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European Archives of Oto-rhino-laryngology

Sang Chul Park, Soo In Kim, Chi Sang Hwang, Hyung-Ju Cho, Joo-Heon Yoon, Chang-Hoon Kim
PURPOSE: Several murine models have been established to mimic human eosinophilic chronic rhinosinusitis (ECRS). However, in most of these models, ECRS was induced using ovalbumin, which does not cause sinusitis in humans. Thus, we aimed to develop a more clinically relevant murine model of ECRS using multiple airborne allergens. We also investigated the effects of exposure duration of the allergens on ECRS development. METHODS: C57BL/6 mice were intranasally administered multiple airborne allergens (house dust mite, Aspergillus fumigatus, Alternaria alternata, and protease from Staphylococcus aureus) three times weekly for 4, 8, 12, and 16 consecutive weeks...
May 16, 2019: European Archives of Oto-rhino-laryngology
Mikael Granberg Sandlund, Anna Diamant, Gabriel Granåsen, Jonatan Salzer
PURPOSE: This study aims to evaluate whether a management algorithm has improved the effectiveness of care for dizzy patients at Umeå University Hospital. METHODS: This was an interventional study using medical records to collect data for acute dizziness presentations before (period 1, 2012-2014) and after (period 2, 2016-2017) the implementation of a management algorithm. Outcomes were changes in a set of pre-defined effectiveness markers and health economic effects...
May 16, 2019: European Archives of Oto-rhino-laryngology
Levent Aydemir, Can Doruk, Berkay Çaytemel, Bayram Şahin, Erdi Şahin, Mehmet Çelik, Şenol Çomoğlu, Meryem Nesil Keleş Türel
PURPOSE: The aim of the study is to investigate the relation between paranasal sinus volumes and headache in patients with no other rhinologic causes. METHODS: Two hundred patients with chronic headache and 99 subjects with no headache or facial pain history in the last 6 months were included in the study. Paranasal computed tomography (CT) scans of both patient and control groups were evaluated. Sixty one patients were excluded from the study due to possible rhinogenic headache CT findings such as secretions and contact points...
May 16, 2019: European Archives of Oto-rhino-laryngology
Serkan Kayabasi, Omer Hizli, Guven Yildirim
PURPOSE: To determine if sleep apnea had significant effects on hearing functions and to investigate the polysomnography parameters that might be associated with hearing impairment in sleep apnea patients. METHODS: We included 120 patients who were admitted to sleep disorders outpatient clinic. We constituted four groups by reference to the apnea-hypopnea index (including control group), and compared the audiometric parameters of the groups. Additionally, we investigated the correlation of apnea-hypopnea index, desaturation index and min...
May 16, 2019: European Archives of Oto-rhino-laryngology
Christian M Meerwein, Martin Hüllner, Ralph Braun, Michael B Soyka, Grégoire B Morand, David Holzmann
PURPOSE: To present outcome measures of sinonasal mucosal melanoma (SMM) patients with particular focus on current radiological and therapeutic options, especially in the non-curative setting (immunotherapy). METHODS: Retrospective study on SMM patients treated at our institution between January 1992 and December 2018. RESULTS: FDG-PET/MRI has emerged as the new hybrid imaging modality, addressing the need for high local tissue contrast in the paranasal sinuses and the skull base, while allowing for whole-body staging in search for distant metastases, including the brain...
May 16, 2019: European Archives of Oto-rhino-laryngology
Marcus Taylor, Harshil Patel, Sadie Khwaja, Kandadai Rammohan
PURPOSE: Descending cervical mediastinitis (DCM) is defined as spread of oropharyngeal or odontogenic infection into the mediastinum. It occurs uncommonly and has a high mortality rate. METHODS: Six patients underwent surgery at our centre for DCM between November 2013 and October 2016. Five of six patients underwent drainage of neck collections via a cervical approach, and all six patients subsequently underwent thoracic surgery for drainage of pleural and mediastinal collections...
May 15, 2019: European Archives of Oto-rhino-laryngology
Guanyu Xin, Johanna Ruohoalho, Leif Bäck, Katri Aro, Laura Tapiovaara
PURPOSE: To review indications, patient characteristics, frequency, and safety for surgical tracheostomies performed by otolaryngologist-head and neck surgeons in a single tertiary care center. METHODS: Surgical tracheostomies performed by otolaryngologist-head and neck surgeons at Helsinki University Hospital between January 2014 and February 2017 were retrospectively reviewed. Patient demographics, surgical data, and peri- and postoperative mortality information were collected from the hospital charts...
