Pediatric Sialendoscopy
AbstractPurpose of ReviewTo describe the pathophysiology, evaluation, and management of sialadenitis as well as the indications for and outcomes of sialendoscopy in the pediatric population.Recent FindingsPediatric sialadenitis makes up a small proportion of all salivary gland disease. Acute viral sialadenitis and juvenile recurrent parotitis are the most common forms of the condition. Juvenile recurrent parotitis is thought to be multifactorial in etiology with infectious, behavioral, autoimmune, and structural contributions. Review of the current literature supports a potential benefit from sialendoscopy for children wit...
Source: Current Otorhinolaryngology Reports - August 2, 2022 Category: ENT & OMF Source Type: research

Stapes Surgery for Patients with Preoperative Small Air Bone Gap
AbstractPurpose of ReviewThis review summarized the existing literature on the stapes surgery for patients with a preoperative air bone gap (ABG) under 30  dB.Recent FindingsEarly surgery for otosclerosis appears to give good results without increasing the risks of complications, but the topic is still controverted.SummaryStapes surgeries for patients with a preoperative ABG lower than the classical 30  dB are more common today and some studies support this change in paradigm. The risk/benefit balance needs to be discussed with the patients. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - August 2, 2022 Category: ENT & OMF Source Type: research

Straightening the Crooked Nose
The objective of surgery should be a nose with improved results externally which functions properly internally. (Source: Current Otorhinolaryngology Reports)
Source: Current Otorhinolaryngology Reports - July 26, 2022 Category: ENT & OMF Source Type: research

Review of Transcanal Endoscopic Ear Surgery (TEES) and Bioengineering for Pediatric Otologic Surgery
AbstractPurpose of ReviewTo review advances in TEES and bioengineering for pediatric otologic surgery and reconstruction.Recent FindingsTEES has been utilized in surgeries such as cholesteatoma removal, tympanic membrane perforation repairs (i.e., myringoplasty and tympanoplasty), ossicular chain reconstruction, and stapes surgeries. TEES has been shown to be non-inferior to traditional microscopic ear surgery in terms of safety, efficacy, and surgical efficiency. Furthermore, TEES does not increase rates of complications. Although few studies specifically examine pediatric samples, the data suggest TEES also is safe and e...
Source: Current Otorhinolaryngology Reports - July 15, 2022 Category: ENT & OMF Source Type: research

Does Hearing Rehabilitation Mitigate the Association Between Hearing Loss and Cognitive Impairment?
AbstractPurpose of ReviewDementia is a highly prevalent and potentially devastating disease that has garnered considerable attention from public health researchers as a target for public policy. Given the multifactorial nature of its development and the lack of effective medical therapies, a common public health strategy for addressing this disease is to focus on its modifiable risk factors. Hearing loss is one such risk factor. The purpose of this review is to examine the role of hearing rehabilitation in modifying the association between hearing loss and cognitive impairment.Recent FindingsVarious studies have been condu...
Source: Current Otorhinolaryngology Reports - July 12, 2022 Category: ENT & OMF Source Type: research

Septal Perforations: A to Z
This article aims to provide a comprehensive review of nasal septal perforations from diagnosis and workup to surgical management options.Recent FindingsNasal septal perforations can present both diagnostic and management challenges for clinicians because of varied presentation and multiple options for repair. There is no standardized technique for repair, though traditional methods of mucosal flap coverage with or without interposition grafts are giving way to newer techniques of fascial interposition grafts that forgo pedicled mucosal coverage altogether.SummaryNasal septal perforations have varied etiologies, clinical p...
Source: Current Otorhinolaryngology Reports - July 11, 2022 Category: ENT & OMF Source Type: research

Clinical Pearls in Pediatric Otolaryngology
This article aims to inspire in readers increased awareness when approaching children to maximize clinical efficacy and efficiency, while minimizing potential trauma to the children. It is beyond the scope of the article to discuss post-traumatic stress disorder (PTSD) in children in the context of medical care settings, except to highlight that single or repeated standard outpatient ENT office procedures can cause acute and chronic medical traumatic stress and even PTSD with long term interference of daily function.Recent FindingsMedical Traumatic Stress Working Group of the National Child Traumatic Stress Network (NCTSN)...
Source: Current Otorhinolaryngology Reports - July 11, 2022 Category: ENT & OMF Source Type: research

Update on the Management of Idiopathic Sudden Sensorineural Hearing Loss
AbstractPurpose of ReviewTo examine the state of the literature as it applies to the treatment options for idiopathic sudden sensorineural hearing loss.Recent FindingsThere is an overwhelming amount of data with regard to the management of iSSNHL with a variety of treatment protocols and high spontaneous rates of recovery. Herein, we discuss the data surrounding antivirals, antioxidants, vasoactive substances, systemic and intratympanic steroids, and hyperbaric oxygen therapy in the treatment of this condition.SummaryHeterogeneity of inclusion criteria, patient characteristics, control groups, and treatment regimens render...
Source: Current Otorhinolaryngology Reports - July 7, 2022 Category: ENT & OMF Source Type: research

