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 - March 7, 2021 Category: ENT & OMF Source Type: research

Endoscopic surgical treatment for rhinogenic contact point headache: systematic review and meta-analysis
AbstractPurposeThis meta-analysis study was designed to analyze endoscopic surgery ’s role in treating rhinogenic contact point headache.MethodsWe performed a comprehensive review of the last 20  years’ English language regarding Rhinogenic contact point headache and endoscopic surgery. We included the analysis papers reporting post-operative outcomes through the Visual Analogue Scale or the Migraine Disability Assessment scale.ResultsWe provided 18 articles for a total of 978 RCPH patients. While 777 (81.1%) subjects underwent functional nasal surgery for RCPH, 201 patients (20.9%) were medically treated....
Source: European Archives of Oto-Rhino-Laryngology - March 6, 2021 Category: ENT & OMF Source Type: research

Preoperative tracheotomy as reflection of tumor size impacting oncologic outcomes of patients with advanced stage glottic carcinoma
ConclusionThis study indicates that tumor size is correlated with preoperative tracheotomy, and tracheotomy intervention may be reflection from effect of great tumor size that is a true adverse factor influencing oncologic outcomes of advanced stage glottic carcinoma patients. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 6, 2021 Category: ENT & OMF Source Type: research

Delayed presentation of head and neck cancer patients during COVID-19 pandemic
ConclusionThe COVID-19 pandemic has caused delay in the diagnosis and treatment of many diseases as such in head and neck cancers. Admission with advanced stage disease and the need for more complex reconstructive procedures were increased. During the pandemic, the management of other diseases that cause mortality and morbidity should not be neglected and priorities should be determined. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 6, 2021 Category: ENT & OMF Source Type: research

Clinical and functional results after implantation of the bonebridge, a semi-implantable, active transcutaneous bone conduction device, in children and adults
AbstractPurposeAim of the study was to evaluate the surgical, clinical and audiological outcome of 32 implantations of the Bonebridge, a semi-implantable transcutaneous active bone conduction implant.MethodsIn a retrospective cohort study, we analyzed data for 32 implantations in 31 patients (one bilateral case; seven age    11 postoperative months (p   11 months (p 
Source: European Archives of Oto-Rhino-Laryngology - March 6, 2021 Category: ENT & OMF Source Type: research

Clinical characteristics of asymptomatic allergen sensitization with nasal septal deviation, often misdiagnosed as allergic rhinitis
ConclusionASSD can mimic AR. When dealing with allergen-sensitized patients with a predominant symptom of nasal obstruction, DSN might also be considered before confirming a diagnosis of AR. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 4, 2021 Category: ENT & OMF Source Type: research

Long-term efficacy assessment of current treatment options for epistaxis in HHT
ConclusionEpistaxis in HHT is not curable, but can be managed by employing a comprehensive stepwise approach. An algorithm for effective and comprehensive management has been presented. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 4, 2021 Category: ENT & OMF Source Type: research

Tracheostomy complications in otorhinolaryngology are rare despite the critical airway
AbstractPurposeTo identify complications of surgical tracheostomies in otorhinolaryngologic patients and adjust our processes to be properly prepared in the future.MethodsWe reviewed retrospectively all surgical tracheostomies (n = 255) performed by otolaryngologist-head and neck surgeons at Helsinki University Hospital between Jan 2014 and Feb 2017. Patient demographics, surgical details, surgical and medical complications, and tracheostomy-related mortality were recorded from the hospital charts. Risk factors for comp lications were assessed.ResultsAltogether, 55 (22%) complications were identified in 39 (1...
Source: European Archives of Oto-Rhino-Laryngology - March 3, 2021 Category: ENT & OMF Source Type: research

Recurrent vestibulopathy: are cVEMP, oVEMP and inner ear MRI useful to distinguish patients with Meni ère’s disease and vestibular migraine?
AbstractPurposeThe aim of this study was to assess the rate of endolymphatic hydrops (EH) on MRI and the rate of otolithic dysfunction with cVEMP and oVEMP, in patients with recurrent vertigo such as Meni ère’s disease (MD), vestibular migraine (VM) and vestibular Menière’s disease (vMD).MethodsIn this retrospective study, we performed 3D-FLAIR sequences with delayed acquisition in 20 MD, 20 VM and 20 vMD patients. Each subject was then assessed for the presence of EH on MRI. All patients underwent pure-tone audiometry, cVEMP and oVEMP.ResultsIn MD patients, EH was observed in 18 (90%) out of 20 p...
Source: European Archives of Oto-Rhino-Laryngology - March 2, 2021 Category: ENT & OMF Source Type: research

