Investigation of the effects of thrombocyte-rich plasma, systemic ozone and hyperbaric oxygen treatment on intraoral wound healing in rats: experimental study
In this study, it was aimed to evaluate and compare biochemical and histopathological effects of platelet-rich plasma (PRP), ozone and hyperbaric oxygen (HBO) on wound healing which was formed experimentally in oral cavity of rats.Materials and methodsIn this study, thirty-six Wistar Hannover rats with weight of 250 –350 g, fed with standard feeds, were anesthetized to create intraoral wound on the hard palate. Rats were divided into four groups as the following: control group, PRP, HBO and Ozone groups. 0.1 ml of PRP was injected on the wound edges of each rat in the PRP group on days 1, 3 and 7. Each rat ...
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Comparison of microscopic and endoscopic views in cadaveric ears
ConclusionThe wider field of view in an endoscope compared to a microscope implies reduced surgical tissue damage is needed to provide sufficient operative exposure. Enhanced views of the attic were demonstrated by the endoscope, further indicating utility in cholesteatoma observation and surgery. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Does pediatric septoplasty compromise midfacial growth? A systematic review
ConclusionSeptoplasty in pediatric patients does not seem to affect midfacial growth according to available evidence. However, due to their design, the degree of recommendation of these studies was not superior to level C. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Lateral cervical approach for salvage total laryngectomy without pharyngeal reinforcement with pedicled or free flaps: our preliminary experience in six patients
ConclusionSTL through the LCA after [(C)RT] failure seems to be feasible and effective in terms of prevention of local complications as wound dehiscence and fistula. More large clinical series are needed to confirm whether the use of LCA reduced the rate of postoperative wound complications following STL without the prophylactic use of pedicled or free flaps. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Is drug consumption correlated with benign paroxysmal positional vertigo (BPPV) recurrence?
AbstractBackgroundBenign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo and its recurrence is fairly common. Several studies correlated the pathophysiological role of different comorbidities —such as diabetes, osteoporosis, vascular, psychiatric and autoimmune diseases—in the development and recurrence of BPPV. The aim of this study is to analyse the pharmacological history of patients with idiopathic BPPV in relation to the risk of developing recurrence.MethodsData regarding 715 patients aged 12 to 87  years (62.7 ± 14) with non-traumatic BPPV were...
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

The elevation of the mucosal flap without additional anterior canal wall incisions for repairing anterior perforations using endoscopic cartilage tympanoplasty
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Author ’s reply to the Letter to the Editor “Therapeutic strategies in the treatment of Menière's disease: the Italian experience”
AbstractThere is still controversy on the role of hyperinsulinemia and endogenous antisecretory factor (EAF) in Meniere ’s disease. In the literature, there is no mention on glucose uptake or specially processed cereals (SPC). Nevertheless, the role of EAF and its inhibition by SPC should be taken into account in future research. In case of patients not responding to medical treatment and dietary changes, intratymp anic (IT) treatment has been suggested. In Italy, generalists consider IT steroids as the first-line treatment, while neurotologists suggest IT gentamicin. We agree with the authors that low-dose IT gentam...
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Measuring olfaction instead of asking: it is more than luxury!
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 4, 2020 Category: ENT & OMF Source Type: research

Endoscopic sphenopalatine foramen cauterization is an effective treatment modification of endoscopic sphenopalatine artery ligation for intractable posterior epistaxis
AbstractPurposeEndoscopic sphenopalatine artery ligation (ESPAL) is known as an effective treatment for posterior epistaxis. Anatomical variations of the intranasal branching may result in long operative time and possible inadequate cauterization. A modification of ESPAL by cauterization at the sphenopalatine foramen (SPF), has been performed by our group. Our study assessed the clinical benefit of endoscopic sphenopalatine foramen cauterization (ESFC) and compared it to ESPAL.MethodA retrospective study was conducted. Patients who received ESFC for posterior epistaxis from 2016 to 2018 at a tertiary hospital were recruite...
Source: European Archives of Oto-Rhino-Laryngology - May 3, 2020 Category: ENT & OMF Source Type: research

