Otolaryngology - Head and Neck Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Orbital Decompression in the Endoscopic Age: The Modified Inferomedial Orbital Strut
Conclusion Balanced orbital decompression utilizing a mIOS in patients with Graves’ orbitopathy provides a safe and effective reduction in proptosis with a low rate of new-onset diplopia as compared with historical values. Utilization of an orbital sling may be beneficial in reducing postoperative diplopia in select patients. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Yao, W. C., Sedaghat, A. R., Yadav, P., Fay, A., Metson, R. Tags: Sinonasal Disorders Source Type: research

Acute Rhinosinusitis: Prescription Patterns in a Real-World Setting
Conclusion Significant variability in ARS treatment was observed, highlighting the need for heightened awareness of existing guidelines. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Benninger, M. S., Holy, C. E., Trask, D. K. Tags: Sinonasal Disorders Source Type: research

Sino-Nasal Outcome Test-22: Translation, Cross-cultural Adaptation, and Validation in Hebrew-Speaking Patients
Conclusion The Hebrew version of SNOT-22 questionnaire is a valid outcome measure for patients with CRS with or without nasal polyps. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Shapira Galitz, Y., Halperin, D., Bavnik, Y., Warman, M. Tags: Sinonasal Disorders Source Type: research

Variation in Delivery of Sinus Surgery in the Medicaid Population across Ethnicities
Conclusion The Medicaid database was selected for this analysis to eliminate payer and wealth as potential confounders in access to health care. Despite this approach, significant differences in surgery rates among ethnic groups were observed. Further research is critical to understand those differences and provide actionable and effective recommendations for change. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Woodard, T., Sindwani, R., Halderman, A. A., Holy, C. E., Gurrola, J. Tags: Sinonasal Disorders Source Type: research

Obstructive Sleep Apnea: Differences between Normal-Weight, Overweight, Obese, and Morbidly Obese Children
Conclusion Obstructive sleep apnea severity is correlated with a combination of increasing age and weight but not with either variable independently. This study suggests that obese and morbidly obese older children are most likely to have severe obstructive sleep apnea. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Scott, B., Johnson, R. F., Mitchell MD, R. B. Tags: Pediatric Otolaryngology Source Type: research

Utility of Fine-Needle Aspiration Biopsy in the Evaluation of Pediatric Head and Neck Masses
Conclusions Fine-needle aspiration biopsy is an accurate and safe diagnostic tool for guiding management of persistent lymphadenopathy, thyroid nodules, and other HNM in pediatric patients. Negative FNABs can often obviate the need for surgical intervention. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Huyett, P., Monaco, S. E., Choi, S. S., Simons, J. P. Tags: Pediatric Otolaryngology Source Type: research

Safety of Ultrasound-Guided Botulinum Toxin Injections for Sialorrhea as Performed by Pediatric Otolaryngologists
Conclusion Prior published data indicated 16% complication incidence with ultrasound-guided injection of botulinum toxin. Our study found a low complication rate (0.6%) with ultrasound-guided injections of botulinum toxin to manage sialorrhea, without cases of aspiration pneumonia or motor paralysis. Of 306 intraglandular injections, there were 2 cases of worsening baseline subjective dysphagia that self-resolved. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Shariat-Madar, B., Chun, R. H., Sulman, C. G., Conley, S. F. Tags: Pediatric Otolaryngology Source Type: research

Endoscopic Transcanal Retrocochlear Approach to the Internal Auditory Canal with Cochlear Preservation: Pilot Cadaveric Study
Contemporary operative approaches to the internal auditory canal (IAC) require the creation of large surgical portals for visualization with associated morbidity, including hearing loss, vestibular dysfunction, facial nerve injury, and skull base defects that increase the risk of cerebrospinal fluid leak. Transcanal approaches to the IAC have been possible only via a transcochlear technique. To preserve cochlear function, we describe a novel endoscopic transcanal infracochlear approach to the IAC in cadaveric temporal bones. Navigation fiducials were secured on fresh cadaveric heads, and real-time computed tomography imagi...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Kempfle, J., Kozin, E. D., Remenschneider, A. K., Eckhard, A., Edge, A., Lee, D. J. Tags: Otology and Neurotology Source Type: research

