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Annals of Otology, Rhinology, and Laryngology

Matt Lechner, Liam Sutton, Mark Ferguson, Yasmin Abbas, Jaswinder Sandhu, Azhar Shaida
OBJECTIVE: To investigate the current practice of intratympanic steroid (ITS) injection for sudden sensorineural hearing loss (SSNHL) in the United Kingdom and link the data with data from the United States and continental Europe. METHODS: A survey of 21 questions was distributed to members of the British Society of Otology using an online survey platform via ENT UK. Data obtained from UK otolaryngologists (n = 171) were integrated with previously published data from other countries, including the United States (n = 63) and continental Europe (n = 908)...
February 15, 2019: Annals of Otology, Rhinology, and Laryngology
Caner Kılıç, Semih Ak, Ömer Yazıcı, Samet Özlügedik, Nazan Bozdoğan, Yahya Baltu, Tuncay Tunçcan, Ayça Ant
OBJECTIVES: Platelet-rich plasma (PRP) was administered into the temporomandibular joint (TMJ) space, which had been exposed to radiotherapy (RT), in an attempt to prevent and/or treat the late-term complications associated with RT when used for the treatment of head and neck cancers (nasopharyngeal cancer in particular) on the musculoskeletal system. METHODS: A total of 13 adult male New Zealand ( Oryctolagus cuniculus) rabbits were used in the study. The animals were classified into 3 groups: 6 in the RT group, 6 in the RT+PRP group, and 1 in the control group (exposed to neither)...
February 15, 2019: Annals of Otology, Rhinology, and Laryngology
Prasad John Thottam, Taylor Gilliland, Nicholas Ettinger, Rahul Baijal, Deepak Mehta
OBJECTIVES: The aim of this study was to evaluate single-stage laryngotracheal reconstruction (ssLTR) outcomes before and after the implementation of a postoperative care protocol in pediatric patients. METHODS: A case-control study with chart review was conducted at 2 tertiary academic centers from 2010 to 2016. Pediatric patients who underwent ssLTR with a postoperative care protocol were compared with those who did not receive care under this protocol. Data regarding perioperative management were collected and compared using χ2 and Wilcoxon rank tests...
February 15, 2019: Annals of Otology, Rhinology, and Laryngology
Omar H Ahmed, Dylan F Roden, Yasmina C Ahmed, Binhuan Wang, Cherie-Ann O Nathan, David Myssiorek
OBJECTIVES: Standards of care for total laryngectomy (TL) patients in the postoperative period have not been established. Perioperative care remains highly variable and perhaps primarily anecdotally based. The aim of this study was to survey members of the American Head and Neck Society to capture management practices in the perioperative care of TL patients. METHODS: In this survey study, an electronic survey was distributed to the international attending physician body of the American Head and Neck Society...
February 13, 2019: Annals of Otology, Rhinology, and Laryngology
Yuanping Xiong, Jieqing Yu, Qing Luo, Hongqun Jiang, Jian Zhang
OBJECTIVES: To determine the efficacy and safety of a novel bougie for the removal of esophageal coins lodged in the proximal esophagus. SUBJECTS AND METHODS: This was an observational study. Medical records were reviewed of patients who were confirmed with esophageal coins between July 2015 and October 2016 in our department. Sixty-three patients, upper esophageal coins were confirmed by radiographs, were treated by using this novel bougie to remove esophageal coins...
February 13, 2019: Annals of Otology, Rhinology, and Laryngology
Nicholas A Dewyer, Patpong Jiradejvong, David S Lee, Jacquelyn D Kemmer, Jennifer Henderson Sabes, Charles J Limb
OBJECTIVE: To develop and validate an automated smartphone app that determines bone-conduction pure-tone thresholds. METHODS: A novel app, called EarBone, was developed as an automated test to determine best-cochlea pure-tone bone-conduction thresholds using a smartphone driving a professional-grade bone oscillator. Adult, English-speaking patients who were undergoing audiometric assessment by audiologists at an academic health system as part of their prescribed care were invited to use the EarBone app...
February 11, 2019: Annals of Otology, Rhinology, and Laryngology
Alexander J Straughan, Pamela A Mudd, Allison L Silva, Susan S Callicott, Gina Krakovsky, Nancy M Bauman
OBJECTIVE: Multidisciplinary vascular anomaly clinics (VACs) offer important value to pediatric patients with complex vascular anomalies whose care overlaps specialties. These clinics are labor intensive and costly to operate since providers see fewer patients compared to their individual specialty clinic. Our North American tertiary care institution's VAC specialists include a pediatric otolaryngologist, pediatric surgeon, pediatric plastic surgeon, pediatric dermatologist, and interventional radiologist...
