Science topics: MedicineOtolaryngology
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Otolaryngology - Science topic

Otolaryngology or ENT (ear, nose, and throat) is the branch of medicine and surgery that specializes in the diagnosis and treatment of disorders of the head and neck.
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Publications related to Otolaryngology (10,000)
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Article
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Background Tonsillectomy is a commonly performed procedure in Canada. The rate of occult malignancy is rare in adult and pediatric populations. At present, no guidelines exist surrounding the need for routine histopathological evaluation of tonsil specimens when no malignancy is suspected. Methods We sent a confidential online survey to active mem...
Article
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Background The use of image guidance systems has gained widespread acceptance as an adjunctive tool for endoscopic sinus surgery. However, the accessibility and usage of this technology is variable across hospitals in Canada. Study objective The aim of this study is to investigate the availability, usage, and related issues surrounding the use of...
Article
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Background: To compare the clinical features of two time cohorts of patients: "pre-COVID-19" and "COVID-19"-admitted as emergency with intracranial otogenic complications, with special regard to sigmoid sinus thrombosis (CVST). Methods: Retrospective analysis of patients documentation concerning urgent procedures of intracranial otogenic complic...
Article
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Objective Surgical boot camps are becoming increasingly popular in Otolaryngology–Head and Neck Surgery (OHNS) residency programs. Despite pioneering virtual reality and simulation-based surgical education, these boot camps have lacked critical appraisal. The objective of this article was to examine the adoption and utility of surgical boot camps i...
Article
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Objective To evaluate the appropriateness of imaging tests associated with radiation in the field of otolaryngology according to the available recommendations, and to estimate the effective radiation dose associated. Method Cross-sectional epidemiological study of the totality of the imaging test requests carried out by two Spanish hospitals ( n =...
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Purpose We aimed to estimate the prevalence and delineate the profile of children with special healthcare needs (CSHCN) in the three municipalities of Brazil's southern and southeastern regions from 2015 to 2017. Design and methods This cross-sectional study included 6853 children aged 0–11 years. Participants were selected through complex samplin...
Article
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Purpose Exercise-induced laryngeal obstruction (EILO) is suspected when dyspnea associated with upper airway symptoms is triggered by exercise. This condition affects mainly adolescent athletes. Visualization of the obstruction, while the patient is experiencing the symptoms during continuous laryngoscopy during exercise (CLE-test) is the gold stan...
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Objectives To examine the associations of sleep duration (SPD) and noise exposure with hearing loss (HL) among Chinese and American adults. Design Two cross-sectional studies. Setting The National Health and Nutrition Examination Survey (2011–2012), and Zhejiang Chinese participants between 1 January 2018 and 1 November 2021. Participants 3322 a...
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Since December 2019, COVID-19 has greatly influenced public healthcare systems around the globe in various aspects, including limitation of healthcare accessibility due to lack of both human and financial resources, suspension of clinics, and fear of infection causing healthcare avoidance. The aim of this study was to investigate the impact of COVI...
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Background The aim of this review was to determine the prevalence of return to work (RTW) amongst head and neck cancer (HNC) survivors and to determine its impact on quality of life (QoL). Methods A literature search was conducted in PubMed, Scopus, Embase and CINAHL in March 2021. Articles were included if they reported the number of patients wit...
Article
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Protecting tissues from excessive inflammation by glucocorticoids results in an effective blockade of inflammation; however, it does not instigate processes of inflammatory resolution or tissue repair. Moreover, glucocorticoids have side effects such as a susceptibility to infections. In otolaryngology—specifically, within the inner ear—surgical an...
Article
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Background: Although floods may have important respiratory health impacts, few studies have examined this issue. This study aims to document the long-term impacts of the spring floods of 2019 in Quebec by (1) describing the population affected by the floods; (2) assessing the impacts on the respiratory system according to levels of exposure; and (...
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Background Lateral canthal webbing is a known complication of blepharoplasty, which occurs when the lateral aspect of the upper blepharoplasty incision is taken below the equator of the lateral canthus. Removing excessive eyelid skin laterally can also result in a lateral canthal web. Currently, there is no standard approach for addressing this com...
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Introduction The standard surgical treatment for recurrent or chronic tonsillitis is extracapsular tonsillectomy. Recent studies show that intracapsular tonsillectomy has the potential to reduce the postoperative morbidity of patients undergoing tonsil surgery. The Finnish Intracapsular Tonsillectomy (FINITE) trial aims to provide level I evidence...
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Improve the quality and diversity of candidates invited for the Otolaryngology‐Head and Neck Surgery residency match by reducing geographical and inter‐rater bias with a novel geographic distribution algorithm. Interview applicants were divided into geographic regions and assigned to reviewers. Each reviewer selected by force‐ranking a pre‐determin...