A systematic review of different treatment strategies for the squamous cell carcinoma of the posterior pharyngeal wall
ConclusionsPrimary surgery associated with adjuvant radiotherapy would seem to ensure better oncologic outcomes, especially for locally advanced tumors. Moreover, this systematic review showed that oro- and hypo-pharyngeal wall tumors are similar in terms of clinical and biological behavior. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - May 2, 2020 Category: ENT & OMF Source Type: research

UV light-based decontamination: an effective and fast way for disinfection of endoscopes in otorhinolaryngology?
In this study we analyzed the efficiency of UV light disinfection of rigid otorhinolaryngological endoscopes.Materials and methodsAfter mechanical pre-cleaning, the endoscopes were decontaminated for 25  s in the D25 using Impelux™ UV C light technology (UV Smart B.V., Delft, The Netherlands). First, the surface contact samples were taken from 50 used endoscopes to evaluate the bacterial load. Additionally, surface contact samples were taken from further 50 used endoscopes after reprocessing wit h the D25. Another 50 endoscopes were tested on protein residuals. Furthermore, the absolute effectiveness of the D25 ...
Source: European Archives of Oto-Rhino-Laryngology - May 1, 2020 Category: ENT & OMF Source Type: research

Management of laryngeal candidiasis: an evidence-based approach for the otolaryngologist
ConclusionLaryngealCandida infection is thought to be a rare condition, with limited available literature. The correct diagnosis is difficult for the otolaryngologist and a high level of suspicion is required. The authors emphasize the need to include this condition into the differential diagnosis in patients with predisposing factors presenting with suspected lesions. In addition, the conservative diagnostic approach with antifungal treatment seems to provide effective outcomes, although comparative clinical studies between diagnostic options are lacking. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 16, 2020 Category: ENT & OMF Source Type: research

Safety of the “Saxophone ® ” electrode in parotid surgery for continuous intraoperative neuromonitoring of the facial nerve: results of a pro- and retrospective cohort study
ConclusionWe have demonstrated the safety of using the Saxophone®-electrode for cIONM of the facial nerve in parotid surgery. Future development of this method could enable the recognition of impending nerve injury and thus reduce eFNP. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 16, 2020 Category: ENT & OMF Source Type: research

Fungal otitis externa and wet ear with mucopurulent should be influencing factors on tympanic membrane closure
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 16, 2020 Category: ENT & OMF Source Type: research

A novel study for fluorescence patterns of the parathyroid glands during surgery using a fluorescence spectroscopy system
ConclusionIn malignant disease, we should use this novel approach carefully. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 16, 2020 Category: ENT & OMF Source Type: research

Is there an improvement on acoustic voice parameters in patients with bilateral vocal fold nodules after voice therapy? a meta-analysis
AbstractBackground/objectiveThe aim of this study is to estimate the effect of voice therapy intervention in adults with vocal fold nodules, on three acoustic voice parameters (fundamental frequency, jitter and shimmer). The purpose of this meta-analysis is to present evidence based on literature regarding objective acoustic voice parameters changes, after voice therapy, in patients with bilateral VFNs. A pooled statistical analysis comparing pre- and post-therapy measurements of three acoustic voice parameters (average F0, % jitter and % shimmer) were performed.MethodsA literature review was performed by searching studies...
Source: European Archives of Oto-Rhino-Laryngology - April 15, 2020 Category: ENT & OMF Source Type: research

Potential benefits of salvage intratympanic dexamethasone injection in profound idiopathic sudden sensorineural hearing loss
ConclusionsSalvage therapy should be considered for profound ISSNHL, which is expected to result in poor prognosis or hearing recovery: ITSI therapy might be an effective treatment as salvage therapy. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 15, 2020 Category: ENT & OMF Source Type: research

Reinke ’s edema: a proposal for a classification based on morphological characteristics
ConclusionOur proposed classification for Reinke ’s edema represents a synthesis of the classifications available in the literature and is characterized by a simple categorization based on morphological characteristics commonly visible through laryngoscopy. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 13, 2020 Category: ENT & OMF Source Type: research

