MedWorm: ENT & OMF

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International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

(Source: International Journal of Pediatric Otorhinolaryngology)

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Calendar of Events

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

(Source: International Journal of Pediatric Otorhinolaryngology)

A child with lipoid proteinosis of larynx, skin and lymph nodes

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

We read with interest the article by Acar et al. in which they reported four cases of lipoid proteinosis (LP) of the larynx. LP also known as Urbach–Wiethe syndrome. This is an extremely rare autosomal recessive disorder characterised by hyaline and lipid deposits especially involving the upper respiratory tract and skin. Laryngeal lesion cause hoarseness and a weak cry as the first signs of the disease. The etiology remains unclear, but the symptoms relate to deposition of an amorphous eosinophilic hyaline-like material. This can occur in the skin, particularly around dermal microvessels, mucosa and sometimes internal organs . Skin lesions are very variable. Common ones include tiny yellow papules, plaques, acneform and varioliform scars . Beaded papules may also develop along the eyeli...

Evaluation for language and speech development in Kabuki make-up syndrome: A case report

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

Abstract: Kabuki make-up syndrome (KMS) is defined as a rare syndrome with mental retardation, growth deficiency and multiple anomalies of unknown cause. Cases have a characteristic facial appearance of broad and low auricles, wide forehead, broad and flattened nose root. In this article, 4-year, 10-month-old boy with speech delay reported due to characteristics of the facial appearance is considered as KMS, a rare syndrome. Otological, audiological and developmental evaluation of the patient consisted of six parameters. (1) ENT examination: normal. (2) Audiological findings were at normal hearing levels. (3) General development (according to the Denver II test), was normal. (4) Language and speech development: receptive language development was 2 years more than the chronological age. How...

Microdebrider resection of acquired subglottic cysts: Case series and review of the literature

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

Conclusions: The laryngeal microdebrider offers a safe and effective way to remove SGC with a low recurrence rate. (Source: International Journal of Pediatric Otorhinolaryngology)

Retrograde nasal intubation via the cleft in Pierre-Robin Sequence neonates: A case series

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

Abstract: Pierre-Robin Sequence, the triad of glossoptosis, micrognathia and cleft palate, provides a challenge in airway management both in and out of the operating room. Transnasal intubation is greatly preferred during its surgical intervention for maximum oral exposure in these very small patients without the added encumbrance of an oral endotracheal tube. From 2001 to 2009, three neonates with Pierre-Robin Sequence who underwent surgery to improve their airway had a novel method of securing a transnasal airway performed in the operating theater. After successful placement of a laryngeal mask airway (LMA) and subsequent endotracheal intubation via the LMA, this technique was used to convert from an oral to a nasal intubation. After the LMA is removed, a smaller endotracheal tube is pla...

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Bacteremic methicillin-resistant Staphylococcus aureus deep neck abscess in a newborn—Case report and review of literature

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:50 +0100

We describe an unusual localization of methicillin-resistant Staphylococcus aureus infection (MRSA) in a very young newborn. A 3-week-old male infant was admitted with fever, irritability, sialorrhea and stiffed left neck. The ENT examination revealed a deep neck mass and an ultrasound examination showed diffuse swelling of the left latero-pharyngeal area. A CT examination confirmed a deep neck abscess with difficult-to-define borders. Blood and nasopharyngeal cultures returned positive for MRSA. Treatment was started with intravenous teicoplanin and continued for 14 days with a marked decrease in abscess's dimensions and improvement in patient's general condition. MRSA should be suspected in the etiology and treatment of neck abscesses in newborns, infants and young children. (Source: Int...

Successful treatment of isolated subglottic haemangioma with propranolol alone

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

We describe the successful treatment with propranolol, of a stridulous four-month-old child with a 95% obstructing subglottic haemangioma. This was achieved without the need for tracheostomy or any other surgical intervention, and with no reported side effects. We now believe the new discovery of a dramatic response to propranolol allows treatment in the acute setting and following further study may render surgical treatment of subglottic haemangioma obsolete. (Source: International Journal of Pediatric Otorhinolaryngology)

Complete traumatic laryngotracheal disruption—A case report and review

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Abstract: Blunt neck trauma is an infrequent cause of injury in the pediatric population; however, significant injury is possible even with minor trauma to the neck. The authors present the previously unreported case of a combined laryngotracheal and esophageal disruption as well as a severe laryngeal crush injury in a pediatric patient following a blunt, clothesline neck injury. Immediate management of laryngotracheal or esophageal separation is frequently discussed, but little information exists concerning long-term treatment and management of total laryngotracheal disruption and crush injuries in pediatric patients. A review of the literature is presented to address these concerns. (Source: International Journal of Pediatric Otorhinolaryngology)

Migratory foreign body of neck in a battered baby: A case report

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

We report here a case of battered baby with homicidal marble ingestion which perforated the esophagus and migrated into the soft tissue of neck. It was diagnosed after 21 days asymptomatic period. The foreign body migrated into the tracheo-esophageal groove, lying deep to strap muscles, which was removed by neck exploration. (Source: International Journal of Pediatric Otorhinolaryngology)

Outpatient administration of radioactive iodine after total thyroidectomy for pediatric thyroid cancer: A report of three cases

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Abstract: Radioactive iodine is used as an anti-cancer reagent for papillary and follicular thyroid carcinomas. Patients that are administered a large dose of radioactive iodine are required to stay alone in an isolated room for several days. Some young children with thyroid carcinoma who cannot take care of themselves are not able to undergo this therapy. We tried outpatient administration of 131I for these patients. In Japan, administration for outpatients is restricted to 500MBq (13.5mCi). We administrated 13mCi 131I to three patients suffering from pediatric thyroid carcinomas. One patient with recurrent follicular carcinoma in the neck showed complete loss of the thyroid bed and an undetectable level of serum thyroglobulin 7 months after the first administration of 131I, and no furthe...

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Patency of nasopharynx and a cephalometric image in the children with orthodontic problems

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Conclusions: In cases of malocclusion of skeletal character, coexisting with adenoid hypertrophy, adenoidectomy should be carried out as early as possible. (Source: International Journal of Pediatric Otorhinolaryngology)

Is Carhart notch an accurate predictor of otitis media with effusion?

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Conclusions: Significant CN is a sensitive diagnostic tool for detection of MEE but not specific. The diagnosis of OME in children requires a combinational diagnostic methods including tympanometry and audiometric variables especially CN. (Source: International Journal of Pediatric Otorhinolaryngology)

Psychological stress and family functioning in mothers of children with allergic rhinitis

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Conclusion: Psychiatric symptoms observed in mothers of children with allergic rhinitis might be associated with child disease and the functioning of the entire family rather than features of the mother alone. Having a child with allergic rhinitis does not affect family functions according to the mother's aspect. (Source: International Journal of Pediatric Otorhinolaryngology)

Parents’ views on the quality of life of their children 2–3 years after cochlear implantation

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:49 +0100

Conclusions: Parents report that cochlear implants affect their children in a wide variety of ways that cannot be summarized by a single scale. A broader descriptive framework is required to capture their experiences adequately. (Source: International Journal of Pediatric Otorhinolaryngology)

Evaluation of the upper airway in children and adolescents with cystic fibrosis and obstructive sleep apnea syndrome

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:47 +0100

Conclusion: Bone and soft tissue structural alterations of the upper airway and chronic rhinosinusitis were associated with the OSAS group patients. (Source: International Journal of Pediatric Otorhinolaryngology)

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Depressive emotioning in adolescents with cochlear implant and normal hearing

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Conclusions: As a result of these findings, it was thought that cochlear implantation had a positive effect on life quality and it was suggested that the adolescents and their families should get assistance from experts about the characteristics and principles of approaching the child in this period. The adolescent should be directed towards social activities and courses, their positive sides should be supported and further studies should be carried out with different case groups on this matter. In addition to, examining the interactions of hearing loss effects can help professionals determine the individuals who are at a higher risk for developing mental distress. (Source: International Journal of Pediatric Otorhinolaryngology)

Prevalence of habitual snoring and symptoms of sleep-disordered breathing in adolescents

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Conclusion: We found the prevalence of habitual snoring to be 4.0% in adolescents from the province of Manisa, Turkey which is low compared to previous studies. Habitual snoring is an important problem in adolescents and habitual snorers had significantly more nighttime symptoms of sleep-disordered breathing compared to non-snorers. (Source: International Journal of Pediatric Otorhinolaryngology)

Validation of the LittlEARS® Auditory Questionnaire in children with normal hearing

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Conclusions: The LittlEARS® Auditory Questionnaire is a valid, language-independent tool for assessing the early auditory behaviour of infants and toddlers with normal hearing. The results of this study suggest that the LittlEARS® Auditory Questionnaire could also be very useful for documenting children's progress with their current amplification, providing evidence of the need for implantation, or highlighting the need for follow-up in other developmental areas. (Source: International Journal of Pediatric Otorhinolaryngology)

Effect of lipooligosaccharide mutations of Haemophilus influenzae on the middle and inner ears

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Conclusions: LOS mutants of NTHi appear to have a reduced ability to pass through the round window membrane resulting in less inner ear inflammation and pathological changes. (Source: International Journal of Pediatric Otorhinolaryngology)

The impact of chronic suppurative otitis media on children's and teenagers’ hearing

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Abstract: Objective: Otitis media is the most common otological condition during childhood which compromises sound conduction in the middle ear. In chronic cases, it is estimated that the degree to which hearing is compromised is directly proportional to the damage caused to the middle ear's structures. It means that hearing thresholds may be influenced by factors such as the size and location of the tympanic perforation, the presence of ossicular chain erosion or disarticulation as well as the presence of cholesteatoma and its growth patterns. The goals of this study were to compare air conduction, bone conduction thresholds and air-bone gaps of children and teenagers between those with chronic suppurative otitis media with cholesteatoma and those without cholesteatoma. To compare air-bon...

