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International Archives of Otorhinolaryngology

Petros V Vlastarakos, Nikolaos S Tsilis, Thomas P Nikolopoulos, Pavlos Maragoudakis
No abstract text is available yet for this article.
April 2019: International Archives of Otorhinolaryngology
Rogerio Pezato, Richard Louis Voegels, Shirley Pignatari, Luiz Carlos Gregório, Thiago Freire Pinto Bezerra, Luciano Gregorio, Leonardo Balsalobre, Miguel Soares Tepedino, Nathália Coronel, Fabio de Rezende Pinna, José Mendes Neto, Pedro Oliveira, Eduardo Macoto, Renato Stefanini, Claudia Figueiredo, Fernanda Haddad, Renata Pilan, Ana Bezerra Soter, Nelson Almeida Melo, Danilo Almeida Candido, Jonatas do Amaral, Rodrigo de Paula Santos, Thibaut Van Zele, Reginaldo Fujita, Juliana L Dreyfuss, Wallace Chamon, Adriano Mesquita Alencar, Claudina Perez-Novo, Aldo Cassol Stamm
Introduction  The importance of our study lies in the fact that we have demonstrated the occurrence of mechanical dysfunction within polypoid tissues, which promotes the development of polyps in the nasal cavity. Objective  To change the paradigm of nasal polyposis (NP). In this new conception, the chronic nasal inflammatory process that occurs in response to allergies, to pollution, to changes in the epithelial barrier, or to other factors is merely the trigger of the development of the disease in individuals with a genetic predisposition to an abnormal tissue remodeling process, which leads to a derangement of the mechanical properties of the nasal mucosa and, consequently, allows it to grow unchecked...
April 2019: International Archives of Otorhinolaryngology
Fernanda Rodrigues, Ana Paula Freire, Juliana Uzeloto, Rafaella Xavier, Juliana Ito, Marceli Rocha, Renata Calciolari, Dionei Ramos, Ercy Ramos
Introduction  The importance of mucociliary clearance (MCC) for the respiratory system homeostasis is clear. Therefore, evaluating this defense mechanism is fundamental in scientific research and in the clinical practice of pulmonology and of associated areas. However, MCC evaluation has not been so usual due to the complexity of methods that use radiolabeled particles. Nevertheless, as an interesting alternative, there is the saccharin transit time (STT) test. This method is reproducible, simple to perform, noninvasive, does not demand high costs, and has been widely used in studies of nasal MCC...
April 2019: International Archives of Otorhinolaryngology
Ighor Andrade Fernandes, Anna Catharina Vieira Armond, Saulo Gabriel Moreira Falci
Introduction  Cold therapy (cryotherapy) is a common procedure recommended by dental surgeons after surgical removal of third molars, which is an invasive intervention that often deals with an expressive inflammatory response. Objective  To investigate whether cryotherapy interferes with clinical outcomes such as pain, edema, and trismus in the postoperative period of mandibular third molar surgeries. Data Synthesis  An electronic search was conducted in the OVID, PubMed, VHL, Science Direct, Cochrane Library, and Web of Science databases, through March 2018...
April 2019: International Archives of Otorhinolaryngology
Pedro L Mangabeira Albernaz
Introduction  Menière's disease was described in 1861, but there are still uncertainties regarding its pathophysiology and treatment. Endolymphatic hydrops is recognized as a fundamental pathological characteristic of the disease, as a result of an inadequate absorption of the endolymph. A milder type of endolymphatic hydrops results from an altered chemical composition of the endolymph, due to disorders of the carbohydrate metabolism. Objective  To describe the association of both types of hydrops in patients with Menière disease...
April 2019: International Archives of Otorhinolaryngology
David Michael Kowalczyk, J Randall Jordan
Introduction  The turnover and inability to consistently retain academic facial plastic surgeons is an issue that many academic departments of otolaryngology face. In addition to the financial costs of staff turnover and gaps in patient care, insufficient exposure of residents to key surgical procedures is a significant problem for residency programs. Objective  To identify the most important reasons that lead faculty members to leave an academic facial plastic surgery (FPS) practice as well as features that may be associated with retention of FPS faculty...
April 2019: International Archives of Otorhinolaryngology
Aline Juliane Romann, Bárbara Costa Beber, Carla Aparecida Cielo, Carlos Roberto de Mello Rieder
Introduction  Subthalamic nucleus deep brain stimulation (STN-DBS) improves motor function in individuals with Parkinson disease (PD). The evidence about the effects of STN-DBS on the voice is still inconclusive. Objective  To verify the effect of STN-DBS on the voice of Brazilian individuals with PD. Methods  Sixteen participants were evaluated on the Unified Parkinson Disease Rating Scale-Part III, and by the measurement of the acoustic modifications in on and off conditions of stimulation. Results  The motor symptoms showed significant improvement with STN-DBS on...
