Abstract Background In the COVID-19 era physicians have to face with need to perform office procedures maintaining the maximum safety for both the patient and the Doctor himself. The purpose of this paper was to suggest some equipment useful to perform outpatient visits in an ENT setting. Methods A simple modification of the standard headlight used during...
Fri Jul 03, 2020 03:00
Abstract Purpose Lack of routine screening for a range of physical impairments that can result after neck dissection (ND) may hinder physiotherapy referral and treatment. The purpose of this study was to implement an intervention that targeted both physiotherapists and surgeons to increase their post-operative physical screening of ND patients and in turn improve physiotherapy referral rates. ...
Fri Jul 03, 2020 03:00
Abstract Background The purpose of this study was to investigate the pathohistological status of mucous lining infected with Helicobacte pylori as the possible cause of chronic laryngitis and laryngeal carcinoma. Materials and methods The prospective examination included 51 patients suffering from planocellular laryngeal cancer and 26 examinees suffering...
Fri Jul 03, 2020 03:00
Abstract Purpose Vallecular cyst is an uncommon but potentially life-threatening disease. The aim of this study was to review the presentation, evaluation, and treatment of vallecular cysts in children. Methods Medical records of 156 patients treated for vallecular cysts between 2013 and 2016 were retrospectively reviewed. The patients were divided into four...
Fri Jul 03, 2020 03:00
Abstract Purpose TNM8 introduced a new staging system for HPV positive oropharyngeal squamous cell carcinoma (OPSCC). This study aimed to investigate whether the changes made in TNM8 offer the perceived benefit in prognostication when compared to TNM7 in a specific patient population in the North East of England. Methods A retrospective cohort comparison...
Fri Jul 03, 2020 03:00
Abstract Gentle tactile stimuli, such as insects crawling on the skin, can cause itching sensation called mechanical itch. Recent studies have begun to shed light on the neural mechanisms of mechanical itch. Interestingly, the neural pathway for mechanical itch is apparently different from that for chemical itch triggered by the activation of pruriceptors with various mediators. Mechanical itch dysesthesia is frequently seen in patients with chronic itch. Mechanisms of this dysesthesia are plausibly...
Sat Jul 04, 2020 11:15
Abstract Homo sapiens evolved in East Africa and had dark skin, hair and eyes, in order to protect against deleterious consequences of intensive UV radiation at equatorial latitudes. Intensive skin pigmentation was thought to bear the risk of inefficient vitamin D3 synthesis in the skin. This initiated the hypothesis that within the past 75,000 years, in which humans migrated to higher latitudes in Asia and Europe, the need for vitamin D3 synthesis served as an evolutionary driver for skin lightening....
Fri Jul 03, 2020 19:11
Abstract Unpredictable hypertrophic scarring (HS) occurs after approximately 35% of all surgical procedures and causes significant physical and psychological complaints. Parallel to the need to understanding the mechanisms underlying HS formation, a prognostic tool is needed. The objective was to determine whether (systemic) immunological differences exist between patients who develop HS and those who develop normotrophic scars (NS) and to assess whether those differences can be used to identify...
Fri Jul 03, 2020 13:19
Abstract Autosomal recessive congenital ichthyosis (ARCI) manifests with generalized scaling often associated with generalized erythema. Mutations in at least 13 different genes have been reported to cause ARCI. Acral peeling skin syndrome (APSS) is a rare autosomal recessive disorder manifesting with peeling over the distal limbs and dorsal surfaces of hands and feet. APSS is mostly due to mutations in TGM5 , encoding transglutaminase 5. Both ARCI and APSS are fully penetrant genetic traits. Here...
Thu Jul 02, 2020 16:45
Abstract Background Hidradenitis Suppurativa (HS), also known as acne inversa, is a chronic inflammatory skin disease with still largely unknown pathogenesis. While infectious organisms have been identified in lesions of the disease since the 1980s, questions remain over the role that bacteria and microbiome play. Recent studies using 16S ribosomal RNA genesequencing and larger culture‐based studies have begun to paint a clearer picture of the microbial world of HS. With this systematic review...
