Infections of the Ears, Nose, Throat, and Sinuses. Edited by Marlene L. Durand and Daniel G. Deschler . Heidelberg, Germany: Springer; 2018; 404 pp. $199.00
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 28, 2018 Category: ENT & OMF Authors: Andrew H. Murr Tags: General Otolaryngology Source Type: research

Correlating laryngoscopic appearance of laryngeal lesions with histopathology
ConclusionsLaryngoscopic and microscopic appearance of vascular stippling could inform clinicians on diagnostic sampling of suspicious laryngeal lesions that reduces delay in diagnosis. The low sensitivity of vascular stippling underlies the importance of maintaining high clinical suspicion and proceeding to the operating theater for adequate tissue sampling.Level of Evidence3Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 28, 2018 Category: ENT & OMF Authors: Mursalin M. Anis Tags: Laryngology Source Type: research

Vocal motor control and central auditory impairments in unilateral vocal fold paralysis
ObjectivesTo evaluate differences in vocal motor control and central auditory processing between treated unilateral vocal fold paralysis (UVFP) and healthy control cohorts.Study DesignCross ‐sectional.MethodsTen UVFP study patients treated by type I thyroplasty with stable voices were compared to 12 control subjects for vocal motor control using a pitch perturbation response task and central auditory processing performance using a battery of complex sound intelligibility assays that included adverse temporal and noise conditions. Standard clinical evaluations of voice production and peripheral audiometric sensitivity wer...
Source: The Laryngoscope - November 28, 2018 Category: ENT & OMF Authors: Molly L. Naunheim, Katherine C. Yung, Sarah L. Schneider, Jennifer Henderson ‐Sabes, Hardik Kothare, Danielle Mizuiri, David J. Klein, John F. Houde, Srikantan S. Nagarajan, Steven W. Cheung Tags: Laryngology Source Type: research

When to replace legacy cochlear implants for technological upgrades: Indications and outcomes
ConclusionPost ‐CIR audiological benefit was stable or improved compared to pre‐CIR results in all categories by 3 months after reactivation. Given these results, patients who are unable to use the most current external processors due to incompatibility with a legacy internal device could consider reimplanatio n to optimize their overall performance with a cochlear implant.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 28, 2018 Category: ENT & OMF Authors: Meredith A. Holcomb, Jane A. Burton, James R. Dornhoffer, Elizabeth L. Camposeo, Ted A. Meyer, Theodore R. McRackan Tags: Otology/Neurotology Source Type: research

SDHx gene detection and clinical Phenotypic analysis of multiple paraganglioma in the head and neck
ConclusionIn patients with multiple PGL in the head and neck, these are accompanied by a genetic mutation of the germ cell. In this case study, this mutation was most commonly a mutation of the SDHD gene.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 28, 2018 Category: ENT & OMF Authors: Yiming Ding, Yaru Feng, Michael Wells, Zhigang Huang, Xiaohong Chen Tags: Head and Neck Source Type: research

Surgery of the major salivary glands and its impact on salivary flow —A review
ConclusionsHead and neck surgeons should inform their patients more accurately about reduced salivary flow and possible xerostomia after salivary gland surgery, and focus more on conservative strategies and minimally invasive techniques.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 26, 2018 Category: ENT & OMF Authors: Marc Burghartz, Stephan Hackenberg, Christian Sittel, Rudolf Hagen Tags: Head and Neck Source Type: research

Automated Quantification of Vocal Fold Motion in a Recurrent Laryngeal Nerve Injury Mouse Model
ConclusionsOur motion ‐analysis software provides novel objective, quantitative, and repeatable metrics to detect and describe subtle VF dysfunction in mice that corresponds with underlying RLN degeneration and recovery. Adaptation of our tracking software for use with human patients is underway.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 26, 2018 Category: ENT & OMF Authors: Megan M. Haney, Ali Hamad, Emily Leary, Filiz Bunyak, Teresa E. Lever Tags: Laryngology Source Type: research

Antileukotrienes improve naso ‐ocular symptoms and biomarkers in patients with NARES and asthma
ConclusionNARES patients may benefit from treatment with montelukast. In particular, the presence of concomitant asthma may be predictive of a greater efficacy.Level of Evidence2.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 26, 2018 Category: ENT & OMF Authors: Eugenio De Corso, Roberta Anzivino, Jacopo Galli, Silvia Baroni, Walter Di Nardo, Carla De Vita, Antonio Salvati, Chiara Autilio, Stefano Settimi, Dario Mele, Gaetano Paludetti, Joaquim Mullol Tags: Allergy/Rhinology Source Type: research

