Karin Murer, Michael B Soyka, Martina A Broglie, Gerhard F Huber, Sandro J Stoeckli
The purpose of the present study is to evaluate long-term outcome and patients' satisfaction after endoscopic therapy of Zenker's diverticulum (ZD) and to analyze the results of the stapler technique in comparison with the application of the carbon dioxide (CO2) laser. A retrospective cohort study with outcome analysis of patients undergoing endoscopic cricopharyngeal myotomy with either stapler or CO2 laser between October 2000 and December 2010 by a single surgeon was performed. Patient's medical charts were reviewed with respect to symptoms before intervention, intra and post operative complications, reasons for the choice of endoscopic technique, and postoperative relief of symptoms...
January 2015: European Archives of Oto-rhino-laryngology
Ibrahim K Al Aradi, Sharifah A Alawadhi, Fatma A Alkhawaja, I Alaradi
BACKGROUND: Management of earlobe keloids is challenging because they are often resistant to treatment. The literature reports different treatment modalities with variable responses. Surgical excision with core fillet flap in combination with adjuvant intralesional steroid injection has not been thoroughly explored for keloid treatment, in spite of its positive therapeutic and cosmetic outcome. OBJECTIVES: To evaluate the clinical efficacy of keloidectomy with core fillet flap and adjuvant intralesional steroid injection in treating earlobe keloids...
October 2013: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
Philip G Chen, Peter-John Wormald, Spencer C Payne, William E Gross, Charles W Gross
OBJECTIVES/HYPOTHESIS: The frontal sinus is one of the most anatomically complex and inaccessible of the paranasal sinuses. As a result, surgeons have continually tried to improve surgical management of the frontal sinus. The senior author (c.w.g.) shares 50 years of experience managing the frontal sinus. DATA SOURCES: PubMed literature search. REVIEW METHODS: Review of the literature regarding landmark innovations in frontal sinus surgery...
April 2016: Laryngoscope
Petra Zimmermann, Marc Tebruegge, Nigel Curtis, Nicole Ritz
OBJECTIVES: Cervicofacial lymphadenitis is the most common manifestation of infection with non-tuberculous mycobacteria (NTM) in immunocompetent children. Although complete excision is considered standard management, the optimal treatment remains controversial. This study reviews the evidence for different management options for NTM lymphadenitis. METHODS: A systematic literature review and meta-analysis were performed including 1951 children from sixty publications...
July 2015: Journal of Infection
Renee Penn, Matthew K Steehler, Alex Sokohl, Earl H Harley
OBJECTIVE: To describe a clinical staging system for nontuberculous mycobacterial (NTM) cervicofacial lymphadenitis that has both diagnostic and therapeutic implications. METHODS: A Medline database search was performed using key words "nontuberculous mycobacteria". All articles pertaining to nontuberculous mycobacterial cervicofacial lymphadenitis were reviewed for data evaluation regarding diagnosis and treatment methodologies. RESULTS: Nontuberculous cervicofacial lymphadenitis infections pass through distinctly segmented clinical phases...
December 2011: International Journal of Pediatric Otorhinolaryngology
R Khan, S H Harris, A K Verma, A Syed
BACKGROUND: The commonest form of extrapulmonary tuberculosis is tubercular cervical lymphadenitis, or scrofula. METHODS AND RESULTS: A total of 1827 patients with cervical lymphadenopathy who presented to various out-patients clinics of our institution were studied over a three-year period. Eight hundred and ninety-three (48.87 per cent) of these patients had lesions of tubercular origin. The most common observation was unilateral, matted adenopathy in female patients aged between 11 and 20 years and without constitutional symptoms of tuberculosis...
July 2009: Journal of Laryngology and Otology
Michelle S Hwang, Kathryn E Kaye, Jonathan A Waxman, Michael Friedman
No abstract text is available yet for this article.
November 2015: Laryngoscope
Mena Soliman, Michelle L North, Lisa M Steacy, Jenny Thiele, Daniel E Adams, Anne K Ellis
No abstract text is available yet for this article.
