journal
https://read.qxmd.com/read/37147769/a-unique-apparatus-to-treat-dehiscence-following-bilateral-cleft-lip-repair-a-case-report
#21
JOURNAL ARTICLE
Garrett Henkle, Sarah Ustrell, Jordan K Simmons, Rajanya S Petersson
We report a case of a 6-month-old male that presented with wound dehiscence, in part due to mechanical tongue trauma, following bilateral cleft lip repair. A silastic sheeting dressing with retention sutures was uniquely fashioned to decrease wound tension and protect the surgical site from patient interference. This solution may potentially be used in similar circumstances.
May 5, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37141917/recurrent-croup-is-a-good-indicator-of-underlying-paediatric-airway-issues-a-10-year-retrospective-cohort-study-of-airway-endoscopy
#22
JOURNAL ARTICLE
Thomas Hampton, Randa Ghazal Asswad, Jaya Bhat, Kate Stevens, Emma Whitehall, Kristijonas Milinis, Su De, Adam Donne, Madhan Krishnan
OBJECTIVE: Children with a history of recurrent croup alert the ENT clinician to the potential for underlying laryngotracheal pathology. There is equipoise about the likelihood of identifying any underlying structural issues or subglottic stenosis in those children who undergo airway assessment. METHODS: A retrospective cohort study in a tertiary UK paediatric hospital of a decade of children with recurrent croup who underwent a rigid laryngo-tracheo-bronchoscopy (airway endoscopy)...
May 4, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37139961/a-modified-tissue-expander-method-for-ear-reconstruction-in-patients-with-excessively-insufficient-postauricular-skin
#23
JOURNAL ARTICLE
Jiaxin Liang, Tongyu Cao, Yue Wang, Bingqing Wang, Jin Qian, Qi Chen, Qingguo Zhang
OBJECTIVE: For microtia patients with excessively insufficient postauricular skin, it is difficult to obtain a satisfied outcome with existing strategies. In this study, we developed a modified tissue expander method for auricular reconstruction. METHODS: The modified tissue expander method divided into 4 stages. In the first stage, a 30 ml or 50 ml kidney-shaped tissue expander was implanted in the mastoid region. A short time expansion (average 33.5 days) was conducted subsequently...
May 4, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37114527/unexpected-tumor-in-an-elderly-patient-nasopharyngeal-angiofibroma
#24
JOURNAL ARTICLE
Elif Gozgec, Hayri Ogul, Bulent Aktan
Although nasopharyngeal angiofibroma is an expected tumor in adolescent males, it is uncommon in the elderly. Because of its high vascularity or bleeding during biopsy, surgical resection can be life threatening. Therefore, nasal angiofibroma should be kept in mind in existing masses especially in elderly patients and support should be obtained from imaging methods.
April 28, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37129418/the-mucosal-manifestations-of-syphilis-in-the-head-and-neck
#25
REVIEW
Mahnoor Khan, Abhay Sharma, Travis Hathorn, Mannat Sandhu, Ross Rosen, Nicole Riddle, Matthew Mifsud
Objectives: Syphilis is a resurging disease which can present itself in many ways, including lesions within the head and neck mucosa. Some of these lesions may clinically mimic oral malignancies. This literature review aims to better characterize the mucosal presentations of syphilis. Methods: PubMed, EMBASE, and clinicaltrials.gov were searched for full-text, English articles published from 1950 to 2022 that reported patients with head and neck mucosal manifestations of syphilis. Articles were screened according to PRISMA guidelines...
April 27, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37129185/primary-synovial-sarcoma-of-the-nasopharynx-in-a-case-case-report
#26
JOURNAL ARTICLE
Xuejing Xiang, Yuanyuan Luo, Haibo Du, Xiaojie Ma
Synovial sarcoma (SS) is a rare malignant tumor with bidirectional differentiation potential in epithelial and mesenchymal tissues and is a more chemosensitive subtype of soft tissue sarcoma. It occurs around the synovial soft tissues of large joints of the extremities and rarely in the nasopharynx. We present a young man with recurrent left-sided nasal congestion with nosebleeds, confirmed by immunohistochemistry and cytogenetic examination as SS. SS is easily misdiagnosed, and the tumor should be considered in the differential diagnosis, with surgery combined with radiotherapy as the primary treatment option...
April 27, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37128133/frequency-and-risk-factors-of-permanent-hypoparathyroidism-after-total-thyroidectomy-an-experience-at-a-tertiary-care-hospital-in-pakistan
#27
JOURNAL ARTICLE
Anum Naushad, Sadia Sattar, Muhammad Salik, Maria Wajid, Farah Khalid, Ali Hussain, Moghira I U Siddiqui, Muhammad Q Masood
OBJECTIVES: Thyroid surgeries are among the most common operations performed in the world. Hypocalcemia following total thyroidectomy (TT) is a common complication that is sometimes difficult to correct. This study aims to determine the frequency of hypocalcemia and permanent hypoparathyroidism (PtHPT) following TT. METHODS: A total of 363 patient records were reviewed who underwent TT for any reason. Thirty-eight patients did not have a follow-up in the clinic in the postoperative period and were excluded from the final analysis with the final sample as 325...
