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Reduction of bone mineral density in native Chinese female idiopathic benign paroxysmal positional vertigo patients
Conclusion BMD reduction may be associated with idiopathic BPPV occurrence. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 16, 2017 Category: Endocrinology Source Type: research

Prognostic significance of standardized uptake value on F18-FDG PET/CT in patients with extranodal nasal type NK/T cell lymphoma: A multicenter, retrospective analysis
Conclusions High TLG was the only significant predictive factor on relapse free survival. The SUVmax and SUVmean measured by F18-FDG PET/CT could be significant prognostic factors in patients with extranodal nasal type NK/T cell lymphoma. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 13, 2017 Category: Endocrinology Source Type: research

The role of explorative tympanotomy in patients with sudden sensorineural hearing loss with and without perilymphatic fistula
Conclusions Explorative tympanotomy seems to be useful in patients with profound SSNHL. Patients with PLF benefit more from the surgical procedure and have better outcome than patients without PLF. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Landmarks for the preservation of the middle temporal artery during mastoid surgery: Cadaveric dissection study
Conclusions and relevance The middle temporal artery runs closest to the external auditory canal at the anterosuperior border. To preserve the middle temporal artery for use in reconstruction after otologic surgery, the surgeon should avoid dissection superior to the external auditory canal until the artery is positively identified. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Payer database and geospatial analysis to evaluate practice patterns in treating allergy in North Carolina
Conclusions Using a large payer database coupled with visualization techniques was an efficient approach to characterizing the state-wide provision patterns of allergy diagnostic and therapy services in North Carolina. This first tier approach to efficiently exploring questions and describing populations is valuable. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Outcome of spray cryotherapy plus functional endoscopic sinus surgery on management of healing in nasal polyposis
Conclusion In this paper, we concluded that usage of SCT is an effective and safe method on management of healing and develops recovery rates in patients with nasal polyposis undergoing functional endoscopic sinus surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Endoscopic versus microscopic approach in attic cholesteatoma surgery
Conclusion The surgical outcomes of endoscopic ear surgery are comparable to those of the conventional approach in terms postoperative air-conduction, graft success rate and taste sensation. The analysis of postoperative pain and healing times showed better results for EES. The mean operative times of endoscopic ear surgery gradually shortened as the surgeons gained expertise in performing one-hand surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Identifying eustachian tube dysfunction prior to hyperbaric oxygen therapy: Who is at risk for intolerance?
Conclusions A thorough otolaryngological evaluation can potentially predict and identify patients at risk for HBOT intolerance and tympanotomy tube placement. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 10, 2017 Category: Endocrinology Source Type: research

Response to the letter to the editor regarding “The outcomes of overlay myringoplasty: Endoscopic versus microscopic approach”
Publication date: Available online 7 October 2017 Source:American Journal of Otolaryngology Author(s): Yuvatiya Plodpai, Nanatphong Paje (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 8, 2017 Category: Endocrinology Source Type: research

In response to the commentary of Dr. Lou on treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study
Publication date: Available online 3 October 2017 Source:American Journal of Otolaryngology Author(s): William S. Tierney, Scott L. Gabbard, Paul C. Bryson (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 4, 2017 Category: Endocrinology Source Type: research

Application of endoscopy in otology: Changes over the last 8years in Korean Otological Society
Conclusion Endoscopy for surgery and in outpatient clinic assessment increased in otology in Korea; however, endoscopes have consistently been used as an adjuvant to the microscope to improve visualization of the tympanic cavity rather than as a tool for totally endoscopic ear surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 23, 2017 Category: Endocrinology Source Type: research

