Comparison of microwave ablation and chemical cautery used to control adult idiopathic recurrent anterior epistaxis.
CONCLUSION: Microwave ablation afforded rapid and simple haemostasis for adults with recurrent anterior epistaxis in an out-patient setting. Microwave ablation had significant advantages compared to silver nitrate cautery when used to treat epistaxis in patients with convex lesions. PMID: 32066510 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 20, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

ENT training amongst general practitioners: results from a questionnaire.
CONCLUSION: General practitioners reported insufficient exposure to ENT during both post-graduate and undergraduate training. Proposals to outsource undergraduate ENT teaching to affiliated departments such as general practice are of concern. PMID: 32054560 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 16, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Qualitative evaluation of paediatric surgical otolaryngology content on YouTube.
This study evaluated the quality of YouTube content focusing on common paediatric otolaryngology procedures, as this content can influence the opinions and medical decisions of patients. METHODS: A total of 120 YouTube videos were compiled to review using the terms 'adenoid removal', 'adenoidectomy', 'ear tubes', 'tympanostomy', 'tonsil removal' and 'tonsillectomy'. The Discern criteria was used to rate the quality of health information presented in each video. RESULTS: The mean bias Discern score was 3.18 and the mean overall Discern score was 2.39. Videos including US board certified physicians were rated significantly higher (p
Source: Journal of Laryngology and Otology - February 15, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Minimally invasive surgery under local anaesthesia for chronic rhinosinusitis with nasal polyps: our experience in older adults.
Authors: Casale M, Costantino A, Sabatino L, Luchena A, Moffa A, Cassano M, Rinaldi V, Baptista PM Abstract OBJECTIVE: This paper aims to report our experience with a minimally invasive surgical procedure for the treatment of chronic rhinosinusitis with nasal polyps, performed in a day-surgery setting under local anaesthesia. METHODS: A retrospective study of 30 patients with chronic rhinosinusitis with nasal polyps was conducted. Sino-Nasal Outcome Test 22 and modified Lund-Kennedy scores were collected. Intra- and post-operative pain was evaluated using a 10-point visual analogue scale. RESULTS: The mean ...
Source: Journal of Laryngology and Otology - February 13, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The Eustachian tube: balloon dilatation and decongestants, and novel approaches in otolaryngology education.
Authors: Fisher EW, Fishman J PMID: 32048576 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 13, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Evaluation of VIIth-XIIth cranial nerve anastomosis results by age.
CONCLUSION: Facial reanimation yielded better results in younger than in older patients. PMID: 32036794 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 12, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Comments on 'Screening for vestibular schwannoma in the context of an ageing population'.
Authors: Gair J, Borsetto D, Donnelly N, Axon P, Bance M, Tysome JR PMID: 32036808 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 12, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Role of turmeric extract in minimising mucositis in patients receiving radiotherapy for head and neck squamous cell cancer: a randomised, placebo-controlled trial.
Authors: Arun P, Sagayaraj A, Azeem Mohiyuddin SM, Santosh D Abstract OBJECTIVE: To determine the role of turmeric extract in reducing mucositis in patients undergoing radiotherapy for head and neck cancer. METHODS: Sixty-one patients who underwent radiotherapy were included in the study and randomised into groups A and B. Patients in group A received 500 mg of turmeric extract (BCM-95) thrice daily, while patients in group B received placebo until radiotherapy completion. All patients were assessed for oral mucositis on a weekly basis during treatment and two months post-treatment using the National Cancer Ins...
Source: Journal of Laryngology and Otology - February 9, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Sociodemographic correlates of occupational, recreational and firearm noise exposure among adults in the USA.
CONCLUSION: Whites, males and uninsured people are more likely to have exposure to potentially hazardous loud noise. PMID: 32014072 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 6, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Surgical treatment of nasolabial cysts in a single institute.
CONCLUSION: Surgical resection through an intraoral sublabial or transnasal endoscopic approach is the best treatment for a nasolabial cyst, showing very good results and a low recurrence rate. The recent surgical trend in our hospital is to treat nasolabial cysts using a transnasal endoscopic approach under local anaesthesia. PMID: 31997730 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 31, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Epistaxis and atorvastatin: is there an association and are clinicians aware? A retrospective audit of 100 patients.
CONCLUSION: There was no apparent difference in the proportion of patients admitted with epistaxis taking atorvastatin versus simvastatin. Epistaxis is an unknown side effect of atorvastatin; doctors have an obligation to be aware of the pharmaceutical literature and to consider alternatives, particularly in re-admissions cases. PMID: 31964433 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Do patients benefit from physiotherapy for shoulder dysfunction following neck dissection? A systematic review.
