Annals of Otology, Rhinology & Laryngology最新文献_第10页

Trial Vocal Fold Injection Predicts Thyroplasty Outcomes in Nonparalytic Glottic Incompetence 试验声带注射预测非麻痹性声门功能不全患者甲状腺成形术的结果

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-04-01 DOI: 10.1177/0003489416688479

Lukas D. Dumberger, Lewis J. Overton, R. Buckmire, R. Shah

{"title":"Trial Vocal Fold Injection Predicts Thyroplasty Outcomes in Nonparalytic Glottic Incompetence","authors":"Lukas D. Dumberger, Lewis J. Overton, R. Buckmire, R. Shah","doi":"10.1177/0003489416688479","DOIUrl":"https://doi.org/10.1177/0003489416688479","url":null,"abstract":"Objectives: Trial vocal fold injection (TVFI) may be used prior to permanent medialization when voice outcome is uncertain. We aimed to determine whether voice outcomes of TVFI are predictive of, or correlate with outcomes after type I Gore-Tex medialization thyroplasty (GMT) in patients with nonparalytic glottic incompetence (GI). Methods: Thirty-five patients with nonparalytic GI who underwent TVFI followed by GMT were retrospectively reviewed. Change in voice-related quality of life (VRQOL) after TVFI was compared to change in VRQOL 3 to 9 months after GMT. Similar comparisons were made for change in glottal function index (GFI) and change in grade, roughness, breathiness, asthenia, and strain (GRBAS). Sample correlation coefficients were calculated. Results: Change in VRQOL after TVFI showed good correlation with change in VRQOL after GMT, r = 0.55. Change in GFI after TVFI showed strong correlation with change in GFI after GMT, r = 0.74. Change in GRBAS after TVFI showed excellent correlation with change in GRBAS after GMT, r = 0.90. Conclusion: The TVFI is a useful tool in nonparalytic GI when outcomes from glottic closure procedures are not clear. Voice outcome measures after TVFI strongly correlate with outcomes from GMT. These data may be used to more confidently counsel patients regarding their predicted outcomes of permanent medialization.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"84 1","pages":"279 - 283"},"PeriodicalIF":0.0,"publicationDate":"2017-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83822340","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

Book Review: Comprehensive Management of Swallowing Disorders 书评:吞咽障碍的综合管理

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-03-29 DOI: 10.1177/0003489417700067

Gina L. Palma

引用次数: 0

Influence of External Subglottic Air Flow on Dysphagic Tracheotomized Patients With Severe Brain Injury 声门下外气流对重型颅脑损伤气管切开患者吞咽困难的影响

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-03-01 DOI: 10.1177/0003489416683192

M. Kothari, Katje Bjerrum, L. H. Nielsen, J. Jensen, J. Nielsen

{"title":"Influence of External Subglottic Air Flow on Dysphagic Tracheotomized Patients With Severe Brain Injury","authors":"M. Kothari, Katje Bjerrum, L. H. Nielsen, J. Jensen, J. Nielsen","doi":"10.1177/0003489416683192","DOIUrl":"https://doi.org/10.1177/0003489416683192","url":null,"abstract":"Objective: The aim of this study was to determine if external subglottic air flow (ESAF) influences swallowing frequency in severely dysphagic tracheotomized patients with brain injury. Methods: Ten patients were recruited at the neurological intensive care unit. The ESAF intervention was provided through the standard cuffed suction aid tracheotomy tube, which primarily is used to suction residual secretion volume from the subglottic area. Sessions were 150 minutes, and ESAF was provided at 60-65, 90-95, and 120-125 minutes at 3 L/min. Outcome measures included swallowing frequency (swallows/5 min) at 0-5 minutes (pre-baseline), 25-30 and 55-60 minutes (baseline/control), and 85-90, 115-120, and 145-150 minutes (postintervention). The residual secretion volume (ml) from the subglottic area was collected using a syringe at 0 minutes (pre-baseline), 30 and 60 minutes (baseline/ control), and at 90, 120, and 150 minutes (postintervention). Results: The mean (±SEM) swallowing frequency (swallows/5 min) increased from 0.60 ± 0.30 to 2.10 ± 0.70 during the ESAF intervention (P < .001). The mean (±SEM) residual secretion volume reduced from 3.10 ± 0.31 ml to 0.50 ± 0.30 ml after the ESAF intervention (P < .001). Conclusion: The increase in swallowing frequency and reduction in residual secretion volume may indicate that ESAF influences swallowing parameters in patients with tracheotomy tubes.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"58 1","pages":"199 - 204"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83484929","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: 13

Diagnostic Challenges in a Case of IgG4-RD Affecting the Temporal Bone 影响颞骨的IgG4-RD病例的诊断挑战

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-03-01 DOI: 10.1177/0003489416678009

J. Vuncannon, Nicholas J. Panella, K. Magliocca, D. Mattox

引用次数: 10

IgG4-Related Disease of Bilateral Temporal Bones 双侧颞骨igg4相关疾病

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-03-01 DOI: 10.1177/0003489416672476

