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Ramsay Hunt Syndrome with Pharyngolaryngeal Involvement Mimicking Acute Stroke: A Case Report
We present a 56-year-old male patient who was diagnosed with acute pharyngitis. Two days later, the patient developed dysarthria, hoarseness, and left side facial weakness. Considering a patient ’s history of cardiovascular events, the acute stroke was suspected. Magnetic resonance imaging ruled out an acute cerebrovascular accident. The patient's otalgia aggravated and he reported hearing loss. Clinical examination revealed facial paralysis affecting the left side of the face, erythemato us rash on the left auricle, multiple vesicles present on patient’s left tympanic membrane, ulcerous lesion on the left side of the ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 15, 2023 Category: ENT & OMF 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

Relationship of stroke risk and hearing loss in African Americans: The Jackson Heart Study
ConclusionsThis study provides evidence that stroke risk has a positive predictive relationship with hearing pure‐tone threshold. Level of Evidence2b. Laryngoscope, 2017
Source: The Laryngoscope - October 9, 2017 Category: ENT & OMF Authors: Jonathan E. Sorrel, Charles E. Bishop, Christopher Spankovich, Dan Su, Karen Valle, Samantha Seals, John M. Schweinfurth Tags: Otology/Neurotology Source Type: research

Upper esophageal sphincter augmentation reduces pharyngeal reflux in nasogastric tube –fed patients
ConclusionsUES‐AD significantly decreases the number of trans‐UES reflux events and can potentially reduce the aspiration risk associated with NGT feeding. Level of Evidence4. Laryngoscope, 2017
Source: The Laryngoscope - October 8, 2017 Category: ENT & OMF Authors: Hongmei Jiao, Ling Mei, Chenyang Liang, Yun Dai, Zhifang Fu, Lihong Wu, Patrick Sanvanson, Reza Shaker Tags: Broncho ‐Esophagology Source Type: research

Evaluation of the natural history of patients who aspirate
ConclusionsEtiology of dysphagia is associated with a higher mortality rate and development of pulmonary events in patients with unsensed penetration or aspiration on VFSS, especially for those patients with generalized deconditioning and frailty or esophageal dysphagia. Severity of aspiration as defined by PAS was not associated with altered overall survival. Recommendations for dietary modification to a nothing by mouth status or modified food consistency had no statistically significant association with development of pulmonary events or survival in patients with detectable unsensed penetration or aspiration on VFSS com...
Source: The Laryngoscope - September 1, 2017 Category: ENT & OMF Authors: Jonathan M. Bock, Varun Varadarajan, Mary C. Brawley, Joel H. Blumin Tags: Triological Society Candidate Thesis Source Type: research

Sleep apnea and risk of vertigo: A nationwide population ‐based cohort study
ConclusionThis is the first nationwide population‐based cohort study to investigate the association between sleep apnea and vertigo. The findings strongly support that sleep apnea is an independent risk factor for vertigo. Based on the study results, physicians should be aware of potential vertigo occurrence following sleep apnea. Level of Evidence4. Laryngoscope, 2017
Source: The Laryngoscope - August 3, 2017 Category: ENT & OMF Authors: Ming ‐Shao Tsai, Li‐Ang Lee, Yao‐Te Tsai, Yao‐Hsu Yang, Chia‐Yen Liu, Meng‐Hung Lin, Cheng‐Ming Hsu, Chin‐Kuo Chen, Hsueh‐Yu Li Tags: Laryngology Source Type: research

Arterial ligation versus embolization in epistaxis management: Counterintuitive national trends
ConclusionCompared to embolization, ligation is associated with significantly decreased hospital charges and shorter hospital stay, without an increase in complication rates. Counterintuitively, ligation appears to be trending downward nationally in its use relative to embolization. Level of Evidence2C. Laryngoscope, 2016
Source: The Laryngoscope - December 22, 2016 Category: ENT & OMF Authors: Michael J. Sylvester, Sei Y. Chung, Luis A. Guinand, Aparna Govindan, Soly Baredes, Jean Anderson Eloy Tags: Allergy/Rhinology Source Type: research

Blunt cerebrovascular injury following craniomaxillofacial fractures: A systematic review
ConclusionBlunt cerebrovascular injury is a rare but devastating complication of blunt trauma. The recommended screening modality is CTA, and the most common treatment is antiplatelet/anticoagulant medication. Mandibular and LeFort fractures were the most common isolated CMF injury associated with BCVI, highlighting the need for prospective trials to expand current screening criteria. Level of EvidenceN/A. Laryngoscope, 2016
Source: The Laryngoscope - August 1, 2016 Category: ENT & OMF Authors: Gregory Kelts, Stephen Maturo, Marion Everett Couch, Cecelia E. Schmalbach Tags: Trio Society Paper Source Type: research

Surgical salvage of recurrent vestibular schwannoma following prior stereotactic radiosurgery
ConclusionMicrosurgical salvage of VS following primary radiation therapy is challenging. Less‐than‐complete resection is required in a greater percentage of patients to preserve facial nerve integrity and prevent neurological complications. Long‐term follow‐up is needed to determine the risk of delayed progression following incomplete tumor removal. Level of EvidenceLevel 3. Laryngoscope, 2016
Source: The Laryngoscope - April 22, 2016 Category: ENT & OMF Authors: Stephanie C. Wise, Matthew L. Carlson, Øystein Vesterli Tveiten, Colin L. Driscoll, Erling Myrseth, Morten Lund‐Johansen, Michael J. Link Tags: Otology/Neurotology Source Type: research

Internal carotid artery injury in endoscopic endonasal surgery: A systematic review
ConclusionsThe incidence of reported cases of ICA injury during EES remains low. Left‐sided injuries to the cavernous segment of the ICA occurred more frequently than injuries on the right. Level of EvidenceNA Laryngoscope, 2015
Source: The Laryngoscope - November 3, 2015 Category: ENT & OMF Authors: Oliver Y. Chin, Ritam Ghosh, Christina H. Fang, Soly Baredes, James K. Liu, Jean Anderson Eloy Tags: Cranial Base Source Type: research

Sleep and health implications of snoring: A populational analysis
ConclusionsSelf‐reported snoring is associated with significant negative sleep pattern behaviors as well as coronary artery disease and depressive disorders. Further study of snoring as a risk factor for poor sleep and other diseases is warranted. Level of Evidence2c Laryngoscope, 2015
Source: The Laryngoscope - May 6, 2015 Category: ENT & OMF Authors: Neil Bhattacharyya Tags: Sleep Medicine Source Type: research

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