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

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16 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/30933321/perioperative-analgesia-for-patients-undergoing-otologic-surgery-an-evidence-based-review
#1
REVIEW
Hilary T Campbell, Brian T Yuhan, Brendan Smith, Emily Misch, Peter F Svider, Anna A Pashkova, Anthony Sheyn, Yu-Lan M Ying, Andrew P Johnson
OBJECTIVES/HYPOTHESIS: Opioid misuse and diversion is a major concern, with a negative impact on both the individual and society. The objective of this study was to perform an evidence-based systematic review of the efficacy of perioperative analgesic regimens following otologic surgery. METHODS: Embase, Cochrane Library, and PubMed/MEDLINE databases (January 1, 1947 to June 30, 2018) were searched for studies investigating pain management in otologic surgeries...
January 2020: Laryngoscope
https://read.qxmd.com/read/30706465/a-contemporary-review-of-machine-learning-in-otolaryngology-head-and-neck-surgery
#2
Matthew G Crowson, Jonathan Ranisau, Antoine Eskander, Aaron Babier, Bin Xu, Russel R Kahmke, Joseph M Chen, Timothy C Y Chan
One of the key challenges with big data is leveraging the complex network of information to yield useful clinical insights. The confluence of massive amounts of health data and a desire to make inferences and insights on these data has produced a substantial amount of interest in machine-learning analytic methods. There has been a drastic increase in the otolaryngology literature volume describing novel applications of machine learning within the past 5 years. In this timely contemporary review, we provide an overview of popular machine-learning techniques, and review recent machine-learning applications in otolaryngology-head and neck surgery including neurotology, head and neck oncology, laryngology, and rhinology...
January 2020: Laryngoscope
https://read.qxmd.com/read/31025711/surgical-margins-in-oral-cavity-squamous-cell-carcinoma-current-practices-and-future-directions
#3
REVIEW
Joshua J Kain, Andrew C Birkeland, Neha Udayakumar, Anthony B Morlandt, Todd M Stevens, William R Carroll, Eben L Rosenthal, Jason M Warram
OBJECTIVE: To discuss the current available techniques for intraoperative margin assessment in the surgical treatment of oral squamous cell carcinoma (OSCC) through a review of the available literature. METHODS: A systematic review was undertaken of the available English literature between 2008 through 2018 regarding surgical margins in OCSS. A total of 893 relevant articles were returned; 144 met criteria for review; and 64 articles were included. RESULTS: In this review, we discuss the data surrounding the use of frozen section in OCSS...
January 2020: Laryngoscope
https://read.qxmd.com/read/31556927/evaluation-of-hypoglossal-nerve-stimulation-treatment-in-obstructive-sleep-apnea
#4
David T Kent, Kelly A Carden, Li Wang, Christopher J Lindsell, Stacey L Ishman
Importance: Hypoglossal nerve stimulation is a treatment option for patients with obstructive sleep apnea unable to tolerate continuous positive airway pressure. This study evaluates demographic factors that may be associated with greater improvements in postoperative outcomes of interest. Objective: To examine the association of hypoglossal nerve stimulation with obstructive sleep apnea severity, daytime sleepiness, and sleep-related quality of life. Design, Setting, and Participants: Patient-level data were pooled from 3 prospective cohorts and 1 retrospective observational cohort comprising 584 adults with moderate to severe obstructive sleep apnea unable to tolerate or benefit from continuous positive airway pressure...
September 26, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31727334/atypical-schwannoma-a-10-year-experience
#5
Armine H Kocharyan, Selena Briggs, Maura K Cosetti, Sabrina M Heman-Ackah, John G Golfinos, J Thomas Roland
OBJECTIVE: The goal of this study was to describe the clinical presentation associated with atypical schwannoma of the cerebellopontine angle, characterize the pathologic findings and describe the long-term outcome. MATERIALS AND METHODS: The study design was retrospective case review of patients with the histopathologic diagnosis of atypical and benign schwannoma of the cerebellopontine angle diagnosed at the study institution over a 10-year period. SETTING: Tertiary referral center...
