MedWorm: ENT & OMF

Voice and swallowing after partial laryngectomy: Factors influencing outcome

Head and Neck — Wed, 08 Feb 2012 20:12:15 +0100

ConclusionHorizontal supraglottic laryngectomy and supracricoid partial laryngectomy give the same swallowing results. The presence of both arytenoids does not influence the final outcome compared to patients in whom only 1 arytenoid is preserved. Postoperative radiotherapy only influences the swallowing function. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Venous malformations of the temporal bone are a common feature in CHARGE syndrome

The Laryngoscope — Tue, 07 Feb 2012 05:00:00 +0100

Conclusions:Temporal bone venous abnormalities are a common feature in CHARGE syndrome. The pattern of venous abnormality suggests that there is a failure of the sigmoid sinus/jugular bulb to fully develop, resulting in persistence of emissary veins. Recognition of these abnormal venous structures during otologic surgery is critical to avoiding potentially catastrophic bleeding. (Source: The Laryngoscope)

Usefulness of Choline-PET for the detection of residual hemangiopericytoma in the skull base: comparison with FDG-PET

Head and Face Medicine — Tue, 07 Feb 2012 05:00:00 +0100

Conclusion: We emphasize the usefulness of Choline-PET for the detection of residual hemangiopericytoma in the skull base after various treatments, compared with FDG-PET. (Source: Head and Face Medicine)

In reference to Evolution of eustachian tube surgery

The Laryngoscope — Mon, 06 Feb 2012 05:00:00 +0100

(Source: The Laryngoscope)

Application of microfluidic systems in management of head and neck squamous cell carcinoma

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

AbstractMicrofluidics is an emerging multidisciplinary field that has the potential to provide solutions to many of the current challenges in managing head and neck squamous cell carcinoma (HNSCC). Treatment strategies for this disease are often complex and associated with significant morbidity and mortality; furthermore, prediction of response to treatment remains inaccurate. Microfluidic technology allows a small sample of tumor to be maintained alive ex vivo within a microenvironment that mimics the in vivo milieu; the response of this tumor biopsy to treatment regimens can subsequently be investigated. Microfluidics is the science and technology of systems that process or manipulate microliter to nanoliter volumes of fluids in purpose‐built devices fabricated from glass or other bioc...

Antitumor effect of vandetanib through EGFR inhibition in head and neck squamous cell carcinoma

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionsWe demonstrated that vandetanib inhibits the growth of head and neck cancer cell lines. The antitumor effects of vandetanib appear to be exerted via the EGFR inhibitory effect of the compound. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Carcinosarcoma de novo of the parotid gland: Case report

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionsReview of the literature supports combined modality, surgery with postoperative radiation, as the standard of care for this malignancy, although the long‐term prognosis for these patients is unclear. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Up‐front neck dissection followed by concurrent chemoradiation in patients with regionally advanced head and neck cancer

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionUp‐front neck dissection followed by chemoradiotherapy resulted in excellent locoregional control, OS, and PFS. Utilization of this strategy should be considered in carefully selected patients with regionally advanced head and neck cancer. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Serial suture ligation glossectomy for squamous cell carcinoma in the setting of a massive lymphovascular malformation

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionSerial suture ligation glossectomy is a simple and effective technique for treating the uncommon case of squamous cell carcinoma of the tongue in the setting of a massive LVM. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Parapharyngeal space tumors: Another consideration for otalgia and temporomandibular disorders

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionPatients presenting with disproportionate signs and symptoms of a TMD should be evaluated with advanced imaging to rule out occult pathology. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Second, third, and fourth head and neck tumors. A progressive decrease in survival

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

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Ethmoid sinus osteoma: Diagnosis and management

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionEthmoid sinus osteoma can be asymptomatic and detected incidentally on CT scans, but often causes frontal sinusitis and orbital complications. The endoscopic approach offers the possibility of safe removal with cosmetic advantages compared to coronal approach. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Significant overexpression of the Merkel cell polyomavirus (MCPyV) large T antigen in Merkel cell carcinoma

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionMCPyV large T protein was significantly overexpressed in 97% of all specimens. Although we could not demonstrate a predictive effect, MCPyV large T protein may represent a molecular marker with utility in pathological diagnosis as well as a potential new therapeutic target in patients with Merkel cell carcinoma. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Lipoleiomyosarcoma of the larynx

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionThese tumors develop in cavities slowly and gradually. The treatment of this lesion is surgical with a sufficient resection margin. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Prognostic value of 18F‐FDG PET/CT in patients with squamous cell carcinoma of the tonsil: Comparisons of volume‐based metabolic parameters

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

Proposal of landmarks for clamping neurovascular elements during endoscopic surgery of the supraglottic region

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionMicrosurgery in the supraglottic region may be safer if surgeons are aware of the superior third of the above‐defined triangle, “danger area”, where the vascular elements of this region are located. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionsSquamous cell carcinoma arising in the maxillary alveolus and hard palate has a similar risk of regional metastasis as the rest of the oral cavity, and a lower propensity for selective neck dissection is resulting in higher regional recurrence and lower survival rates. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Primary neuroendocrine neoplasms of the larynx. A series of 4 cases reported and a review of the literature

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionAlthough neuroendocrine laryngeal tumors account for approximately 1% of all neoplasms in the larynx, its majority represents very aggressive tumors showing a capacity for metastasis and portending poor outcome. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Stage grouping in tumors of the ethmoid sinuses and the nasal cavity using the sixth edition of the UICC classification of malignant tumors

Head and Neck — Mon, 06 Feb 2012 05:00:00 +0100

ConclusionThe UICC‐stage grouping of the sixth edition is a good prognostic index for malignant tumors of the ethmoid sinuses and the nasal cavity. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Associations between oral health‐related quality of life and emotional statuses in children and preadolescents

Oral Diseases — Sun, 05 Feb 2012 20:02:03 +0100

Aphysiologic performance on dynamic posturography in work-related patients

European Archives of Oto-Rhino-Laryngology — Fri, 03 Feb 2012 17:12:23 +0100

This study aimed to assess and compare the prevalence of aphysiologic performance on computerized dynamic posturography (CDP) in patients with the potential for secondary gain using a retrospective review of two groups of patients: work-related patients referred for dizziness and/or imbalance (Group 1) were compared against a group of patients with complaints of dizziness or imbalance, who had no history of work-related injury, or litigation procedures (Group 2). CDP and videonystagmography (VNG) were carried out in all patients. The Sensory Organization Test summaries were scored as normal, aphysiologic, or vestibular using the scoring method published by Cevette et al. in Otolaryngol Head Neck Surg 112:676–688 (1995). 24 out of 88 (27%) patients had aphysiologic CDP in Group 1 an...

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Spontaneous CSF Rhinorrhea Our Experience

Indian Journal of Otolaryngology and Head and Neck Surgery — Fri, 03 Feb 2012 17:11:21 +0100

Abstract To analyse the possible factors contributing to spontaneous cerebrospinal fluid (CSF) rhinorrhea and to assess the outcome of Transnasal endoscopic repair at our centre. Retrospective case series of patients with spontaneous CSF rhinorrhea at our institution from Jan 2006 to May 2010. 7 patients were diagnosed with spontaneous CSF rhinorrhea. 5 of the 7 patients were obese, middle aged females managed with Transnasal endoscopic repair with fascia lata auto graft. Successful repair of CSF rhinorrhea was achieved in all the patients with a single endoscopic procedure; no patient required a revision procedure. Spontaneous CSF rhinorrhea is a rare condition seen mostly in middle aged obese females with the anterior part of the cribriform plate being the most common si...

Analysis of the Cochlear Amplifier Fluid Pump Hypothesis

JARO - Journal of the Association for Research in Otolaryngology — Fri, 03 Feb 2012 07:21:27 +0100

Abstract We use analysis of a realistic three-dimensional finite-element model of the tunnel of Corti (ToC) in the middle turn of the gerbil cochlea tuned to the characteristic frequency (CF) of 4 kHz to show that the anatomical structure of the organ of Corti (OC) is consistent with the hypothesis that the cochlear amplifier functions as a fluid pump. The experimental evidence for the fluid pump is that outer hair cell (OHC) contraction and expansion induce oscillatory flow in the ToC. We show that this oscillatory flow can produce a fluid wave traveling in the ToC and that the outer pillar cells (OPC) do not present a significant barrier to fluid flow into the ToC. The wavelength of the resulting fluid wave launched into the tunnel at the CF is 1.5 mm, which is...

