Journals Annals of Otology, Rhinology, ...

Annals of Otology, Rhinology, and Laryngology
Inbal Hazkani, Eli Stein, Saied Ghadersohi, Jonathan Ida, Dana M Thompson, Taher Valika
BACKGROUND: Severe laryngomalacia, characterized by apnea, hypoxia, and feeding difficulties, is an uncommon diagnosis that often requires surgical intervention with supraglottoplasty. Children who require surgery at a young age and those with additional comorbidities pose a special challenge and may require further surgical interventions. Posterior displacement of the epiglottis has been noted in some infants with congenital stridor and is commonly treated with epiglottopexy. The goal of our study is to review the outcomes of epiglottopexy combined with supraglottoplasty in our cohort of infants younger than 6 months old with severe laryngomalacia...
March 24, 2023: Annals of Otology, Rhinology, and Laryngology
Ryan J Lau, Taylor G Lackey, Von Samedi, Daniel S Fink
OBJECTIVES: To present a patient with the first case of NTM (nontuberculous mycobacteria) infection of the larynx extending to cervical trachea, and the first case of subglottic stenosis associated with an NTM infection. METHODS: Case report and review of the literature. RESULTS: A 68-year-old female with history of prior smoking, gastroesophageal reflux disease, asthma, bronchiectasis, and tracheobronchomalacia presented with a 3-month history of shortness of breath, exertional inspiratory stridor, and hoarseness...
March 23, 2023: Annals of Otology, Rhinology, and Laryngology
Chadi A Makary, Maximilian Bonnici, Garrett Jones, Patrick Sullivan, Cara Stokes, Hassan H Ramadan
OBJECTIVE: To study the long-term outcomes of pediatric chronic rhinosinusitis (CRS) after surgical treatment. METHODS: Cross-sectional survey of patients who were treated surgically for CRS as children more than 10 years ago. Survey included SNOT-22 questionnaire, additional functional endoscopic sinus surgery (FESS) since last treatment, status of allergic rhinitis and asthma, and availability of any CT scan sinus/face for review. RESULTS: About 332 patients were contacted by phone or email...
March 23, 2023: Annals of Otology, Rhinology, and Laryngology
Hantai Kim, Jungho Ha, Oak-Sung Choo, Hannah Park, Yun-Hoon Choung
OBJECTIVES: The purpose of this study was to compare the surgical outcomes of Polycel® and titanium in ossiculoplasty following tympanomastoidectomy (TM). METHODS: A total of 221 patients underwent ossiculoplasty following TM by a single surgeon using either Polycel® or titanium as prosthesis. Hearing was tested preoperatively and postoperatively at 6 months by pure-tone audiometry. Successful surgery was defined if postoperative air-bone gap (ABG) was <20 dB, the gain in air conduction (AC) hearing was >15 dB HL, or postoperative AC was <30 dB HL...
March 23, 2023: Annals of Otology, Rhinology, and Laryngology
Jorge A Gutierrez, Claudia I Cabrera, Amber Stout, Sarah E Mowry
OBJECTIVE: To assess the prognostic factors for anatomic and hearing success after tympanoplasty in the setting of complex middle ear pathology. METHODS: A systematic review was performed in January 2022. English-language articles describing outcome data for tympanoplasty repair variables including underlying pathology, perforation location, smoking status, graft technique, reconstruction material, anatomic success, and hearing success were extracted. Articles were included when tympanosclerosis, retraction pockets, adhesions, cholesteatoma, chronic suppurative otitis media, anterior perforations, and smoking were included...
March 23, 2023: Annals of Otology, Rhinology, and Laryngology
Jo-Lynn Jean D'Oliveiro, Aun Wee Chong
OBJECTIVES: To highlight a case of nasopharyngeal Respiratory Epithelial Adenomatoid Hamartoma (REAH) in a female patient with chronic nasal block. METHODS: A single case report of a female patient with the diagnosis of REAH, detailing her presenting symptoms, clinical findings, management and follow up. RESULTS: Histopathological assessment of the excised nasopharyngeal polyp was consistent with a diagnosis of REAH with a discussion on the disease and its current literature reviews...
March 20, 2023: Annals of Otology, Rhinology, and Laryngology
Milind Vasudev, Khodayar Goshtasbi, Leo L T Meller, Tjoson Tjoa, Edward C Kuan, Yarah M Haidar
OBJECTIVES: We aim to evaluate the impact of MetS on the short-term postoperative outcomes of complex head and neck surgery patients. METHODS: This is a retrospective cohort analysis of the 2005 to 2017 National Surgical Quality Improvement Program (NSQIP) database. NSQIP database was queried for 30-day outcomes of patients undergoing complex head and neck surgeries, defined as laryngectomy or mucosal resection followed by free tissue transfer, similar to prior NSQIP studies...
