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

https://read.qxmd.com/read/32678494/clinical-and-radiological-evaluations-of-covid-19-patients-with-anosmia-preliminary-report
#1
Jerome R Lechien, Justin Michel, Thomas Radulesco, Carlos M Chiesa-Estomba, Luigi A Vaira, Giacomo De Riu, Leigh Sowerby, Claire Hopkins, Sven Saussez
OBJECTIVES/HYPOTHESIS: To investigate clinical and radiological features of olfactory clefts of patients with mild coronavirus disease 2019 (COVID-19). STUDY DESIGN: Prospective non controlled study. METHODS: Sixteen COVID-19 patients were recruited. The epidemiological and clinical data were extracted. Nasal complaints were assessed through the 22-item Sino-Nasal Outcome Test. Patients underwent psychophysical olfactory testing, olfactory cleft examination, and computed tomography (CT) scans...
July 17, 2020: Laryngoscope
https://read.qxmd.com/read/32790826/comparison-of-fundamental-frequency-in-postmenopausal-women-who-are-treated-with-hormone-replacement-therapy-vs-those-who-are-not-a-systematic-review-and-meta-analysis
#2
R Jun Lin, Tianyue Wang
Importance: Hormonal changes during menopause have been associated with significant changes in voice. Although hormone replacement therapy (HRT) is used primarily to manage systemic symptoms of menopause, its association with voice in postmenopausal women has not been adequately investigated by large-scale studies. Objective: To compare fundamental frequency between postmenopausal women who used HRT and those who did not use HRT. Data Sources: PubMed, Ovid MEDLINE, CINAHL, Cochrane EBM Reviews, and Embase were searched from 1946 to February 19, 2020...
August 13, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32219846/covid-19-and-the-otolaryngologist-preliminary-evidence-based-review
#3
Neelaysh Vukkadala, Z Jason Qian, F Christopher Holsinger, Zara M Patel, Eben Rosenthal
The SARS-CoV-2 virus, which causes coronavirus disease 2019 (COVID-19), has rapidly swept across the world since its identification in December 2019. Otolaryngologists are at unique risk due to the close contact with mucus membranes of the upper respiratory tract and have been among the most affected healthcare workers in Wuhan, China. We present information on COVID-19 management relevant to otolaryngologists on the frontlines of this pandemic and provide preliminary guidance based on practices implemented in China and other countries and practical strategies deployed at Stanford University...
March 26, 2020: Laryngoscope
https://read.qxmd.com/read/32794209/covid-19-viral-load-in-the-severity-of-and-recovery-from-olfactory-and-gustatory-dysfunction
#4
Ryan Hw Cho, Zion Wh To, Zenon Wc Yeung, Eugene Yk Tso, Kitty Sc Fung, Sandy Ky Chau, Erica Yl Leung, Thomas Sc Hui, Steven Wc Tsang, K N Kung, Eudora Yd Chow, Victor Abdullah, Andrew van Hasselt, Michael Cf Tong, Peter Km Ku
OBJECTIVES: This study investigated olfactory and gustatory dysfunction in COVID-19 patients, and their correlations with viral load evaluation. METHODS: This was a prospective cross-sectional cohort study of 143 symptomatic patients being screened for SARS-coronavirus 2 (SARS-CoV-2) invited to participate. The clinical data of 83 confirmed COVID-19 subjects were collected, with 60 patients who were symptomatic but negative for COVID-19 recruited as controls. The prevalence and severity of and recovery time for olfactory and gustatory dysfunction, and cycle threshold (Ct) values from a SARS-CoV-2 polymerase chain reaction (PCR) assay of nasopharyngeal and deep throat swabs were collected...
August 13, 2020: Laryngoscope
https://read.qxmd.com/read/31755990/efficacy-and-safety-of-steroid-impregnated-implants-following-sinus-surgery-a-meta-analysis
#5
Wanpeng Li, Hanyu Lu, Huan Wang, Xicai Sun, Dehui Wang
OBJECTIVES: The purpose of this meta-analysis was to discuss the efficacy and safety of bioabsorbable steroid-impregnated implants following endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS) patients. METHODS: PubMed, Cochrane, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials were comprehensively searched for studies comparing the experimental group (bioabsorbable steroid-impregnated implants) with the control group (bioabsorbable nonsteroid-impregnated implants)...