Thu Jul 02, 2020 11:39
Adenoid cystic carcinoma is a rare malignant tumor arising from exocrine glands such as the major and minor salivary glands of the paranasal sinuses or the external auditory canal. Although multiple retrospect...
Thu Jul 02, 2020 03:00
Respiratory droplet generation and dispersal during nasoendoscopy and upper respiratory swab testing
Abstract Respiratory particle generation and dispersal during nasoendoscopy and swab testing is studied with high‐speed video and laser light illumination. Video analysis reveals droplet formation in three manoeuvres during nasoendoscopy ‐ sneezing, vocalization, and nasal decongestion spray. A capillary bridge of mucus can be seen when a nasoendoscope exits wet nares. No droplet formation is seen during oral and nasopharyngeal swab testing. We outline the following recommendations: pull the face...
Sat Jul 04, 2020 22:38
Abstract Background We evaluated the preoperative natural growth pattern of craniofacial fibrous dysplasia and postoperative volume changes in patients undergoing shaving procedures. Methods Thirty‐three patients who underwent serial computed tomography (CT) preoperatively and/or postoperatively were identified. The natural tumor growth rate was assessed using preoperative CT scans. The postoperative tumor regrowth rates and relevant variables were analyzed. Results The preoperative...
Sat Jul 04, 2020 22:35
Abstract Background The aim of this study is to determine the prevalence of clinically relevant affective symptoms and level of swallow‐specific quality of life (QoL) in patients with dysphagic total laryngectomy (TL) and to explore the relationship between affective symptoms and swallow‐specific QoL. Methods Thirty‐five TL patients completed the Hospital Anxiety and Depression Scale (HADS) and the MD Anderson Dysphagia Inventory (MDADI). Student's t test and linear regression were used....
Sat Jul 04, 2020 12:43
Abstract Background The study aimed to evaluate the sensory changes on the chin and neck in transoral thyroidectomy. Methods We prospectively assessed the cutaneous sensation of 10 zones of the chin, face, and neck in 43 patients who underwent transoral robotic or endoscopic thyroidectomy using the Semmes‐Weinstein monofilaments test, preoperatively and postoperatively at 1 week, 1 month, and 3 months. Results The sensation of the chin and lower lip did not differ before and after...
Sat Jul 04, 2020 11:55
Abstract Background The da Vinci single‐port (SP) is utilized in transoral robotic surgery (TORS) procedures for malignant oropharyngeal tumors. We report a case utilizing the da Vinci SP in TORS for sialolith removal. Methods and Results A 75‐year‐old male with chronic right submandibular gland (SMG) sialadenitis underwent combined da Vinci SP TORS approach with sialendoscopy for multiple SMG sialoliths. We were unable to find a previous report of using the da Vinci SP in TORS for SMG...
Sat Jul 04, 2020 11:29
Abstract The International Federation of Head and Neck Oncologic Societies and Memorial Sloan Kettering Cancer Center in New York have partnered to create the Global On Line Fellowship program, a postgraduate fellowship training opportunity for candidates all around the world who are not able to get on‐site fellowship training at centers of excellence. This article delineates the successes, challenges, and future goals for the program.
Fri Jul 03, 2020 12:49
Abstract Background Nomenclature, classification, and management of parotid tumors are constantly evolving; this study was performed to identify temporal trends in histology and facial nerve sacrifice in parotidectomy during a 30‐year period (1987‐2018). Methods Retrospective analysis of patients treated in a single tertiary‐care institution during this time period was performed with analysis of temporal trends. Results Two thousand eight hundred and fifty‐seven parotidectomies were...
Fri Jul 03, 2020 11:53
Abstract Background Decreased access to preventive care services has been proposed as a mechanism for the association between low socioeconomic status (SES) and advanced stage at diagnosis in patients with head and neck squamous cell carcinoma (HNSCC). Methods Retrospective analysis of patients diagnosed with HNSCC in North Carolina between 2002 and 2006. Results A total of 1108 patients with HNSCC were included in the study. In the multivariable analysis, use of annual routine dental...
