Sinonasal papilloma: what influences the decision to request a magnetic resonance imaging scan?
CONCLUSION: Pre-operative combined magnetic resonance imaging and computed tomography helped predict disease in the frontal sinus better than computed tomography alone. A close working relationship between the ENT and radiology departments is important for accurate tumour localisation. PMID: 29909780 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Endoscopic push-through technique compared to microscopic underlay myringoplasty in anterior tympanic membrane perforations.
Authors: El-Hennawi DEM, Ahmed MR, Abou-Halawa AS, Al-Hamtary MA Abstract BACKGROUND: Microscopic myringoplasty is the most frequently performed procedure for repairing tympanic membrane perforations. The endoscopic transcanal approach bypasses the narrow ear canal segment and provides a wider view. METHODS: An open-label randomised clinical trial was conducted on 56 patients with small anterior tympanic membrane perforations. Perforations were repaired with an endoscopic push-through technique (n = 28) or a microscopic underlay technique (n = 28). Follow up was conducted using endoscopic examination and pure t...
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Cricopharyngeal achalasia associated with laryngomalacia as a cause of failure to thrive.
CONCLUSION: Functional endoscopic evaluation of swallowing and videofluoroscopic evaluation of swallowing are complimentary in the evaluation of paediatric patients with failure to thrive and suspected oropharyngeal dysphagia. Both supraglottoplasty and botulinum toxin injection are effective for definitive management in cases of combined pathology, and can be safely performed in a single surgical setting. PMID: 29909783 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Longitudinal analysis of the audiological phenotype in osteogenesis imperfecta: a follow-up study.
Authors: Martens S, Dhooge IJM, Swinnen FKR Abstract OBJECTIVE: This prospective study involved a longitudinal analysis of the progression of hearing thresholds in patients with osteogenesis imperfecta. METHODS: Audiometric results from 36 osteogenesis imperfecta patients (age range, 6-79 years) were compared between two test times with an average interval of 4 years. Audiometric evaluation included acoustic admittance measurements, acoustic stapedial reflex measurements, pure tone audiometry and otoacoustic emissions testing. RESULTS: Air conduction pure tone average, corrected for sex and age, and bone co...
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

How phenotype guides management of the neuroendocrine carcinomas of the larynx.
Authors: López F, Hunt JL, Nixon IJ, Rinaldo A, Williams MD, Cardesa A, Ferlito A Abstract OBJECTIVE: This review aimed to critically analyse data pertaining to the clinical presentation and treatment of neuroendocrine carcinomas of the larynx. METHOD: A PubMed search was performed using the term 'neuroendocrine carcinoma'. English-language articles on neuroendocrine carcinoma of the larynx were reviewed in detail.Results and conclusionWhile many historical classifications have been proposed, in contemporary practice these tumours are sub-classified into four subtypes: carcinoid, atypical carcinoid, smal...
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Assisted resection of lateral extension of juvenile nasopharyngeal angiofibroma using a sphenopalatine fossa dissector.
CONCLUSION: Existing evidence supports the incorporation of this inexpensive instrument in the armamentarium for resecting lateral extension of juvenile nasopharyngeal angiofibroma during a transpalatal approach. PMID: 29909791 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Comparative efficacies of topical antiseptic eardrops against biofilms from methicillin-resistant Staphylococcus aureus and quinolone-resistant Pseudomonas aeruginosa.
CONCLUSION: The results indicate that 4 per cent boric acid solution and vinegar with water (1:1) are potent inhibitors of biofilms from methicillin-resistant S aureus and quinolone-resistant P aeruginosa, and provide safe pH levels for avoiding ototoxicity. PMID: 29909794 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Selection of the appropriate cochlear electrode array using a specifically developed research software application.
CONCLUSION: The results show a good correlation between the pre-operatively predicted insertion depths using the software application and those post-operatively measured using X-ray. The insertion length predicted by the software was always longer than that measured via X-ray. PMID: 29909807 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Cholesteatoma in children and adults: are there really any differences?