A simple method for olfactory rehabilitation following total laryngectomy
AbstractPurposeThe aim of the study is to demonstrate the effectiveness of spraying odor particles using sinus rinse kits for olfactory rehabilitation in patients with total laryngectomy.MethodsOlfactory rehabilitation was performed by applying four different odorant particles orthonasally using a sinus rinse kit pump for 30  min each day for a duration of 6 months. Olfactory function was evaluated by performing olfactory tests before the rehabilitation and at sixth month after the rehabilitation process.ResultsThe average CCCRC score prior to olfactory rehabilitation was 2.28  ± 0.79 (betwee...
Source: European Archives of Oto-Rhino-Laryngology - March 2, 2021 Category: ENT & OMF Source Type: research

Thoracoscopic total laryngo-pharyngo-oesophagectomy for the pharyngoesophageal junction cancer: a single-center experience of multidisciplinary team
ConclusionAs a salvage surgery, thoracoscopic total laryngo-pharyngo-oesophagectomy by multidisciplinary team can be performed with an acceptable level of perioperative morbidity and mortality, relatively good recovery, and acceptable survival outcome for patients with pharyngoesophageal junction cancer. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 2, 2021 Category: ENT & OMF Source Type: research

Revision of cartilage tympanoplasty with endoscopic butterfly inlay myringoplasty
ConclusionsEndoscopic butterfly inlay myringoplasty for the revision of cartilage tympanoplasty is considered to be a safe surgical technique with satisfactory anatomical and hearing results. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 1, 2021 Category: ENT & OMF Source Type: research

Reply to: Letter to the editor regarding “Long-term intubation and high rate of tracheostomy in COVID-19 patients might determine an unprecedented increase of airway stenoses: a call to action from the European Laryngological Society” by Piazza et al
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - March 1, 2021 Category: ENT & OMF Source Type: research

Predictive factors of severity and persistence of oropharyngeal dysphagia in sub-acute stroke
This study aims to understand the factors contributing to the severity of oropharyngeal dysphagia and its persistence in the sub-acute phase of stroke.MethodsWe retrospectively collected the data of all the patients suffering from a stroke in the last year. The severity of stroke was reported according to the NIHSS score. All the patients were evaluated with the Dysphagia Risk Score and with a FEES. We classified the Dysphagia Risk Score and FEES results using the PAS score and ASHA-NOMS levels. The data were analysed statistically with ANOVA test, Student ’st test and Pearson ’s correlation coefficient.Results...
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Predicting outcome of velopharyngeal surgery in drug-induced sleep endoscopy by traction velum
AbstractBackgroundOutcomes of surgical management of obstructive sleep apnea –hypopnea syndrome (OSAHS) can be difficult to predict preoperatively.Aims/objectivesTo study the effect of applying traction to the velum during drug-induced sleep endoscopy (DISE) in OSAHS patients, and to describe the use of traction velum in predicting surgical success.Materials and methods41 adult surgical patients with OSA (Friedman tongue position II and III) were evaluated by DISE. All patients subsequently underwent velopharyngeal surgery in the form of uvulopalatopharyngoplasty with tonsillectomy plus barbed reposition pharyngoplas...
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Changes of incudostapedial joint angle in stapedotomy: does it impact hearing outcomes?
AbstractPurposeThe aims of this article are: (1) is there an ideal incudostapedial joint  (ISJ) angle after stapedotomy? (2) is there any difference between pre- and postoperative ISJ angle? and (3) what is the significance of the ISJ angle in postoperative hearing outcomes?MethodsForty six ears from 39 different adult patients (28 women and 11 men; 21 left and 25 right ears) with a mean age of 39  years with clinical otosclerosis who underwent stapedotomy between May 2017 and May 2019 were retrospectively registered, including seven bilateral surgery cases. ISJ angle and intravestibular depth of the stapes prost...
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Chemosensory dysfunction in COVID-19 out-patients
ConclusionOGD is a prevalent symptom in COVID-19 subjects with significant differences compared to controls. It was predominant in young and females subjects. Stratified analysis by the severity of OGD showed that more than 60% of COVID-19 subjects presented a severe OGD who took a longer time to recover compared to those with mild symptoms. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Maximum isometric tongue force in patients with obstructive sleep apnoea
ConclusionCurrently there are no indications that maximum isometric tongue force does differ in healthy individuals and patients with OSA. Higher, as well as lower, tongue forces in patients with OSA seem not to differ from healthy subjects and therefore may not be needed to consider, in the development of tongue management devices, for OSA patients. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Elective tracheostomy during COVID-19 outbreak: to whom, when, how? Early experience from Venice, Italy
ConclusionWe suggest to wait at least 14  days to perform tracheostomy. In patients with SOFA score >  6 and D dimer >  4, tracheostomy should not be performed or should be postponed. Optimized procedures and enhanced personal protective equipment can make the tracheostomy safe and beneficial in COVID-19 patients. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Management of loco-regionally advanced squamous laryngeal cancer in elderly patients
ConclusionsIn this monocentric cohort, age and TNM confirmed their independent prognostic role in LRALC patients. Organ-preservation is still an unmet need in a significant portion of elderly patients. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Benefits in noise from sound processor upgrade in thirty-three cochlear implant users for more than 20  years
AbstractPurposeSome oldest patients rehabilitated with a cochlear implant more than 20  years ago could still be upgraded with new generations of speech processor (SP). The aim of this study was to show the benefit of a recent generation of SP in this population.MethodsA monocentric prospective study was designed to evaluate the performance of 33 ancient CI22M users implanted between 1989 and 1997 and upgraded with the late compatible sound processor CP900. Performance was evaluated in quiet and noise with Framatix, an automated adaptative test.ResultsPerformance using Framatix significantly improved with the CP900, w...
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Post-COVID-19 paradoxical vocal fold movement disorder
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Topical Collection: Sleep apnea syndrome: from the pathogenesis to the last therapies
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 20, 2021 Category: ENT & OMF Source Type: research