CONCLUSION: Current evidence shows a benefit from physiotherapy in patients with shoulder dysfunction following neck dissection. Some evidence suggests progressive resistance is superior to other types of physiotherapy. Long-term benefit and cost efficacy have not been studied. PMID: 31964434 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The effect of topical xylometazoline on Eustachian tube function.
CONCLUSION: There remains little or no evidence that topical nasal decongestants improve Eustachian tube function. Sonotubometry findings do suggest that further investigation with an obstructive Eustachian tube dysfunction patient cohort is warranted. PMID: 31964436 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Air flight barotrauma and meningitis: causality seems real.
CONCLUSION: Neurological symptoms occurring after air flight should prompt proper investigation. Otitis media and sinusitis are common primary focuses of bacterial meningitis. Severe complications of air flight barotrauma may be underreported. PMID: 31964437 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Knowledge of the audiological effects, symptoms and practices related to personal listening devices of health sciences students at a South African university.
CONCLUSION: The findings indicate the need for an educational programme to inform students as to safe listening practices when using personal listening devices. PMID: 31964439 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Otogenic intracranial complications: a 10-year retrospective review in KwaZulu-Natal, South Africa.
CONCLUSION: A triad of post-auricular swelling, otorrhoea and a decreased level of consciousness should make the clinician more heedful of otogenic intracranial complications. Patients with human immunodeficiency virus and human immunodeficiency virus negative patients were equally affected and had similar presentations. Early surgical management of patients was associated with shorter hospital stays and better outcomes. PMID: 31964445 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Comparison of endoscopic butterfly-inlay versus endoscopic push-through myringoplasty in repairing anterior perforations of the tympanic membrane.
Authors: Gülşen S, Erden B Abstract OBJECTIVE: The aim of the present study was to evaluate the surgical and functional results of endoscopic butterfly-inlay cartilage myringoplasty and endoscopic push-through myringoplasty in the treatment of anterior perforation of the tympanic membrane. METHOD: This open-label randomised clinical study was conducted on 71 patients with small- and medium-sized anterior perforations of the tympanic membrane. Graft success rate, hearing results, operative time and complications were analysed. RESULTS: Graft success rates for endoscopic butterfly-inlay cartilage myring...
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Eustachian tube dysfunction in candidates for surgery for obstructive sleep apnoea syndrome.
Authors: Ungar OJ, Rosenzweig E, Betito HR, Cavel O, Oron Y, Handzel O Abstract BACKGROUND: Defining the risk factors for Eustachian tube dysfunction can facilitate its prevention. It is hypothesised that Eustachian tube dysfunction as measured by the Eustachian Tube Dysfunction Questionnaire-7 is associated with obstructive sleep apnoea syndrome. METHODS: The questionnaire was systematically translated into Hebrew and validated in the accepted manner. This questionnaire was applied to obstructive sleep apnoea syndrome patients before and after expansion sphincter pharyngoplasty, in pre-set time intervals. The ...
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Patterns of middle-ear cholesteatoma and implications for surgical approach.
CONCLUSION: The majority of cholesteatoma cases present with extensive attic disease and significant mastoid involvement. In these cases, endoscopes may be best suited to adjunctive rather than exclusive use in surgery. PMID: 31969202 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The impact of a post-operative clinical care pathway on head and neck microvascular free tissue transfer outcomes.
CONCLUSION: A clinical care pathway is a successful means of standardising and improving complex patient care. In this study, care pathway implementation in head and neck free tissue transfer patients improved efficiency and the quality of patient care. PMID: 31971118 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Aortopexy for the management of paediatric tracheomalacia - the Alder Hey experience.
CONCLUSION: Aortopexy offers an effective method of treating severe tracheomalacia due to vascular compression. PMID: 31971119 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 24, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The role of smartphone applications in clinical practice: a review.
CONCLUSION: There are a number of ENT-specific smartphone applications currently available. As the technology progresses, their scope has extended beyond being purely for reference. Nevertheless, it remains difficult to assess the validity and security of these applications. PMID: 31957631 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 21, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Incision of Hasner's valve under endoscopic intranasal surgery for the treatment of nasolacrimal duct obstruction in children.
CONCLUSION: Incising Hasner's valve after medially displacing the inferior turbinate under nasal endoscopy seems to be an adequate primary surgical treatment for congenital nasolacrimal duct obstruction. PMID: 31918765 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 11, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Assessing the utility of non-surgical treatments in the management of vocal process granulomas.
CONCLUSION: Non-surgical patients were more likely to experience initial treatment success than those who underwent surgical removal. Continued emphasis should be placed on conservative treatment options prior to surgery for patients with this condition. PMID: 31918788 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 11, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Balloon Eustachian tuboplasty for Eustachian tube dysfunction: report of long-term outcomes in a UK population.
CONCLUSION: Balloon Eustachian tuboplasty can improve subjective and objective measures of Eustachian tube dysfunction, and provide longer-term resolution. PMID: 31910908 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 10, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Determinants of successful tracheostomy decannulation in children: a multicentric cohort study.
