The Journal of Laryngology & Otology最新文献_第9页

SCARY CASES IN OTOLARYNGOLOGY M P Platt, K M Grundfast Plural Publishing, 2017 ISBN 978 1 59756 654 4 pp 230 Price US$99.95 M P Platt, K M Grundfast出版社，2017 ISBN 978 159756 654 4页230价99.95美元

The Journal of Laryngology & Otology Pub Date : 2017-02-01 DOI: 10.1017/S0022215116009920

L. Flood

引用次数: 1

Comparison of swallowing outcomes of laryngotracheal separation versus total laryngectomy in a validated ovine model of profound oropharyngeal dysphagia 在重度口咽吞咽困难的绵羊模型中，喉气管分离与全喉切除术的吞咽结果比较

The Journal of Laryngology & Otology Pub Date : 2017-01-26 DOI: 10.1017/S0022215117000032

N. Venkatesan, C. Johnson, M. T. Siddiqui, D. Cates, M. Kuhn, G. Postma, P. Belafsky

{"title":"Comparison of swallowing outcomes of laryngotracheal separation versus total laryngectomy in a validated ovine model of profound oropharyngeal dysphagia","authors":"N. Venkatesan, C. Johnson, M. T. Siddiqui, D. Cates, M. Kuhn, G. Postma, P. Belafsky","doi":"10.1017/S0022215117000032","DOIUrl":"https://doi.org/10.1017/S0022215117000032","url":null,"abstract":"Abstract Objectives: To validate the ovine model of profound oropharyngeal dysphagia and compare swallowing outcomes of laryngotracheal separation with those of total laryngectomy. Methods: Under real-time fluoroscopy, swallowing trials were conducted using the head and neck of two Dorper cross ewes and one human cadaver, secured in lateral fluoroscopic orientation. Barium trials were administered at baseline, pre- and post-laryngohyoid suspension, following laryngotracheal separation, and following laryngectomy in the ovine model. Results: Mean pre-intervention Penetration Aspiration Scale and National Institutes of Health Swallow Safety Scale scores were 8 ± 0 and 6 ± 0 respectively in sheep and human cadavers, with 100 per cent intra- and inter-species reproducibility. These scores improved to 1 ± 0 and 2 ± 0 post-laryngohyoid suspension (p < 0.01). Aerodigestive tract residue was 18.6 ± 2.4 ml at baseline, 15.4 ± 3.8 ml after laryngotracheal separation and 3.0 ± 0.7 ml after total laryngectomy (p < 0.001). Conclusion: The ovine model displayed perfect intra- and inter- species reliability for the Penetration Aspiration Scale and Swallow Safety Scale. Less aerodigestive tract residue after narrow-field laryngectomy suggests that swallowing outcomes after total laryngectomy are superior to those after laryngotracheal separation.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"1 1","pages":"350 - 356"},"PeriodicalIF":0.0,"publicationDate":"2017-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78093506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Cost analysis of osteoradionecrosis 放射性骨坏死的成本分析

The Journal of Laryngology & Otology Pub Date : 2017-01-26 DOI: 10.1017/S0022215116009956

L. Park, N. Lilic, B. Addison, R. Patel

引用次数: 12

The Doyle–Saleh blink reflex 道尔-萨利赫眨眼反射

The Journal of Laryngology & Otology Pub Date : 2017-01-23 DOI: 10.1017/S0022215117000068

P. Doyle, I. Beegun, H. Saleh

{"title":"The Doyle–Saleh blink reflex","authors":"P. Doyle, I. Beegun, H. Saleh","doi":"10.1017/S0022215117000068","DOIUrl":"https://doi.org/10.1017/S0022215117000068","url":null,"abstract":"Abstract Objectives: When performing septoplasty or septorhinoplasty, we have observed that patients blink on injection of local anaesthetic (lidocaine 1 per cent with adrenaline 1:80 000) into the nasal mucosa of the anterior septum or vestibular skin, despite appropriate general anaesthesia. This study sought to quantify this phenomenon by conducting a prospective audit of all patients undergoing septoplasty or septorhinoplasty. Methods: Patients were observed for a blink reflex at the time of local anaesthetic infiltration into the nasal vestibule. Also measured at this point were propofol target-controlled infusion levels, remifentanil rate, bispectral index, blood pressure, heart rate, pupil size and position, and patient movement. Results: There were 15 blink reflexes in the 30 patients observed. The average bispectral index value was 32.75 (range, 22–50) in the blink group and 26.77 (range, 18–49) in the non-blink group. No patients moved on local anaesthetic injection. Conclusion: The blink reflex appears to occur in 50 per cent of patients, despite a deep level of anaesthesia. Without an understanding and appreciation of the blink reflex, this event may result in a request to deepen anaesthesia, but this is not necessary and surgery can proceed safely.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"21 1","pages":"347 - 349"},"PeriodicalIF":0.0,"publicationDate":"2017-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85503408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Recurrent acute otitis media detracts from health-related quality of life 复发性急性中耳炎降低与健康相关的生活质量