Smartphone telemedical emergency department consults for screening of nonacute dizziness
ConclusionsOur initial proof ‐of‐concept study shows that remote screening of BPPV is possible with high specificity. Because the DHT is easily taught, having a remote otolaryngologist interpret the resulting eye movements may increase usage of the test and may lead to cost savings.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 26, 2018 Category: ENT & OMF Authors: Manan U. Shah, Seth Lotterman, Daniel Roberts, Marc Eisen Tags: Otology/Neurotology Source Type: research

The shifting relationship between weight and pediatric obstructive sleep apnea: A historical review
ConclusionsWe may need new and different treatments for obesity ‐associated OSA as adenotonsillectomy—which is effective at reversing failure to thrive in OSA—is not as effective at treating OSA in children with obesity. One option is drug‐induced sleep endoscopy, which could personalize and improve surgical treatment of OSA. There is some evidence that therapies used for OSA in adults (e.g., weight loss and positive airway pressure) are also helpful for overweight/obese children with OSA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 25, 2018 Category: ENT & OMF Authors: Katherine R. Keefe, Prachi N. Patel, Jessica R. Levi Tags: Pediatrics Source Type: research

Presentation and eustachian tube function test results in children evaluated at a specialty clinic
ConclusionsETD in children is often associated with residual or regrowth of adenoids and inflammation. Caution should be taken assigning a uniform phenotype and treatment prior to thorough evaluation and testing.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 25, 2018 Category: ENT & OMF Authors: Cuneyt M. Alper, Miriam S. Teixeira, Beverly C. Richert, J. Douglas Swarts Tags: Pediatrics Source Type: research

Isolated Paresis of Laryngeal Adduction: What Are the Laryngoscopic and Stroboscopic Findings?
ConclusionsFindings on VLS as described suggest isolated paresis of laryngeal adduction and should warrant indication of LEMG for definite diagnosis. Voice improvement may be related to clinical and LEMG findings.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 25, 2018 Category: ENT & OMF Authors: Rui Imamura, Agatha M. Marcelo, Domingos H. Tsuji Tags: Laryngology Source Type: research

Ergonomic hazards in otolaryngology
ConclusionsOur data suggest that pain and disability induced by poor ergonomics are widespread among the otolaryngology community and confirm that surgeons rarely receive ergonomic training in the surgical context. Additionally, intraoperative observational findings identified that the majority of observed surgeons display poor posture, particularly a poor cervical angle and use of ergonomic setups, both of which increase ergonomic risk hazard. These data provide guidance for future interventional studies.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 25, 2018 Category: ENT & OMF Authors: Yona Vaisbuch, Ksenia A. Aaron, Justin M. Moore, John Vaughan, Yifei Ma, Raghav Gupta, Robert K. Jackler Tags: General Otolaryngology Source Type: research

The effects of cryotherapy on vocal fold healing in a rabbit model
ConclusionsCryotherapy can inhibit the inflammatory reaction and simulate a fetal healing environment in extracellular matrix synthesis to regenerate vocal fold tissue with less fibrosis. Histological results showed that cryotherapy achieves a mature healing result with less scar, which tends to return to normal. In summary, the findings of this study suggest that administration of cryotherapy at the time of injury has the potential to minimize vocal fold scarring.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 23, 2018 Category: ENT & OMF Authors: Ting Gong, Chi Zhang, Jing Kang, Zhewei Lou, Austin Scholp, Jack J. Jiang Tags: Laryngology Source Type: research

Acute inflammatory response to contrast agent aspiration and its mechanisms in the rat lung
ConclusionsBa caused significantly more acute lung inflammation in a rodent model than did ioinic and nonionic iodinated CAs. Nonionic contrast did not cause any discernible inflammatory response in the lungs, suggesting that it may be the safest contrast for videofluoroscopic swallow studies.Level of EvidenceNA (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Rumi Ueha, Nogah Nativ ‐Zeltzer, Taku Sato, Takao Goto, Takaharu Nito, Peter C Belafsky, Tatsuya Yamasoba Tags: Bronchoesophagology Source Type: research

