Practice patterns and knowledge among California pediatricians regarding human papillomavirus and its relation to head and neck cancer
ConclusionThere is need to improve both the knowledge base and comfort level of pediatricians in counseling their patients during vaccine recommendations. Otolaryngologists have a critical role in providing education to physicians, trainees, and the general public in the effort to combat the epidemic of HPV-associated head and neck cancer. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 25, 2019 Category: Endocrinology Source Type: research

Vitamin D deficiency and its relationship to cancer stage in patients who underwent thyroidectomy for papillary thyroid carcinoma.
This study explores the relationship of Vitamin D to papillary thyroid carcinoma stage while accounting for socioeconomic covariates.Materials and methodsThe medical records of all patients who underwent thyroidectomy at one institution between 2000 and 2015 were reviewed. Subjects with non-papillary thyroid cancer pathology, prior malignancy, and without Vitamin D levels were excluded. The remaining 334 patient records were examined for cancer stage, Vitamin D levels, Vitamin D deficiency listed in history, and demographic and comorbid factors.ResultsVitamin D laboratory values showed no significant relationship to cancer...
Source: American Journal of Otolaryngology - April 23, 2019 Category: Endocrinology Source Type: research

Failed larynx preservation and survival in patients with advanced larynx cancer
Publication date: Available online 22 April 2019Source: American Journal of OtolaryngologyAuthor(s): Cheryl C. Nocon, Jessica Yesensky, Gaurav S. Ajmani, Mihir K. BhayaniAbstractPurposeTo evaluate the survival benefit of total laryngectomy (TL) after induction chemotherapy in locally advanced laryngeal cancer patients.Materials and methodsThis is a retrospective study utilizing the National Cancer Database, which captures>80% of newly diagnosed head and neck squamous cell carcinoma cases in the United States. We included patients diagnosed with advanced stage laryngeal squamous cell carcinoma between 2004 and 2013 (n ...
Source: American Journal of Otolaryngology - April 23, 2019 Category: Endocrinology Source Type: research

The molecular differences between human papillomavirus-positive and -negative oropharyngeal squamous cell carcinoma: A bioinformatics study
ConclusionThree genes (VCAM1, UBD, and RPA2), two miRNAs (miR-107 and miR-142-3p), and four pathways (p53, PI3K-Akt, autophagy, and transcription dysregulation in cancer) were identified to play critical roles in distinguishing HPV-positive OPSCC from HPV-negative OPSCC. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 23, 2019 Category: Endocrinology Source Type: research

Wideband Tympanmetry Results of Bone Cement Ossiculoplasty
Publication date: Available online 12 April 2019Source: American Journal of OtolaryngologyAuthor(s): O. Yigit, S. Tokgoz-Yilmaz, E. Tahir, M.D. Bajin, I. Kar, L. SennarogluAbstractObjectiveWe aim to investigate hearing sensitivity and wideband tympanometry results in bone cement ossiculoplasty cases in present study.Study designA prospective study.SettingOssiculoplasty patients were grouped according to the anatomical location of bone cement application by surgery note. Ossiculoplasty and tympanoplasty patients were retrospectively invited to the clinic and evaluated. 30 bone cement ossiculoplasty cases as well as 30 Type ...
Source: American Journal of Otolaryngology - April 20, 2019 Category: Endocrinology Source Type: research

Improving efficiency in epistaxis transfers in a large health system: Analyzing emergency department treatment variability as pretext for a clinical care pathway
ConclusionsEpistaxis management varied significantly between Emergency Medicine and Otolaryngology physicians. Numerous patients were treated immediately with non-absorbable packing. On post-transfer Otolaryngology evaluation, many of these patients required less invasive interventions. This study highlights the variability of epistaxis treatment within our hospital system and warrants the need for a standardized care pathway. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 18, 2019 Category: Endocrinology Source Type: research