CONCLUSION: Childhood cholesteatoma was more extensive and destructive compared to adults, representing a more aggressive disease in this cohort. PMID: 29909808 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 19, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Comparison of clinical outcomes of three different packing materials in the treatment of severe acute otitis externa.
CONCLUSION: The three packing materials were all quite effective in treating severe acute otitis externa, but ear wick and ribbon gauze were superior to biodegradable synthetic polyurethane foam for relieving signs and symptoms, especially on the 3rd day. PMID: 29895341 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 15, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Provision of physiotherapy rehabilitation following neck dissection in the UK.
CONCLUSION: The provision of physiotherapy is most commonly reactive rather than proactive, and usually driven by patient request. There is little evidence of pre-arranged physiotherapy for patients to treat or prevent shoulder dysfunction in the UK. PMID: 29897032 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 15, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Reporting in stapes surgery: are we following the guidelines?
Authors: Watson GJ, da Cruz M Abstract OBJECTIVE: This paper highlights the importance of reporting air-bone gap closure in stapes surgery according to the American Academy of Otolaryngology - Head and Neck Surgery guidelines and reviews compliance in recent years. METHODS: A retrospective case series was conducted and the outcomes were reviewed. Closure of the air-bone gap was calculated in 204 adult patients using the aforementioned guidelines. Results were recalculated ignoring the Carhart phenomenon to determine any significant difference. Adherence to guidelines was also reported as a secondary outcome. ...
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Clinical commissioning group criteria for rhinoplasty and septorhinoplasty in England: survey of current guidance.
CONCLUSION: There is great variation within individual clinical commissioning groups in England regarding the criteria for septorhinoplasty and rhinoplasty. Some criteria seem not to be clinically relevant and difficult to demonstrate. It is recommended that the guidelines are reviewed and harmonised nationally in future revisions. PMID: 29888683 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Eosinophilic granulomatosis with polyangiitis and laryngeal involvement: review of the literature and a cross-sectional prospective experience.
CONCLUSION: Laryngeal inflammation in eosinophilic granulomatosis with polyangiitis is frequent. It is possibly due more to local factors than to eosinophilic granulomatosis with polyangiitis itself. However, ENT evaluation is needed to rule out possible subglottis inflammation. These findings are in line with current literature and worthy of confirmation in larger cohorts. PMID: 29888684 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Patulous Eustachian tube obliteration using endovascular coils: a novel technique.
CONCLUSION: The technique has so far proved highly effective and minimally invasive. It will be employed in more patients to fully establish its effectiveness in treating patulous Eustachian tube. PMID: 29888685 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Correlation of human papillomavirus infection and clinical parameters with five-year survival in oral squamous cell carcinoma.
CONCLUSION: There is a high prevalence of HPV positive oral squamous cell carcinoma in Pakistan; however, there is no difference in the five-year survival rate when compared to HPV negative oral squamous cell carcinoma. PMID: 29888686 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Intratympanic gadolinium magnetic resonance imaging supports the role of endolymphatic hydrops in the pathogenesis of immune-mediated inner-ear disease.
CONCLUSION: This study confirms the presence of endolymphatic hydrops in immune-mediated inner-ear disease patients. The virtual absence of hydrops in patients with secondary immune-mediated inner-ear disease is remarkable, although firm conclusions cannot be drawn; this should be explored in a multicentre study with a larger sample of patients. A different immune reaction without development of endolymphatic hydrops should not be ruled out in secondary immune-mediated inner-ear disease patients. PMID: 29888688 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The protympanum, protiniculum and subtensor recess: an endoscopic morphological anatomy study.
CONCLUSION: The protympanum is an area that has been ignored for many years because of difficulties in visualising it with an operating microscope. However, modern endoscopic equipment has changed this, providing detailed anatomical knowledge fundamental to ensuring the safety of endoscopic surgical procedures in the region. PMID: 29888690 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

External auditory canal cholesteatoma and benign necrotising otitis externa: clinical study of 95 cases in the Capital Region of Denmark.