Olfactory function in mild cognitive impairment and Alzheimer's disease: A meta ‐analysis
ConclusionsMeta ‐analysis results revealed that olfactory identification was more profoundly impaired in patients with AD than in those with MCI. These findings suggest that a simple test of odor identification is valuable in differentiating individuals at a risk of AD.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Hahn Jin Jung, In ‐Soo Shin, Ji‐Eun Lee Tags: General Otolaryngology Source Type: research

The Impact of a Stepwise Approach to Primary Tumor Detection in Squamous Cell Carcinoma of the Neck With Unknown Primary
ConclusionsA stepwise approach to primary tumor identification identifies a primary tumor in a majority of patients.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: John F. Ryan, Kevin M. Motz, Lisa M. Rooper, Wojciech K. Mydlarz, Harry Quon, Christine G. Gourin, Marietta Tan, David W. Eisele, Carole Fakhry Tags: Head and Neck Source Type: research

Feasibility of shotgun metagenomics to assess microbial ecology of pediatric tracheostomy tubes
ConclusionThis study reveals that metagenomic shotgun sequencing of biofilms formed on pediatric TTs is feasible with an apparent difference in microbiome for patients with granulation tissue. Further studies are necessary to elucidate the pathogenesis of microbial ecology and its role in airway disease in patients with TTs.Level of Evidence2c.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: James C. Wang, Mathieu Bergeron, Heidi Andersen, Raisa Tikhtman, David Haslam, Tammy Hunter, Andrew B. Herr, Alessandro de Alarcon Tags: Bronchoesophagology Source Type: research

Levator claviculae muscle: Anatomic variation found during neck dissection
We report here, for the first time, a case discovering this muscle variation intraoperatively during a modified radical neck dissection. The muscle was identified on the left side, originating from the transverse processes of the upper cervical vertebrae (C2 ‐C3), attached to the upper aspect of the middle part of the clavicle. This muscle was innervated by the supraclavicular nerve, coming from the third and fourth rami of the cervical spinal nerves. Blood supply to the muscle could not be identified clearly during the surgical procedure. Surgeons an d radiologists should be aware of the presence of this rare variant mu...
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Fabio Ferreli, Giuseppe Mercante, Giuseppe Spriano Tags: Head and Neck Source Type: research

Second primary lung malignancy following head and neck squamous cell carcinoma
Objectives/HypothesisAnalyze the characteristics of second primary lung malignancies (SPLMs) following an index head and neck squamous cell carcinoma (HNSCC).Study DesignRetrospective cohort study.MethodsThe Surveillance, Epidemiology and End Results database was queried for all cases of HNSCC between 1973 and 2014 (N  = 101,856). This population was compared to a standard population to assess relative risk for lung cancer, calculated as the standardized incidence ratio (SIR). Patients who developed SPLMs were extracted (N = 8,116) and compared to all other cases of lung cancer (N =&thins...
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Meghan M. Crippen, Jacob S. Brady, Lindsay A. Burke, Jean Anderson Eloy, Soly Baredes, Richard Chan Woo Park Tags: Head and Neck Source Type: research

Should the Contralateral Tonsil Be Removed in Cases of HPV ‐Positive Squamous Cell Carcinoma of the Tonsil?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Christine M. Kim, Maie A. John Tags: Triological Society Best Practice Source Type: research

Do steroids improve recovery in vestibular neuritis?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Roberto N. Solis, Daniel Q. Sun, Eric Tatro, Marlan R. Hansen Tags: Otology/Neurotology Source Type: research

Analysis of patient factors associated with 30 ‐day mortality after tracheostomy
ConclusionHigher CCI and specifically severe liver disease, congestive heart failure, and peripheral vascular disease were associated with increased 30 ‐day mortality posttracheostomy. No association was found between BMI or SES and 30‐day survival. This study identified three comorbidities that independently affect mortality in tracheostomy patients, which should be discussed with patients and families before tracheostomy.Level of Evidence3.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Khaled N. Kashlan, Amy M. Williams, Steven S. Chang, Kathleen L. Yaremchuk, Ross Mayerhoff Tags: Sleep Medicine Source Type: research