Fri Jul 03, 2020 11:26
Zusammenfassung Eine 34-jährige Patientin stellte sich mit einer 1,5 cm durchmessenden medianen zervikalen Raumforderung vor. Nebenbefundlich zeigte sich noch eine zweite zystische Raumforderung im Level 2 linksseitig. Nach kompletter Exstirpation ergab die histopathologische Aufarbeitung die Diagnose eines dystopen papillären Schilddrüsenkarzinoms. Wir führten die totale Thyreoidektomie mit Neck-Dissection beidseits durch. Postoperativ kam es zu einem transienten Hypoparathyreoidismus....
Fri Jul 03, 2020 03:00
Related Articles The usefulness of the IMAP propeller flap for trachea and tracheostome reconstruction after resection of parastomal recurrence of squamous cell carcinoma following salvage total laryngectomy. Eur Arch Otorhinolaryngol. 2020 Jul 01;: Authors: Almadori G, Di Cintio G, De Corso E, Mele DA, Settimi S, Almadori A, Cina A, Visconti G, Paludetti G, Salgarello M Abstract PURPOSE: Parastomal recurrence of squamous cell carcinoma (SCC)...
Fri Jul 03, 2020 14:34
Related Articles Evaluating the didactic value of 3D visualization in otosurgery. Eur Arch Otorhinolaryngol. 2020 Jul 01;: Authors: Weiss NM, Schneider A, Hempel JM, Uecker FC, van Bonn SM, Schraven SP, Rettschlag S, Schuldt T, Müller J, Plontke SK, Mlynski R Abstract INTRODUCTION: Improvements of surgical visualization add value to the quality of clinical routine and offer the opportunity to improve surgical education of medical staff. The...
Fri Jul 03, 2020 14:34
COVID 19 stands for Corona virus disease 2019.It’s a highly contagious disease caused by severe acute respiratory syndrome corona virus 2, SARS COV 2, a race of corona virus.Initial cases were seen in Wuhan of China in late December 2019 with the rapid spread of disease globally and came up as a pandemic affecting more than 10 million people worldwide. Non-symptomatic carriers and asymptomatic transmission is a major cause of poor control over the disease.Disease transmission is primarily human-to-human...
Fri Jul 03, 2020 19:31
Osteoid osteomaA benign bone tumour, typically occurs in children and adolescents, more common in males. Characteristically present with night pain which is relieved by the use of salicylate analgesia such as aspirin.They are a classic cause of painful scoliosis when occurring in spine, concave on the side of the lesion. Soft tissue swelling and oedema may occur and if close to a growth plate, accelerated growth may be evident, may be related to hyperemia.Most osteoid osteomas occur in long tubular...
Fri Jul 03, 2020 09:00
Otologic complaints are a common reason for the elderly to present to an otolaryngologist. Eustachian tube dysfunction in the geriatric population is a common yet poorly researched and described problem. A thorough understanding of the underlying anatomy and pathophysiology, performance of a careful history and work up, and a sound understanding of the available medical and surgical treatments are vital in the management of eustachian tube dysfunction in these patients. Here we review the literature...
Sat Jul 04, 2020 03:00
To review special considerations of treating head and neck cancer in the elderly population.
Sat Jul 04, 2020 03:00
It is projected that by 2050, people aged 65 years and older will account for 25% of the population in developed countries. With state of the art medical technologies and novel treatments significantly improving longevity, there is a need more than ever to understand the distinctive needs of the aging population. Not only do we have to understand concepts of frailty, sarcopenia, functional reserve, but also be able to assess our patients social and functional needs, which can be vastly different...
Sat Jul 04, 2020 03:00
According to the National Institute of Aging, the elderly is the fastest growing subset of the population. For the first time in history, people aged 65 and older will outnumber children by 2030.As the number of elderly has increased in the United States and abroad, head and neck cancer in the elderly is becoming more prevalent. Head and neck cancer often requires complex reconstruction after ablation and free flap microsurgery is now being performed with increased frequency on elderly patients.