CONCLUSION: It is suggested that external auditory canal cholesteatoma and benign necrotising otitis externa are in fact the same disease, and therefore the diagnosis of external auditory canal cholesteatoma should be changed to benign necrotising otitis externa. Microangiopathy has a leading role in the aetiology. Surgery should be conducted in most cases. PMID: 29888691 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The effect of cochlear implant bed preparation and fixation technique on the revision cochlear implantation rate.
This study aimed to determine the effect of the subperiosteal tight pocket technique versus the bone recess with suture fixation technique on the revision cochlear implantation rate and complications. METHODS: This retrospective study included 1514 patients who underwent cochlear implantation by 2 senior surgeons between October 2002 and January 2016. Revision cases were identified and analysed. RESULTS: In all, 52 patients (3.34 per cent) underwent revision cochlear implantation. The revision rate was 7.18 per cent in the subperiosteal tight pocket group versus 2.37 per cent in the bone recess with suture fixation group (p
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The anti-inflammatory effects of erythromycin, clarithromycin, azithromycin and roxithromycin on histamine-induced otitis media with effusion in guinea pigs.
CONCLUSION: The use of macrolide antibiotics is recommended, as they show antibacterial and anti-inflammatory efficacy in otitis media with effusion. PMID: 29888693 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Sex difference in counts of α4 and α7 nicotinic acetylcholine receptors in the nasal polyps of adults with or without exposure to tobacco smoke.
CONCLUSION: Exposure to cigarette tobacco smoke may induce increased counts of α4 and α7 nicotinic acetylcholine receptors in nasal polyps of adults, with lower counts in males than females without exposure to tobacco smoke. PMID: 29888694 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess.
Authors: Nakao Y, Tanigawa T, Kano F, Tanaka H, Katahira N, Ogawa T, Murotani K, Nagata T, Shibata R Abstract OBJECTIVE: To assess the diagnostic role of mean platelet volume in tonsillitis with and without peritonsillar abscess. METHODS: Mean platelet volume and other laboratory data were retrospectively investigated. RESULTS: Mean platelet volume was significantly lower in the tonsillitis group (7.8 per cent ± 0.7 per cent) than in the control group (8.7 per cent ± 0.6 per cent; p
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Improvement of hearing results by bone cement fixation in endoscopic stapedotomy.
CONCLUSION: The endoscopic technique using bone cement fixation was better for closing the air-bone gap. PMID: 29888697 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Cartilage rim augmented fascia tympanoplasty: a more effective composite graft model than temporalis fascia tympanoplasty.
CONCLUSION: Cartilage rim augmented temporalis fascia tympanoplasty has a definite advantage over the temporalis fascia technique in terms of superior graft take up and statistically significant hearing gain in those with normal ossicular mobility. PMID: 29888699 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

An alternative approach to mixed hearing loss in otosclerosis: stapes surgery combined with an active middle-ear implant.
CONCLUSION: Stapedotomy in conjunction with incus short process vibroplasty (i.e. inner-ear vibroplasty) is a safe and promising procedure for managing advanced otosclerosis with mixed hearing loss in selected patients. PMID: 29891017 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Fronto-septal rostrum: prevalence, classification and clinical implications.
CONCLUSION: The newly described fronto-septal rostrum has possible clinical and surgical implications. It is suggested that this aerated space is used in specific surgical indications and its presence evaluated in cases of septal infection. PMID: 29891018 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Management of advanced hypopharyngeal carcinoma: systematic review of survival following surgical and non-surgical treatments.
CONCLUSION: Chemoradiotherapy offers similar survivorship compared to surgery in advanced disease, while also making larynx preservation feasible. It can be used as a treatment in all patients as an alternative to surgery. PMID: 29891019 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The increased incidence of bony metastasis in p16-positive oropharyngeal carcinoma, a method to enhance reliability and speed for performing anterior rhinomanometry, and the new Soundbridge middle-ear implant and magnetic resonance imaging compatibility.