Effect of Streptococcus sanguinis/Porphyromonas gingivalis single and combined biofilms upon platelet aggregation

Oral Diseases — Thu, 02 Feb 2012 20:10:35 +0100

Conclusions: In the static or dynamic flow system, platelets adhered to S. sanguinis or P. gingivalis. However, if S. sanguinis was mixed with P. gingivalis, the aggregation magnitude (%) was significantly reduced.© 2012 John Wiley & Sons A/S (Source: Oral Diseases)

Vocal characteristics in patients with type 2 diabetes mellitus

European Archives of Oto-Rhino-Laryngology — Thu, 02 Feb 2012 18:15:45 +0100

The objective of this study is to report the vocal characteristics of patients with type 2 diabetes mellitus in relation to disease duration, glycemic control, and neuropathy. This is a prospective study. The setting is institutional setting. A total of 82 patients were recruited for this study, and a healthy control group matched according to age and gender was recruited. Subjects underwent acoustic analysis and perceptual evaluation using the GRABS classification where G stands for grading, R for roughness, A for asthenia, B for breathiness, and S for straining using a scale of 0–3 where o stands for normal and three for severe deviation from normal. There was no significant difference in any of the acoustic variables between diabetic patients and control. There was no significan...

Subtotal laryngectomy: outcomes of 469 patients and proposal of a comprehensive and simplified classification of surgical procedures

European Archives of Oto-Rhino-Laryngology — Thu, 02 Feb 2012 18:15:41 +0100

Abstract Long-term oncological and functional results from a retrospective study on 469 patients over a 10-year period of subtotal laryngectomies (SL), 399 supracricoid partial laryngectomies (SCL) and 70 supratracheal partial laryngectomies (STL) are presented. The mean follow-up time was 97 months (range 60–165 months). Acute complications, types and rates of late sequelae, functional results, 2-year post-operative scores of laryngeal function and quality of life are reported. The observed long-term results were: SCL, 5-year overall and disease-free survival: 95.6, and 90.9%, respectively; 2-year post-operative laryngeal function preservation: 95.7%; STL, 5-year overall and disease-free survival: 80 and 72.9%, respectively; 2-year post-operative laryngeal fun...

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Deficits in Responding to Brief Noise Offsets in Kcna1 −/− Mice Reveal a Contribution of This Gene to Precise Temporal Processing Seen Previously Only for Stimulus Onsets

JARO - Journal of the Association for Research in Otolaryngology — Thu, 02 Feb 2012 18:14:10 +0100

Abstract The voltage-gated potassium channel subunit Kv1.1 encoded by the Kcna1 gene is expressed in many brainstem nuclei, and electrophysiological studies of Kcna1-null mutant (−/−) single neurons suggest that channels containing this subunit are critical for precise processing of rapid acoustic perturbations. We tested the hypothesis that brief offsets of a background noise are behaviorally less salient for Kcna1 −/− mice, measured by changes in noise offset inhibition of acoustic startle reflexes (ASR). In experiment 1, noise offset was followed by ASR-eliciting sound bursts either after 1–10 ms quiet intervals or after the return of noise for 10–290 ms following 10-ms quiet gaps. ASR inhibition to offset and gaps was initially higher in +/+ mice bu...

Combined Laryngocele Secondary to Localized Laryngeal Amyloidosis

Indian Journal of Otolaryngology and Head and Neck Surgery — Thu, 02 Feb 2012 18:13:32 +0100

We present a young male patient with a large combined laryngocele secondary to laryngeal amyloidosis. Content Type Journal ArticleCategory Clinical ReportPages 1-4DOI 10.1007/s12070-012-0497-6Authors W. V. B. S. Ramalingam, Department of ENT, Army Hospital (Research and Referral), Delhi, 110010 IndiaSatish Nair, Department of ENT, Army Hospital (Research and Referral), Delhi, 110010 IndiaA. V. Ramesh, Department of ENT, Army Hospital (Research and Referral), Delhi, 110010 IndiaD. K. Gupta, Department of ENT, Army Hospital (Research and Referral), Delhi, 110010 IndiaAnil Kumar, Department of ENT, Army Hospital (Research and Referral), Delhi, 110010 India Journal Indian Journal of Otolaryngology and Head & Neck SurgeryOnline ISSN 0973-7707Print ISSN 2231-3796 (Source: Indian J...

Surgical Treatment Outcomes of Patients with Bilateral Warthin Tumors in the Parotid Gland

Indian Journal of Otolaryngology and Head and Neck Surgery — Thu, 02 Feb 2012 18:13:29 +0100

We describe the treatment outcomes of patients with bilateral Warthin tumors in the parotid gland according to surgical methods. The medical records of ten patients with bilateral Warthin tumors in the parotid gland who underwent surgery between 2004 and 2011 were retrospectively reviewed. Ten patients were included in the study and 13 parotidectomies were performed. Patients with bilateral Warthin tumors in the parotid gland were divided into three groups according to the surgical methods used to treat these individuals. In group 1, the patients were closely observed without undergoing contralateral parotidectomy after unilateral parotidectomy. In group 2, the patients underwent concurrent bilateral parotidectomies. In group 3, the patient underwent contralateral parotidectomy 2&nbs...

Histopathologic Relationship Between Ethmoid Sinus and Ipsilateral Middle Turbinate in Non-Polypose Chronic Sinusitis by FESS

Indian Journal of Otolaryngology and Head and Neck Surgery — Thu, 02 Feb 2012 18:13:28 +0100

Abstract Chronic rhinosinusitis (CRS) is a common disease with significant effects on the quality of life. Infection was previously a common cause of rhino sinusitis, while nowadays its main cause is inflammation. Non-polyposis CRS patients who were resistant to medical treatment and underwent endoscopic sinus surgery in Ghaem and Imam Reza hospitals were studied from December 2008 to November 2009. There were 11 males and four females ranging in age from 14 to 57 years with the average age of 32.2. First, samples were taken from the ethmoid sinus and the ipsilateral middle turbinate. Then, histopathologic research on grade of inflammation, mucosal thickness, inflammatory cell count, metaplasia type, and hypersecretion was performed. Fifteen patients were studied. The...

Technology transfer

The Laryngoscope — Thu, 02 Feb 2012 05:00:00 +0100

(Source: The Laryngoscope)

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A functional variation in the hypocretin neuropeptide precursor gene may be associated with obstructive sleep apnea syndrome in Japan

The Laryngoscope — Thu, 02 Feb 2012 05:00:00 +0100

Conclusions:Our genetic association study, followed by functional and quantitative phenotyping assays, demonstrated a functional locus within the HCRT gene, which may act to increase HCRT expression and lead to a protective effect against the development of OSAS. (Source: The Laryngoscope)

Radiofrequency volumetric tissue reduction of the inferior turbinate in a sheep model

The Laryngoscope — Thu, 02 Feb 2012 05:00:00 +0100

Conclusions:The sheep model is useful for study of both the anatomic and histopathologic effects of endonasal procedures. Standard endoscopic instruments and acoustic rhinometry can be used in this model with reproducible results. In this pilot animal study, radiofrequency devices for inferior turbinate reduction demonstrated greater preservation of normal nasal mucosal respiratory epithelium when compared to monopolar electrosurgery. (Source: The Laryngoscope)

Topical corticosteroids applied with a squirt system are more effective than a nasal spray for steroid‐dependent olfactory impairment

The Laryngoscope — Thu, 02 Feb 2012 05:00:00 +0100

Conclusions:The application of topical corticosteroids with a squirt system was more effective than with a spray in maintaining olfactory improvement with oral corticosteroid treatment. Nevertheless, it only partially maintained the improvement so that topical corticosteroid treatment using a squirt system needs to be combined with intervals of short‐term oral corticosteroids to treat steroid‐dependent olfactory loss while avoiding the side effects of long‐term oral corticosteroid use. (Source: The Laryngoscope)

In reference to high BMI value is a risk factor but not a contraindication for CO2 retention in HFJV during airway surgery

The Laryngoscope — Thu, 02 Feb 2012 05:00:00 +0100

(Source: The Laryngoscope)

Mediastinal goiter presenting with ventricular tachycardia

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionTo our knowledge, this case represents the first documented presentation of ventricular tachycardia as a unique and sole feature of mediastinal goiter. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Increased radioresistance via G12S K‐Ras by compensatory upregulation of MAPK and PI3K pathways in epithelial cancer