January 2020: American Journal of Otolaryngology
https://read.qxmd.com/read/31602792/shared-decision-making-in-older-children-and-parents-considering-elective-adenotonsillectomy
#6
Amanda I MacDonald, Jill Chorney, Michael Bezuhly, Paul Hong
OBJECTIVES: Shared decision-making describes a collaborative process in which healthcare providers and patients/families make treatment decisions using the best available evidence, while taking into account the patient's values and preferences. The objectives of this study were to assess the level of decisional conflict and shared decision-making experienced by older children and their parents when considering elective adentonsillectomies. DESIGN: A prospective cohort study...
January 2020: Clinical Otolaryngology
https://read.qxmd.com/read/31789925/updates-on-current-evidence-for-biologics-in-chronic-rhinosinusitis
#7
Melina S Nasta, Vasileios A Chatzinakis, Christos C Georgalas
PURPOSE OF REVIEW: The purpose of this review is to present the most important recent developments concerning biologics as a therapeutic option for chronic rhinosinusitis (CRS). RECENT FINDINGS: mAb anti-IL-4 receptor α (Dupilumab) was recently approved by Food and Drug Administration (FDA) for patients with CRSwNP and four other biologics are under investigation, with promising preliminary results. SUMMARY: CRS is a disease associated with a significant symptom burden and high-indirect costs...
February 2020: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/31602810/the-efficacy-of-statins-as-otoprotective-agents-a-systematic-review
#8
Pattarawadee Prayuenyong, Anand V Kasbekar, David M Baguley
OBJECTIVE: This systematic review examined current literature, summarised research findings and identified research gaps regarding the efficacy of statins on audiological outcomes. METHODS: Systematic search of electronic databases and grey literature was performed. Eligibility criteria were the study of a statin drug with report of audiological outcomes such as hearing, tinnitus or balance in either human or animal studies. Data extraction and quality assessment were performed by two independently researchers...
January 2020: Clinical Otolaryngology
https://read.qxmd.com/read/31733712/an-update-on-autoimmune-inner-ear-disease-a-systematic-review-of-pharmacotherapy
#9
REVIEW
David Strum, Sunny Kim, Timothy Shim, Ashkan Monfared
No abstract text is available yet for this article.
January 2020: American Journal of Otolaryngology
https://read.qxmd.com/read/31789928/latest-developments-on-topical-therapies-in-chronic-rhinosinusitis
#10
Neil C W Tan, Alkis J Psaltis
PURPOSE OF REVIEW: Topical therapies play an important role in the management of chronic rhinosinusitis (CRS). A detailed literature review was undertaken to appraise recent evidence surrounding current topical therapies and novel treatments used in the setting of recalcitrant CRS. RECENT FINDINGS: Effective sinus surgery aids in the delivery of topical therapies. Budesonide nasal rinses delivered by saline irrigation offer clinical and symptomatic improvements pre and postoperatively with a well-proven safety profile...
February 2020: Current Opinion in Otolaryngology & Head and Neck Surgery
https://read.qxmd.com/read/31621812/evaluation-of-older-age-and-frailty-as-factors-associated-with-depression-and-postoperative-decision-regret-in-patients-undergoing-major-head-and-neck-surgery
#11
Carissa M Thomas, Michael C Sklar, Jie Su, Wei Xu, John R de Almeida, Patrick Gullane, Ralph Gilbert, Dale Brown, Jonathan Irish, Shabbir M H Alibhai, David P Goldstein
Importance: Clinicians should understand the prevalence of depression and decision regret in patients with head and neck cancer and whether these factors differ with age or frailty. Objectives: To assess whether age and frailty are associated with preoperative and/or worsening postoperative depression and postoperative decision regret in patients undergoing major head and neck surgery and to identify additional factors associated with depression and decision regret...