Predicting transient hypocalcemia in patients with unplanned parathyroidectomy after thyroidectomy
Publication date: Available online 16 April 2019Source: American Journal of OtolaryngologyAuthor(s): Ramez Philips, Phillip Nulty, Nolan Seim, Yubo Tan, Guy Brock, Garth EssigAbstractObjectiveTo assess the utility of rapid parathyroid hormone (PTH) values in predicting transient post-operative hypocalcemia in patients with unplanned parathyroidectomy during total or completion thyroidectomy.MethodsAll patients who underwent total or completion thyroidectomy between January 2010 and January 2015 were reviewed. Incidences of post-operative hypocalcemia were compared in patients with and without unplanned parathyroidectomy. U...
Source: American Journal of Otolaryngology - April 18, 2019 Category: Endocrinology Source Type: research

Wideband timpanometry results of bone cement ossiculoplasty
Publication date: Available online 12 April 2019Source: American Journal of OtolaryngologyAuthor(s): O. Yigit, S. Tokgoz-Yilmaz, E. Tahir, M.D. Bajin, I. Kar, L. SennarogluAbstractObjectiveWe aim to investigate hearing sensitivity and wideband tympanometry results in bone cement ossiculoplasty cases in present study.Study designA prospective study.SettingOssiculoplasty patients were grouped according to the anatomical location of bone cement application by surgery note. Ossiculoplasty and tympanoplasty patients were retrospectively invited to the clinic and evaluated. 30 bone cement ossiculoplasty cases as well as 30 Type ...
Source: American Journal of Otolaryngology - April 14, 2019 Category: Endocrinology Source Type: research

Clinical practice patterns in laryngeal cancer and introduction of CT lung screening
ConclusionsThe implementation of new lung cancer screening guidelines did not change clinical practice in the management of patients with LC and many patients do not receive recommended screening. Further study concerning potential barriers to effective evidence-based screening and coordination of care is warranted. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 14, 2019 Category: Endocrinology Source Type: research

Intracapsular hemorrhage rates in non-fixated nylon sheet orbital implants for orbital fracture management
ConclusionsTo the authors knowledge, this represents the largest case series to date to assess the rate of intracapsular hemorrhage in non-fixated nylon sheet orbital implants. In the 227 cases reviewed over a 4-year period, there were no cases of intracapsular hemorrhage. This suggests a much lower complication rate than previously reported.PrécisA case series of 227 patients who underwent orbital fracture repair with non-fixated nylon sheet implants. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 10, 2019 Category: Endocrinology Source Type: research

Atypical thyroglossal duct cyst with intra-laryngeal and para-glottic extension
We present a case, review the literature and discuss the challenges of intra-laryngeal TDC. A 55-year-old man presented with a neck mass associated with dysphagia. Computer Tomography neck scan showed a midline cyst extending to the pre-epiglottic space with partial obliteration of the right pyriform sinus and narrowing of the larynx. The cyst was excised en-bloc via Sistrunk procedure. Intra-laryngeal TDC are surgically challenging due to risk of perforation into the aerodigestive tract. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 9, 2019 Category: Endocrinology Source Type: research

The etiology, pathogeneses, and treatment of objective tinnitus: Unique case series and literature review
We present two unique cases of myoclonus-induced objective tinnitus (OT), along with a comprehensive literature review on the topic. Primary goals include: explore the relationship between palatal myoclonus (PM) and middle ear myoclonus (MEM), highlight the embryologic, neurologic, and anatomical relationship between the involved peri-tubular muscles, exemplify the first case of OT which documents video evidence demonstrating the link between objective tinnitus and eustachian tube movement. Also, we discuss available treatment interventions and why they often do not fully resolve patients' symptoms. Finally we introduce a ...
Source: American Journal of Otolaryngology - April 6, 2019 Category: Endocrinology Source Type: research

Spontaneous cervical chyle fistula: A case report
ConclusionA cervical chylous fistula usually results from iatrogenic injury to the thoracic duct. To our knowledge, this is the first reported case of a spontaneous cervical chyle leak. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 3, 2019 Category: Endocrinology Source Type: research

Translation and validation of the Parotidectomy Outcome Inventory 8 (POI-8) to Spanish
ConclusionThe Spanish Language is the second most spoken language with regard to the number of native speakers and the Sp-POI 8 translation represents a valid option for the Spanish-speaking medical community, from which a large number of patients can benefit. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 3, 2019 Category: Endocrinology Source Type: research