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Sphenoid sinus development in choanal atresia

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Conclusions: In unilateral and bilateral choanal atresia patients, there is normal growth of the width of the sphenoid sinuses. (Source: International Journal of Pediatric Otorhinolaryngology)

Prospective, controlled clinical trial of Ankaferd Blood Stopper in children undergoing tonsillectomy

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:45 +0100

Abstract: Objectives: This is a prospective study evaluating the efficacy of Ankaferd Blood Stopper as a hemostatic agent compared to hemostasis by means of knot-tie after cold knife dissection tonsillectomy.Methods: Study design was the use of ABS and the KT to reach hemostasis for patients undergoing tonsillectomy. ABS is applied on right side tonsil fossa and KT is used on left side tonsil fossa. Measured outcomes such as blood loss, surgical time, and complication will be assessed. In total, 47 consecutive patients undergoing cold knife dissection tonsillectomy were studied, in all of whom Ankaferd Blood Stopper wet tampon was used for right side tonsil hemorrhage and knot-tie technique for left side tonsil hemorrhage. Data were collected intraoperatively. Follow-up visits of all patie...

Pediatric and adult otorhinolaryngological publications: Trends over 15 years (1993–2007)

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusions: New medical information available to ORL specialists increases over time, increasing academic burden. The field of pediatric ORL has had a significant yearly increase of published studies but not to the same extent as the field of adult ORL. (Source: International Journal of Pediatric Otorhinolaryngology)

The measurement of craniocervical posture: A simple method to evaluate head position

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusion: This method was a good procedure for evaluating head posture without exposure to radiation. The results also suggest that a simple and rapid method can be used to apply a craniostat to the patient when a radiograph is required without modifying the NHP. (Source: International Journal of Pediatric Otorhinolaryngology)

Difficulties in diagnosis of laryngeal cysts in children

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusions: Using a direct laryngoscopy as a golden standard in children with stridor will reduce a number of false diagnosis. (Source: International Journal of Pediatric Otorhinolaryngology)

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Common agents used to unblock blood clots within tympanostomy tubes: An ex vivo study and review of literature

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusion: Common solutions (vinegar and hydrogen peroxide) were more effective than antibiotic drops in clearing blood clot blocking TTs. (Source: International Journal of Pediatric Otorhinolaryngology)

Adenoidectomy for otitis media with effusion in 2–3-year-old children

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusions: Adenoidectomy with or without tube insertion provided no advantage to young children with chronic OME in regard to time with effusion compared to tube insertion alone. Fewer tympanostomy tubes were placed in children undergoing A-M as their initial procedure, but this should be balanced by the performance of the more invasive surgical procedure and their increased time with effusion. (Source: International Journal of Pediatric Otorhinolaryngology)

Hearing results of stapedotomy and malleo-vestibulopexy in congenital hearing loss

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:44 +0100

Conclusion: Significant hearing gain in patients with congenital stapes ankylosis makes surgical treatment a valuable adjunct or an alternative to hearing aids in selected cases. (Source: International Journal of Pediatric Otorhinolaryngology)

Auditory function in women with autoimmune inner ear diseases and their offspring

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Conclusions: These preliminary findings suggest that the prevalence of congenital ASNHL may be increased in offspring born to women with AIED. (Source: International Journal of Pediatric Otorhinolaryngology)

Efficacy of nasal irrigation in the treatment of acute sinusitis in children

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Abstract: Background: Nasal irrigation has been used as an adjunctive therapy of sinonasal disease including acute/chronic sinusitis and allergic rhinitis. Several published articles reported it also improves clinical sinus symptoms.Objective: To evaluate the effectiveness of normal saline nasal irrigation in the management of acute sinusitis in children.Design: This was a randomized, prospective placebo-controlled study.Methods: We included 69 participants with acute sinusitis. 30 of 69 participants underwent normal saline nasal irrigation. 39 of 69 participants were not receiving nasal irrigation. All participants performed nasal peak expiratory flow rate (nPEFR) test, nasal smear examination, radiography (Water's projection) and requested to complete the Pediatric Rhinoconjunctivitis Qu...

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Newborn hearing screening on infants at risk

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Conclusion: Our selected hearing screening on infants at risk allowed 60 deaf children access to early management. However, too many children were lost to follow up; which revealed that better information regarding risk of hearing loss must be provided to parents and paramedics and universal newborn screening needs to be performed. The most important result of this study is that in a population of hearing impaired children, with an impairment incidence close to what is commonly reported, the association of several risk factors proves to be a significant additional risk factor for hearing impairment. (Source: International Journal of Pediatric Otorhinolaryngology)

Conscious sedation in pediatric speech endoscopy

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Conclusions: Sedated speech endoscopy is a promising modality for evaluating velopharyngeal insufficiency in the pediatric population that may not otherwise be able to cooperate with examination in the clinic. (Source: International Journal of Pediatric Otorhinolaryngology)

Cochlear abnormalities associated with enlarged vestibular aqueduct anomaly

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Conclusions: Using small field of view, thin section CT and/or MR imaging, cochleovestibular abnormalities are commonly identified in association with EVA. (Source: International Journal of Pediatric Otorhinolaryngology)

The prelexical development in children implanted by 16 months compared with normal hearing children

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:43 +0100

Conclusion: Our results show that deaf children who receive cochlear implants at an early age are capable of reaching the canonical babbling milestone in a shorter time than children with normal hearing typically do and that their consonant phoneme acquisition follows a similar sequence to normal hearing peers’. These results are consistent with the literature indicating that early identification and intervention are important for allowing children with cochlear implants the opportunity to catch up to hearing peers. (Source: International Journal of Pediatric Otorhinolaryngology)

Endoscopic surgery for the treatment of pediatric subperiosteal orbital abscess: A report of 10 cases

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Conclusions: The transnasal endoscopic approach is an effective surgical treatment to drain the collection of pus in all medially based subperiosteal orbital abscess, while it can be associated with an external approach for the treatment of a superolateral based subperiosteal orbital abscess. (Source: International Journal of Pediatric Otorhinolaryngology)

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Flexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Conclusion: Flexible bronchoscopy provided rapid and definitive diagnosis for our patients with persistent wheezing without any major complications. This study is one of the largest studies concerning persistent wheezing. Early bronchoscopic evaluation can reduce cost by providing rapid and accurate diagnosis and preventing unnecessary investigations and drug administration. Flexible bronchoscopy is a safe procedure and should be considered in the evaluation of children with persistent wheezing. (Source: International Journal of Pediatric Otorhinolaryngology)

The role of Toll-like receptor 4 in eliciting acquired immune responses against nontypeable Haemophilus influenzae following intranasal immunization with outer membrane protein

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Conclusions: TLR4 plays an important role in relation to Th1 function for optimal development of the acquired immune responses to OMP administered intranasally. The variety of immune responses via TLR4 expression needs to be taken into consideration of individual vaccinations to prevent AOM. (Source: International Journal of Pediatric Otorhinolaryngology)

Changes in IGF-I, IGFBP-3 and ghrelin levels after adenotonsillectomy in children with sleep disordered breathing

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Abstract: Objective: The aim of this study was to determine the changes in insulin-like growth factor-I (IGF-I), insulin-like growth factor binding protein-3 (IGFBP-3) and ghrelin levels following adenotonsillectomy (T&A) in children with sleep disordered breathing (SDB).Methods: Forty children (mean age 4.85±2.15 years) clinically diagnosed with adenotonsillar hypertrophy (ATH) related SDB were enrolled. All children underwent T&A. Serum levels of IGF-I, IGFBP-3 and ghrelin were measured before and 6 months after T&A.Results: Serum levels of IGF-I and IGFBP-3 were significantly higher after T&A (p (Source: International Journal of Pediatric Otorhinolaryngology)

Effectiveness of transnasal endoscopic powered adenoidectomy in patients with choanal adenoids

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Abstract: Objectives: To demonstrate the technique and efficacy of powered assisted adenoidectomy using nasal endoscopy.Patients and methods: Between 2002 and 2003, forty children (age ranged from 3 to 17 years) with symptoms and signs suggestive of snoring and/or obstructive sleep apnea and choanal adenoids were randomly selected and distributed in two groups. Group A underwent transnasal endoscopic powered adenoidectomy (TEPA) and group B underwent curettage adenoidectomy (CA). Both groups underwent pre- and postoperative nasal endoscopy. Direct comparisons between the two groups were made with regards to operative time, amount of blood loss, postoperative morbidity, complications, and resolution of symptoms.Results: Male to female distribution was equal 1:1. The mean age of both groups ...

