Otorhinolaryngology and Head and Neck

Anat Bahat Dinur, Elhanan Quint, Liliana Lupo, Merav Fraenkel, Sabri El-Saied, Ben-Zion Joshua
PURPOSE: The purpose of this study is to assess the efficacy of ultrasonography in the differentiation of a bilateral and a unilateral WDTC to help physicians decide on performing a total or a partial thyroidectomy. MATERIALS AND METHODS: Retrospective chart review of all patients diagnosed with papillary thyroid carcinoma following a total thyroidectomy or a complete thyroidectomy between January 2013 and December 2015 at the Department of Otorhinolaryngology and Head and Neck Surgery in Soroka University Medical Center in southern Israel...
May 8, 2020: American Journal of Otolaryngology
János Uzsaly, Imre Gerlinger, Gréta Bodzai, Márton Kovács, Péter Bakó
Due to the remarkable development in the field of hearing implantation, almost all kinds of hearing loss can be successfully rehabilitated. The first Hungarian Codacs™ (Cochlear's direct acoustic cochlear stimulator; Cochlear, Sydney, Australia) implantation was performed at the Department of Otorhinolaryngology and Head-Neck Surgery, Clinical Centre, University of Pécs. This electromechanical middle-ear implant can be offered for patients with bilateral, severe to profound, mixed-type hearing loss. In our case, a 67-year-old male patient with bilateral advanced otosclerosis was implanted, which led to significant improvement of the hearing threshold and speech reception...
June 2020: Orvosi Hetilap
M C Martín Delgado, F X Avilés-Jurado, J Álvarez Escudero, C Aldecoa Álvarez-Santuyano, C de Haro López, P Díaz de Cerio Canduela, E Ferrandis Perepérez, C Ferrando Ortolá, R Ferrer Roca, A Hernández Tejedor, F López Álvarez, P Monedero Rodríguez, A Ortiz Suñer, P Parente Arias, A Planas Roca, G Plaza Mayor, P Rascado Sedes, J A Sistiaga Suárez, C Vera Ching, R Villalonga Vadell, M Bernal-Sprekelsen
The current COVID-19 pandemic has rendered up to 15% of patients under mechanical ventilation. Because the subsequent tracheotomy is a frequent procedure, the three societies mostly involved (SEMICYUC, SEDAR and SEORL-CCC) have setup a consensus paper that offers an overview about indications and contraindications of tracheotomy, be it by puncture or open, clarifying its respective advantages and enumerating the ideal conditions under which they should be performed, as well as the necessary steps. Regular and emergency situations are displayed together with the postoperative measures...
May 8, 2020: Medicina Intensiva
Shuifang Xiao, Jinrang Li, Hongliang Zheng, Yan Yan, Xiangping Li, Lihong Zhang, Quiping Lv, Junbo Zhang, Lin Zeng, Xia Gao, Xiong Chen, Hui Yang, Chen Zhao, Jian Zhang, Honghua Lu, Xianyang Luo, Guangke Wang, Hongliang Yi, Jin Ye, Zhenqun Lin, Linli Tian, Jingjing Zhang, Ting Chen, Aimin Yu, Zhaohui Liu, Xiaoyong Ren, Xinming Yang, Siyi Zhang, Xiaobo Cui, Gelin Li, Guanglun Wan, Chang Lin, Hui Chen, Anchun Deng, Xiabing Tang, Qingfeng Zhang, Zhenfeng Tao, Li Shi, Jianyong Zhou, Gang Qin, Peiyun Zhuang, Hui Huangfu, Jianming Yang, Guojin Zhou, Huijun Li, Wei Wu, Julan Li, Shuhua Li, Guangming Lou, Hongyan Fang, Jiangang Ma, Chunguang Shan, Xuejun Zhou, Liang Tang, Fang Zhou, Yunping Fan, Yanping Zhang, Yujie Li, Meisheng Li, Chunqiang Dou, Zhiling Chen, Gang Lei, Jingbo Li, Zhiguang Gao, Yongwang Huang, Xinchun Ma, Zhijun Liu, Gengtian Liang, Jian He, Hua Zhao, Bailong Song, Meijun Chen, Xiangli Yang, Zuopeng Ma, Jinlong Ren
PURPOSE: Using the Reflux Symptom Index (RSI), this nationwide study aimed to investigate the incidence, diagnostic status, risk factors, and common symptoms of adult laryngopharyngeal reflux disease (LPRD) at otorhinolaryngology-head and neck surgery (OHNS) clinics in China. METHODS: This multicenter cross-sectional survey began at the different institutions ranged from July to October 2017, and the duration was 12 months. A total of 90,440 eligible patients were finally enrolled from 72 medical institutions in China...
May 25, 2020: European Archives of Oto-rhino-laryngology
Karen S Sibert, Jennifer L Long, Steven M Haddy
The coronavirus disease-19 (COVID-19) pandemic has prompted new interest among anesthesiologists and intensivists in controlling coughing and expectoration of potentially infectious aerosolized secretions during intubation and extubation. However, the fear of provoking laryngospasm may cause avoidance of deep or sedated extubation techniques which could reduce coughing and infection risk. This fear may be alleviated with clear understanding of the mechanisms and effective management of post-extubation airway obstruction including laryngospasm...