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionWith our data we confirmed our hypothesis of postradiogenic constitutive activation of the 2 pathways both required for Ras‐mediated radioresistance in epithelial cells. If this effect should prove itself as a general mechanism in Ras‐mutated tumors, application of specific inhibitors to block both cascades in parallel could contribute to enhance radiosensitivity in these types of cancer. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

AlloDerm and DermaMatrix implants for parotidectomy reconstruction: A histologic study in the rat model

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionsAlloDerm reacts similarly when comparing the postparotidectomy bed to the dorsum. DermaMatrix induces a more marked inflammatory reaction in the postparotidectomy bed when compared with the dorsum. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Clinical value of endosonography in the assessment of laryngeal cancer

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionsThis study confirms that endosonography is highly effective in staging laryngeal cancer. Therefore, the latter may constitute a complementary diagnostic tool in these tumors and additionally may assist in choosing an adequate treatment. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Multimodality approach for advanced‐stage juvenile nasopharyngeal angiofibromas

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionAn efficient strategy in the management of extensive JNAs is the use of a multimodality approach, in which surgical resection is followed by the treatment with radiosurgery in critical locations. These therapeutic schemes are safe and offer long‐term tumor control. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Hyalinizing clear cell adenocarcinoma of the oropharynx

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionImmunohistochemical staining is essential for narrowing the differential diagnosis of these lesions. Treatment is controversial but usually consists of wide local excision and possibly a neck dissection. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Venous thromboembolism in patients with head and neck cancer after surgery

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionThe incidence of VTE in patients with head and neck cancer after resection and microvascular reconstruction ranged from 1.4% to 5.8%. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Hyperparathyroidism–jaw tumor syndrome

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionHPT‐JT is a complex syndrome with phenotypic manifestations that can seem physiologically and temporally unrelated. The risk of parathyroid carcinoma is elevated in patients with HPT‐JT, necessitating rapid treatment and complete tumor resection to reduce the morbidity and mortality associated with intractable hypercalcemia due to local recurrence or metastatic disease. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Life‐threatening cervical spine collapse as a result of postradiation osteonecrosis—case report and review of the literature

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionDelayed diagnosis of cervical ORN can result in marked disability and pain due to spinal cord compression, as well as serious deformity and instability requiring surgical intervention, and even death. It is important for otolaryngologists who treat head and neck malignancies to be aware of this potential complication so that patients may be diagnosed as early as possible and treated with conservative measures. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Total thyroidectomy with ultrasonic scalpel: A multicenter, randomized controlled trial

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionsThe use of an ultrasonic scalpel was as safe as that of the conventional technique and had the advantage of a shorter operative time and lower postoperative drainage. Costs were not different between groups. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Superficial temporal artery aneurysm: Diagnosis and treatment options

Head and Neck — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionPseudoaneurysms are mostly the result of blunt trauma as opposed to true aneurysms which usually occur spontaneously. Surgical resection is a safe treatment modality, but endovascular treatment might be considered in a selected group of patients. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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The Effect of Combined Medical Treatment on Quality of Life in Persistent Allergic Rhinitis

Indian Journal of Otolaryngology and Head and Neck Surgery — Wed, 01 Feb 2012 17:14:03 +0100

Abstract Allergic rhinitis may significantly affect the patients’ quality of life. The aim of this study was to compare the effects of nasal steroids alone, to nasal steroids plus Levocetirizine or Montelukast, on quality of life in persistent allergic rhinitis. This is a prospective, randomized study and included 56 patients with moderate to severe persistent allergic rhinitis. All patients had house dust mite allergy on skin prick test and we divided the patients into three groups. 1 month long medical treatment was; topical Mometasone furoate 200 mcg/day in the first group (n:14), Mometasone furoate 200 mcg/day plus oral Levocetirizine 5 mg/day in the second group (n:21), and Mometasone furoate 200 mcg/day plus oral Montelukast 10 mg/day i...

Chronic Rhino-Sinusitis and Asthma: Concept of Unified Airway Disease (UAD) and its Impact in Otolaryngology

Indian Journal of Otolaryngology and Head and Neck Surgery — Wed, 01 Feb 2012 17:14:03 +0100

This article is based on our experience on (20 cases) chronic rhino-sinusitis and asthma, and observations and results from various literatures. Implement of the concept of unified airway disease and ability to translate its principles into successful diagnostic and treatment strategies can enhance the practice of otolaryngology. The end result is the potential for improved patient care. In our study 80% cases have reduced frequency of symptoms and all (100%) cases having improved night time symptoms thus the use of short-acting beta2 agonist to control the asthma symptoms decreases. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s12070-012-0495-8Authors Rakesh Singh Meena, J. L. N. Medical College, Ajmer, Rajasthan, IndiaDeepali Meena, J. L. N. Medic...

Could Cellular Proliferation Be a Predictive Index for the Relapse of Nasal Polyposis and Down-Regulated by Nasal Steroid Treatment?

Indian Journal of Otolaryngology and Head and Neck Surgery — Wed, 01 Feb 2012 17:14:02 +0100

Abstract The aim of this article is to identify the cellular mitotic activity using Ki-67 monoclonal antibody for predicting relapses of nasal polyposis after surgery. A prospective study was conducted at Kartal Training and Research Hospital Otolaryngology Department between January 2006 and September 2008. Nasal polyps were obtained from all patients and pathological materials were analyzed for the Ki-67 staining using immunohistochemistry. Patients were followed after surgery for 12 months for relapse. There was no statistically significant difference between recurrent and nonrecurrent polyps. Polyp recurrence has a multifactorial origin. Ki-67 index alone does not provide sufficient information about polyp recurrence before the operation. Content Type Journal ...

Bilateral Single Sitting Myringoplasty Using Tragal Cartilage from One Ear

Indian Journal of Otolaryngology and Head and Neck Surgery — Wed, 01 Feb 2012 17:13:59 +0100

Abstract Though single sitting myringoplasty using temporalis fascia under general anesthesia has been documented in many studies, but ours is the first center to have started using tragal cartilage harvested from one ear to do bilateral myringoplasty in one sitting using local anesthesia with excellent results including very good graft uptake rate and audiological improvement without significant complications. Content Type Journal ArticleCategory Short CommunicationPages 1-4DOI 10.1007/s12070-012-0487-8Authors Arvinder Singh Sood, Department of ENT, SGRDIMSR, 22-A, Rajinder Nagar, Sultanwind Road, Amritsar, 143001 India Journal Indian Journal of Otolaryngology and Head & Neck SurgeryOnline ISSN 0973-7707Print ISSN 2231-3796 (Source: Indian Journal of Otolaryngo...

Thyroid incidentalomas in FDG-PET/CT: prevalence and clinical impact

European Archives of Oto-Rhino-Laryngology — Wed, 01 Feb 2012 17:12:48 +0100

Abstract To evaluate the prevalence of thyroid FDG-PET/CT incidentalomas and the risk of malignancy in focal findings. A retrospective study of 3,062 PET scans was performed between 05/2006 and 09/2009. Prevalence of thyroid incidentalomas, risk of malignancy and correlation between standard uptake value (SUV) and cancer risk were analysed. The overall prevalence of thyroid incidentalomas was 2.4%. 71% showed a focal and 29% a diffuse uptake. In the focal uptake group, the diagnosis was clarified in 79% with cytology/histology. In 23.8% of the patients with a focal uptake, a malignant lesion was found. Diffuse uptake was predominantly associated with autoimmune thyroiditis. There was no statistically significant difference in the SUVmax between benign and malignant focal le...

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Severity of depression and anxiety in obstructive sleep apnea syndrome

European Archives of Oto-Rhino-Laryngology — Wed, 01 Feb 2012 17:12:47 +0100

Abstract Obstructive sleep apnea (OSA) is a common sleep disorder which can result in mood problems. The aim of this study was to evaluate the severity of depression and anxiety symptoms as the most prevalent psychological disturbances present in different severity of OSA. We performed a cross-sectional study of 685 recently diagnosed sleep-disordered patients, over the age of 18, referred to Noor Sleep Lab from August 2008 to November 2010. The participants filled the Beck depression inventory-II (BDI-II) and the Beck anxiety inventory (BAI) to assess the depression and anxiety symptoms. We collected other characteristics of subjects such as age, sex, body mass index (BMI) and Epworth sleepiness scale (ESS). Apnea hypopnea index (AHI) was determined by an overnight polyso...

