevallos, Rebecca Chernock, Douglas Adkins, Peter Oppelt, Hiram Gay, Mackenzie Daly, Wade Thorstad, Ryan S Jackson
Importance: The optimal treatment strategy for patients with human papillomavirus (HPV)-related oropharyngeal squamous cell carcinoma (OPSCC) of the base of the tongue (BOT) has not been sufficiently studied. Objective: To investigate the rate of and risk factors for occult contralateral nodal disease in patients with HPV-related BOT OPSCC undergoing transoral surgery and bilateral neck dissections. Design, Setting, and Participants: This retrospective case series reviewed the medical records of patients with HPV-related BOT OPSCC who underwent transoral surgery and bilateral neck dissections from January 1, 2002, through December 31, 2018, at the tertiary care center of Washington University School of Medicine in St Louis...
November 7, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31774493/diagnosis-and-management-of-pediatric-dysphagia-a-review
#6
Claire M Lawlor, Sukgi Choi
Importance: Awareness of swallowing dysfunction in the pediatric population is growing. As many as 50% of parents report that their otherwise healthy children have a feeding problem. Dysphagia is increasingly common in the pediatric population, especially as advances in health care improve the survival of extremely premature infants and children with complex congenital anomalies. Symptoms of dysphagia and aspiration prompt referral to otolaryngologists. Observations: Dysfunction can exist at any of the 4 phases of the physiologic swallow...
November 27, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31750869/natural-course-of-unilateral-vocal-fold-paralysis-and-optimal-timing-of-permanent-treatment
#7
Dong-Han Lee, Sang-Youp Lee, Minhyung Lee, Jungirl Seok, Sung Joon Park, Young Ju Jin, Doh Young Lee, Tack-Kyun Kwon
Importance: Permanent surgical treatment for unilateral vocal fold paralysis (UVFP) should be performed when further neural recovery is improbable. Conservative delay of the surgical procedure may cause unnecessary deterioration of the patient's quality of life. Knowledge of the natural course of UVFP is important for better management and counseling. Objective: To evaluate the natural course of UVFP, focusing on the recovery time according to the injury level to assess the optimal timing for permanent surgical intervention...
November 21, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31050818/total-intravenous-versus-inhalational-anesthesia-in-endoscopic-sinus-surgery-a-meta-analysis
#8
Victor M Lu, Kevin Phan, Lawrence J Oh
OBJECTIVE: Achieving optimal intraoperative surgical field visibility and minimizing blood loss are two important parameters in endoscopic sinus surgery (ESS). The aim of this meta-analysis was to compare two total intravenous anesthesia (TIVA) and inhalational anesthesia (IA) to determine if either conferred superior outcomes of these and other parameters based on randomized control trials (RCTs) only. METHODS: The recommended Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines were followed, and searches of electronic databases from inception to September 2018 identified 157 articles for screening...
March 2020: Laryngoscope
https://read.qxmd.com/read/30861137/practice-patterns-of-reflux-medication-prescriptions-in-otolaryngology-compared-to-other-specialties
#9
Friederike S Luetzenberg, Nancy Jiang
OBJECTIVES/HYPOTHESIS: To describe the trends in proton pump inhibitor (PPI) prescription rates and durations and compare them to those of H2-receptor antagonists (H2RAs) between 2013 and 2016 in otolaryngology, gastroenterology, and family practice, following the increasing publications on PPI adverse effects and inappropriate prescribing. STUDY DESIGN: Retrospective review of publicly available Medicare Part D prescribing data. METHODS: PPI and H2RA prescription and beneficiary data were obtained through the Centers for Medicare and Medicaid Services website...
February 2020: Laryngoscope
https://read.qxmd.com/read/31800103/airway-surgery-communication-protocol-a-quality-initiative-for-safe-performance-of-jet-ventilation
#10
Laura Matrka, Liuba Soldatova, Brad W deSilva, Daniel Traetow
OBJECTIVES: To assess whether manual jet ventilation can safely be performed with variable anesthesia and operating room (OR) staff experience levels and communication skills. METHODS: Jet ventilation procedures for airway stenosis at a single institution over 35 months were retrospectively reviewed. OR and anesthesia staff were assigned scores based on experience level and communication skills. Data were analyzed for any association between the experience or communication skills of the staff and the successful use of jet ventilation, complication rate, or ultimate patient outcome, controlling for intraoperative variables and patient and airway complexity...
February 2020: Laryngoscope
https://read.qxmd.com/read/31804678/head-and-neck-injuries-associated-with-cell-phone-use
#11
Roman Povolotskiy, Nakul Gupta, Adam B Leverant, Aron Kandinov, Boris Paskhover
Importance: As cell phones gain more influence in daily life, they also become potentially more hazardous. Injuries resulting from cell phone use have long been reported largely in the context of driving-related incidents, but other mechanisms of injury have been underreported. Objective: To assess the incidence, types, and mechanisms of head and neck injuries associated with cell phone use. Design, Setting, and Participants: Retrospective cross-sectional study using data from a national database of individuals with head and neck injuries related to cell phone use who presented to emergency departments in the United States between January 1998 and December 2017...
