Wiggin Wu, Maya Debbaneh, Homayoun Moslehi, John Koo, Wilson Liao
Psoriasis is a chronic skin disorder that affects 1% to 3% of the general population worldwide. Streptococcal infection, especially streptococcal pharyngitis, has been shown to be a significant trigger of psoriasis in some patients, possibly by sensitizing T cells to keratin epitopes in the skin. Due to the role of the palatine tonsils as an immunological organ that may generate autoreactive T cells, tonsillectomy has been investigated as a treatment for psoriasis. Tonsillectomy originally gained acceptance in Japan as a treatment for palmoplantar pustulosis, a condition that shares features with pustular psoriasis...
December 2014: Journal of Dermatological Treatment
Christopher Nickel, Daniel Segarra, Tapan Padhya, Matthew Mifsud
There is a narrow window of opportunity between surgical scheduling and the operative date to optimize patients for an elective surgical procedure. Traditionally, preoperative care has involved extended routine testing batteries with intermittent referrals for medical clearance. These traditions are costly, inefficient, and yield no clear reduction in perioperative morbidity and mortality. Evidence, which has evolved over the past decade, suggests that optimal preoperative care requires a patient-centric, personalized, and often multidisciplinary approach...
January 2020: Laryngoscope
Sinan Uluyol, Saffet Kilicaslan, Mehmet Hafit Gur, Nermin Erdas Karakaya, Ipek Buber, Sedef Gulcin Ural
OBJECTIVE: Upper airway obstruction (UAO) can result in cardiac complications, including arrhythmias and sudden cardiac death. Nasal septum deviation (NSD) is a common cause of UAO. The aim of this study was to assess the risk of cardiac arrhythmias in patients with NSD. To assess this risk, we measured noninvasive indicators of atrial arrhythmia (P-wave dispersion [Pd]) and ventricular arrhythmia (corrected QT dispersion [QTcd]) and compared these values between NSD patients and healthy subjects...
August 2016: Otolaryngology—Head and Neck Surgery
Andrew K Chang, Polly E Bijur, Jason B Lupow, E John Gallagher
OBJECTIVE: To test the hypothesis that oxycodone/acetaminophen provides analgesia superior to codeine/acetaminophen following emergency department (ED) discharge. DESIGN: Prospective, randomized, double-blind, trial. SETTING: Adult inner city ED. SUBJECTS: ED patients with acute extremity pain who were discharged home. METHODS: Patients randomized to oxycodone/acetaminophen (5 mg/325 mg) or codeine/acetaminophen (30 mg/300 mg)...
December 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Wayne D Hsueh, Peter H Hwang, Waleed M Abuzeid
OBJECTIVE: The perioperative management of patients undergoing otolaryngologic procedures is increasingly complicated by the use of newer antithrombotic agents. Furthermore, with advances in anesthesia and surgical technique, otolaryngologists are presented with the challenge of operating on patients with advanced comorbid diseases. The objective of this review is to provide evidence-based recommendations on perioperative antithrombotic management for common otolaryngologic procedures...
October 2015: Otolaryngology—Head and Neck Surgery
Maíra da Silva Caracas, Sumatra P Jales, Levi H Jales Neto, Joice Carla da Silva Castro, Liliana Mitie Suganuma, Guilherme Henrique Hencklain Fonseca, Sandra Fatima Menosi Gualandro, José Tadeu Tesseroli de Siqueira
We report a rare case of aseptic arthritis in the temporomandibular joint of a patient with sickle cell anemia. A 22-year-old woman with sickle cell disease, in the 18th week of gestation, was referred by her hematologist to investigate a sudden mouth opening limitation and severe pain on her left cheek. The patient received a standard pain assessment protocol, clinical examination, and complementary exams (complete blood count, hemoglobin electrophoresis, blood solubility test, panoramic radiograph, and magnetic resonance imaging [MRI])...