An unusual case of temporal bone encephalomeningocele occurring together with normal pressure hydrocephalus
Publication date: Available online 20 September 2017 Source:American Journal of Otolaryngology Author(s): Bernard Tan Wen Sheng, David Low Yong Ming, Heng Wai Yuen Temporal bone encephalomeningoceles are uncommon clinical entities that can be challenging to diagnose and treat. Common presenting complaints include symptoms of aural fullness, hearing loss, clear otorrhea and meningitis. Common etiologies are chronic middle ear disease and trauma. A significant proportion of cases are spontaneous, which occurs in relation to benign intracranial hypertension. Normal pressure hydrocephalus associated with temporal bone encepah...
Source: American Journal of Otolaryngology - September 21, 2017 Category: Endocrinology Source Type: research

Comparison of radiation doses imparted during 128-multislice CT-scanners and cone beam computed tomography for intra- and perioperative cochlear implant assessment
Conclusion CBCT bears considerable dose-saving potential for the perioperative examination of cochlear-implant insertion while maintaining adequate image quality. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 20, 2017 Category: Endocrinology Source Type: research

The folded postauricular flap: A novel approach to reconstruction of large full thickness defects of the conchal bowl
We describe a novel technique of the folded PIF for an extensive full-thickness auricular defect, which utilizes a single, well camouflaged donor site, provides well-vascularized local tissue with excellent color match, and allows for the restoration of the post-auricular sulcus. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 20, 2017 Category: Endocrinology Source Type: research

Marital status as a predictor of survival in patients with human papilloma virus-positive oropharyngeal cancer
Conclusions Although previous literature has demonstrated that married patients with head and neck cancer have a survival benefit compared to single patients with head and neck cancer, we were unable to demonstrate the same survival benefit in a cohort of patients with human papilloma virus-positive oropharyngeal cancer. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 20, 2017 Category: Endocrinology Source Type: research

Shrinkage in oral squamous cell carcinoma: An analysis of tumor and margin measurements in vivo, post-resection, and post-formalin fixation
Conclusion Mucosal dimensions of both tumor and tumor-free margins in oral cavity squamous cell carcinoma specimens decrease between surgical resection and pathologic analysis. Most of this decrease occurs prior to fixation, especially for margins, and may be due to intrinsic tissue properties rather than formalin effects. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 12, 2017 Category: Endocrinology Source Type: research

Intraoperative imaging during minimally invasive transoral robotic surgery using near-infrared light
Conclusion The use of the FIREFLY system with indocyanine green fluorescence did not identify tumor boundaries, unknown primary head and neck cancers, or vascular structures in the oropharynx. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 7, 2017 Category: Endocrinology Source Type: research

Commentary on: Treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study
Publication date: Available online 6 September 2017 Source:American Journal of Otolaryngology Author(s): Zhengcai Lou (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - September 7, 2017 Category: Endocrinology Source Type: research

Effects of surgical treatment of hypertrophic turbinates on the nasal obstruction and the quality of life
Conclusions All surgical techniques used to reduce the conchae mucosa led to a significant improvement in the objective and subjective nasal breathing and the quality of life. Septoplastic reduction proved to be of additional benefit. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 31, 2017 Category: Endocrinology Source Type: research

Adjuvant radiation and survival following surgical resection of sinonasal melanoma
Conclusions Adjuvant therapy does not appear to provide a significant survival benefit in resected sinonasal melanomas regardless of margin status, except those with stage IVB disease. Practitioners should carefully consider the added benefit of adjuvant therapy in these patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 31, 2017 Category: Endocrinology Source Type: research

Innovative application of intraoperative laser-assisted fluorescence angiography in resection of an angiosarcoma of the scalp
Publication date: Available online 26 August 2017 Source:American Journal of Otolaryngology Author(s): Clara M. Olcott, Daniel W. Karakla (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 27, 2017 Category: Endocrinology Source Type: research

Survival trends in patients with tracheal carcinoma from 1973 to 2011
Conclusions Survival in patients with tracheal cancer is improving over time. The utilization of radical surgery is increasing and confers the highest survival advantage to patients who are candidates. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 27, 2017 Category: Endocrinology Source Type: research

