Is Immobile vocal fold Related to the Spinal Accessory Nerve Agenesis?: A Case Report

xlomafota13 shared this article with you from Inoreader Is Immobile vocal fold Related to the Spinal Accessory Nerve Agenesis?: A Case Report Via Voice Publication date: Available online 2 June 2021 Source: Journal of Voice Author(s): Joaquín Yanes-Díaz, Isabel García-López, Susana Santiago Pérez, José Carlos Casqueiro Sánchez, Concepción Ferreiro Argüelles, Javier Gavilán Bouzas View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Anatomical Features Around Eustachian Tube in Eosinophilic Otitis Media With Eosinophilic Sinusitis

xlomafota13 shared this article with you from Inoreader Anatomical Features Around Eustachian Tube in Eosinophilic Otitis Media With Eosinophilic Sinusitis Via The Laryngoscope Objectives/Hypothesis This study investigated the relationships between anatomical findings around the eustachian tube (ET) and eosinophilic otitis media (EOM) accompanied by eosinophilic chronic rhinosinusitis (ECRS). Study Design This study employed axial, coronal, sagittal and oblique computed tomography. Methods Patients who underwent endoscopic sinus surgery at the Department of Otolaryngology, Toho University Medical Center Omori Hospital and were diagnosed with ECRS (106 patients) based on the Japanese Epidemiological Survey of Refractory Eosinophilic Chronic Rhinosinusitis study were included. Subsequently, the presence of EOM accompanied by ECRS in 212 ear sides was assessed, and preoperative sinus computed tomography was used to evaluate various anatomical findings, such as the development of the sphenoid sinus and mastoid cells at the apex of petrous bone, the angle and length of the ET, and the size of the tympanic orifice of the ET. The relationships between these anatomical findings and the presence of EOM were analyzed statistically. Results EOM accompanied by ECRS was associated with a high peripheral blood eosinophil count and bronchial asthma. Among anatomical factors, the absence of peri-ET cells or petrous apex cells, and a low angle and short length of the ET, were risk factors for the onset of EOM. Conclusion Anatomical factors such as the absence of peri-eustachian cells or petrous apex cells, and low angle or short length of the ET, are risk factors for the onset of EOM along with ECRS. Assessment of these factors may help in preventing the future onset or aggravation of EOM. Level of Evidence 4 Laryngoscope, 2021 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Surgically assisted rapid maxillary expansion for obstructive sleep apnea adult patients: our experience in 7 cases.

xlomafota13 shared this article with you from Inoreader Surgically assisted rapid maxillary expansion for obstructive sleep apnea adult patients: our experience in 7 cases. Via Clinical Otolaryngology Abstract The highlighting of the role of craniofacial abnormalities in the development of obstructive sleep apnea syndrome has led to the development of different surgical procedures. Static craniofacial measures and dynamic airway collapse patterns are helpful to target surgical treatment. Maxillomandibular advancement (MMA) is the most effective surgical treatment in adults with selected criteria. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Tracking Changes in Age Distribution of Head and Neck Cancer in the U.S. from 1975‐2016

xlomafota13 shared this article with you from Inoreader Tracking Changes in Age Distribution of Head and Neck Cancer in the U.S. from 1975‐2016 Via Clinical Otolaryngology Abstract Introduction Several independent studies report an alarming increase of patients younger than 40 being diagnosed with squamous cell carcinoma. There is currently a lack of available data clearly tracking changes in the age distribution of head and neck cancer (HNC) within the U.S. This study attempts to elucidate any trends in oral cavity, oropharynx, larynx and hypopharynx cancer age distribution in the United States population from 1975-2016. Unlike previous studies, this paper does not track incidence, but rather reports proportional changes of prevalence within age cohorts over time. Methods This is a retrospective chart review centered on data from the Surveillance, Epidemiology, and End Results (SEER) Program of the National Cancer Institute (NCI). Each decade interval from 1975-2016 displays the proportion of HNC patients, classified by primary tumor subsite, within each age cohort. Results Mean age at diagnosis increased for all subsites except oropharynx. Oropharyngeal cancer was the only subsite to show a decrease in the mean age at diagnosis. In addition, oropharyngeal cancer was the only subsite to demonstrate an overall increase in proportional prevalence, largely due to increased incidence in middle age (40-59 years) patients. Cancers of the oral cavity were the only subset to show a true increase in the proportion of young (0-39 years) patients, but its mean age at diagnosis still increased. When stratifying by gender, the proportion of young patients in female HNC cases is higher than the young male proportion. Conclusion Overall, this study demonstrates an increased proportion of older HNC patients that is consistent with the aging population. Oral cavity cancer demonstrated a true increase in the proportion of young patients, likely due to the increased incidence of young women diagnosed with this cancer. Oropharyngeal cancer was the only subsite to show a decrease in the mean age at diagnosis. The increased proportion of middle-age patients with oropharyngeal cancer likely reflects the increase in HPV-related cancers. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Surgical laser positioning system assists removal of a cervical migratory foreign object