November 22, 2019: Laryngoscope
https://read.qxmd.com/read/32617990/evolution-of-olfactory-disorders-in-covid-19-patients
#6
Victor Gorzkowski, Sibylle Bevilacqua, Alexandre Charmillon, Roger Jankowski, Patrice Gallet, Cécile Rumeau, Duc Trung Nguyen
OBJECTIVES: A high frequency and a strong association of olfactory/gustatory impairment with COVID-19 were reported. Its spontaneous evolution remains unknown. The aim of this study was to investigate the spontaneous evolution of olfactory disorders in COVID-19 patients. STUDY DESIGN: Cross-sectional study METHODS: A total of 229 patients with laboratory-confirmed COVID-19 from March 1 through 31, 2020 in our institution were included. Among them, 140 patients (mean age, 38...
July 2, 2020: Laryngoscope
https://read.qxmd.com/read/32940656/in-vitro-efficacy-of-a-povidone-iodine-nasal-antiseptic-for-rapid-inactivation-of-sars-cov-2
#7
Samantha Frank, Seth M Brown, Joseph A Capriotti, Jonna B Westover, Jesse S Pelletier, Belachew Tessema
Importance: Research is needed to demonstrate the efficacy of nasal povidone-iodine (PVP-I) against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Objective: To evaluate the in vitro efficacy of PVP-I nasal antiseptic for the inactivation of SARS-CoV-2 at clinically significant contact times of 15 and 30 seconds. Interventions: The SARS-CoV-2, USA-WA1/2020 strain, virus stock was tested against nasal antiseptic solutions consisting of aqueous PVP-I as the sole active ingredient...
September 17, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32741085/is-loss-of-sense-of-smell-a-diagnostic-marker-in-covid-19-a-systematic-review-and-meta-analysis
#8
REVIEW
John Rocke, Claire Hopkins, Carl Philpott, Nirmal Kumar
AIMS: 1. To systematically review the currently available evidence investigating the association between olfactory dysfunction (OD) and the novel coronavirus (COVID-19). 2. To analyse the prevalence of OD in patients who have tested positive on Polymerase Chain Reaction (PCR) for COVID-19. 2. To perform a meta-analysis of patients presenting with olfactory dysfunction, during the pandemic, and to investigate the Positive Predictive Value for a COOVID-19 positive result in this population...
August 1, 2020: Clinical Otolaryngology
https://read.qxmd.com/read/32617983/mood-anxiety-and-olfactory-dysfunction-in-covid-19-evidence-of-central-nervous-system-involvement
#9
Marlene M Speth, Thirza Singer-Cornelius, Michael Oberle, Isabelle Gengler, Steffi J Brockmeier, Ahmad R Sedaghat
OBJECTIVE: The objective of this study was to determine the burden of depressed mood and anxiety in COVID-19, and associated disease characteristics. MATERIALS AND METHODS: This is a prospective, cross-sectional study of 114 COVID-19 positive patients diagnosed using RT-PCR-based testing over a 6-week period. The two-item Patient Health Questionnaire (PHQ-2) and the two-item Generalized Anxiety Disorder questionnaire (GAD-2) were used to measure depressed mood and anxiety level, respectively, at enrollment and for participants' baseline, pre-COVID-19 state...
July 2, 2020: Laryngoscope
https://read.qxmd.com/read/32031695/noise-exposure-on-the-london-underground-an-observational-study-over-a-decade
#10
T Singh, Timothy Biggs, Eleanor Crossley, Morad Faoury, Abid Mahmood, Ali Salamat, Tom Patterson, Nimeshi Jayakody, Alexander Dando, Fabian Sipaul, Konstantinos Marinakis, Holger Sudhoff, Phillip Brown
OBJECTIVES: There are no hearing protection regulations in place for passengers using public transport, such as the London Underground. In light of this, we sought to examine sound pressure levels experienced by regular users of the London Underground. METHODS: Sound pressure levels (A-weighted decibels: dBA) were taken on moving London Underground carriages between Euston and South Wimbledon on the Northern Line, and between Euston and Vauxhall on the Victoria Line, during 2006 and 2018...
February 7, 2020: Laryngoscope
https://read.qxmd.com/read/32716074/optimum-naso-oropharyngeal-swab-procedure-for-covid-19-step-by-step-preparation-and-technical-hints
#11
Elisa Coden, Federico Russo, Alberto Daniele Arosio, Paolo Castelnuovo, Apostolos Karligkiotis, Luca Volpi
No abstract text is available yet for this article.
