Type I Thyroplasty Is Safe in Patients Undergoing Antithrombotic Therapy
Conclusion: Type I thyroplasty with careful pre- and postoperative management is safe in patients undergoing antithrombotic therapy.ORL (Source: ORL)
Source: ORL - April 26, 2023 Category: ENT & OMF Source Type: research

Correlation between Pneumatization Variants of Paranasal Sinuses and Skull Base and Spontaneous Cerebrospinal Fluid Rhinorrhea: A Case-Control Study
Conclusion: The most common site of SCSFR is the ethmoid sinus. The excessive pneumatization of the Onodi cell and LRSS increases the risk for the occurrence of SCSFR in the ethmoid sinus and sphenoid sinus, respectively. The possible association between the paranasal sinus ontogeny and SCSFR pathophysiology needs further studies.ORL (Source: ORL)
Source: ORL - April 19, 2023 Category: ENT & OMF Source Type: research

Olfactory Nomenclature: An Orchestrated Effort to Clarify Terms and Definitions of Dysosmia, Anosmia, Hyposmia, Normosmia, Hyperosmia, Olfactory Intolerance, Parosmia, and Phantosmia/Olfactory Hallucination
Background: Definitions are essential for effective communication and discourse, particularly in science. They allow the shared understanding of a thought or idea, generalization of knowledge, and comparison across scientific investigation. The current terms describing olfactory dysfunction are vague and overlapping.Summary: As a group of clinical olfactory researchers, we propose the standardization of the terms “dysosmia,” “anosmia,” “hyposmia,” “normosmia,” “hyperosmia,” “olfactory intolerance,” “parosmia,” and “phantosmia” (or “olfactory hallucination”) in olfaction-related communica...
Source: ORL - April 14, 2023 Category: ENT & OMF Source Type: research

Racial and Ethnic Bias in Letters of Recommendation and Personal Statements for Application to Otolaryngology Residency
Conclusion: Minor racial and ethnic language differences exist in both LORs and PSs. A statistically significant difference was observed among LORs, with the “teaching” term used more frequently for Asian, black, Hispanic, and white applicants compared to self-identified Other individuals. For PSs, statistically significant differences were observed among white applicants, who wrote about themselves using more “authentic” language when compared w ith Asian applicants and who also had higher scores for “tone” compared to black applicants. Although these differences were statistically significant, the practical i...
Source: ORL - April 11, 2023 Category: ENT & OMF Source Type: research

Chinese Expert Consensus on the Use of Biologics in Patients with Chronic Rhinosinusitis (2022, Zhuhai)
Background: Chronic rhinosinusitis (CRS) is a common inflammatory disease in otolaryngology, mainly manifested as nasal congestion, nasal discharge, facial pain/pressure, and smell disorder. CRS with nasal polyps (CRSwNP), an important phenotype of CRS, has a high recurrence rate even after receiving corticosteroids and/or functional endoscopic sinus surgery. In recent years, clinicians have focused on the application of biological agents in CRSwNP. However, it has not reached a consensus on the timing and selection of biologics for the treatment of CRS so far.Summary: We reviewed the previous studies of biologics in CRS a...
Source: ORL - April 5, 2023 Category: ENT & OMF Source Type: research

Surgical Considerations in Addressing Cholesterol Granuloma of the Petrous Apex through an Infracochlear Approach
We report on a case of petrous apex cholesterol granuloma drainage through an infracochlear approach. A 27-year-old female patient presented with acute diplopia due to left-sided abducens paralysis. Multislice computed tomography (MSCT) and magnetic resonance (MR) imaging described a 3.5-cm well-marginated lesion in petrous bone apex, compressing the left abducens nerve at the point of entry into the cavernous sinus, corresponding to cholesterol granuloma. The patients was surgically treated through a transcanal infracochlear approach, since preserving the external and middle ear conduction mechanisms was paramount for the...
Source: ORL - April 5, 2023 Category: ENT & OMF Source Type: research

Surgical Approaches for Possible Positions of an Olfactory Implant to Stimulate the Olfactory Bulb
Conclusion: The study suggested that an intranasal positioning of a stimulating electrode is possible, with placements beneath the cribriform plate, extra- or intracranially, applying elegant surgical techniques with low or medium risk to the patient and a close placement to OB.ORL (Source: ORL)
Source: ORL - March 30, 2023 Category: ENT & OMF Source Type: research

Peripheral Vestibular System Involvement in Multiple Sclerosis and Associations with the Disease Severity
Conclusion: Although central and peripheral balance-related systems are affected in MS, the impact of disease on the peripheral vestibular end organ is subtle. In particular, the v-HIT, which was mentioned previously as a detector of brainstem dysfunction could not be a reliable tool in the detection of brainstem pathologies in MS patients. The o-VEMP amplitudes may be affected in the early stages of the disease, possibly due to the crossed ventral tegmental tract, oculomotor nuclei, or interstitial nucleus of Cajal involvements. An EDSS score #x3e;3 seems a cutoff level indicating abnormalities in balance integration.ORL (Source: ORL)
Source: ORL - March 10, 2023 Category: ENT & OMF Source Type: research

Hypoglossal Nerve Stimulator Explantation Technique and Outcomes: A Retrospective Case Series
Conclusion: This reported case series outlines the general steps for Inspire HGNS explantation as well as details the experiences in a case series of 5 subjects explanted over the year at a single institution. The results from the cases suggest that the explantation of the device can be performed efficiently and safely.ORL (Source: ORL)
Source: ORL - February 16, 2023 Category: ENT & OMF Source Type: research

Safe Limits of Lateral Nasal Wall Osteotomy at Le Fort I Surgery
Conclusion: This study described the mean angulations and linear distances between anatomic structures of the lateral nasal wall in patients with class II and class III dentofacial deformities for the purpose of a safe osteotomy. The location of the descending palatine canal and the morphology of the lateral nasal wall are not significantly associated with dentofacial deformity.ORL (Source: ORL)
Source: ORL - January 19, 2023 Category: ENT & OMF Source Type: research

Nasal Septal Perforation Secondary to Graft-Versus-Host Disease
In this report, we describe a patient with nasal septal perforation secondary to GVHD and hope to provide novel insights into the association of GVHD and nasal septal perforation.ORL (Source: ORL)
Source: ORL - January 19, 2023 Category: ENT & OMF Source Type: research

Clinical Study on the Risk Factors for the Recurrence of Papillary Thyroid Carcinoma
Conclusion: The selection of the surgical mode should be based on the recurrence and after comprehensive consideration of the clinical features.ORL (Source: ORL)
Source: ORL - January 17, 2023 Category: ENT & OMF Source Type: research