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.

Successful Implementation of a Clinical Care Pathway for Management of Epistaxis at a Tertiary Care Center
Conclusions Implementation of a CCP decreased hospital stay and days of packing, facilitated definitive care in patients with severe epistaxis, improved patient safety, and decreased cost. The results of this study can serve as a model for the management of severe epistaxis and for future quality improvement measures. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Vosler, P. S., Kass, J. I., Wang, E. W., Snyderman, C. H. Tags: Sinonasal Disorders Source Type: research

Effects of Covering Surgical Wounds with Polyglycolic Acid Sheets for Posttonsillectomy Pain
Postoperative pain is a remaining issue in tonsillectomy. Polyglycolic acid (PGA) is a biocompatible material used for absorbent suture reinforcement, and its sheet has been applied for covering defects after resection of oral carcinoma. The aim of this study is to examine whether the attachment of a PGA sheet to surgical wounds would reduce posttonsillectomy pain. In this prospective single-blind study, 17 consecutive adult patients were recruited who needed to undergo tonsillectomy, mainly due to habitual tonsillitis. Following bilateral tonsillectomies, a PGA sheet was attached with fibrin glue to only 1 side, without n...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Miyaguchi, S.-i., Horii, A., Kambara, R., Takemoto, N., Akazawa, H., Takahashi, N., Baba, H., Inohara, H. Tags: Pediatric Otolaryngology Source Type: research

Primary Caregiver Perception of Pain Control following Pediatric Adenotonsillectomy: A Cross-Sectional Survey
Conclusions For pediatric T&A, significant variation exists in the management of postoperative pain. Parents of children given ibuprofen reported less pain than those given narcotics with and without ibuprofen. Further studies are needed to identify the optimal pain regimen for children after T&A. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Sowder, J. C., Gale, C. M., Henrichsen, J. L., Veale, K., Liljestrand, K. B., Ostlund, B. C., Sherwood, A., Smith, A., Olsen, G. H., Ott, M., Meier, J. D. Tags: Pediatric Otolaryngology Source Type: research

Decisional Conflict and Regret in Parents Whose Children Undergo Tonsillectomy
Conclusion Preoperative DC is likely the most important factor in determining parental DR after the child undergoes TA. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Carr, M. M., Derr, J. B., Karikari, K. Tags: Pediatric Otolaryngology Source Type: research

Geniculate Ganglion Tumors: Clinical Presentation and Surgical Results
Conclusions Differences in clinical presentations could help in establishing the good therapeutic option depending on the tumor type. Surgery, when indicated, is safe and effective, and postoperative outcomes are not related to tumor type. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Lahlou, G., Nguyen, Y., Russo, F. Y., Ferrary, E., Sterkers, O., Bernardeschi, D. Tags: Otology and Neurotology Source Type: research

Electrophysiologic Evaluation of the Facial Nerve and Blink Reflex Pathways in Asymptomatic Cochlear Implant Users
Conclusion During functioning of the CI system, excitability of the facial circuit may increase either through the facial motor nucleus or through removal of the inhibitory effect of the descending pathway. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Edizer, D. T., Adatepe, T., Uzun, N., Yigit, O., Gunduz, A., Yildiz, M., Celebi, O. O. Tags: Otology and Neurotology Source Type: research

Muscle Tension Dysphagia: Symptomology and Theoretical Framework
Conclusion The study results suggest that laryngeal muscle tension may be a factor in the underlying etiology in patients with idiopathic functional dysphagia. We propose the diagnostic term muscle tension dysphagia to describe a subset of patients with functional dysphagia. Further prospective studies are needed to better evaluate potential gastroesophageal confounders in this group of patients and to identify an effective paradigm for treatment. In our limited series, speech-language pathology intervention directed toward unloading muscle tension appears effective. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Kang, C. H., Hentz, J. G., Lott, D. G. Tags: Laryngology and Neurolaryngology Source Type: research

Collagen Content Limits Optical Coherence Tomography Image Depth in Porcine Vocal Fold Tissue
Conclusion Collagen removal from vocal fold tissue increases image brightness of underlying structures. This inverse relationship may be useful in treating vocal fold scarring in patients. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Garcia, J. A., Benboujja, F., Beaudette, K., Rogers, D., Maurer, R., Boudoux, C., Hartnick, C. J. Tags: Laryngology and Neurolaryngology Source Type: research