March 10, 2023: Annals of Otology, Rhinology, and Laryngology
Antoinette Esce, Jordan P Redemann, Garth T Olson, Joshua A Hanson, Shweta Agarwal, Leonard Yenwongfai, Juanita Ferreira, Nathan H Boyd, Thèrése Bocklage, David R Martin
OBJECTIVES: The presence of nodal metastases in patients with papillary thyroid carcinoma (PTC) has both staging and treatment implications. However, lymph nodes are often not removed during thyroidectomy. Prior work has demonstrated the capability of artificial intelligence (AI) to predict the presence of nodal metastases in PTC based on the primary tumor histopathology alone. This study aimed to replicate these results with multi-institutional data. METHODS: Cases of conventional PTC were identified from the records of 2 large academic institutions...
March 10, 2023: Annals of Otology, Rhinology, and Laryngology
Andrew T Day, Courtney A Prestwood, Thomas R Emmett, Rebecca L Eary, Jordan R Salley, Vanessa Cerda, Elizabeth Mayfield Arnold, Simon Craddock Lee, Jasmin A Tiro
OBJECTIVE: To characterize the supportive care (SC) needs and receipt of SC services among head and neck cancer (HNC) patients prior to oncologic treatment and to explore the influence of social determinants of health on these outcomes. MATERIALS AND METHODS: Newly diagnosed HNC patients were surveyed via telephone prior to oncologic treatment between 10/2019 and 1/2021 using a prospective, cross-sectional, bi-institutional, pilot study design. The primary study outcome was unmet SC needs (Supportive Care Needs Survey-Short Form34 [SCNS-SF34])...
March 8, 2023: Annals of Otology, Rhinology, and Laryngology
Taylor Freeman, Ericka Erickson, Brandon Koch, Tyler Young, David Allen, Brandon Kim, Brad deSilva, Laura Matrka
INTRODUCTION: Recurrent respiratory papillomatosis (RRP) is a chronic disease of the upper respiratory tract caused by human papillomavirus types 6 and 11. The disease course is characteristically unpredictable, ranging from spontaneous remission to aggressive, recurrent disease. Thus, management is often challenging and requires unique approaches tailored to each individual patient. While recent literature has described risk factors for more aggressive disease, few sources have investigated the impact of smoking on RRP disease course and risk for malignant transformation...
March 6, 2023: Annals of Otology, Rhinology, and Laryngology
Georges E Daoud, Natalia von Windheim, Yazen Alfayez, Ross E Michaels, Sarah Nyirjesy, Steven B Chinn, Matthew E Spector, Kyle K VanKoevering
OBJECTIVE: To determine whether a custom laryngectomy tube can improve airway symptoms in total laryngectomy patients with atypical anatomy who are unable to use commercial laryngectomy tubes. Furthermore, to exemplify the power of customizable 3D printed medical devices when combined with the expanded access pathway through the FDA. METHODS: A custom-fabricated laryngectomy tube, manufactured at in-house clinical engineering labs, was utilized for each patient following typical laryngectomy tube protocols...
February 28, 2023: Annals of Otology, Rhinology, and Laryngology
Stephen Schoeff, Matthew R Hoffman, Yanchen Zhang, Qiuyu Yang, Seth H Dailey
OBJECTIVE: To describe treatment pathways and long-term outcomes in 64 patients with idiopathic subglottic stenosis (iSGS), including the impact of serial intralesional steroid injection (SILSI) on degree of stenosis, need for subsequent operation, and patient-reported outcome measures. METHODS: Retrospective review of 64 female patients with iSGS undergoing varied management approaches, 57 of whom underwent SILSI as at least part of their care. Treatment pathways included SILSI only, endoscopic intervention followed by SILSI only, endoscopic interventions only, endoscopic intervention followed by SILSI followed by need for repeat endoscopic intervention, open surgery, and tracheotomy...
February 24, 2023: Annals of Otology, Rhinology, and Laryngology
Erica Barnett, James T Heaton, Robert H Petrillo, Philip Purnell, James A Burns
OBJECTIVES: The 2 µm-wavelength thulium laser is an effective cutter during partial arytenoidectomy, but thermal trauma can damage adjacent laryngeal tissue. Pulsing laser energy may reduce trauma when compared to continuous-wave cutting. This study measured temperature changes, thermal trauma, and time to complete partial arytenoidectomy, with and without pulsing, in an ex-vivo calf model. METHODS: Tissue temperature and time to complete a trans-cartilaginous cut were measured during partial arytenoidectomy on ex-vivo calf vocal folds (N = 24) using a thulium laser in continuous-wave (CW, N = 12) and pulsed-wave (PW, N = 12) modes...