Electronystagmographic analysis of caloric test parameters in vestibular disorders

European Archives of Oto-Rhino-Laryngology — Wed, 01 Feb 2012 17:12:47 +0100

Abstract The electronystagmographical analysis of the eye movements provoked by caloric stimulation is an important method in the evaluation and topical diagnostic procedure of several vestibular lesions. The aim of the study was to compare the electronystagmographical results of caloric response in several vestibular disorders. The patients were divided into five groups: right and left unilateral and bilateral peripheral lesions, central vestibular dysfunction, and normal vestibular function. In the normal vestibular system group the average caloric nystagmus SPV in normal vestibular system was 17.4°/s. In the peripheral lesion groups the average slow phase velocities are decreased in the affected side, as we expected. In the compensated vestibular lesion the average ASP...

Gastroesophageal reflux disease and postlaryngectomy tracheoesophageal fistula

European Archives of Oto-Rhino-Laryngology — Wed, 01 Feb 2012 17:12:47 +0100

The objective of this study is to evaluate the incidence of pathologic gastroesophageal reflux in laryngectomized patient with phonatory prosthesis, analyzing potential related problems and appraising, at the same time, the effectiveness of a therapeutic protocol. A retrospective study was conducted on 43 phonatory prosthesis patients who had problems with regard to recurrent tracheoesophageal granulations, the need of frequent prosthesis replacement, within a 3-month period, and unsatisfactory vocal results. Such patients underwent physical examination of the fistula region and of the neopharynx and were submitted to esophagogastroduodenoscopy. Moreover the group of patients underwent a therapeutic protocol and were re-evaluated posttreatment, examining fistula region both on the tr...

Pain and bleeding are the main determinants of unscheduled contacts after outpatient tonsillectomy.

Pain Physician — Wed, 01 Feb 2012 05:00:00 +0100

CONCLUSION: Outpatient tonsillectomy seems safe in Denmark. A minimum postoperative observation period of four hours will reduce the need for postoperative contacts. Because of the potentially life-threatening risk related to tonsillectomy, careful patient selection is mandatory and continuous monitoring of the quality of the procedure is essential. FUNDING: not relevant. TRIAL REGISTRATION: not relevant. PMID: 22293052 [PubMed - in process] (Source: Pain Physician)

Index

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

(Source: Oral and Maxillofacial Surgery Clinics)

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Revision Rhinoplasty

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

We partition this discussion of revisional surgery based on perceived problems with the primary rhinoplasty. This will focus on either underresection or overresection of tissues and the ensuing clinical result. We also discuss some select problems associated with manipulation of tissues via suturing or grafting and briefly discuss functional considerations in secondary surgery. We advocate an open approach when performing most revision rhinoplasty. Visualization and access provided by the open approach enables the surgeon to achieve treatment goals in a more predictable fashion, however, particularly in cases requiring extensive grafting or when a different surgeon performed the previous rhinoplasty. (Source: Oral and Maxillofacial Surgery Clinics)

Correction of the Crooked Nose

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

Correction of the deviated nose is one of the most difficult tasks in rhinoplasty surgery and should be approached in a systematic manner to ensure a satisfied patient and surgeon. Correction of the deviated nose is unique in that the patient's complaints frequently include aesthetic and functional characteristics. Equal importance should be given to the preoperative, intraoperative, and postoperative aspects of the patient's treatment to ensure a favorable outcome. (Source: Oral and Maxillofacial Surgery Clinics)

Nasal Base Surgery

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

This article presents an overview of conventional concepts of alar base surgeries, which have remained unchanged over many years. Indications and limitations of each technique are discussed, followed by a more detailed description of alar release and medialization. (Source: Oral and Maxillofacial Surgery Clinics)

Dorsal Hump Surgery and Lateral Osteotomy

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

Lateral osteotomy is a controversial step in rhinoplasty, which is usually performed to narrow a wide nose, widen a narrow bony pyramid, straighten a deviated nose, or close an open roof deformity. The osteotomy is performed using several methods, although the internal continuous and external perforator are the main ways to perform the lateral osteotomy. Most other techniques are modifications of these basic methods. The purpose of this article is to review the essential concepts of nasal hump surgery and lateral osteotomy as used in cosmetic rhinoplasty. (Source: Oral and Maxillofacial Surgery Clinics)

Grafting in Cosmetic Rhinoplasty

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

This article reviews the various graft materials and the techniques and indications for their use. (Source: Oral and Maxillofacial Surgery Clinics)

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Primary Cosmetic Rhinoplasty

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

This article outlines the basic concepts that are essential in performing cosmetic rhinoplasty. (Source: Oral and Maxillofacial Surgery Clinics)

Applied Surgical Anatomy of the Nose

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

Although anatomy often seems static, the continual innovation of new surgical techniques and approaches, in reality, make it a dynamic field. The first essential principal of any surgery is the comprehensive knowledge of the anatomic area and its physiology. This assertion is especially true in functional and or cosmetic nasal surgery. (Source: Oral and Maxillofacial Surgery Clinics)

Rhinoplasty: Initial Consultation and Examination

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

This article describes the components and complexities of the initial examination in cosmetic rhinoplasty. (Source: Oral and Maxillofacial Surgery Clinics)

History of Rhinoplasty

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

This article discusses the various methods (eg, endonasal approach, external approach, and osteoplastic operations) surgeons have tried throughout history to give their patients a more attractive face by altering the one physical anatomic structure that one usually notices first. (Source: Oral and Maxillofacial Surgery Clinics)

Forthcoming Issues

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

(Source: Oral and Maxillofacial Surgery Clinics)

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Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

(Source: Oral and Maxillofacial Surgery Clinics)

Contributors

Oral and Maxillofacial Surgery Clinics — Wed, 01 Feb 2012 05:00:00 +0100

(Source: Oral and Maxillofacial Surgery Clinics)

Direct cauterization of the nasal septal artery for epistaxis

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

AbstractEmergency management of epistaxis may include the use of local pressure and vasoconstrictors, chemical or electric cautery, hemostatic agents, nasal packing, embolization and surgical arterial ligation. There is no definitive protocol for the management of epistaxis although various protocols have been proposed in the literature. As approaches to surgical ligation of the arterial supply of the nasal cavity have undergone evolution from external carotid ligation to minimally invasive approaches, surgical management of epistaxis has become more cost‐effective than embolization and may be less risky. In the surgical management of epistaxis, arterial ligation immediately proximal to the bleeding site is preferred. We propose a simple variation of the endoscopic sphenopalatine artery ...

Computational fluid dynamics for investigation of saliva pressure in parotid obstruction

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:CT sialography was effectively used for analysis of the intraductal pressure distribution in patients with parotid obstruction. Analysis of salivary fluid dynamics in the Stensen's duct may provide a further pathophysiological mechanism for obstructive diseases. (Source: The Laryngoscope)

Predictive index for lymph node management of major salivary gland cancer

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:A predictive index using the clinicopathologic factors described in this report can effectively stratify patients into risk groups for nodal metastasis. Comprehensive management based on this risk index should improve treatment outcomes for patients with salivary gland cancer. (Source: The Laryngoscope)

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Pulmonary complications after major head and neck surgery: A retrospective cohort study

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:Patients undergoing major head and neck surgery are at high risk of PPCs. Advanced age and hypertension significantly correlated with PPCs. PPCs correlate with prolonged ICU and hospital stays, and increased mortality. Further research is needed to define risk factors, useful investigations, and effective optimization strategies to mitigate PPCs. (Source: The Laryngoscope)

New technology applications: knotless barbed suture for tracheal resection anastomosis

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion:Tracheal anastomosis with running v‐loc suture is a feasible alternative to conventional closure with interrupted vicryl suture. V‐loc suture provided a surgical advantage by improved ease of use. (Source: The Laryngoscope)

Bevacizumab nasal spray: non‐invasive treatment of epistaxis in patients with Rendu‐Osler disease

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:The intranasal spray application of 50mg bevacizumab was found to be an effective symptomatic treatment over a period of 2 months for patients with a pre‐treatment ESS of <7, with no adverse effects being noted. (Source: The Laryngoscope)

Cochlear implant performance in geriatric patients

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:Geriatric cochlear implant patients have a similar learning curve to the younger adults and in speech tests in quiet show a comparable performance. However their performance is significantly lower in noisy surroundings. This may be due to the central presbycusis in patients older than 70 years and should be taken into account in postoperative fitting of geriatric patients. Further prospective studies are required to evaluate the role of special rehabilitation methods and cognitive training to improve the speech perception in noise in geriatric CI patients. (Source: The Laryngoscope)

Synthesis of atrial natriuretic peptide in the rabbit inner ear

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:Our findings suggest that ANP and its precursor protein are synthesized in the ear tissues and secreted to perilymph. This hormone may play a role in control of water and/or ion homeostasis of the fluids in the ear that are responsible for normal hearing. (Source: The Laryngoscope)

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Will a crushed concha bullosa form again?

