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Specialty: ENT & OMF

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Total 241 results found since Jan 2013.

Association of Obstructive Sleep Apnea With the Risk of Repeat Adverse Cardiovascular Events in Patients With Newly Diagnosed Acute Coronary Syndrome: A Systematic Review and Meta-Analysis.
CONCLUSION: Patients with preexisting OSA are at greater risk of subsequent cardiovascular events after onset of ACS. Further studies should investigate the treatment of OSA in patient with ACS. PMID: 33570429 [PubMed - as supplied by publisher]
Source: Ear, Nose and Throat Journal - February 11, 2021 Category: ENT & OMF Authors: Yang SH, Xing YS, Wang ZX, Liu YB, Chen HW, Ren YF, Chen JL, Li SB, Wang ZF Tags: Ear Nose Throat J Source Type: research

Cochlear Implantation in Sporadic Vestibular Schwannoma and Other Retrocochlear Pathology: A Case Series
Conclusions: Appropriately selected patients with retrocochlear pathology may benefit from CI so long as the patient has a cochlear fluid signal and an intact cochlear nerve. Patients with sporadic VS patients and normal contralateral hearing exhibited guarded outcomes with CI, whereas most patients with non-VS retrocochlear pathologies demonstrated open-set speech understanding scores comparable to or slightly worse than conventional CI candidates. Since variable performance benefit is observed with CI in patients with retrocochlear pathology, counseling is imperative to align patient expectations with realistic outcomes.
Source: Otology and Neurotology - March 19, 2021 Category: ENT & OMF Tags: COCHLEAR IMPLANTS Source Type: research

Functional Rhinoplasty and Uvuloplasty for Sleep-Disordered Breathing: A Step-by-Step Guide
Sleep-disordered breathing (SDB) represents a wide range of sleep-related breathing abnormalities including snoring, upper airway resistance syndrome, respiratory event –related arousal, obstructive sleep apnea (OSA), and obstructive sleep apnea syndrome.1 It has been established in the literature that SDB is associated with hypertension, stroke, hyperlipidemia, cardiac dysrhythmias, and excessive daytime sleepiness (EDS).1,2 The therapeutic resolution of these m edical maladies has proven nonlinear and less than optimal by most treatment approaches for OSA.
Source: Journal of Oral and Maxillofacial Surgery - March 30, 2021 Category: ENT & OMF Authors: Omar AbdelBaky, John Brothers, Richard Finn Tags: Resident corner Source Type: research

Soluble P-selectin levels in patients with obstructive sleep apnea: a systematic review and meta-analysis
ConclusionThe pooled results reveal that OSA patients have higher sP-selectin levels than non-OSA controls. This conclusion remains unaltered in all subgroups other than the subgroup of mild OSA patients. Additional studies are warranted to better identify the role of sP-selectin as a potential biomarker in OSA patients.
Source: European Archives of Oto-Rhino-Laryngology - May 5, 2021 Category: ENT & OMF Source Type: research

Effect of Combined Respiratory Muscle Training (cRMT) on Dysphonia following Single CVA: A Retrospective Pilot Study
Although dysphonia is less prevalent than dysphagia following cerebrovascular accidents, dysphonia does contribute to the burden of disease resulting from stroke. Strengthening muscles of the larynx and respiratory tract through respiratory muscle training (RMT) has proven effective in improving voice after neurological insult. However, approaches to strengthen only the expiratory muscle groups (EMST) dominate the clinical study literature, with variable outcomes. By focusing on exhalation, the contribution of inspiratory muscles to phonation may have been overlooked.
Source: Journal of Voice - May 13, 2021 Category: ENT & OMF Authors: Robert J. Arnold, Christopher S Gaskill, Nina Bausek Source Type: research

Neurolaryngology
HNO. 2021 Jun 14. doi: 10.1007/s00106-021-01064-7. Online ahead of print.ABSTRACTNeurological and neurophysiological knowledge of neuromuscular diseases is combined in neurolaryngology with experience from laryngology. Laryngeal electromyography (LEMG) is the most important diagnostic and prognostic tool in neurolaryngology. It can be combined with diagnostic electrostimulation. Interest in LEMG today extends beyond the thyroarytenoid muscle to all accessible laryngeal muscles. LEMG should be performed and interpreted according to a standardized protocol. Main applications of LEMG are confirmation, topodiagnostic and progn...
Source: HNO - June 14, 2021 Category: ENT & OMF Authors: Andreas H M üller Source Type: research