September 2014: Annals of Allergy, Asthma & Immunology
Carmen Rondón, Paloma Campo, Rocío Herrera, Natalia Blanca-Lopez, Lidia Melendez, Gabriela Canto, Maria J Torres, Miguel Blanca
BACKGROUND: Patients previously given a diagnosis of nonallergic rhinitis (NAR) might have a new form of local allergic rhinitis (LAR) with local production of specific IgE antibodies and a positive response to a nasal allergen provocation test (NAPT). OBJECTIVE: We evaluated an NAPT protocol using multiple aeroallergens (NAPT-M) for the detection of polysensitization to several aeroallergens in patients with LAR. METHODS: NAPT-Ms with 2 different panels of aeroallergens for patients with perennial and seasonal rhinitis were performed in 25 patients with LAR and 25 patients with NAR whose disease was diagnosed by means of NAPTs 1 year earlier...
December 2011: Journal of Allergy and Clinical Immunology
Carmen Rondón, Paloma Campo, Alkis Togias, Wytske J Fokkens, Stephen R Durham, Desmond G Powe, Joaquim Mullol, Miguel Blanca
Local allergic rhinitis (LAR) is a localized nasal allergic response in the absence of systemic atopy characterized by local production of specific IgE (sIgE) antibodies, a T(H)2 pattern of mucosal cell infiltration during natural exposure to aeroallergens, and a positive nasal allergen provocation test response with release of inflammatory mediators (tryptase and eosinophil cationic protein). Although the prevalence remains to be established, a number of patients previously given a diagnosis of nonallergic rhinitis or idiopathic rhinitis are now being classified as having LAR...
June 2012: Journal of Allergy and Clinical Immunology
Balazs B Lörincz, Nathan Jowett, Rainald Knecht
BACKGROUND: Transoral robotic surgery (TORS) has become an accepted first-line treatment for T1 and T2 head and neck squamous cell carcinoma (HNSCC). The growing popularity of this procedure is the result of mounting skepticism as to the survival and quality of life (QOL) benefits of primary chemoradiation over definitive surgery, the rising incidence of human papillomavirus (HPV)-positive oropharyngeal squamous cell carcinoma (OPSCC) in progressively younger patients, and the advantages of TORS over transoral laser microsurgery (TOLM) and open surgery...
April 2016: Head & Neck
Wojciech K Mydlarz, Jason Y K Chan, Jeremy D Richmon
The incidence of human papillomavirus (HPV)-associated oropharyngeal cancer continues to increase in contrast to other head and neck cancer sites. There is a growing role for upfront surgery to treat these cancers in the era of organ preservation treatment strategies. This is becoming especially important in younger, healthier patients with HPV-associated squamous cell carcinoma. Surgery for oropharyngeal cancer has evolved from large, open transcervical and transmandibular approaches to minimally-invasive transoral endoscopic techniques...
April 2015: Oral Oncology
Mark Boston, Drew Horlbeck
Humanitarian surgical missions can provide much needed care for those who are otherwise unable to receive such care because of limited local health care resources and cost. These missions also offer excellent training opportunities and can be life-changing experiences for those who participate in them. A successful humanitarian surgical mission requires careful planning and coordination and can be challenging for those tasked with the responsibilities to organize and lead these missions. This article addresses many of the issues and challenges encountered when planning and leading humanitarian surgical missions and offers a template to be used by those who take on these challenges...
September 2015: Otolaryngology—Head and Neck Surgery
Yong-Wan Kim, Myoung-Joo Kang, Hyung-Ju Lee, Chang-Ki Woo, Mi-Jin Mun, Kyu-Sup Cho
OBJECTIVE: A fibrinogen/thrombin-based collagen fleece (TachoComb) is a powerful topical hemostatic agent that has been widely used in various surgical specialties with a favorable outcome. The purpose of this study was to investigate the effect of TachoComb application on postoperative complications after tonsillectomy. MATERIALS AND METHODS: A total of 1633 children had undergone tonsillectomy with or without adenoidectomy were included in this study. After removal of both tonsils, 1057 patients (64...
