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Mark Zafereo, Justin Yu, Peter Angelos, Kevin Brumund, Hubert H Chuang, David Goldenberg, Miriam Lango, Nancy Perrier, Gregory Randolph, Maisie L Shindo, Michael Singer, Russell Smith, Brendan C Stack, David Steward, David J Terris, Thinh Vu, Mike Yao, Ralph P Tufano
Health care consumer organizations and insurance companies increasingly are scrutinizing value when considering reimbursement policies for medical interventions. Recently, members of several American Academy of Otolaryngology-Head & Neck Surgery (AAO-HNS) committees worked closely with one insurance company to refine reimbursement policies for preoperative localization imaging in patients undergoing surgery for primary hyperparathyroidism. This endeavor led to an AAO-HNS parathyroid imaging consensus statement (https://www...
April 19, 2019: Head & Neck
William P R Gibson
This article reviews 3 aspects of Meniere's disease (MD), which have been recently revisited: namely, the pathologic mechanism causing the attacks of vertigo, the clinical diagnosis, and the medical and surgical treatments. The characteristic attacks of vertigo are unlikely to be due to membrane ruptures, so a hypothesis that the vertigo is caused by a volume of endolymph shifting suddenly from the cochlea into the pars superior is suggested. The definite diagnosis according to the American Academy of Otolaryngology HNS 1995 criteria [<citeref rid="ref13">13</citeref>] failed to exclude vestibular migraine sufficiently and a revision in 2015 [<citeref rid="ref14">14</citeref>] has partly addressed this problem but another method which stresses the interaction of the cochlear and vestibular symptoms is described...
2019: Advances in Oto-rhino-laryngology
Kevin J Kovatch, Rebecca S Harvey, Samuel A Schechtman, David W Healy, Kelly M Malloy, Mark E P Prince, Marc C Thorne
OBJECTIVES: Current Accreditation Council for Graduate Medical Education (ACGME) requirements allow PGY-1 otolaryngology-head and neck surgery (ORL-HNS) residents to spend 6 months on service, prompting reconsideration of educational best practices for the first-year resident experience. The aim of this study was to determine feasibility and value of a 1-month PGY-1 otolaryngology clinical skills rotation integrated with anesthesiology to complement clinical ORL-HNS rotations. METHODS: Our institution developed a 1-month rotation focusing on procedural simulation and airway management as a collaborative effort between ORL-HNS and anesthesiology...
April 2, 2019: Annals of Otology, Rhinology, and Laryngology
Yuyao Zhang, Jiangtao Fu, Hongbin Lin, Chuan Shen, Xiaofei Wang, Jueting Wu
OBJECTIVES: In recent decades, intratympanic gentamicin (ITG) has increasingly been used to treat intractable Menière's disease (MD). We performed a meta-analysis of pooled clinical outcomes, exploring whether ITG was effective and safe. DATA SOURCES: Cochrane Library database, Embase, and Medline. STUDY SELECTION: We searched scientific and medical databases to March 2018 for articles evaluating clinical outcomes after ITG treatment of intractable MD according to the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS) guidelines...
April 2019: Otology & Neurotology
Brian M Lin, Mark A Varvares, Gregory W Randolph, David A Shaye
OBJECTIVE: To examine global surgery involvement among general members of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) and characterize international otolaryngology surgical interventions. METHODS: Data on global surgery involvement were derived from responses provided by voluntary online survey respondent members of the AAO-HNS, obtained in October 2017. These data were compared against World Bank metrics of national health expenditure and surgical specialists per capita as benchmarks for need...
February 19, 2019: American Journal of Otolaryngology
Chris J Hong, Andreas A Giannopoulos, Brian Y Hong, Ian J Witterick, Jonathan C Irish, John Lee, Allan Vescan, Dimitrios Mitsouras, Wilfred Dang, Paolo Campisi, John R de Almeida, Eric Monteiro
OBJECTIVES: Medical three-dimensional (3D) printing, the fabrication of handheld models from medical images, has the potential to become an integral part of otolaryngology-head and neck surgery (Oto-HNS) with broad impact across its subspecialties. We review the basic principles of this technology and provide a comprehensive summary of reported clinical applications in the field. METHODS: Standard bibliographic databases (MEDLINE, Embase, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and The Cochrane Central Registry for Randomized Trials) were searched from their inception to May 2018 for the terms: "3D printing," "three-dimensional printing," "rapid prototyping," "additive manufacturing," "computer-aided design," "bioprinting," and "biofabrication" in various combinations with the terms: "ptolaryngology," "head and neck surgery," and "otology...