Sat Jul 04, 2020 03:00
In 2050 the elderly population will reach a projected 83.7 million and will represent 20% of the population in the United States. Chronic rhinosinusitis remains the 6th most common chronic disease in the geriatric population. It is often disregarded as a secondary problem in patients perceived as frail, with multiple other medical comorbidities and polypharmacy. The pathophysiologic changes that happen in the elderly make for a unique disease that requires special attention. Symptoms can be nonspecific...
Sat Jul 04, 2020 03:00
This review examines the various outcome measures utilized in assessing the safety and efficacy of cochlear implantation (CI) in the elderly population.
Sat Jul 04, 2020 03:00
Objectives: Review diagnosis and treatment of Presbyphonia.Methods: Tutorial with literature review.Conclusion: Substsantial increases in knowledge of vocal again have led to improvement in non-surgical and surgical management of Presbyphonia.
Sat Jul 04, 2020 03:00
Aging can slowly affect the appearance and function of the nose. Rhinoplasty is becoming a more common procedure for older patients seeking reversal of these effects on their nasal form and function. A number of anatomical changes contribute to the classic changes in the aging nose: tip ptosis and a dorsal hump or pseudohump. The preoperative evaluation is critical in this patient population in which comorbidities are almost guaranteed and the risks of general anesthesia may frequently outweigh the...
Sat Jul 04, 2020 03:00
Hearing loss in elderly patients, commonly referred to as age-related hearing loss (ARHL), is an increasingly significant cause of morbidity. ARHL noted to be the second most common illness in the elderly population, and can often be detrimental to the quality of life of patients. Presently, restorative treatment for age-related hearing loss is limited, however, multifactorial rehabilitation and management strategies exist. A pivotal aspect of management in ARHL is the use of amplifying hearing aids...
Sat Jul 04, 2020 03:00
As the world's geriatric population continues to grow at an unprecedented rate, an increasing number of elderly patients are seeking hearing rehabilitation strategies, including cochlear implantation (CI). However, CI surgery in elderly patients has been met with trepidation given fears of physical and cognitive complications associated with general anesthesia. Cochlear implant surgery under local anesthesia with conscious sedation (LA-CS) in the elderly population is a safe and feasible alternative...
Sat Jul 04, 2020 03:00
With a growing population of elderly patients in the United States seeking treatment for obstructive sleep apnea, age is becoming an increasingly important consideration for sleep surgeons. The effects of OSA on elderly patients may be different for older patients, specifically when it comes to the cardiovascular and mortality risk observed in younger patient populations. Recent reports indicate that traditional structural surgery for elderly patients may be less effective and that postoperative...
Sat Jul 04, 2020 03:00
Surgeons across all specialties often hesitate to operate on elder and geriatric patients due to concern for an increased risk of morbidity and mortality. Fortunately, the majority of research demonstrates that performing thyroid surgery in the elderly is safe. The most common indications for thyroid surgery in the elderly include malignancy, multinodular goiters with compressive symptoms, and thyrotoxicosis. Though some debate exists, most studies demonstrate that once comorbidities are properly...
Sat Jul 04, 2020 03:00
Vocal Fold Paralysis (VFP) is an uncommon problem in children. Clinical presentation covers a wide range of signs and symptoms. Our objective is to evaluate de efficacy and security of the Endoscopic Arytenoid Abduction Lateropexy (EAAL) in paediatric patients with VCP and to present the results.
Fri Jul 03, 2020 03:00
A hypoglossal nerve stimulator currently available for clinical use requires three incisions to implant three separate components. A substantial modification to operative technique described herein moves the device's respiratory sensing lead from the fifth to the second intercostal space, now inserting it transpectorally through the same incision used for the implantable pulse generator. Elimination of a third incision and second lead tunneling procedure minimizes the risk of breast and chest wall...
Fri Jul 03, 2020 03:00
Abstract Metastasis to the nasal cavity and paranasal sinuses are very rare and only few cases have been reported so far. Metastatic nasal mass with silent primary renal cell carcinoma (RCC) is even rarer. So are giant cell tumors which rarely affects soft tissues whether superficial or deep. These rarely occur in nasal cavity. We would like to discuss 2 cases—one being a 74 year old female with a solitary asymptomatic extensive metastatic lesion in sinonasal area of silent primary...