Extra-ocular movement restriction and diplopia following orbital fracture repair
Conclusions Clinically significant diplopia and extra-ocular movement restriction is not an uncommon complication after orbital fracture repair. In our series, there was a strong association between these complications and the use of porous titanium mesh implants. Revision of fractures significantly improved diplopia in all but one patient. This suggests that meticulous fracture repair and the use of non-porous implants primarily or secondarily may preclude the need for strabismus surgery after orbital trauma. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 26, 2017 Category: Endocrinology Source Type: research

Comment on: “The outcomes of overlay myringoplasty: Endoscopic versus microscopic approach”
Publication date: Available online 25 August 2017 Source:American Journal of Otolaryngology Author(s): Zhengcai Lou (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 26, 2017 Category: Endocrinology Source Type: research

Transtympanic pseudoaneurysm of the internal carotid artery complicating a myringotomy in a four-year old child: Case report and literature review
We report the first case of a transtympanic iatrogenic internal carotid artery (ICA) pseudoaneurysm diagnosed in a 4-year-old child following a myringotomy. An endovascular treatment with a covered-stent was decided; spontaneous thrombosis was found during the therapeutic arteriography, and the procedure was aborted. Otoscopy and computed tomography (CT) scan monitoring showed a prolonged thrombosis and the disappearance of the pseudoaneurysm 18months after the diagnostic arteriography. Based on literature review, endovascular techniques seem to be preferred to the surgical approach for treatment of intrapetrous ICA pseudo...
Source: American Journal of Otolaryngology - August 24, 2017 Category: Endocrinology Source Type: research

Conchal contractility after inferior turbinate hypertrophy treatment: A prospective, randomized clinical trial
Conclusion Because the RF procedure produces fibrosis in the vascular tissues, inferior turbinates do not have a shrinking response to decongestant administration. Administration of NCS administration maintains the contractility function compared to RF application. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 20, 2017 Category: Endocrinology Source Type: research

3D-printed tracheoesophageal puncture and prosthesis placement simulator
Conclusions A 3D-printed TEP simulator is feasible for surgical training. Simulation involving multiple steps may accelerate technical skills and improve education. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 19, 2017 Category: Endocrinology Source Type: research

Retropharyngeal abscess as a result of hyaluronic acid injection pharyngoplasty: A first of its kind
Publication date: Available online 1 August 2017 Source:American Journal of Otolaryngology Author(s): Joseph Capo, Samuel N. Helman, Lianne M. DeSerres (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - August 1, 2017 Category: Endocrinology Source Type: research

Surgical management of temporal bone osteoradionecrosis: Single surgeon experience of 47 cases
Conclusions Surgical treatment can be an effective treatment for temporal bone osteoradionecrosis, without hyperbaric oxygen providing any additional benefit. Reconstruction with regional or free flaps may be a more reliable method to resurface defects compared to local flaps. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 23, 2017 Category: Endocrinology Source Type: research

Eosinophilic hyperplastic lymphogranuloma: Clinical diagnosis and treatment experience of 41 cases
Conclusions EHLG is a rare disease. The clinical manifestation (itchy skin and pigmentation) and increased eosinophil play critical values to the diagnosis of EHLG. Confirmed diagnosis always depends on pathological examination. Surgery is a preferred treatment, while low dose of radiotherapy is necessary for preventing relapse after operation and hormonotherapy. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 12, 2017 Category: Endocrinology Source Type: research

Randomized double blind trial of amitriptyline versus placebo in treatment of chronic laryngopharyngeal neuropathy
Conclusion Although there was a trend toward greater subjective improvement in overall symptoms with amitriptyline, interpretation is limited due to the small sample size. Larger randomized controlled trials to determine the efficacy of neuro-modulating agents in the treatment of chronic laryngopharyngeal neuropathy, as well as better metrics to characterize this disorder, are warranted. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 12, 2017 Category: Endocrinology Source Type: research

Total lower lip and chin reconstruction with radial forearm free flap: A novel approach
Conclusions This procedure meets all goals of total lower lip reconstruction with the exception of the introduction of dynamic tissue and represents a novel solution to a challenging reconstructive problem. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 8, 2017 Category: Endocrinology Source Type: research

