Laryngeal cancers in paediatric and young adult patients: epidemiology, biology and treatment
Purpose of review The aim of thi study was to review the recent literature on epidemiology, biology and treatment of laryngeal cancer in paediatric and young adult patients. Recent findings Epidemiological studies reported that 2–10% of patients with laryngeal cancer are younger than 40-year-old, while the prevalence of laryngeal cancer remains unknown in the paediatric population. The development of laryngeal cancer in young adults is multifactorial and may be linked to common carcinogens (tobacco and alcohol), occupational factors, laryngopharyngeal reflux, immunosuppression, human papillomavirus infection a...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: HEAD AND NECK ONCOLOGY: Edited by Cesare Piazza and Alberto Paderno Source Type: research

Pediatric chronic sinusitis: diagnosis and management
Purpose of review Review the diagnosis and management of pediatric chronic sinusitis given recent advances in both surgical and medical management Recent findings Balloon catheter dilation (BCD) of the sinuses has been used as an adjunct to adenoidectomy or in lieu of traditional endoscopic sinus surgery. BCD has been shown to be a safe technique in children although its efficacy compared to maxillary sinus irrigation or traditional sinus surgery cannot be determined based on current studies. Summary New advances in BCD and biologics may serve as useful adjuncts in surgical and medical therapy respectivel...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: NOSE AND PARANASAL SINUSES: Edited by Nithin D. Adappa and Edward C. Kuan Source Type: research

The lateral arm free flap for head and neck reconstruction
Purpose of review The aim of this study was to review the recent literature on the utilization of the lateral arm free flap use in head and neck reconstruction. Recent findings The lateral arm free flap provides a reliable fasciocutaneous free tissue transfer option ideally suited for reconstruction of the oral cavity, pharynx and parotid. Primary donor site closure, compartmentalized fat and excellent colour match make it an excellent option for head and neck reconstruction. Donor site morbidity is low, and the primary limitation is the short and narrow vascular pedicle. Summary The lateral arm free flap should be...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: HEAD AND NECK RECONSTRUCTION: Edited by Arnaud F. Bewley Source Type: research

Radiomics and deep learning approach to the differential diagnosis of parotid gland tumors
Purpose of review Advances in computer technology and growing expectations from computer-aided systems have led to the evolution of artificial intelligence into subsets, such as deep learning and radiomics, and the use of these systems is revolutionizing modern radiological diagnosis. In this review, artificial intelligence applications developed with radiomics and deep learning methods in the differential diagnosis of parotid gland tumors (PGTs) will be overviewed. Recent findings The development of artificial intelligence models has opened new scenarios owing to the possibility of assessing features of medical...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: HEAD AND NECK ONCOLOGY: Edited by Cesare Piazza and Alberto Paderno Source Type: research

The role of fungus in the pathogenesis of chronic rhinosinusitis
Purpose of review The etiologic role of fungi in chronic rhinosinusitis remains controversial. The purpose of this review is to further our understanding of molecular immunologic pathways activated by fungi and clinical trials of antifungals in severe subtypes of asthma and allergic fungal rhinosinusitis. Recent findings Various fungal components such as protease and chitin are capable of eliciting a type 2 innate and adaptive immune response. However, definitive studies on the etiologic role of fungi in chronic rhinosinusitis (CRS) is dependent on the development of a fungi-induced murine model of CRS. Short of...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: NOSE AND PARANASAL SINUSES: Edited by Nithin D. Adappa and Edward C. Kuan Source Type: research

Current management of superior semicircular canal dehiscence syndrome
Purpose of review The current article reviews literature on the contemporary management of superior semicircular canal dehiscence syndrome (SSCDS). Approaches to management and surgical techniques are compared along with a discussion of the use of more standardized, objective outcome measures. Recent findings Considerable debate still exists as to what approach and technique is most appropriate for patients with SSCDS and how to best measure postoperative outcomes. However, it is increasingly accepted that multiple factors account for outcomes in SSCDS, including presenting symptoms and presence of vestibular comorbid...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 16, 2020 Category: ENT & OMF Tags: AUDITORY AND VESTIBULAR SCIENCE: Edited by Rodney C. Diaz Source Type: research

The surgical management of cephalalgia
Purpose of review: Management of headache disorders is not part of most craniomaxillofacial surgery practices; however there are certain indications for surgical management of headaches by the craniomaxillofacial surgeon. Recent findings: Migraine headaches are the most amenable to surgical management and while the exact mechanism of migraine is unknown, a central or peripheral trigger such as compressive neuropathy of trigeminal nerve branches leading to neurogenic inflammation has been suggested. The primary management for episodic migraine headache should be lifestyle modification and medication, whereas for chronic mi...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - July 19, 2016 Category: ENT & OMF Tags: MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum Source Type: research