Sat Jul 04, 2020 03:00
Abstract Dermoid cysts are benign tumours of ectodermal origin, commonly seen in young. The clinico-radiological presentation of dermoids can be equivocal, like in our case of a teenager who had painless swelling of floor of mouth. Radiological findings were consistent with cystic lesion but histopathological examination proved it as dermoid cyst.
Fri Jul 03, 2020 03:00
Abstract Pathologies of the branchial apparatus originate from abnormal embryological development and frequently affects the second branchial cleft. Fourth branchial cleft lesions are exceptionally few and existing literature on it is scarce. We present a case of a fourth branchial pouch sinus, masquerading as a recurrent neck abscess.
Fri Jul 03, 2020 03:00
Publication date: Available online 4 July 2020Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Steven M. Chau, Gurpreet S. Ahuja, Kevin C. Huoh, Nguyen S. Pham
Sat Jul 04, 2020 19:15
Publication date: Available online 4 July 2020Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): M. Fieux, V. Franco-Vidal, P. Devic, F. Bricaire, A. Charpiot, V. Darrouzet, L. Denoix, P. Gatignol, N. Guevara, M. Montava, J.A. Roch, F. Tankéré, S. Tronche, F. Veillon, S. Vergez, C. Vincent, G. Lamas, S. Tringali
Sun Jul 05, 2020 12:43
Publication date: Available online 4 July 2020Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): O. Laccourreye, N. Fakhry, V. Franco-Vidal, R. Jankowski, A. Karkas, N. Leboulanger, M. Makeief, O. Malard, J. Michel, C. Righini, C. Rumeau, C. Vincent, Q. Lisan
Sat Jul 04, 2020 16:43
Publication date: Available online 2 July 2020Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): G. Sideris, A. Delides
Fri Jul 03, 2020 15:39
Publication date: Available online 3 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Rosana Rodríguez-Villalba, Miguel Caballero Borrego, Vanessa Villarraga, Victoria Rivero de Jesús, Maria Antonia Claveria, Oliver Haag
Sat Jul 04, 2020 21:18
Publication date: Available online 3 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Gil Zoizner-Agar, Janine M. Rotsides, Qianhui Shao, Scott Rickert, Robert Ward, Melanie Greifer, Max April
Sat Jul 04, 2020 21:18
Publication date: Available online 3 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Mehdi Hasnaoui, Rihab Lahmar, Asma Ben Mabrouk, Mohamed Masmoudi, Khalifa Mighri, Nabil Driss
Sat Jul 04, 2020 21:18
Publication date: Available online 3 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Jianhong Hao, Zanqing Wu, Zhenguo Luo, Buhuai Dong
Fri Jul 03, 2020 17:32
Publication date: Available online 2 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Anaïs Rameau, Albert Mudry
Fri Jul 03, 2020 17:32
Objectives Esophageal dysmotility (ED) in patients with multiple system atrophy (MSA) are poorly understood. This study aimed to investigate the prevalence of ED in patients with MSA and to assess the relationship of esophageal abnormalities with other clinical findings and characteristics in these patients. Methods A retrospective chart review was conducted to identify patients with MSA and to compare them to the elderly controls without MSA (65+ years) who underwent a videofluorographic...
Sat Jul 04, 2020 22:00
Objectives Guidelines for transoral robotic surgery (TORS) have generally regarded patients with retropharyngeal carotid arteries as contraindicated for surgery due to a theoretical risk of intraoperative vascular injury and/or perioperative cerebrovascular accident. We aimed to demonstrate that careful TORS‐assisted resection and free flap coverage could not only avoid intraoperative injury and provide a physical barrier for vessel coverage but also achieve adequate margin control. Study Design:...
Sat Jul 04, 2020 16:14
Objectives To investigate the clinical, laboratory, radiological, histopathological, and immunohistochemical features, and the expression of allergy‐related cytokines in eosinophilic sialodochitis (ES). Methods Thirty‐eight patients diagnosed with chronic obstructive sialadenitis (COS) who had undergone glandular excision or incisional biopsy were enrolled. Seventeen patients with comorbid atopic disease and increased ductal tissue eosinophils comprised the ES group, while 21 patients comprised...