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion:The CB crushing technique is an easy, conservative treatment modality. As the CB does not appear to reform after crushing, this technique can be considered a definitive treatment. Nevertheless, these patients should be followed for the long term. (Source: The Laryngoscope)

Modification and comparison of minimally‐invasive cochleostomy techniques: a pilot study

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:CO2 laser can create cochleostomies comparable in operative time and intracochlear temperature to drilling while decreasing intracochlear sound levels. Further investigation is warranted to minimize trauma and maximize auditory function during cochleostomy. (Source: The Laryngoscope)

Watch PAT in the diagnosis of obstructive sleep apnea: Influence of aging

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion:Beside the good agreement confirmed between PSG and Watch PAT data in each group, aging did not negatively impact Watch PAT recorded data in terms of included parameters, except the difference in ΔPSG‐Watch PAT of sleep stage 3, which may be attributable to aging and impaired vascular tone. (Source: The Laryngoscope)

Unilateral neck therapy in the human papillomavirus ERA: Accepted regional spread patterns

Head and Neck — Wed, 01 Feb 2012 05:00:00 +0100

ConclusionIn the human papillomavirus (HPV) era, bilateral neck disease is increasingly common. This seems to be a consequence of the increasing incidence of tonsillar cancer rather than a new biologic behavior. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Movement of the external ear in human embryo

Head and Face Medicine — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion: The results indicate that movement of all anatomical landmarks, including external and internal ears, can be explained by differential growth. Also, when the external ear is recognized as one of the facial landmarks and having a relative position to other landmarks such as the eyes and mouth, the external ears seem to move cranially. (Source: Head and Face Medicine)

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Canadian guidelines for rhinosinusitis: practical tools for the busy clinician

BMC Ear, Nose and Throat Disorders — Wed, 01 Feb 2012 05:00:00 +0100

Patients with acute bacterial rhinosinusitis (ABRS) or chronic rhinosinusitis (CRS) are seen frequently in clinical practice. Guidelines for the management of these two conditions have been published extensively in the past. However, guidelines that addressed issues specific to the Canadian healthcare environment while offering clear guidance for first-line clinicians was needed, and resulted in the recent publication of Canadian clinical practice guidelines for ABRS and CRS. In addition to addressing issues specific to Canadian physicians, the presented guidelines are applicable internationally, and offer single algorithms for the diagnosis and management of ABRS and CRS, as well as expert opinion in areas that do not yet have an extensive evidence base.See guidelines at: http://www.aacij...

Does treatment of the laryngeal mucosa reduce dystonic symptoms? A prospective clinical cohort study of mannose binding lectin and other immunological parameters with diagnostic use of phonatory function studies

European Archives of Oto-Rhino-Laryngology — Tue, 31 Jan 2012 07:05:19 +0100

This study examined efficacy of the innate immune defence via the mannose binding lectin (MBL) in a cohort of 55 dystonic patients prospectively referred to the clinic with laryngeal mucosal complaints, who were placed on local steroids (budesonid inhaler, 400 μg 2 times daily) and antihistamines (fexofenadin 180 mg mostly 3 times daily) with adjuvant lifestyle corrections. Treatment efficacy of the larynx was assessed based on mucosal findings of the vocal folds examined with phonatory function studies (PhFS) comprising simultaneous high-speed digital images, kymography, electroglottography and voice acoustics combined with a visual score of arytenoids oedema, as these measures are indicative of the magnitude of laryngitis. Lactose and gluten intolerance and immunological...

In Response to Evolution of Eustachian Tube Surgery

The Laryngoscope — Tue, 31 Jan 2012 05:00:00 +0100

(Source: The Laryngoscope)

Tissue remodeling gene expression in a murine model of chronic rhinosinusitis

The Laryngoscope — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions:Induction of CRS is associated with time‐dependent changes in tissue remodeling cytokine expression occurring in conjuction with inflammatory tissue changes. Antibody staining for upregulated cytokines suggests local production within the sinonasal mucosa. Further study is required to better understand the association between BMP, FGF, and MMP regulation and tissue remodeling changes resulting from chronic inflammation. (Source: The Laryngoscope)

In Response

The Laryngoscope — Tue, 31 Jan 2012 05:00:00 +0100

(Source: The Laryngoscope)

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Comparison of computed tomography and magnetic resonance imaging for evaluation of cholesteatoma with labyrinthine fistulae

The Laryngoscope — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions:SIR was more strongly correlated than CT findings to the clinical status of patients with labyrinthine fistulae caused by cholesteatoma. Adhesion of the cholesteatoma matrix to the membranous labyrinth correlated with the SIR; thus, SIR may accurately reflect the extent of inner ear dysfunction with a labyrinthine fistula. (Source: The Laryngoscope)

mTHPC mediated interstitial photodynamic therapy of recurrent nonmetastatic base of tongue cancers: Development of a new method

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionThe initial results are encouraging. There is room for improvement to control the destructive potential of iPDT through planning and monitoring tools. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Cephalometric analysis for microvascular head and neck reconstruction

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionWhen premorbid craniofacial anatomy cannot be discerned in the setting of extensive trauma or tumor involvement, normative dimensions may be a helpful guide for flap design and should be in the armamentarium of surgeons engaged in complex head and heck reconstruction. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Anti‐proliferative effect of glucocorticoids on mesenchymal cells in juvenile angiofibromas

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionExpression of GRs and antiproliferative effects of GCs on juvenile angiofibroma fibroblasts offer novel options for the treatment of this unique fibrovascular tumor. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Value of narrow band imaging endoscopy in early mucosal head and neck cancer

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionThe brownish spots have higher reliability for screening in early cancer of the mouth floor, hypopharynx, and epiglottis, but not in other mucosal sites. Mucosal sites with type 2a epithelium have a higher tendency of demonstrating brownish spots. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Abdominal compression: A new intraoperative maneuver to detect chyle fistulas during left neck dissections that include level IV

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionTo our knowledge, this is the first description of a specific maneuver to actively detect a lymphatic fistula at the end of a left neck dissection involving level IV. In this study, intraoperative abdominal compression was able to detect an open lymphatic vessel in 6.3% of the cases, as well as to assure its effective sealing in the remaining 93.7% of the patients. Moreover, no life‐threatening high‐volume fistula was noted in this study. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Reply to Letter to the Editor

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Use of an intraoperative shunt for easy resection of complicated carotid body tumors

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionsAn intraoperative shunt maintained cerebral circulation, decreased the size of tumor by excluding the vascular supply of the external carotid artery, and guided the resection of CBT. The intraoperative shunt was a safe and effective way during surgical resection of complicated CBTs. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Sporadic or familial head neck paragangliomas enrolled in a single center: Clinical presentation and genotype/phenotype correlations

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionAdequate morpho‐functional screening and follow‐up and, if possible, genetic testing is advisable in patients with head/neck paraganglioma. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Parathyroid cancer: Outcome analysis of 16 patients treated at the princess margaret hospital

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionIn patients with parathyroid carcinoma, definition of prognostic factors and the role of adjuvant radiation treatment has still to be elucidated. Nevertheless, angioinvasion and positive resection margins are critical factors regarding disease‐free survival in patients with parathyroid carcinomas. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Skull base surgery: Basic techniques

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Assessment of second tier lymph nodes in melanoma and implications for extent of elective neck dissection in metastatic cutaneous malignancy of the parotid

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionThe risk of harboring occult metastasis in levels I, IV, and V when levels II and III are negative is low. Levels II and III neck dissection is likely to be an effective staging procedure in patients with isolated parotid metastases. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Abstracts

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Atlas of head and neck surgery: Expert consult

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Cutaneous malignancy of the head and neck: A multidisciplinary approach

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

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Head and neck pathology (Consultant Pathology)

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Cheek mucosa: A versatile donor site of myomucosal flaps. Technical and functional considerations

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionBuccinator myomucosal flaps can be considered “ideal flaps” for three‐dimensional oral and oropharyngeal reconstructions. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Cricotracheal reconstruction with free radial forearm flap and titanium mesh

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionThis reconstructive technique enabled us to maintain the integrity of the subglottic airway. Our technique was unique in that we used the skin‐lined part of the radial forearm flap to line the airway and the fascia to cover the titanium mesh outside, thereby preventing plate exposure. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Imaging for otolaryngologists