Total vs hemithyroidectomy for intermediate risk papillary thyroid cancer: A 23 year retrospective study in a tertiary center
ConclusionThe 5 year survival in intermediate risk papillary thyroid cancer is favorable. Hemithyroidectomy is an acceptable choice of operation in intermediate risk patients with a better risk profile. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 3, 2019 Category: Endocrinology Source Type: research

Does cervical range of motion affect the outcomes of canalith repositioning procedures for posterior canal benign positional paroxysmal vertigo?
ConclusionsOur data suggest that a reduced C-ROM can require multiple CRPs to successfully treat BPPV and increase the risk of early recurrences. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 3, 2019 Category: Endocrinology Source Type: research

Expression of vimentin (VIM) and metastasis-associated 1 (MTA1) protein in laryngeal squamous cell carcinoma are associated with prognostic outcome of patients
ConclusionsVIM and MTA1 constitute potential tumor biomarkers in LSCC and could be integrated into a multiparametric prognostic model. Undoubtedly, their prognostic value needs further validation in larger cohorts of LSCC patients. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - April 3, 2019 Category: Endocrinology Source Type: research

Clinical and audiometric outcomes of palisade cartilage myringoplasty under local anesthetic in an office setting
Publication date: Available online 29 March 2019Source: American Journal of OtolaryngologyAuthor(s): Nael M. ShomanAbstractObjectiveAssess clinical and functional outcomes of a modified palisade cartilage-perichondrium graft myringoplasty under local in an office setting.Study designRetrospective case series.SettingTertiary care facility.PatientsPatients with a tympanic membrane perforation presenting between March 2013 and October 2017. Inclusion criteria included age ≥ 7 years, entire perforation margin visualized through a transcanal view, and the ability to lie supine for up to 45 min. Exclusion criteria inc...
Source: American Journal of Otolaryngology - March 31, 2019 Category: Endocrinology Source Type: research

Cricoarytenoid joint abscess associated with rheumatoid arthritis
Publication date: Available online 28 March 2019Source: American Journal of OtolaryngologyAuthor(s): Megan J. Foggia, Henry T. HoffmanAbstractCricoarytenoid joint arthritis is an uncommon manifestation of rheumatoid arthritis. We encountered a 68-year-old woman with rheumatoid arthritis who presented with odynophagia, dysphagia, and progressive shortness of breath. Examination findings showed diminished mobility of the left vocal cord and right arytenoid swelling associated with an immobile right vocal cord. Computed tomography (CT) imaging identified a ring-enhancing lesion of the right lateral cricoarytenoid joint. Micro...
Source: American Journal of Otolaryngology - March 29, 2019 Category: Endocrinology Source Type: research

Sex-specific enlarged vestibular aqueduct morphology and audiometry
ConclusionsThough females seem to have greater enlargement of the vestibular aqueduct, this difference does not extend to hearing loss. Therefore, our results indicate that criteria for EVA diagnoses may benefit from re-evaluation. Further exploration into morphological and audiometric discrepancies across sex may help inform both clinician and patient expectations. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 29, 2019 Category: Endocrinology Source Type: research

Delayed laryngeal implant infection and laryngocutaneous fistula after medialization laryngoplasty
ConclusionsDelayed complications of medialization laryngoplasty are rarely reported. This case demonstrates a delayed infection of a laryngeal implant after an animal scratch requiring implant removal, local tissue reconstruction, and culture-directed antibiotic therapy. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 28, 2019 Category: Endocrinology Source Type: research

Conservative thyroidectomy for papillary thyroid microcarcinoma
ConclusionsConservative thyroidectomy is an oncologically and functionally safe procedure for surgical treatment of PTMC and can be considered as an alternative to thyroid lobectomy for the surgical management of PTMC. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 22, 2019 Category: Endocrinology Source Type: research

Histopathologic analysis in chronic rhinosinusitis: Impact on quality of life outcomes
ConclusionsPresence of mucosal eosinophilia and basal membrane thickening appear to be the main factors adversely affect the symptom control of surgical intervention. Routine histopathology analysis can provide meaningful information for prognostication of surgical outcome. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 22, 2019 Category: Endocrinology Source Type: research