Internal carotid artery calcifications in a South African population: A CBCT imaging study
ConclusionsDetection of calcifications along the course of the ICA was possible using CBCT images taken for dental treatment purposes. Early detection of calcifications allows for appropriated referral and assessment which will be beneficial to the patient presenting with ICA calcifications.
Source: Oral Surgery - April 5, 2022 Category: ENT & OMF Authors: Andr é Uys, Diana Mavuso Tags: ORIGINAL ARTICLE Source Type: research

Immunoglobulin G4-Related Disease Presenting as Temporal Bone Lesion with Facial Nerve Palsy
We report a case of IgG4-RD with infiltration of the temporal bone and surrounding structures in a patient with systemic vasculitis on systemic steroids. A 31-year-old woman presented with right-sided facial weakness, headache, and right ear hearing loss. On examination, redness and retraction of the right tympanic membrane and facial paresis (House-Brackman IV) were noted. Computed tomography imaging showed mastoiditis, temporal lobe stroke, and brain abscess. Magnetic resonance imaging (MRI) showed infiltration in the infratemporal fossa, nasopharynx, spreading along the Eustachian tube and perineurally along the branche...
Source: ORL - June 7, 2022 Category: ENT & OMF Source Type: research

Comparison Between the Video Head Impulse Test and Caloric Irrigation During Acute Vertigo
This study included 80 pa tients with acute onset vertigo who underwent caloric irrigation and vHIT. CI derived sum of slow phase velocities (SPVs) and unilateral weakness (UW) were compared with vHIT vestibulo-ocular reflex (VOR) gain and gain asymmetry (GA) using correlation analyses. Optimal cut offs for vHIT VOR gain and GA were calculated using Youden indexes. There was a strong positive correlation between the asymmetry measures UW and GA whereas the correlation between the sum of SPVs and VOR gain was weaker. The optimal cut offs to diagnose unilateral vestibular weakness were 0.80 for VOR gain and 28% for GA; w ith...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - August 1, 2022 Category: ENT & OMF Source Type: research

Use of surgical laser during excisional biopsy of pyogenic granuloma in a bedridden patient: a case report
Pyogenic granuloma is described as a benign nodular growth of the oral cavity, usually related to local irritation or trauma. It can be painless and commonly has superficial bleeding due to the large vascularization of the lesion. The use of a surgical laser in its excision may have some advantages, such as a low amount of intrasurgical blood and better tissue healing. A 74-year-old female patient bedridden for 6 years due to sequelae of hemorrhagic stroke presented with a tumor lesion on the left side of the tongue, with an irregular surface, pink color, and pedicled base, measuring approximately 2 cm and bleeding spontaneously.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - August 17, 2022 Category: ENT & OMF Authors: Beatriz Simas De Oliveira, Allana Soares Silva, Irving Manoella De Carvalho Carneiro Sampaio, Isis Carolina De Oliveira Cordeiro, Patr ícia Leite Ribeiro, Viviane Almeida Sarmento, Thaís Feitosa Leitão De Oliveira Gonzalez Source Type: research

The effect of voice training interventions on patients with oropharyngeal dysphagia: a systematic review
ConclusionsIn general, statistically significant positive therapy effects were found. Voice training improves the oral and pharyngeal stages of swallowing in patients with neurological causes of dysphagia, such as stroke, and in patients with non-neurological causes of dysphagia, such as head and neck cancer.  However, the current literature is limited and further primary research is required to provide more evidence to support voice training intervention in dysphagia.  Future studies could  further refine the content of voice training interventions, increase the number of patients enrolled, assess the long-term effect...
Source: European Archives of Oto-Rhino-Laryngology - November 7, 2022 Category: ENT & OMF Source Type: research

Low Evidence for Tinnitus Risk Factors: A Systematic Review and Meta-analysis
ConclusionsThese systematic review and meta-analysis confirm a number of otological and non-otological risk factors for tinnitus. By highlighting major gaps in knowledge, our synthesis can help provide direction for future research that will shed light on the pathophysiology, improve management strategies, and inform more effective preventions.
Source: JARO - Journal of the Association for Research in Otolaryngology - November 15, 2022 Category: ENT & OMF Source Type: research