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Diagnostic imaging: Head and neck, 2nd edition

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

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Ent—head and neck surgery: Essential procedures

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

Minor salivary gland tumors of the sinonasal region: Results of a retrospective analysis with review of literature

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionsMinor salivary gland tumors have a good overall survival in spite of high recurrence rates. Tumor grade, nodal status, and adjuvant radiotherapy are independent predictors of DFS. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Acquired arteriovenous fistula associated with traumatic oroantral fistula: Endovascular treatment

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionsArteriovenous fistulas may accompany oroantral fistulas created by trauma or surgery and should be considered in patients presenting with chemosis and proptosis. Treatment with embolization should be performed before surgical intervention. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Implications of a positive sentinel node in oral squamous cell carcinoma

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionsThe results are preliminary but suggest that both the number and the position of positive sentinel nodes may identify different prognostic groups that may allow further tailoring of management plans. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Intraosseous carcinoma of the jaws: A clinicopathologic review. part II: Odontogenic carcinomas

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

AbstractThis is the second of a 3‐part review of the clinicopathologic features of intraosseous carcinoma of the jaws (IOCJ). This part deals with odontogenic carcinomas, rare entities that are difficult to evaluate because of changes in classification/nomenclature, lack of standardized diagnostic criteria, and variable consistency of the existing literature. Endorsing a critical approach, problems are addressed and areas of uncertainty are highlighted. As in part I, we emphasize histopathologic features from a diagnostic point of view and also question the existence of some “distinct” entities. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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Intraosseous carcinoma of the jaws: A clinicopathologic review. Part III: Primary intraosseous squamous cell carcinoma

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

AbstractThis is the third part of a review of the clinicopathologic features of intraosseous carcinoma of the jaws (IOCJ). In parts 1 and 2, we discussed metastatic and salivary‐type and odontogenic carcinomas, respectively. This part deals with primary intraosseous squamous cell carcinoma. Again, based on a critical approach, we emphasize histopathologic features, diagnostic difficulties, discuss histogenesis, and highlight areas of uncertainty. The 3‐part review also offers speculations on how future studies may refine our understanding of the unusual and interesting IOCJ. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Intraosseous carcinoma of the jaws—A clinicopathologic review. Part I: Metastatic and salivary‐type carcinomas

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

AbstractThis is the first part of a 3‐part comprehensive review of intraosseous carcinoma of the jaws. We have outlined 4 groups of intraosseous carcinoma of the jaws (metastatic, salivary‐type, odontogenic, and primary intraosseous carcinoma), emphasizing the need for accurate diagnosis and the problems associated with changing classification systems, standardization of diagnostic criteria and nomenclature, and the accuracy of existing literature. In this first part, the features of metastatic and the very rare salivary‐type carcinomas of the jaws are examined with particular emphasis on histologic and immunohistochemical characteristics, diagnostic difficulties, and uncertainties. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Letter to the Editor: Lymph nodes thyroglobulin measurement after rhTSH stimulation

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

(Source: Head and Neck)

New approach to analyze genetic and clinical data in bisphosphonate‐induced osteonecrosis of the jaw

Oral Diseases — Tue, 31 Jan 2012 05:00:00 +0100

Conclusion: The statistical approach applying PCA to our data may contribute to the better understanding of factors playing role in the development of bisphosphonate‐induced ONJ.© 2012 John Wiley & Sons A/S (Source: Oral Diseases)

The Efficiacy of Sternocleidomastoid Muscle Flap on Frey’s Syndrome via a Novel Test: Galvanic Skin Response

Indian Journal of Otolaryngology and Head and Neck Surgery — Mon, 30 Jan 2012 16:06:38 +0100

Abstract The aim of this study was to evaluate the effects of sternocleidomastoid (SCM) muscle flap on preventing Frey’s syndrome by using, Galvanic skin responses (GSR). Fourty-three patients who underwent superficial parotidectomy were randomly divided into two groups and their GSR were recorded. SCM muscle flap was applied over the surgical area only in one group. Six months after the surgery, GSRs were remeasured. In addition, the patients completed a questionnaire regarding their complaints about clinical Frey’s syndrome. Four patients had symptoms of clinical Frey’s syndrome. Postoperative GSR measurements revealed no significant difference between two sides in flap group (p = 0.426) but higher in without flap group (p = 0.003). The patients ...

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Clinical significance of elevated spleen tyrosine kinase expression in nasopharyngeal carcinoma

Head and Neck — Sun, 29 Jan 2012 20:16:00 +0100

ConclusionHigh expression of Syk, which results partly from LMP2A expression in NPC, is associated with tumor recurrence and poor prognosis of patients with NPC. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Modeling the Anti-masking Effects of the Olivocochlear Reflex in Auditory Nerve Responses to Tones in Sustained Noise

JARO - Journal of the Association for Research in Otolaryngology — Fri, 27 Jan 2012 17:53:55 +0100

Abstract The medial olivocochlear reflex (MOCR) has been hypothesized to provide benefit for listening in noise. Strong physiological support for an anti-masking role for the MOCR has come from the observation that auditory nerve (AN) fibers exhibit reduced firing to sustained noise and increased sensitivity to tones when the MOCR is elicited. The present study extended a well-established computational model for normal-hearing and hearing-impaired AN responses to demonstrate that these anti-masking effects can be accounted for by reducing outer hair cell (OHC) gain, which is a primary effect of the MOCR. Tone responses in noise were examined systematically as a function of tone level, noise level, and OHC gain. Signal detection theory was used to predict detection and disc...

[Invasive aspergillosis of the maxillary sinus in an immunocompetent patient.]

Revue de Stomatologie et de Chirurgie Maxillo-Faciale — Fri, 27 Jan 2012 05:00:00 +0100

We report a pseudo-tumoral presentation of invasive aspergillosis of the maxillary sinus, in immunocompetent adult. CASE REPORT: A 70-year-old female patient consulted for chronic rhino-sinusitis resistant to medical treatment. Computed tomography scan revealed a hyperdense mass filling the left maxillary antrum, with erosion of sinus walls. The ethmoidal and right frontal sinuses were involved. The histological and mycological examination of the surgical resection confirmed the diagnosis of invasive aspergillosis. The patient was given voriconazole as first line treatment. The outcome was good at 18 months. DISCUSSION: Invasive aspergillosis of the maxillary sinus is a rare disease, usually observed in immunodepressed patients. It is very rarely observed in immunocompetent patients. P...

Viability of full‐thickness skin grafts used for correction of cicatricial ectropion of lower eyelid in previously irradiated field in the periocular region

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionOur findings suggest that full‐thickness skin grafts are a nice option for correction of cicatricial lower eyelid ectropion in a previously radiated field; 100% of the grafts survived. The majority of patients had improvement of ocular surface damage and symptoms, with a decreased dependence on topical lubricants. All evaluable patients had improvement in the degree of cicatricial lower eyelid ectropion, although close to one‐half of patients had some mild residual ectropion. The majority of patients had excellent appearance of the skin graft. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

t(3;8) as the sole chromosomal abnormality in a myoepithelial carcinoma ex pleomorphic adenoma: A putative progression event

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionsCollectively, both the cytogenetic and the molecular studies suggest the concept that PA lacking alterations pursue a benign behavior, whereas those with the t(3;8) translocation may progress to carcinoma. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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inducTION of mage‐A3 and HPV‐16 immunity by Trojan vaccines in patients with head and neck carcinoma

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionThis treatment regimen seems to have acceptable toxicity and elicits measurable systemic immune responses against HLA‐II restricted epitopes in a subset of patients with advanced SCCHN. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Emergency airway management: Training and experience of chief residents in otolaryngology and anesthesiology

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionOtolaryngology and anesthesiology emergency airway management experience/training is heterogeneous and nonstandardized. Many chief residents graduate with little exposure to airway emergencies, especially surgical airways. Resident confidence levels are high despite minimal experience. This high confidence‐low experience dichotomy may reflect novice overconfidence and suggests the need for improved training methods. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Opportunities and challenges facing biomarker development for personalized head and neck cancer treatment

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

AbstractHead and neck oncologists have traditionally relied on clinical tumor features and patient characteristics to guide care of individual patients. As surgical, radiotherapeutic, and systemic treatments have evolved to become more anatomically precise and mechanistically specific, the opportunity for improved cure and functional patient recovery has never been more promising for this historically debilitating cancer. However, personalized treatment must be accompanied by sophisticated patient selection to triage the application of advanced therapies toward ideal patient candidates. In this monograph, we review current progress, investigative themes, and key challenges facing head and neck cancer biomarker development intended to make personalized head and neck cancer treatment a clini...