February 2013: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Derrek A Heuveling, Maarten C van Loon, Rico N P M Rinkel
A clicking larynx can be described as a clicking sensation in the neck on swallowing or when moving the head, often associated with a tender or painful area in the neck. Diagnosis and therapy are challenging. In this article, we present a case report and overview of the current literature. The clicking larynx most often is reported to be a result of a displaced cornu superior of the thyroid cartilage, an enlarged greater cornu of the hyoid bone, or a short distance between the thyroid cartilage and hyoid bone...
March 2018: Laryngoscope
Yuichi Shimizu, Hiroshi Hidaka, Daiki Ozawa, Risako Kakuta, Kazuhiro Nomura, Hisakazu Yano, Ken-Ichi Watanabe, Yukio Katori
OBJECTIVES: Deep neck infections (DNIs) can lead to life-threatening disease. However, the detailed pathophysiology remains unclear due to its rarity and only a few reports have directly compared DNIs in children and adults. This study aimed to reveal the clinical differences between DNIs in children and adults. METHODS: We retrospectively reviewed 123 patients who suffered from DNIs at Tohoku University Hospital from August 2005 to July 2015. We extracted data on patient sex, age, antecedent illness, extension of infections, operative procedures, and bacteriology results...
August 2017: International Journal of Pediatric Otorhinolaryngology
Charles T Bakhos, Stevan S Pupovac, Ashar Ata, John P Fantauzzi, Thomas Fabian
BACKGROUND: Spontaneous pneumomediastinum is a rare entity usually caused by alveolar rupture and air tracking along the tracheobronchial tree. Despite its benign nature, an extensive workup is often undertaken to exclude hollow viscus perforation. We sought to review our experience with this condition and examine the optimal management strategy. STUDY DESIGN: We conducted a retrospective review of all radiographic pneumomediastinum cases at a tertiary hospital between 2006 and 2011...
October 2014: Journal of the American College of Surgeons
P K Foster
OBJECTIVE: To assess an alternative to bed rest and surgery for suspected perilymphatic fistulas using intratympanic blood injections. METHOD: A review was conducted of patients' history, physical and audiometric data, before and after treatment by intratympanic blood injections performed from 2009 to 2015. RESULTS: Twelve ears were identified, with trauma associated with air travel, water sports or nose blowing. Ten of these cases had hearing loss, six had vestibular symptoms...
December 2016: Journal of Laryngology and Otology
Marc Dean, Timothy Lian
The purpose of this article is to give a contemporary review of transnasal endoscopic surgery for Eustachian tube disorders. The authors' perspective of the relevant anatomy, pathophysiology, and evaluation of Eustachian tube disorders as related to surgical intervention also is provided.
October 2016: Otolaryngologic Clinics of North America
D L Suskind, M A Tavill, S D Handler
Benign lymphoepithelial cysts (BLCs) of the parotid gland are associated with human immunodeficiency virus infections in both children and adults. These cysts may become painful and unsightly, often initiating a request for therapeutic intervention. There are several treatment options described in the literature. We report the use of doxycycline sclerotherapy in the treatment of a child with BLCs of the parotid.
April 15, 2000: International Journal of Pediatric Otorhinolaryngology
E Meyer, D E Lubbe, J J Fagan
OBJECTIVE: The aim of the study was to determine the effectiveness of alcohol sclerotherapy in patients with human immunodeficiency virus related salivary gland disease. STUDY DESIGN: Prospective study investigating the effectiveness of alcohol as a sclerosing agent. SETTING: Tertiary referral hospital. PATIENTS: Eleven human immunodeficiency virus positive patients with benign lymphoepithelial cysts were included in the study, from July 2005 to September 2006...
April 2009: Journal of Laryngology and Otology
Mark H Ebell, Marlene Call, JoAnna Shinholser, Jack Gardner
IMPORTANCE: Early, accurate diagnosis of infectious mononucleosis can help clinicians target treatment, avoid antibiotics, and provide an accurate prognosis. OBJECTIVE: To systematically review the literature regarding the value of the clinical examination and white blood cell count for the diagnosis of mononucleosis. DATA SOURCES: The databases of PubMed (from 1966-2016) and EMBASE (from 1947-2015) were searched and a total of 670 articles and abstracts were reviewed for eligibility...
