Management and outcome of vagus nerve stimulator implantation: experience of an otolaryngeal/neuropediatric cooperation
ConclusionOur results indicate that VNS implantation is a highly effective and safe treatment option for children and adolescents with AED-refractory epilepsies who are not candidates for curative epilepsy surgery. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

MRI-induced artifact by a cochlear implant with a novel magnet system: an experimental cadaver study
ConclusionsWe performed the first cadaver study aimed at systematically evaluating the MRI-induced artifacts produced by a cochlear implant with a novel four bar magnet system. Specific brain structures can be assessable for diagnostic purposes under 1.5  T MRI, with the cochlear implant magnet in place. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Donor site sequelae and patient satisfaction after head and neck reconstruction with a radial forearm free flap
ConclusionsAlthough objectively important, RFFF morbidity has little impact in head and neck cancer patient ’s life. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results
AbstractPurposeTinnitus and equilibrium disorders such as dizziness and vertigo have been reported by patients with COVID-19; however, they have been rarely investigated. The aim of this study was to study the prevalence of subjective tinnitus and dizziness in a sample of COVID-19 patients using an online 10-item close-ended questionnaire.MethodsA multicentric study that included 15 Italian hospitals in different regions was conducted using an online 10-item close-ended questionnaire developed to identify the presence of tinnitus and balance disorders in patients with COVID-19 between May 5 and June 10, 2020. The questionn...
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Dysphagia, voice problems, and pain in head and neck cancer patients
ConclusionDysphagia is an important symptom in HNC patients greatly affecting patients ’ QoL and significantly correlating with voice problems and pain. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Postoperative headache after surgical treatment of cerebellopontine angle tumors: a systematic review
The objective of this systematic review was to investigate whether POH occurs more frequently after RS compared to TL approaches.MethodsA systematic search was conducted in Cochrane, Pubmed and Embase. Studies were included if POH after CPA tumor removal was reported and both surgical approaches were compared. The methodological quality of the studies was assessed using the Risk Of Bias In Non-randomized Studies of Interventions (ROBINS-I) tool.ResultsIn total, 3,942 unique articles were screened by title and abstract. After the initial screening process 63 articles were screened for relevance to the inquiry, of which seve...
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Practical applicability of the STAMCO and ChOLE classification in cholesteatoma care
ConclusionBoth STAMCO and ChOLE will be beneficial in uniform registration of cholesteatoma pathology in practice. Modifications proposed for both classifications may make them even more practical applicable in the future. A common denominator obtained from these two classifications may be incorporated in a standardised surgical report to facilitate evaluation which make outcomes transferable towards both classifications. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Assessment of children with speech sound disorders in otolaryngology outpatient clinics
ConclusionOtolaryngologists could evaluate SSD with the help of AAT as well as an SLP analysis. Standardized visual tests, such as the AAT, assist the otolaryngologist in the diagnosis of SSD in outpatient clinics. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