May 15, 2019: European Archives of Oto-rhino-laryngology
Jiaqi Pang, Hao Xiong, Qingyun Liao, Yaodong Xu, Qiuhong Huang, Yongkang Ou
OBJECTIVES: To make otolaryngologists aware of the variant types of auricular sinus, we have performed a systematic review of patient diagnoses and presented our operative experiences. METHODS: From 2009 to 2013 in Sun Yat-Sen Memorial Hospital, there was a total of 20 children with the variant type of auricular sinuses including the comprehensive group. Postauricular sinuses have pits located posterior to the imaginary vertical line that is tangent to the external auditory canal...
May 15, 2019: European Archives of Oto-rhino-laryngology
Camilla Martens, Frederik Kragerud Goplen, Torbjørn Aasen, Karl Fredrik Nordfalk, Stein Helge Glad Nordahl
PURPOSE: Benign paroxysmal positional vertigo (BPPV) is diagnosed and divided into subtypes based on positioning vertigo and nystagmus. Whether these subtypes entail any significant differences in patient-reported symptoms; is yet not known. Such differences may have clinical and therapeutic consequences. Our aim was to assess dizziness handicap and clinical characteristics of posterior and lateral canal BPPV. METHODS: This prospective observational multicentre study analysed consecutive patients with BPPV, confirmed by standardized procedures including videonystagmography under diagnostic manoeuvres in a biaxial rotational chair...
May 14, 2019: European Archives of Oto-rhino-laryngology
Mehmet Fatih Boğrul, Asude Ünal, Fatih Yılmaz, Mehmet Eser Sancaktar, Mustafa Bakırtaş
PURPOSE: To compare the tonsillectomy operations performed with bipolar radiofrequency clamp (BRC), plasma blade (PB), and cold dissection (CD) techniques in terms of postoperative pain and collateral tissue damage. METHODS: This is a prospective randomized comparative cohort study conducted in a tertiary hospital. A total of 50 patients who underwent tonsillectomy in our institution met the inclusion criteria. Based on the tonsillectomy technique, patients were randomly divided into 3 groups as BRC (CURIS®) (n:20), PB (PEAK Surgical) (n:20), and CD (n:10)...
May 13, 2019: European Archives of Oto-rhino-laryngology
Tejs Ehlers Klug, Niels Holm, Thomas Greve, Therese Ovesen
PURPOSE: Pseudomonas aeruginosa is commonly found in suppurative perichondritis, but the significant pathogens in non-abscess perichondritis are unclarified. We aimed to explore the bacterial findings and evaluate the effectiveness of different antibiotic regimes in the treatment of patients with perichondritis. METHODS: All patients treated for perichondritis at the two Ear-Nose-Throat Departments in Central Denmark Region (covering 20% of the Danish population) from January 1990 to October 2018 were included...
May 11, 2019: European Archives of Oto-rhino-laryngology
Shengjian Fang, Xian Wei, Liyun Ying, Liwei Zhu, Jiawen Cui, Zhaoxin Ma, Weihua Wang
PURPOSE: Nasal packing is frequently used after septoplasty and some complications caused by nasal packing are unavoidable. A nasal septal retainer has recently been developed. We evaluated the safety and clinical efficacy of the retainer in septoplasty, and the subjective symptoms of patients with the retainer were compared with Merocel nasal packing. METHODS: A prospective, randomized, controlled study was performed in patients who had undergone septoplasty. In total, 39 patients were randomized to receive Merocel (n = 17) or the retainer (n = 22) after septoplasty...
May 10, 2019: European Archives of Oto-rhino-laryngology
Raghav C Dwivedi, Rameez Sattar, Gavriil Tsiropulous, Costa Repanos
Enlargement of tracheoesophageal puncture (TEP) is seen in 1-29% of laryngectomee/laryngopharyngectomee using tracheoesophageal voice. It predisposes patient for recurrent aspiration pneumonia. Surgical closure of TEP is required in 30-67% of patients not responding to conservative measures. Surgical closure of an enlarged TEP using a flap may be time consuming, complex, and logistically challenging to organize. A novel technique of Fascia lata graft closure of an enlarged TEP is presented here. This technique can be useful in carefully selected patients with an enlarged TEP...
May 10, 2019: European Archives of Oto-rhino-laryngology
Kumiko Sekikawa, Hiroshi Moriyama, Hidenobu Miyaso, Takuya Osada, Ryuichi Ueno, Naruhito Otsuka, Masahiro Itoh
PURPOSE: We morphometrically analyzed human facial muscles, and evaluated the Yanagihara facial nerve grading system using our data. METHODS: We used 15 types of human facial muscle, 2 types of masticatory muscle and 2 types of skeletal muscle. The materials were obtained from 11 Japanese male cadavers aged 43-86 years. We counted the muscle fibers and measured the transverse area of the muscle fibers (TAMF), and then calculated the number of muscle fibers (NMF) per mm2 and the average TAMF...
