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A novel method to measure the external auditory canal: Normative data and practical implications
Conclusions This study demonstrates that CT analysis can provide more information about EAC dimensions than traditional techniques. Moreover, slight but statistically significant differences are associated with age, gender and laterality. Accurate estimation of EAC dimensions is important for the development of hearing aids and personal protective equipment and can also be helpful for surgical planning, specifically otoendoscopy. Future research will focus on simplifying computation, developing cross-cultural cohort comparisons, and application to otoendoscopic procedures. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 15, 2017 Category: Endocrinology Source Type: research

Voice and swallowing outcomes following hypoglossal nerve stimulation for obstructive sleep apnea
Conclusion The implantation and use of the hypoglossal nerve stimulator over 5months did not demonstrate any sustained, patient reported changes in voice handicap and swallowing function. While larger studies are warranted, our findings can be used to provide further informed consent for hypoglossal nerve stimulator implantation. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 15, 2017 Category: Endocrinology Source Type: research

MRI screening of the internal auditory canal: Is gadolinium necessary to detect intralabyrinthine schwannomas?
Conclusion Non-contrast high-resolution T2WI alone can detect ILSs with 84–100% sensitivity, suggesting that gadolinium may be unnecessary to exclude ILSs on screening MRI. These findings have implications for reducing cost, time, and adverse events associated with gadolinium administration in patients presenting with sudden or ASNHL. Level of evidence 4 (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 14, 2017 Category: Endocrinology Source Type: research

Combined use of a nanocarbon suspension and 99mTc-MIBI for the intra-operative localization of the parathyroid glands
Conclusion The combined use of an NC suspension and 99mTc-MIBI for patients with sHPT is strongly recommended for the localization of parathyroid glands during surgery and is likely to improve clinical outcomes for patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 14, 2017 Category: Endocrinology Source Type: research

A novel technique for superior-based pharyngeal flaps: 10-year results with formal speech outcomes assessment
Conclusions This technique is successful in congenital and acquired VPI, and in patients with complex craniofacial syndromes. Customization of lateral ports based on preoperative nasopharyngoscopy, and avoidance of a midline palate splitting incision, make this an attractive option for superior-based flap surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 12, 2017 Category: Endocrinology Source Type: research

Gastro-pharyngeal reflux and total laryngectomy. Increasing knowledge about its management
Conclusions Pre- and post-surgical reflux investigation could identify preexisting reflux severity and screen potential high-risk cancer patients for postoperative complications. This might allow the early onset of acid suppressive therapy in presence of pathologic findings in high-complication risk cancer patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 12, 2017 Category: Endocrinology Source Type: research

In response to Letter to the Editor entitled ‘Is an endoscopic or a microscopic approach optimal for management of attic cholesteatoma?’
Publication date: Available online 8 December 2017 Source:American Journal of Otolaryngology Author(s): Giuseppe Magliulo, Giannicola Iannella (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 9, 2017 Category: Endocrinology Source Type: research

Comparison of transcanal endoscopic tympanoplasty with sterile acellular dermal allograft to conventional endaural microscopic tympanoplasty with tragal perichondrium
Conclusion With human cadaveric ADA, minimal invasive endoscopic tympanoplasty can be achieved with similar postoperative results and less pain. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 8, 2017 Category: Endocrinology Source Type: research

Is an endoscopic or a microscopic approach optimal for management of attic cholesteatoma?
Publication date: Available online 8 December 2017 Source:American Journal of Otolaryngology Author(s): Zhengcai-LouZihan-LouZhenqi-Gong (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 8, 2017 Category: Endocrinology Source Type: research

Intestinal permeability and M énière's disease
Conclusions An altered intestinal permeability, according to the two assays, was found only in symptomatic MD patients. The rationale for a possible relationship between MD and intestinal permeability is forwarded. The double-sugar test and FC quantification might be implemented in the MD diagnostic workup. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 6, 2017 Category: Endocrinology Source Type: research

Reliability of temporal bone high-resolution CT in patients with facial paralysis in temporal bone fracture
Conclusion Temporal bone HRCT can generally estimate the extent of damage and provide important information for traumatic facial paralysis before surgery. However, it is unreliable in revealing the damage of fallopian canal at the posterior genu and mastoid segment. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 6, 2017 Category: Endocrinology Source Type: research

Symptomatic unilateral vocal fold paralysis following cardiothoracic surgery
Conclusions Many cardiothoracic procedures are associated with symptomatic UVFP, predominantly left-sided. Our data showed poor recovery of vocal fold mobility relative to other studies. Early diagnosis and potential surgical medialization is important in the care of these patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 6, 2017 Category: Endocrinology Source Type: research

Mycology of chronic suppurative otitis media-cholesteatoma disease: An evaluative study
Conclusions There is fungal colonization of cholesteatoma which is pathogenic and can cause persistent otorrhoea. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 3, 2017 Category: Endocrinology Source Type: research

Commentary to letter to the editor to manuscript “Effects of surgical treatment of hypertrophic turbinates on the nasal obstruction and the quality of life”
Publication date: Available online 2 December 2017 Source:American Journal of Otolaryngology Author(s): Katharina Stölzel (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 3, 2017 Category: Endocrinology Source Type: research

Retrograde parotidectomy and facial nerve outcomes: A case series of 44 patients (Letter to Editor)
Publication date: Available online 1 December 2017 Source:American Journal of Otolaryngology Author(s): Tam-Lin Chow (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 2, 2017 Category: Endocrinology Source Type: research