A safe and comparable alternative to BIPP packing following tympanoplasty for tympanic membrane perforation
ConclusionsBIPP-impregnated ribbon gauze and chloramphenicol/wick are both comparable methods for packing an ear following tympanoplasty for tympanic membrane perforation. This is useful information both for surgeons who commonly use BIPP and have a patient with a known iodine allergy, or who is not known to be allergic to iodine but has been packed with BIPP previously, and for those who do not have access to BIPP and wish to use a pack with comparable success. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial
ConclusionTransoral endoscopic thyroidectomy vestibular approach and ETABA both have comparable results and do not worsen the quality of life. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Appropriateness for SARS-CoV-2 vaccination for otolaryngologist and head and neck surgeons in case of pregnancy, breastfeeding, or childbearing potential: Yo-IFOS and CEORL-HNS joint clinical consensus statement
ConclusionUntil prospective evaluations on these topics are available, ORL-HNS must be considered a high infection risk specialty. While the use of PPE remains pivotal, ORL PBFHW should be allowed access to SARS-CoV-2 vaccination provided they receive up-to-date information. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Significance of the middle ear risk index in predicting tympanoplasty success in the elderly
AbstractPurposeTo evaluate the relationship between middle ear risk index (MERI) score and success of tympanoplasty in elderly ( ≥ 60 years) compared with young patients (18–59 years) and to investigate the prognostic factors affecting the success of tympanoplasty.MethodsPatients were subdivided into three subgroups according to  the MERI score as follows: mild (0–3), moderate (4–6), and severe (≥ 7). Ages, perforation sides and location, preoperative and postoperative audiological results, and the graft success of 29 patients aged over 60 years were compared w...
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Virtual voice clinics in the COVID-19 era: have they been helpful?
AbstractPurposeIn response to the coronavirus pandemic, a tertiary combined Laryngology-Speech Therapy voice clinic was converted to a wholly virtual clinic, with consultations carried out via telephone or video. The aim of our mixed method study was to assess (a) how effective are virtual clinics vs face-to-face clinics in progressing patients ’ care and (b) what is patient satisfaction with virtual consultation methods.MethodsAnalysis of clinic data from patient databases for both virtual and face-to-face clinics was carried out. A patient satisfaction survey was carried out by 75 of the patients who had attended v...
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Neonatal nasal obstruction
ConclusionCongenital nasal obstruction can be a significant cause of respiratory distress in the newborn. The wide spectrum of differential diagnoses requires a thorough knowledge of nasal anatomy, physiology, and pathology; as well as different management strategies. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Cochlear implantation under local anesthesia and conscious sedation: an Italian experience
ConclusionLocal anesthesia with conscious sedation is a safe and effective alternative for cochlear implant candidates considered unfit for general anesthesia. Fundamental for a successful procedure are preoperative counselling, accurate selection of the patients and constant intraoperative assistance. Unfeasibility of facial nerve monitoring and minor detrimental effect on training are the principal disadvantages in performing cochlear implantation under local anesthesia. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Patient and otolaryngologist perceptions of telemedicine during COVID-19 pandemic
ConclusionTelemedicine appears to be an interesting alternative approach in situation of pandemic and lock-down. Because the patient motivation to further participate to telemedicine appears to be conditioned by the context, efforts are still required to understand the patient perception, satisfaction and fears in view of future implementation outside pandemic. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Active transcutaneous bone-anchored hearing implant: how I do it
ConclusionIntroduction of an implant well resulted in a better aesthetic outcome and improved patients ’ comfort. The reduced distance between BI300 and ear canal might improve audiological outcome. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Single-swab sampling for suspected COVID-19 cases: a time-dependent function?
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Serum prolidase, malondialdehyde and catalase levels for the evaluation of oxidative stress in patients with peripheral vertigo
AbstractPurposeWe aimed to evaluate oxidative stress in patients with peripheral vertigo by measuring serum prolidase, malondialdehyde (MDA) and catalase levels.MethodsA total of 30 patients (age: 60  
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Correction to: Inlay triple-  “C” tympanoplasty: a comparative study for its use in large, marginal perforations
In the original publication of (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - September 1, 2021 Category: ENT & OMF Source Type: research

Management and outcome of vagus nerve stimulator implantation: experience of an otolaryngeal/neuropediatric cooperation
ConclusionOur results indicate that VNS implantation is a highly effective and safe treatment option for children and adolescents with AED-refractory epilepsies who are not candidates for curative epilepsy surgery. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

MRI-induced artifact by a cochlear implant with a novel magnet system: an experimental cadaver study
ConclusionsWe performed the first cadaver study aimed at systematically evaluating the MRI-induced artifacts produced by a cochlear implant with a novel four bar magnet system. Specific brain structures can be assessable for diagnostic purposes under 1.5  T MRI, with the cochlear implant magnet in place. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Donor site sequelae and patient satisfaction after head and neck reconstruction with a radial forearm free flap
ConclusionsAlthough objectively important, RFFF morbidity has little impact in head and neck cancer patient ’s life. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results
AbstractPurposeTinnitus and equilibrium disorders such as dizziness and vertigo have been reported by patients with COVID-19; however, they have been rarely investigated. The aim of this study was to study the prevalence of subjective tinnitus and dizziness in a sample of COVID-19 patients using an online 10-item close-ended questionnaire.MethodsA multicentric study that included 15 Italian hospitals in different regions was conducted using an online 10-item close-ended questionnaire developed to identify the presence of tinnitus and balance disorders in patients with COVID-19 between May 5 and June 10, 2020. The questionn...
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Assessment of children with speech sound disorders in otolaryngology outpatient clinics
ConclusionOtolaryngologists could evaluate SSD with the help of AAT as well as an SLP analysis. Standardized visual tests, such as the AAT, assist the otolaryngologist in the diagnosis of SSD in outpatient clinics. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