Maxillary reconstruction using the scapular tip free flap: A radiologic comparison of 3D morphology

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionsBased on this analysis, there is close similarity between the shapes of the palate and the scapular tip. This similarity supports use of the scapular tip flap for selected palate defects. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Expression of hedgehog signaling molecules as a prognostic indicator of oral squamous cell carcinoma

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionOur results suggest sonic hedgehog (Shh) pathway plays an important role in OSCC progression and should be considered a potential therapeutic target. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

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High prevalence of vitamin D insufficiency in patients with head and neck cancer at diagnosis

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

ConclusionSubnormal vitamin D levels were found in a significant proportion of the patients. Because vitamin D deficiency may pose these patients to increased risk of therapy‐related morbidity, special attention should be paid to correction of this nutritional deficiency. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Level V in therapeutic neck dissections for papillary thyroid carcinoma

Head and Neck — Fri, 27 Jan 2012 05:00:00 +0100

AbstractNeck dissection for papillary thyroid carcinoma (PTC) is the standard of care for patients with clinical evidence of regional metastases. However, the extent of neck dissection is debatable. The purpose of the current study was to develop evidence‐based recommendations for when to include level V, or 1 of its sublevels, among patients with PTC undergoing neck dissection. A literature review of all studies evaluating the occurrence of metastases in level V in patients with regional metastases from PTC undergoing neck dissection was performed. Occurrence of metastases at level V is low in most series (5% to 10%), although a wide range was noticed. In cases in which metastases were found at level V, they occurred almost exclusively at sublevel VB. Sublevel VA was rarely, if ever, in...

Announcements

Journal of Cranio-Maxillofacial Surgery — Thu, 26 Jan 2012 20:43:33 +0100

(Source: Journal of Cranio-Maxillofacial Surgery)

EACMFS Prizes & Awards

Journal of Cranio-Maxillofacial Surgery — Thu, 26 Jan 2012 20:43:33 +0100

(Source: Journal of Cranio-Maxillofacial Surgery)

Editorial Board

Journal of Cranio-Maxillofacial Surgery — Thu, 26 Jan 2012 20:43:31 +0100

(Source: Journal of Cranio-Maxillofacial Surgery)

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Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

(Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

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Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

(Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

(Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Preoperative predictive model of cervical lymph node metastasis combining fluorine-18 fluorodeoxyglucose positron-emission tomography/computerized tomography findings and clinical factors in patients with oral or oropharyngeal squamous cell carcinoma

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

Conclusions: The use of predictive models that include clinical factors and delayed-phase SUVmax and SUV-IR improve preoperative nodal diagnosis. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Mucocutaneous dyskeratosis with periodontal destruction and premature tooth loss

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

We report the case of a 16-month-old boy who presented an exuberant erythematous gingival swelling and severe tooth mobility. Radiographic examination confirmed alveolar bone loss, and gingival biopsy showed epithelium containing numerous dyskeratotic cells. Because of feeding difficulties, the enlarged gingival tissue and involved teeth were removed. One year later, similar problems were encountered during the eruption of the deciduous second molars. The patient also exhibited papular skin lesions. Histopathologic features on biopsies of the skin and oral lesions were similar. The oral and cutaneous lesions presented by this patient were similar to those described by From et al. in 1978 in a father and son, reported as dyskeratosis benigna intraepithelialis mucosae et cutis hereditaria—...

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Gingival bleeding and jaw bone necrosis in patients with metastatic renal cell carcinoma receiving sunitinib: Report of 2 cases with clinical implications

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

We report on 2 patients with mRCC treated with sunitinib. The first patient, a 19-year-old woman, treated with cisplatin and sunitinib, presented with oral pain, malodor, spontaneous and continuous gingival bleeding, and painful necrotic ulcerations clinically resembling necrotizing ulcerative gingivitis (NUG). Suntinib-related stomatitis and bleeding were considered cumulative to NUG symptoms. The second patient, a 64-year-old woman, treated with sunitinib only, complained of mandibular pain. Sunitinib-related jaw osteonecrosis was diagnosed. Gingival bleeding and soft tissue necrosis, as well as jaw osteonecrosis may develop as adverse events of sunitinib use. Antiangiogenic therapies are increasingly used in the treatment of cancers. The presented cases are aimed to alert health care pr...

Cracks in dentin and enamel after cryopreservation

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

Conclusion: Although cryopreservation of teeth according to the standard protocol does not generate cracks more than 0.8 μm wide, the use of forceps can result in prominent cracks. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Facial necrotizing fasciitis from an odontogenic infection

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:21 +0100

We describe a case of necrotizing fasciitis of the head and neck, arising from odontogenic origin. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Slow-growing gingival mass

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:20 +0100

Conclusions: The clinical features, microscopic findings, immunohistochemistry, and the differential diagnosis including the relationship to the neurothekeoma are discussed. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Cobalt-based dental alloy, allergy to cobalt, and palmoplantar pustulosis—reply

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:20 +0100

Thank you for allowing us to respond to the Letter to the Editor appearing in this journal. The writers' suggestion regarding the potential relationship between tobacco smoking and palmoplantar pustulosis (PPP) is reasonable. The patient was a cigarette smoker for >20 years. However, he could not recall any hypersensitivity reactions or symptoms of PPP during that 20-year history of smoking. He ceased smoking because it was suggested that he take some traditional Chinese medicine prescribed by his physician; however, the symptoms of PPP were not eliminated until the chromium-cobalt alloy casting crowns were removed. The patient had no mercury dental amalgam restorations in his oral cavity. Therefore, we think the findings suggest that the cobalt in the alloy casting crowns is most likely r...

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Cobalt-based dental alloy, allergy to cobalt, and palmoplantar pustulosis

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:20 +0100

Song et al., in their case report, documented the first observations of idiopathic palmoplantar pustulosis (PPP) due to cobalt allergy released from dental crowns. Because we have long been interested in skin diseases associated with dental alloy restorations, we would like to emphasize 2 points about this case study. It would have been interesting if the authors had included mercury compound allergens for screening for contact allergy to dental amalgam, because mercury has been associated with PPP. There is evidence that PPP is a chronic inflammatory disease of the skin, in which inflammation is driven by leukocyte infiltration with associated pustular lesions caused and/or exacerbated by metals. In this regard, it is well known that mercury-containing dental amalgam filling releases elem...

Impact versus impact factor and Eigenfactor

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:20 +0100

At this year's editors' meeting, we discussed the Journal's most recent impact factor calculated by Journal Citation Reports. The Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology's (OOOO's) impact factor (1.5) is relatively similar to the prior 2 years. We all agreed that this score is worth improving for many reasons, including the obvious- that better articles are theoretically submitted to journals with higher impact factors. In fact, the editors mentioned that authors often relate that they would like to submit their findings to OOOO, but they need to submit their research findings to a journal with a higher impact factor. This interpretation of the impact factor has the potential for misplaced value, however, as the impact factor is only one measure of the standing of a tit...

Editorial Board

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Thu, 26 Jan 2012 20:43:20 +0100

(Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Alterations of Smad expression and activation in defining 2 subtypes of human head and neck squamous cell carcinoma

Head and Neck — Thu, 26 Jan 2012 20:33:28 +0100

ConclusionOur results indicate that HNSCC in which Smad2/3 are inactivated or in which Smad4 expression is lost represent 2 distinct tumor subtypes with different clinical outcomes. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Non‐exposed Bisphosphonate Related Osteonecrosis of the Jaw: A Critical Assessment of Current Definition, Staging, and Treatment Guidelines

Oral Diseases — Thu, 26 Jan 2012 20:29:51 +0100

AbstractNon‐exposed bisphosphonate related osteonecrosis of the jaw (BRONJ) is a newly reported complication arising from bisphosphonate therapy which presents with atypical symptoms and no apparent mucosal fenestration or exposure of necrotic bone. The clinical observation of the presence of necrotic bone underneath normal epithelial coverage was not conclusive for the diagnosis of BRONJ based on current guidelines established by the American Association of Oral and Maxillofacial Surgeons (AAOMS) and the American Society for Bone and Mineral Research (ASBMR), which specify the presence of clinically exposed necrotic bone for more than 8 weeks. Hence, the purpose of this review is to critically assess the current guidelines for diagnosis and management of BRONJ and propose a modified sta...

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Stress Velopharyngeal Incompetence (SVPI) in Collegiate Trombone Players.