Vestibulotoxicity in a patient without renal failure after inhaled tobramycin
Publication date: Available online 19 March 2019Source: American Journal of OtolaryngologyAuthor(s): Adam C. Kaufman, Steven J. EliadesAbstractAminoglycoside antibiotics have a long history of use in the control of gram-negative bacterial infections, but their systemic use has been complicated by known ototoxicity and nephrotoxicity. Because of the utility of these medications in patients with frequent pulmonary infections, there has been a move towards the use of inhaled agents, in particular tobramycin, due to a lower rate of systemic complications. Inhaled tobramycin is generally consider to be safe from otologic compli...
Source: American Journal of Otolaryngology - March 20, 2019 Category: Endocrinology Source Type: research

PEAK PlasmaBlade versus monopolar electrocautery tonsillectomy in adults: A prospective double-blinded randomized controlled trial
Publication date: Available online 18 March 2019Source: American Journal of OtolaryngologyAuthor(s): Alvin Tan Kah Leong, Sanjay Ganhasan, Peter Lu Kuo Sun, Yuen Heng Wai, Ian Loh Chi Yuan, Hsu Pon Poh, Chan Yiong HuakAbstractObjectiveTo evaluate the efficacy and compare postoperative pain and recovery following PEAK PlasmaBlade and monopolar electrocautery tonsillectomy in adults.Study designProspective double-blinded randomized controlled trial.MethodsFifty-eight patients were recruited and randomized into 2 groups: PEAK PlasmaBlade (n = 29) or monopolar electrocautery (n = 29) tonsillectomy. Postoperative pain, ...
Source: American Journal of Otolaryngology - March 20, 2019 Category: Endocrinology Source Type: research

Transdermal lidocaine as treatment for chronic subjective tinnitus: A pilot study
Publication date: Available online 18 March 2019Source: American Journal of OtolaryngologyAuthor(s): Daniel C. O'Brien, Aaron D. Robinson, Nancy Wang, Rodney DiazAbstractObjectiveTo assess the efficacy of transdermal lidocaine as a treatment for chronic subjective tinnitus as measured by the Tinnitus Functional Index (TFI).Study designPilot, prospective efficacy trial.SettingTertiary care hospital.PatientsMen and women, over the age of 18 with chronic subjective tinnitus for>6 months.InterventionDaily application of commercially available transdermal lidocaine patch.Outcome measureChange in the TFI.ResultsThe average ...
Source: American Journal of Otolaryngology - March 19, 2019 Category: Endocrinology Source Type: research

Mild hypothermia is associated with improved outcomes in patients undergoing microvascular head and neck reconstruction
ConclusionHigher intraoperative temperatures were associated with worse outcomes. A mild relative hypothermia may improve flap outcomes in this population. This represents the largest study to date evaluating the impact of intraoperative temperature on free tissue transfer outcomes. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 17, 2019 Category: Endocrinology Source Type: research

Angiolymphoid hyperplasia with eosinophilia of the external ear
Publication date: Available online 12 March 2019Source: American Journal of OtolaryngologyAuthor(s): Brian C. Deutsch, Zachary G. Schwam, Vivian Z. Kaul, George B. WannaAbstractHerein we present the rare case of angiolymphoid hyperplasia with eosinophilia of the external ear treated by surgical resection and full-thickness skin graft. Current diagnosis and management options are reviewed. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 13, 2019 Category: Endocrinology Source Type: research

Non-recurrent laryngeal nerve in thyroid surgery: Frequency, anatomical variations according to a new classification and surgery consideration
ConclusionDespite NRLN occurrence being rare, the injury probability during surgery can reach up to 12.9% if correct procedures were not carried out. Here, we introduce a new details classification and information with which they can make appropriate surgical considerations to avoid nerve injury in thyroid surgery. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 13, 2019 Category: Endocrinology Source Type: research

Thyroid cancer in patients undergoing surgery for hyperthyroidism
Publication date: Available online 11 March 2019Source: American Journal of OtolaryngologyAuthor(s): Yogesh More, Aly Bernard Khalil, Huda Mustafa, Manjiri Gupte, Musa al abbadi, Doua Elamin, Luay Aziz, Shaikh Irfan Basha (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 12, 2019 Category: Endocrinology Source Type: research