A safe and comparable alternative to BIPP packing following tympanoplasty for tympanic membrane perforation
ConclusionsBIPP-impregnated ribbon gauze and chloramphenicol/wick are both comparable methods for packing an ear following tympanoplasty for tympanic membrane perforation. This is useful information both for surgeons who commonly use BIPP and have a patient with a known iodine allergy, or who is not known to be allergic to iodine but has been packed with BIPP previously, and for those who do not have access to BIPP and wish to use a pack with comparable success. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Significance of the middle ear risk index in predicting tympanoplasty success in the elderly
AbstractPurposeTo evaluate the relationship between middle ear risk index (MERI) score and success of tympanoplasty in elderly ( ≥ 60 years) compared with young patients (18–59 years) and to investigate the prognostic factors affecting the success of tympanoplasty.MethodsPatients were subdivided into three subgroups according to  the MERI score as follows: mild (0–3), moderate (4–6), and severe (≥ 7). Ages, perforation sides and location, preoperative and postoperative audiological results, and the graft success of 29 patients aged over 60 years were compared w...
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Virtual voice clinics in the COVID-19 era: have they been helpful?
AbstractPurposeIn response to the coronavirus pandemic, a tertiary combined Laryngology-Speech Therapy voice clinic was converted to a wholly virtual clinic, with consultations carried out via telephone or video. The aim of our mixed method study was to assess (a) how effective are virtual clinics vs face-to-face clinics in progressing patients ’ care and (b) what is patient satisfaction with virtual consultation methods.MethodsAnalysis of clinic data from patient databases for both virtual and face-to-face clinics was carried out. A patient satisfaction survey was carried out by 75 of the patients who had attended v...
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Cochlear implantation under local anesthesia and conscious sedation: an Italian experience
ConclusionLocal anesthesia with conscious sedation is a safe and effective alternative for cochlear implant candidates considered unfit for general anesthesia. Fundamental for a successful procedure are preoperative counselling, accurate selection of the patients and constant intraoperative assistance. Unfeasibility of facial nerve monitoring and minor detrimental effect on training are the principal disadvantages in performing cochlear implantation under local anesthesia. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Active transcutaneous bone-anchored hearing implant: how I do it
ConclusionIntroduction of an implant well resulted in a better aesthetic outcome and improved patients ’ comfort. The reduced distance between BI300 and ear canal might improve audiological outcome. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Single-swab sampling for suspected COVID-19 cases: a time-dependent function?
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Serum prolidase, malondialdehyde and catalase levels for the evaluation of oxidative stress in patients with peripheral vertigo
AbstractPurposeWe aimed to evaluate oxidative stress in patients with peripheral vertigo by measuring serum prolidase, malondialdehyde (MDA) and catalase levels.MethodsA total of 30 patients (age: 60  
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Correction to: Inlay triple-  “C” tympanoplasty: a comparative study for its use in large, marginal perforations
In the original publication of (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 24, 2021 Category: ENT & OMF Source Type: research