xlomafota13 shared this article with you from Inoreader Surgical laser positioning system assists removal of a cervical migratory foreign object Via Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial Braz J Otorhinolaryngol. 2021 Apr 27:S1808-8694(21)00072-0. doi: 10.1016/j.bjorl.2021.03.013. Online ahead of print. NO ABSTRACT PMID:34074624 | DOI:10.1016/j.bjorl.2021.03.013 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Interventions for Nursing Home Residents with Dysphagia-A Scoping Review

xlomafota13 shared this article with you from Inoreader Interventions for Nursing Home Residents with Dysphagia-A Scoping Review Via swallowing exercises Geriatrics (Basel). 2021 May 21;6(2):55. doi: 10.3390/geriatrics6020055. ABSTRACT Oropharyngeal dysphagia is common in nursing home residents. The objective of this scoping review was to summarize and disseminate the findings from the literature on interventions for dysphagia in nursing home residents. Searches were conducted in four databases. The criteria for including the studies were nursing home residents, dysphagia, interventions, original research, published in English, Dani sh, Norwegian, or Swedish with no restriction placed regarding publication date. Excluded were literature reviews, editorial comments, conference abstracts, protocols, papers not available in full text, and studies with a mixed population, for example, geriatric patients and nursing home residents and where the results were not separated between the groups. A total of 14 papers were included and analyzed. The included papers represented interventions focusing on feeding intervention, oral hygiene, caregiver algorithm, stimulation (taste and smell), teaching the residents what to eat, mobilization of the spine, exercises/training, and positioning. This scoping review identifies sparse knowledge about interventions affecting nursing home residents' dysphagia. But the results indicate that multi-component interventions, including staff training, training of residents, and/or next of kin, might be successful. This scoping review clarifies that there is a need for well-designed studies t hat uncover which specific interventions have an effect in relation to nursing home residents with dysphagia and can serve as a guide for designing multi-component person-centered intervention studies. Future studies should implement high evidence study designs, define the measures of dysphagia, and quantify the severity of dysphagia, its underlying diseases, and comorbidities. PMID:34064095 | DOI:10.3390/geriatrics6020055 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Rectal Staphylococcus aureus Carriage and Recurrence After Endoscopic Sinus Surgery for Chronic Rhinosinusitis With Nasal Polyps: A Prospective Cohort Study

xlomafota13 shared this article with you from Inoreader Rectal <em>Staphylococcus aureus</em> Carriage and Recurrence After Endoscopic Sinus Surgery for Chronic Rhinosinusitis With Nasal Polyps: A Prospective Cohort Study Via ear nose throat Ear Nose Throat J. 2021 Jun 1:1455613211019716. doi: 10.1177/01455613211019716. Online ahead of print. ABSTRACT OBJECTIVE: Chronic rhinosinusitis with nasal polyps (CRSwNPs) remains a major challenge due to its high recurrence rate after endoscopic sinus surgery (ESS). We aimed to investigate the risk factors of recurrence among patients who underwent ESS for Chronic rhinosinusitis (CRS). METHODS: Prospective cohort study including 391 cases in a single institution rec eiving ESS were included for analysis from 2014 and 2017. Baseline characteristics including rectal Staphylococcus aureus (S aureus) carriage in patients receiving ESS for CRSwNPs. The primary outcome was the recurrence of CRSwNPs. Multivariate regression model was established to identify independently predictive factors for recurrence. RESULTS: Overall, 142 (36.3%) cases with recurrence within 2 years after ESS were observed in this study. After variable selection, multivariate regression model consisted of 4 variables including asthma (odds ratio [OR] = 3.41; P < .001), nonsteroidal anti-inflammatory drug allergy (OR = 2.27; P = .005), previous ESS (OR = 3.64; P < .001), and preoperative carriage of S aureus in rectum (OR = 2.34; P = .001). CONCLUSIONS: Based on our results, surgeons could predict certain groups of patients who are at high risk for recurrence after ESS. Rectal carriage of S aureus is more st atistically related to the recurrence of CRSwNP after ESS compared with skin and nasal carriage. PMID:34074157 | DOI:10.1177/01455613211019716 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Extraneural Sclerosing Perineurioma of the Tongue

xlomafota13 shared this article with you from Inoreader Extraneural Sclerosing Perineurioma of the Tongue Via ear nose throat Ear Nose Throat J. 2021 Jun 1:1455613211020539. doi: 10.1177/01455613211020539. Online ahead of print. ABSTRACT Perineurioma (PN) is an uncommon benign peripheral nerve sheath tumor. For the rarity of this tumor in the oral cavity, otolaryngologists and oral surgeons might not be familiar with this entity. Perineuriomas are typically benign and complete excision is deemed adequate management. Thus, their histological recognition is mandatory to avoid unnecessary overtreatmen t. We report the clinicopathologic findings of an uncommon variant, the Extraneural Sclerosing PN, in an unusual and never described site, the tongue. PMID:34074156 | DOI:10.1177/01455613211020539 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Rubber Bullet Induced Traumatic Brain Injury