Validation study of a novel approach for assessment of retronasal olfactory function with combination of odor thresholds and identification
ConclusionsNormosmic participants can be distinctly differentiated from patients with olfactory dysfunction using a valid test battery comprised of retronasal threshold and identification tests. Based on the current findings, we advocate a TI score of 16 as a cut-off between patients and controls. Therefore, TI scores of 17 and above would indicate retronasal normosmia. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 19, 2021 Category: ENT & OMF Source Type: research

High-definition videolaryngoscopy is superior to fiberoptic laryngoscopy: a 111 multi-observer study
This study aims to analyse differences in fiberoptic laryngoscopy (FOL) versus high definition laryngoscopy (HDL) by examining videolaryngoscopy images by a large group of observers with different levels of clinical expertise in ear, nose and throat (ENT) medicine.MethodsThis study is a 111 observer paired analysis of laryngoscopy videos during an interactive presentation. During a National Meeting of the Dutch Society of ENT/Head and Neck Surgery, observers assessed both FOL and HDL videos of nine cases with additional clinical information. Observers included 41 ENT consultants (36.9%), 34 ENT residents (30.6%), 22 resear...
Source: European Archives of Oto-Rhino-Laryngology - February 19, 2021 Category: ENT & OMF Source Type: research

Reporting quality of surgical randomised controlled trials in head and neck cancer: a systematic review
ConclusionWe have identified several pieces of information that are underreported in surgical head and neck cancer RCTs. These omissions make understanding and comparing the methodologies and conclusions of RCTs more difficult. The endorsement of CONSORT by journals improved adherence, suggesting that wider adoption of the checklist may improve reporting. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 19, 2021 Category: ENT & OMF Source Type: research

Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool
AbstractPurposeTo develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training.MethodsProspective study gathering validity evidence according to Messick ’s framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory an d generalizability theory were used for reliability analysis.ResultsThe CISAT signif...
Source: European Archives of Oto-Rhino-Laryngology - February 19, 2021 Category: ENT & OMF Source Type: research

Lung metastases in newly diagnosed hypopharyngeal cancer: a population-based study
ConclusionOur study provides insight into the epidemiology of lung metastases in patients with hypopharyngeal cancer. When the tumor is diagnosed, we should pay close attention to the sex, race, tumor size and histological grade to quickly detect the distant metastases. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

Open partial horizontal laryngectomy and adjuvant (chemo)radiotherapy for laryngeal squamous cell carcinoma: results from a multicenter Italian experience
AbstractPurposeTo evaluate the functional and oncologic outcomes of adjuvant (chemo)radiation [(C)RT] after open partial horizontal laryngectomies (OPHLs).MethodsMulticenter retrospective evaluation of 130 patients (116 males, 14 females) submitted between 1995 and 2017 to OPHL Types II and III for laryngeal cancer and receiving adjuvant (C)RT for one or more of the following risk factors at histopathologic examination of the surgical specimen: pT4a and/or  >  pN2a categories, close/positive resection margins, or presence of both perineural (PNI) and lympho-vascular invasion (LVI). The primary study endpoi...
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

