Abstract Objectives Cone beam computed tomography (CBCT) imaging is commonly requested by dental implant surgeons, pre‐operatively, for patients being considered for dental implants. Incidental maxillary sinus findings often result in otolaryngology (ENT) referral for further assessment. CBCT findings include transient and benign mucosal changes that may not require any intervention and therefore unnecessarily delay implant surgery. We aim to define appropriateness criteria for ESS in the management...
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Condition: Sphenopalatine Ganglion BlockIntervention: Procedure: Transnasal Sphenopalatine Ganglion BlockSponsor: Ajou University School of MedicineNot yet recruiting
Conditions: Cancer; Head and Neck Cancer; Colon Cancer; Breast Cancer; Prostate Cancer; Cancer CaregiversIntervention: Behavioral: Group Exercise ClassesSponsors: University of Calgary; University of Alberta; Dalhousie University; Alberta Health Services; University Health Network, Toronto; Memorial University of Newfoundland; University of British Columbia; University of Prince Edward IslandNot yet recruiting
Conditions: Hepatic Flexure Colon Cancer; Proximal Transverse Colon CancerIntervention: Procedure: laparoscopic ileocecus-sparing right hemicolectomySponsor: Zhejiang UniversityNot yet recruiting
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Abstract Background Patients with head and neck cancer (HNC) who are not candidates for definitive treatment represent an increasing challenge, with limited data to guide management. Conventional local therapies such as surgery and chemoradiation can significantly impact quality of life (QoL). There has been limited data published using stereotactic body radiotherapy (SBRT) as primary treatment in previously unirradiated patients. We hypothesize that SBRT provides high rates of control while...
Abstract Background Oropharyngeal squamous cell carcinomas (OpSCCs) are commonly associated with high rates of treatment failure. Objectives To evaluate methylation‐based markers in plasma from OpSCC patients as emerging tools for accurate/noninvasive follow‐up. Methods Pretreatment formalin‐fixed paraffin‐embedded (FFPE) biopsies (n = 52) and paired plasma (n = 15) were tested for the methylation of CCNA1 , DAPK , CDH8 , and TIMP3 by droplet digital PCR (ddPCR). Results Seventy‐one...
Abstract Background Donor site morbidity is a significant drawback of the radial forearm flap. The purpose of this study is to describe a new shape‐modified technique. The donor site morbidity was compared to that of the conventional technique, in terms of the esthetic, functional outcomes, and quality of life (QOL). Methods This is a prospective study of 30 patients with oral cancer who underwent reconstruction using radial forearm flaps, in two groups. Results Regarding the donor...
Abstract Background Locoregional recurrence rates following parotidectomy for cancer remain as high as 20‐30%. The auriculotemporal nerve (ATN) may allow parotid cancers to spread from the facial nerve (FN) toward the skull base, causing local recurrence. Methods Retrospective review of 173 parotidectomies for malignancy. Preoperative and post‐recurrence imaging were reviewed by a neuroradiologist for signs of tumor adjacent to the ATN. Results Clinical and imaging signs of possible...
Abstract Background This study demonstrates the anatomy of the pedicled temporal artery posterior auricular skin (TAPAS) flap, its variable arc of rotation based on stepwise dissection, and case reports demonstrating clinical use. This flap provides excellent color match and ultrathin tissue for targeted reconstruction of small‐ to medium‐sized facial subunit defects. Methods Twenty‐six cadaver dissections were performed. The authors measured the reach and rotation limits of the flap in...
Abstract Oral cancer is on the rise globally and survival rates, despite improvements in clinical care, have not significantly improved. Early detection followed by immediate intervention is key to improving patient outcomes. The use of biomarkers has changed the diagnostic landscape for many cancers. For oral cancers, visual inspection followed by a tissue biopsy is standard practice. The discovery of microRNAs as potential biomarkers has attracted clinical interest but several challenges remain....
Abstract Background This study examines the association of multimodal analgesia (MMA) protocol for head and neck microvascular reconstruction with postoperative safety and opioid use. Methods Retrospective, intention‐to‐treat analysis of 226 patients undergoing head and neck microvascular reconstruction between January 1, 2014 and August 30, 2018 at a tertiary‐care hospital following MMA protocol implementation. Multivariable models examined outcomes of interest. Results There were...
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Lingual frenotomy has become an increasingly common surgical procedure, performed for a broad range of indications from birth through adulthood. This study utilizes histology to define the structure and tissue composition of the lingual frenulum and floor of mouth (FOM) fascia. En bloc specimens of anterior tongue, lingual frenulum, and FOM tissues were harvested from ten embalmed adult cadavers. An additional three fresh tissue cadaveric specimens were frozen with the tongue supported in an elevated...
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Benign vocal fold lesions identified in professional voice users, frequently require further treatment after failure of conservative measures. The role of vocal fold steroid injection as a treatment option for...
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Abstract With an increase in the number of cochlear implant surgeries there is bound to be an increase in the number of complications. A dreaded problem in any implant procedure is the implant exposure and infection. Explantation of the implant leads to an unpleasant situation to the patient and the surgeon owing to the high cost of the device. There are reports in the literature favouring the mandatory relocation or removal of the infected implants. On the other hand, there...