Sat Jul 04, 2020 15:04
Objectives/Hypothesis Bilateral myringotomy and tympanostomy tube placement (BMT) is the most common pediatric surgery in the United States. Intraoperative middle ear effusion (MEE) is a risk factor for future BMTs in children with recurrent acute otitis media (RAOM). However, the impact of the type of MEE is unknown. Here, we assess otologic outcomes based on intraoperative MEE type and indication for surgery. Study Design Case series chart review. Methods After institutional review...
Sat Jul 04, 2020 14:48
Objectives/Hypothesis This study aimed to evaluate the prevalence of peripheral vestibular disorders in an Asian population of predominantly Han Chinese ethnicity. Study Design Cross‐sectional study. Methods Patients with a peripheral vertigo disorder were identified from the Taiwan Health Insurance Research Database, a database of all medical claims of a randomly selected, population‐representative sample of 2 million enrollees of Taiwan's National Health Insurance system covering over...
Sat Jul 04, 2020 14:38
Objective There is a paucity of data regarding financial trends for procedural reimbursements in otolaryngology. The purpose of this study was to evaluate monetary trends in Medicare reimbursement rates for the 20 most commonly billed otolaryngology procedures from 2000 to 2019. Study Design Analysis of physician reimbursement.. Methods The American Academy of Otolaryngology–Head and Neck Surgery database was queried to determine the 20 most performed otolaryngology procedures. Next,...
Fri Jul 03, 2020 21:52
Objectives The primary objective was to determine the prevalence of synchronous esophageal squamous cell carcinoma in head and neck squamous cell carcinoma (HNSCC) patients. The secondary objective was to determine risk factors for the development of synchronous esophageal squamous cell carcinoma (ESCN). Study Design: Cross sectional observation study. Methods A prospective cross sectional, observational study on consecutive 300 newly diagnosed oral cavity, oropharynx, hypopharynx, and laryngeal...
Fri Jul 03, 2020 21:43
Objective Idiopathic subglottic stenosis (iSGS) is a chronic inflammatory condition that causes dyspnea and affects middle‐aged women of White race and non‐Latino or Hispanic ethnicity. To better characterize its phenotype and pathogenesis, we assessed the proteomic and genomic methylation signatures of subglottic tissue collected from iSGS patients compared to controls. Study Design Molecular analysis of clinical biospecimens. Methods We collected subglottic tissue biopsies from 12...
Fri Jul 03, 2020 21:33
The rate of positive margins in head and neck cancers has remained stagnant over the past three decades and is consistently associated with poor overall survival. This suggests that significant improvements must be made intraoperatively to ensure negative margins. We discuss the important role of fluorescence imaging to guide surgical oncology in head and neck cancer. This review includes a general overview of the principles of fluorescence, available fluorophores used for fluorescence imaging, and...
Fri Jul 03, 2020 21:19
Fri Jul 03, 2020 21:05
Abstract Objectives A high frequency and a strong association of olfactory/gustatory impairment with COVID‐19 were reported. Its spontaneous evolution remains unknown. The aim of this study was to investigate the spontaneous evolution of olfactory disorders in COVID‐19 patients. Study Design Cross‐sectional study Methods A total of 229 patients with laboratory‐confirmed COVID‐19 from March 1 through 31, 2020 in our institution were included. Among them, 140 patients (mean age, 38.5 years,...
Thu Jul 02, 2020 19:11
Mood, anxiety and olfactory dysfunction in COVID‐19: evidence of central nervous system involvement?
Abstract Introduction The objective of this study was to determine the burden of depressed mood and anxiety in COVID‐19, and associated disease characteristics. Materials and methods This is a prospective, cross‐sectional study of 114 COVID‐19 positive patients diagnosed using RT‐PCR‐based testing over a 6‐week period. The 2‐item Patient Health Questionnaire (PHQ‐2) and the 2‐item Generalized Anxiety Disorder questionnaire (GAD‐2) were used to measure depressed mood and anxiety level, respectively,...
Thu Jul 02, 2020 18:54
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