De-escalation in HPV-associated oropharyngeal cancer: lessons learned from the past? A critical viewpoint and proposal for future research
ConclusionsData obtained with de-intensified strategies should only serve to help select an appropriate experimental arm for a randomized controlled trial phase III comparison against cisplatin and 70  Gy of radiotherapy. Without a proper randomized trial, there remains the possibility of compromising survival, which raises ethical questions about conducting any de-escalation trial. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

Orbital wall decompression in the management of Graves ’ orbitopathy: a systematic review with meta-analysis
AbstractPurposeTo systematically review outcomes of orbital bony wall decompression for Grave ’s orbitopathy according to the surgical approach.MethodsA systematic search for studies published in “Ovid MEDLINE”, “Web of Science” and “Embase” of patients with surgical treatment of Grave’s orbitopathy was performed. The overall postoperative change in Hertel exophthalmometry was calculated by random-effect meta-analysis model with 95% confidence interval (CI).ResultsA total of 33 studies, including 1686 patients and 2946 procedures, were included. The weighted mean Hertel value...
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

Translation and validation of the music-related quality of life questionnaire for adults with cochlear implant in Turkish language
ConclusionThe Turkish version of the questionnaire has good validity and reliability and can be used to investigate the relationship between music and quality of life and as a diagnostic tool in identifying individuals who need music support and to guide and evaluate music rehabilitation. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

A live porcine model for surgical training in tracheostomy, neck dissection, and total laryngectomy
ConclusionThe porcine model was both manageable and helpful in providing training despite slight anatomical differences between human beings and pigs. However, more studies are necessary to guarantee that the competencies acquired with this type of training are transferable to real-life interventions.Level of evidenceLevel 5. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 18, 2021 Category: ENT & OMF Source Type: research

Which treatment is better than concurrent chemoradiotherapy about survival for stage III or IV locally advanced nasopharyngeal carcinoma? An updated Bayesian network meta-analysis of randomized controlled trials
ConclusionInduction chemotherapy IC  + CCRT provided better survival benefit than CCRT alone. CCRT + AC failed to increase survival benefit significantly compared to CCRT alone. More research about comparing IC + CCRT with IC + RT or CCRT + AC are needed. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 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 - February 17, 2021 Category: ENT & OMF Source Type: research

Endoscopic-assisted pediatric transcutaneous bone-anchored hearing implant: how I do it
ConclusionEndoscopic-assisted bone-anchored hearing implant surgery could be a viable option for transcutaneous bone-anchored hearing implant surgery, especially for pediatric patients. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

Endoscopic video-assisted transoral (EVAT) surgery of the oropharynx: clinical, oncological and functional outcomes
ConclusionEarly clinical, oncological and functional outcomes following EVAT surgery are comparable to TLM and TORS.Level of evidence4 (case series). (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

Cochleo-facial corridor to the vestibule and fundus of the internal auditory canal through oval window: a minimal invasive and cochlea sparing approach
ConclusionThe ExpTSA may be performed for accessing to the vestibule and fundus of IAC for tumor removal of intravestibular schwannoma patients (with or without fundus involvement) with unserviceable hearing, preserving the cochlear morphology. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

Prevalence of olfactory and taste dysfunction in COVID-19 patients: a community care facility study
AbstractPurposeWe aim to study the prevalence of olfactory and taste dysfunction (OTD) in subjects residing in a Community Care Facility (CCF), a center unique to Singapore that is dedicated to isolate foreign workers with COVID-19 infection who have mild disease with minimal or no symptoms.MethodsThis is a cross-sectional study analyzing data prospectively collected from COVID-19-positive subjects who were admitted into a single-center Singapore EXPO CCF from 1st May 2020 to 1st July 2020. The following variables were collected: age, gender, ethnicity, anosmia, ageusia and acute respiratory infection (ARI) symptoms. Sympt...
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

Three-dimensional exoscope-assisted laser stapedotomy: a preliminary experience
ConclusionThough further validation and systematic comparison with microscope- and endoscope-assisted stapedotomy are required, the exoscope proved a safe, practical, and educational tool. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

The palato-oropharyngeal musculo-aponeurotic system (POMAS): this must be the place —an integrated new vision of the palatal and oropharyngeal surgical anatomy
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 17, 2021 Category: ENT & OMF Source Type: research