Use of a 3D reconstruction model in a patient with severe atresia auris for optimal placement of Bonebridge transcutaneous bone conduction implant
Conclusions3D printing is a useful tool for planning surgery in AA patients and for preventing possible risks related to the unknown malformed anatomy. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Evaluating the safety of oral methylene blue during swallowing assessment: a systematic review
AbstractObjectiveMethylene blue (MB) is frequently administered during fiberoptic endoscopic evaluation of swallowing (FEES) to enhance visualization of pharyngeal bolus transit. However, the safety of MB is being questioned since serious adverse events (AEs) such as hemodynamic instability, hemolysis, and serotonin syndrome were reported. The aim of this study is a systematic analysis of the literature to obtain an evidence-based overview of AEs due to oral administration of MB and to determine its safety as a food dye during swallowing assessment.MethodsA systematic literature search was carried out in PubMed, Embase, an...
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Measurement of some serum cytokines in nasal polyp and evaluation of its correlation with disease severity
ConclusionThe increase in cytokine levels in the patient group suggested that cytokine-mediated inflammation processes may be effective in nasal polyp pathogenesis. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Non-idiopathic peripheral facial palsy: prognostic factors for outcome
AbstractObjectivesThere is a lack of data on patients ’ and diagnostic factors for prognostication of complete recovery in patients with non-idiopathic peripheral facial palsy (FP).MethodsCohort register-based study of 264 patients with non-idiopathic peripheral FP and uniform diagnostics and standardized treatment in a university hospital from 2007 to 2017 (47% female, median age: 57  years). Clinical data, facial grading, electrodiagnostics, motor function tests, non-motor function tests, and onset of prednisolone therapy were assessed for their impact on the probability of complete recovery using univariable ...
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Typical symptoms of common otorhinolaryngological diseases may mask a SARS-CoV-2 infection
AbstractPurposeSevere acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) replicates predominantly in the upper respiratory tract and is primarily transmitted by droplets and aerosols. Taking the medical history for typical COVID-19 symptoms and PCR-based SARS-CoV-2 testing have become established as screening procedures. The aim of this work was to describe the clinical appearance of SARS-CoV-2-PCR positive patients and to determine the SARS-CoV-2 contact risk for health care workers (HCW).MethodsThe retrospective study includedn = 2283 SARS-CoV-2 PCR tests fromn = 1725 patients with oto...
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Endoscopic frontal recess anatomy directed by the drainage pathways using the connecting plates as landmarks
ConclusionsMSIP is the critical landmark for the recognition of MPFR, LPFR, and the classification of FR cells. The FR resection along LPFR and MPFR facilitated excellent exposure of FS. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Oncocytic papillary cystadenoma of the larynx: comparative study of ten cases and review of the literature
ConclusionOPCs present a separate clinicopathologic entity, distinct from other cystic laryngeal lesions. They have a characteristic location, age and sex group, microscopic appearance, and potential for local recurrence. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Author ’s reply to “A novel seven-gene panel predicts the sensitivity and prognosis of head and neck squamous cell carcinoma treated with platinum-based radio(chemo)therapy”
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Letter to the editor “A nomogram for predicting occult lymph node metastasis in early hypopharyngeal cancer with cN0”
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Intraoperative spinal accessory nerve monitoring in neck dissections
ConclusionIONM for spinal accessory nerve in patients undergoing neck dissection is a useful technique that can be valuable for neck surgeries where spinal nerve injury is at risk. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Letter to the editor “Identification of MSC-AS1, a novel lncRNA for the diagnosis of laryngeal cancer”
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Letter to the Editor: “Development and validation of a novel metabolic signature for predicting prognosis in patients with laryngeal cancer”
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

A novel seven ‑gene panel predicts prognosis of head and neck squamous cell carcinoma treated with platinum‑based radio(chemo)therapy
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Correction to: The evaluation of tinnitus and auditory brainstem response in benign paroxysmal positional vertigo accompanied by tinnitus
Corrections proposed to be made in the final version were transferred by mistake to the online article. The original article has been corrected. In the original publication of the article, under the abstract, the following sentence. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Short report on the effects of SARS-CoV-2 face protective equipment on verbal communication
ConclusionThe use of face personal protective equipment causes significant verbal communication issues. Healthcare workers, school-aged children, and people affected by voice and hearing disorders may represent specific at-risk groups for impaired speech intelligibility. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

New study on prevalence of anosmia in COVID-19 implicates the D614G virus mutation as a major contributing factor to chemosensory dysfunction
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research

Author's reply regarding the letter to the editor about our article: A nomogram for predicting occult lymph node metastasis in early hypopharyngeal cancer with cN0
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - August 23, 2021 Category: ENT & OMF Source Type: research