April 2019: International Archives of Otorhinolaryngology
Claudio Carnevale, Guillermo Til Pérez, Diego Arancibia Tagle, Manuel Tomás Barberán, Pedro Sarría Echegaray
Introduction  Benign paroxysmal positional vertigo (BPPV) is the most common form of peripheral vertigo, and, in most cases, it presents a favorable prognosis. The treatment is based on a series of specific canalicular repositioning maneuvers that offer an efficacy close to 100%. Despite this, there are cases that are refractory to treatment, with the persistence of the vertigo symptoms. Objectives  The objective of the present paper is to analyze the factors associated with an increased risk of refractory BPPV and the importance of nuclear magnetic resonance in the study of these patients...
April 2019: International Archives of Otorhinolaryngology
Islam R Herzallah, Osama A Marglani, Ameen Z Alherabi, Nuha S Faraj, Deemah H Bukhari
Introduction  Bilateral simultaneous endoscopic dacryocystorhinostomy (endo-DCR) has received little attention in the literature, thus many surgeons continue to address bilateral nasolacrimal duct obstruction at two stages, rather than in the same setting. Objective  To evaluate the feasibility and the outcome of simultaneous bilateral Endo-DCR and its impact on the quality of life of the patients. Methods  We have conducted a retrospective analysis of patients who underwent bilateral simultaneous endo-DCR between March 2013 and February 2017 at our tertiary care institution...
April 2019: International Archives of Otorhinolaryngology
Devira Zahara, Rima Diana Dewi, Askaroellah Aboet, Fikri Mirza Putranto, Netty Delvrita Lubis, Taufik Ashar
Introduction  The cochlear anatomy varies in each individual, and that has an impact on decisions regarding the insertion of electrodes. The measurement of the cochlear size is the routine examination required to choose the proper cochlear implant (CI) electrodes. Objective  To acquire normative data on the size of the cochlea (length, width, height, scala timpani [ST] height, cochlear duct length [CDL]) of CI candidates in Medan, Indonesia. Methods  This descriptive study was conducted based on high-resolution computed tomography (HRCT) temporal bone data and on HRCT temporal data manipulated to reconstruct three-dimensional (3D) multiplanar images with OsiriX MD DICOM Viewer version 9...
April 2019: International Archives of Otorhinolaryngology
Hazem M Abdel Tawab, Salim M Sloma Tabook
Introduction  Pseudocyst of the pinna is a rare condition that occurs when fluid accumulates in the intercartilagenous space of the auricle. The main goal when treating this condition is to keep acceptable cosmetic results with no recurrence rate. Objective  To demonstrate the superior impact of incision and drainage of auricular pseudocysts with the insertion of a catheter drain and daily irrigation as the treatment of this condition. Methods  A total of 42 patients with auricular pseudocysts were enrolled in the present study in the period between May 2011 and May 2017...
April 2019: International Archives of Otorhinolaryngology
Marrigje A de Jong, Carlos Candanedo, Menachem Gross, José E Cohen
Introduction  Acute carotid blowout syndrome (aCBS) is a severe complication of head and neck cancer (HNC). It can be defined as a rupture of the extracranial carotid arteries, or one of their branches, that causes life-threatening hemorrhage, and which nowadays can be treated with urgent endovascular intervention. Objective  We retrospectively evaluate the endovascular management of aCBS and its outcome in years of survival. Methods  Retrospectively, we describe our experience with endovascular control of aCBS in patients treated for HNC...
April 2019: International Archives of Otorhinolaryngology
Claudio Carnevale, Diego Arancibia-Tagle, Pedro Sarría-Echegaray, Guillermo Til-Pérez, Manuel Tomás-Barberán
Introduction Granulomatosis with Polyangiitis (GPA) is a small vessel vasculitis characterized by a necrositing granulomatous inflammation of the upper and lower respiratory tracts and focal/proliferative glomerulonephritis. In more than 70% of the cases, the presenting symptoms are head and neck manifestations that are often misdiagnosed as infectious or allergic in etiology. Objective  The present study provides an analysis of head and neck manifestations in a series of patients diagnosed with GPA. It also evaluates their medical and surgical treatment and provides a review of the relevant literature...