Authors: Hussain M, Fisher E, Fishman J PMID: 29891020 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Case report classics in otolaryngology - head and neck surgery: citation analysis.
CONCLUSION: Although the case report may not be worthy of its tarnished record, declining trends in publication suggest a limited future for this valuable research and educational resource. PMID: 29893657 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - June 13, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Submandibular gland invasion and feasibility of gland-sparing neck dissection in oral cavity carcinoma.
CONCLUSION: The results suggest the feasibility of preserving the submandibular gland in early stage oral cavity carcinoma unless the tumour is located in, or extends to, the floor of mouth. PMID: 29720283 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - May 4, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A focus on paediatric obstructive sleep apnoea.
Authors: Fisher E, Youngs R, Hussain M, Fishman J PMID: 29722643 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - May 4, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Allergic rhinitis and arterial blood pressure: a population-based study.
CONCLUSION: Rhinitis was not associated with increased blood pressure. Allergic rhinitis can coincide with asthma and hypertension. The findings do not support the need for blood pressure follow up in allergic rhinitis patients. PMID: 29706138 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - May 1, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

The value of chest X-ray in the Scottish Referral Guidelines for suspected head and neck cancer in 2144 patients.
CONCLUSION: Performance of chest X-ray does not alter management and its removal from the Scottish Referral Guidelines for Suspected Cancer is recommended. PMID: 29708086 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - May 1, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

In vivo experiences with magnetic resonance imaging scans in Vibrant Soundbridge type 503 implantees.
CONCLUSION: In this series, 1.5T magnetic resonance imaging scans were performed with the Vibrant Soundbridge 503 without complications. Limitations persist in terms of magnetic artefacts. PMID: 29683103 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 24, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Association of epicardial fat thickness with clinical and polysomnographic parameters in non-obese obstructive sleep apnoea patients.
This study aimed to investigate the relationship of epicardial fat thickness with severity of obstructive sleep apnoea, and clinical and polysomnographic parameters, and to determine independent predictors for epicardial fat thickness. METHODS: A total of 84 patients with a body mass index of less than 30 kg/m2 and suspected sleep-disordered breathing were included in the study. The correlations of epicardial fat thickness with polysomnographic and clinical data, and severity of obstructive sleep apnoea, were investigated. RESULTS: Mean epicardial fat thickness was 3.75 ± 1.07 mm in the study group (n = 62) ...
Source: Journal of Laryngology and Otology - April 24, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis.
CONCLUSION: The operating score reflects the course following functional endoscopic sinus surgery. Patients with more severe operative findings require longer post-operative treatment. PMID: 29665880 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 20, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

A novel technique to identify the nerve of origin in head and neck schwannomas.
CONCLUSION: Injection of lidocaine into a schwannoma is a safe, in-office procedure that produces a temporary nerve deficit, which may enable accurate identification of the nerve of origin of a schwannoma. Identifying the nerve of origin enhances operative planning and patient counselling. PMID: 29665890 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 20, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Improving the rhinomanometry technique using benzoin tincture.
CONCLUSION: The use of benzoin tincture to clean the nasal skin before placing foam tape shortens the procedure duration and significantly increases test reliability. PMID: 29667559 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - April 20, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery: description of use and review of the relevant literature.
CONCLUSION: It is suggested that the curved adjustable laser fibre is superior to the traditional straight fibre for cholesteatoma surgery. PMID: 29517472 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 10, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Determinants of re-operation for bleeding in head and neck cancer surgery.
Authors: Haapio E, Kinnunen I, Airaksinen JKE, Irjala H, Kiviniemi T Abstract OBJECTIVE: Post-operative bleeding in the head and neck area is potentially fatal. This 'real world' study sought to assess factors that increase the risk of re-operation for post-operative bleeding in head and neck cancer surgery. METHODS: A total of 456 patients underwent surgery for head and neck cancer (591 operations). The primary endpoint was re-operation for bleeding. RESULTS: The rate of re-operation for bleeding was 5 per cent of all operations. Re-operation for bleeding was an independent risk factor for 30-day mortality...