Is the ability of the Eating Assessment Tool (EAT-10) to screen for aspiration in patients with dysphagia depending on the patients ’ disease?
(Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 16, 2021 Category: ENT & OMF Source Type: research

Comparison of two different intratympanic corticosteroid injection protocols as salvage treatments for idiopathic sudden sensorineural hearing loss
AbstractPurposeWe aimed to investigate the effect of interval length and total count of intratympanic steroid (ITS) injections in salvage treatment of patients with idiopathic sudden sensorineural hearing loss (ISSNHL).MethodsThis retrospective case –control study included 64 patients with ISSNHL, who were treated with ITS injections as salvage therapy at a tertiary referral centre. From September 2019 to December 2020, 32 patients received up to four injections every 2–4 days (revised-protocol group). These patients were 1:1 matched to pa tients, who received up to three injections at 1-week intervals bet...
Source: European Archives of Oto-Rhino-Laryngology - February 16, 2021 Category: ENT & OMF Source Type: research

Disease-specific quality of life and psychological distress after endoscopic tympanoplasty
ConclusionEndoscopic tympanoplasty shows significantly improved QoL as assessed by disease-specific and psycho-emotional questionnaires. A subjective favourable effect of fully endoscopic ear surgery was demonstrated. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 16, 2021 Category: ENT & OMF Source Type: research

Changes of taste perception after stapes surgery: a prospective cohort study
AbstractPurposeTaste perception is often affected after stapes surgery despite effort to preserve chorda tympani nerve. The aim was to examine changes of particular taste qualities and their recovery after operation of otosclerosis.Materials and methodsTaste function was prospectively investigated with a questionnaire and a taste strip test (TST) preoperatively, 3 –5 days and 1 year after stapes surgery with the preservation of CTN.ResultsIn the early postoperative examination, 34/42 patients had a lower TST score, 7/42 decrease of taste in the questionnaire. One year after surgery, 11/42 patients had a low...
Source: European Archives of Oto-Rhino-Laryngology - February 15, 2021 Category: ENT & OMF Source Type: research

Post-operative healing and long-term stability after mastoid cavity reconstruction using the middle temporal artery and inferior musculoperiosteal flaps
ConclusionsThe use of the MTA and the IMP flaps for mastoid obliteration may be considered as an adjunct to achieving a safe, dry ear after canal wall down mastoidectomy. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 15, 2021 Category: ENT & OMF Source Type: research

Intraoperative free margins assessment of oropharyngeal squamous cell carcinoma with confocal laser endomicroscopy: a pilot study
ConclusionCLE can be easily integrated into the intraoperative setting, generate real-time, in-vivo microscopic images of the oropharynx for evaluation and demarcation of cancer. It can eventually contribute to a less radical approach by enabling a more precise evaluation of the cancer margin. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 13, 2021 Category: ENT & OMF Source Type: research

Outcome comparison of submucous resection versus combined submucous diathermy and outfracture for treatment of inferior turbinate hypertrophy
This study is a prospective randomized clinical trial involving 90 patients with hypertrophied inferior turbinate not responding to medical treatment. All patients were selected with equal or near equal mucosal and bony turbinate components using computed tomography (CT) and then randomly allocated into two groups; group A (n = 45): underwent submucous resection in both sides and group B (n = 45): underwent combined submucous diathermy and outfracture in both sides. Subjective (NOSE score) and objective (4-grades endoscopic classification system and PNIF evaluation) measures of nasal airflow wer...
Source: European Archives of Oto-Rhino-Laryngology - February 13, 2021 Category: ENT & OMF Source Type: research

A new diagnostic paradigm for laryngopharyngeal reflux disease: correlation of impedance-pH monitoring and digital reflux scintigraphy results
ConclusionReflux scintigraphy has a high yield in LPR patients. Scintigraphic time-activity curves correlated with validated MII-pH results. A high rate of pulmonary microaspiration was found in LPR patients. This study demonstrated a high level of pharyngeal contamination by scintigraphy and MII-pH, which supports the use of digital reflux scintigraphy in diagnosing LPR. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 13, 2021 Category: ENT & OMF Source Type: research

Secondary tracheoesophageal puncture with the blind technique: 10  years’ experience
ConclusionThe blind technique offers an alternative method to perform a secondary TEP safely and efficiently in patients with unfavorable anatomical or clinical conditions, lowering the risk of procedure-related complications. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - February 13, 2021 Category: ENT & OMF Source Type: research