Clinical relevance of CYFRA 21-1 as a tumour marker in patients with oropharyngeal squamous cell carcinoma
AbstractBackgroundThe role of Cytokeratin fraction 21-1 (CYFRA 21-1) as a tumour marker for head and neck cancer is still a matter of research. The aim of the present study was to evaluate the clinical impact of CYFRA 21-1 for patients with oropharyngeal squamous cell carcinoma (OSCC).Patients and methodsData of 180 patients with an initial diagnosis of OSCC of any stage between 2003 and 2017 were retrospectively analysed regarding the association between pretherapeutic CYFRA 21-1 levels, clinical characteristics, overall and disease-free survival. Additionally, the potential of CYFRA 21-1 for the detection of recurrent di...
Source: European Archives of Oto-Rhino-Laryngology - April 13, 2020 Category: ENT & OMF Source Type: research

A comparison of endoscopic transtympanic myringoplasty and endoscopic type I tympanoplasty for repairing medium- to large-sized tympanic membrane perforation: a randomized clinical trial
This study aimed to compare the efficacy of ETM versus ETT for repairing medium- to large-sized perforation of the tympanic membrane.MethodsThe study cohort comprised patients undergoing surgery for medium- to large-sized perforation of the tympanic membrane between February 2018 and February 2019. The patients were randomized into the ETM group and the ETT group. The main outcomes were the graft take rates and hearing results. Secondary outcomes were the operative time, visual analog scale (VAS) pain scores, and postoperative complications.ResultsForty patients who completed 6  months of follow-up were included, comp...
Source: European Archives of Oto-Rhino-Laryngology - April 11, 2020 Category: ENT & OMF Source Type: research

Spontaneous neck hematoma secondary to parathyroid adenoma: a case series
ConclusionA high suspicion index is needed, particularly in post-menopausal women, to reach a diagnosis and allow optimal management. Normal laboratory values do not exclude parathyroid etiology, yet assessment should include calcium and PTH levels along with targeted imaging. Since bleeding may recur, we suggest that PHPT complicated with neck hematoma should be an  independent indication for definitive parathyroidectomy surgery.Level of evidence3b (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 11, 2020 Category: ENT & OMF Source Type: research

Intratemporal facial nerve schwannomas: multicenter experience of 80 cases
ConclusionsAlthough modern imaging has improved diagnosis of this tumor, choosing the best treatment modality remains a real challenge. Based on the literature review and current findings, more insights into the clinical course and the management of facial nerve schwannomas are provided. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 11, 2020 Category: ENT & OMF Source Type: research

Simultaneous bilateral cochlear implantation in children aged 12 ‒18 months is safe and can be performed using standard cochlear implant surgical techniques
ConclusionSimultaneous bilateral cochlear implantation can be performed using the same surgical technique as unilateral implantation and poses no increased safety risk for children aged 1 ‒2 years. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 9, 2020 Category: ENT & OMF Source Type: research

The comparison of multilevel surgery (hyoid myotomy and suspension with uvulopalatopharyngoplasty) with CPAP in moderate to severe OSAS patients
AbstractPurposeThe study aimed to determine the efficacy of multilevel surgery (hyoid myotomy and suspension with uvulopalatopharyngoplasty) and continuous positive airway pressure (CPAP) for the treatment of moderate to severe obstructive sleep apnea syndrome (OSAS) and to clarify whether our surgical protocol could be as effective as CPAP.MethodsWe conducted a case series study comparing the effects of multilevel surgery and CPAP in the same subjects to minimize the influence of confounding factors. Fifteen subjects were enrolled with a pretreatment apnea –hypopnea index (AHI) ≥ 15.ResultsBoth CPAP...
Source: European Archives of Oto-Rhino-Laryngology - April 9, 2020 Category: ENT & OMF Source Type: research

Hippocrates and cholesteatoma
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 9, 2020 Category: ENT & OMF Source Type: research