February 23, 2023: Annals of Otology, Rhinology, and Laryngology
Zachary T Elliot, Joseph S Lu, Daniel Campbell, Kevin B Xiao, Vanessa Christopher, Howard Krein, Ryan Heffelfinger
OBJECTIVES: This study evaluated the content and patient educational quality of YouTube videos on facelift surgery for facial rejuvenation. This study investigated the relationship between education quality compared to video content, video metrics, and popularity. METHODS: Two hundred videos were identified across 4 search terms: "facelift surgery," "facelift surgery what to expect," "facelift surgery patient education," and "what is facelift surgery." Unrelated videos, operating room recordings, medical professional lectures, non-English, non-audio, and testimonials were excluded from review...
February 14, 2023: Annals of Otology, Rhinology, and Laryngology
Hongbin Li, Zhuo Li, Jing Zhao, Guixiang Wang, Hua Wang, Jie Zhang, Xin Ni
OBJECTIVE: To investigate the current status of children's sleep in Beijing and analyze the factors that influence it. MATERIALS AND METHODS: Using multi-stage stratified cluster random sampling, a total of 11 420 children aged 3 to 14 years in 7 districts of Beijing were included in this study. The Pediatric Sleep Questionnaire (PSQ) was used to investigate and analyze various factors influencing sleep. RESULTS: The mean PSQ score of the children surveyed was 3...
February 3, 2023: Annals of Otology, Rhinology, and Laryngology
Thomas J Lepley, Kanghyun Kim, Melissa Ardizzone, Kathleen M Kelly, Bradley A Otto, Kai Zhao
BACKGROUND: Topical sinus irrigation plays a critical role in the management of sinonasal diseases. Yet, the penetration of irrigant to targeted sinuses may be highly variable and difficult to predict. Here, we investigate the use of 3D printing as a planning tool to optimize outcomes. METHODS: Eight post-operative models were 3D printed with a FormLabs Form3 printer based on individual CT scans. Irrigations were performed and video recorded with a squeeze bottle attached via silicon water-tight seal, in 4 head positions: 45° to-the-side, 90° to-the-side, 45° forward and 45° to-the-side, and 90° forward, with irrigation fluid entering the upper (conventional) or lower (backfill) nostrils...
January 26, 2023: Annals of Otology, Rhinology, and Laryngology
Jussi Virtanen, Antti Roine, Anton Kontunen, Markus Karjalainen, Jura Numminen, Niku Oksala, Markus Rautiainen, Ilkka Kivekäs
OBJECTIVE: Detecting bacteria as a causative pathogen of acute rhinosinusitis (ARS) is a challenging task. Electronic nose technology is a novel method for detecting volatile organic compounds (VOCs) that has also been studied in association with the detection of several diseases. The aim of this pilot study was to analyze maxillary sinus secretion with differential mobility spectrometry (DMS) and to determine whether the secretion demonstrates a different VOC profile when bacteria are present...
January 24, 2023: Annals of Otology, Rhinology, and Laryngology
Rachel B Fenberg, Michael J Sylvester, Steven Davidson, Erin L McKean, Kyle K VanKoevering
OBJECTIVE: Skull base osteomyelitis may rarely present in the sphenoid bone or clivus without an otologic source. This is referred to as central skull base osteomyelitis (CSBO). Knowledge regarding CSBO is limited to case reports and small case series. Here we present a case series to further describe typical patient characteristics, clinical presentation, and clinical course associated with this rare infection. METHODS: All patients treated at a single academic tertiary care institution for CSBO from 2016 through 2020 were identified...
January 17, 2023: Annals of Otology, Rhinology, and Laryngology
Tyler Gallagher, Janet S Choi, Erick Garcia, Tamara Chambers, Elisabeth Ference
OBJECTIVE: There is a paucity of data investigating the effect of implementation of telehealth on vulnerable populations, particularly the incarcerated. Our objective is to evaluate patient and physician satisfaction with telehealth (telephone visits) used in an outpatient otolaryngology clinic serving the incarcerated population. METHODS: Incarcerated patients who were served by otolaryngologists via telephone visits from a large tertiary care center from June 2021 to January 2022 were included (n = 20) in this pilot study...
January 16, 2023: Annals of Otology, Rhinology, and Laryngology
Maeve M Kennedy, Yassmeen Abdel-Aty, Richard Butterfield, Nan Zhang, David G Lott
OBJECTIVES: To date, there are no specific guidelines on antithrombotic therapy (ATT) management, which includes both anticoagulation and antiplatelet medications, for open tracheostomy. The objective of this study was to evaluate whether the use of perioperative antithrombotic medication during open tracheostomy influences the incidence of perioperative or postoperative complications. METHODS: A retrospective review was conducted of all patients who underwent open tracheostomies at a tertiary care medical center from January 2015 to December 2019...
January 16, 2023: Annals of Otology, Rhinology, and Laryngology
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