Current Opinion in Otolaryngology and Head and Neck Surgery Current Opinion in Otolaryngology and Head and Neck Surgery RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Update on reconstructive options for nasal Mohs defects 1.5 cm or less
Purpose of review: The article reviews the current literature to provide an overview on contemporary reconstructive options for closure of Mohs defects of the nose that are 1.5 cm or less. Recent findings: Although some of the techniques described in the literature are of historical importance only, others have undergone modification and metamorphosis to be broadly used in their contemporary form. Others are implemented in their original design, irrespective of relative age or multiple attempted adaptations. The increase in variable closure options available provides the surgeon with the ability to tailor reconstruction...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: FACIAL PLASTIC SURGERY: Edited by Travis T. Tollefson Source Type: research

Allergy and laryngeal disorders
This article reviews recent literature on the topic of allergic laryngitis. There has been sustained interest over the past 15 years and epidemiological and experimental studies have led to a clearer description of the nature of the condition and its clinical expression. Recent findings: Recent studies have suggested an epidemiological association between the presence of allergy and concurrent laryngeal symptoms and objective signs. Both population-based studies and smaller investigations have shown a significant relationship between these two variables. In addition, recent studies have questioned the inter-rater reliabil...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: ALLERGY: Edited by Sandra Y. Lin Source Type: research

Evaluation and treatment of isolated sphenoid sinus diseases
Purpose of review: To review cause, clinical evaluation, medical and surgical management of isolated sphenoid sinus diseases. Recent findings: Early diagnosis of isolated sphenoid sinus diseases requires a high index of clinical suspicion and appropriate radiological imaging. Sphenoid sinus can be approached endoscopically via a few different surgical techniques. Summary: Isolated sphenoid sinus diseases are uncommon, with nonspecific clinical presentation. Early diagnosis requires a high index of clinical suspicion, proper endoscopic nasal examination, and appropriate radiological imaging. Surgical intervention is the p...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa Source Type: research

Perspectives in the reconstruction of paediatric facial paralysis
Purpose of review: In this review article, aimed at those likely to encounter but relatively unfamiliar with paediatric facial paralysis, we summarize reconstructive options in its surgical management. Recent findings: The article looks at static and dynamic reconstructions available to address the problems encountered in the different anatomical regions of paralyzed face. Summary: Although multiple surgical options are available for each anatomical region, decision-making should be taken in a multidisciplinary environment, and take into account the individual requirements of the family and patients. (Source: Current Opini...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller Source Type: research

Orbital reconstruction
This article will review recent advances in orbital reconstruction, including presurgical planning software, intra-operative navigation, patient-specific implants, and intra-operative imaging. Recent findings: Traditional techniques for diagnosis and orbital injuries continue to be refined; however, advances in computer-aided surgery are allowing surgeons to significantly improve the anatomic accuracy of orbital reconstruction. Summary: While not all surgeons currently have access to computer-aided applications for orbital reconstruction, these techniques will continue to be refined, resulting in lower cost and greater acc...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: HEAD AND NECK RECONSTRUCTION: Edited by Scott C. Fuller Source Type: research

Update of patient-specific maxillofacial implant
Purpose of review: Patient-specific implant (PSI) is a personalized approach to reconstructive and esthetic surgery. This is particularly useful in maxillofacial surgery in which restoring the complex three-dimensional (3D) contour can be quite challenging. In certain situations, the best results can only be achieved with implants custom-made to fit a particular need. Significant progress has been made over the past decade in the design and manufacture of maxillofacial PSIs. Recent findings: Computer-aided design (CAD)/computer-aided manufacturing (CAM) technology is rapidly advancing and has provided new options for fabri...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: FACIAL PLASTIC SURGERY: Edited by Travis T. Tollefson Source Type: research

Acupuncture and allergic rhinitis
This article reviews the evidence base on the efficacy/effectiveness, safety and cost-effectiveness of acupuncture for allergic rhinitis. Recent findings: Our review of the medical literature from January 2013 through December 2014 revealed that there is research demonstrating efficacy and effectiveness for acupuncture in the treatment of allergic rhinitis, as well as improvement of quality of life and quality-adjusted life-years. Summary: There are high-quality randomized controlled trials that demonstrate efficacy and effectiveness for acupuncture in the treatment of both seasonal and perennial allergic rhinitis. Smaller...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: ALLERGY: Edited by Sandra Y. Lin Source Type: research