The assessment of hearing organ of school children in Upper Silesia region

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Abstract: Because at present no estimated data is available concerning the frequency of hearing loss in the population of primary school children in Silesia, it has been assumed useful to carry out a research programme. An important advantage of this study is the assessment of hearing in children from Upper Silesian region, a top ranking region in Europe in industrialisation and environmental pollution.In the selected population of primary school children in the province of Silesia, hearing loss occurred in 6% of the examined pupils; in schools located in urban areas it was higher than in schools from rural areas.In the group of children aged 6–10 years conductive hearing loss occurred significantly more frequently, than main cause of that hearing loss was Eustachian tube dysfunction.The...

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l-Epinephrine and dexamethasone in postextubation airway obstruction: A prospective, randomized, double-blind placebo-controlled study

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Conclusions: Dexamethasone and l-epinephrine did not reduce the clinical progression of airway obstruction due to laryngeal edema in the early postextubation period. (Source: International Journal of Pediatric Otorhinolaryngology)

Management of otitis media with effusion in children with primary ciliary dyskinesia: A literature review

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:42 +0100

Conclusion/Discussion: The highest level of evidence found for the management of otitis media with effusion in children with primary ciliary dyskinesia was level IV. Currently, the evidence is inconclusive and conflicting. Whilst our results are promising, clearly higher quality research on a larger number of patients is required to definitively evaluate the management options for otitis media with effusion in these children. (Source: International Journal of Pediatric Otorhinolaryngology)

Treatment of 38 cases of foreign body aspiration in children causing life-threatening complications

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:41 +0100

Conclusions: For children with FBA who experience severe and life-threatening complications from FBA, our recommendation is that emergency measures should be available during FBs removal. With correct judgment and management of the complications of FBA, the mortality rate can be reduced. (Source: International Journal of Pediatric Otorhinolaryngology)

National Newborn Hearing Screening Program in Turkey: Struggles and implementations between 2004 and 2008

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:41 +0100

Conclusions: Our results indicate that the necessity of newborn hearing screening is an indispensable issue. We have been targeted to develop National Newborn Hearing Screening Program (NNHSP) till given chance to access for every newborn in Turkey in next five years. (Source: International Journal of Pediatric Otorhinolaryngology)

Prognostic indicators for sensorineural hearing loss in temporal bone histiocytosis

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:41 +0100

Conclusion: In LCH, hearing loss level before treatment can be considered as a prognostic indicator for hearing in response to treatment. Even though bone mineralization is essential for a hearing improvement, radiological healing is not a prognostic factor for better hearing level after treatment. (Source: International Journal of Pediatric Otorhinolaryngology)

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Sialodochostomy as treatment for imperforate submandibular duct: A systematic literature review and report of two cases

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:41 +0100

Conclusions: Congenital floor of mouth cysts arising from imperforate salivary ducts are rare, but they may mimic the appearance of a ranula. Unlike ranulas, these cysts may be safely and effectively cured by simple sialodochostomy. To date, 26 other cases have been described in the literature, and nearly all have been successfully treated with simple incision or marsupialization without recurrence. Care should be taken to exclude ranula as a diagnosis, as incomplete excision may likely result in recurrence. (Source: International Journal of Pediatric Otorhinolaryngology)

Editorial Board

International Journal of Pediatric Otorhinolaryngology — Fri, 20 Nov 2009 14:12:41 +0100

(Source: International Journal of Pediatric Otorhinolaryngology)

British Academy of Audiology Conference Programme

NLH Specialist Library for ENT and Audiology Latest News — Fri, 20 Nov 2009 08:58:17 +0100

20/11/09 Final conference programme for BAA conference 25th-27th November (Source: NLH Specialist Library for ENT and Audiology Latest News)

AAOMS Author Disclosure forms

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

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Notice to Contributors

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

Editorial Board

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

Masthead

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

Reader's Circle Continuing Education Program

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

Subject Index

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

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Author Index

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

(Source: Journal of Oral and Maxillofacial Surgery)

News and Announcements

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

During the final House of Delegates session in Toronto, 2008-2009 Immediate Past President Lee D. Pollan administered the oath of office to officers Ira D. Cheifetz, DMD, AAOMS president for 2009-2010, Larry J. Moore, DDS, MS, president-elect; Arthur C. Jee, DMD, vice president; Edwin W. Slade, Jr, DMD, JD, treasurer; and Steven R. Nelson, DDS, MS, Denver, CO, speaker of the house. R. Lynn White, DDS will serve as immediate past president. (Source: Journal of Oral and Maxillofacial Surgery)

Erratum

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

In the November 2009 issue of the Journal of Oral and Maxillofacial Surgery, in the article titled, “Effect of a Syndromic Diagnosis on Mandibular Size and Sagittal Position in Robin Sequence” by Rogers et al (J Oral Maxillofac Surg 67:2323-2331, 2009), Dr Rogers' name appeared without his middle initial; the correct listing for his name is Gary F. Rogers. (Source: Journal of Oral and Maxillofacial Surgery)

Erratum

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

In the October 2009 issue of the Journal of Oral and Maxillofacial Surgery, in the article titled “Three-Dimensional Treatment Planning of Orthognathic Surgery in the Era of Virtual Imaging” by Swennen et al (J Oral Maxillofac Surg 67:2080-2092), Dr Swennen's third affiliation was listed incorrectly. The correct listing is Co-Founder, 3D Facial Imaging Research Group, Bruges–Nijmegen. (Source: Journal of Oral and Maxillofacial Surgery)

Avascular Necrosis of Bone in Leukemia and Osteonecrosis of Jaw by Bisphosphonates

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:21 +0100

Aseptic osteonecrosis, also known as avascular necrosis of bone or simply osteonecrosis (ON), is a disorder characterized by segmental death of 1 or more osseous sites due to a late toxicity of treatment for childhood leukemia and lymphoma. (Source: Journal of Oral and Maxillofacial Surgery)

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Arthroscopic Myotomy of the Lateral Pterygoid Muscle With Coblation for the Treatment of Temporomandibular Joint Anterior Disc Displacement Without Reduction

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

Different arthroscopic procedures and surgical instruments have been reported for the treatment of temporomandibular joint (TMJ) internal derangement. Of particular interest are those specifically dedicated to repositioning of the disc in cases with anterior disc displacement without reduction and chronic closed lock (CCL). Moses and Poker stressed the importance of the capsular stretch procedure or capsular release for joint mobility, but whether the clinical improvement in relation to mouth opening is due to disc repositioning over the condyle or to the increased mobility of the disc complex has been somehow controversial since then. (Source: Journal of Oral and Maxillofacial Surgery)

Assessment of the Local Effects of Ketamine Requires Exclusion of Systemic Effects

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

We read about the interesting study by Satilmis et al, which focuses on the local administration of ketamine in dental surgery. We find this study important for 2 reasons: 1) there are few clinical trials regarding ketamine's local effects; and 2) low-dose ketamine effectively reduces pain and swelling without any side effects after local administration. We would like to comment on local administration of ketamine and share our experience. (Source: Journal of Oral and Maxillofacial Surgery)

American Association of Oral and Maxillofacial Surgeons Position Paper: Bisphosphonate-Related Osteonecrosis of the Jaws—2009 Update: The Need to Refine the BRONJ Definition

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

With reference to the 2009 update of the American Association of Oral and Maxillofacial Surgeons position paper, Bisphosphonate-Related Osteonecrosis of the Jaws (BRONJ), a relevant modification to the previous classification has been made and a new stage (0) added. The latter stage has been defined as “patients with no clinical evidence of necrotic bone, but who present with nonspecific symptoms or clinical and radiographic findings …” and the need for various clinical and radiologic aspects in defining this condition was confirmed. (Source: Journal of Oral and Maxillofacial Surgery)

In reply

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

Thank you for the opportunity to respond to Dr Stephen Schendel's letter regarding the report by Kaban et al in JOMS. On behalf of my colleagues, I will respond in the order that his comments were presented. (Source: Journal of Oral and Maxillofacial Surgery)

Curvilinear Distraction

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

I read with interest the article by Kaban et al titled “Clinical application of curvilinear distraction in the treatment of mandibular deformities.” I wish to correct several inaccuracies and discrepancies in their report. I began development of a curvilinear mandibular distractor in 1995. The original premise for curved distraction was based on the work by Moss et al and Rickets on the logarithmic growth of the mandible. On the basis of this work, we found that 4 differently curved distractors were all that is needed to represent the different parts of the spiral. The design of appropriate devices and preliminary studies required considerable time; thus, we first presented on this topic at the 2000 American Association of Oral and Maxillofacial Surgeons Annual Meeting in San Francisco...