August 2015: International Journal of Pediatric Otorhinolaryngology
Surjit Singh, Pandiarajan Vignesh, David Burgner
Kawasaki disease (KD) is a childhood vasculitis and the most frequent cause of paediatric acquired heart disease in North America, Europe and Japan. It is increasingly recognised in rapidly industrialising countries such as China and India where it may replace rheumatic heart disease as the most common cause of acquired heart disease in children. We review the current global epidemiology of KD and discuss some public health implications.
November 2015: Archives of Disease in Childhood
David Young, Christopher C Xiao, Benjamin Murphy, Michael Moore, Carole Fakhry, Terry A Day
The face of head and neck cancer has changed dramatically over the past 30 years. There has been a steady decline in the number of tobacco and alcohol related squamous cell carcinomas over the past 30 years, but and increasing incidence of human papillomavirus (HPV) related cancers. Some estimates suggest that 70-90% of new oropharyngeal cancers have evidence of HPV. These patients have different demographic patterns, in that they are more likely to be younger, white adults in their 40s and 50s who are never smokers or have reduced tobacco exposure...
August 2015: Oral Oncology
Shahrokh Amiri, Shahin AbdollahiFakhim, Alireza Lotfi, Gholamreza Bayazian, Mojtaba Sohrabpour, Taghi Hemmatjoo
BACKGROUND: Adenotonsillar hypertrophy is the most common etiologic agent for the obstruction of the upper airways in children, which might be associated with attention-deficit hyperactivity disorder (ADHD), one of the most common psychiatric disorders of childhood. Despite the concurrence of these two conditions, i.e., obstruction of the airways and ADHD, no exact etiologic relationship has been established between adenotonsillectomy (AT) and ADHD symptoms. This study was undertaken to evaluate the effect of AT on the ADHD symptoms in children with adenotonsillar hypertrophy and sleep disordered breathing (SDB)...
August 2015: International Journal of Pediatric Otorhinolaryngology
Albert H Park, Melanie Duval, Stephanie McVicar, James F Bale, Nancy Hohler, John C Carey
OBJECTIVES/HYPOTHESIS: To determine the feasibility and cost effectiveness of incorporating cytomegalovirus (CMV) testing to determine the etiology of pediatric hearing loss. STUDY DESIGN: Retrospective study of children presenting with sensorineural hearing loss (SNHL) at one institution from 2008 to 2013. METHODS: Children aged 3 years or younger who presented to the senior author (A.P.) between May 2008 and September 2013 with confirmed SNHL were evaluated...
November 2014: Laryngoscope
B Y Huang, C Zdanski, M Castillo
This article is the second in a 2-part series reviewing neuroimaging in childhood SNHL. Previously, we discussed the clinical work-up of children with hearing impairment, the classification of inner ear malformations, and congenital nonsyndromic causes of hearing loss. Here, we review and illustrate the most common syndromic hereditary and acquired causes of childhood SNHL, with an emphasis on entities that demonstrate inner ear abnormalities on cross-sectional imaging. Syndromes discussed include BOR syndrome, CHARGE syndrome, Pendred syndrome, Waardenburg syndrome, and X-linked hearing loss with stapes gusher...
March 2012: AJNR. American Journal of Neuroradiology
B Y Huang, C Zdanski, M Castillo
SNHL is a major cause of childhood disability worldwide, affecting 6 in 1000 children. For children with prelingual hearing loss, early diagnosis and treatment is critical to optimizing speech and language development, academic achievement, and social and emotional development. Cross-sectional imaging has come to play an important role in the evaluation of children with SNHL because otolaryngologists routinely order either CT or MR imaging to assess the anatomy of the inner ears, to identify causes of hearing loss, and to provide prognostic information related to potential treatments...
February 2012: AJNR. American Journal of Neuroradiology
2015-06-18 16:39:59
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