April 2019: International Archives of Otorhinolaryngology
Flavia Mara Fernandes da Silva Reis, Claudia Giglio de Oliveira Gonçalves, Juliana De Conto, Milena Iantas, Débora Lüders, Jair Marques
Introduction  Hearing is the main sensory access in the first years of life. Therefore, early detection and intervention of hearing impairment must begin before the first year of age. Objective  To analyze the results of the electrophysiological hearing assessment of children at risk for hearing loss as part of the newborn hearing screening (NHS). Methods  This is a cross-sectional study held at a hearing health public service clinic located in Brazil, with 104 babies at risks factors for hearing loss referred by public hospitals...
April 2019: International Archives of Otorhinolaryngology
Emmanuel Musa, Aliyu Mohammed Kodiya, Abdullahi Musa Kirfi, Onyekwere George B Nwaorgu
Introduction  A common practice in the management of patients with chronic rhinosinusitis (CRS), the empirical use of antibiotics may contribute to treatment failure and to the development of antimicrobial resistance. Objective  To determine the antibiotic sensitivity pattern of aerobic and anaerobic bacteria associated with CRS. Methods  This was a prospective cross-sectional study in which endoscopically guided middle meatal swabs (IBM Spss, version 16.0, Chicago, IL, USA) were aseptically taken from patients diagnosed with CRS after obtaining informed consent and ethical clearance...
April 2019: International Archives of Otorhinolaryngology
Leonardo Balsalobre, Rogerio Pezato, Joao Mangussi-Gomes, Luciano Gregorio, Fernanda Louise Martinho Haddad, Luiz Carlos Gregorio, Reginaldo Fujita
Introduction  It has been hypothesized that increasing the interstitial hydrostatic pressure within the sinonasal mucosa of patients with nasal polyposis (NP) might decrease the size of nasal polyps. Objective  To evaluate the effects of positive airway pressure, delivered by a continuous positive airway pressure (CPAP) device, in patients with NP and in control subjects. Methods  Twelve patients with NP and 27 healthy subjects were exposed to CPAP (20 cm H2O) for 2 hours. Visual analog scale (VAS), Nasal Obstruction Symptom Evaluation (NOSE) scale, acoustic rhinometry (AR), peak nasal inspiratory flow (PNIF) and nasal endoscopy (NE-Meltzer polyp grading system) were performed before and after the intervention, for all patients...
April 2019: International Archives of Otorhinolaryngology
Dulce Azevedo Ferreira, Claudine Devicari Bueno, Sady Selaimen de Costa, Pricila Sleifer
Introduction  The Mismatch Negativity (MMN) auditory evoked potential evaluation is a promising procedure to assess objectively the ability of auditory discrimination. Objective  To characterize the latency and amplitude values of MMN in children with normal auditory thresholds and without auditory complaints. Methods  Children between 5 and 11 years old participated in the present study. All participants underwent acoustic immittance measurements and tonal and vocal audiometry. The MMN was recorded with the MASBE ATC Plus system (Contronic, Pelotas, RS, Brazil)...
April 2019: International Archives of Otorhinolaryngology
Mahmoud Mandour, Mohammed Tomoum, Saad El Zayat, Hisham Hamad, Mohamed Amer
Introduction  Preoperative temporal bone imaging studies have been routinely performed prior to cochlear implantation. Radiologists need to report these examinations with special focus on the surgeon's expectations. Objectives  To provide a basic structured format, in the form of a checklist, for reporting preoperative computed tomography (CT) and to its clinical impact on operative findings. Methods  The preoperative temporal bone CT scans of 47 patients were analyzed and reported according to the proposed checklist...
April 2019: International Archives of Otorhinolaryngology
Claudia Moretti, Angela Ribas, Ana Cristina Guarinello, Marine Rosa, Renato Riesemberg, Trissia Vassoler, Giselle Sypczuk, Jackeline Martins
Introduction  Cochlear implants are currently the most effective technological resource to facilitate access to the hearing world for deaf people. Their use, especially when implanted early in children, reduces the impact of deafness on hearing as well as on the development of spoken language. Objective  To validate the first part of the Brazilian Scale of Hearing and Language Development (EDAL-1, in the Portuguese acronym) and to establish the normal curve in infants and children aged between 0 and 24 months old with normal hearing...
April 2019: International Archives of Otorhinolaryngology
Shibu George, Sandeep Suresh
Introduction  Vocal cord dysfunction is characterized by unintentional paradoxical vocal cord movement resulting in abnormal inappropriate adduction, especially during inspiration; this predominantly manifests as unresponsive asthma or unexplained stridor. It is prudent to be well informed about the condition, since the primary presentation may mask other airway disorders. Objective  This descriptive study was intended to analyze presentations of vocal cord dysfunction in a tertiary care referral hospital...
April 2019: International Archives of Otorhinolaryngology
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