Contemporary management of clival chordomas
Purpose of review: Clival chordomas are rare malignant tumors associated with a poor prognosis. In this article, we review the current literature to identify a variety of strategies that provide guidelines toward the optimal management for this aggressive tumor. Recent findings: Molecular disease, particularly, the development of characterized chordoma cell lines, has become one of the new cornerstones for the histological diagnosis of chordomas and for the development of effective chemotherapeutic agents against this tumor. Brachyury, a transcription factor in notochord development, seems to provide an excellent diagnosti...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: HEAD AND NECK ONCOLOGY: Edited by Piero Nicolai and Cesare Piazza Source Type: research

Treatment of aging vocal folds: surgical approaches
Purpose of review: Aging may affect the voice through either physiological or pathological changes. Globally society is aging and the working lifetime is extending. Increasing numbers of elderly will present with voice issues. This review examines current thinking regarding surgical treatment of the aging voice. Recent findings: The mainstay of surgical treatment remains injection laryngoplasty and medialization thyroplasty. In-office injection laryngoplasty is increasingly common. Data suggest that patients with vocal fold atrophy do not achieve as much benefit from augmentation treatments as other causes of glottal incom...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: LARYNGOLOGY AND BRONCHOESOPHAGOLOGY: Edited by Jacqui E. Allen Source Type: research

Treatment of aging vocal folds: surgical approaches
Purpose of reviewAging may affect the voice through either physiological or pathological changes. Globally society is aging and the working lifetime is extending. Increasing numbers of elderly will present with voice issues. This review examines current thinking regarding surgical treatment of the aging voice. Recent findingsThe mainstay of surgical treatment remains injection laryngoplasty and medialization thyroplasty. In-office injection laryngoplasty is increasingly common. Data suggest that patients with vocal fold atrophy do not achieve as much benefit from augmentation treatments as other causes of glottal incompete...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: LARYNGOLOGY AND BRONCHOESOPHAGOLOGY: Edited by Jacqui E. Allen Source Type: research

Editorial: head and neck reconstruction
No abstract available (Source: Current Opinion in Otolaryngology and Head and Neck Surgery)
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: HEAD AND NECK RECONSTRUCTION: Edited by Richard E. Hayden Source Type: research

Is the exoscope ready to replace the operative microscope in transoral surgery?
Purpose of review Exoscopes are external digital devices that provide enhanced and magnified visualization of the surgical field. They usually have dedicated digital controls and a more compact mechanical structure than operative microscopes and current robotic surgical systems. This technology has significant potential in otolaryngology – head and neck surgery, especially concerning the field of transoral approaches. We herein analysed the overall technical characteristics of currently available exoscopic systems and contextualized their advantages and drawbacks in the setting of transoral surgery. Recent finding...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: HEAD AND NECK ONCOLOGY: Edited by Cesare Piazza and Alberto Paderno Source Type: research

The role of nasopharyngectomy in the management of nasopharyngeal carcinoma
This article reviews recent publications on ENPG and specifically addresses the surgical anatomy of the nasopharynx and discusses several important issues regarding ENPG. Recent findings The surgical techniques for ENPG have been previously described in several studies. The latest published data revealed good outcomes of ENPG compared with intensity-modulated radiation therapy (IMRT) in recurrent NPC. In addition, ENPG avoids severe reirradiation side effects. This review highlights the surgical anatomy of ENPG, which is important in preventing possible serious complications. Summary ENPG is a good option for...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: NOSE AND PARANASAL SINUSES: Edited by Nithin D. Adappa and Edward C. Kuan Source Type: research

Oncolytic virotherapy: a potential therapeutic approach for cholesteatoma
Purpose of review To review the principles of oncolytic virotherapy and summarize the recent preliminary evidence on the efficacy of oncolytic virotherapy for cholesteatoma (CHST) treatment in vitro in human CHST cells and in a gerbil CHST model. Recent findings The use of oncolytic virotherapy for nonmalignant lesions is innovative. In-vitro results showed that oncolytic herpes simplex virus 1 (oHSV) selectively targets and kills CHST cells. In a gerbil model of CHST, local oHSV injections were associated with a decrease in CHST volume and modulation of bony changes. Summary Surgical treatment options for CHST are...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: OTOLOGY AND NEURO-OTOLOGY: Edited by Ravi N. Samy and Nael Shoman Source Type: research

Thickened liquids: do they still have a place in the dysphagia toolkit?
Purpose of review The use of commercially or naturally thickened liquids is a well-established treatment for patients with dysphagia to fluids, the aim of which is to improve swallow safety by minimizing risk of aspiration. Although the most recent systematic reviews conclude that this treatment lacks evidential support and leads to patient-reported worsening health and quality of life, thickened liquids continue to be used with patients with dysphagia across clinical settings. This review briefly summarizes the evidence and considers potential reasons for the apparent mismatch between the evidence and clinical practice....
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: SPEECH THERAPY AND REHABILITATION: Edited by H. Fiona Robinson and Jo Patterson Source Type: research