Source: Journal of Laryngology and Otology - March 10, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Patient experience of nasal obstruction and its clinical assessment.
CONCLUSION: Many patients are dissatisfied with current assessment techniques; a novel device with visual or numerical results may help. Obstruction duration determines willingness to undergo longer assessment. PMID: 29510774 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Open access: is there a predator at the door?
Authors: Chandra R, Fisher EW, Jones TM, Kennedy DW, Kraus DH, Krouse JH, Link M, Lustig LR, O'Malley BW, Piccirillo JF, Ruben R, Sataloff RT, Schwartz S, Sindwani R, Smith RJ, Stewart MG, Weber PC, Welling DB, Youngs R PMID: 29512474 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Prevention of pharyngocutaneous fistula in salvage total laryngectomy: role of the pectoralis major flap and peri-operative management.
This study aimed to evaluate the impact of an onlay pectoralis major flap in reducing the incidence of pharyngocutaneous fistula after salvage total laryngectomy and determine the complications of pectoralis major flap reconstruction. METHODS: A retrospective study was conducted of consecutive patients who underwent salvage total laryngectomy between 1995 and 2016. The pharyngeal defects were primarily closed with or without the pectoralis major flap. RESULTS: Of 64 patients, 34 had primary pharyngeal closure alone (control group) and 30 received an onlay pectoralis major flap (pectoralis major flap group). The ove...
Source: Journal of Laryngology and Otology - March 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Vestibular rehabilitation using video gaming in adults with dizziness: a pilot study.
CONCLUSION: This pilot study demonstrated that use of the Wii Fit balance platform resulted in a statistically significant improvement in balance function and quality of life. Furthermore, outcomes were comparable to a similar group of individuals following a standard customised vestibular rehabilitation protocol. The study provides useful information to inform the design and execution of a larger clinical trial. PMID: 29512476 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Setting up a parathyroid multidisciplinary team meeting: one year's experience, outcomes and learning points.
CONCLUSION: The multidisciplinary team meeting has been successful, with perceived benefits for patients, improved imaging evaluation and efficiency of referral pathways, leading to more appropriate patient management. PMID: 29512477 [PubMed - in process] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 8, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Bisphosphonate-induced osteonecrosis of the ear canal: our experience and a review of the literature.
CONCLUSION: Bisphosphonate-related ear canal osteonecrosis is undoubtedly under-diagnosed. For such a commonly prescribed medication, the risks and side effects of bisphosphonate should be better known and long-term treatment should be avoided if possible. PMID: 29486808 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - March 1, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Medialisation thyroplasty with tensor fascia lata: a novel approach for reducing post-thyroplasty complications.
CONCLUSION: Given the increased risk of post-operative wound breakdown and infection in irradiated patients, it is suggested that this new approach will lead to improved outcomes, and a decrease in complications such as extrusion or wound infection, particularly in this patient population. PMID: 29463320 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 23, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Paediatric obstructive sleep apnoea: is our operative management evidence-based?
CONCLUSION: There are many gaps in the evidence base for the surgical correction of obstructive sleep apnoea. There is emerging evidence favouring subtotal tonsillectomy. There is continuing uncertainty around the prediction of the level of post-operative care that any individual child might require. The long-term benefit of surgical correction is a particularly fertile ground for further research. PMID: 29463325 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 23, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Bilateral sudden sensorineural hearing loss as a first symptom of infective endocarditis: two case reports.
CONCLUSION: Septic emboli should be considered as a possible cause of sudden sensorineural hearing loss in cases of total hearing loss. This form of hearing loss should prompt the otolaryngologist to further investigate for infective endocarditis. PMID: 29463328 [PubMed - as supplied by publisher] (Source: Journal of Laryngology and Otology)
Source: Journal of Laryngology and Otology - February 23, 2018 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research