Seed and soil? - Pharyngeal Merkel cell carcinoma after radiotherapy for laryngeal squamous cell carcinoma
We present a 66-year-old male treated with chemo-radiation for T3N2cM0 laryngeal squamous cell carcinoma (SCCa) six years before he was diagnosed with MCC isolated to the radiated laryngopharynx. Mucosal MCC is rare and radiation-induced MCC has been hypothesized to occur in previously radiated tissue but, never before to the laryngopharynx. Implications regarding cancer biology and management is focused with discussion on relevant advances in pathologic assessment and immunotherapy. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 9, 2019 Category: Endocrinology Source Type: research

Sensorineural hearing loss and volatile organic compound metabolites in urine
Publication date: Available online 4 March 2019Source: American Journal of OtolaryngologyAuthor(s): Charles Pudrith, William N. DudleyAbstractPurposeOxidative stress in the auditory system contributes to acquired sensorineural hearing loss. Systemic oxidative stress, which may predict auditory oxidative stress, can be assessed by measuring volatile organic compound metabolite concentrations in urine. The purpose of this retrospective study was to determine if hearing decreased in those with higher concentrations of urinary volatile organic compound metabolites.Materials and methodsAudiometric, demographic, and metabolite c...
Source: American Journal of Otolaryngology - March 5, 2019 Category: Endocrinology Source Type: research

The role of doxycycline in the management of chronic rhinosinusitis with nasal polyps
ConclusionsNon-surgical management of patients with CRSwNP remains challenging. Our conclusions are limited given the high dropout rate and thus, limited sample size with inadequate power. This study is important, however, because a high dropout rate of mostly severe disease patients may illustrate that this patient population may not be optimally managed with medical therapy alone. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 5, 2019 Category: Endocrinology Source Type: research

A systematic review of the nasal septal turbinate: An overlooked surgical target
ConclusionWhen evaluating nasal obstruction patients, surgeons should assess the NST and consider addressing it surgically. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - March 5, 2019 Category: Endocrinology Source Type: research

Anesthesia and ventilation options for flex robotic assisted laryngopharyngeal surgery
ConclusionsLesions of the tongue base, hypopharynx, larynx and trachea have the possibility to be managed with adequate exposure with minimal obstruction from ETT. Robotic HD camera permits both the surgeon and anesthesiologist to observe surgery and safely monitor the airway. An algorithm was developed for selecting ideal ventilation method for different procedures. The FLEX and the utilization of JV allows flexibility of two instruments without obstruction. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 23, 2019 Category: Endocrinology Source Type: research

Anatomical and frequencies-specific hearing results of retrograde mastoidectomy
Publication date: Available online 22 February 2019Source: American Journal of OtolaryngologyAuthor(s): Emine Demir, Gorkem Atsal, Oben Yildirim, Filiz Gulustan, Abdullah Dalgic, Tolgahan Catli, Levent Olgun (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 23, 2019 Category: Endocrinology Source Type: research