Authors: Schweiger C, Manica D, Lubianca Neto JF, Sekine L, Krumenauer R, Caixeta JA, Maunsell R, Gomes Avelino M Abstract BACKGROUND: Determining prognostic factors for the probability of tracheostomy decannulation is key to an adequate therapeutic plan. METHODS: A retrospective cohort study of 160 paediatric patients undergoing tracheostomy was conducted. Associations between different parameters and eventual tracheostomy decannulation were assessed. RESULTS: Mean follow-up duration was 27.8 months (interquartile range = 25.5-30.2 months). Median age at tracheostomy was 6.96 months (interquartile range = ...
Source: Journal of Laryngology and Otology - January 10, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The utility of computed tomography and diffusion-weighted magnetic resonance imaging fusion in cholesteatoma: illustration with a UK case series.
CONCLUSION: Computed tomography and magnetic resonance imaging fusion can assist in pre-operative surgical planning and patient counselling through assessment of disease in both primary and revision scenarios. Computed tomography and magnetic resonance imaging fusion can assist the operative surgeon through accurate localisation that can influence both the operative technique and optimise operation theatre utilisation. PMID: 31910915 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - January 10, 2020 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Three-dimensional printing as a tool in otolaryngology training: a systematic review.
CONCLUSION: Whilst further studies supported with objective metrics are merited, the role of three-dimensional printed otolaryngology simulators is poised to expand in surgical training given the enthusiastic reception from trainees and experts alike. PMID: 31865920 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 25, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Eustachian tube balloon dilatation: a cross-sectional, survey-based study of 137 UK consultants.
CONCLUSION: The majority of UK ENT consultants do not practise Eustachian tube balloon dilatation, citing a lack of high-level evidence to support its use. A national database for auditing and research could facilitate the creation of guidelines. PMID: 31865922 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 25, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Simulation-based ENT induction: validation of a novel mannequin training model.
CONCLUSION: A regular simulation induction programme should be introduced using the induction model, as it leads to better knowledge retention and increased confidence levels. PMID: 31865923 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 25, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

An artificial intelligence algorithm that differentiates anterior ethmoidal artery location on sinus computed tomography scans.
CONCLUSION: Convolutional neural networks demonstrate promise in identifying clinically important structures in functional endoscopic sinus surgery, such as anterior ethmoidal artery location on pre-operative sinus computed tomography. PMID: 31865928 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 25, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

M énière's disease clinical subtypes in a population from the USA.
Ménière's disease clinical subtypes in a population from the USA. J Laryngol Otol. 2019 Dec 20;:1-5 Authors: Crossley J, Hussaini AS, Kim HJ, Hoa M Abstract OBJECTIVE: To ascertain the distribution of Ménière's disease phenotype subgroups in a US-based cohort, based on a recently introduced classification scheme utilising a Spanish and Portuguese cohort. METHODS: A retrospective, cross-sectional, single-institutional chart review was conducted. The electronic medical records of Ménière's disease patients were identified using International Classification of...
Source: Journal of Laryngology and Otology - December 21, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Ecchordosis physaliphora: a cautionary tale.
CONCLUSION: Endoscopic transclival or transsphenoid surgery including three-layer (fat, fascia and nasoseptal flap) reconstruction was used in all cases with complete resolution of the symptoms. PMID: 31858918 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 21, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Tranexamic acid in ENT.
Authors: Fishman J, Hussain M, Fisher E PMID: 31858935 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 21, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Posterior semicircular canal paroxysmal positional vertigo triggers a new type of windmill nystagmus.
CONCLUSION: This case report represents the first observation of a new type of windmill nystagmus, probably provoked by a malfunction of the velocity storage mechanism, gaze-stabilisation and short-adaptation networks, with a loss of cerebellar inhibition. PMID: 31843038 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 18, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The early history and development of functional endoscopic sinus surgery.
CONCLUSION: The technique revolutionised the diagnosis and management of intranasal, sinus and intracranial conditions. PMID: 31831081 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 15, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Normalisation of voice parameters in patients with unilateral vocal fold palsy: is it realistic?
This study comprised 40 subjects aged 34-46 years, 20 of whom (10 male, 10 female) had unilateral vocal fold palsy. Data were obtained for all participants from: the Voice Handicap Index, the grade, roughness, breathiness, asthenia and strain ('GRBAS') scale, acoustic voice analysis, electroglottography, and voice range profiles. RESULTS: The voice evaluations revealed statistically significant (p
Source: Journal of Laryngology and Otology - December 5, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The effects of everted or inverted edges on healing of traumatic-induced tympanic membrane perforations.