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In reply

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

We thank Dr Carlos and colleagues for their interest in our report and their long letter. However, for the following reasons, we are not persuaded that our patient had fibrous dysplasia rather than a juvenile aggressive psammomatoid ossifying fibroma (JPOF). (Source: Journal of Oral and Maxillofacial Surgery)

Juvenile Aggressive Psammomatoid Ossifying Fibroma

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

We have read the article by Smith et al, recently published in the Journal of Oral and Maxillofacial Surgery, who reported a case of an aggressive psammomatoid variant of ossifying fibroma. This lesion affected a young girl and did not respond to 2 previous attempts at surgical treatment. The expansive lesion was multilocular and located on the right body of the mandible. According to the authors' radiographic interpretation, the lesion had a ground-glass appearance, with endosteal scalloping and a narrow transitional zone with adjacent normal bone. In our opinion their Figure 1A presents 3 typical features seen in fibrous dysplasia: lack of clearly demarcated periphery surrounding the lesion, a ground-glass appearance, and a multilocular cystic appearance. The latter 2 features have been ...

Thyroglossal Duct Cyst Occurring in the Floor of the Mouth: Report of 2 Cases

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

Thyroglossal duct cysts, which are congenital neck masses in children, result from the embryologic remnants of the descending thyroglossal duct. After being enlarged by inflammation, infection, and mucous retention, they can be found anywhere in the midline of the neck between the foramen cecum and thyroid gland and are usually located in the infrahyoid region (85%) or in close proximity to the hyoid bone. In a previous text the location of thyroglossal duct cysts was classified as suprahyoid (20%), at the level of the hyoid bone (15%), and infrahyoid (65%). Occasionally, cysts may appear to be on one side of the midline or the other. They may rarely occur in the oral cavity. Most of the cases are recognized in childhood between 2 and 10 years of age. (Source: Journal of Oral and Maxillofa...

Malignant Ameloblastoma: A Case Report of a Recent Onset of Neck Swelling in a Patient With a Previously Treated Ameloblastoma

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

A 41-year-old black man presented to the Montefiore Medical Center in 1990 with a chief complaint of a “bump on my gums.” The patient reported the lesion to be of several months in duration and denied any paresthesia or pain. His medical history was significant for tuberculosis, for which he stated that he was treated with appropriate antibiotic therapy. Upon examination, an indurated expansion was noted lingual to the mandibular central incisors with intact overlying mucosa, and a periapical radiolucency was present. The radiolucency was enucleated via a standard intraoral approach, and the tissue submitted for histopathology was consistent with a radicular cyst. He was subsequently lost to follow-up. (Source: Journal of Oral and Maxillofacial Surgery)

rhBMP-2 as an Option for Reconstructing Mandibular Continuity Defects

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

Mandibular continuity defects are frequently caused by tumor removal or significant trauma. The reconstruction of these defects can be challenging. For defects with extensive hard and soft tissue loss, microvascular free-tissue transfer often provides an excellent reconstructive option. However, significant site morbidity, as well as nonideal bone stock for implant placement, can occur. For mandibular continuity defects not associated with significant soft tissue loss, nonvascularized autogenous bone has been shown to provide excellent results. The advantages compared with microvascular free-tissue transfer include a more limited donor site and the ability to provide excellent height and width for subsequent dental implants. (Source: Journal of Oral and Maxillofacial Surgery)

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Reconstruction of Mandibular Continuity Defects Using Recombinant Human Bone Morphogenetic Protein 2: A Note of Caution in an Atmosphere of Exuberance

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:20 +0100

Loss of mandibular continuity most commonly occurs because of traumatic, infectious, or neoplastic processes and can be psychologically and physiologically debilitating. The goals of mandibular reconstruction are the restoration of appearance, mastication, deglutition, speech, and oral competence. Although the timing and prioritization of these goals within the context of ablative surgery have been controversial, it is clear that successful reconstruction of bony defects is dependent on the survival of the transplanted tissue, which in turn is dependent on an adequate blood supply or soft tissue envelope. Numerous reconstructive modalities are available including microvascular free flaps; autogenous bone grafts, with or without soft tissue flaps; bridging plates, with or without soft tissu...

A Novel Technique for Vertical Bone Augmentation in the Premaxillary Region

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:19 +0100

A severely absorbed alveolar ridge in an edentulous premaxillary region is often augmented vertically with various methods to allow for dental implant insertion. Such a severely absorbed ridge most often results from loss of bone due to periodontitis or trauma or after dental extraction; and if socket preservation is not performed immediately after extraction, the alveolus narrows and its vertical dimension may often be reduced by 4 to 5 mm. We introduce a new technique for bone augmentation in the premaxillary region, in which vertical bone augmentation can be performed simultaneously with the insertion of dental implants. The dental implants fix the bone transferred to the maxilla, and particulate bovine bone is placed in the gap between the 2 segments. This method involves a single oper...

Effect of Surgical Drill Guide on Heat Generated From Implant Drilling

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:19 +0100

Conclusions: From a heat generation standpoint, we conclude that preparing an implant site with using surgical drill guides generates heat more than classical implant site preparation regardless of the irrigation type. (Source: Journal of Oral and Maxillofacial Surgery)

Retrospective Study on Immediate Functional Loading of Edentulous Maxillas and Mandibles With 690 Implants, Up to 71 Months of Follow-Up

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:19 +0100

Conclusion: The immediate loading protocol by fixed provisional prostheses proved to be an effective method in restoring completely edentulous maxillas and mandibles, and the maximal insertion torque value may be a prognostic factor in determining success. (Source: Journal of Oral and Maxillofacial Surgery)

Characteristics of Early Versus Late Implant Failure: A Retrospective Study

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:19 +0100

Conclusions: Meticulous follow-up is needed to reveal and treat failing or ailing implants. Once established as hopeless, they should be removed as soon as possible to prevent further bone loss. (Source: Journal of Oral and Maxillofacial Surgery)

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Correlation Between Serum C-Terminal Cross-Linking Telopeptide of Type I Collagen and Staging of Oral Bisphosphonate-Related Osteonecrosis of the Jaws

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:19 +0100

Conclusions: BRONJ is relatively rare but has been increasingly recognized in our clinic. The usefulness of the serum CTX value as an index of risk prediction continues to be debated. Considering the staging of lesions and the number of lesions, we found a significant correlation between the disease severity and the risk assessment using serum CTX. (Source: Journal of Oral and Maxillofacial Surgery)

Clinical Characteristics and Complications Associated With Mesiodentes

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: Complications were found in approximately one half of the patients with a mesiodens. Early detection and timely surgical intervention should be emphasized to prevent unwanted complications. (Source: Journal of Oral and Maxillofacial Surgery)

Treatment of Linear Mandibular Fractures Using a Single 2.0-mm AO Locking Reconstruction Plate: Is a Second Plate Necessary?

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusion: The present study has demonstrated that treating linear noncomminuted mandibular fractures with a single AO 2.0-mm locking reconstruction plates is associated with no major complications and sound bone healing in all patients. (Source: Journal of Oral and Maxillofacial Surgery)

Factors Associated With Orofacial Injury and Willingness to Participate in Interventions Among Adolescents Treated in Trauma Centers

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: Most facial injuries in inner-city adolescents result from assault. Unhealthy alcohol use, problem levels of substance use behaviors, and family history of alcohol problems are associated markers of assault-related injuries that can be useful for risk assessment and targeted intervention. Interventions need to be brief if they are to engage these at-risk youth. (Source: Journal of Oral and Maxillofacial Surgery)

Replacement of the Condyle and Ascending Ramus by a Modular Endoprosthesis in Macaca fascicularis—Part 2: Microcomputed Tomographic and Histologic Evaluation of the Ramus and Stem

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: Satisfactory bone growth was found at the bone–cement interface at the stem region, although direct bone contact with the cement was not achieved in all cases. Soft tissue contact with the prosthetic ramus, in the form of a fibrous capsule, was present in some areas. At 6 months, minimal interfacial inflammation was found in this monkey model. (Source: Journal of Oral and Maxillofacial Surgery)

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A Novel Approach to Intraoral Mandibular Nerve Anesthesia: Changing Reference Planes in the Gow-Gates Block Technique

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: The modified technique proved to be valid and precise and has a determined and an effective injection site. (Source: Journal of Oral and Maxillofacial Surgery)

Stereologic Orbital Volume Measurements in Zygomatic Fractures

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: Stereologic estimation of the orbital volume is an easy, practical, and time-saving procedure that can be performed on readily available, hard-copy computed tomography images. The high interobserver agreement observed in our study shows that it can be safely used in the quantitative detection of preoperative and postoperative volume changes. (Source: Journal of Oral and Maxillofacial Surgery)

Treatment of Chronic Mandibular Dislocations: A Comparison Between Eminectomy and Miniplates

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusion: Eminectomy had less chance of recurrence without creating articular damage, and with miniplates, the chance of recurrence increased because there is always the possibility of the miniplate fracturing. (Source: Journal of Oral and Maxillofacial Surgery)