April 12, 2016: JAMA
Antoni Bruzgielewicz, Anna Rzepakowska, Ewa Osuch-Wójcikewicz, Kazimierz Niemczyk, Rafał Chmielewski
INTRODUCTION: The aim of our retrospective study was to review the clinical and epidemiological presentation of head and neck tuberculosis. MATERIAL AND METHODS: We analyzed the history of 73 patients with head and neck tuberculosis hospitalized in the Department of Otolaryngology, Medical University of Warsaw, between 1983 and 2009. RESULTS: We found that 26 (35.6%) patients presented with lymph node tuberculosis, 20 (27.4%) with laryngeal tuberculosis, 10 (13...
December 22, 2014: Archives of Medical Science: AMS
C E Rennie, I Pai, D Selvadurai
OBJECTIVE: We report a rare case of tuberculosis presenting with bilateral vocal fold palsy. METHOD: Case report and discussion of ENT manifestations of tuberculosis. CASE REPORT: A 39-year-old man presented with stridor and bilateral vocal fold palsies, and underwent an emergency tracheostomy. Intra-operatively, a mass was identified overlying the thyroid cartilage. Fine needle aspiration cytology of this mass showed well formed granulomas but negative Ziehl-Nielsen staining...
October 2011: Journal of Laryngology and Otology
Tara D Rachakonda, Jaskaran S Dhillon, Aleksandra G Florek, April W Armstrong
BACKGROUND: Streptococcal infection is associated with psoriasis onset in some patients. Whether tonsillectomy decreases psoriasis symptoms requires a systematic review of the literature. OBJECTIVE: We sought to determine whether tonsillectomy reduces psoriasis severity through a comprehensive search of over 50 years of literature. METHODS: We searched MEDLINE, CINAHL, Cochrane, EMBASE, Web of Science, and OVID databases (from August 1, 1960, to September 12, 2013) and performed a manual search of selected references...
February 2015: Journal of the American Academy of Dermatology
Nevzat Demirbilek, Cenk Evren, Mustafa Suphi Elbistanlı, Uzay Altun, Selda Sarikaya Günay
INTRODUCTION: Caudal septal dislocation is a respiratory and cosmetic problem. The correction of caudal septal dislocation is a challenging issue. Although different modalities have been described for the treatment, it is still controversial. OBJECTIVES: This study aims to describe a two-level suture technique which can be used to correct and stabilize the septum in the columellar pocket. METHODS: The caudal septum was fixed to the nasal spine with suturing, and an anterior columellar pocket was formed...
July 2016: Brazilian Journal of Otorhinolaryngology
Joshua M Levy, Michael J Marino, Edward D McCoul
OBJECTIVE: Paranasal sinus balloon catheter dilation (BCD) represents a commonly used tool in the management of chronic rhinosinusitis (CRS) for which the indications, utilization, and outcomes have not been well established. A systematic review and meta-analysis were undertaken to evaluate change in quality of life and sinus opacification following paranasal sinus BCD in the treatment of CRS. DATA SOURCES: MEDLINE and EMBASE databases. REVIEW METHODS: Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines were utilized to identify English-language studies reporting patient outcomes following BCD for CRS...
January 2016: Otolaryngology—Head and Neck Surgery
S Mirza, S N Dutt, R M Irving
In pharyngeal pouch surgery, the relatively new technique of endoscopic stapling diverticulotomy has a number of advantages over more traditional surgical treatments, such as Dohlman's procedure and open pouch excision, and now seems to be the procedure of choice. However, a number of iatrogenic perforations and deaths have been reported with this procedure. We present three cases of iatrogenic perforations occurring during endoscopic stapling of a pharyngeal pouch by different surgeons in our unit, and review the management, causes and prevention of this potentially life-threatening complication...
February 2003: Journal of Laryngology and Otology
2015-10-08 19:02:04
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