Utility and relevance of modified lateral trapezius myocutaneous flap as a locoregional reconstructive option for medium-sized ablative defects in head and neck cancer —our experience
ConclusionThe present study demonstrated minimal functional loss, low morbidity with satisfactory results, thus also reducing treatment cost. Thus, LTMC is a reliable reconstructive option in head and neck cancer patients for medium-sized defects. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 8, 2020 Category: ENT & OMF Source Type: research

Facial nerve electrodiagnostics for patients with facial palsy: a clinical practice guideline
ConclusionThe aim of this guideline is to inform all involved parties (i.e. otorhinolaryngologist —head and neck surgeons and other medical specialists, therapeutic professionals and the affected persons) and to provide practical recommendations for the diagnostic use of facial nerve electrodiagnostics. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 8, 2020 Category: ENT & OMF Source Type: research

Auditory cortical processing in cochlear-implanted children with different language outcomes
ConclusionThe MMN is a clinically applicable objective measure of speech discrimination proficiency. Hence, it could be useful in CI programming and auditory cortical monitoring during rehabilitation. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 8, 2020 Category: ENT & OMF Source Type: research

Definition of locally recurrent head and neck squamous cell carcinoma: a systematic review and proposal for the Odense –Birmingham definition
ConclusionsNo uniform definition of locally recurrent HNSCC currently exists. We propose the Odense –Birmingham definition based on the anatomical subsite combined with a specific measurable distance and a temporal separation of three years. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 7, 2020 Category: ENT & OMF Source Type: research

Long-term electrophysiological assessment after hypoglossal-facial anastomosis
ConclusionThe recoveries of the lower face and upper face are different after VII –XII anastomosis, and in our patients the OOc healed better. In addition, R1 blink reflexes that were not followed by R2 components were observed in 30% of the patients. However, the patients with these blink reflexes did not have better peripheral healing in their neuromuscular units, which sugge sts that the blink reflex is not an indicator for peripheral recovery. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 7, 2020 Category: ENT & OMF Source Type: research

Palisade cartilage tympanoplasty compared to one-piece composite cartilage-perichondrium grafts for transcanal endoscopic treatment of subtotal tympanic membrane perforations: a retrospective study
ConclusionThe results of the present study suggest that similar results can be obtained with palisade cartilage grafts compared to the one-piece composite cartilage-perichondrium technique for endoscopic tympanic membrane closure. Further studies with long-term results will be needed to confirm these findings. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 6, 2020 Category: ENT & OMF Source Type: research

Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study
AbstractObjectiveTo investigate the occurrence of olfactory and gustatory dysfunctions in patients with laboratory-confirmed COVID-19 infection.MethodsPatients with laboratory-confirmed COVID-19 infection were recruited from 12 European hospitals. The following epidemiological and clinical outcomes have been studied: age, sex, ethnicity, comorbidities, and general and otolaryngological symptoms. Patients completed olfactory and gustatory questionnaires based on the smell and taste component of the National Health and Nutrition Examination Survey, and the short version of the Questionnaire of Olfactory Disorders-Negative St...
Source: European Archives of Oto-Rhino-Laryngology - April 6, 2020 Category: ENT & OMF Source Type: research

Osteoma involving the olfactory groove: evaluation of the risk of a CSF leak during endoscopic surgery
ConclusionInvolvement of the OG does not significantly increase the risk of intraoperative CSF leak. However, this risk may be increased in patients with the spongious part of the tumor attached to the OG. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 6, 2020 Category: ENT & OMF Source Type: research

Flavor education and training in olfactory dysfunction: a pilot study
AbstractPurposeOlfactory training is recommended in olfactory dysfunction (OD) showing promising results. OD patients frequently ask for training modifications in the hope of a better outcome. Also, a lack of knowledge of the flavor system is evident. This investigation sought to implement flavor education (FE) and encourage patients to experience flavors in terms of a flavor training (FT).MethodsIn included patients (n = 30), OD was either of postinfectious (86.7%) or posttraumatic (13.3%) cause. Chemosensory abilities were tested orthonasally (using Sniffin Sticks = TDI) and retronasally (usin...
Source: European Archives of Oto-Rhino-Laryngology - April 4, 2020 Category: ENT & OMF Source Type: research