The Journal of Laryngology & Otology Pub Date : 2017-01-11 DOI: 10.1017/S0022215116009944

Tiia Kujala, Alho Op, A. Kristo, Matti Uhari, M. Renko, T. Pokka, Peppi Koivunen

{"title":"Recurrent acute otitis media detracts from health-related quality of life","authors":"Tiia Kujala, Alho Op, A. Kristo, Matti Uhari, M. Renko, T. Pokka, Peppi Koivunen","doi":"10.1017/S0022215116009944","DOIUrl":"https://doi.org/10.1017/S0022215116009944","url":null,"abstract":"Abstract Objective: Acute otitis media causes discomfort to children and inconvenience to their parents. This study evaluated the quality of life in children with recurrent acute otitis media aged less than 24 months. Methods: Quality of life was evaluated in 149 children aged 10 to 24 months who were referred to the Oulu University Hospital on account of recurrent acute otitis media. The children were treated with or without surgery. Age-matched controls were selected randomly from the general child population. Parents completed the Child Health Questionnaire. Results: The children with recurrent acute otitis media had a significantly poorer quality of life than control children. The control children with a history of a few acute otitis media episodes had a significantly poorer quality of life than those without any such history. The quality of life of the children with recurrent acute otitis media improved during the one-year follow up, regardless of the treatment, but did not reach the same level as healthy children. Conclusion: Acute otitis media detracted from quality of life when a generic measure was used. The mode of treatment used to prevent further recurrences of acute otitis media did not influence quality of life improvement.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"16 1","pages":"128 - 137"},"PeriodicalIF":0.0,"publicationDate":"2017-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78611289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Successful obliteration of troublesome and chronically draining cavities 成功消除麻烦和长期排水的蛀牙

The Journal of Laryngology & Otology Pub Date : 2017-01-10 DOI: 10.1017/S002221511600997X

S. Geerse, F. Ebbens, M. D. de Wolf, E. van Spronsen

{"title":"Successful obliteration of troublesome and chronically draining cavities","authors":"S. Geerse, F. Ebbens, M. D. de Wolf, E. van Spronsen","doi":"10.1017/S002221511600997X","DOIUrl":"https://doi.org/10.1017/S002221511600997X","url":null,"abstract":"Abstract Objective: This study aimed to evaluate the results of revision radical cavity surgery with mastoid obliteration using a standardised grading scheme. Methods: A retrospective study was performed of 121 patients (122 ears) with chronically draining ears who underwent revision radical cavity surgery with mastoid obliteration between 2007 and 2013. Surgical indications, patient characteristics, pre- and post-operative Merchant grade, and surgical outcomes were recorded. The main outcome measures were presence of a dry ear, time for complete re-epithelialisation, presence of residual or recurrent disease, and need for revision surgery. Results: In the 5-year follow-up group (n = 31), dry ears were found in 97 per cent after 6 minor revisions and cholesteatoma-free ears were found in 97 per cent. In the total cohort, dry ears were found in 93 per cent after nine revisions and cholesteatoma-free ears were found in 98 per cent. The median time for complete re-epithelialisation was eight weeks. There were no major complications. Conclusion: In terms of the dry ear rate, residual cholesteatoma and time to complete epithelialisation, revision radical cavity surgery with mastoid obliteration produces very good results in concordance with published results, despite most patients suffering from very troublesome cavities prior to surgery.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"60 1","pages":"138 - 143"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88514284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Transoral laser resection of glottic carcinoma: what is the significance of anterior commissure involvement? 经口激光切除声门癌:前连合受累有何意义?

The Journal of Laryngology & Otology Pub Date : 2017-01-10 DOI: 10.1017/S0022215116010021

K. Stephenson, J. Fagan

{"title":"Transoral laser resection of glottic carcinoma: what is the significance of anterior commissure involvement?","authors":"K. Stephenson, J. Fagan","doi":"10.1017/S0022215116010021","DOIUrl":"https://doi.org/10.1017/S0022215116010021","url":null,"abstract":"Abstract Background: The optimal management of glottic carcinoma involving the anterior commissure is controversial. Method: A retrospective analysis was conducted of 76 patients with glottic squamous cell carcinoma treated by transoral carbon dioxide laser resection by a single surgeon. Results: Sixty-three patients (with tumour stage Tis–T3) were eligible for inclusion. Thirty patients had involvement of the anterior commissure; these patients were significantly more likely to have either uncertain or positive margins (63.3 vs 30.3 per cent, p = 0.012), and were also more likely to receive adjuvant radiotherapy (40 vs 3.2 per cent, p = 0.0005). The overall laryngeal preservation rate was 96.8 per cent; there was no statistically significant difference between those with and without anterior commissure involvement (96.7 and 96.9 per cent respectively). Conclusion: Transoral laser resection with the use of adjuvant radiotherapy in a minority of patients with adverse pathological findings can be recommended for the primary treatment of anterior commissure glottic cancer from an oncological perspective; excellent local control and laryngeal preservation rates can be achieved.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"71 1","pages":"168 - 172"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86397789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Validation of a new ENT emergencies course for first-on-call doctors 验证新的耳鼻喉科急诊课程的第一呼叫医生