February 9, 2019: Annals of Otology, Rhinology, and Laryngology
Roman Povolotskiy, Pavly Youssef, Rachel Kaye, Boris Paskhover
OBJECTIVES: "Young adulthood" is a term used to define individuals falling within the 18- to 22-year-old age range. Injuries account for more than a third of emergency department visits in this population. A particular area of concern is accidents that lead to injuries of the facial bones because they can have long-term functional, aesthetic, and psychosocial impacts. As many as 30 million young adults participate in some sort of sport in the United States per year, and facial injuries from these activities are not uncommon and thus require further exploration...
February 8, 2019: Annals of Otology, Rhinology, and Laryngology
Ying-Ta Lai, Yuan-Hung Wang, Yu-Chun Yen, Tzu-Yun Yu, Pin-Zhir Chao, Fei-Peng Lee, Seth Dailey
OBJECTIVE: Because there are few population-based studies regarding the epidemiology of benign voice diseases, the present study used a nationwide population-based claims database (the National Health Insurance Research Database) to investigate the epidemiology of benign voice diseases among the general adult population in Taiwan. METHODS: Study participants were retrieved for those patients who were 20 to 90 years old with a diagnosis of benign voice diseases that were defined by International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes from 2006 to 2014...
February 8, 2019: Annals of Otology, Rhinology, and Laryngology
Paolo Bossi, Patricia Di Pede, Mauro Guglielmo, Roberta Granata, Salvatore Alfieri, Nicola Alessandro Iacovelli, Ester Orlandi, Marco Guzzo, Roberto Bianchi, Letizia Ferella, Gabriele Infante, Rosalba Miceli, Lisa Licitra, Carla Ida Ripamonti
INTRODUCTION: In head and neck cancer (HNC) patients, fatigue is present throughout the course of treatment and during follow-up. There are limited data about the prevalence and factors associated with fatigue in HNC survivors. The objectives of this study were to assess the prevalence of fatigue and its interference with daily life activities and examine the association between fatigue and gender, age, primary tumour site, Human Papillomavirus (HPV) status, previous oncologic therapy, and time since end of treatment...
January 30, 2019: Annals of Otology, Rhinology, and Laryngology
Kendrea L Focht Garand, Elizabeth G Hill, Elaine Amella, Kent Armeson, Alonna Brown, Bonnie Martin-Harris
OBJECTIVES: Typical aging may result in subclinical swallowing alterations (presbyphagia), which can place an individual at risk for dysphagia-related conditions, such as aspiration pneumonia, secondary to loss of functional reserve and rising incidence of age-related diseases associated with dysphagia. The purpose of this study was to investigate occurrence of airway invasion among healthy, nondysphagic community-dwelling adults. Further, we tested for differences of airway invasion across age categories and between sexes...
January 30, 2019: Annals of Otology, Rhinology, and Laryngology
Sayali Dharmadhikari, Cameron A Best, Nakesha King, Michaela Henderson, Jed Johnson, Christopher K Breuer, Tendy Chiang
OBJECTIVES: The clinical experience with tissue-engineered tracheal grafts (TETGs) has been fraught with graft stenosis and delayed epithelialization. A mouse model of orthotopic replacement that recapitulates the clinical findings would facilitate the study of the cellular and molecular mechanisms underlying graft stenosis. METHODS: Electrospun nanofiber tracheal scaffolds were created using nonresorbable (polyethylene terephthalate + polyurethane) and co-electrospun resorbable (polylactide-co-caprolactone/polyglycolic acid) polymers (n = 10/group)...
January 30, 2019: Annals of Otology, Rhinology, and Laryngology
Ashley Dorneden, Garth Olson, Nathan Boyd
OBJECTIVES: Cervical chylous fistula is an uncommon but potentially severe occurrence associated with neck surgery. Methods for treating this problem have inconsistent efficacy and may result in lengthy hospital stays. Negative pressure wound therapy (NPWT) is a highly effective tool in the management of complex wounds. We report 3 cases where NPWT was successfully used to treat chylous fistulas following neck dissection. METHODS: This is a retrospective chart review of 3 patients who developed chylous fistulas after neck dissection and were successfully treated with NPWT...