January 30, 2019: Laryngoscope
Pier-Luc Beaudoin, Mathilde Labbé, Amanda Fanous, Meredith Young, Jamie Rappaport, Yoon Soo Park, John Manoukian, Lily H P Nguyen
BACKGROUND: Effective communication has been linked to a reduction in adverse events and improved patient compliance. Currently in Otolaryngology - Head and Neck Surgery (OTL-HNS) residency programs, there is limited explicit teaching of communication skills. Our objective was to implement an educational program on communication skills for residents using multisource assessment in several simulation-based contexts throughout residency. METHODS: For three consecutive years, OTL-HNS residents were recruited to participate in a total of nine simulation-based clinical scenarios in which communication skills could be honed...
January 28, 2019: Journal of Otolaryngology—Head & Neck Surgery
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
D A Lelli, D Tse, J P Vaccani
BACKGROUND: The bedside head impulse test (bHIT) is a clinical method of assessing the vestibulo-ocular reflex (VOR). It is a critical component of the bedside assessment of dizzy patients, and can help differentiate acute stroke from vestibular neuritis. However, there is evidence showing the bHIT is often not performed in appropriate clinical settings or is performed poorly. To date, there have been no studies evaluating the bHIT competence of graduating physicians. METHODS: 23 final year Otolaryngology -Head &Neck Surgery (OTL-HNS) residents in Canada were evaluated on the use of bHIT using a written multiple-choice examination, interpretation of bHIT videos, and performance of a bHIT...
January 18, 2019: Journal of Otolaryngology—Head & Neck Surgery
Z Chaudhry, M Campagna-Vaillancourt, M Husein, R Varshney, K Roth, A Gooi, Lhp Nguyen
BACKGROUND: Discrepancies between resident and faculty perceptions regarding optimal teaching and feedback during surgery are well known but these differences have not yet been described in Otolaryngology - Head and Neck Surgery (OTL-HNS). The objectives were thus to compare faculty and resident perceptions of perioperative teaching and feedback in OTL-HNS residency programs across Canada with the aim of highlighting potential areas for improvement. METHODS: An anonymous electronic questionnaire was distributed to residents and teaching faculty in OTL-HNS across Canada with additional paper copies distributed at four institutions...
January 17, 2019: Journal of Otolaryngology—Head & Neck Surgery
Sharon Ovnat Tamir, Tal Marom, Sagit Shushan, Abraham Goldfarb, Udi Cinamon, Ophir Handzel, Ofer Gluck, Yahav Oron
OBJECTIVES: To study the compliance of ear, nose, and throat (ENT) physicians to the American Association Otolaryngology-Head - Neck Surgery (AAO-HNS) clinical practice guidelines (CPG) for tinnitus and to identify the disparity of both diagnosis and management options in the absence of a local protocol for the management of adult tinnitus. MATERIALS AND METHODS: A voluntary and anonymous questionnaire was emailed in a Google spread-out sheet format to all practicing ENT physicians across the country (n=370)...
December 12, 2018: Journal of International Advanced Otology
N Oker, N H Alotaibi, P Herman, M Bernal-Sprekelsen, A E Albers
Europe-wide efforts are being initiated to define quality standards and harmonize Otolaryngology, Head and Neck Surgery (ORL-HNS)-specialty-training by creating an European board examination. However, differences within and between countries remain and are underinvestigated making comparisons and further improvement more difficult. The study aimed at assessing quality of training, satisfaction and quality of life of residents and recent ORL-HNS specialists in Spain and to trace similarities and differences to France and Germany administering anonymous online-questionnaire to ORL-HNS-residents and recent specialists...
June 2016: European Archives of Oto-rhino-laryngology
Sevgi Vermişli, İbrahim Çukurova, Hakan Baydur, Emel Yılmaz
OBJECTIVES: This study aims to evaluate the relationship between preoperative patient learning need and anxiety in patients hospitalized at Ear Nose Throat and Head Neck Surgery (ENT and HNS) clinic for surgical treatment. PATIENTS AND METHODS: The study sample comprised 98 patients (56 males, 42 females; mean age 44.4±15.2 years; range 18 to 76 years) hospitalized at ENT and HNS clinic for surgical treatment. A question form prepared based on the literature, Patient Learning Needs Scale (PLNS), and State-Trait Anxiety Inventory (STAI) were used in the study which was planned as a descriptive-analytical study...
2016: Kulak Burun Boğaz Ihtisas Dergisi: KBB, Journal of Ear, Nose, and Throat
Andrea Jovankovičová, Roman Staník, Samuel Kunzo, Lucia Majáková, Milan Profant
OBJECTIVES: Congenital aural atresia and ear deformities have been the subject of serious discussions for centuries. These malformations are associated with significant aesthetic and functional problems. Outcome of the surgical solution is rarely optimal. Despite the gradual improvement of surgical techniques the surgery still remains associated with very limited short-term and mainly long-term functional outcome. Therefore, the priority treatment in modern otology becomes implantable devices--BAHA, Bonebridge and active middle ear implants...