xlomafota13 shared this article with you from Inoreader Rubber Bullet Induced Traumatic Brain Injury Via leak of cerebrospinal fluid J Craniofac Surg. 2021 Jun 2. doi: 10.1097/SCS.0000000000007733. Online ahead of print. ABSTRACT Rubber bullets have long been known to cause, on rare occasions, traumatic brain injury (TBI). However, neurosurgical literature on this occurrence is limited, and no focused review of this injury pattern has been conducted. The authors present the case of a 28-year-old male struck by a rubber bullet in the left periorbital region, causing TBI in addition to complete left visual loss and complex facial fractures. After developing a cerebrospinal fluid (CSF) leak, the patient was taken to the operating room for combined neurosurgical-craniofacial intervention. Utilizing frameless intraoperative computation tomography navigation assistance, a successful repair was made of both the patient's CSF leak and complex craniofacial injuries. TBI due to a rubber bullet is a rare but severe occurrence. Unfortunately, much of the limited literature on this top ic is bereft of demographic, clinical course, injury pattern, and imaging data. Presented here is the first operative case report of TBI due to a rubber bullet. Volume rendered imaging is provided to demonstrate the extent of trauma incurred. Additionally, a methodology for frameless intraoperative computation tomography navigation assistance is shared for consideration, as it served as a helpful adjunct for a combined intracranial-craniofacial surgical repair. The experience of treating the patient's traumatic CSF leak in the context of severe craniofacial and ophthalmologic injuries highlights the need for a multidisciplinary surgical approach that may arise when treating patients with TBI due to a rubber bullet. PMID:34074930 | DOI:10.1097/SCS.0000000000007733 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The Effectiveness and Safety of Intrathecal Fluorescein in the Management of Cerebrospinal Fluid Leaks

xlomafota13 shared this article with you from Inoreader The Effectiveness and Safety of Intrathecal Fluorescein in the Management of Cerebrospinal Fluid Leaks Via leak of cerebrospinal fluid Am J Rhinol Allergy. 2021 Jun 1:19458924211020564. doi: 10.1177/19458924211020564. Online ahead of print. ABSTRACT BACKGROUND: Cerebrospinal fluid (CSF) leaks can be associated with significant morbidity such as meningitis. Surgical management has proven effective, with endoscopic approaches having become the gold standard due to success rates >90%. Inability to localise the leak site prior to surgery is associated with surgical failure. The use of intrathecal fluorescein (IF) to localise CSF fistulae sites was first demonstrated in 1960. Despite this, its use in this context is unlicensed. OBJECTIVE: Evaluate the safety and efficacy of IF use in the management of CSF leak repairs in our centre. METHODS: All patients who underwent endoscopic repair of CSF fistula by a single surgeon where IF was used between January 2010 - September 2019 at a single-centre (tertiary skull base referral unit in the United Kingdom) were retrospec tively analysed. Primary outcome measures were localisation of CSF fistula with IF (efficacy) and peri-operative complications likely to be attributable to IF (safety). RESULTS: There were 55 patients included (60 procedures) with a positive localisation rate of 90.0% with IF. The overall peri-operative complication rate was 8.3% (n = 5). It is likely that none were related to IF use. However, three complications may be linked giving a complication rate potentially related to IF of 5.0%. There were no peri-operative mortalities. CONCLUSION: Many studies have demonstrated IF to be safe at low doses (<50mg) with a high sensitivity, specificity and positive predicative value. Our results demonstrate that the use of IF in our centre is safe and effective at identifying CSF fistulae. While we have reported some complications in our cohort, these were unlikely to be directly attributable IF use. We have described no serious complications such as seizures, limb weakness or d eath. We believe this study adds to the growing body of evidence that IF use in the management CSF fistula repairs is safe and effective. PMID:34074164 | DOI:10.1177/19458924211020564 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical Indications for Treatment with Multi-Kinase Inhibitors in Patients with Radioiodine-Refractory Differentiated Thyroid Cancer

xlomafota13 shared this article with you from Inoreader Clinical Indications for Treatment with Multi-Kinase Inhibitors in Patients with Radioiodine-Refractory Differentiated Thyroid Cancer Via radioactive iodine Cancers (Basel). 2021 May 10;13(9):2279. doi: 10.3390/cancers13092279. ABSTRACT Differentiated thyroid cancer is usually a slow-growing disease, even if the patients develop distant metastasis. For recurrent or metastatic disease, radioactive iodine therapy is a standard treatment. However, the disease gradually progresses in some of the patients and can ultimately develop into life-threatening conditions. For patients with progressive radioactive iodine-refractory differentiated t hyroid cancer (RR-DTC), multi-kinase inhibitors (MKIs) including sorafenib and lenvatinib prolonged progression-free survival compared with placebo in pivotal randomized phase 3 trials, although the benefit in overall survival has not been clearly confirmed, possibly because the patients who received placebo were permitted to cross-over to lenvatinib upon disease progression. Moreover, the adverse events related to MKIs were not negligible. Therefore, the optimal timing of MKI initiation has long been controversial, and physicians should consider various patient and disease factors. Herein, we comprehensively review the clinical factors that can be helpful in determining the initiation of MKIs for patients with RR-DTC. PMID:34068664 | DOI:10.3390/cancers13092279 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.