The extent of surgery for benign parotid pathology and its influence on complications: A prospective cohort analysis
Conclusion Partial superficial parotidectomy was associated with low rates of morbidity to the facial nerve and surgical wound. The results were comparable to complete superficial parotidectomy. We recommend offering patient partial superficial parotidectomy where appropriate and this is in line with the current trend of minimising surgical dissection, thereby potentially decreasing the risk of short-term and long-term complications. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 30, 2017 Category: Endocrinology Source Type: research

Image analysis of interarytenoid area to detect cases of Laryngopharyngeal Reflux: An objective method
Conclusion Image analysis is an easy, economical and objective method to diagnose LPR. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 29, 2017 Category: Endocrinology Source Type: research

Response Regarding Surgical Techniques for Retrograde Parotidectomy
Publication date: Available online 22 November 2017 Source:American Journal of Otolaryngology Author(s): Maxwell Kligerman, Uchechukwu Megwalu, Davud Sirjani (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 23, 2017 Category: Endocrinology Source Type: research

Response to the letter to the editor regarding comment on: “The outcomes of overlay myringoplasty: Endoscopic versus microscopic approach”
Publication date: November–December 2017 Source:American Journal of Otolaryngology, Volume 38, Issue 6 Author(s): Yuvatiya Plodpai, Nanatphong Paje (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 16, 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 - November 16, 2017 Category: Endocrinology Source Type: research

Comparison of radiation doses imparted during 128-, 256-, 384-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 - November 16, 2017 Category: Endocrinology Source Type: research

Development and face validation of a Virtual Reality Epley Maneuver System (VREMS) for home Epley treatment of benign paroxysmal positional vertigo: A randomized, controlled trial
Conclusion We have developed and demonstrated face validity for VREMS through our randomized controlled trial. The VREMS platform is promising technology, which may improve the accuracy and effectiveness of home Epley treatments. Level of evidence N/A. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 15, 2017 Category: Endocrinology Source Type: research

Total caloric eye speed in patients with vestibular migraine
Conclusion Low total eye speed may be suggestive of a diagnosis of vestibular migraine, but most patients with vestibular migraine do not have low total eye speed. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 15, 2017 Category: Endocrinology Source Type: research

ACS NSQIP risk calculator reliability in head and neck oncology: The effect of prior chemoradiation on NSQIP risk estimates following laryngectomy
Conclusions The NSQIP Calculator may be poorly calibrated to estimate postoperative complication risk for patients previously exposed to chemoradiation undergoing salvage laryngectomy. Caution should be used when estimating postoperative risk among patients undergoing salvage procedures, especially those of older age, poorer functional status, and those requiring neck dissection. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 14, 2017 Category: Endocrinology Source Type: research

Tailored resections in oral and oropharyngeal cancer using narrow band imaging
Conclusions NBI could allow for real-time definition of superficial tumor extension with possible tailored resections and fewer positive superficial resection margins; it is not influenced by tumor site. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 10, 2017 Category: Endocrinology Source Type: research

Reconstruction of preauricular soft tissue defects using a superiorly based rotation advancement scalp flap - A novel approach to the surgical treatment of preauricular sinuses
Publication date: Available online 10 November 2017 Source:American Journal of Otolaryngology Author(s): Bernard Tan, Lee Tee Sin, Ian Loh (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 10, 2017 Category: Endocrinology Source Type: research

It is vital to identify the underlying cause of chronic laryngopharyngeal neuropathy
Publication date: Available online 7 November 2017 Source:American Journal of Otolaryngology Author(s): Zhengcai Lou (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 8, 2017 Category: Endocrinology Source Type: research

Adenoidectomy and chronic nasal obstruction developing after failure of nasal steroid therapy
Publication date: Available online 7 November 2017 Source:American Journal of Otolaryngology Author(s): Zhengcai Lou (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 7, 2017 Category: Endocrinology Source Type: research

Treating laryngopharyngeal reflux: Evaluation of an anti-reflux program with comparison to medications
Conclusion The anti-reflux program yielded rapid and substantial results for a large cohort of patients with LPR. It compared favorably with medication and behavioral modification alone. It was effective in improving cough and treating patients who had previously failed medications alone. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 1, 2017 Category: Endocrinology Source Type: research

Pediatric airway study: Endoscopic grading system for quantifying tonsillar size in comparison to standard adenotonsillar grading systems
Conclusions The proposed Endoscopic tonsillar grading system is as reliable of a method of grading tonsillar size as conventional grading systems. It offers the advantage of allowing for critical evaluation of the tonsils without any anatomic distortion which may occur with the use of a tongue blade. This new validated endoscopic grading system provides a tool for communicating the degree of airway obstruction at the level of the oropharynx regardless of Friedman palate position and may be used in future outcomes projects. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 29, 2017 Category: Endocrinology Source Type: research

Effects of intratympanic dexamethasone on noise-induced hearing loss: An experimental study
Conclusion Our study revealed a significant difference in DPOAE measurements on days 7 and 10 between the experimental and control groups. We detected a positive effect of dexamethasone on noise-induced hearing loss. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 27, 2017 Category: Endocrinology Source Type: research

Survival in patients with parotid gland carcinoma – Results of a multi-center study
Conclusion Nodal metastases and high grade histology are important negative prognostic factors for OS. Postoperative radiotherapy is recommended in patients with advanced high grade carcinoma. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 25, 2017 Category: Endocrinology Source Type: research

The malleus cap: Anatomic description of cartilage of the lateral process of the malleus
Conclusion The cartilaginous cap of the lateral process of the malleus is an important and reliable anatomical structure of the middle ear that has not previously been described. Through knowledge of the structure surgeons may exploit its presence by creating a cleavage plane between the cartilaginous cap and the malleus during tympanoplasty, possibly allowing for safer and more efficient surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - October 25, 2017 Category: Endocrinology Source Type: research

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