Third Molars and Periodontal Pathologic Findings in Middle-Age and Older Americans

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:18 +0100

Conclusions: In these middle-age and older Americans, the presence of a visible third molar was significantly associated with more severe periodontal disease on teeth more anterior in the mouth compared with those subjects with no visible third molars. (Source: Journal of Oral and Maxillofacial Surgery)

Assessment of the Relationship Between Impacted Mandibular Third Molars and Inferior Alveolar Nerve With Dental 3-Dimensional Computed Tomography

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:17 +0100

Conclusion: When viewing the anatomic relation between the IAN and mandibular third molar root apices using dental 3D-CT, contact of the 2 anatomic structures results in an increased risk for IAN exposure or injury. (Source: Journal of Oral and Maxillofacial Surgery)

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Handling Post–Dental Extraction Patients: How to Avoid Trans-Infection of Blood-Borne Diseases

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:17 +0100

Conclusions: The danger of trans-infection of blood-borne diseases is evident, and a series of measures is proposed to control it. Proper patient education, use of alternative methods of stopping postoperative bleeding other than a gauze pad, appropriate scheduling of appointments of already infected patients, and widespread vaccinations are some such measures. Attention and critical evaluation of the case are necessary because the already existing policies and guidelines are always open to improvements. (Source: Journal of Oral and Maxillofacial Surgery)

Serratus Anterior Free Flap in Oral Reconstruction

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:17 +0100

Conclusion: Although the serratus anterior muscle flap lacks an epithelial layer, this flap is not restricted to a subcutaneous placement. Due to rapid epithelialization, the serratus anterior muscle is even suitable for perforating intraoral defects. (Source: Journal of Oral and Maxillofacial Surgery)

Buprenorphine With Bupivacaine for Intraoral Nerve Blocks to Provide Postoperative Analgesia in Outpatients After Minor Oral Surgery

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:17 +0100

Conclusion: The addition of buprenorphine to the local anesthetic used for intraoral nerve blocks in the present study provided a 3-fold increase in the duration of postoperative analgesia, with complete analgesia persisting 30 hours beyond the duration provided by the local anesthetic alone in 75% of patients. This practice can be of particular benefit to patients undergoing minor oral surgery by providing prolonged analgesia after discharge from the hospital. (Source: Journal of Oral and Maxillofacial Surgery)

Computer-Assisted Planning, Stereolithographic Modeling, and Intraoperative Navigation for Complex Orbital Reconstruction: A Descriptive Study in a Preliminary Cohort

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:17 +0100

Conclusions: Preoperative computer modeling and intraoperative navigation provides a useful guide for and presumably more accurate reconstruction of complex orbital injuries and postablative orbital defects. Although probably not necessary for routine use in small orbital blowout fractures, its use in a shattered orbit or high-velocity injury resulting in severe disruption of the internal and external orbit shows promise. (Source: Journal of Oral and Maxillofacial Surgery)

Mandibular Reconstruction: Expert Opinion and Outcome Studies Remain a Fragile Guide to Treatment

Journal of Oral and Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:16 +0100

Treatment of mandibular continuity defects can serve as a cautionary tale as to how oral and maxillofacial surgical science is assessed and advanced today. Development of technique, clinical scientific study, and advocacy of the surgeon's technique seem to blend effortlessly in our specialty, and thus muddle rational discourse toward the advancement of clinical science. (Source: Journal of Oral and Maxillofacial Surgery)

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Notices

The British Journal of Oral & Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:07 +0100

(Source: The British Journal of Oral & Maxillofacial Surgery)

Editorial Board

The British Journal of Oral & Maxillofacial Surgery — Thu, 19 Nov 2009 14:19:04 +0100

(Source: The British Journal of Oral & Maxillofacial Surgery)

Multimodality bronchoscopic imaging of recurrent respiratory papillomatosis

The Laryngoscope — Thu, 19 Nov 2009 00:00:00 +0100

Recurrent respiratory papillomatosis (RRP) of the central airways requires removal to potentially reduce recurrence and risk for malignant transformation. Analogous to the principles of treatment for early lung cancer, a precise determination of the extent of cartilage invasion could help guide therapeutic decisions and monitor response to treatment. The purpose of this study was to determine whether a bronchoscopy platform comprised of white light bronchoscopy (WLB), endobronchial ultrasound (EBUS), and optical coherence tomography (OCT) could identify layered microstructure of RRP and underlying cartilage.Case study.A bronchoscopy platform consisting of commercially available WLB, EBUS using a 7.5 MHz convex probe (BF-UC 160F; Olympus Optical Co. Ltd, Tokyo, Japan), and a time-domain OCT...

Effect of repeated laser microsurgical operations on laryngeal cancer prognosis

Head and Neck — Thu, 19 Nov 2009 00:00:00 +0100

The aim of this study was to evaluate whether repeated sessions of transoral CO2 laser microsurgery (TLM) aiming to achieve clear histologic margins carry a negative effect on the prognosis of laryngeal cancer.This was a retrospective evaluation of 763 cases that underwent primary TLM treatment for laryngeal cancer. Cases were compared for overall survival and local control rates with respect to status of surgical margins and number of procedures necessary to achieve these margins.No significant differences were noted among cases with negative surgical margins regardless of the number of procedures necessary to achieve these margins. On the other hand, positive margins at the end of surgical treatment carried significant negative prognostic effect.The prognostic effect of negative surgical...

View the new image resources section

NLH Specialist Library for ENT and Audiology Latest News — Wed, 18 Nov 2009 10:24:42 +0100

18/11/09 a wide range of image resources is now available in the collection (Source: NLH Specialist Library for ENT and Audiology Latest News)

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A 3-year study of supraomohyoid neck dissection and modified radical neck dissection type I in oral cancer: with special reference to involvement of level IV node metastasis

European Archives of Oto-Rhino-Laryngology — Wed, 18 Nov 2009 09:23:35 +0100

Abstract The present study was undertaken to determine the pattern and incidence of predictable lymphatic spread and skip metastasis in oral cancer and analyze the prognostic implications of different therapeutic modalities in the neck metastases. The study includes 81 patients with squamous cell carcinoma of oral cavity with T1-2N0M0 and T1-3N1-3M0 who were admitted to the Department of ENT and Head and Neck Surgery, SMS Medical College and Hospital, Jaipur, from June 2006 to May 2008. After complete diagnostic evaluation (imaging, FNAC), all these patients were operated (wide primary excision with SOHND/Extended SOHND/MRD-I) and followed up periodically till date. Occult metastasis was found in 26% of the patients. Level I, II, III was most commonly involved. We did not ...

Topical use of MMC in the upper aerodigestive tract: a review on the side effects

European Archives of Oto-Rhino-Laryngology — Wed, 18 Nov 2009 00:08:15 +0100

In conclusion, topical application of MMC on a wound with consecutive irrigation with saline can be performed safely to prevent scar formation in circular structures of the upper aerodigestive tract. Long-term yearly control of the application site seems advisable. Content Type Journal ArticleCategory Review ArticleDOI 10.1007/s00405-009-1151-0Authors Egbert J. D. Veen, University Medical Center Groningen, University of Groningen Department of Otorhinolaryngology P.O. Box 30.001 9700 RB Groningen The NetherlandsFrederik G. Dikkers, University Medical Center Groningen, University of Groningen Department of Otorhinolaryngology P.O. Box 30.001 9700 RB Groningen The Netherlands Journal European Archives of Oto-Rhino-LaryngologyOnline ISSN 1434-4726Print ISSN 0937-4477 (Source: Eu...

Survival after laryngectomy: a review of 133 patients with laryngeal carcinoma

European Archives of Oto-Rhino-Laryngology — Wed, 18 Nov 2009 00:08:15 +0100

Abstract Survival trends in survival for laryngeal cancer in Europe are varied. Five-year survival varied around 60–64% but numbers below 50% have been commonly reported. The aim of this study was to assess the factors influencing survival in patients with laryngeal cancer in our region. A total of 128 male and 5 female patients with larynx cancer (91 glottic and 42 supraglottic) were treated at Patras University Hospital between March 1992 and August 2004. Except 3, all were smokers and 56 (41%) heavy alcohol users. Postsurgical staging showed that most had been classified at stages III (38%) and IV (49%). By histology, 31 tumors were classified as poorly differentiated, 78 as moderately differentiated and 23 as well differentiated. All patients underwent laryngectomy w...

Clinical spectrum of patients with erosion of the inner ear by jugular bulb abnormalities

The Laryngoscope — Wed, 18 Nov 2009 00:00:00 +0100

Anatomic variants of the jugular bulb (JB) are common; however, abnormalities such as large high riding JB and JB diverticulum (JBD) are uncommon. Rarely, the abnormal JB may erode into the inner ear. The goal of our study is to report a large series of patients with symptomatic JB erosion into the inner ear.Retrospective review in an academic medical center.Eleven patients with JB abnormality eroding into the inner ear were identified on computed tomography (CT) scan of the temporal bone.Age at presentation was from 5 years to 82 years with six males and five females. The large JB or JBD eroded into the vestibular aqueduct (n = 9) or the posterior semicircular canal (n = 4). The official radiology report usually identified the JB abnormality; however, erosion into these structures by the ...