April 26, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37125417/delayed-tracheal-perforation-after-thyroidectomy-a-case-report-and-literature-review
#28
JOURNAL ARTICLE
Da Beom Heo, Hyo One Son, Han Wool John Sung, Bon Seok Koo
Thyroidectomy is a safe procedure that is frequently performed for benign or malignant thyroid disease. Complications after thyroidectomy occur in approximately 3%-5% of patients. Tracheal perforation is a very rare post-thyroidectomy complication, and delayed tracheal perforation without intraoperative tracheal injury is even rarer; only 25 case reports have been published globally, with varied management. We present the case of a 36-year-old man presenting with dyspnea and cough 2 weeks after left thyroidectomy...
April 26, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37122112/association-of-elective-neck-dissection-with-survival-in-ct1n0m0-floor-of-mouth-squamous-cell-carcinoma-a-population-based-propensity-score-matching-analysis
#29
JOURNAL ARTICLE
Tao Li, Xianwang Xiang, Yi Wang, Chuanjun Chen
BACKGROUND: Studies on neck management of early-stage floor of mouth (FOM) squamous cell carcinoma (SCC) are very few and controversial. We aimed to study whether elective neck dissection (END) for patients with clinically stage T1N0M0 (cT1N0M0) FOM SCC is beneficial for survival. METHODS: Information on patients diagnosed with cT1N0M0 FOM SCC between 2004 and 2015 was collected from the Surveillance, Epidemiology and End Results (SEER) database. Cox proportional risk models and Kaplan-Meier curves were used for survival analysis and log-rank tests were performed to compare whether overall survival (OS) and cancer-specific survival (CSS) differed...
April 25, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37097775/association-between-sleep-disordered-breathing-and-self-reported-sinusitis-in-adults-in-the-united-states-nhanes-2005-2006
#30
JOURNAL ARTICLE
Tian Chen, Fen Li, Yang Xi, Yuqin Deng, Shiming Chen, Zezhang Tao
OBJECTIVES: The association between sleep-disordered breathing (SDB) and sinusitis has been widely studied; however, research on SDB-related sleep problems and sinusitis are limited. This study aims to determine the relationship between SDB-related sleep problems, SDB symptom score, and sinusitis. METHODS: After the screening, data were analyzed from 3414 individuals (≥20 years) from the 2005-2006 National Health and Nutrition Examination Survey questionnaire...
April 25, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37092954/intraoperative-electrical-stimulation-for-persistent-post-traumatic-facial-paralysis
#31
JOURNAL ARTICLE
Monique North, Jeffrey Weishaar, John P Leonetti
Approximately 7-10% of temporal bone fractures result in facial nerve paralysis. Treatment is dependent upon the severity of the nerve trauma and can range from conservative medical management to surgical intervention. A study by Hato et al. detailed the relationship between surgical timing and recovery rate for patients with facial nerve palsy secondary to temporal bone trauma. The rates of complete recovery and good recovery decline that the longer surgical intervention is delayed. We present the case of a 14-year-old male with a temporal bone fracture and delayed onset right-sided facial paralysis...
April 24, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37089112/salivary-duct-carcinoma-originated-from-the-inferior-turbinate-a-rare-case-report
#32
JOURNAL ARTICLE
Ying-Jie Wu, Jian Xiong, Gui-Xiang Xiao, Yuan Tian, Jian-Xin Yue, Qing Cheng, Miao Wang, Liu-Qing Zhou, Tao Zhou
Salivary duct carcinoma (SDC) is an uncommon but highly aggressive tumor with a poor prognosis. SDC mainly arises from the major salivary glands, typically the parotid gland. Here, we report a rare case of sinonasal SDC in a 54-year-old male patient that might have originated from the inferior turbinate. The patient presented with left nasal congestion and rhinorrhea. Following an endoscopic intervention, the histopathological examination revealed a diagnosis of SDC, characterized by the formation of solid cancer nests and central comedo-type necrosis...
April 24, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37082937/postoperative-purulent-chondritis-of-thyroid-cartilage-in-a-diabetic-patient-a-case-report
#33
JOURNAL ARTICLE
Leyu Li, Xin Yang, Zheng Jiang, Jun Liu
Purulent chondritis of the thyroid cartilage is a rare affliction that is not frequently observed in patients undergoing laryngeal surgery. The formation of abscesses between the inner and outer perichondria can cause constriction of the laryngeal lumen, leading to hoarseness and difficulty breathing. This report details the case of a middle-aged diabetic woman who experienced swelling in the tissue of her laryngeal cavity and destruction of her thyroid cartilage plate after undergoing laryngectomy. The pathological examination revealed evidence of inflammation, and the patient was ultimately diagnosed with purulent chondritis of the thyroid cartilage...
