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.

The relationship of chronic rhinosinusitis and depression
Purpose of review The aim of this article is to identify and describe the relationship between chronic rhinosinusitis (CRS) and comorbid depression, including the patient factors that may increase the risk of depression. The impact of comorbid depression on quality of life, response to treatment and healthcare utilization will also be assessed. Recent findings CRS is associated with a significantly increased prevalence of depression, where 9–26% of patients with CRS will have physician-diagnosed depression. An additional 40% will have undiagnosed depression that can be identified through screening tools. Patients wi...
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

Practical and ethical issues for delivery of advanced ENT services in the Indian subcontinent: efforts to ‘Bridge the Gap’
This article explores these two areas as examples to understand the specific problems encountered in delivering advanced ENT care in a low-resource setting in a large populous country. Summary Introduction of government health insurance schemes have helped the poor to make use of advanced healthcare. The highlight of this scheme has been the inclusion of expensive interventions like cochlear and auditory brainstem implantation, whereby cost of the device, surgery and habilitation have all been delivered cost free for eligible children. (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: DEVELOPING WORLD PERSPECTIVES IN OTOLARYNGOLOGY: Edited by Johannes J. Fagan Source Type: research

Indications and endonasal treatment of petrous apex cholesterol granulomas
Purpose of review Lesions of the petrous apex of the temporal bone can be challenging to access and approaches laterally through the mastoid as well as medially through an endonasal approach are utilized to access this region while preserving function of adjacent structures. Cholesterol granulomas of the petrous apex requiring surgery are marsupialized to prevent expansion of the inflamed cyst and relieve associated clinical symptoms. The endonasal approach to the petrous apex has in the past been limited to lesions medial to the internal carotid artery. Recent findings Endoscopic approaches have been developed to exp...
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

Molecular therapy for genetic and degenerative vestibular disorders
Purpose of review The primary purpose of this review is to summarize current literature in the field of vestibular regeneration with a focus on recent developments in molecular and gene therapies. Recent findings Since the discovery of limited vestibular hair cell regeneration in mammals in the 1990s, many elegant studies have improved our knowledge of mechanisms of development and regeneration of the vestibular system. A better understanding of the developmental pathways of the vestibular organs has fueled various biological strategies to enhance regeneration, including novel techniques in deriving vestibular hair ce...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: AUDITORY AND VESTIBULAR SCIENCE: Edited by Rodney C. Diaz Source Type: research

Role of reinnervation in the management of recurrent laryngeal nerve injury: current state and advances
Purpose of review To present the current state of knowledge concerning different laryngeal reinnervation procedures for unilateral and bilateral vocal palsy. Recent findings Recent reports show positive outcomes on both unilateral and bilateral reinnervations. The phrenic nerve is the most commonly used donor for bilateral vocal palsy, but use of the superior laryngeal nerve has also been suggested. Summary Reinnervation of the larynx is a complex undertaking that can be performed by ENT surgeons with skills in microsurgery. Advances in this this field represent a paradigm shift in laryngeal rehabilitation and a pr...
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

Global surgery: current evidence for improving surgical care
Purpose of review: The field of global surgery is undergoing rapid transformation, owing to several recent prominent reports positioning it as a cost-effective means of relieving global disease burden. The purpose of this article is to review the recent advances in the field of global surgery. Recent findings: Efforts to grow the global surgical workforce and procedural capacity have focused on innovative methods to increase surgeon training, enhance international collaboration, leverage technology, optimize existing health systems, and safely implement task-sharing. Computer modeling offers a novel means of informing pol...
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

Caudal septum surgery techniques reviewed
Purpose of review: The caudal septum has important functional and aesthetic implications. Deviations in this area can result in important nasal obstruction due not only to blockage of the nasal passage but also to compromise of the internal nasal valve. Cosmetically, alterations in the caudal septum can result in a twisted nasal tip, loss of projection, rotation, and imbalance in the ala-columellar relationship. Contemporary surgical options will be discussed showing how to preserve, reshape, and reinforce the caudal septum to obtain a final looking nose that is not only functional but also aesthetically pleasing. Recent ...
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

Practicing the art of medicine in the era of technology
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: FACIAL PLASTIC SURGERY: Edited by Travis T. Tollefson Source Type: research

A review of diet standardization and bolus rheology in the management of dysphagia
This article aims to identify best practice by reviewing the theory and practice of texture modification, focussing on recent advances. Recent findings: Instrumental assessment of texture modification in vivo is challenging, and studies including rheology and perception have indicated that fluid viscosity is only one of many factors affecting texture modification in practice. Systematic reviews have identified a historical lack of high-quality clinical evidence, but recent controlled studies are beginning to identify positive and negative aspects of thickened fluids. Research and practice to date have been limited by the ...
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 Source Type: research

Rhinology: updates on best practice
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: NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa Source Type: research

Adult obstructive sleep apnoea and the larynx
Purpose of review: The review examines current evidence and thinking regarding the relationship between the larynx and obstructive sleep apnoea (OSA) in adults. Recent findings: Drug-induced sleep endoscopy has an emerging role in the identification of laryngeal obstruction associated with sleep apnoea and may be adjunctive to awake dynamic assessment in specific cases. Nocturnal stridor and OSA is a common and treatable finding in patients with multiple system atrophy. Acromegaly can cause OSA by obstruction at the laryngeal level via supraglottic soft tissue hypertrophy or decreased vocal fold mobility. Emerging evidence...
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

Obesity related complications in surgery
This article aims to review relevant implications of obesity and associated comorbid conditions for the otology and neurotology surgical subspecialties. Recent findings: Both the incidence and prevalence of obesity are rising worldwide. This condition, along with its many associated comorbidities, can adversely affect the perioperative management of patients undergoing otologic and neurotologic procedures. Preoperative assessment of the cardiopulmonary system and airway are imperative as compromise of either may lead to death. Physiologic changes found in patients with obesity have been shown to predispose to hemodynamic i...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: OTOLOGY AND NEUROTOLOGY: Edited by Ravi N. Samy Source Type: research

Update in disease-specific quality-of-life studies in facial plastic surgery
Purpose of review: Improvements in the quality of life (QOL) of patients undergoing facial plastic and reconstructive surgery are readily apparent to any practitioner performing these procedures and interacting with these patients. However, proving these benefits objectively has become ever more important in the current practice environment and there has been a body of literature reported to address this need. Recent findings: As techniques for facial reanimation, revision cleft surgery and other procedures are further developed and the tailored treatments of these ailments are honed, the body of literature for QOL improve...
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

Swallowing after laryngectomy
This article examines the emergence of dysphagia as an area for rehabilitation postlaryngectomy. The use of dysphagia evaluation tools postlaryngectomy is described and the causes of dysphagia discussed. Recent findings: Although the risk of aspiration postlaryngectomy is low, significant symptoms of dysphagia can exist in this patient population. A comprehensive evaluation is the cornerstone for both the identification and management of postlaryngectomy dysphagia. The tool predominantly used to evaluate laryngectomy to date has been videofluoroscopy. The use of this tool in this patient population is described together wi...
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 Source Type: research