May 19, 2020: Curēus
Małgorzata Wierzbicka, Kazimierz Niemczyk, Ewa Jaworowska, Paweł Burduk, Jacek Składzień, Witold Szyfter, Jarosław Markowski
Recommendations of the Main Board of the Polish Society of Otorhinolaryngologists, Head and Neck Surgeons for providing services during the COVID-19 pandemic constitute the guidance to outpatient and hospital practices in all cases where contact with a patient whose status of COVID-19 is unknown. They have been created based on world publications and recommendations due to the current state of the COVID-19 pandemic. Justification for suspension of planned provision of services in the first phase of a pandemic was presented...
June 30, 2020: Otolaryngologia Polska
T Radulesco, B Verillaud, E Béquignon, J-F Papon, R Jankowski, L Le Taillandier De Gabory, P Dessi, A Coste, E Serrano, S Vergez, F Simon, V Couloigner, C Rumeau, J Michel
The purpose of this article is to give rhinologists advice on how to adapt their standard practice during the COVID-19 pandemic. The main goal of these recommendations is to protect healthcare workers against COVID-19 while continuing to provide emergency care so as to prevent loss of chance for patients. We reviewed our recommendations concerning consultations, medical prescriptions and surgical activity in rhinology.
April 30, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
R Bannon, K E Stewart, M Bannister
OBJECTIVES: This study aimed to assess the published literature on non-technical skills in otolaryngology surgery and examine the applicability of any research to others' practice, and to explore how the published literature can identify areas for further development and guide future research. METHODS: A systematic review was conducted using the following key words: 'otolaryngology', 'otorhinolaryngology', 'ENT', 'ENT surgery', 'ear, nose and throat surgery', 'head and neck surgery', 'thyroid surgery', 'parathyroid surgery', 'otology', 'rhinology', 'laryngology' 'skull base surgery', 'airway surgery', 'non-technical skills', 'non technical skills for surgeons', 'NOTSS', 'behavioural markers' and 'behavioural assessment tool'...
May 8, 2020: Journal of Laryngology and Otology
Andrew Thamboo, Jane Lea, Doron D Sommer, Leigh Sowerby, Arman Abdalkhani, Christopher Diamond, Jennifer Ham, Austin Heffernan, M Cai Long, Jobanjit Phulka, Yu Qi Wu, Phillip Yeung, Marc Lammers
BACKGROUND: Aerosol generating medical procedures (AGMPs) present risks to health care workers (HCW) due to airborne transmission of pathogens. During the COVID-19 pandemic, it is essential for HCWs to recognize which procedures are potentially aerosolizing so that appropriate infection prevention precautions can be taken. The aim of this literature review was to identify potential AGMPs in Otolaryngology - Head and Neck Surgery and provide evidence-based recommendations. METHODS: A literature search was performed on Medline, Embase and Cochrane Review databases up to April 3, 2020...
May 6, 2020: Journal of Otolaryngology—Head & Neck Surgery
V Couloigner, S Schmerber, R Nicollas, A Coste, B Barry, M Makeieff, P Boudard, E Bequignon, N Morel, E Lescanne
In Otorhinolaryngology - Head and Neck Surgery, clinical examination and invasive procedures on the respiratory tract and on airway-connected cavities, such as paranasal sinuses and the middle ear, expose people to direct transmission of SARS-CoV-2 by inhalation or ocular projection of contaminated droplets, and to indirect transmission by contact with contaminated hands, objects or surfaces. Estimating an R0 of COVID-19 at around 3 justified postponing non-urgent face-to-face consultations and expanding the use of teleconsultation in order to limit the risks of SARS-CoV-2 infection of patients or health workers and comply with the lockdown...
April 23, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
Ann-Kathrin Rauch, Katharina Heuermann, David Leffers, Franziska Kriesche, Nils Abrams, Murat Yilmaz, Kilian Dahlem, Thomas Deitmer, Andreas Dietz, Kathrin Möllenhoff, Sami Shabli
BACKGROUND:  Residents of ENT were asked about their situation in residency. A good and well structured training is the key for an attractive residency. METHODS:  Between April 25-August 1, 2019, 691 residents registered with the German Society of Otorhinolaryngology, Head- and Neck Surgery ENT society were invited to anonymously participate in an online survey using SurveyMonkey® on the situation of the education in ENT and their working conditions. 25 of 80 questions were asked on the topics of structure and quality of the education in residency...