Medialization laryngoplasty/arytenoid adduction: U.S. outcomes, discharge status, and utilization trends
Objectives/HypothesisTo evaluate trends, outcomes, and healthcare utilization following medialization laryngoplasty (ML) with or without arytenoid adduction (AA) over 10 years.Study DesignRetrospective observational study.MethodsUsing OptumLabs Data Warehouse, trends, outcomes, and healthcare utilization from 2006 to 2015 were examined with a focus on discharge type (same day or not). Predictors of postoperative emergency department (ED) use and hospitalization were determined by multivariable logistic regression.ResultsOverall rate of ML was 1.09 per 100 thousand enrollees per year. Of these, 7.8% ML were combined with an...
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Dale C. Ekbom, Diana M. Orbelo, Lindsey R. Sangaralingham, Raphael Mwangi, Holly K. Houten, Karthik Balakrishnan Tags: Laryngology Source Type: research

Validation of a septoplasty deformity grading system for the evaluation of nasal obstruction
Objectives/HypothesisWe developed and validated a septal deformity grading (SDG) system that accounts for anatomic location and grading of deformity severity.Study DesignRetrospective cohort study.MethodsSubjects were patients with nasal obstruction presenting to University of California, Irvine Medical Center. Subjects were given pre ‐ and postoperative Nasal Obstruction Symptom Evaluation (NOSE) questionnaires and were evaluated by a facial plastic surgeon using our septal deformity grading (SDG) system. Validity and reliability analyses were conducted on the SDG results. Statistical analyses were conducted on SDG and ...
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Jeffrey T. Gu, Sherrie Kaplan, Sheldon Greenfield, Hollin Calloway, Brian J. F. Wong Tags: Facial Plastics/Reconstructive Surgery Source Type: research

Solving periprosthetic leakage with a novel prosthetic device
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Japke F. Petersen, Liset Lansaat, Frans Hilgers, Michiel van den Brekel Tags: Head and Neck Source Type: research

Physician impact on the patient and family experience in a pediatric otolaryngology practice
ConclusionPatient satisfaction surveys are utilized as a quality metric of the patient and family experience. These scores serve as one of several measures that affect reimbursement. The results demonstrate that most of the factors correlated with “likelihood of recommending practice” are provider‐based. In conclusion, the physician–patient interaction strongly influences the potential for a practice to earn top box scores on the PG item “likelihood of recommending practice” and thereby achieve the highest patient satisfaction.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: P. Ryan Camilon, Jessica R. Levi, Rose A. Carrion, Gary D. Josephson Tags: Pediatrics Source Type: research

Over –under versus medial tympanoplasty: Comparison of benefit, success, and hearing results
Objectives/HypothesisA hybrid variation of a tympanoplasty technique, termed over –under tympanoplasty (OUT), was evaluated to demonstrate the long‐term outcomes and complications compared to medial tympanoplasty.Study DesignRetrospective review.MethodsPatients who underwent a tympanoplasty between 2010 and 2015 were included. Primary outcome measures included graft healing at 18 months, change in air ‐bone gap (ABG), and change in high‐frequency hearing at 8 kHz. The Shapiro‐Wilk test, Studentt test, and nonparametric Mann ‐Whitney test were used to compare results. Univariate logistic regression analysis ...
Source: The Laryngoscope - November 21, 2018 Category: ENT & OMF Authors: Seilesh Babu, Alexander L. Luryi, Christopher A. Schutt Tags: Otology/Neurotology Source Type: research

Using word clouds to Re ‐envision letters of recommendation for residency applicants
Objectives/HypothesisTo develop a “word cloud”–based visual letter of recommendation (VLOR) and to evaluate its efficiency in discerning applicant quality compared to narrative letters of recommendation (NLORs).Study DesignCross ‐sectional cohort study.MethodsNLORs for 48 otolaryngology residency applicants interviewed from the 2016 application cycle were identified and mined for descriptive terms to generate a word cloud, referred to as a VLOR. Eight individuals reviewed and rated a total of 187 blinded NLORs and 48 VLORs on a four ‐point scale (negative to exceptional). Median VLOR and NLOR scores a...
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Sinehan B. Bayrak, Jennifer A. Villwock, Mark R. Villwock, Alexander G. Chiu, Kevin J. Sykes Tags: General Otolaryngology Source Type: research