Olfactory training ball improves adherence and olfactory outcomes in post-infectious olfactory dysfunction
ConclusionThe present study shows that a novel OT device, the OTB, provides better adherence to the training process compared to COT. Moreover, findings of the current study show that better adherence to the OT process is associated with better olfactory outcomes. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 3, 2020 Category: ENT & OMF Source Type: research

High dose ibuprofen as a monotherapy on an around-the-clock basis fails to control pain in children undergoing tonsil surgery: a prospective observational cohort study
AbstractPurposeThe optimal pain management concept in children after tonsil surgery is controversial. Ibuprofen on an “around-the-clock” basis has been suggested to control postoperative pain sufficiently. Therefore, we established a standard scheme with weight-adapted recommended maximum ibuprofen dose. A reliable assessment of pain intensity can be performed with the Children’s and Infants’ Postoperative Pain Scale (CHIPPS) in children 
Source: European Archives of Oto-Rhino-Laryngology - April 3, 2020 Category: ENT & OMF Source Type: research

Day-case thyroid lobectomy parameters at a tertiary referral head and neck centre: a sensitivity and cost analysis
We describe the use of sensitivity analysis modelling and cost analysis in determining and refining the patient cohort that safely meet the threshold for a new day-case thyroid lobectomy service at a tertiary referral head and neck centre.MethodsAll cases of first-time thyroid lobectomy were identified between 2015 and Q2 2019. Patients suitable for day-case thyroid lobectomy were identified retrospectively, according to the following criteria: Age  
Source: European Archives of Oto-Rhino-Laryngology - April 3, 2020 Category: ENT & OMF Source Type: research

Referral Practice for Radioactive Iodine Ablation (RAI) after ATA  guidelines 2015: results from a Tertiary Cancer Care Centre
AbstractIntroductionThe ATA guidelines for differentiated thyroid cancer (DTC) are one of the most widely referred to. Their 2015 edition proposed a new risk stratification system and modified the indications for radioactive iodine (RAI) ablation especially for the low risk category. We attempted to analyze whether the new guidelines altered referral practices for RAI ablation at our institute.MethodologyPatients who underwent total or completion thyroidectomy for DTC during 2016 –2017 were included. Relevant demographical and pathological data was tabulated. Patients were classified as per the new stratification sys...
Source: European Archives of Oto-Rhino-Laryngology - April 2, 2020 Category: ENT & OMF Source Type: research

Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus
AbstractPurposeTo evaluate voice outcome after bilateral medialization thyroplasty in patients with non-paralytic glottic insufficiency due to vocal fold atrophy with or without sulcus.MethodsRetrospective cohort study on 29 patients undergoing bilateral medialization thyroplasty for vocal fold atrophy (14 procedures) or atrophy with sulcus (15 procedures) between October 2012 and November 2017. Voice data were collected and analyzed for the preoperative and the 3- and 12-month postoperative time point according to a standardized protocol, including Voice Handicap Index (VHI)-30 and perceptual, acoustic and aerodynamic par...
Source: European Archives of Oto-Rhino-Laryngology - April 2, 2020 Category: ENT & OMF Source Type: research

Expansion sphincter pharyngoplasty: analyzing the technique based on anatomy
ConclusionThe present study is a basic study demonstrating how different techniques of ESP affect the position of the soft palate. The PP –SPC attachment can be transected in the patients with anterior–posterior palatal and lateral wall collapse to pull the soft palate anteriorly in addition to prevent the lateral wall collapse. The PP–SPC attachment can be preserved in the patients with only lateral wall collapse. Nevertheless, the clinical consequences of these static changes need to be evaluated in clinical studies. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 2, 2020 Category: ENT & OMF Source Type: research