April 29, 2020: Laryngo- Rhino- Otologie
A Mattei, B Amy de la Bretèque, S Crestani, L Crevier-Buchman, C Galant, S Hans, A Julien-Laferrière, A Lagier, C Lobryeau, F Marmouset, D Robert, V Woisard, A Giovanni
Procedures putting healthcare workers in close contact with the airway are particularly at risk of contamination by the SARS-Cov-2 virus, especially when exposed to sputum, coughing, or a tracheostomy. In the current pandemic phase, all patients should be considered as potentially infected. Thus, the level of precaution recommended for the caregivers depends more on the type of procedure than on the patient's proved or suspected COVID-19 status. Procedures that are particularly at high risk of contamination are clinical and flexible endoscopic pharyngo-laryngological evaluation, and probably also video fluoroscopic swallowing exams...
April 20, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
Abongile Matimba, Masego Moncho, Jolly Musoke, Riaz Y Seedat
PURPOSE: The larynx is the second most commonly affected site in the head and neck region in patients with extrapulmonary tuberculosis (TB). Despite this, the prevalence of laryngeal TB is largely unknown, particularly in areas with a high TB burden. The laboratory diagnosis of TB includes microscopy, culture and molecular testing. The aims of this study were to determine the prevalence of laryngeal TB in patients presenting with laryngeal pathology in a region with a high TB burden and to determine the optimal diagnostic methods for the diagnosis of laryngeal TB...
April 23, 2020: European Archives of Oto-rhino-laryngology
N Leboulanger, T Sagardoy, M Akkari, S Ayari-Khalfallah, C Celerier, P Fayoux, R Luscan, A L Mansbach, E Moreddu, S Pondaven, F Simon, N Teissier, B Thierry, A Fanoux, E Lescanne, R Nicollas, V Couloigner
OBJECTIVE: joint guidelines of the French Pediatric Otolaryngology Society (AFOP) and of the French Society of otorhinolaryngology - Head and neck Surgery (SFORL) on the management of paediatric otolaryngology patients in the context of the COVID-19 pandemic. METHODS: A nation-wide workgroup drew guidelines based on clinical experience, national and local recommendations and scientific literature. Proposals may have to be updated on a day-to-day basis. RESULTS: In children, incidence of symptomatic COVID-19 (1-5%) is low and of good prognosis...
April 18, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
P Schultz, J-B Morvan, N Fakhry, S Morinière, S Vergez, C Lacroix, S Bartier, B Barry, E Babin, V Couloigner, I Atallah
Tracheostomy post-tracheostomy care are regarded as at high risk for contamination of health care professionals with the new coronavirus (SARS-CoV-2). Considering the rapid spread of the infection, all patients in France must be considered as potentially infected by the virus. Nevertheless, patients without clinical or radiological (CT scan) markers of COVID-19, and with negative nasopharyngeal sample within 24h of surgery, are at low risk of being infected. Instructions for personal protection include specific wound dressings and decontamination of all material used...
April 9, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
S L Wen, F Li, F Zhao, J J Zuo, Y Q Deng, W Zhang, Z Z Tao
Objective: To explore the expression and significance in regulating immune balance of programmed cell death protein 1 (PD-1) and its ligands PD-L1, PD-L2 in allergic rhinitis (AR). Methods: Eighty-two patients who received outpatient treatment due to high nasal reaction symptoms or were hospitalized due to nasal septum deviation and underwent nasal septum correction surgery in Department of Otorhinolaryngology Head and Neck Surgery of Renmin Hospital of Wuhan University from May 2018 to May 2019 were enrolled, including 42 males and 40 females, with the age ranging from 14 to 38 years old...
April 7, 2020: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Y Wang, X M Chen, H Zhang, D J Li, Q Wang, X C Song
Objective: To explore the clinical experience in care for deep neck infection (DNI) and to analyze the factors influencing surgical treatment outcome. Methods: A retrospective analysis was conducted on 61 patients with DNI admitted to the Department of Otorhinolaryngology Head and Neck Surgery of Yantai Yuhuangding Hospital from March 2013 to April 2019, including 33 males and 28 females, aged from 6 months to 81 years with a median age of 49 years. Patients were divided into two groups, 31 cases with localized infection (neck abscess) in Group A and 30 cases with diffuse infection (neck necrotizing fasciitis) in Group B...
April 7, 2020: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
(no author information available yet)
No abstract text is available yet for this article.
April 7, 2020: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Y Sun, Y J Hu, H J Xiao
No abstract text is available yet for this article.
April 7, 2020: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
N Fakhry, P Schultz, S Morinière, I Breuskin, A Bozec, S Vergez, L de Garbory, D Hartl, S Temam, E Lescanne, V Couloigner, B Barry
In the context of the current pandemic, there is a need for specific advice concerning treatment of patients with Head and Neck cancers. The rule is to limit as much as possible the number of patients in order to reduce the risks of contamination by the SARS-Cov-2 virus for both patients and the caregivers, who are particularly exposed in ENT. The aim is to minimize the risk of loss of opportunity for patients and to anticipate the increased number of cancer patients to be treated at the end of the pandemic, taking into account the degree of urgency, the difficulty of the surgery, the risk of contaminating the caregivers (tracheotomy) and the local situation (whether or not the hospital and intensive care departments are overstretched)...
April 11, 2020: European Annals of Otorhinolaryngology, Head and Neck Diseases
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