Progression of hearing loss in neurofibromatosis type 2 according to genetic severity
ConclusionsThis is the first description of long ‐term hearing outcomes in a clinical setting across a large heterogeneous cohort of patients with NF2. The results highlight the potential importance and benefit of considering the genetic severity score of patients when undertaking treatment decisions, as well as planning future natural history s tudies.Level of Evidence2cLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Beatrice Emmanouil, Rory Houston, Anne May, James D. Ramsden, C. Oliver Hanemann, Dorothy Halliday, Allyson Parry, Samuel Mackeith Tags: Otology/Neurotology Source Type: research

Airway anomalies in patients with craniosynostosis
This study is a retrospective case series assessing the type and frequency of airway anomalies in all patients with craniosynostosis seen at a tertiary ‐care children's hospital between 2000 and 2016. Cohort analyses were then performed to identify differences in airway anomalies dependent on syndromic associations, multisutural fusion, and location of suture fusion. Clinical characteristics examined included demographics and additional neurologi c and craniofacial abnormalities.ResultsFour hundred and ninety ‐six patients with craniosynostosis (83.5% white, 64.5% male; 33.9% sagittal, 28.8% metopic, 11.5% coronal, 1.2...
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Fasil Mathews, Amber D. Shaffer, Matthew W. Georg, Matthew D. Ford, Jesse A. Goldstein, Noel Jabbour, Jeffrey P. Simons Tags: Pediatrics Source Type: research

Novel approach using transoral robotic surgery for resection of cervical spine chordoma
Chordomas are rare, infiltrative neoplasms of notochordal origin that present along the spinal canal; en bloc surgical resection is paramount to successful treatment. Limited visualization and complex anatomy are major challenges to resection of upper cervical spine chordomas and often require invasive surgery. A 27 ‐year‐old male presented with an incidentally discovered chordoma of the midline second cervical vertebra of the spine. To obtain en bloc resection of the lesion while both overcoming limitations due to access and without introducing morbidity from traditional anterior approaches, we elected usi ng transora...
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Adam C. McCann, Connor Berger, Ahmad F. Mahmoud, Edward C. Kuan, Neil R. Malhotra, Bert W. O'Malley Tags: Head and Neck Source Type: research

Nimodipine improves vocal fold and facial motion recovery after injury: A systematic review and meta ‐analysis
IntroductionNimodipine is a calcium channel blocker that has been used to treat hypertension and vasospasm. Emerging evidence in the literature suggests that it is neuroprotective by reducing cellular apoptosis after neuronal injury and promoting axonal sprouting at the nodes of Ranvier.ObjectivesTo conduct a systematic review of the usage of nimodipine in cranial nerve injury and to perform a meta ‐analysis to estimate the efficacy of nimodipine on functional recovery of the injured cranial nerves.MethodsLiterature search was performed in eight databases using preferred reporting items for systematic reviews and meta an...
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: R. Jun Lin, Michele Klein ‐Fedyshin, Clark A. Rosen Tags: Laryngology Source Type: research

Mortality associated with tracheostomy complications in the United States: 2007 –2016
ConclusionsTracheostomy ‐related complications were implicated in the deaths of a significant number of individuals. Several demographic groups had increased likelihood of tracheostomy‐related mortality. Future research is necessary to develop targeted interventions to decrease harm.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: John D. Cramer, Evan M. Graboyes, Michael J. Brenner Tags: General Otolaryngology Source Type: research

Ultrasonographic assessment of costochondral cartilage for microtia reconstruction
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Jessa E. Miller, Janice L. Farlow, Elizabeth M. Knecht, Ramon Sanchez, Jennifer C. Kim, David A. Zopf Tags: Facial Plastics/Reconstructive Surgery Source Type: research

Experimental animal model for assessment of tracheal epithelium regeneration
ConclusionWe present an experimental in vivo animal model of tracheal epithelium injury and recovery. It can be effectively used with certain further modifications as a basis for routine testing of bioengineered constructs.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Elizaveta I. Safronova, Sergey S. Dydykin, Evgeny D. Grigorevskiy, Ekaterina A. Tverye, Stepan I. Kolchenko, Natalia N. Piskunova, Anna V. Denisova, Galina P. Titova, Vladimir D. Parshin, Olga A. Romanova, Andrey A. Panteleyev Tags: Head and Neck Source Type: research