Lymph-node Epstein –Barr virus concentration in diagnosing cervical lymph-node metastasis in nasopharyngeal carcinoma
AbstractPurposeCervical lymph-node (CLN) metastasis commonly occurs in patients with nasopharyngeal carcinoma (NPC) metastasis. The presence of Epstein –Barr virus (EBV) genomes in neck lymph nodes may diagnose CLN. This research was designed to appraise the diagnostic value of EBV concentration for cervical lymph nodes in NPC.MethodsTwo hundred and fifty-three NPC patients with 276 CLNs were enrolled. MRI was performed to detect CLN metastasis, and plasma EBV concentration was measured by quantitative PCR before treatment. Ultrasonography (US) and US-FNA were subsequently performed in the suspicious lymph nodes. Fif...
Source: European Archives of Oto-Rhino-Laryngology - April 2, 2020 Category: ENT & OMF Source Type: research

Predicting the treatment outcome of nivolumab in recurrent or metastatic head and neck squamous cell carcinoma: prognostic value of combined performance status and modified Glasgow prognostic score
ConclusionThe combination of PS and mGPS accurately predicted OS after nivolumab therapy. Preventive intervention to maintain general condition without simultaneously exceeding level 2 of PS and mGPS might be important for improving treatment outcomes of nivolumab. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 1, 2020 Category: ENT & OMF Source Type: research

Author's reply to the Letter to the Editor “Prospective evaluation of oral corticosteroid as a predictor of postoperative olfactory recovery after functional endoscopic surgery for nasal polyposis”
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - April 1, 2020 Category: ENT & OMF Source Type: research

Postoperative analgesic efficacy of perioperative intravenous lidocaine infusion in patients undergoing septorhinoplasty: a prospective, randomized, double-blind study
DiscussionWe recommended the use of intravenous lidocaine infusion for intraoperatively and first postoperative hours in septorhinoplasty surgery as it reduces pain scores and the need for additional opioid use. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

Tolerability of facial electrostimulation in healthy adults and patients with facial synkinesis
ConclusionsSurface electrostimulation for selective functional and tolerable facial muscle contractions in patients with postparetic facial synkinesis is feasible. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

Osteogenesis imperfecta and hearing loss: an analysis of patients attended at a benchmark treatment center in southern Brazil
ConclusionsOverall, the majority of the subjects in this patient sample presented normal hearing thresholds. When present, hearing impairments were more prevalent in the adult group than in the adolescent or children ’s groups. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

Assessment of sphenoid sinus types in patients with cleft lip and palate on cone-beam CT
AbstractPurposeThe aim of this study is to examine the sphenoid sinus morphology and variations in patients with cleft lip and palate (CLP) on cone-beam computed tomography (CBCT) images, and to compare them with healthy controls.MethodsCBCT images of 54 patients (28 males and 26 females,) with CLP and 54 age- and gender-matched healthy individuals (28 males and 26 females) were retrospectively evaluated. Sphenoid sinus main types (conchal, presellar, sellar, postsellar), sellar subtypes, clival and lateral extensions, and sinus septation were analyzed in CLP and control groups. The data were statistically analyzed using C...
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

Metabolic syndrome components and sudden sensorineural hearing loss: a case –control study
The objective of this study was to evaluate the relationship between MetS (and its components) and SSNHL.MethodsEighty-one SSNHL patients and 243 sex-, aged-matched controls participated from January 2018 to July 2019. The participants included 176 (54.3%) men and 148 (45.7%) women. The correlation between Mets components, total cholesterol, low-density lipoprotein-cholesterol, and the onset of SSNHL was analyzed using used multivariate conditional logistic regression analysis.ResultsA total 12 patients (14.8%) with SSNHL and 27 subjects (11.1%) in control group had MetS (p >  0.05). The rate of low levels of ...
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

Videolaryngoscope-assisted coblation of epiglottic cysts
ConclusionsVACECs brings together the advantages of videolaryngoscope and coblation. It is a simple, safe and feasible procedure for patients with ECs and is worthy of clinical application. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 14, 2020 Category: ENT & OMF Source Type: research

An open structure questionnaire on reasons for delay in presentation: a study of patients attending clinic with red flag symptoms of head and neck cancer
ConclusionPatients with head and neck cancer are not worried about their symptoms and delay their presentation, possibly contributing towards later stage diagnosis. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 13, 2020 Category: ENT & OMF Source Type: research