The Journal of Laryngology & Otology Pub Date : 2017-01-10 DOI: 10.1017/S002221511601001X

Chloe Swords, Matthew E. Smith, J. Wasson, Asad Qayyum, J. Tysome

{"title":"Validation of a new ENT emergencies course for first-on-call doctors","authors":"Chloe Swords, Matthew E. Smith, J. Wasson, Asad Qayyum, J. Tysome","doi":"10.1017/S002221511601001X","DOIUrl":"https://doi.org/10.1017/S002221511601001X","url":null,"abstract":"Abstract Background: First-on-call ENT cover is often provided by junior doctors with limited ENT experience; yet, they may have to manage life-threatening emergencies. An intensive 1-day simulation course was developed to teach required skills to junior doctors. Methods: A prospective, single-blinded design was used. Thirty-seven participants rated their confidence before the course, immediately following the course and after a two-month interval. Blinded assessors scored participant performance in two video-recorded simulated scenarios before and after the course. Results: Participant self-rated confidence was increased in the end-of-course survey (score of 27.5 vs 53.0; p < 0.0001), and this was maintained two to four months after the course (score of 50.5; p < 0.0001). Patient assessment and management in video-recorded emergency scenarios was significantly improved following course completion (score of 9.75 vs 18.75; p = 0.0093). Conclusion: This course represents an effective method of teaching ENT emergency management to junior doctors. ENT induction programmes benefit from the incorporation of a simulation component.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"26 1","pages":"106 - 112"},"PeriodicalIF":0.0,"publicationDate":"2017-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80679191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Role of circumferential subannular tympanoplasty in anterior and subtotal perforations 环状环状下鼓室成形术在前鼓室穿孔和次全鼓室穿孔中的作用

The Journal of Laryngology & Otology Pub Date : 2017-01-10 DOI: 10.1017/S0022215116009993

G. Singh, S. Ranjan, R. Arora, S. Kumar

引用次数: 10

Successful conservative treatment of an intracranial pneumatocele with post-traumatic hypoglossal nerve palsy secondary to diffuse temporal bone pneumocele: case report and review of the literature 成功保守治疗外伤性舌下神经麻痹继发于弥漫性颞骨气肿的颅内气肿一例报告及文献复习

The Journal of Laryngology & Otology Pub Date : 2017-01-09 DOI: 10.1017/S0022215116009816

M. Taube, G. M. Potter, S. Lloyd, S. Freeman

{"title":"Successful conservative treatment of an intracranial pneumatocele with post-traumatic hypoglossal nerve palsy secondary to diffuse temporal bone pneumocele: case report and review of the literature","authors":"M. Taube, G. M. Potter, S. Lloyd, S. Freeman","doi":"10.1017/S0022215116009816","DOIUrl":"https://doi.org/10.1017/S0022215116009816","url":null,"abstract":"Abstract Background: A pneumocele occurs when an aerated cranial cavity pathologically expands; a pneumatocele occurs when air extends from an aerated cavity into adjacent soft tissues forming a secondary cavity. Both pathologies are extremely rare with relation to the mastoid. This paper describes a case of a mastoid pneumocele that caused hypoglossal nerve palsy and an intracranial pneumatocele. Case report: A 46-year-old man presented, following minor head trauma, with hypoglossal nerve palsy secondary to a fracture through the hypoglossal canal. The fracture occurred as a result of a diffuse temporal bone pneumocele involving bone on both sides of the hypoglossal canal. Further slow expansion of the mastoid pneumocele led to a secondary middle fossa pneumatocele. The patient refused treatment and so has been managed conservatively for more than five years, and he remains well. Conclusion: While most patients with otogenic pneumatoceles have presented acutely in extremis secondary to tension pneumocephalus, our patient has remained largely asymptomatic. Aetiology, clinical features and management options of temporal bone pneumoceles and otogenic pneumatoceles are reviewed.","PeriodicalId":22781,"journal":{"name":"The Journal of Laryngology & Otology","volume":"35 7 1","pages":"181 - 184"},"PeriodicalIF":0.0,"publicationDate":"2017-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81161140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

The Journal of Laryngology &#x0026; Otology最新文献

The Journal of Laryngology & Otology最新文献