July 27, 2020: Laryngoscope
https://read.qxmd.com/read/33022062/otolaryngologic-management-of-chronic-cough-in-school-aged-children-a-review
#12
Aimee A Kennedy, Samantha Anne, Catherine K Hart
Importance: The causes of pediatric chronic cough are numerous and span across several medical subspecialties. In addition to the vast array of underlying causes, there are also several different ways to approach and evaluate chronic cough. Given the frequency with which children present to otolaryngology clinics with this problem, a review of common otolaryngologic causes and an algorithm for evaluation and treatment can be beneficial. Observations: The primary 3 causes of pediatric chronic cough presenting to an otolaryngologist include infectious causes, reflux, and airway hyperreactivity...
October 1, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32780943/outcomes-of-a-multidisciplinary-ear-nose-and-throat-allied-health-primary-contact-outpatient-assessment-service
#13
Christopher L Payten, Jennifer Eakin, Tamsin Smith, Vicky Stewart, Catherine J Madill, Kelly A Weir
BACKGROUND: Traditionally, patients are seen by an ear, nose and throat (ENT) surgeon prior to allied health referral for treatment of swallowing, voice, hearing and dizziness. Wait-times for ENT consultations often exceed those clinically recommended. We evaluated the service impact of five allied health primary contact clinics (AHPC-ENT) on wait-times and access to treatment. SETTING: A metropolitan Australian University Hospital Outpatient ENT Department. PARTICIPANTS: We created five AHPC-ENT pathways (dysphonia, dysphagia, vestibular, adult and paediatric audiology) for low-acuity patients referred to ENT with symptoms of dysphonia, dysphagia, dizziness and hearing loss...
August 11, 2020: Clinical Otolaryngology
https://read.qxmd.com/read/32970128/physical-therapy-for-iatrogenic-facial-paralysis-a-systematic-review
#14
Nneoma S Wamkpah, Latoya Jeanpierre, Judith E C Lieu, Drew Del Toro, Laura E Simon, John J Chi
Importance: Facial paralysis (FP) after surgery has substantial functional, emotional, and financial consequences. Most iatrogenic FP is managed by watchful waiting, with the expectation of facial function recovery. A potential treatment is physical therapy (PT). Objective: To investigate whether noninvasive PT compared with no PT or other intervention improves facial nerve outcomes in adults with iatrogenic FP. Evidence Review: Patients with noniatrogenic FP, facial reanimation surgery, and invasive adjunctive treatments (acupuncture or botulinum toxin injection) were excluded...
September 24, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32686164/prospective-study-in-355-patients-with-suspected-covid-19-infection-value-of-cough-subjective-hyposmia-and-hypogeusia
#15
Eduardo Martin-Sanz, Juan Riestra, Laura Yebra, Alba Larran, Fiorella Mancino, Joaquin Yanes-Diaz, Maria Garrote, Marta Colmenero, Esther Montiel, Cristina Molina, Daniel Moreno, Antonio Rodriguez, Gerardo Monedero, Ricardo Sanz-Fernández, Rocio Gonzalez, Jonathan Esteban-Sanchez
OBJECTIVE: To evaluate the incidence of certain symptoms in a population of health workers exposed to COVID-19 patients. METHODS: A case-control study was conducted at a tertiary care hospital from March 1 to April 7, 2020. Health workers with suspected COVID-19 infection were included. The presence of COVID-19 was detected by using real-time-PCR methods. Positive and negative RT-PCR patients were used as case and control groups, respectively. This study analyzed the incidence of COVID-19 symptoms in both patient groups...
July 20, 2020: Laryngoscope
https://read.qxmd.com/read/32740925/telemedicine-in-otolaryngology-in-the-covid-19-era-initial-lessons-learned
#16
Jason F Ohlstein, Jordan Garner, Masayoshi Takashima
OBJECTIVES: The COVID-19 pandemic has led to unprecedented global changes in the delivery of healthcare over a short period of time. With the implementation of "shelter in place" orders, otolaryngology clinic visits at our institution were transitioned to Telemedicine. This change enabled the rapid characterization of the patients who accepted and declined Telemedicine. METHODS: Review of 525 otolaryngology patients at a tertiary care referral center with scheduled visits requiring rescheduling to a future date or a Telemedicine visit...