Treatment guideline for hemangiomas and vascular malformations of the head and neck

Head and Neck — Wed, 18 Nov 2009 00:00:00 +0100

Vascular anomalies are among the most common congenital and neonatal dysmorphogenesis, which are separated into hemangiomas and vascular malformations. They can occur in various areas throughout the body, with 60% being located in the head and neck. The true mechanism of pathogenesis of vascular anomalies is still unclear. Various treatment methods have been reported, and there are still controversies over the selection of different treatment modalities. Based on the clinical and basic research and current literature, the Chinese Division of Oral and Maxillofacial Vascular Anomalies formulated a treatment guideline for hemangiomas and vascular malformations of the head and neck, which will be modified and updated periodically based on new medical evidence and research. © 2009 Wiley Period...

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Phase-Locked Responses to Tones of Chinchilla Auditory Nerve Fibers: Implications for Apical Cochlear Mechanics

JARO - Journal of the Association for Research in Otolaryngology — Tue, 17 Nov 2009 23:39:38 +0100

Abstract Responses to tones with frequency ≤ 5 kHz were recorded from auditory nerve fibers (ANFs) of anesthetized chinchillas. With increasing stimulus level, discharge rate–frequency functions shift toward higher and lower frequencies, respectively, for ANFs with characteristic frequencies (CFs) lower and higher than ∼0.9 kHz. With increasing frequency separation from CF, rate–level functions are less steep and/or saturate at lower rates than at CF, indicating a CF-specific nonlinearity. The strength of phase locking has lower high-frequency cutoffs for CFs >4 kHz than for CFs < 3 kHz. Phase–frequency functions of ANFs with CFs lower and higher than ∼0.9 kHz have inflections, respectively, at frequencies higher and lower ...

Prevalence of allergic rhinitis among the adult population in Turkey.

Acta Oto-Laryngologica — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion: The prevalence of self-reported and physician-diagnosed allergic rhinitis (AR) exhibits significant variability across the seven geographical regions in Turkey. Our findings may contribute to the formulation of public health policy and development of preventive and therapeutic strategies for AR in Turkey. Objective: The purpose of this study was to assess the prevalence of AR in the Turkish adult population, with emphasis on descriptive parameters in seven distinct geographical regions in Turkey. Methods: The volunteers were evaluated with a custom-designed questionnaire for AR. Sample size for the study was calculated by allowing for 2% error in prevalence along with a 95% confidence interval (CI). At the end of the study, we reached 4125 volunteers. The data were analyzed wit...

Prognosis of sudden low-tone loss other than acute low-tone sensorineural hearing loss.

Acta Oto-Laryngologica — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion: In clinical practice, sudden low-tone loss other than acute low-tone sensorineural hearing loss (ALHL) shows a potential for recurrence. Objective: ALHL is often associated with recurrence and/or progression to Ménière's disease. We examined the prognosis of patients with sudden low-tone loss who were not classified in the audiometric definition of ALHL. Methods: Sixty-three patients diagnosed at the university hospital with idiopathic sudden low-tone loss of sensorineural hearing loss and without subjective vertigo were followed up in the long term with a mean of over 4 years. The rates of recurrence and/or progression to Ménière's disease for patients with low-tone loss type other than ALHL (non-ALHL) were compared with those for ALHL patients. Results: Th...

A new coordinates system for cranial organs using magnetic resonance imaging.

Acta Oto-Laryngologica — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion. We developed a new coordinates system for magnetic resonance imaging (MRI) that utilizes the labyrinth and eyeballs as references to measure the spatial arrangement of cranial organs, and we verified its usefulness by observing small structures in the labyrinth in 39 ears from 33 patients. Our new coordinates system could be used for stereotactic analysis of cranial organs in MRI. Objectives. To research semicircular canal anatomy in healthy organisms, we propose a method that employs references visible on MRI for stereotactic measurement of cranial structures, and we evaluated the usefulness of our method. Methods. Using the new coordinates system and vector analysis, we calculated angles among the semicircular canals and sagittal head plane from MRI volume data containing tem...

3D-FLAIR MRI in facial nerve paralysis with and without audio-vestibular disorder.

Acta Oto-Laryngologica — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion: Among patients with facial nerve paralysis, significant difference was observed on three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging (3D-FLAIR MRI) between those with and without audio-vestibular disturbance. This MRI technique may contribute to elucidation of the pathology of Ramsay Hunt syndrome and Bell's palsy. Objective: To evaluate the 3D-FLAIR MRI findings in patients who have facial nerve paralysis with and without audio-vestibular disturbance. Methods: 3D-FLAIR MRI was performed with and without gadolinium enhancement in 15 patients (5 men and 10 women) with unilateral facial nerve paralysis: 3 patients with Ramsay Hunt syndrome, 3 patients having facial nerve paralysis with hearing loss or vertigo without vesicles, and 9 patients with Be...

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Acute dysphagia associated with aortic dissection: a case report and review of the literature.

Acta Oto-Laryngologica — Tue, 17 Nov 2009 00:00:00 +0100

We report on a 58-year-old otherwise healthy male patient who presented with acute-onset intermittent dysphagia, mild dyspnea, and chest symptoms. He was referred to an emergency ENT unit for a suspected peritonsillar abscess but died of a massive aortic dissection and cardiac tamponation a few hours later. This rare condition is discussed in the differential diagnosis of adult acute-onset dysphagia. PMID: 19916899 [PubMed - as supplied by publisher] (Source: Acta Oto-Laryngologica)

Primary Nasopharyngeal non-Hodgkin lymphomas: a retrospective review of 26 Moroccan patients.

BMC Ear, Nose and Throat Disorders — Tue, 17 Nov 2009 00:00:00 +0100

Conclusion: From our study, we conclude that histological characteristics, principle of treatment and outcome of primary NNHL patients are particular and more studies have to be directed . (Source: BMC Ear, Nose and Throat Disorders)

In reference to effect of the tympanostomy tube on postoperative retraction of the soft posterior meatal wall caused by habitual sniffing

The Laryngoscope — Tue, 17 Nov 2009 00:00:00 +0100

No abstract. (Source: The Laryngoscope)

Continued alcohol use in patients with head and neck cancer

Head and Neck — Tue, 17 Nov 2009 00:00:00 +0100

The effect of posttreatment alcohol consumption on health-related quality of life (QOL) and factors predicting overall QOL and continued alcohol consumption were examined in patients with head and neck cancer.Self-reported alcohol use and abuse 1 year after diagnosis was analyzed.Although current drinkers (44.5% of 283 patients) had better overall QOL and fewer depressive symptoms, current social drinkers had the best scores, whereas current problem drinkers had the worst. Female sex, fewer depressive symptoms, less pain, and better eating function predicted better QOL. Oral function was the only predictor of 12-month alcohol use.Depression, pain, and eating function predicted overall QOL. Alcohol consumption was not associated with QOL, but was associated with better oral function, which ...

Complications That Affect Postlaryngectomy Voice Restoration: Primary Surgery vs Salvage Surgery [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Voice prosthesis complications are more frequently encountered in those who require salvage laryngectomy. Understanding the potential for such complications reinforces the need for close communication and follow-up with these patients by the speech language pathologist. (Source: Archives of Otolaryngology)

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Postoperative Reirradiation for Mucosal Head and Neck Squamous Cell Carcinomas [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Reirradiation represents the only chance for cure in patients with unresectable disease. After surgery, reirradiation is performed in patients at high risk of locoregional recurrence and may increase acute toxic effects. However, free-flap reconstruction may reduce toxic effects. Functional outcomes have declined since 2000 likely because of the addition of concurrent platinum-based chemotherapy. Future research may define the subpopulation of postoperative patients for whom survival benefits most outweigh reirradiation toxic effects. (Source: Archives of Otolaryngology)

Factors That Predict Postoperative Pulmonary Complications After Supracricoid Partial Laryngectomy [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion Patients 60 years or older and patients with cricohyoidopexy are at high risk of having postoperative pulmonary complications after supracricoid partial laryngectomy. (Source: Archives of Otolaryngology)

A 25-Year Analysis of Veterans Treated for Tonsillar Squamous Cell Carcinoma [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion In veterans treated for tonsillar SCC, we advocate the consideration of a treatment plan that includes surgery for patients presenting with advanced-stage SCC of the tonsil, even in patients with notable comorbidities. (Source: Archives of Otolaryngology)

Immune Response During Therapy With Cisplatin or Radiation for Human Papillomavirus-Related Head and Neck Cancer [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions The HPV-positive tumors are not more curable based on increased epithelial sensitivity to cisplatin or radiation therapy. Instead, radiation and cisplatin induce an immune response to this antigenic cancer. The implications of these results may lead to novel therapies that enhance tumor eradication for HPV-positive cancers. (Source: Archives of Otolaryngology)