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Purpose To determine the main symptoms leading to referral of geriatric patients from primary care to otorhinolaryngology. Methods Retrospective, observational study performed on patients aged 65 and older, referred from Primary Care to the Otorhinolaryngology and Head and Neck Surgery department of a tertiary centre during 2019 and 2020. Symptoms...
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The clinical efficacy of ear endoscopic intervention in patients with congenital middle ear cholesteatoma (CMEC) is explored, and the relationship between the expression of reactive oxygen species (ROS), phosphorylated protein kinase B (P-Akt), hypoxia-inducible factor-1 α (HIF-1α) and the degree of bone damage are analyzed. A total of 72 CMEC pati...
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Schwannomas are benign tumors arising from the Schwann cells, located in the peripheral nerve sheath. The incidence of tumor in the oral cavity is <1%, and the tongue is the most prevalent place in that area. A 32‑year‑old Hispanic female was sent from the otolaryngology department with a diagnosis of an oral mucocele in the oral cavity floor, afte...
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Poorly contoured mandibular reconstruction plates are associated with postoperative complications. Recently, a technique emerged whereby preoperative patient-specific reconstructive plates (PSRP) are developed in the hopes of eliminating errors in the plate-bending process. This study’s objective is to determine if reconstructions performed with PS...
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Zusammenfassung Die stationäre Betreuung von Kindern nach Operationen im HNO-Bereich ist deutschlandweit heterogen organisiert. In dieser Stellungnahme kommentiert die Arbeitsgemeinschaft Pädiatrische HNO-Heilkunde eine nationale Umfrage zum Status quo der Kinderversorgung nach HNO-Eingriffen in deutschen Kliniken. Diese dient als Grundlage für die...
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Background: There is increasing evidence that individuals with psychosis are at increased risk for cardiovascular disease, diabetes, metabolic syndrome, and several other medical comorbidities. In delusional disorder (DD), this is particularly so because of the relatively late onset age. Aims: The aim of this narrative review is to synthesize th...
Article
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Background: Historically, graduating head and neck (HN) fellows outpace available academic HN positions, resulting in a highly competitive job market. We identified factors that associate with full-time academic HN positions post-HN fellowship. Methods: Graduates of American Head and Neck Society (AHNS)-accredited fellowships from 2005 to 2017 (...
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Purpose The objective of the study was to evaluate the proposed cochlear duct length estimation based on the cochlear ‘A value’. Furthermore, we assessed the interobserver variability between radiology and otolaryngology attending physicians and otolaryngology trainees. Methods Thirteen pediatric cochlear implant candidates were retrospectively an...
Article
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Introduction: Autism spectrum disorder (ASD) is a lifelong neurodevelopmental condition incorporating complex physical and neurological symptoms including complex sensory symptoms. This review explores the interface between ASD and Paediatric ENT. Methods: Using the PRISMA guideline, a robust literature search and review was conducted by two resea...
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INTRODUCTION Epistaxis is a common otolaryngologic problem that affects most of the general population. Common risk factors for epistaxis include nasal irritants, nasal/facial oxygen use, certain systemic conditions (e.g., hypertension and coagulopathies) and medication use (e.g., anticoagulants and intranasal medications). This study examined risk...
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Objective Vocal fold nodules (VFNs) are benign lesions, occurring at the junction of the anterior and middle thirds of bilateral vocal cords, for which pediatric prognosis and treatment remains controversial. There is a requirement for a correlation indicator to assess the prognosis by pediatric otolaryngologists.Materials and methodsPatients with...
Article
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Purpose of Review This review provides the otolaryngology community with background on the basics of gene therapy for congenital hearing loss along with potential frontiers in this field. Recent Findings In the last several years, there has been a tremendous increase in the amount of basic science research in gene therapy models for sensorineural...
Article
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Nasal septal hematoma (NSH) is relatively uncommon otorhinolaryngology emergency. Children is more prevalence due to the softer cartilage and loosely adherent of its mucoperichondrium. Nasal or facial trauma is the most common etiology while NSH following common cold is extremely rarely reported. Urgent management is needed to prevent serious compl...
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Objectives: To present a rare case of Eagle Syndrome in a pediatric patient, reminding the medical community to keep this diagnosis on their differential.
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Introduction: In recent decades, the lack of educational resources for cadaveric dissections has complicated the hands-on otological surgical training of otorhinolaryngology residents due to the poor availability of cadaver temporal bones, facilities, and limited hours for practice. Since students must gain adequate and patient-safe surgical skills...