Abstract COVID-19 outbreak is major pandemic affecting lakhs of people all across the globe. Along with other nonspecific clinical features, reports mention anosmia to be an important symptom in COVID-19 positive patients. To study the prevalence of anosmia in confirmed COVID-19 patients, in Indian population and to ascertain its significance as a symptom of COVID 19. Study was done at a tertiary care COVID treating hospital. While eliciting detailed history from Covid-19 positive...
Abstract A laryngoscopically benign lesion with minimal hoarseness may turn out to be mimickers of malignancy or malignancy itself. Histopathological study is mandatory in such cases to rule out malignancy. A descriptive study of histopathological and laryngoscopic findings of benign laryngeal lesions were studies over a period of 4.5 years. Among the thirty-six patients studied, the mean age of the patients was 42 years. The most common presenting complaint was hoarseness of...
Abstract Difficult airway is a commonly encountered problem in the anesthesia practice, might needing otolaryngologist expert in creation of surgical airway. Supraglottic airways, surgical or needle cricothyrotomy, high frequency jet ventilation, cardiopulmonary bypass (Tunstall in Can J Anaesth 36:611–613, 1989) are initial rescue measures in such scenario. But in otolaryngology practice, patient presenting with stridor having difficult airway and difficult tracheostomy concurrently...
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Publication date: Available online 20 July 2020Source: Operative Techniques in Otolaryngology-Head and Neck SurgeryAuthor(s): Alissa Kanaan
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Publication date: Available online 20 July 2020Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): G. Badidi, M. Baulieu, P. Vercherin, V. De Pasquale, M. Gavid, J.M. Prades
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Publication date: Available online 20 July 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Rotem Kimia, Lisa Elden, Julia Dailey, Mallika Kodavatiganti, T. Blaine Crowley, Daniel E. McGinn, Alice Bailey, Elaine H. Zackai, Donna M. McDonald-McGinn, Oksana A. Jackson
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Objectives/Hypothesis Evaluate the impact and accuracy of clinical laryngeal cancer staging. Study Design Retrospective cohort study. Methods Two hundred sixty‐five consecutive patients with laryngeal squamous cell carcinoma who underwent total laryngectomy from 2001 to 2017 were studied. Clinical versus pathologic tumor (T) and nodal (N) categories were compared. Logistic regression and Cox proportional hazards analyzed the association of stage change with perioperative factors and...
Objectives To identify survival outcomes for patients with mucoepidermoid carcinoma (MEC) of the oral cavity and the effects of different prognostic factors on survival. Study Design Retrospective cohort study using a national database. Methods Retrospective, population‐based cohort study of patients in the Surveillance, Epidemiology and End Results (SEER) database who were diagnosed with MEC of the oral cavity from 1973 to 2016. Overall survival (OS) and disease‐specific survival (DSS)...
Objectives /Hypothesis Empty nose syndrome (ENS) is a complicated condition currently thought to be caused by excessive surgical resection of turbinate tissue. Patients with ENS experienced significant psychological symptoms, such as depression and anxiety. This study aimed to evaluate the impact of the psychological burden on the surgical outcome of ENS. Study Design Prospective case series in a tertiary medical center. Methods Patients with ENS were prospectively recruited between...
Objectives/Hypothesis To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Study Design Retrospective chart study. Methods This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS‐Obstruction (SCHNOS‐O), and SCHNOS‐Cosmesis (SCHNOS‐C) scores in patients who underwent rhinoplasty for functional,...
Objectives To characterize sarcomatoid cell carcinoma (SaC) in head and neck, explore the value of radiotherapy (RT) and chemotherapy, and build a nomogram to predict the prognosis. Study Design Retrospective cohort study. Methods In total, 559 patients diagnosed with head and neck SaC from 2004 to 2015 were included from the Surveillance, Epidemiology, and End Results program. All the cases were divided into training (N = 313) and validation (N = 246) cohorts according to the year of...
ABSTRACT OBJECTIVE To evaluate the incidence of certain symptoms in a population of health workers exposed to COVID‐19 patients. METHODS A case‐control study was conducted at a tertiary care hospital from March 1 to April 7, 2020. Health workers with suspected COVID‐19 infection were included. The presence of COVID‐19 was detected by using real‐time‐PCR methods. Positive and negative RT‐PCR patients were used as case and control groups, respectively. This study analyzed the incidence of...
Objectives Rhabdomyosarcoma (RMS) is the most common soft tissue sarcoma in children. The goal of this research is to analyze the role of surgery in the management of pediatric parameningeal (PM) and non‐PM head and neck RMS (HNRMS). Study Design Retrospective review. Methods Retrospective chart review of patients <20 years of age treated for HNRMS between 1970 and 2015. Clinical presentation, tumor characteristics, treatment, recurrence, follow‐up, and outcome data were collected....
Objectives Progressive supranuclear palsy (PSP) is a neurodegenerative disease which results in cough and swallowing dysfunction and aspiration pneumonia. Relationships among vocal fold atrophy, cough, and swallowing have been identified in related diseases, but remain unknown in PSP. This study examined: 1) the prevalence of vocal fold bowing in PSP, and 2) the influence of vocal fold bowing on cough and swallowing in PSP. Study Design Prospective Cohort Study. Methods Twenty‐three...
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