April 21, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37082922/venous-outflow-and-otosclerosis-an-unusual-case-of-pulsatile-tinnitus
#34
JOURNAL ARTICLE
Vida Motamedi, Edward J Doyle, Joseph C Nickel, Alexandra Rose Monetti, Eric M Kraus
We report resolution of right-sided pulsatile tinnitus in a 44-year-old male who underwent stapedectomy for fenestral otosclerosis. Initial workup revealed a mixed hearing loss and absent stapedial reflexes consistent with ossicular fixation. CT angiography demonstrated near complete stenosis of the left-sided transverse and sigmoid sinuses and dominant contralateral venous outflow. We hypothesized that the dominant right cerebral venous outflow tract created turbulent flow that was conducted to cochlea. Successful stapedectomy was performed, and the pulsatile tinnitus resolved...
April 21, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37082892/safety-and-feasibility-of-hypnosis-induced-sleep-endoscopy-in-obstructive-sleep-apnea-patients
#35
JOURNAL ARTICLE
Francois Bobin, CĂ©line Garreau, Jerome R Lechien
BACKGROUND: Hypnosis was never used in sleep endoscopy assessment of obstructive sleep apnea syndrome (OSAS). The aim of the study was to assess the feasibility, safety, and patient satisfaction of hypnosis-induced sleep endoscopy (HISE). METHODS: From January to July 2021, 24 adults with moderate-to-severe OSAS at the polysomnography were included in the HISE protocol. The following outcomes were evaluated by the otolaryngologist and the hypnotherapist: safety, feasibility, and performance...
April 21, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37082813/dermatofibrosarcoma-protuberans-of-the-face
#36
JOURNAL ARTICLE
Daniel Pardo, Danielle Scarola, Gillian K Weston, Todd E Falcone
Dermatofibrosarcoma protuberans (DFSP) is a locally aggressive tumor with high rate of local recurrence but low metastatic potential. Its high-grade fibrosarcomatous variant and occurrence on the head and neck are rare findings associated with increased morbidity and mortality. The most significant prognostic feature of DFSP is obtaining tumor free surgical margins. As such, accurate recognition and proper management of this uncommon and locally aggressive malignancy is especially crucial in head and neck surgery...
April 20, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37073558/basal-cell-adenoma-with-atypia-in-the-nasal-cavity-mimicking-a-malignant-tumor
#37
JOURNAL ARTICLE
Jeon Gang Doo, Hojung Lee, Seung Yeon Jeon, Ji Sun Kim
Basal cell adenomas (BCA) arising from the nasal cavity or paranasal sinuses are very rare. A 64-year-old male patient was suspected of having a malignant tumor after undergoing preoperative computed tomography scans and magnetic resonance imaging. The intraoperative frozen section showed a malignant tumor; however, the final diagnosis revealed BCA with atypia, tubular pattern.
April 19, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37070248/clinical-characteristics-of-nasolacrimal-duct-obstruction-after-iodine-therapy-in-differentiated-thyroid-cancer-patients
#38
JOURNAL ARTICLE
Na Li, Wanchun Zhang
OBJECTIVE: To analyze the clinical characteristics of differentiated thyroid cancer (DTC) patients with nasolacrimal duct obstruction (NLDO) after Iodine-131 (131 I) therapy and provide guidance for clinical decision-making. METHODS: Thirty-one DTC patients with NLDO were retrospectively enrolled from the Nuclear Medicine Department of Shanxi Bethune Hospital during follow-up of 131 I therapy between June 2018 and March 2021. Eight hundred and seventy-one thyroid cancer patients during this period without NLDO after 131 I therapy were enrolled as the control group...
April 17, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37067521/leave-no-stone-unturned-a-case-of-an-actinomyces-rhinolith-presenting-with-chronic-cough-and-throat-pain
#39
JOURNAL ARTICLE
Matthew Harmon, Joshua A Stramiello, Ahmed Shabaik, Andrew M Vahabzadeh-Hagh
Actinomycosis infection in the nasal cavity, especially an actinomyces rhinolith, is extremely rare. It should be considered in cases where a heterogenous calcified mass is found within the nasal cavity on endoscopy and radiographically. Treatment includes surgical debridement and a prolonged course of antibiotics, unique from the more typically encountered fungus ball. This case highlights the broad differential for chronic cough and throat pain and the importance of considering sinonasal contributions to throat symptoms...
April 17, 2023: Ear, Nose, & Throat Journal
https://read.qxmd.com/read/37062808/the-treatment-of-adult-laryngeal-hemangiomas-located-on-the-arytenoids-excision-vs-chemotherapy
#40
JOURNAL ARTICLE
Xiufa Wu, Jingru Ma, Jing Zhang, Chunsheng Wei
OBJECTIVE: To evaluate and compare the results of the excision and bleomycin injection treatment methods for adult laryngeal hemangiomas (ALHs) located on the arytenoids. METHODS: Twenty-six ALH patients in 29 different cases were enrolled in the study at our department between June 2012 and March 2021. Some patients were treated more than once. Twenty-nine cases of ALH treated with either bleomycin injection or excision were studied to assess the efficacy of both treatments...
April 16, 2023: Ear, Nose, & Throat Journal
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