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.

Outcomes and Prognostic Factors of Radiation-Induced and De Novo Head and Neck Squamous Cell Carcinomas
Conclusion In our cohort, RISCCs have a poorer prognosis than DNSCCs. However, those able to undergo curative treatment and have no residual disease after treatment have comparable survival outcomes. Locoregional control of these tumors appears paramount in achieving the best outcomes for patients with RISCC. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Tay, G. C.-A., Iyer, N. G., Ong, W.-S., Tai, D., Ang, M.-K., Ha, T. C., Soo, K.-C., Tan, H. K. Tags: Head and Neck Surgery Source Type: research

Mucinous Adenocarcinoma of the Salivary Gland: A Review of a Rare Tumor
Conclusions Mucinous adenocarcinoma of the salivary gland is a rare otolaryngic cancer. Regional metastases and advanced stage are more common with high histologic grade. Tumor size and distant metastases negatively influence survival. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Farhood, Z., Zhan, K. Y., Lentsch, E. J. Tags: Head and Neck Surgery Source Type: research

Utility of Surgery/Radiotherapy in Distant Metastatic Head and Neck Squamous Cell Carcinoma: A Population-Based Approach
Conclusions Surgery and/or radiation—which has been shown to improve quality of life in patients with advanced cancer—is associated with an increased survival when utilized in patients with distant metastatic disease. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Patel, T. D., Marchiano, E., Chin, O. Y., Kilic, S., Eloy, J. A., Baredes, S., Park, R. C. W. Tags: Head and Neck Surgery Source Type: research

Prevalence and Characteristics of Positional Nystagmus in Normal Subjects
Conclusion Positional nystagmus is a common finding in normal subjects and occurred in 88% of the healthy subjects in the present study. Horizontal direction-changing apogeotropic or geotropic nystagmus may occur in asymptomatic subjects. However, nystagmus that is of the paroxysmal type or has a slow-phase velocity greater than approximately 5° per second in the horizontal plane or 6.5° per second in the vertical plane should be considered outside the 95th percentile. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Martens, C., Goplen, F. K., Nordfalk, K. F., Aasen, T., Nordahl, S. H. G. Tags: General Otolaryngology Source Type: research

Postoperative Calcium Management in Same-Day Discharge Thyroid and Parathyroid Surgery
Conclusion The reported calcium regimen demonstrates a safe, effective, and objective means of postoperative calcium management in outpatient thyroid and parathyroid surgery in appropriately selected patients. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Nelson, K. L., Hinson, A. M., Lawson, B. R., Middleton, D., Bodenner, D. L., Stack, B. C. Tags: Endocrine Surgery Source Type: research

Parathyroid 4D CT and Scintigraphy: What Factors Contribute to Missed Parathyroid Lesions?
Conclusion 4D CT has higher sensitivity than scintigraphy. Missed lesions are more likely to occur with multigland disease for both modalities and in smaller lesions for scintigraphy. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Galvin, L., Oldan, J. D., Bahl, M., Eastwood, J. D., Sosa, J. A., Hoang, J. K. Tags: Endocrine Surgery Source Type: research

Transoral Robotic Surgery for Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis
Conclusions The initial results for the use of TORS as part of a multilevel surgical approach for OSA are promising for select patients. However, the cost and morbidity may be greater than with other techniques offsetting its advantages in visualization and precision. More prospective studies are needed to determine the optimal role of this tool. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Justin, G. A., Chang, E. T., Camacho, M., Brietzke, S. E. Tags: Review Articles Source Type: research

A Systematic Review of Diuretics in the Medical Management of Menieres Disease
Conclusion Multiple low evidence–level studies report that oral diuretic therapy may be beneficial in the medical management of Ménière’s disease. Improvement in vertigo episode frequency was consistently reported, with less convincing evidence for improvement in hearing outcomes. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Crowson, M. G., Patki, A., Tucci, D. L. Tags: Review Articles Source Type: research

A Systematic Review of Patient- or Proxy-Reported Validated Instruments Assessing Pediatric Dysphagia
Conclusion We did not identify any validated patient- or parent-reported outcome assessment tools examining dysphagia symptoms in a general pediatric population. However, we identified 4 questionnaires that have been validated in specific pediatric disease cohorts. Having a standardized assessment instrument validated in all children would allow clinicians to systematically report symptoms and compare results of pediatric clinical trials. With this in mind, we recommend establishing a standard questionnaire for the broader pediatric population. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Myer, C. M., Howell, R. J., Cohen, A. P., Willging, J. P., Ishman, S. L. Tags: Review Articles Source Type: research

Sinonasal Tract Inflammation as a Precursor to Nasopharyngeal Carcinoma: A Systematic Review and Meta-Analysis
Conclusions This systematic review and meta-analysis suggests an association between previous sinonasal inflammatory disease and subsequent NPC. Prospective studies are needed to further examine this relationship. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Riley, C. A., Marino, M. J., Hawkey, N., Lawlor, C. M., McCoul, E. D. Tags: Review Articles Source Type: research

Shared Decision Making and Office Insertion of Tympanostomy Tubes
Office insertion of tympanostomy tubes in young children without anesthesia is facilitated through shared decision making with families, including a candid discussion about anticipated pain (which is usually brief and transient) and how their child might react to being restrained. This commentary elaborates on the rationale for office tube insertion as an alternative to general anesthesia, including a clinical decision aid and suggestions for optimizing outcomes. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Rosenfeld, R. M. Tags: Clinical Viewpoint Source Type: research

Re: "Office Insertion of Tympanostomy Tubes without Anesthesia in Young Children"
(Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Breinlich, T. Tags: Clinical Viewpoint Source Type: research

Prevention and Treatment of Pain in Children: Toward a Paradigm Shift
Rosenfeld et al in their recent article "Office Insertion of Tympanostomy Tubes without Anesthesia in Young Children" describe using a "papoose board for restraint" while performing a procedure resulting in severe pain for a significant number of children: a myringotomy and tube insertion. In 2016, it is inappropriate to perform elective painful procedures in children without treatment to avoid or minimize pain. We strongly disagree with the authors’ conclusion "that office insertion of tubes in young children is a feasible alternative to general anesthesia for caregivers and clinicians who are comfortable with this ...
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Friedrichsdorf, S. J., Sidman, J., Krane, E. J. Tags: Clinical Viewpoint Source Type: research

Oral Antibiotic Use for Otitis Media with Effusion: Ongoing Opportunities for Quality Improvement
Conclusion Oral antibiotics continue to be administered in children with OME in the absence of acute infection, with risk varying by location of service. There is a potential opportunity for quality improvement through reducing antibiotic administration for pediatric OME. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Roditi, R. E., Liu, C. C., Bellmunt, A. M., Rosenfeld, R. M., Shin, J. J. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research

Safety of Outpatient Thyroid and Parathyroid Surgery: A Propensity Score-Matched Study
Conclusion Discharge within 8 hours after completion of thyroid and parathyroid surgery is as safe as inpatient surgery. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - April 28, 2016 Category: ENT & OMF Authors: Meltzer, C., Klau, M., Gurushanthaiah, D., Tsai, J., Meng, D., Radler, L., Sundang, A. Tags: Special Focus Section: Patient Safety/Quality Improvement Source Type: research