October 17, 2019: JAMA Otolaryngology—Head & Neck Surgery
https://read.qxmd.com/read/31902139/antibiotics-versus-topical-antiseptics-for-chronic-suppurative-otitis-media
#12
REVIEW
Karen Head, Lee-Yee Chong, Mahmood F Bhutta, Peter S Morris, Shyan Vijayasekaran, Martin J Burton, Anne Gm Schilder, Christopher G Brennan-Jones
BACKGROUND: Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and infection of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Antibiotics and antiseptics kill or inhibit the micro-organisms that may be responsible for the infection. Antibiotics can be applied topically or administered systemically via the oral or injection route...
January 6, 2020: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/31825092/interventions-for-managing-halitosis
#13
REVIEW
Sumanth Kumbargere Nagraj, Prashanti Eachempati, Eswara Uma, Vijendra Pal Singh, Noorliza Mastura Ismail, Eby Varghese
BACKGROUND: Halitosis or bad breath is a symptom in which a noticeably unpleasant breath odour is present due to an underlying oral or systemic disease. 50% to 60% of the world population has experienced this problem which can lead to social stigma and loss of self-confidence. Multiple interventions have been tried to control halitosis ranging from mouthwashes and toothpastes to lasers. This new Cochrane Review incorporates Cochrane Reviews previously published on tongue scraping and mouthrinses for halitosis...
December 11, 2019: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/25209127/tonsillectomy-for-periodic-fever-aphthous-stomatitis-pharyngitis-and-cervical-adenitis-syndrome-pfapa
#14
REVIEW
Martin J Burton, Andrew J Pollard, James D Ramsden, Lee Yee Chong, Roderick P Venekamp
BACKGROUND: Periodic fever, aphthous stomatitis, pharyngitis and cervical adenitis (PFAPA) syndrome is a rare clinical syndrome of unknown cause usually identified in children. Tonsillectomy is considered a potential treatment option for this syndrome. This is an update of a Cochrane review first published in 2010. OBJECTIVES: To assess the effectiveness and safety of tonsillectomy (with or without adenoidectomy) in children with PFAPA. SEARCH METHODS: We searched the Cochrane Ear, Nose and Throat Disorders Group Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL); PubMed; EMBASE; CINAHL; Web of Science; Cambridge Scientific Abstracts; ICTRP and additional sources for published and unpublished trials...
September 11, 2014: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/31896168/topical-antibiotics-for-chronic-suppurative-otitis-media
#15
REVIEW
Christopher G Brennan-Jones, Karen Head, Lee-Yee Chong, Martin J Burton, Anne Gm Schilder, Mahmood F Bhutta
BACKGROUND: Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and often polymicrobial infection (involving more than one micro-organism) of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Topical antibiotics, the most common treatment for CSOM, act to kill or inhibit the growth of micro-organisms that may be responsible for the infection...
January 2, 2020: Cochrane Database of Systematic Reviews
https://read.qxmd.com/read/31902140/topical-antiseptics-for-chronic-suppurative-otitis-media
#16
REVIEW
Karen Head, Lee-Yee Chong, Mahmood F Bhutta, Peter S Morris, Shyan Vijayasekaran, Martin J Burton, Anne Gm Schilder, Christopher G Brennan-Jones
BACKGROUND: Chronic suppurative otitis media (CSOM), sometimes referred to as chronic otitis media (COM), is a chronic inflammation and infection of the middle ear and mastoid cavity, characterised by ear discharge (otorrhoea) through a perforated tympanic membrane. The predominant symptoms of CSOM are ear discharge and hearing loss. Topical antiseptics, one of the possible treatments for CSOM, inhibit the micro-organisms that may be responsible for the infection. Antiseptics can be used alone or in addition to other treatments for CSOM, such as antibiotics or ear cleaning (aural toileting)...
January 6, 2020: Cochrane Database of Systematic Reviews
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