Salivaomics in oral cancer
Purpose of review The goal of cancer screening is to detect tumor at an early stage, and early cancer detection is the hallmark of successful treatment. In addition to traditional tissue biopsy-based diagnostics, more reliable, inexpensive, and noninvasive methods are required for early diagnosis of cancer. In this review, we highlight some of the recent advancements in the field of salivary diagnostics in oral cancer. Recent findings ‘Salivaomics’ is a broad collection of technologies used to explore different types of molecules contained in saliva. Although many protein and mRNA salivary biomarkers have been ide...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 2, 2015 Category: ENT & OMF Tags: HEAD AND NECK ONCOLOGY: Edited by Cesare Piazza Source Type: research

The anteromedial thigh free flap: a primary reconstructive option or second best?
This article reviews the recent literature on the anteromedial thigh free flap. Recent findings The anteromedial thigh (AMT) free flap is an excellent reconstructive option for head and neck defects. It is often overshadowed by the anterolateral thigh (ALT) free flap. Lack of familiarity with the anatomy of the AMT likely deters many surgeons from considering it as a reliable option. However, as many as one in 20 patients may not have anatomy suitable for ALT free-flap harvest, and in these cases the AMT provides an ideal alternative as it can be harvested through the same incision without added morbidity. Current areas...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 2, 2015 Category: ENT & OMF Tags: HEAD AND NECK RECONSTRUCTION: Edited by Arnaud F. Bewley Source Type: research

Update on pediatric sinus surgery: indications and outcomes
Purpose of review To review the recent literature of pediatric endoscopic sinus surgery (ESS). Recent findings Sinus balloon catheter dilation is an important addition to the surgical treatment tools for pediatric chronic rhinosinusitis (PCRS). ESS is a safe and effective therapeutic modality for uncomplicated PCRS. For PCRS complicated by comorbidities including cystic fibrosis and primary ciliary dyskinesia, ESS and adjuvant medical therapy confers significant sinus, pulmonary, and quality of life benefits to pediatric patients. Summary ESS is a safe and effective treatment modality in the management of pediatric...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 2, 2015 Category: ENT & OMF Tags: PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller and Taylor Fordham Source Type: research

Secondary reconstruction of maxillofacial trauma
Purpose of review: Craniomaxillofacial trauma is one of the most complex clinical conditions in contemporary maxillofacial surgery. Vital structures and possible functional and esthetic sequelae are important considerations following this type of trauma and intervention. Despite the best efforts of the primary surgery, there are a group of patients that will have poor outcomes requiring secondary reconstruction to restore form and function. The purpose of this study is to review current concepts on secondary reconstruction to the maxillofacial complex. Recent findings: The evaluation of a posttraumatic patient for a secon...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 2, 2015 Category: ENT & OMF Tags: MAXILLOFACIAL SURGERY: Edited by Sherard A. Tatum Source Type: research

What is the evidence for genetics in chronic rhinosinusitis?
Purpose of review: To perform analysis of evidence in current literature on the topic of genetics and chronic rhinosinusitis (CRS), with a particular focus on recent findings in the cystic fibrosis transmembrane regulator (CFTR), genes associated with primary ciliary dyskinesia, and taste receptor T2R38. Other genes that have been found to have association with CRS are also presented and discussed. Recent findings: Recent studies in CFTR and CRS research have investigated possible CFTR-potentiators for treatment of refractory CRS. The T2R38 gene has been shown to be applicable in the clinical setting with a testable pheno...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - October 2, 2015 Category: ENT & OMF Tags: NOSE AND PARANASAL SINUSES: Edited by Samuel S. Becker and Nithin D. Adappa Source Type: research

Pediatric quality of life in children with otolaryngologic disease: what inventories are available and what is still needed?
This article reviews the recently published literature that evaluated QOL in children with common pediatric otolaryngologic problems. Recent findings: Among the 41 reviewed articles that used QOL as an outcome, 14 disease-specific QOL surveys and 12 generic QOL questionnaires were used. QOL instruments that had been validated in adults were frequently used in children without validation in pediatric populations. For children, parent-reported outcomes of caregiver concerns are often used as proxy measures of QOL for the child, and only a few QOL instruments asked the child to rate their own perception of their QOL. Several ...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller Source Type: research

Pediatric quality of life in children with otolaryngologic disease: what inventories are available and what is still needed?
This article reviews the recently published literature that evaluated QOL in children with common pediatric otolaryngologic problems. Recent findingsAmong the 41 reviewed articles that used QOL as an outcome, 14 disease-specific QOL surveys and 12 generic QOL questionnaires were used. QOL instruments that had been validated in adults were frequently used in children without validation in pediatric populations. For children, parent-reported outcomes of caregiver concerns are often used as proxy measures of QOL for the child, and only a few QOL instruments asked the child to rate their own perception of their QOL. Several st...
Source: Current Opinion in Otolaryngology and Head and Neck Surgery - September 11, 2014 Category: ENT & OMF Tags: PEDIATRIC OTOLARYNGOLOGY: Edited by Lisa Buckmiller Source Type: research