January 29, 2019: Annals of Otology, Rhinology, and Laryngology
Andrea Lovato, Maria Rosaria Barillari, Luciano Giacomelli, Lisa Gamberini, Cosimo de Filippis
OBJECTIVES: The aim of this study was to investigate if any clinical and phoniatric characteristics or quality-of-life measures could predict the outcome of unilateral vocal fold paralysis (UVFP) initially managed with speech therapy. METHODS: Forty-six patients with UVFP were evaluated using laryngostroboscopy, the GIRBAS (grade, instability, roughness, breathiness, asthenia, and strain) scale, acoustic analysis, and the Voice Handicap Index-10 (VHI-10) questionnaire...
January 29, 2019: Annals of Otology, Rhinology, and Laryngology
Sameer D Kini, Daniel W Yiu, Reid A Weisberg, Juan F Davila, Daniel C Chelius
BACKGROUND: Severe, recurring epistaxis is the most common symptom of hereditary hemorrhagic telangiectasias (HHT). Current treatment modalities range from noninvasive treatments that frequently fail to achieve even short-term control to surgeries and systemic therapies that carry significant risk of complications. Recently, bevacizumab, a VEGF inhibitor, has been proposed as an alternative option to alleviate epistaxis symptoms in HHT. OBJECTIVE: To review the current literature regarding the use of bevacizumab for the treatment of epistaxis in patients with HHT and provide guidance on its usage for this indication...
January 29, 2019: Annals of Otology, Rhinology, and Laryngology
Young Min Park, Jae-Yol Lim, Min Seok Kang, Hong-Shik Choi
OBJECTIVE: We have been performing glottoplasty using angiolytic laser, including pulsed dye laser (PDL) or potassium titanyl phosphate (KTP) laser, for the treatment of sulcus vocalis. In this study, we retrospectively reviewed the treatment results of sulcus vocalis patients who had undergone glottoplasty using angiolytic laser and evaluated the efficacy and safety of this surgical technique. METHODS: From January 2008 to April 2016, 79 patients with sulcus vocalis who underwent angiolytic LASER-assisted glottoplasty were enrolled in the study...
January 29, 2019: Annals of Otology, Rhinology, and Laryngology
Blake S Raggio, Ryan D Winters
OBJECTIVE: The aim of this study was to summarize the effectiveness of steroids in the prevention of osteoradionecrosis of the head and neck. DATA SOURCES: PubMED, MEDLINE, Embase, Google Scholar, and Cochrane trial registries. METHODS: A systematic review of these data sources was performed through September 2018 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Included were English-language studies evaluating patients of all age groups diagnosed with head and neck cancer who underwent radiation therapy while receiving peritreatment steroids compared with those who did not receive steroids...
January 28, 2019: Annals of Otology, Rhinology, and Laryngology
Eric C Mason, Samuel McGhee, Kai Zhao, Tendy Chiang, Laura Matrka
OBJECTIVES: Laryngotracheal stenosis and obstruction can be challenging to manage. Traditional assessment tools are limited in clinical correlation. Three-dimensional computational fluid dynamics (CFD) modeling is a novel technique used to analyze airflow dynamics. The objective of this study was to apply CFD to the human upper airway to explore its utility. METHODS: CFD models were constructed on an adult patient with an obstructive tracheal lesion before and after intervention and on an adult with normal airway anatomy, using computed tomographic imaging obtained retrospectively...
January 28, 2019: Annals of Otology, Rhinology, and Laryngology
Douglas M Worrall, David K Lerner, Matthew R Naunheim, Peak Woo
OBJECTIVES: Describe the demographics and clinical manifestations of laryngeal cryptococcosis. Develop a simple approach to the diagnostic workup and treatment of localized laryngeal cryptococcal infection. METHODS: A new case of laryngeal cryptococcosis encountered at our institution is presented and placed in context of the literature surrounding prior reported cases. PubMed, Google Scholar, SCOPUS, and Web of Science were queried from inception to August 2018 with the terms Larynx or Laryngeal and Cryptococcosis or Cryptococcus by two independent reviewers for English-language cases of cryptococcal infection of the larynx...
January 24, 2019: Annals of Otology, Rhinology, and Laryngology
Michael Z Lerner, Sherry A Downie, Melin Tan-Geller
OBJECTIVE: This anatomic study considers the feasibility of a posterior endoscopic approach to the cricoarytenoid joint (CAJ) by describing relationships between readily identifiable anatomic landmarks and the posterior CAJ space in cadaver larynges. STUDY DESIGN: Anatomic study. METHODS: Six adult cadaver larynges (2 male, 4 female) were studied. Digital calipers were used for measurements, and Image J software was used for angle calculations...
January 24, 2019: Annals of Otology, Rhinology, and Laryngology
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