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Purpose Highlight clinical pearls in the practice of pediatric otolaryngology not routinely taught in residency/fellowship training, nor published in textbooks. This article aims to inspire in readers increased awareness when approaching children to maximize clinical efficacy and efficiency, while minimizing potential trauma to the children. It is...
Article
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Purpose: The data on the diagnostic contribution of general internal medicine (GIM) consultations for undiagnosed health problems from specialists are scarce. This study aims to explore the role of generalists as diagnostic medicine consultants in tertiary care settings. Patients and methods: We conducted a retrospective observational study at a...
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Background Randomised controlled trials (RCTs) inform prescription guidelines, but stringent eligibility criteria exclude individuals with vulnerable characteristics, which we define as comorbidities, concomitant medication use, and vulnerabilities due to age. Poor external validity can result in inadequate treatment decision information. Our first...
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Introduction The COVID-19 clinical symptoms are primarily related to the respiratory system but may also be involved in many others, including the nervous system. Recently, vertigo or dizziness has been described as one of the clinical manifestations and possible complications of COVID-19. Materials and methods This clinical study was designed to...
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Introduction This study aimed to evaluate the phonatory function of recovered COVID-19 survivors. The universal outbreak of COVID-19 led to the occurrence of otolaryngological manifestations that raised concerns about the assessment of the phonatory function in recovering patients. Methods This is a prospective, cross-sectional, case-controlled st...
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Mucormycosis is a rare yet devastating fungal disease with a frequently fatal outcome. The purpose of this study was to compare the prevalence of mucormycosis, evaluate its risk factors, and assess the patients' outcomes in pre‐COVID‐19 and COVID‐19 era. In this retrospective observational study, clinical data of 158 patients with confirmed histopa...
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To characterize maxillofacial, otorhinolaryngological and oral manifestations of Hansen’s disease (HD), we conducted a cross-sectional study in 21 current patients attending the Unidade Básica de Saúde de Jardim América, Espírito Santo, Brazil and 16 former patients resident at Pedro Fontes Hospital using data from computed tomography imaging, rhin...
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Introduction: In developing countries the problem of foreign bodies in Otorhinolaryngology Services (ENT) is poorly studied. The foreign body is common in children but may occur in adults with mental disorders or in prisoners. Objective: To describe the case of a patient with psychiatric problems who ingested a metallic object. Psychiatric observat...
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Objective: To investigate the significance of vHIT (Video Head Impulse Test) in determining the efficacy of therapeutic maneuvers in individuals with posterior semicircular canal (SCC) BPPV. Materials and Methods: The study included 25 patients with posterior SCC BPPV (Study Group), 30 healthy individuals (Control Group). All individuals underwent...
Article
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Adenoid hypertrophy (AH) is a common disease in otorhinolaryngology. Children with chronic snoring and hypoxia are susceptible to long-term nasal obstruction, while long-term open-mouth breathing may cause craniofacial bone development disorders and dull facial expressions, the so-called adenoid face. The purpose of this work is to analyze the infl...
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Objective Although the absence of a runny nose and sore throat, both ear-nose-throat (ENT) symptoms, suggests community-acquired pneumonia (CAP), the association between ENT symptoms and coronavirus disease 2019 (COVID-19) pneumonia remains unclear. We therefore investigated the association between ENT symptoms and COVID-19 pneumonia. Methods We re...
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Background Functional endoscopic sinus surgery is a common surgery done in otorhinolaryngology, but it is also riddled with complications. The most dangerous complication is the injury to the skull base leading to cerebrospinal fluid leak, meningitis or damage to intracerebral vessels. Lateral lamella of the cribriform plate is the most common site...
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Introduction: The aim of this study is to evaluate signal alteration in the inner ear using three-dimensional (3D)-constructive interference in steady state (CISS) sequence in patients with Ménière's disease and labyrinthitis and its correlation with clinical and audiological parameters. Methods: The medical records of the department of otorhino...
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To identify factors associated with cervical‐thoracic spine posture in otolaryngology surgeries and evaluate the efficacy of a commercially available posture‐training device in enhancing surgeon ergonomics. Over 3 months, neck and spine posture from individuals performing otolaryngology surgeries was recorded using UpRight Go 2™. Average baseline p...
Article
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PurposeTo illustrate the importance of tracheotomy in difficult cases of foreign body inhalation and to enumerate the indications of the same.MethodsA retrospective analysis of 5 cases in which the standard rigid bronchoscopic approach had to be combined with the open surgical approach (tracheotomy) for the removal of the inhaled foreign body for d...
Preprint
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Background: Spondyloenchondrodysplasia (SPENCD) is a rare autosomal recessive skeletal dysplasia caused by acid phosphates 5 gene mutation. SPENCD has multisystemic manifestations including enchondromas in the long bones or pelvis, skeletal anomalies, immune dysfunctions, and neurological impairments. Out of the wide spectrum of presentation in SPE...
