Recent advances in surgical management of parapharyngeal space tumors
Purpose of review: To summarize nuances in the surgical management of parapharyngeal space (PPS) tumors aimed to reduce postoperative sequelae without affecting oncologic outcomes. Recent findings: The contemporary trend in surgery of PPS tumors is to develop minimally invasive approaches that allow tumor resection without the need for mandibulotomy or lateral skull base approaches. This can be obtained by refining well established surgical routes like the transcervical, improving those with limited applications like the transoral, and developing novel corridors like the transnasal (or the transoral/transvestibular). There...
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

You are only as old as you sound
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: LARYNGOLOGY AND BRONCHOESOPHAGOLOGY: Edited by Jacqui E. Allen Source Type: research

Noise-induced hearing loss: perspectives
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: AUDITORY AND VESTIBULAR SCIENCE: Edited by Rodney C. Diaz Source Type: research

Papillary microcarcinoma of the thyroid gland: current controversies and management
Purpose of review To highlight recent advances in our understanding of the nature of micropapillary thyroid carcinoma (mPTC), its evaluation and options of management based on risk. Recent findings A dramatic increase of the incidence of papillary thyroid carcinoma has been reported worldwide during recent decades, specifically those smaller than 10 mm (mPTC). Although not taking into consideration other risk factors for aggressiveness when describing tumours by their size, most of these newly diagnosed mPTC are indolent and active surveillance can be considered as valid option for their management. Summary An in...
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 Source Type: research

Functional considerations in oral cavity reconstruction
Purpose of review The treatment of oral cavity cancer may impair speech and swallowing function. Optimizing posttreatment function may lead to significant improvement of quality of life. Recent findings Although oncologic control remains the main goal of treatment for oral cavity cancer, posttreatment function for surviving patients has over the last decades been recognized as an important secondary outcome. Reconstruction of oral cavity defects range from primary closure to advanced microvascular reconstruction, including multiple tissue types. Free flap reconstruction has greatly enhanced the ability to tailor trans...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: HEAD AND NECK RECONSTRUCTION: Edited by Arnaud F. Bewley Source Type: research

Management of Type I and Type II laryngeal clefts: controversies and evidence
Purpose of review To summarize the pediatric Type I and Type II laryngeal cleft literature, paying special attention to recent trends, including evolution of surgical techniques, standardization of outcome assessments, and utilization of management algorithms. Recent findings There are a variety of options to choose from whenever considering Type I and Type II cleft repair, including endoscopic repair, transoral robotic surgery, and injection laryngoplasty. Conservative management including feeding therapy and treatment of comorbid medical conditions is recommended prior to repair. Validated outcome measures have aris...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller and Taylor Fordham Source Type: research

Current opinion in otolaryngology and head and neck surgery: frontal sinus fractures
Purpose of review: The purpose of this manuscript is to review the current literature regarding the management of frontal sinus fractures and offer the authors opinion on the current management of these traumatic injuries. We evaluate recently proposed management algorithms as well as novel surgical approaches reported within the last few years. Recent findings: Patient selection for sinus sparing treatment modalities is balanced between fracture severity, involved structures, and reliable patient surveillance. Minimally invasive, aesthetically favorable approaches grow in diversity for anterior table fractures. For fract...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum Source Type: research

Avoiding complications in endoscopic skull base surgery
This article reviews the recent literature describing the main categories of possible complications suggesting strategies to minimize their incidence. Recent findings: Detailed preoperative planning based on imaging and histology can prevent major complications. Intraoperative use of image guidance and meticulous hemostasis provide the surgical field needed to avoid complications. Postoperative patient counseling, along with close and detailed nasal postoperative care are significant factors for an optimal outcome. Summary: Monitoring of complications after endoscopic skull base surgery is necessary in order to standardi...
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

Update on mandibular condylar fracture management
This article reviews how incorporating new technologies and surgical methods have changed the treatment paradigm. Recent findings: Multiple large studies and meta-analyses continue to demonstrate superior outcomes for condylar fractures when managed surgically. Innovations, including endoscopic techniques, three-dimensional miniplates, and angled drills provide increased options in the treatment of condylar fractures. The literature on pediatric condylar fractures is limited and continues to favor a more conservative approach. Summary: There continues to be mounting evidence in radiographic, quality of life, and function...
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

Vocal tract characteristics in Parkinson's disease
Purpose of review: Voice tremor is strongly linked to the Parkinson's disease speech–voice symptom complex. Little is known about the underlying anatomic source(s) of voice tremor when it occurs. We review recent literature addressing this issue. Additionally we report findings from a study we conducted employing rating of vocal tract structures viewed using nasolaryngoscopy during vocal and nonspeech tasks. Recent findings: In Parkinson's disease, using laryngeal electromyography, tremor has not been identified in muscles in the vocal folds even when perceived auditorily. Preliminary findings using nasolaryngoscopy sug...
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

New innovations in office-based rhinology
Purpose of review: Chronic rhinosinusitis (CRS) affects millions of patients worldwide, with significant health and financial implications. There is an immense utilization of resources involved, including prescription medications and surgical interventions. With increased emphasis on sound resource allocation and patient convenience, recent years have witnessed significant expansion in office-based rhinologic procedures. The purpose of this review is to discuss new technologic innovations designed to facilitate treatment of sinonasal disease in the clinic setting. Recent findings: Vacuum-powered polypectomy, in-office nav...
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

Management of oropharyngeal neurogenic dysphagia in adults
This article reviews recent literature in the management of neurogenic oropharyngeal dysphagia (OPD) including assessment processes and treatments, with a specific focus on OPD as a result of stroke and Parkinson's disease. Recent findings: A large number of high-quality systematic reviews were published that provide an excellent summary of current evidence across assessment and treatment of swallowing disorders. There is building interest and knowledge in technology in both the understanding and treatment of OPD including functional MRI, manometry, and noninvasive brain stimulation. Summary: Neurologic disorders demonstra...
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

It is 2015: what is the best treatment for tinnitus?
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: AUDITORY AND VESTIBULAR SCIENCE: Edited by Rodney C. Diaz Source Type: research

Management of orbital tumours
This articles summarizes the current opinion regarding the management of orbital tumours. Recent studies reviewing the range of diseases that affect the orbit and technical advances are summarized. (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: MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum Source Type: research