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American Academy of Otolaryngology

Robin Lloyd, Douglas B Kirsch, Kelly A Carden, Raman K Malhotra, Ilene M Rosen, Kannan Ramar
No abstract text is available yet for this article.
February 4, 2019: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Anja Bernaerts, Robby Vanspauwen, Cathérine Blaivie, Joost van Dinther, Andrzej Zarowski, Floris L Wuyts, Stephanie Vanden Bossche, Erwin Offeciers, Jan W Casselman, Bert De Foer
PURPOSE: There is still a clinical-radiologic discrepancy in patients with Menière's disease (MD). Therefore, the purpose of this study was to investigate the reliability of current MRI endolymphatic hydrops (EH) criteria according to Baráth in a larger study population and the clinical utility of new imaging signs such as a supplementary fourth low-grade vestibular EH and the degree of perilymphatic enhancement (PE) in patients with Menière's disease (MD). METHODS: This retrospective study included 148 patients with probable or definite MD according to the 2015 American Academy of Otolaryngology, Head and Neck Surgery criteria who underwent a 4-h delayed intravenous Gd-enhanced 3D-FLAIR MRI between January 2015 and December 2016...
February 5, 2019: Neuroradiology
Nathan Chin-Yau Tu, Gabriela Bobarnac Dogaru, Polly Huang, Jeehong Kim, Bernadette Diegnan, John Louie Go, Rick Adam Friedman
OBJECTIVE: Cochlear fluid-attenuated inversion recovery (FLAIR) magnetic resonance imaging (MRI) signal intensity has been shown to be elevated in patients with vestibular schwannomas (VS). This study evaluated the preoperative and postoperative cochlear signal on FLAIR sequences in patients undergoing hearing preservation surgery. STUDY DESIGN: Retrospective chart review. SETTING: Tertiary referral center. PATIENTS: All patients undergoing middle cranial fossa or retrosigmoid craniotomy for VS at a single institution from September 2013 to January 2017 were screened...
January 16, 2019: Otology & Neurotology
Andrea Lovato, Emilio García Ibañez, Luis García Ibañez, Cosimo de Filippis
BACKGROUND: The management of small- to medium-size (< 20 mm) sporadic vestibular schwannomas (VSs) continues to inspire debate. Preoperative pure tone thresholds and tumor size are recognized prognostic features of hearing preservation after surgery. OBJECTIVE: To investigate what preoperative characteristics were associated with nonserviceable hearing after surgery for VSs. METHODS: We retrospectively reviewed the audiological results of 92 patients treated with the middle cranial fossa (MCF) approach for resection of VSs (< 20 mm)...
January 8, 2019: Laryngoscope
Varun Vendra, Yona Vaisbuch, Albert C Mudry, Robert K Jackler
OBJECTIVES: The Clinical Practice Guideline of the American Academy of Otolaryngology-Head & Neck Surgery (2014) stated that clinicians should not recommend dietary supplements for the treatment of tinnitus. The aim of this study is to characterize over-the-counter tinnitus remedies (OTCTR) on the U.S. market, describe the ingredients and prices, and characterize the methods of promoting these products. METHODS: OTCTR were identified via Web search and visits to retail establishments...
December 25, 2018: Laryngoscope
Hagit Shoffel-Havakuk, David E Rosow, Christian X Lava, Edie R Hapner, Michael M Johns
OBJECTIVES/HYPOTHESIS: Although no clear guidelines exist, protocols in the treatment of spasmodic dysphonia (SD) vary among physicians. Previously published work comes from relatively few centers. STUDY DESIGN: A descriptive survey among experts (laryngologists who practice Botulinum toxin injections for SD). METHODS: An online 58-item survey was sent to all otolaryngologists who self-identify as laryngologists on the American Academy of Otolaryngology-Head and Neck Surgery website...
December 24, 2018: Laryngoscope
Kai-Chieh Chan, Che-Ming Wu, Wan-Ling Ho, Ping-Chin Lai
The etiology of Ménière disease (MD) is multifactorial; genetic factors seem to play an important role. The associations between MD and human leukocyte antigen (HLA) status have been studied previously in several populations and have shown that the HLA alleles imparting susceptibility varied. In the present study, we explored HLA status in Taiwanese patients with definitive MD. HLA was typed via polymerase chain reaction, sequence-specific oligonucleotide genotyping in 35 patients with MD diagnosed using the criteria of the American Academy of Otolaryngology-Head and Neck Surgery and 70 unrelated healthy controls...
