Long-Term Outcomes after Performing Tympanoplasty without Mastoidectomy for Active and Inactive Noncholesteatomatous Chronic Otitis Media
Conclusion: With good quality control of the surgical treatment of TWOM, there are no differences in long-term outcomes in noncholesteatomatous COM in different chronic infection conditions.ORL (Source: ORL)
Source: ORL - August 21, 2018 Category: ENT & OMF Source Type: research
Morphological Evaluation of Thyroid Cartilage Invasion in Early Glottic Tumors Involving the Anterior Commissure
Conclusion: The infiltration of thyroid cartilage occurred in 8.3% of tumors and did not change the outcome in patients submitted to frontolateral laryngectomy. The morphological characteristics did not present any statistical significance.ORL (Source: ORL)
Source: ORL - August 17, 2018 Category: ENT & OMF Source Type: research
Comparable Electrode Impedance and Speech Perception at 12 Months after Cochlear Implantation Using Round Window versus Cochleostomy: An Analysis of 40 Patients
Conclusion: The RW approach is comparable to cochleostomy in electrode placement as reflected by impedance and function as reflected by tone, vowel, consonant, disyllable and sentence perception.ORL (Source: ORL)
Source: ORL - August 17, 2018 Category: ENT & OMF Source Type: research
The Positive Effect of Sialendoscopy with Irrigation Lavage for Sialadenitis without Sialolithiasis or Stenosis
Conclusion: Sialendoscopy with flushing/lavage seems to be a good treatment option for patients with sialodochitis lacking sialolithiasis. The results of this study suggest that the type of irrigation used during sialendoscopy seems to be secondary.ORL (Source: ORL)
Source: ORL - August 15, 2018 Category: ENT & OMF Source Type: research
Correlation between Serum Squamous Cell Carcinoma Antigen Level and Tumor Volume in Head and Neck Cancer
Conclusions: SCC-Ag moderately correlates with tumor volume in head and neck cancer patients, with statistical significance. We suggest that using tumor volume, rather than a one-dimensional measurement such as tumor size, to analyze correlation with SCC-Ag offers a more accurate means of cancer prognosis.ORL (Source: ORL)
Source: ORL - August 9, 2018 Category: ENT & OMF Source Type: research
Eight Items to Check on a Temporal Bone CT-Scan
We present here a sequential checklist which could be employed in a systematic and organized manner, aiming to both develop and practice the know-how of this indispensable and challenging method of evaluation of the temporal bone.ORL (Source: ORL)
Source: ORL - August 9, 2018 Category: ENT & OMF Source Type: research
Congenital Cholesteatoma: The Silent Pathology
Conclusion: CC present with a myriad of clinical manifestations and should be suspected in all patients with unexplained otological signs and symptoms. They must be completely excised and the functional status of the ear rehabilitated either immediately or later. Follow-up must be indefinite as they have a high recurrence rate.ORL 2018;80:108 –116 (Source: ORL)
Source: ORL - July 24, 2018 Category: ENT & OMF Source Type: research
Transoral Robotic Surgery for Oropharyngeal Cancer
Transoral robotic surgery has shown significant promise in the management of oropharyngeal cancer since its description in 2007. The oncological efficacy of this procedure has been proven in several single-centre studies, multicentre collaborative publications and systematic reviews. The rapid take-up of transoral robotic surgery shows greater acceptance by professionals and is associated with a relatively short learning curve. This overview discusses the rationale and principles underlying the use of transoral robotic surgery in primary and recurrent oropharyngeal cancer and the emerging role for this technique in diagnos...
Source: ORL - July 17, 2018 Category: ENT & OMF Source Type: research
Mandibular Myalgia and Miniscule Meckel ’s Caves
We present a case of bilateral hypoplastic Meckel ’s caves in an adult patient leading to the clinical symptomology of trigeminal neuralgia. To the best of our knowledge, this is the only report of its kind highlighting this anatomic variant.ORL 2018;80:103 –107 (Source: ORL)
Source: ORL - July 11, 2018 Category: ENT & OMF Source Type: research
Oral Cancer Treatment: Still an Indication for Elective Neck Dissection?
Conclusion: A watchful waiting policy could be applied to selected oral cancer patients who can undergo a very close follow-up. This option would be more cost-effective and less harmful than elective neck dissection.ORL 2018;80:96 –102 (Source: ORL)
Source: ORL - July 4, 2018 Category: ENT & OMF Source Type: research
Radiographic Imaging Does Not Reliably Predict Macroscopic Extranodal Extension in Human Papilloma Virus-Associated Oropharyngeal Cancer
Conclusions: Preoperative imaging for HPV-associated OPSCC had a PPV for pENE #x3e; 2 mm of 44 –55%, based on any interruption in the capsule or invasion into the perinodal fat. The PPV is low and equipoise in treatment decision making for patients with HPV-associated OPSCC may require other imaging characteristics.ORL 2018;80:85 –95 (Source: ORL)
Source: ORL - July 3, 2018 Category: ENT & OMF Source Type: research
Transoral Robotic Surgery for Obstructive Sleep Apnoea-Hypopnoea Syndrome
Obstructive sleep apnoea-hypopnoea (OSAH) syndrome constitutes a major health care problem. Surgical modalities for the treatment of OSAH are regaining momentum in view of the increasing prevalence of OSAH and the low compliance rates associated with continuous positive airway pressure. There are several investigations to complement clinical examination in accurately determining the level of airway collapse to ensure correct patient selection and a targeted surgical approach. The most commonly employed include drug-induced sleep endoscopy and imaging with the tongue base and epiglottis often revealed as the major sites of ...
Source: ORL - June 22, 2018 Category: ENT & OMF Source Type: research
Transoral Robotic Surgery: Image Guidance and Augmented Reality
Transoral robotic surgery (TORS) is being used increasingly as an alternative to conventional open procedures, as its minimally invasive approach results in significant benefits for the patient. This includes faster recovery times and better functional outcomes, less postoperative pain and morbidity associated with open access, shorter operative times, and a reduction in the risk of infection. However, the confined working spaces and sensory deficit, due to a lack of haptic sensation, and proximity to critical vasculature and other vitally important anatomical structures bestow significant challenges on the surgeon. Recent...
Source: ORL - June 22, 2018 Category: ENT & OMF Source Type: research
Robotic Head and Neck Surgery: History, Technical Evolution and the Future
The first application of robotic technology in surgery was described in 1985 when a robot was used to define the trajectory for a stereotactic brain biopsy. Following its successful application in a variety of surgical operations, the da Vinci ® robot, the most widely used surgical robot at present, made its clinical debut in otorhinolaryngology and head and neck surgery in 2005 when the first transoral robotic surgery (TORS) resections of base of tongue neoplasms were reported. Subsequently, the indications for TORS rapidly expanded, an d they now include tumours of the oropharynx, hypopharynx, parapharyngeal space, and ...
Source: ORL - June 20, 2018 Category: ENT & OMF Source Type: research
The Impact of Two-Stage Subtotal Petrosectomy and Round Window Vibroplasty on Bone Conduction Thresholds
Conclusion: In some cases, SP is the only way to eradicate chronic otitis and to achieve a suitable environment for the implantation of active middle ear implants. The present data demonstrate a relatively small but significant decline in BC thresholds throughout the whole procedure. Knowledge of its extent is mandatory for a correct indication for later implantation of a Vibrant SoundbridgeTM.ORL 2018;80:77 –84 (Source: ORL)
Source: ORL - June 14, 2018 Category: ENT & OMF Source Type: research