Error in Text in: Comparison of Clinical and Pathological Staging in Head and Neck Squamous Cell Carcinoma: Results From Intergroup Study ECOG 4393/RTOG 9614 [Correction]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

(Source: Archives of Otolaryngology)

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Neck Response to Chemoradiotherapy: Complete Radiographic Response Correlates With Pathologic Complete Response in Locoregionally Advanced Head and Neck Cancer [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Neck levels with residual disease on post-CRT CT imaging warrant removal. However, neck levels without evidence of disease on post-CRT CT imaging are unlikely to harbor cancer, which lends further support to the concept of basing neck dissection on post-CRT staging and performance of limited neck dissections for patients with limited residual disease. (Source: Archives of Otolaryngology)

Error in Figure in: Oropharyngoplasty With Template-Based Reconstruction of Oropharynx Defects [Correction]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

(Source: Archives of Otolaryngology)

Predicting Residual Neck Disease in Patients With Oropharyngeal Squamous Cell Carcinoma Treated With Radiation Therapy: Utility of p16 Status [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions In conjunction with other clinical parameters, p16 status can help predict the need for post-RT ND in patients with OP-SCCA. Although close observation may be warranted in selected patients with p16+ tumors, patients with p16– tumors are at much higher risk for residual neck disease, even when initial nodal disease is less advanced. (Source: Archives of Otolaryngology)

Early Prediction of Response to Chemoradiotherapy for Head and Neck Cancer: Reliability of Restaging With Combined Positron Emission Tomography and Computed Tomography [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Negative PET-CT findings accurately determine early disease response at the primary site and in the neck. False-positive findings are common at the primary site. Patients with a negative PET-CT finding after the completion of intra-arterial CRT do not require surgical intervention. (Source: Archives of Otolaryngology)

N2 Disease in Patients With Head and Neck Squamous Cell Cancer Treated With Chemoradiotherapy: Is There a Role for Posttreatment Neck Dissection? [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion Posttreatment neck dissections may not be indicated for patients with N2 disease and a negative CT-PET result, even in patients with nodal necrosis and nodes 3 cm or larger. (Source: Archives of Otolaryngology)

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Minimally Invasive Parathyroidectomy: Use of Intraoperative Parathyroid Hormone Assays After 2 Preoperative Localization Studies [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Our results show that iPTH monitoring may be eliminated in MIP surgery in a carefully selected group of patients who have preoperative, localizing MIBI with concordant US. This potentially allows an increase in operating room efficiency and a decrease in costs while performing MIP. (Source: Archives of Otolaryngology)

Relation of Final Intraoperative Parathyroid Hormone Level and Outcome Following Parathyroidectomy [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion Patients with a final IOPTH level of 40 pg/mL or higher are at higher risk of having persistent HPT and should be followed up closely and indefinitely following parathyroidectomy. (Source: Archives of Otolaryngology)

Recurrent Laryngeal Nerve: A Plexus Rather Than a Nerve? [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusions Extralaryngeal branching was found in 64.53% of RLNs in this case series. In recent patients with intraoperative laryngeal nerve monitoring, electrophysiologic activity was observed in the branches, particularly the anteriorly situated ones. Recognition of this frequent anatomical configuration and meticulous preservation of all branches are of paramount importance to decrease postoperative morbidity associated with thyroidectomy. (Source: Archives of Otolaryngology)

Central Neck Dissection for Papillary Thyroid Cancer [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion After total thyroidectomy and CND, recurrence in the central neck is uncommon, but hypocalcemia is more common, raising questions about the use of routine CND in patients with PTC. (Source: Archives of Otolaryngology)

Prophylactic Central Neck Dissection in Stage N0 Papillary Thyroid Carcinoma [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

Conclusion Prophylactic central neck dissection did not show any advantage in the rate of neck recurrence in patients with N0 clinical stage disease. (Source: Archives of Otolaryngology)

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Better Than Buffett?: A Report on the Success of the American Head and Neck Society Research Grant Program [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

It has been well established that a crisis exists in the biomedical research enterprise of clinical surgery departments: the extinction of the surgeon-scientist. A number of factors, including dwindling research funding, decreasing reimbursement from insurance providers, shrinking salaries for researchers, waning interest in academia among graduating residents, and financial pressures on departments for greater clinical productivity, have contributed to this phenomenon in recent years.1 More importantly, the growing number of basic scientists who are competing with clinicians for investigator-initiated funding from the National Institutes of Health (NIH), along with the competitive advantage of clinicians from internal medicine specialties for these funds, has led to fewer awards to surgeo...

The Legacy and Obligations of the Head and Neck Surgeon: The 2009 Hayes Martin Lecture [Original Article]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

I am delighted and extraordinarily honored to be asked to give the Hayes Martin Lecture to what is now the American Head and Neck Society. This lecture represents the crown jewel of the Society of Head and Neck Surgeons, a society that was composed primarily of general and plastic surgeons who focused on head and neck trauma and malignancies. The list of past Hayes Martin lecturers represents the greats of this specialty—names that for me had extraordinary impact and yet to those generationally behind me are, in all likelihood, unfamiliar: Oliver Bears, Charles Harrold, Harvey Baker, Richard Jesse, Milton Edgerton. Each led their society with a strong hand and attempted to keep the American Society for Head and Neck Surgery (composed predominantly of head and neck–focused otola...

2009 American Head and Neck Society Presidential Address: Going Global, Reaching Out [Presidential Address]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

(Source: Archives of Otolaryngology)

About This Journal [About This Journal]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:31 +0100

(Source: Archives of Otolaryngology)

Fall foliage [About the Cover]

Archives of Otolaryngology — Mon, 16 Nov 2009 20:51:30 +0100

(Source: Archives of Otolaryngology)

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Maney Publishing Acquires Audiology Titles From Wiley-Blackwell

Ear, Nose and Throat News From Medical News Today — Sun, 15 Nov 2009 08:00:00 +0100

Maney Publishing is pleased to announce the purchase of two quarterly journals from John Wiley & Sons, Ltd: Cochlear Implants International and Deafness & Education International, which together establish a decisive publishing commitment to the clinical treatment and education of the deaf. The acquisition also reflects Maney's continuing involvement and expertise in publishing for specialist societies and professional organisations. (Source: Ear, Nose and Throat News From Medical News Today)

Pretreatment organ function in patients with advanced head and neck cancer: clinical outcome measures and patients' views

BMC Ear, Nose and Throat Disorders — Sun, 15 Nov 2009 00:00:00 +0100

Conclusion: The assessment identified several problems already pre-treatment, in this patient population. A thorough assessment of both clinical measures and patients' views appears to be necessary to gain insight in all (perceived) pre-existing functional and quality of life problems. (Source: BMC Ear, Nose and Throat Disorders)

Information for Readers

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:06 +0100

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

Society Page

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:06 +0100

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

Editors

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:05 +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 — Sat, 14 Nov 2009 14:15:05 +0100

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

Bacterial leakage evaluation of root canals filled with different endodontic sealers

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:04 +0100

Conclusions: AH Plus and Endofill had the worst sealing ability when compared with Polifil, which showed the least leakage. Acroseal and Epiphany showed a tendency toward having an intermediate behavior; however, there was no significant difference among Acroseal, Epiphany, and the other sealers. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Sealing efficiency of BeeFill 2in1 and System B/Obtura II versus single-cone and cold lateral compaction techniques

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:02 +0100

Conclusion: The apical sealing efficiency of System B/Obtura II and BeeFill were inferior to the other obturation techniques after 2-week fluid conductance testing in vitro. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Evaluation of the radiopacity of some commercial and experimental root-end filling materials

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:01 +0100

Conclusions: All retrograde filling materials evaluated showed greater radiopacity than dentin. All the materials, except light-cured MTA met the minimum radiopacity standards of 3 mm Al recognized by the ISO 6876:2001 and ADA n.57. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

A study of the relation between erosion and microhardness of root canal dentin

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:00 +0100

Conclusion: It can be concluded that erosion is not the main factor in decreasing the dentin microhardness, whereas the amount of irrigant penetration might be the main cause. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

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Clinical evaluation of a modified marginal sulcular incision technique in endodontic surgery1

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:15:00 +0100

The authors evaluated periodontal parameters following apical surgery using a new marginal sulcular incision.In 65 cases, surgical access was achieved by means of a sulcular incision technique without the involvement of the adjacent periodontia and the interproximal papillae and in 33 cases by means of a submarginal trapezoidal technique. Periodontal parameters (probing pocket depth, gingival recession, clinical attachment loss, and tooth mobility [periotest]) were recorded at baseline and after 6 months. Scar formation and the loss of papilla height were evaluated photographically.No significant changes in the attachment level and no loss of papilla height were found in either group. A slight gingival recession (0.2 ± 0.4 mm) corresponding to the decrease in pocket depths occurred on the...