December 5, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31099424/socioeconomic-and-demographic-determinants-of-postoperative-outcome-after-endoscopic-sinus-surgery
#12
Sarek A Shen, Aria Jafari, Jesse R Qualliotine, Adam S DeConde
OBJECTIVES/HYPOTHESIS: Socioeconomic and demographic factors have a significant impact on healthcare utilization and surgical outcomes. The effect of these variables on baseline symptom severity and quality of life (QOL) after endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) is not well established. Our goal was to investigate the association of sociodemographic factors on QOL before and after ESS, as reflected by the 22-item Sino-Nasal Outcome Test (SNOT-22) score. STUDY DESIGN: Retrospective case series...
February 2020: Laryngoscope
https://read.qxmd.com/read/31090946/the-rising-rate-of-nonsmokers-among-laryngeal-carcinoma-patients-are-we-facing-a-new-disease
#13
Hagit Shoffel-Havakuk, Karla O'Dell, Michael M Johns, Lindsay Reder, Margarita Popova, Doron Halperin, Edit Feldberg, Yonatan Lahav
OBJECTIVES/HYPOTHESIS: Laryngeal squamous cell carcinoma (SCC) is strongly associated with tobacco smoking. With the rising awareness of tobacco's adverse health effects, we have witnessed a global decrease in tobacco use. Nevertheless, laryngeal SCC remains prevalent and includes a subset of patients lacking the traditional risk factors. STUDY DESIGN: A two-center retrospective cohort. METHODS: Medical records of patients diagnosed with laryngeal SCC between 2009 and 2016 were reviewed...
March 2020: Laryngoscope
https://read.qxmd.com/read/31173373/a-systematic-review-and-meta-analysis-of-predictors-of-airway-intervention-in-adult-epiglottitis
#14
REVIEW
Anders Sideris, Timothy R Holmes, Benjamin Cumming, Thomas Havas
OBJECTIVE: Epiglottitis is typically considered a pediatric disease; however, there is growing evidence that the incidence of adult epiglottitis has changed since the introduction of the Haemophilus influenzae vaccine. The literature is composed of multiple small series with differing findings. To date, there has been no attempt to collaborate evidence on predictors of airway intervention in this disease. METHODS: The population of interest was adults with a diagnosis of epiglottitis...
February 2020: Laryngoscope
https://read.qxmd.com/read/30908668/long-term-outcomes-of-tonsillectomy-for-recurrent-tonsillitis-in-adults
#15
Sharon Tzelnick, Ohad Hilly, Shlomo Vinker, Gideon Bachar, Aviram Mizrachi
BACKGROUND: There is uncertainty regarding the effectiveness of tonsillectomy for recurrent tonsillitis in the adult population. Several studies have described a reduced number and severity of tonsillitis episodes; however, the impact of tonsillectomy on healthcare burden has yet to be studied. The aim of the present study was to evaluate the long-term outcomes of tonsillectomy in the adult population. METHODS: A retrospective review of the central database of Clalit Health Services, Tel Aviv, Israel, between 2003 and 2009 was performed...
February 2020: Laryngoscope
https://read.qxmd.com/read/31573757/prognostic-role-of-pre-treatment-serum-albumin-in-patients-with-nasopharyngeal-carcinoma-a-meta-analysis-and-systematic-review
#16
Huifen Yang, Kai Wang, Zheng Liang, Sitong Guo, Peng Zhang, Yi Xu, Huifang Zhou
BACKGROUND: Pre-treatment serum albumin (ALB) is a novel index that was identified in recent years and is considered to be closely related to the prognosis of nasopharyngeal carcinoma (NPC). However, the association between ALB and NPC remains controversial. OBJECTIVE OF REVIEW: To assess the prognostic significance of pre-treatment serum ALB in patients with NPC. TYPE OF REVIEW: A systematic review and meta-analysis. SEARCH STRATEGY: We searched PubMed, the Cochrane Library and the Web of Science for studies published up to August 2018...
March 2020: Clinical Otolaryngology
https://read.qxmd.com/read/31600386/identification-of-potential-barriers-to-timely-access-to-pediatric-hearing-aids
#17
Lisa Zhang, Anne R Links, Emily F Boss, Alicia White, Jonathan Walsh
Importance: Despite various barriers identified to early pediatric access to cochlear implantation, barriers to timely access to pediatric hearing aids are not well characterized. Objective: To identify socioeconomic, demographic, and clinical factors that may be associated with pediatric access to hearing aids. Design, Setting, and Participants: This retrospective cohort study included 90 patients aged 1 to 15 years who were referred for auditory brainstem response (ABR) testing and evaluation for hearing aids at a single tertiary care academic medical center from March 2004 to July 2018...
October 10, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31978261/anti-inflammatory-medications-for-obstructive-sleep-apnoea-in-children
#18
REVIEW
Stefan Kuhle, Dorle U Hoffmann, Souvik Mitra, Michael S Urschitz
BACKGROUND: Obstructive sleep apnoea (OSA) is characterised by partial or complete upper airway obstruction during sleep. Approximately 1% to 4% of children are affected by OSA, with adenotonsillar hypertrophy being the most common underlying risk factor. Surgical removal of enlarged adenoids or tonsils is the currently recommended first-line treatment for OSA due to adenotonsillar hypertrophy. Given the perioperative risk and an estimated recurrence rate of up to 20% following surgery, there has recently been an increased interest in less invasive alternatives to adenotonsillectomy...
January 17, 2020: Cochrane Database of Systematic Reviews
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