Metastatic squamous cell carcinoma to the superior cervical ganglion mimicking a retropharyngeal lymph node
Conclusions The superior cervical ganglion may be mistaken for a retropharyngeal lymph node. Although extremely rare, these entities may be differentiated on the basis of radiological studies. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 5, 2017 Category: Endocrinology Source Type: research

The contemporary utility of intraoperative frozen sections in thyroid surgery
Conclusion While intraoperative frozen sections on thyroid specimens may be helpful if positive, the false negative rate remains high. There appears to be limited value in routine frozen sections to guide clinical management and decision-making in the era of the Bethesda system. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 5, 2017 Category: Endocrinology Source Type: research

Histopathological investigation of intranodular echogenic foci detected by thyroid ultrasonography
Conclusion Histopathology confirmed a high rate of sonographic macrocalcifications. The micro and macro patterns of sonographic calcification showed no particular association with thyroid malignancy. The preoperative risk of malignancy should be determined in conjunction with other known sonographic risk factors and diagnostic tests. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - July 5, 2017 Category: Endocrinology Source Type: research

Letter to Editors: Detection of endolymphatic hydrops using traditional MR imaging sequences
Publication date: Available online 30 June 2017 Source:American Journal of Otolaryngology Author(s): Shinji Naganawa, Michihiko Sone (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 30, 2017 Category: Endocrinology Source Type: research

Lateral cervical approach for supracricoid partial laryngectomy
Conclusion Supracricoid laryngectomy by a lateral approach is feasible and safe; it allows to perform a simultaneous neck dissection and the removal of the entire laryngeal specimen preserving ample healthy tissue compared to the classic anterior approach. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 27, 2017 Category: Endocrinology Source Type: research

Treatment of laryngopharyngeal reflux using a sleep positioning device: A prospective cohort study
Conclusions In patients with LPR, SPD treatment significantly improves self-reported symptoms of nocturnal reflux as well as symptoms specific to LPR. These results support the therapeutic efficacy of a SPD for patients with LPR. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 27, 2017 Category: Endocrinology Source Type: research

Hearing loss in enlarged vestibular aqueduct and incomplete partition type II
Conclusions Hearing loss due to enlarged vestibular aqueduct does not appear to be affected by the presence of incomplete partition type II. Our results suggest that the pathophysiological processes underlying hearing loss in enlarged vestibular aqueduct may not be a result of cochlear malformation, and instead are more likely to involve vestibular aqueduct or cellular and molecular-level mechanisms of hearing loss. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 23, 2017 Category: Endocrinology Source Type: research

Utilization of sinus stents as a novel approach for benign cystic lesions of the sella
Publication date: Available online 21 June 2017 Source:American Journal of Otolaryngology Author(s): Akina Tamaki, Berje Shammassian, Abhishek Ray, Warren R. Selman, Kenneth Rodriguez Steroid-releasing sinus stents have emerged as a safe and effective tool in endoscopic sinus surgery. In this case report, we present two patients with recurrent cystic sellar masses. Transsphenoidal approach was used to access the sella. Following resection and drainage of the cystic pathology, a Propel (Menlo Park, CA) stent was placed through the corridor of the resection site to stent the cavity open. This is the first report where a ste...
Source: American Journal of Otolaryngology - June 21, 2017 Category: Endocrinology Source Type: research

Parathyroidectomy for tertiary hyperparathyroidism: A systematic review
Conclusion Interestingly, hyperparathyroidism alone is not an indication for surgery without other findings; rather, symptomatic hypercalcemia appears to be the main indication. Most studies recommend limited or subtotal parathyroidectomy for 3HPT. The operative endpoint of surgery is not necessarily a return of PTH to normal, but a >50% drop in PTH level even if PTH remains above normal. Additionally, “success” or “cure” is defined as normal calcium levels regardless of whether or not PTH is elevated. It appears the goal of surgery for 3HPT is not a normal PTH value, but a normal calcium lev...
Source: American Journal of Otolaryngology - June 21, 2017 Category: Endocrinology Source Type: research

