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
ConclusionThe REMS can be used to reliably and accurately measure airway dimensions in 3D regardless of the orientation of stenosis. This ability may be easily extrapolated to the measurement of any airway lesion during laryngotracheal surgery.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
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

Impact of a Formal Patient Safety and Quality Improvement Curriculum: A Prospective, Controlled Trial
ConclusionImplementing a formal curriculum dedicated to PSQI led to an improvement in PSQI ‐related project development confidence and PSQI knowledge. Attitudes toward safety did not improve over the course of a year. Longer‐term studies involving multiple institutions and other interventions are needed to evaluate the impact and duration of changes that occur.Level of Evidence1b.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Nausheen Jamal, Sarah N. Bowe, Michael J. Brenner, Karthik Balakrishnan, John P. Bent Tags: General Otolaryngology Source Type: research

Long ‐term swallowing performance following transoral robotic surgery for obstructive sleep apnea
ConclusionsBOT reduction via TORS has a negative effect on long ‐term swallowing function. A self‐assessment questionnaire can help detect patients who suffer from swallowing impairment. Postoperative objective swallowing tests are essential not only in the immediate postoperative period but also during late routine follow‐up. Proper patient selection and detailed information about surgery and possible late‐swallowing effect are important factors before scheduling BOT reduction via TORS for OSA treatment.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Miki Paker, Irit Duek, Faten Awwad, Limor Benyamini, Tsipi Meshyeev, Ziv Gil, Jacob T. Cohen Tags: Laryngology Source Type: research

Tracheostomy demographics and outcomes among pediatric patients ages 18 years or younger —United States 2012
ConclusionsPediatric tracheostomies are associated with significant hospital utilizations, complications, and mortality. Increased risk of mortality is observed among neonates and infants. Continued study of tracheostomy outcomes among these subsets of the pediatric population are warranted.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Mark Sakai, Yann ‐Fuu Kou, Gopi B. Shah, Romaine F. Johnson Tags: Pediatrics Source Type: research

Sex bias: Is it pervasive in otolaryngology clinical research?
ConclusionsSex bias exists in the clinical otolaryngology literature, with less than half the studies analyzing sex. Acknowledging the intertwinement of sex with disease pathophysiology and outcomes is important. Eliminating sex bias in research and clinical care should become a major focus for otolaryngologists.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Zainab Farzal, Elizabeth D. Stephenson, Lauren A. Kilpatrick, Brent A. Senior, Adam M. Zanation Tags: General Otolaryngology Source Type: research

Pleomorphic adenoma of the head and neck in children: presentation and management
ConclusionEvaluation of pleomorphic adenoma in children should include preoperative imaging. The goal of surgery should be complete surgical excision with negative margins. Rate of recurrence is low; however, prolonged monitoring is recommended.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 15, 2018 Category: ENT & OMF Authors: Natasha D. Dombrowski, Nikolaus E. Wolter, Alexandria L. Irace, Michael J. Cunningham, Sara O. Vargas, Antonio R. Perez ‐Atayde, Caroline D. Robson, Reza Rahbar Tags: Pediatrics Source Type: research

Defining differences in patient characteristics between spasmodic dysphonia and laryngeal tremor
ConclusionADSD  + LT patients demonstrate intermediate gender composition and age distributions between those with ADSD and LT. These findings suggest that ADSD + LT may be a distinct phenotype in the spectrum of laryngeal movement disorders.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 13, 2018 Category: ENT & OMF Authors: Priyesh N. Patel, Edmond K. Kabagambe, Jennifer C. Starkweather, Matthew Keller, Zaki A. Ahmed, Simone C Gruber, Jordan S Akins, C. Gaelyn Garrett, David O. Francis Tags: Laryngology Source Type: research

Curcumin gum formulation for prevention of oral cavity head and neck squamous cell carcinoma
ConclusionsEnhanced mucosal contact appears critical in improving curcumin release and absorption. CXCL1 and TNF ‐α both represent potential biomarkers for the future study of curcumin chemoprevention.Level of Evidence2bLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 13, 2018 Category: ENT & OMF Authors: Lindsay Boven, Sean P. Holmes, Brian Latimer, Kenneth McMartin, Xiaohui Ma, Tara Moore ‐Medlin, Alok R. Khandelwal, Jerry McLarty, Cherie‐Ann O. Nathan Tags: Head and Neck Source Type: research

Extranodal extension in resected oral cavity squamous cell carcinoma: more to it than meets the eye
ConclusionIn patients with ENE and advanced nodal disease, T stage, N stage, stage group, depth, and pattern of invasion lose their impact on OS. In patients with ENE, nodal characteristics such as LND, the number of nodes with ENE, and grade of ENE serve as important prognosticators and aid in further risk stratification.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 13, 2018 Category: ENT & OMF Authors: Jai Prakash Agarwal, Shubhada Kane, Sarbani Ghosh ‐Laskar, Avinash Pilar, Vishal Manik, Nikita Oza, Pranjali Wagle, Tejpal Gupta, Ashwini Budrukkar, Vedang Murthy, Monali Swain Tags: Head and Neck Source Type: research

T ‐Helper 2 Lymphocyte Immunophenotype Is Associated With Iatrogenic Laryngotracheal Stenosis
ConclusionCD3/CD4  + T‐helper lymphocytes and the proinflammatory cytokine IL‐4 are associated with iLTS. The association of a TH2 immunophenotype with iLTS is consistent with findings in other fibroinflammatory disorders. The murine results reveal that the inflammatory infiltrate precedes the development of fibrosis. However, human iLTS specimens with well ‐developed fibrosis also contain a marked chronic inflammatory infiltrate, suggesting that the continued release of IL‐4 by T‐helper lymphocytes may continue to propagate iLTS.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 13, 2018 Category: ENT & OMF Authors: Alexander T. Hillel, Dacheng Ding, Idris Samad, Michael K. Murphy, Kevin Motz Tags: Laryngology Source Type: research

Gamification as a tool for resident education in otolaryngology: A pilot study
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 13, 2018 Category: ENT & OMF Authors: David Alexander, Michelle Thrasher, Brian Hughley, Bradford A. Woodworth, William Carroll, James H. Willig, Do ‐Yeon Cho Tags: General Otolaryngology Source Type: research