Voice Outcomes following a Single Office-Based Steroid Injection for Vocal Fold Scar
Conclusions Office-based steroid injection combined with voice therapy for mild/moderate vocal fold scar is associated with improved patient-reported and functional voice measures. These findings provide preliminary support for this approach. Importantly, the procedure is low risk and can be performed in the office, thus offering a simple treatment alternative to patients with a disorder that has traditionally been difficult to manage. Prospective studies evaluating the effects of multiple injections are warranted. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Young, W. G., Hoffman, M. R., Koszewski, I. J., Whited, C. W., Ruel, B. N., Dailey, S. H. Tags: Laryngology and Neurolaryngology Source Type: research

The History and Evolution of Surgery on the Vestibular Labyrinth
The history of surgery on the vestibular labyrinth is rich but sparsely documented in the literature. The story begins over a century ago with the labyrinthectomy in an era that consisted exclusively of ablative surgery for infection or vertigo. Improved understanding of vestibular physiology and pathology produced an era of selective ablation and hearing preservation that includes semicircular canal occlusion for benign paroxysmal positional vertigo. An era of restoration began with a discovery of superior semicircular canal dehiscence and its repair. The final era of vestibular replacement is upon us as the possibility o...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Naples, J. G., Eisen, M. D. Tags: History of Otolaryngology Source Type: research

Gene Methylation Profiling in Sinonasal Adenocarcinoma and Squamous Cell Carcinoma
Conclusion ITAC carries a higher number and a different profile of gene methylations as compared with SNSCC. Gene methylation plays a greater role in papillary and colonic ITAC subtypes, which may indicate a different tumorigenic pathway for these ITAC subtypes. These findings could be used as prognosticators and may have implications for future individualized therapies based on epigenetic changes. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Costales, M., Lopez-Hernandez, A., Garcia-Inclan, C., Vivanco, B., Lopez, F., Llorente, J. L., Hermsen, M. A. Tags: Head and Neck Surgery Source Type: research

Tumor Debulking in the Management of Laryngeal Cancer Airway Obstruction
We present a case series with chart review to communicate our institutional experience with this technique. T3/4 glottic and supraglottic cancers treated between 2004 and 2014 underwent review, and 14 patients were identified for this study. Of these, 5 (35.7%) required subsequent tracheotomy, and 9 (64.3%) did not. Patients requiring subsequent tracheotomy had a delay in initiating definitive treatment when compared with those who did not (83.3 vs 31.3 days, P = .0025). No patient required a tracheotomy after initiation of definitive treatment. Our experience suggests that tumor debulking may be a viable option in select ...
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Du, E., Smith, R. V., Ow, T. J., Tassler, A. B., Schiff, B. A. Tags: Head and Neck Surgery Source Type: research

Lymph Node Density in Node-Positive Laryngeal Carcinoma: Analysis of Prognostic Value for Survival
Conclusions LND was the only independent prognostic predictor of OS and DFS in patients with pN+ laryngeal SCC. Moreover, patients with LND ≥0.09 were significantly associated with high risk of regional recurrence. Thus, patients with LND ≥0.09 are at high risk of regional recurrence and death and may be considered for adjuvant chemoradiation. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Imre, A., Pinar, E., Dincer, E., Ozkul, Y., Aslan, H., Songu, M., Tatar, B., Onur, I., Ozturkcan, S., Aladag, I. Tags: Head and Neck Surgery Source Type: research

Presentation to Emergency Departments for Acute Rhinosinusitis: Disparities in Symptoms by Race and Insurance Status
Conclusion Symptomatology does not explain disproportionate ED use for ARS by Medicaid patients, while higher self-reported pain levels may explain self-pay patients’ disproportionate ED utilization. Likewise, ED presentation for ARS among Hispanic patients may be related to symptomatology that is less specific for ARS, such as headache and facial pain. (Source: Otolaryngology - Head and Neck Surgery)
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Bergmark, R. W., Sedaghat, A. R. Tags: General Otolaryngology Source Type: research

Surgery in MEN 2A Patients Older Than 5 Years with Micro-MTC: Outcome at Long-term Follow-up
In multiple endocrine neoplasia syndrome type 2A (MEN 2A), early total thyroidectomy (TT; performed before the age of 5 years) is the best option to prevent medullary thyroid carcinoma (MTC) development, but the management of MEN 2A patients diagnosed after childhood is still under debate. Seventeen consecutive patients diagnosed with MEN 2A after the age of 5 years (mean age, 23.3 years) with a pathologic diagnosis of micro-MTC without nodal involvement were enrolled. All patients underwent TT with thymectomy and central compartment lymph node dissection. During surgery, parathyroid tissue removal occurred in 14 patients....
Source: Otolaryngology - Head and Neck Surgery - October 31, 2016 Category: ENT & OMF Authors: Tonelli, F., Giudici, F., Marcucci, T., Cavalli, T., Spini, S., Gheri, R. G., Brandi, M. L. Tags: Endocrine Surgery Source Type: research