The induction of cytotoxicity, oxidative stress, and genotoxicity by root canal sealers in mammalian cells

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:59 +0100

Conclusion: The materials which tested cytotoxic in the present study may be able to alter oral tissue–specific functions and cause inflammation. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

A case report of primary gingival angiosarcoma

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:54 +0100

This study reports clinico-pathological features and CT image finding of a case of primary angiosarcoma in the upper gingival and a review of previously reported cases of primary gingival angiosarcomas including the present case. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Subgemmal neurogenous plaque: Clinical and microscopic evaluation of 7 cases

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:54 +0100

Subgemmal neurogenous plaques (SNPs) are biphasic neural structures found on the posterolateral border of the tongue. Fewer than 40 cases have been reported and only a few were symptomatic. The present report details the features of 7 cases of SNP retrieved from the files of a single institution. Clinical and histopathological data were reviewed and immunohistochemical analysis was performed for S100, CD56, neuron-specific enolase, epithelial membrane antigen, CK7, CK8, CK14, and CK20. All cases showed similar morphological and immunohistochemical characteristics. Neural markers highlighted the biphasic pattern and CK7, CK8, and CK20 were detected on taste buds confined to the epithelium adjacent to the SNPs. Five patients presented pain/discomfort as the main symptom. Symptomatic SNPs see...

An unusual case of oral hirsutism in a patient with polycystic ovarian syndrome

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:52 +0100

We present a clinical case that is relatively unusual owing to the appearance of black hairs that are similar to nasal hair in the oral mucosa, which is an atypical location. This unusual case was considered to be oral hirsutism, and its presence constituted the essential element in the diagnosis of PCOS. The hypothesis proposed for this unusual condition could be correlated to the high rate of circulating testosterone that may have influenced and led to the development and appearance of the hair follicles in the oral mucosa. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

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Hemostatic management for periodontal treatments in patients on oral antithrombotic therapy: A retrospective study

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:51 +0100

Conclusions: Scaling can be safely performed in patients on warfarin (INR (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Evaluation of gustatory function in patients with diabetes mellitus type 2

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:50 +0100

Conclusion: Type 2 diabetic patients had a blunted taste response for sweet followed by sour and salt tastes. This taste abnormality may influence the choice of nutrients, with a preference for sweet-tasting foods, thereby exacerbating hyperglycemia. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Three-dimensional model simulation and reconstruction of composite total maxillectomy defects with fibula osteomyocutaneous flap flow-through from radial forearm flap

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:49 +0100

Conclusion: This preliminarily clinical study and case demonstrated that: the fibula osteomyocutaneous flap is an ideal donor site in 3D total maxillectomy defect reconstruction, because of its thickness, length, and bone uniformity which makes ideal support for dental rehabilitation; the flow-through forearm radial flap not only serves as the vascular bridge to midface reconstruction, but also provides sufficient soft tissue cover for the intraoral defect; and the 3D model simulation and preoperative surgical planning are effective methods to refine reconstruction surgery, shorten the surgical time, and predict the outcome after operation. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Bone lid technique with piezosurgery to preserve inferior alveolar nerve

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Sat, 14 Nov 2009 14:14:49 +0100

This article presents an alternative technique that uses piezoelectricity to minimize trauma to the inferior alveolar nerve, vascular tissues, or surrounding dental tissues. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

MedWorm: ENT & OMF

Guide for Authors

Calendar of Events

A child with lipoid proteinosis of larynx, skin and lymph nodes

Evaluation for language and speech development in Kabuki make-up syndrome: A case report

Microdebrider resection of acquired subglottic cysts: Case series and review of the literature

Retrograde nasal intubation via the cleft in Pierre-Robin Sequence neonates: A case series

Bacteremic methicillin-resistant Staphylococcus aureus deep neck abscess in a newborn—Case report and review of literature

Successful treatment of isolated subglottic haemangioma with propranolol alone

Complete traumatic laryngotracheal disruption—A case report and review

Migratory foreign body of neck in a battered baby: A case report

Outpatient administration of radioactive iodine after total thyroidectomy for pediatric thyroid cancer: A report of three cases

Patency of nasopharynx and a cephalometric image in the children with orthodontic problems

Is Carhart notch an accurate predictor of otitis media with effusion?

Psychological stress and family functioning in mothers of children with allergic rhinitis

Parents’ views on the quality of life of their children 2–3 years after cochlear implantation

Evaluation of the upper airway in children and adolescents with cystic fibrosis and obstructive sleep apnea syndrome

Depressive emotioning in adolescents with cochlear implant and normal hearing

Prevalence of habitual snoring and symptoms of sleep-disordered breathing in adolescents

Validation of the LittlEARS® Auditory Questionnaire in children with normal hearing

Effect of lipooligosaccharide mutations of Haemophilus influenzae on the middle and inner ears

The impact of chronic suppurative otitis media on children's and teenagers’ hearing

Sphenoid sinus development in choanal atresia

Prospective, controlled clinical trial of Ankaferd Blood Stopper in children undergoing tonsillectomy

Pediatric and adult otorhinolaryngological publications: Trends over 15 years (1993–2007)

The measurement of craniocervical posture: A simple method to evaluate head position

Difficulties in diagnosis of laryngeal cysts in children

Common agents used to unblock blood clots within tympanostomy tubes: An ex vivo study and review of literature

Adenoidectomy for otitis media with effusion in 2–3-year-old children

Hearing results of stapedotomy and malleo-vestibulopexy in congenital hearing loss

Auditory function in women with autoimmune inner ear diseases and their offspring

Efficacy of nasal irrigation in the treatment of acute sinusitis in children

Newborn hearing screening on infants at risk

Conscious sedation in pediatric speech endoscopy

Cochlear abnormalities associated with enlarged vestibular aqueduct anomaly

The prelexical development in children implanted by 16 months compared with normal hearing children

Endoscopic surgery for the treatment of pediatric subperiosteal orbital abscess: A report of 10 cases

Flexible bronchoscopy as a valuable tool in the evaluation of persistent wheezing in children

The role of Toll-like receptor 4 in eliciting acquired immune responses against nontypeable Haemophilus influenzae following intranasal immunization with outer membrane protein

Changes in IGF-I, IGFBP-3 and ghrelin levels after adenotonsillectomy in children with sleep disordered breathing

Effectiveness of transnasal endoscopic powered adenoidectomy in patients with choanal adenoids

The assessment of hearing organ of school children in Upper Silesia region

l-Epinephrine and dexamethasone in postextubation airway obstruction: A prospective, randomized, double-blind placebo-controlled study

Management of otitis media with effusion in children with primary ciliary dyskinesia: A literature review

Treatment of 38 cases of foreign body aspiration in children causing life-threatening complications

National Newborn Hearing Screening Program in Turkey: Struggles and implementations between 2004 and 2008

Prognostic indicators for sensorineural hearing loss in temporal bone histiocytosis

Sialodochostomy as treatment for imperforate submandibular duct: A systematic literature review and report of two cases

Editorial Board

British Academy of Audiology Conference Programme

AAOMS Author Disclosure forms

Table of Contents

Notice to Contributors

Editorial Board

Masthead

Reader's Circle Continuing Education Program

Subject Index

Author Index

News and Announcements

Erratum

Erratum

Avascular Necrosis of Bone in Leukemia and Osteonecrosis of Jaw by Bisphosphonates

Arthroscopic Myotomy of the Lateral Pterygoid Muscle With Coblation for the Treatment of Temporomandibular Joint Anterior Disc Displacement Without Reduction

Assessment of the Local Effects of Ketamine Requires Exclusion of Systemic Effects

American Association of Oral and Maxillofacial Surgeons Position Paper: Bisphosphonate-Related Osteonecrosis of the Jaws—2009 Update: The Need to Refine the BRONJ Definition

In reply

Curvilinear Distraction

In reply

Juvenile Aggressive Psammomatoid Ossifying Fibroma

Thyroglossal Duct Cyst Occurring in the Floor of the Mouth: Report of 2 Cases

Malignant Ameloblastoma: A Case Report of a Recent Onset of Neck Swelling in a Patient With a Previously Treated Ameloblastoma

rhBMP-2 as an Option for Reconstructing Mandibular Continuity Defects

Reconstruction of Mandibular Continuity Defects Using Recombinant Human Bone Morphogenetic Protein 2: A Note of Caution in an Atmosphere of Exuberance

A Novel Technique for Vertical Bone Augmentation in the Premaxillary Region

Effect of Surgical Drill Guide on Heat Generated From Implant Drilling

Retrospective Study on Immediate Functional Loading of Edentulous Maxillas and Mandibles With 690 Implants, Up to 71 Months of Follow-Up

Characteristics of Early Versus Late Implant Failure: A Retrospective Study

Correlation Between Serum C-Terminal Cross-Linking Telopeptide of Type I Collagen and Staging of Oral Bisphosphonate-Related Osteonecrosis of the Jaws

Clinical Characteristics and Complications Associated With Mesiodentes

Treatment of Linear Mandibular Fractures Using a Single 2.0-mm AO Locking Reconstruction Plate: Is a Second Plate Necessary?