Changing trends in management of vestibular schwannoma: A National Cancer Database study
ObjectiveTo describe changes in management trends of vestibular schwannoma (VS) and the effects of median income, education level, insurance status, and tumor size on receipt of treatment.MethodsCross ‐sectional analysis using the National Cancer Database from 2004 to 2014. All patients with a diagnosis of VS were identified between 2004 and 2014. Trends in treatment modality over time were analyzed. Correlation between demographics, institution type, median income, education level, and insuran ce status were assessed using univariate and multivariate logistic regressions.ResultsOf the 22,290 VS patients identified, 16,0...
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Bassel Bashjawish, Suat K ılıç, Soly Baredes, Jean Anderson Eloy, James K. Liu, Yu‐Lan Mary Ying Tags: Otology/Neurotology Source Type: research

Endoscopic endonasal resection of adenoid cystic carcinoma of the sinonasal tract and skull base
ConclusionsThe endoscopic approach is safe and effective for selected sinonasal ACC, reducing the comorbidities of the external approaches while producing similar oncological results. High T ‐stage, grade III histology, positive surgical margins, and perineural infiltration all have an important negative prognostic value.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Luca Volpi, Maurizio Bignami, Davide Lepera, Apostolos Karligkiotis, Andrea Pistochini, Giorgia Ottini, Elena Grigioni, Davide Lombardi, Piero Nicolai, Paolo Castelnuovo Tags: Cranial Base Source Type: research

Characterization of aged rat vocal fold fibroblasts
ConclusionsThe following possible characteristics of aged VFFs were implied: long duration of mitosis, increased myofibroblast population size with certain dysfunctions, reduced type I collagen turnover, and correlation between α‐SMA expression and type I collagen metabolism. Further investigations of these features will help to clarify presbyphonia's pathology and establish treatment strategies.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Yoshitaka Kawai, Yo Kishimoto, Tohru Sogami, Ryo Suzuki, Takuya Tsuji, Nao Hiwatashi, Ichiro Tateya, Shin ‐Ichi Kanemaru, Tatsuo Nakamura, Koichi Omori, Shigeru Hirano Tags: Laryngology Source Type: research

Pediatricians ’ proficiency in the care of the dysphonic child
ConclusionsVeteran pediatricians feel more comfortable diagnosing a voice disorder and are more likely to refer a DC, regardless of patient/parent complaints or compounding factors. Pediatricians are most likely to refer to a pediatric otolaryngologist versus a voice specialist. These findings suggest that education of younger, less ‐experienced pediatricians about recognizing voice disorders and options for referral is needed. This may improve the overall care of the DC.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Carly S. Schiff, Karen B. Zur, Lisa M. Biggs, Jia Guo, Michael J. Pitman Tags: Laryngology Source Type: research

Osteoradionecrosis of the sternoclavicular joint after laryngopharyngeal radiation
ConclusionIntegrating cases of sternoclavicular joint ORN promotes awareness of atypical laryngopharyngeal radiation complications, elucidates contributing factors, educates physicians on presentation and management, and provides a platform for prospective investigation.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Rachel Irizarry, Deborah R. Shatzkes, Stephanie Teng, Nikita Kohli, Gady Har ‐El Tags: Head and Neck Source Type: research

Can Pharyngeal Packing Prevent Postoperative Nausea and Vomiting in Nasal Surgery?
ConclusionsConsidering the occurrence of postoperative morbidity according to the time course, pharyngeal packing during nasal surgery does not alleviate PONV but instead could aggravate postoperative throat pain. Additionally, pharyngeal packing has the possibility of airway problem such as the foreign body aspiration. Based on our results, we suggest that there is no need to place a pharyngeal pack to prevent PONV in patients undergoing nasal surgery.Level of EvidenceIb.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Ho Joon Jin, Subin Kim, Se Hwan Hwang Tags: Allergy/Rhinology Source Type: research

Mucocele formation following laryngeal cleft injection
A 12 ‐month‐old male underwent injection laryngoplasty for dysphagia associated with a deep interarytenoid notch. He subsequently developed a large postcricoid mucocele requiring revision surgery and marsupialization of the cyst just 2 weeks following the initial surgery.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: C. Burton Wood, Alexis K. Rieber, Edward B. Penn Tags: Pediatrics Source Type: research

Voice outcomes after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis
ConclusionsSuccessful treatment of sinonasal disease can help to improve voice outcomes in patients with CRSwNP. There are inherent differences in the long ‐term outcomes of the results beyond 3 months based on practice patterns of ongoing medical management, but our results are interesting in that they show early improvement in voice outcomes.Level of Evidence2bLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Christian A. Hall, Stephen C. Hernandez, Rachel A. Barry, Brittany A. Zito, Andrew J. McWhorter, Daniel S. Fink, Henry P. Barham Tags: Allergy/Rhinology Source Type: research