The Cleft Palate-Craniofacial Journal — Thu, 26 Jan 2012 05:00:00 +0100

Conclusions: Symptoms of SVPI do not necessarily indicate the presence of a velopharyngeal-nasal leak during wind instrument playing, but may reflect awareness of air leaks immediately prior to sound production. Pre-sound velopharngeal-nasal air leaks may be amenable to behavioral modification by biofeedback and instruction. Nasal pressure measurement (using a nasal cannula) provides a simple, yet powerful, way to identify SVPI. PMID: 22280014 [PubMed - as supplied by publisher] (Source: The Cleft Palate-Craniofacial Journal)

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Revue de Stomatologie et de Chirurgie Maxillo-Faciale — Thu, 26 Jan 2012 05:00:00 +0100

Rev Stomatol Chir Maxillofac. 2012 Jan 26; Authors: Hattab NM PMID: 22284628 [PubMed - as supplied by publisher] (Source: Revue de Stomatologie et de Chirurgie Maxillo-Faciale)

[DC-F technique cartilage graft for nasal saddle correction.]

Revue de Stomatologie et de Chirurgie Maxillo-Faciale — Thu, 26 Jan 2012 05:00:00 +0100

We describe the technical procedure used to correct severe nasal saddles with stable results. DISCUSSION: Diced cartilage grafts wrapped in temporal fascia is an interesting alternative in rhinoplasty with dorsal augmentation: this composite graft is malleable and can be used whatever the quality of the recipient site. It remains malleable postoperatively. PMID: 22284847 [PubMed - as supplied by publisher] (Source: Revue de Stomatologie et de Chirurgie Maxillo-Faciale)

Programming peculiarities in two cochlear implant users with superficial siderosis of the central nervous system

European Archives of Oto-Rhino-Laryngology — Wed, 25 Jan 2012 18:14:53 +0100

Conclusion The implants were fairly beneficial in restoring hearing and improving communication abilities although many reprogramming sessions have been required. The hurdle in programming was the need of frequent adjustments due to the physiologic variations in electrical discharges and neural conduction, besides the changes in the impedances. Patients diagnosed with superficial siderosis may achieve limited results in speech perception scores due to both cochlear and retrocochlear reasons. Careful counseling about the results must be given to the patients and their families before the cochlear implantation indication. Content Type Journal ArticleCategory Case ReportPages 1-9DOI 10.1007/s00405-011-1850-1Authors Aline Gomes Bittencourt, Department of Otolaryngolog...

MedWorm: ENT & OMF

Voice and swallowing after partial laryngectomy: Factors influencing outcome

Venous malformations of the temporal bone are a common feature in CHARGE syndrome

Usefulness of Choline-PET for the detection of residual hemangiopericytoma in the skull base: comparison with FDG-PET

In reference to Evolution of eustachian tube surgery

Application of microfluidic systems in management of head and neck squamous cell carcinoma

Antitumor effect of vandetanib through EGFR inhibition in head and neck squamous cell carcinoma

Carcinosarcoma de novo of the parotid gland: Case report

Up‐front neck dissection followed by concurrent chemoradiation in patients with regionally advanced head and neck cancer

Serial suture ligation glossectomy for squamous cell carcinoma in the setting of a massive lymphovascular malformation

Parapharyngeal space tumors: Another consideration for otalgia and temporomandibular disorders

Second, third, and fourth head and neck tumors. A progressive decrease in survival

Ethmoid sinus osteoma: Diagnosis and management

Significant overexpression of the Merkel cell polyomavirus (MCPyV) large T antigen in Merkel cell carcinoma

Lipoleiomyosarcoma of the larynx

Prognostic value of 18F‐FDG PET/CT in patients with squamous cell carcinoma of the tonsil: Comparisons of volume‐based metabolic parameters

Proposal of landmarks for clamping neurovascular elements during endoscopic surgery of the supraglottic region

Management of the neck and regional recurrence in squamous cell carcinoma of the maxillary alveolus and hard palate compared with other sites in the oral cavity

Primary neuroendocrine neoplasms of the larynx. A series of 4 cases reported and a review of the literature

Stage grouping in tumors of the ethmoid sinuses and the nasal cavity using the sixth edition of the UICC classification of malignant tumors

Associations between oral health‐related quality of life and emotional statuses in children and preadolescents

Aphysiologic performance on dynamic posturography in work-related patients

Spontaneous CSF Rhinorrhea Our Experience

Analysis of the Cochlear Amplifier Fluid Pump Hypothesis

Effect of Streptococcus sanguinis/Porphyromonas gingivalis single and combined biofilms upon platelet aggregation

Vocal characteristics in patients with type 2 diabetes mellitus

Subtotal laryngectomy: outcomes of 469 patients and proposal of a comprehensive and simplified classification of surgical procedures

Deficits in Responding to Brief Noise Offsets in Kcna1 −/− Mice Reveal a Contribution of This Gene to Precise Temporal Processing Seen Previously Only for Stimulus Onsets

Combined Laryngocele Secondary to Localized Laryngeal Amyloidosis

Surgical Treatment Outcomes of Patients with Bilateral Warthin Tumors in the Parotid Gland

Histopathologic Relationship Between Ethmoid Sinus and Ipsilateral Middle Turbinate in Non-Polypose Chronic Sinusitis by FESS

Technology transfer

A functional variation in the hypocretin neuropeptide precursor gene may be associated with obstructive sleep apnea syndrome in Japan

Radiofrequency volumetric tissue reduction of the inferior turbinate in a sheep model

Topical corticosteroids applied with a squirt system are more effective than a nasal spray for steroid‐dependent olfactory impairment

In reference to high BMI value is a risk factor but not a contraindication for CO2 retention in HFJV during airway surgery

Mediastinal goiter presenting with ventricular tachycardia

Increased radioresistance via G12S K‐Ras by compensatory upregulation of MAPK and PI3K pathways in epithelial cancer

AlloDerm and DermaMatrix implants for parotidectomy reconstruction: A histologic study in the rat model

Clinical value of endosonography in the assessment of laryngeal cancer

Multimodality approach for advanced‐stage juvenile nasopharyngeal angiofibromas

Hyalinizing clear cell adenocarcinoma of the oropharynx

Venous thromboembolism in patients with head and neck cancer after surgery

Hyperparathyroidism–jaw tumor syndrome

Life‐threatening cervical spine collapse as a result of postradiation osteonecrosis—case report and review of the literature

Total thyroidectomy with ultrasonic scalpel: A multicenter, randomized controlled trial

Superficial temporal artery aneurysm: Diagnosis and treatment options

The Effect of Combined Medical Treatment on Quality of Life in Persistent Allergic Rhinitis

Chronic Rhino-Sinusitis and Asthma: Concept of Unified Airway Disease (UAD) and its Impact in Otolaryngology

Could Cellular Proliferation Be a Predictive Index for the Relapse of Nasal Polyposis and Down-Regulated by Nasal Steroid Treatment?

Bilateral Single Sitting Myringoplasty Using Tragal Cartilage from One Ear

Thyroid incidentalomas in FDG-PET/CT: prevalence and clinical impact

Severity of depression and anxiety in obstructive sleep apnea syndrome

Electronystagmographic analysis of caloric test parameters in vestibular disorders

Gastroesophageal reflux disease and postlaryngectomy tracheoesophageal fistula

Pain and bleeding are the main determinants of unscheduled contacts after outpatient tonsillectomy.

Index

Revision Rhinoplasty

Correction of the Crooked Nose

Nasal Base Surgery

Dorsal Hump Surgery and Lateral Osteotomy

Grafting in Cosmetic Rhinoplasty

Primary Cosmetic Rhinoplasty

Applied Surgical Anatomy of the Nose

Rhinoplasty: Initial Consultation and Examination

History of Rhinoplasty

Forthcoming Issues

Contents

Contributors

Direct cauterization of the nasal septal artery for epistaxis

Computational fluid dynamics for investigation of saliva pressure in parotid obstruction

Predictive index for lymph node management of major salivary gland cancer

Pulmonary complications after major head and neck surgery: A retrospective cohort study

New technology applications: knotless barbed suture for tracheal resection anastomosis

Bevacizumab nasal spray: non‐invasive treatment of epistaxis in patients with Rendu‐Osler disease

Cochlear implant performance in geriatric patients

Synthesis of atrial natriuretic peptide in the rabbit inner ear

Will a crushed concha bullosa form again?

Modification and comparison of minimally‐invasive cochleostomy techniques: a pilot study

Watch PAT in the diagnosis of obstructive sleep apnea: Influence of aging