Frequency of awake bruxism behavior in orthodontic patients: randomized clinical trial

pa.ythelady61 shared this article with you from Inoreader Frequency of awake bruxism behavior in orthodontic patients: randomized clinical trial Via Journal of Oral Rehabilitation Abstract Introduction The influence of aligners on the activity of the masticatory muscles is still controversial, especially regarding the behavior associated with awake bruxism (AB). Objective To compare the frequency of AB behaviors between patients treated with aligners and fixed appliances. Methods The sample comprised 38 Class I patients (mean age 22.08 years), divided by simple randomization into two groups: OA group; orthodontic aligners (n 19) and FA group; fixed appliance (n 19). The frequency of AB was investigated by the ecological momentary assessment using an online device (mentimeter), during 7 following days at different timepoints, before and after appliance placement and in the 2nd, 3rd, 4th and 6th months of orthodontic treatment. These variables were also evaluated: level of anxiety by the State‐Trait Anxiety Inventory, stress by the Perceived Stress Scale, catastrophizing related to pain and degree of hypervigilance by the Pain Vigilance and Awareness Questionnaire, and the presence of facial pain evaluated by the DC/TMD. Results There was no difference between groups in the frequency of AB behaviors, with mean of 53.5% for group OA and 51.3% for FA. The most frequent behavior was slightly touching the teeth, and in FA group there was a significant reduction in this behavior soon after appliance placement. The groups did not differ concerning the degree of anxiety, stress, catastrophizing, hypervigilance and facial pain. Conclusion The orthodontic treatment performed with aligners or fixed appliances did not influence the frequency of AB during the 6 months of treatment. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Recurrent aspiration pneumonia precipitated by obstructive sleep apnea

pa.ythelady61 shared this article with you from Inoreader Recurrent aspiration pneumonia precipitated by obstructive sleep apnea Via Auris Nasus Larynx The clearance of the pharynx by deglutition and the respiratory phase patterns associated with deglutition are important in protecting airways and lungs against aspiration. The deglutition and respiratory phase patterns during sleep in patients (without swallowing disorders while awake) with obstructive sleep apnea (OSA) precipitating recurrent intractable aspiration pneumonia were investigated. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The use of grafts in frontal sinus drill-outs

pa.ythelady61 shared this article with you from Inoreader The use of grafts in frontal sinus drill-outs Via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review A significant complication of the frontal sinus drill-out procedure is restenosis of the frontal neo-ostium. To improve postoperative healing in this region, various mucosal grafts and pedicled flaps have been designed to reconstruct the mucosal lining of the frontal neo-ostium. We provide an overview of the types of grafts described for reconstruction and discuss the latest evidence on their efficacy. Recent findings Frontal neo-ostium mucosal reconstruction may be performed using free, pedicled, or a combination of grafts. There are several case series that report good outcomes and low revision rates following the use of grafts in frontal sinus drill-outs, and one randomized controlled study demonstrating increased ostial patency. However, the use of grafts did not alter the rate of revision surgery and only one study reported an improvement in Sino-Nasal Outcome Test-22 scores after one year. Summary Studies have suggested that frontal sinus drill-out grafts result in favorable restenosis and graft success rates. However, larger randomized control trials will be required to determine whether frontal sinus drill-out grafts contribute to a tangible clinical benefit for patients. Correspondence to Richard Douglas, FRACP, FRACS, MD, Department of Surgery, The University of Auckland, Auckland, New Zealand. Tel: +64 9 9239820; e-mail: richard.douglas@auckland.ac.nz Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Treatment of persistent/recurrent nodal disease in nasopharyngeal cancer

pa.ythelady61 shared this article with you from Inoreader Treatment of persistent/recurrent nodal disease in nasopharyngeal cancer Via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review Persistent or recurrent disease in the neck lymphatics is an unusual pattern of failure in nasopharyngeal carcinoma (NPC) after definitive radiotherapy or chemoradiotherapy. The purpose of this review is to critically synthesize the current knowledge regarding salvage treatment of this unique form of failure in NPC. Recent findings Surgery in the form of radical neck dissection has been established as the standard salvage treatment with 5-year regional control of 60--86%. Recent shift in paradigm has resulted in the use of modified or selective neck dissection as salvage surgery in some centers. Risk factors for poor survival outcome include recurrent nodal disease, number of involved lymph nodes, extracapsular extension, high lymph node ratio, and positive resection margin. There are no well controlled studies on the role of additional radiotherapy or chemotherapy to improve local control or survival after salvage neck dissection in this group of patients with regional failure. Summary There is limited literature regarding the extent of surgical dissection in treating nodal persistent or recurrent disease. Prospective studies are also needed to determine whether adjuvant therapy improves treatment outcomes. Correspondence to Wai-Tong Ng, Department of Clinical Oncology, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong SAR, China. Tel: +852 2255 4352; fax: +852 2872 6426; e-mail: ngwt1@hku.hk Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

The role of endoscopic medial maxillectomy in sinus disease

pa.ythelady61 shared this article with you from Inoreader The role of endoscopic medial maxillectomy in sinus disease Via Current Opinion in Otolaryngology & Head and Neck Surgery - Published Ahead-of-Print Purpose of review The endoscopic medial maxillectomy (EMM) has remained a relevant procedure for certain sinus diseases and at the same time reemerged as a salvage technique or even as a primary procedure for other diseases. Several mucosal-sparing techniques have also been described and the outcome of the surgeries is available for review. Recent findings Modifications of the EMM technique in the last two decades, aimed at mucosal preservation of the inferior turbinate, nasolacrimal duct, and medial maxillary wall have been successful in addressing a multitude of diseases. There are also evidences to support adjunct procedures/methods to improve access, healing, and to address associated dysfunction such as impaired mucociliary clearance. Tailored approaches have shown favourable outcomes with a low rate of adverse effects. Summary The EMM is appropriate for selected indications, in particular lesions causing medial wall destruction or extensive tumour involving the anterior wall or the prelacrimal recess. As for other maxillary sinus diseases including those identified to a limited site, a modified EMM is a reasonable consideration. The choice is appropriate provided instrument access, visualization, the ability for complete resection, postoperative care, and the requirement for surveillance is not compromised. A tailored approach with or without adjunct procedures is recommended. Correspondence to Narayanan Prepageran, Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia. Tel: +60379492062; e-mail: prepageran@yahoo.com Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Tracheal Squamous Metaplasia in Children with Endotracheal Intubation or Tracheostomy

pa.ythelady61 shared this article with you from Inoreader Tracheal Squamous Metaplasia in Children with Endotracheal Intubation or Tracheostomy Via International Journal of Pediatric Otorhinolaryngology Publication date: Available online 6 December 2020 Source: International Journal of Pediatric Otorhinolaryngology Author(s): Hanaa Knaneh-Monem, Beth Osterbauer, Christian Hochstim View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Recurrent aspiration pneumonia precipitated by obstructive sleep apnea

pa.ythelady61 shared this article with you from Inoreader Recurrent aspiration pneumonia precipitated by obstructive sleep apnea Via Auris Nasus Larynx Publication date: Available online 6 December 2020 Source: Auris Nasus Larynx Author(s): Kiminori Sato, Shun-ichi Chitose, Kiminobu Sato, Fumihiko Sato, Takeharu Ono, Hirohito Umeno View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.