CONCLUSION: The area of reversed edges for slap- or fist-induced tympanic membrane perforations did not seem to affect healing and hearing outcomes, regardless of edge approximation and everted or inverted edges. PMID: 31791431 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 5, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Analysis of the relationship between changes in the auditory brainstem response and prognosis in patients with sudden hearing loss.
CONCLUSION: In patients with sudden sensorineural hearing loss, the latency of wave 1 of the auditory brainstem response was significantly increased and was related to prognosis. PMID: 31791435 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 5, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Outcomes of definitive radiotherapy for early laryngeal cancer in terms of survival and patterns of failure.
CONCLUSION: In summary, radiotherapy is a suitable treatment modality for patients with early-stage laryngeal cancer, with an overall locoregional control rate of 84 per cent. Patients who fail radiotherapy may still undergo salvage laryngectomy. PMID: 31791441 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 5, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Soft-tissue outcomes following implantation of different types of bone conduction hearing devices in a single centre.
CONCLUSION: There was a reduction in soft tissue related complications with reduced soft-tissue handling. In addition, there was a shift from an initial skin-penetrating (percutaneous) approach to a non-skin-penetrating (transcutaneous) approach. PMID: 31779713 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 1, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Soft tissue head and neck sarcoma: experience of a tertiary referral centre over a 15-year period.
CONCLUSION: Prognosis is dependent on histological subtype, underscoring the importance of histological classification. Some histological subtypes occur only once or twice in a decade, even within a large regional referral centre. An accumulation of evidence from relatively small case series is key in the long-term development of treatment strategies. PMID: 31779724 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - December 1, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Effects of nasal lavage with and without mupirocin after endoscopic endonasal skull base surgery: a randomised, controlled study.
CONCLUSION: Nasal lavage with mupirocin seems to yield better outcomes regarding patients' symptoms and endoscopic findings. PMID: 31774052 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 28, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The utility of lateral neck radiographs in the management of fish bones.
CONCLUSION: Lateral neck radiographs have limited value in the management of suspected fish bone impaction, and should only be used following detailed clinical examination of the upper aerodigestive tract. PMID: 31739819 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 21, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Canal wall down mastoidectomy with obliteration versus canal wall up mastoidectomy in primary cholesteatoma surgery.
CONCLUSION: Our direct comparative data suggest that canal wall down mastoidectomy with obliteration is superior to a canal wall up technique in primary cholesteatoma surgery, providing a lower recidivism rate combined with a low post-operative ear discharge rate. PMID: 31735175 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 20, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Reliability of diffusion-weighted magnetic resonance imaging in differentiation of recurrent cholesteatoma and granulation tissue after intact canal wall mastoidectomy.
CONCLUSION: Diffusion-weighted imaging is a reliable method for differentiating recurrent cholesteatoma and granulation tissue after intact canal wall mastoidectomy. PMID: 31735177 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 20, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Impact of platelet-rich fibrin therapy in tympanoplasty type 1 surgery on graft survival and frequency-specific hearing outcomes: a retrospective analysis in patients with tympanic membrane perforation due to chronic otitis media.
CONCLUSION: Our findings revealed that the use of a platelet-rich fibrin plus temporal fascia graft for type 1 tympanoplasty was associated with more favourable post-operative outcomes than the use of temporal fascia alone, both in terms of tympanic membrane healing and graft survival; hearing restoration outcomes were similar. PMID: 31735178 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 20, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Tranexamic acid has no advantage in head and neck surgical procedures: a randomised, double-blind, controlled clinical trial.
CONCLUSION: Although this prospective, randomised, placebo-controlled clinical trial found a reduction in post-operative drain volume in tranexamic acid groups, the difference was not statistically significant between the various head and neck surgical procedure groups. PMID: 31735180 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 20, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Does tranexamic acid improve intra-operative visualisation in endoscopic ear surgery? A double-blind, randomised, controlled trial.
Authors: Das A, Mitra S, Ghosh D, Kumar S, Sengupta A Abstract OBJECTIVE: To assess the effect of tranexamic acid on intra-operative bleeding and surgical field visualisation. METHODS: Fifty patients undergoing various endoscopic ear surgical procedures, including endoscopic tympanoplasty, endoscopic atticotomy or mastoidectomy, endoscopic ossiculoplasty, and endoscopic stapedotomy, were randomly assigned to: a study group that received tranexamic acid or a control group which received normal saline. The intra-operative bleeding and operative field visualisation was graded using the Das and Mitra endoscopic ear...
Source: Journal of Laryngology and Otology - November 15, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A study of the use of post-operative opioid analgesics following rhinology surgery in 35 patients.
CONCLUSION: The study shows that the quantity of post-operative opioid analgesics prescribed does not compare with the amount consumed by patients to relieve pain, resulting in a surplus of opioid medication which has the potential to be abused. PMID: 31722774 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - November 15, 2019 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research