TORS excision of lingual thyroid carcinoma: Technique and systematic review
ConclusionsSurgeons should be aware of lingual thyroid, its presentation, workup, and carcinoma treatment. Tumors are amenable to surgical excision, possibly followed by radioactive iodine therapy. Advances in robotic and endoscopic surgery over the past decade now allow for less morbid excisions of lingual thyroid tumors. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Is septoplasty effective rhinogenic headache in patients with isolated contact point between inferior turbinate and septal spur?
ConclusionSurgical correction provides a more effective outcome in patients with rhinogenic headache. However, it is difficult to convince that headache may improve with surgery in these patients especially with isolated mucosal contact point and without nasal obstruction. In order to prove the benefit of surgery, we believe that medical treatment can be used as a guide. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Commentary on topical platelet rich plasma versus hyaluronic acid during fat graft myringoplasty
Publication date: Available online 18 February 2019Source: American Journal of OtolaryngologyAuthor(s): Kan-Feng Jin, Zhengcai-Lou (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Effects of meteorological factor and air pollution on sudden sensorineural hearing loss using the health claims data in Busan, Republic of Korea
ConclusionsIn Busan area, statistically significant weak relationships were detected between the daily numbers of patients admitted to the hospital with SSNHL and meteorological data, including PM level. Further investigation of these associations is required. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Doctor Google: Correlating internet search trends for epistaxis with metropolitan climates
ConclusionsGoogle Trends data for epistaxis-related search activity responds closely to climate patterns in most cities studied, thus underscoring the potential utility of Internet search activity data as a resource for epidemiologic study and for the identification of at risk populations. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Successful treatment of a child with definite Meniere's disease with the migraine regimen
We report a 5-year-old girl with a 6-month history of left-sided hearing loss followed by daily episodes of vertigo, headache, and vomiting who met the criteria for definite MD. The patient became symptom-free and gained near normal hearing levels after starting on a 6-week migraine diet/lifestyle regimen with riboflavin and magnesium. We believe that the symptoms of MD may be primarily due to a vestibular migraine phenomenon. Pediatric MD patients may benefit from migraine lifestyle/dietary changes with control of both cochlear and vestibular symptoms. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Implication of low risk human papillomaviruses, HPV6 and HPV11 in laryngeal papillomatosis in Burkina Faso
ConclusionsThe results show the implication of HPV6 and HPV11 in laryngeal papillomatosis in Burkina Faso with a high prevalence. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Tinnitus in the side with better hearing
ConclusionTinnitus was associated with deterioration of hearing even when it occurred in the better-hearing side. Among the possible etiologies, fluctuating hearing loss in the tinnitus side was the most common audiologic finding. Assessment of hearing level at each frequency was more effective in detecting high-frequency hearing loss rather than the use of the mean hearing level. In addition, somatosensory tinnitus should not be ignored. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Purely intracranial vagal schwannoma: A case report of a rare lesion
We present a rare intracranial vagal schwannoma along with its preoperative, intraoperative, and postoperative course. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Behavioral analysis of HPV+ oropharyngeal cancer: Do you know your patients?
ConclusionsHPV+ OPSCC was more prevalent in white males with a high number of lifetime sexual partners, as expected. Careful evaluation revealed other findings of significance that are not generally associated with this population. Half of our patients had significant historical tobacco and alcohol consumption. One quarter of patients had a history of another malignancy. These findings highlight the importance of taking a comprehensive history when determining appropriate treatment or designing future de-escalation trials in HPV+ OPSCC. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Perioperative interdisciplinary approach for reduction of opioid use in pediatric tonsillectomy: Protocol using dexmedetomidine and bupivicaine as adjunct agents
ConclusionThe use of dexmedetomidine and local anesthetic in pediatric tonsillectomy is a safe and effective protocol that allows for the reduction of opiate use and improved post-operative pain control.Key pointsQuestion: Can the combination of dexmedetomidine and infiltration of local anesthetic reduce overall opioid use for peediatric patients undergoing tonsillectomy?Findings: In this case-control study, use of dexmedetomidine and local anesthetic injected into the tonsillar fossa led to a decrease in intraoperative opiate use by 49.6%, a decrease in intraoperative sevofluorane use by 18%, and a lower reported maximum ...
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Reconstruction of a subtotal septorhinectomy defect with a chimeric paramedian-pericranial forehead flap
Publication date: Available online 19 February 2019Source: American Journal of OtolaryngologyAuthor(s): Lucas Harrison, Michelle Sieffert, Sangati Kadakia, Sameep Kadakia, Ron Michael Johnson, Yadranko DucicAbstractThe nose is a complex structure important for aesthetic appearance, social interaction, and respiration. Full thickness nasal defects with resection of the septum pose a significant challenge to the reconstructive surgeon due to the lack of local tissues to replace the nasal lining and significant risk of nasal collapse owing to the paucity of rigid infrastructure. The purpose of this paper is to present a uniqu...
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

United States-based global otolaryngology surgery: A call to more horizontal sustainable efforts
ConclusionMembers of the AAO-HNS are active in global surgery efforts around the world. Collaboration among members of the AAO-HNS may serve to improve long-term sustainability of these efforts. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research

Investigation of Human Papillomavirus (HPV) and Epstein-Barr Virus (EBV) in antrochoanal polyps
ConclusionsThis study demonstrates that there is a need for further studies investigating the presence of viruses in antrochoanal polyps. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 19, 2019 Category: Endocrinology Source Type: research