Comparison of the effects of esomeprazole plus mosapride citrate and botulinum toxin A on vocal process granuloma
Conclusions Combined proton pump inhibitor plus prokinetic drug therapy plays a significant role in the treatment of vocal process granulomas or after surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 21, 2017 Category: Endocrinology Source Type: research

Otolaryngology consultation tracheostomies and complex patient population
Conclusions More complex tracheostomies are being referred to and performed by otolaryngology at our institution. Difficult and challenging tracheostomies seem to be the “standard” for otolaryngologists. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 19, 2017 Category: Endocrinology Source Type: research

Temporal bone computed tomography findings associated with feasibility of endoscopic ear surgery
Conclusions Preoperative CT findings, notably extension of soft tissue in the aditus ad antrum, antrum and mastoid, are associated with need for conversion to transmastoid technique to achieve removal of cholesteatoma. Endoscope-only cases were significantly faster than cases that required conversion to a transmastoid approach. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 14, 2017 Category: Endocrinology Source Type: research

Neck dissection for unknown cancer of the head and neck in the era of chemoradiation
Conclusions Neck dissection improved local and regional control but not overall survival in patients with unknown primary squamous cell carcinoma of the head and neck over non-operative therapy alone. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 14, 2017 Category: Endocrinology Source Type: research

Long-term outcomes of central neck dissection for cN0 papillary thyroid carcinoma
Conclusion CND does not confer any clear advantage in the treatment of low-risk patients, regardless of surgical procedure. Instead, bilateral CND may be effective in limiting disease relapse and/or progression in patients at higher prognostic risk. Our data indicate that elective CND does not confer any clear advantage in terms of locoregional recurrence and long-term survival, as demonstrated by outcomes of the study Groups, regardless of their different prognostic risk. Elective CND allows a more accurate pathologic staging of central neck lymph nodes, despite its increasing the risk of permanent hypoparathyroidism. Int...
Source: American Journal of Otolaryngology - June 14, 2017 Category: Endocrinology Source Type: research

The effects of fibroblast growth factor-2 delivered via a Gelfoam patch on the regeneration of myringosclerotic traumatic eardrum perforations lying close to the malleus
Conclusions FGF-2 plus Gelfoam patching significantly shortened the closure time compared to observation and Gelfoam patching alone, and it significantly improved the closure rate (compared to observation alone) of myringosclerotic perforations lying close the malleus. FGF-2 plus Gelfoam patching is a valuable, minimally invasive alternative treatment that may be readily applied to outpatient settings. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 14, 2017 Category: Endocrinology Source Type: research

Analysis of archived newborn dried blood spots (DBS) identifies congenital cytomegalovirus as a major cause of unexplained pediatric sensorineural hearing loss
Conclusions A retrospective DBS analysis demonstrated 26% of patients presenting with unexplained SNHL in childhood had cCMV. DBS testing is useful in the retrospective diagnosis of cCMV, and may provide definitive diagnostic information about the etiology of SNHL. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 7, 2017 Category: Endocrinology Source Type: research

Various combinations of velopharyngeal and hypopharyngeal surgical procedures for treatment of obstructive sleep apnea: Single-stage, multilevel surgery
Conclusion According to outcomes of this study, OSA patients with multilevel obstructions can benefit from combined surgeries for velopharyngeal and hypopharyngeal regions at the same operation stage, without experiencing persistent complaints. It is promising that, despite multiple levels of obstruction was operated at single-stage, airway safety was preserved in all patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 6, 2017 Category: Endocrinology Source Type: research

The effect of training level on complications after free flap surgery of the head and neck
Conclusion Resident and fellow participation in microvascular reconstructive cases does not appear to increase 30-day rates of medical, surgical, or overall complications. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - June 3, 2017 Category: Endocrinology Source Type: research