The Ageing Nose: Challenges and Solutions
AbstractPurpose of ReviewRhinoplasty has traditionally been considered an elective procedure for younger patients. However, increasingly older patients are undergoing nasal surgery for both functional and aesthetic indications. We provide an overview of the common problems with rhinoplasty in the elderly and the surgical techniques that can be reliably utilised to address them to produce predictable and longstanding results.Recent FindingsOutcomes from studies of older rhinoplasty patients emphasise the need for a tailored approach that preserves natural structures. However, if reinforced structural support is required, es...
Source: Current Otorhinolaryngology Reports - July 5, 2022 Category: ENT & OMF Source Type: research

Neuroinflammation in Tinnitus
AbstractPurpose of ReviewThe current review aims to explore recent studies that have illustrated a link between neuroinflammation and tinnitus and the consequential effect on neuronal functioning. We explore parallels amongst pain and tinnitus pathologies and a novel treatment option.Recent FindingsGenetic and pharmacological blockage of pro-inflammatory cytokines mitigates the physiological and behavioral tinnitus phenotype in acute rodent models. In addition, recent pain studies target a signaling pathway to prevent the transition from acute to chronic neuropathic pain, which could translate to tinnitus.SummaryNeuroinfla...
Source: Current Otorhinolaryngology Reports - July 5, 2022 Category: ENT & OMF Source Type: research

Rhinophyma: Taking Care of the “WC Fields” Nose
AbstractPurpose of ReviewTo summarize and critically review etiology and management of rhinophyma, with emphasis on operative interventions.Recent FindingsThe mainstay of treatment for rhinophyma is operative, with use of partial-thickness procedures that allow wound healing via secondary intention. Dermabrasion and laser therapy can be performed under local anesthesia with acceptable hemostasis and good outcomes. However, as malignancies have been identified in rhinophyma tissue, histopathologic analysis is an important consideration. Surgical excision using electrocautery may allow for improved hemostasis compared to col...
Source: Current Otorhinolaryngology Reports - June 23, 2022 Category: ENT & OMF Source Type: research

Where does Allergy Management Fit in Obstructive Sleep Apnea?
AbstractPurpose of the reviewObstructive sleep apnea (OSA) and allergic rhinitis (AR) are common airway disorders which often coexist. The effect of nasal allergy symptoms and treatment for AR on sleep parameters and OSA has been studied. The purpose of this review is to present recent data on the role of allergy management on the treatment of OSA.Recent findingsRecent literature supports the use of second-generation antihistamines, intranasal corticosteroids and/ or immunotherapy to reduce the inflammatory conditions in the nose, reduce nasal resistance and improve CPAP use. The impact of allergic rhinitis on sleep testin...
Source: Current Otorhinolaryngology Reports - June 16, 2022 Category: ENT & OMF Source Type: research

Increasing Prevalence of Allergic Disease and Its Impact on Current Practice
AbstractPurpose of ReviewTo summarize the most up-to-date literature on allergic diseases with an emphasis on understanding the increase in prevalence of allergic diseases.Recent FindingsAs atopy continues to rise, there is increasing evidence that genetic factors in addition to environmental factors contribute to the development of allergic disease. There is research to support that worsening air pollution and climate change as well as lifestyle changes such as an increase in saturated fats and sugars in the diet, antibiotic use, changes in the gut microbiome, and a shift towards a more sterile, more urbanized environment...
Source: Current Otorhinolaryngology Reports - May 27, 2022 Category: ENT & OMF Source Type: research

Algorithm for Management of Nasal Valve Collapse
AbstractPurpose of ReviewNasal obstruction is a very common challenge in daily ENT clinical and surgical practice. A common source of lack of satisfaction after septoplasty could be the impairment of the nasal valve area in both static and dynamic conditions.Recent FindingsCurrently there is no consensus to a standard diagnostic algorithm for nasal valve collapse. We performed a review of the last 10  years of literature focused on recent innovations regarding physical examination, radiological diagnosis, subjective, and objective measurement of nasal valve collapse. Finally, we try to formulate a pre-surgical protocol, b...
Source: Current Otorhinolaryngology Reports - May 16, 2022 Category: ENT & OMF Source Type: research

Human Papillomavirus-Related Carcinomas of the Sinonasal Tract
AbstractPurpose of ReviewThe sinonasal tract is home to a uniquely heterogenous collection of malignant tumors. Human papillomavirus (HPV) has been detected in a number of these, but the virus ’ role as an oncogenic driver or coincidental finding remains unclear. We aim to highlight five sinonasal tumor types and synthesize the prevalence, etiologic role, and known clinicopathologic relevance of HPV in each.Recent FindingsThe last decade has seen an expansion of investigation into HPV ’s oncogenic and prognostic significance within sinonasal malignancies. The sinonasal tract poses challenges to HPV detection where p16 ...
Source: Current Otorhinolaryngology Reports - May 11, 2022 Category: ENT & OMF Source Type: research