December 2018: Ear, Nose, & Throat Journal
Ravina Kullar, Julia Frisenda, Paul S Nassif
Background: With antimicrobial resistance a global threat, optimizing antibiotic usage across the surgical continuum is vital. The American Academy of Otolaryngology-Head and Neck Surgery Foundation recently published the first guidelines addressing management in rhinoplasty. The authors reviewed pertinent literature on the role of systemic antibiotics in rhinoplasty and septorhinoplasty. Methods: The authors performed a MEDLINE search through PubMed using the key terms rhinoplasty, septorhinoplasty, infection, antimicrobials, and antibiotics...
October 2018: Plastic and Reconstructive Surgery. Global Open
Douglas B Chepeha
BACKGROUND: Surgeons have developed various reconstructive techniques to minimize the rate of pharyngocutaneous fistula and optimize functional outcome after salvage laryngectomy or laryngopharyngectomy. METHODS: Multicenter retrospective review at 33 institutions of 486 patients with a history of squamous cell carcinoma (SCC) of the larynx or hypopharynx previously treated with primary chemoradiotherapy (CRT) who required salvage surgery. Outcomes evaluated were overall fistula rate, fistula requiring reoperation, and 12-month speech and swallowing function...
December 3, 2018: Head & Neck
Kaitian Chen, Lanying Wen, Ling Zong, Min Liu, Jincangjian Sun, Xuan Wu
OBJECTIVE: To explore the hearing outcomes and prognostic factors in patients with sudden sensorineural hearing loss resulting from inner ear hemorrhage. METHODS: 42 patients (22 male and 20 female) were recruited from January 2016 to December 2017. Intravenous methylprednisolone and/or intratympanic corticosteroid were used as salvage therapy. The main measures included systemic risk factors and audiometric outcomes as proposed by American Academy of Otolaryngology-Head and Neck Surgery Hearing Loss Scale...
September 26, 2018: American Journal of Otolaryngology
Mason Skinner, Daniel Tritz, Clayton Farahani, Andrew Ross, Tom Hamilton, Matt Vassar
OBJECTIVES: The American Academy of Otolaryngology-Head and Neck Surgery regards randomized controlled trials as class A evidence. A novel method to determine the robustness of outcomes in trials is the fragility index. This index represents the number of patients whose status would have to change from a non-event to an event to make a statistically significant result non-significant. METHODS: Investigators included otolaryngology journals listed in the top 10 of one or both of Google Scholar Metrics and Clarivate Analytics' Journal rankings...
October 22, 2018: American Journal of Otolaryngology
Antoinette Esce, David A Rodeberg, David H Rothstein, Marybeth Browne, Derek Wakeman
BACKGROUND: Team training programs adapt crew resource management principles from aviation to foster communication and prevent medical errors. Although multiple studies have demonstrated that team training programs such as TeamSTEPPS improve patient outcomes and safety across medical disciplines, limited data exist about their application to pediatric surgical teams. The purpose of this study was to investigate usage and perceptions of team training programs by pediatric surgeons and anesthesiologists...
December 2018: Journal of Surgical Research
Beatrice Emmanouil, Rory Houston, Anne May, James D Ramsden, C Oliver Hanemann, Dorothy Halliday, Allyson Parry, Samuel Mackeith
OBJECTIVES/HYPOTHESIS: This study set out to describe the progression of hearing loss in patients with neurofibromatosis type 2 (NF2), treated in a quaternary multidisciplinary clinic. It also aimed to compare hearing loss across patients grouped according to a known genetic severity score to explore its utility for prognostication. STUDY DESIGN: Retrospective cohort study. METHODS: We conducted a study of 147 patients with confirmed NF2 diagnosis for a mean observational period of 10 years...
November 19, 2018: Laryngoscope
Lokesh Shah, Jobayer Hossain, Shirlly Xie, Joshua Zaritsky
BACKGROUND: Children who were born prematurely, those with a very low birthweight, or who have survived the neonatal intensive care unit (NICU) are at risk for the development of hypertension and chronic kidney disease (CKD), and thus require blood pressure screening less than 3 years of age, per American Academy of Pediatrics (AAP) 2004 and 2017 guidelines. METHODS: We reviewed the practice patterns of a large pediatric health care system and assessed adherence to the AAP clinical practice guidelines on blood pressure measurements in children less than 3 years of age for hypertension and CKD with the following risk factors: prematurity, very low birthweight, and a neonatal intensive care setting encounter...