Cutaneous squamous cell carcinoma metastasis to the parotid region lymph nodes
ObjectiveTo determine the effect on survival of periauricular region cutaneous squamous cell carcinomas (cSCC) metastasizing to parotid region and cervical lymph nodes.MethodsFrom May 1995 to October 2013, consecutive patients with cSCC undergoing parotidectomy/neck dissection  ≥ 18 years without distant metastasis were included. Demographic, clinical, and pathologic data were analyzed. Uni‐ and multivariate analyses of disease‐specific survival and overall survival were performed. Statistical significance was set atP 
Source: The Laryngoscope - November 16, 2018 Category: ENT & OMF Authors: Larry L. Myers, Chul Ahn Tags: Head and Neck Source Type: research

Voice therapy associated with a decrease in the reflux symptoms index in patients with voice complaints
ConclusionsIn this study of patients with muscle tension dysphonia or vocal hyperfunction not responsive to antireflux therapy, RSI and VHI ‐10 scores improved following voice therapy. Results suggest that self‐reported symptoms typically attributed to laryngopharyngeal reflux disease may actually be secondary to inefficient voice use patterns or anxiety about dysphonia that are responsive to voice therapy.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 16, 2018 Category: ENT & OMF Authors: Sarah L. Schneider, Matthew Clary, Daniel Steven Fink, Sean X. Wang, Farshad N. Chowdhury, Rena Yadlapati, Marie E. Jett é, Mark S. Courey Tags: Laryngology Source Type: research

Are chronic cough and laryngopharyngeal reflux more common in obstructive sleep apnea patients?
ConclusionsOSA patients demonstrate worse chronic cough and LPR ‐related quality of life versus non‐OSA patients. Furthermore, the severity of these quality‐of‐life measures was correlated with the severity of the AHI. Chronic cough and particularly the pharyngeal LPR symptoms may be associated with the presence and severity of OSA.Level of Evidence2 .Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Christopher J. Gouveia, Amulya Yalamanchili, Saied Ghadersohi, Caroline P. E. Price, Michiel Bove, Hrayr P. Attarian, Bruce K. Tan Tags: Sleep Medicine Source Type: research

Dysfunctional hypoglossal nerve stimulator after electrical cardioversion: A case series
ConclusionCounseling for patients with HGNS undergoing external electrical cardioversion should include possible device damage and need for operative replacement. Anteroposterior electrode pad placement should be considered for patients with HGNS who require electrocardioversion. Operative replacement of an HGNS system damaged by electrocardioversion begins with IPG replacement and intraoperative device interrogation.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Adam P. Vasconcellos, Colin T. Huntley, Amy E. Schell, Ryan J. Soose, Maurits S. Boon Tags: Sleep Medicine Source Type: research

Real ‐time robotic airway measurement: An additional benefit of a novel steady‐hand robotic platform
ObjectiveDescribe the secondary capability of a robotic system to provide real ‐time measurements of airway dimensions with high fidelity.MethodsSeven unique phantoms of laryngotracheal stenosis (LTS) were modeled using a computer ‐aided design tool and were three dimensionally printed. These stenoses were of different dimensions and orientations, and some were purposefully oblique. The dimensions of the stenoses were then measured with the novel Robotic ENT (Ear, Nose, and Throat) Microsurgery System (REMS; Galen Robotics, Inc., Sunnyvale, CA) because it is capable of tool position memory in three dimensional (3D) spa...
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Christopher R. Razavi, Francis X. Creighton, Paul R. Wilkening, Joseph Peine, Russell H. Taylor, Lee M. Akst Tags: Bronchoesophagology Source Type: research

Evolving phenotype of the head and neck surgeon
ConclusionOur findings suggest that the modern H&N surgeon is increasingly becoming an endocrine and H&N surgeon. The proportion of endocrine surgeries performed in residency, which serves as a surrogate for H&N practices, has more than doubled over the past 20 years and now represents the largest subcategory of H&N surgery.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Seth Kay, Robert Miller, Dennis Kraus, David J. Terris Tags: Thyroid/Parathyroid Source Type: research