Modeled Analysis of Entrance of Colloid Suspensions into the Middle Ear Cavity
Otic suspensions have a positive effect on the duration of otorrhea in children with a tympanostomy tube. It is still questionable how eardrops reach the middle ear. We hypothesized that otic suspensions do not pass the tympanostomy tube if the middle ear is dry but pass by diffusion when wet. The median concentration of Evans blue (colorant) in the middle ear was <15.6 mg/mL (lower limit of quantification) when diffusion was impossible but 45.3 µg/mL when diffusion was possible (P = .01). When the outward flow was increased to 0.1 mL/h, the concentration of Evans blue in the middle ear increased significantly (P ...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Ariana, B., Geerse, S., Schot, L. J., Bos, L. D. J. Tags: Otology and Neurotology Source Type: research

Biofilms Role in Chronic Cholesteatomatous Otitis Media: A Pilot Study
Cholesteatoma is a destructive lesion involving the temporal bone, which may induce severe complications due to its expansion and erosion of adjacent structures. Bacterial biofilm plays a crucial role in the pathogenesis of many otolaryngologic inflammatory/infectious chronic diseases. In this pilot study, we investigated, by means of cultural examination and with scanning electron microscope, the presence of bacterial biofilm in a series of samples from the epitympanic and mastoid region in patients affected by cholesteatoma and from the promontory region in patients with healthy mucosa who were undergoing to stapes surge...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Galli, J., Calo, L., Giuliani, M., Sergi, B., Lucidi, D., Meucci, D., Bassotti, E., Sanguinetti, M., Paludetti, G. Tags: Otology and Neurotology Source Type: research

Durability of Hearing Preservation after Cochlear Implantation with Conventional-Length Electrodes and Scala Tympani Insertion
Conclusions To control for hearing loss associated with interscalar excursion during cochlear implantation, the present study evaluated patients only with conventional electrode arrays located entirely within the scala tympani. In this group, the style of electrode array may influence residual hearing preservation over time. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Sweeney, A. D., Hunter, J. B., Carlson, M. L., Rivas, A., Bennett, M. L., Gifford, R. H., Noble, J. H., Haynes, D. S., Labadie, R. F., Wanna, G. B. Tags: Otology and Neurotology Source Type: research

Quantitative Proteomics of Vestibular Schwannoma Cerebrospinal Fluid: A Pilot Study
This pilot study aimed to identify candidate proteins for future study that are differentially expressed in vestibular schwannoma (VS) cerebrospinal fluid (CSF) and to compare such proteins with those previously identified in perilymph and specimen secretions. CSF was collected intraoperatively prior to removal of untreated sporadic VS (3 translabyrinthine, 3 middle cranial fossa approaches) and compared with reference CSF samples. After proteolytic digestion and iTRAQ labeling, tandem mass spectrometry with ProteinPilot was used to identify candidate proteins. Of the 237 proteins detected, 13 were dysregulated in ≥3 of...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Kazemizadeh Gol, M. A., Lund, T. C., Levine, S. C., Adams, M. E. Tags: Otology and Neurotology Source Type: research

Paravertebral Nerve Block for Donor Site Pain in Stage I Microtia Reconstruction: A Pilot Study
Acute Interventional Perioperative Pain Service consultants have routinely placed paravertebral nerve block (PVB) catheters for the continuous release of ropivacaine following stage I microtia reconstruction with costal cartilage graft at our institution since 2010. A retrospective chart review from July 2006 was performed to compare the length of hospital stay, median pain score (0-10 scale), and opioid use of patients receiving PVB with those of historical controls. Statistical analysis included t, Mann-Whitney U, and Fisher’s exact tests. A total of 15 stage I microtia surgeries were included, 10 with PVB and 5 wi...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Shaffer, A. D., Jabbour, N., Visoiu, M., Yang, C. I., Yellon, R. F. Tags: Otology and Neurotology Source Type: research

Injection Laryngoplasty Using Micronized Acellular Dermis for Vocal Fold Paralysis: Long-term Voice Outcomes
Conclusion Micronized acellular dermis is a safe injectable that improved both patient-completed voice ratings and blinded reviewer voice gradings at intermediate and long-term follow-up. Further investigation may be warranted regarding technique and timing of injection. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Hernandez, S. C., Sibley, H., Fink, D. S., Kunduk, M., Schexnaildre, M., Kakade, A., McWhorter, A. J. Tags: Laryngology and Neurolaryngology Source Type: research

Utility of Esophagram versus High-Resolution Manometry in the Detection of Esophageal Dysmotility
Conclusions Esophagram is useful in the assessment of anatomic abnormalities but is a poor screening examination for the detection of esophageal dysmotility. Patients with suspected esophageal dysphagia should be referred for HRM to evaluate motility disorders and identify potential treatment targets, regardless of esophagram results. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: ORourke, A. K., Lazar, A., Murphy, B., Castell, D. O., Martin-Harris, B. Tags: Laryngology and Neurolaryngology Source Type: research