August 2, 2020: Laryngoscope
https://read.qxmd.com/read/32865822/transoral-robotic-surgical-proficiency-via-real-time-tactile-collision-awareness-system
#17
Abie H Mendelsohn, Christine Kim, Jonathan Song, Aadesh Singh, Tyler Le, Ahmad Abiri, Gerald S Berke, Rory Geoghegan
OBJECTIVES: In 2009, the Food and Drug Administration approved the use of the surgical robotic system for removal of benign and malignant conditions of the upper aerodigestive tract. This novel application of robotic-assisted surgery, termed transoral robotic surgery (TORS), places robotic instruments and camera system through the mouth to reach recessed areas of the pharynx and larynx. Over the successive decade, there was a rapid adoption of TORS with a surgical growth rate that continues to increase...
August 31, 2020: Laryngoscope
https://read.qxmd.com/read/32857157/unilateral-cochlear-implants-for-severe-profound-or-moderate-sloping-to-profound-bilateral-sensorineural-hearing-loss-a-systematic-review-and-consensus-statements
#18
Craig A Buchman, René H Gifford, David S Haynes, Thomas Lenarz, Gerard O'Donoghue, Oliver Adunka, Allison Biever, Robert J Briggs, Matthew L Carlson, Pu Dai, Colin L Driscoll, Howard W Francis, Bruce J Gantz, Richard K Gurgel, Marlan R Hansen, Meredith Holcomb, Eva Karltorp, Milind Kirtane, Jannine Larky, Emmanuel A M Mylanus, J Thomas Roland, Shakeel R Saeed, Henryk Skarzynski, Piotr H Skarzynski, Mark Syms, Holly Teagle, Paul H Van de Heyning, Christophe Vincent, Hao Wu, Tatsuya Yamasoba, Terry Zwolan
Importance: Cochlear implants are a treatment option for individuals with severe, profound, or moderate sloping to profound bilateral sensorineural hearing loss (SNHL) who receive little or no benefit from hearing aids; however, cochlear implantation in adults is still not routine. Objective: To develop consensus statements regarding the use of unilateral cochlear implants in adults with severe, profound, or moderate sloping to profound bilateral SNHL. Design, Setting, and Participants: This study was a modified Delphi consensus process that was informed by a systematic review of the literature and clinical expertise...
August 27, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32780790/using-intraoperative-recordings-to-evaluate-surgical-technique-and-performance-in-mastoidectomy
#19
Joshua A Lee, Michaela F Close, Yuan F Liu, M Andrew Rowley, Mitchell J Isaac, Mark S Costello, Shaun A Nguyen, Ted A Meyer
Importance: Otolaryngology residency programs currently lack rigorous methods for assessing surgical skill and often rely on biased tools of evaluation. Objectives: To evaluate which techniques used in mastoidectomy can serve as indicators of surgeon level (defined as the level of training) and whether these determinations of technique can be made based solely on the movement of the drill head or suction. Design, Setting, and Participants: In this prospective, observational study conducted from January 1, 2015, to December 31, 2019, at a single tertiary care institution, 3 independent observers made blinded evaluations on 24 intraoperative recordings of surgeons (6 junior residents, 4 senior residents, and 2 attending surgeons) performing mastoidectomies...
August 6, 2020: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/32816011/utility-of-smartphone-telemedical-consultations-for-peritonsillar-abscess-diagnosis-and-triage
#20
Jonathan R Mallen, Manan Udayan Shah, Ryan Drake, Kathryn Kreicher, Todd Falcone, Nicholas Karter, Scott Schoem, Christopher Grindle, Stephen Wolfe, Chia-Ling Kuo, Jinjian Mu, Seth Lotterman, Gregory Bonaiuto
Importance: Telemedicine is rapidly gaining traction as a way to reduce costs and connect patients with medical experts outside their local communities. Peritonsillar abscess (PTA) is a logical pathologic condition to evaluate for effectiveness of remote diagnosis given its prevalence and the paucity of on-site otolaryngologists at many institutions. Objective: To explore the potential of otolaryngology telemedical consultation in triaging and diagnosing patients with suspected PTA...
August 20, 2020: JAMA Otolaryngology—Head & Neck Surgery
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