July 2015: International Journal of Pediatric Otorhinolaryngology
Sanne van Sonsbeek, Bas Pullens, Peter Paul van Benthem
BACKGROUND: Ménière's disease is an incapacitating disease in which recurrent attacks of vertigo are accompanied by hearing loss, tinnitus and/or aural fullness, all of which are discontinuous and variable in intensity. A number of different therapies have been identified for patients with this disease, ranging from dietary measures (e.g. a low-salt diet) and medication (e.g. betahistine (Serc®), diuretics) to extensive surgery (e.g. endolymphatic sac surgery). The Meniett® low-pressure pulse generator (Medtronic ENT, 1999) is a device that is designed to generate a computer-controlled sequence of low-pressure (micro-pressure) pulses, which are thought to be transmitted to the vestibular system of the inner ear...
2015: Cochrane Database of Systematic Reviews
Christian Godballe, Anders Rørbæk Madsen, Christian Hjort Sørensen, Sten Schytte, Waldemar Trolle, Jens Helweg-Larsen, Lisa Barfoed, Larry Kristiansen, Vibeke Zederkof Sørensen, Grethe Samuelsen, Henrik Baymler Pedersen
Recurrent laryngeal nerve (RLN) injury is a well-known and serious complication to thyroid surgery. The objective was to estimate the frequency of post-thyroidectomy RLN palsy and to identify possible risk factors. Based on the Danish national thyroid surgery database, 6,859 patients treated with thyroid surgery from 1 January 2001 to the 31 December 2008 at the Danish departments of ENT-HNS were analyzed. Unilateral RLN palsy was found in 2.1 % and bilateral in 0.1 %. In benign histology, RLN palsies were registered in 1...
August 2014: European Archives of Oto-rhino-laryngology
P Kafle, M Maharjan, S Shrestha, K C Toran
Objective: To compare the efficacy of chemical cautery (AgNo3) and steroid nasal spray against SMD (submucosal diathermy) in the treatment of symptomatic Inferior Turbinate Hypertrophy (ITH). Materials and Methods: Patients attending OPD in the department of ENT &HNS at KMCTH with symptomatic Inferior turbinate Hypertrophy were taken with their approval included for the study. Patients were divided into 2 Groups: in the first Group 25 patients were included and treated with chemical cautery (AgNo3) under Local Anaesthesia (LA), followed by steroid nasal spray for 3 months; in the second Group 25 patients were included and were treated with SMD (submucosal diathermy) under General Anaesthesia (GA)...
July 2007: Kathmandu University Medical Journal (KUMJ)
B L Shrestha, I Shrestha, R C M Amatya, A Dhakal
To compare the efficacy of treatment between steroid-antibiotic and 10% Ichthammol glycerine packs (IG packs) in acute otitis externa. A prospective, randomized clinical trial between steroid-antibiotic and 10% IG pack which was performed in department of ENT-HNS, Kathmandu University Hospital, Dhulikhel from July 2009 to December 2009 on 82 patients. Pain was assessed by Numerical Rating Scale (NRS) and edema was assessed by dividing the external auditory canal in four quadrant giving score of 25% for each on the day of presentation and subsequent visits till tragal tenderness and edema subsided...
October 2010: Indian Journal of Otolaryngology and Head and Neck Surgery
A Mardassi, A Deveze, M Sanjuan, J Mancini, B Parikh, A Elbedeiwy, J Magnan, J-P Lavieille
OBJECTIVE: To assess the efficiency of ossiculoplasty procedures with the Kurz titanium ossicular prosthesis and evaluate prognostic factors for the functional results. METHODS: Retrospective chart reviews were performed for ossiculoplasty involving Kurz titanium prostheses between 2006 and 2009 in the ENT Head and Neck Department of the hôpital Nord, Marseille, France. RESULTS: The population studied was 70 patients, with 37 procedures using the partial (PORP) and 33 the total ossicular replacement prosthesis (TORP)...
April 2011: European Annals of Otorhinolaryngology, Head and Neck Diseases
M M English, T J D Coulson, S R Horsman, C L Patten
AIMS: Plant growth-promoting rhizobacteria (PGPR) introduced into soil often do not compete effectively with indigenous micro-organisms for plant colonization. The aim of this study was to identify novel genes that are important for root colonization by the PGPR Enterobacter cloacae UW5. METHODS AND RESULTS: A library of transposon mutants of Ent. cloacae UW5 was screened for mutants with altered ability to colonize canola roots using a thermal asymmetric interlaced (TAIL)-PCR-based approach...
June 2010: Journal of Applied Microbiology
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