May 10, 2019: European Archives of Oto-rhino-laryngology
R Mroueh, A Haapaniemi, T Saarto, L Grönholm, R Grénman, T Salo, A A Mäkitie
PURPOSE: Late-stage OTSCC is associated with poor overall survival (OS). Non-curative treatment approach aims to improve quality of life and prolong survival of patients deemed incurable. The purpose of this study was to investigate the used non-curative treatment modalities for OTSSC and patient survival. METHODS: All patients diagnosed with OTSCC and treated with non-curative intent at the HUS Helsinki University Hospital (Helsinki, Finland) during the 12-year period of 2005-2016 were included...
May 8, 2019: European Archives of Oto-rhino-laryngology
Pia Michael, Daniel Muñoz, Anton Tuma, Matías Gárate, Cristian Barraza, Marcia Nuñez, Hayo Andrés Breinbauer
PURPOSE: To assess the effectiveness of a variation of the Epley maneuver, which we have titled "Chair-based Abbreviated Repositioning maneuver (ChARM)", in solving cases of benign positional paroxysmal vertigo (BPPV) of the posterior canal. ChARM addresses multiple issues of highly overloaded medical centers that delay its due and timely resolution. For example it does not necessitate an examination bed/table and requires only a backed chair, and less than 3 min to be performed...
May 7, 2019: European Archives of Oto-rhino-laryngology
Dominik Stodulski, Bogusław Mikaszewski, Hanna Majewska, Jerzy Kuczkowski
PURPOSE: The aim of the study was to assess the treatment results of the parotid gland salivary duct carcinoma (SDC). MATERIAL AND METHODS: A retrospective clinicopathological analysis of 40 patients treated for parotid SDC in 1996-2015 was performed. The impact of following factors on 5-year disease-free survival (DFS) and overall survival (OS) was studied: age, sex, preoperative 7th nerve palsy, skin infiltration, pT, pN, surgical margin, type of parotidectomy and neck dissection, histology (SDC de novo vs...
May 6, 2019: European Archives of Oto-rhino-laryngology
Mahoko Taito, Shunsuke Taito, Masahiro Banno, Takashi Fujiwara, Hitoshi Okamura, Hiraku Tsujimoto, Yuki Kataoka, Yasushi Tsujimoto
PURPOSE: We aimed to determine whether voice rehabilitation after radiotherapy improves the quality of life (QOL), voice function, and self-rated voice function in patients with laryngeal cancer. METHODS: We searched CENTRAL, MEDLINE, EMBASE, PEDro, and World Health Organization International Clinical Trials Registry Platform for randomized controlled trials published between inception and October 2018. The primary outcome was QOL, adverse events and mortality. Secondary outcomes included voice function and self-rated voice function...
May 4, 2019: European Archives of Oto-rhino-laryngology
Pejman Pourfakhr, Mohammad Reza Khajavi, Ali Jalali, Faramarz Memari, Farhad Etezadi, Mehrnoush Momeni Roochi, Reza Shariat Moharari, Atabak Najafi
PURPOSE: To evaluate the efficacy of single low dose (75 mg) preoperative pregabalin in reducing post-operative pain of septorhinoplasty. METHODS: A double blind single center Randomized controlled trial based on block randomization. In the pregabalin group (PG) 34 participants received 75 mg pregabalin orally one hour before anesthesia induction while in control group (CG) 34 participants received a placebo. Pain and sedation were repeatedly measured with Visual Analouge Scale (VAS) and Riker Sedation-Agitation Scale (RSAS) respectively, 0...
May 4, 2019: European Archives of Oto-rhino-laryngology
Magdalena Sosna, Grażyna Tacikowska, Katarzyna Pietrasik, Henryk Skarżyński, Artur Lorens, Piotr H Skarżyński
PURPOSE: Although the cochlear implantation procedure does not interfere with vestibular structures directly, both the vestibulum and the cochlea share the same inner ear fluid space, and this fluid may be responsible for transferring possibly damaging forces from one to the other. The purpose of the study is to assess postoperative vestibular function after partial deafness treatment-electro-acoustic stimulation (PDT-EAS) cochlear implantation. METHODS: Fifty-five patients were included in the study (30 females, 25 males, age 11-80, mean 41...
May 3, 2019: European Archives of Oto-rhino-laryngology
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