Lilun Li, B. Ward, M. Cocks, A. Kheradmand, H. Francis

{"title":"IgG4-Related Disease of Bilateral Temporal Bones","authors":"Lilun Li, B. Ward, M. Cocks, A. Kheradmand, H. Francis","doi":"10.1177/0003489416672476","DOIUrl":"https://doi.org/10.1177/0003489416672476","url":null,"abstract":"Objective: IgG4-related disease (IgG4-RD) is an idiopathic inflammatory condition that causes pseudotumor formation in single or multiple organs, including those of the head and neck. Temporal bone involvement is rare, with only 3 cases of unilateral temporal bone IgG4-RD described in the literature. We report the first known case of IgG4-RD of bilateral temporal bones and describe its clinical presentation, diagnosis, and treatment. Methods: The patient was a 52-year-old man with latent tuberculosis (TB) who presented with a 10-year history of bilateral profound hearing loss and vestibular dysfunction. Computed tomography and magnetic resonance imaging demonstrated bilateral labyrinthine destruction with invasion of the posterior fossa. Results: Immunoglobulin level testing showed elevated total serum IgG levels with normal IgG4 levels. Bilateral mastoidectomies were performed, with biopsy samples demonstrating IgG4 staining with IgG4-positive plasma cells up to 40/HPF (high power field) on the right and 20/HPF on the left, consistent with bilateral IgG4-RD. Conclusion: IgG4-RD of bilateral temporal bones presents with chronic and progressive bilateral hearing loss and vestibular dysfunction. Clinical presentation and radiologic findings are nonspecific, and definitive diagnosis must be made with histopathology and immunostaining. Corticosteroids are therapeutic, but surgical resection may be necessary for temporal bone IgG4-RD to improve long-term remission.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"11 1","pages":"236 - 240"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79298751","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

Gender Disparities in Speech-evoked Auditory Brainstem Response in Healthy Adults 健康成人言语诱发听觉脑干反应的性别差异

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-02-08 DOI: 10.1177/0003489417690169

B. Jalaei, M. Zakaria, Mohd Hafiz Afifi Mohd Azmi, Nik Adilah Nik Othman, D. Sidek

{"title":"Gender Disparities in Speech-evoked Auditory Brainstem Response in Healthy Adults","authors":"B. Jalaei, M. Zakaria, Mohd Hafiz Afifi Mohd Azmi, Nik Adilah Nik Othman, D. Sidek","doi":"10.1177/0003489417690169","DOIUrl":"https://doi.org/10.1177/0003489417690169","url":null,"abstract":"Objectives: Gender disparities in speech-evoked auditory brainstem response (speech-ABR) outcomes have been reported, but the literature is limited. The present study was performed to further verify this issue and determine the influence of head size on speech-ABR results between genders. Methods: Twenty-nine healthy Malaysian subjects (14 males and 15 females) aged 19 to 30 years participated in this study. After measuring the head circumference, speech-ABR was recorded by using synthesized syllable /da/ from the right ear of each participant. Speech-ABR peaks amplitudes, peaks latencies, and composite onset measures were computed and analyzed. Results: Significant gender disparities were noted in the transient component but not in the sustained component of speech-ABR. Statistically higher V/A amplitudes and less steeper V/A slopes were found in females. These gender differences were partially affected after controlling for the head size. Conclusions: Head size is not the main contributing factor for gender disparities in speech-ABR outcomes. Gender-specific normative data can be useful when recording speech-ABR for clinical purposes.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"23 1","pages":"290 - 295"},"PeriodicalIF":0.0,"publicationDate":"2017-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84000331","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

Self-directed Learning in Otolaryngology Residents’ Preparation for Surgical Cases 耳鼻喉科住院医师准备手术病例的自主学习

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-02-08 DOI: 10.1177/0003489417691300

J. Jabbour, Anna E Bakeman, Thomas C. Robey, Noel Jabbour

{"title":"Self-directed Learning in Otolaryngology Residents’ Preparation for Surgical Cases","authors":"J. Jabbour, Anna E Bakeman, Thomas C. Robey, Noel Jabbour","doi":"10.1177/0003489417691300","DOIUrl":"https://doi.org/10.1177/0003489417691300","url":null,"abstract":"Objectives: To characterize the nature of surgical preparation among otolaryngology residents nationwide, determine the self-rated effectiveness and efficiency of case preparation practices, and identify potential means for educational improvement. Methods: A survey examining the study objectives was developed and distributed to otolaryngology residents nationwide. Survey response data were submitted to descriptive analysis and comparative analyses between junior and senior residents. Literature regarding case preparation among otolaryngology residents was reviewed. Results: Among 108 resident respondents, the most commonly used resources included textbooks (86.1%), surgical education websites (74.1%), and surgical atlases (66.7%). Time was the primary limitation (cited by 84.3%) and convenience the predominant factor influencing resource selection (92.5%). On a 5-point Likert scale, mean scores regarding effectiveness and efficiency of case preparation were 3.53 ± 0.68 and 3.19 ± 0.88, respectively. Senior residents compared to junior residents were more likely to rate their preparation as effective (3.75 ± 0.54 vs 3.40 ± 0.72, P = .008) and efficient (3.45 ± 0.85 vs 3.03 ± 0.86, P = .02). Conclusion: Otolaryngology residents do not consistently rate their case preparation as effective or efficient. While there appears to be progress in self-directed learning throughout residency, room for improvement remains, with potential avenues for such improvement explored here.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"6 1","pages":"296 - 303"},"PeriodicalIF":0.0,"publicationDate":"2017-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83480342","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: 7