November 7, 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
Daniel P Ballard, Daniel C Sukato, Alisa Timashpolsky, Seilesh C Babu, Richard M Rosenfeld, Matthew Hanson
Objective Several surgical interventions are offered to patients with Ménière's disease (MD) who fail medical management. Although outcomes have historically been reported according to American Academy of Otolaryngology-Head and Neck Surgery guidelines, patient-reported outcome measures (PROMs) are increasingly used to evaluate treatments. This study reviews PROMs used to assess surgical treatments for MD and compares the effect of each intervention based on PROM scores. Data Sources PubMed, EMBASE, CINAHL, and Web of Science...
October 9, 2018: Otolaryngology—Head and Neck Surgery
Nicholas J Scalzitti, Kathleen M Sarber
Sleep-disordered breathing has a prevalence of 12% in the pediatric population. It represents a spectrum of disorders encompassing abnormalities of the upper airway that lead to sleep disruption, including primary snoring, obstructive sleep apnea, central sleep apnea, and sleep-related hypoventilation. Sleep-disordered breathing is the most common indication for adenotonsillectomy, one of the most common procedures performed in children. In recent years, the American Academy of Otolaryngology-Head and Neck Surgery, American Academy of Pediatrics, and the American Society of Anesthesiologists have crafted guidelines to help safely manage children with sleep-disordered breathing...
November 2018: Paediatric Anaesthesia
John Murfee, Brendan O'Connell, David Haynes, Alejandro Rivas, Matthew Dedmon, Marc Bennett
BACKGROUND: Theoretical disadvantages are associated with the use of heat-crimped piston prostheses in stapedotomy. Loose crimping could result in prosthesis displacement or slippage. Alternatively, overly tight crimping may cause trauma to the incus with resultant necrosis. OBJECTIVES: 1) Analyze outcomes of patients undergoing stapedotomy with heat-activated piston-style prostheses, and 2) compare outcomes between prostheses made by different manufacturers. STUDY DESIGN: Retrospective...
September 19, 2018: Otology & Neurotology
Thijs M A van Dongen, Roger A M J Damoiseaux, Anne G M Schilder
PURPOSE OF REVIEW: One in two children treated with tympanostomy tubes, experience episodes of otorrhea whilst their tubes are in place. In this review, we present the results of the most recent publications on prevention and treatment of tympanostomy tube otorrhea (TTO). RECENT FINDINGS: Recent systematic reviews on water precautions for children with tympanostomy tubes support the American Academy of Otolaryngology - Head and Neck Surgery guideline recommendation against such preventive measures as there is no evidence that it protects against TTO...
December 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Amrit K Chiluwal, Alyssa Rothman, Maja Svrakic, Amir R Dehdashti
BACKGROUND: Currently, there is no consensus in the initial management of small vestibular schwannomas (VSs). They are routinely watched and/or referred for radiosurgical treatment, although surgical removal is also an option. We hereby evaluate clinical outcomes of patients who have undergone surgical removal of smaller symptomatic VSs. METHODS: Patients with vestibular schwannomas (grade T1-T3b according to Hannover classification) were reviewed. Patients with symptomatic tumors who underwent surgery were evaluated...
September 18, 2018: Acta Neurochirurgica
E Zanoletti, D Cazzador, C Faccioli, S Gallo, L Denaro, D D'Avella, A Martini, A Mazzoni
The current treatment options for acoustic neuromas (AN) - observation, microsurgery and radiotherapy - should assure no additional morbidity on cranial nerves VII and VIII. Outcomes in terms of disease control and facial function are similar, while the main difference lies in hearing. From 2012 to 2016, 91 of 169 patients (54%) met inclusion criteria for the present study, being diagnosed with unilateral, sporadic, intrameatal or extrameatal AN up to 1 cm in the cerebello-pontine angle; the remaining 78 patients (46%) had larger AN and were all addressed to surgery...
August 2018: Acta Otorhinolaryngologica Italica
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