Poster
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Introduction: Tinnitus can be associated with alterations along the auditory pathway, since sensory deprivation leads to functional disorders of the auditory system. To obtain data on its diagnosis, certain parameters are essential to guide and select the appropriate treatment, quantify and substantiate its effects. Objective: To characterize tinni...
Poster
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Certificamos que Luciana Berwanger Cigana participou do "21º Congresso da Fundação Otorrinolaringologia" realizado em São Paulo-SP, como apresentador(a) do trabalho científico, "TINNITUS REPERCUSSION SECOND INSTRUMENT TINNITUS HANDICAP INVENTORY (THI)", sendo o autor(a) principal: Luciana Berwanger Cigana e tendo como Coautores: Carla Morés, Camila...
Research Proposal
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Breathing provides gas exchange in the organism at the cellular level, so it is very important that this process was correct. Upper respiratory tract infection may lead to serious pathological changes in the organism, such as problems with the gastrointestinal tract, due to dysfunction of the sense of smell. Today disease of the upper respiratory t...
Article
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Traditionally, laryngeal masses are diagnosed with direct laryngoscopy with biopsy under general anesthesia. The use of transcervical ultrasound–guided fine-needle aspiration for the diagnosis of base of tongue lesions, thyroid nodules, and cervical lymph node metastases has been well documented, and its use in the diagnosis of laryngeal masses has...
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Coronavirus disease 2019 (COVID-19) is a highly infectious disease and was designated a pandemic by the World Health Organization (WHO) on March 11, 2020. There are no classical manifestations of the disease. The most prevalent symptoms include fever, cough, dyspnea, myalgia and headache. The main route of transmission of the severe acute respirato...
Article
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This study aims to provide a national benchmark rate of post-tonsillectomy haemorrhage (PTH) in Australia. Using data from Australia’s National Hospital Morbidity Database (NHMD) from 1 July 2000 to 30 June 2020, we have conducted a nation-wide population-based study to estimate a reference rate of PTH. Outcomes of interest included the overall rat...
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p> Background : Purpose of study was to evaluate clinical, radiological, pathological correlation of sinonasal masses, to correlate age and sex with etiology of sinonasal masses and to evaluate percentage of patient having malignancy. Methods: This was a hospital based prospective observational study. In this study total numbers of 69 cases of sin...
Article
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Objective: To investigate prevalence and recovery of olfactory dysfunction (OD) in COVID-19 patients 24 months after the infection. Methods: From March 22, 2020 to June 5, 2022, 251 COVID-19 patients were followed in three European medical centers. Olfactory function was assessed with subjective patient-reported outcome questionnaires and odor i...
Article
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Background Laryngopharyngeal reflux (LPR) is a common otolaryngologic diagnosis. Treatment of presumed LPR remains challenging, and limited frameworks exist to guide treatment.Methods Using RAND/University of California, Los Angeles (UCLA) Appropriateness Methods, a modified Delphi approach identified consensus statements to guide LPR treatment. Ex...
Article
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Introduction: When influenza (flu) season arrives, it is easy for emergency department clinicians to anchor on the diagnosis of flu, sending patients on their way with or without anti-influenza medication. It is important not to miss the outlier - the patient who seems to have typical symptoms of influenza but with certain subtleties that should m...
Article
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Epistaxis is a common emergency condition in Otolaryngology practice. It may be either an anterior or posterior type. Proper identification of the site of bleeding is crucial. Anterior and posterior rhinoscopy examination usually fails to localize site of bleeding inside the nasal cavity. Hopkins Rod endoscope helps to visualize the site of bleedin...
Article
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Anesthesia for patients with mucopolysaccharidoses (MPS) is quite challenging due to vital systemic dysfunction following progressive accumulation of lysosomal glycosaminoglycans. Previous studies focused on perioperative difficult airway management under general anesthesia but rarely depicted the concern of choosing the size of the endotracheal tu...
Article
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Introduction: Ear, nose and throat foreign bodies are commonly encountered by otolaryngologists, pediatricians and primary care physicians mostly in emergency setup. The objective of this study is to find out the prevalence of aerodigestive and aural foreign bodies as an ENT emergency in tertiary care center of Central Nepal. Materials and Methods:...
Article
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Introduction: A deviated nasal septum is a common anatomic disorder that presents in up to 62% of the population but, not all are symptomatic. However, it may play a critical role in nasal obstruction symptoms, aesthetic appearance of the nose, increased nasal resistance and sometimes snoring. This study was done with an aim to determine the profil...