Nasal and Tracheal Cytological Changes After Total Laryngectomy in Long-Term Survivors 长期幸存者全喉切除术后鼻腔和气管细胞学改变

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-02-01 DOI: 10.1177/0003489416676500

G. Riva, M. Boita, A. Corvino, M. Sensini, Daniela Peruzzetto, L. Chiusa, G. Pecorari, M. Garzaro

{"title":"Nasal and Tracheal Cytological Changes After Total Laryngectomy in Long-Term Survivors","authors":"G. Riva, M. Boita, A. Corvino, M. Sensini, Daniela Peruzzetto, L. Chiusa, G. Pecorari, M. Garzaro","doi":"10.1177/0003489416676500","DOIUrl":"https://doi.org/10.1177/0003489416676500","url":null,"abstract":"Objective: Complete separation of upper and lower respiratory tract after total laryngectomy results in permanent effects on nasal cavities and tracheo-bronchial airways. Aim of this study is evaluating nasal and tracheal cytological alterations of mucosa in laryngectomy long-term survivors, analyzing the feasibility of scraping for cytological examination of tracheal mucosa. Methods: Twenty-five laryngectomy patients underwent symptoms’ evaluation, endoscopic fiber optic examination, prick tests, and nasal and tracheal scraping for cytological exam. Twenty-five healthy subjects underwent the same assessment, except for tracheal scraping. Eleven laryngectomy patients accepted inferior turbinate biopsy for histological examination. Results: Nasal cytological analysis demonstrated mucous cell metaplasia in 20% of laryngectomized patients, but it was absent in all healthy subjects; no squamous cell metaplasia was found in both groups. In 15 patients (60%), bacteria were present, without inflammatory infiltrate. Tracheal cytological analysis demonstrated a quite high rate of squamous cell metaplasia (24%), neutrophilic infiltrate (32%), and presence of bacteria (40%). Histological examination of inferior turbinate showed submucosal stromal fibrosis in all patients and submucosal inflammatory infiltrate in 1 case (9%). Conclusion: Nasal cavities and trachea of laryngectomy patients undergo long-term cytological and histological changes of mucosa and submucosa, probably due to airflow modifications.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"20 1","pages":"124 - 131"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85006568","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

HPV-Positive Oropharyngeal Cancer Via p16 Immunohistochemistry in Japan 日本hpv阳性口咽癌的p16免疫组化研究

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-02-01 DOI: 10.1177/0003489416681582

J. Toman, Scott Von Larson, H. Umeno, T. Kurita, T. Furusaka, Hisashi Hasegawa, M. Prasad, C. Sasaki

{"title":"HPV-Positive Oropharyngeal Cancer Via p16 Immunohistochemistry in Japan","authors":"J. Toman, Scott Von Larson, H. Umeno, T. Kurita, T. Furusaka, Hisashi Hasegawa, M. Prasad, C. Sasaki","doi":"10.1177/0003489416681582","DOIUrl":"https://doi.org/10.1177/0003489416681582","url":null,"abstract":"Objectives: Human papillomavirus (HPV) has emerged as a driving cause of head and neck cancer, but investigations outside the West are limited. A p16 immunohistochemistry is a commonly used biomarker for HPV cancers. We sought to investigate the pathology and rates of HPV head and neck oropharyngeal cancer in Japan via p16 immunohistochemistry at 2 institutions in Japan. Methods: Fifty-nine oropharyngeal specimens from 2 university hospitals in Japan were examined for morphology and p16 immunohistochemistry. The rate of p16 positivity was then determined, and the 2 groups were compared for differences in age, smoking history, gender, and stage of presentation and mortality. Results: The rate of p16 positivity among the oropharyngeal specimens was 29.5%. There were important differences in the pathology compared to morphology usually seen in the US. The patients with p16+ cancer tended to be younger. There was no significant difference in smoking status. Patients with p16+ cancers trended toward better survival. Conclusion: There appears to be a geographical difference in HPV rates of oropharyngeal cancers with persistently lower rates in Asian countries when compared to Western Europe and the US. Conclusions about HPV head and neck squamous cell carcinoma (HNSCC) in Western countries may not be generalizable across the globe at this time.","PeriodicalId":8361,"journal":{"name":"Annals of Otology, Rhinology & Laryngology","volume":"22 1","pages":"152 - 158"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85323126","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

Hearing Preservation After Penetrating Cochlear Injury 穿透性耳蜗损伤后的听力保护

Annals of Otology, Rhinology & Laryngology Pub Date : 2017-02-01 DOI: 10.1177/0003489416676186

G. Tarasidis, R. Wiggins, R. Gurgel

引用次数: 2