Authors: Dumas AR, Schwalje AT, Franco-Vidal V, Bébéar JP, Darrouzet V, Bonnard D Abstract Severe forms of otosclerosis known as far-advanced otosclerosis (FAO) can lead to severe to profound sensorineural hearing loss and can justify cochlear implantation. Because of the pathophysiology of otosclerosis, patients implanted for FAO may experience an increased rate of complications, such as facial nerve stimulation or electrode dislocation, and may have poorer hearing outcomes than expected. This retrospective study aimed to compare cochlear implantation hearing outcomes, surgical difficulties and complications in FAO patients versus non-FAO patients. Moreover, we evaluated whether high resolution computed tomography (CT scan) findings were predictive of perioperative problems, com...
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Σάββατο 1 Δεκεμβρίου 2018
Cochlear implantation in far-advanced otosclerosis: hearing results and complications.
Report from a Consensus Conference on the treatment of M énière's disease with betahistine: rationale, methodology and results.
Report from a Consensus Conference on the treatment of Ménière's disease with betahistine: rationale, methodology and results. Acta Otorhinolaryngol Ital. 2018 Oct;38(5):460-467 Authors: Casani AP, Guidetti G, Schoenhuber R, Consensus Conference Group Abstract Ménière's disease is a disorder of the inner ear that causes vertigo, tinnitus, fullness and hearing loss. Although several treatments are available, the success rate is reported to be around 70%, similar to placebo. Betahistine, a weak H1 receptor agonist and an effective H3 receptor antagonist, is frequently prescribed for Ménière's disease, especially to reduce recurrent vertigo attacks. The effects of this drug on hearing and other audiological symptoms remains unclear. Given the inconclusive reports in...
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Radiologic measurement of cochlea and hearing preservation rate using slim straight electrode (CI422) and round window approach.
Authors: Skarzynski H, Matusiak M, Furmanek M, Pilka A, Wlodarczyk E, Oldak M, Skarzynski PH Abstract Hearing preservation surgery constitutes a considerable branch of cochlear implantation surgery and is being steadily developed and perfected. The aim of the study was to verify if insertion of a cochlear implant electrode according to individually calculated linear insertion depth improves hearing preservation. We evaluated the relations between the size of a cochlea, insertion depth angle, linear insertion depth and hearing preservation rate (HP) according to Hearing Preservation Classification in a retrospective case review of 54 patients implanted with a slim straight electrode Nucleus CI422 in 2008-2011. Group HP was 0.75 at activation, 0.67 at 12 months (for 53 patients) and ...
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Prediction of hearing recovery in sudden deafness treated with intratympanic steroids.
Authors: Attanasio G, Russo FY, Di Porto E, Cagnoni L, Masci E, Ralli M, Greco A, De Vincentiis M Abstract The present study aims to obtain a probability model allowing prediction of auditory recovery in patients affected by sudden sensorineural hearing loss treated exclusively with intratympanic steroids. A monocentric retrospective chart review of 381 patients has been performed. A Probit model was used to investigate the correlation between the success of treatment (marked or total recovery according to Furuashi's criteria) and the delay between onset of disease and beginning of therapy. The age of patients and audiometric curve shapes were included in the analysis. The results show that delay is negatively correlated with variable success. Considering the entire sample, each da...
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Contact dermatitis and sensitization in professional musicians
Summary
Background
Professional musicians have prolonged and intense physical contact with their instruments. This can lead to occupational skin diseases, particularly irritant and allergic contact dermatitis.
Objectives
To assess the skin diseases and sensitization patterns common among professional musicians.
Methods
A retrospective analysis of the data of the Information Network of Departments of Dermatology was performed, including data from 1997 to 2017.
Results
We identified 236 professional musicians. In this group male sex (58.6%) and younger age (60.6% < 40 years old) were common. The musicians suffered more frequently from facial dermatitis (23.7% vs 15.7%) and less often from leg dermatitis (5.1% vs 10.7%) than the control group (the non‐musicians in the IVDK database). The most frequent diagnoses were allergic contact dermatitis, atopic dermatitis, and irritant contact dermatitis. The sensitization profile of the professional musicians was similar to that of the control group. In 8.9% cases an occupational background of skin disease was confirmed.
Conclusions
Severe occupational skin diseases among professional musicians are not as common as in classical "skin‐damaging" professions. However, as these skin conditions can mostly be controlled through simple preventive measures, we recommend this group should be patch tested and treated by a specialist.
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Contact dermatitis and sensitization in professional musicians
Summary
Background
Professional musicians have prolonged and intense physical contact with their instruments. This can lead to occupational skin diseases, particularly irritant and allergic contact dermatitis.
Objectives
To assess the skin diseases and sensitization patterns common among professional musicians.
Methods
A retrospective analysis of the data of the Information Network of Departments of Dermatology was performed, including data from 1997 to 2017.
Results
We identified 236 professional musicians. In this group male sex (58.6%) and younger age (60.6% < 40 years old) were common. The musicians suffered more frequently from facial dermatitis (23.7% vs 15.7%) and less often from leg dermatitis (5.1% vs 10.7%) than the control group (the non‐musicians in the IVDK database). The most frequent diagnoses were allergic contact dermatitis, atopic dermatitis, and irritant contact dermatitis. The sensitization profile of the professional musicians was similar to that of the control group. In 8.9% cases an occupational background of skin disease was confirmed.
Conclusions
Severe occupational skin diseases among professional musicians are not as common as in classical "skin‐damaging" professions. However, as these skin conditions can mostly be controlled through simple preventive measures, we recommend this group should be patch tested and treated by a specialist.
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French validation of the FACE‐Q Rhinoplasty module
Summary
Objectives
The aim of this study was to translate the FACE‐Q "Rhinoplasty" module into French and validate its use for the French‐speaking population.
Design
"Satisfaction with the nose" and "Satisfaction with nostrils" questionnaires were used and translated.
Settings
We were granted permission to use the FACE‐Q Rhinoplasty module by the development team. These two questionnaires constitute the Rhinoplasty module of the FACE‐Q questionnaire. ISPOR and WHO recommendations were used to complete the translation process from English into French in six steps.
Main outcome measurement
Our goal was to obtain, not a literal translation, but rather a translation of the idea or concept.
Results
Each step allowed us to make changes to achieve a conceptual translation equivalent to the original version.
Conclusion
The FACE‐Q questionnaire is a reference in the field of cosmetic surgery outcome evaluation. The use of two validated translation recommendations, with a six‐step translation‐back‐translation process, leading to a French version corresponding to the original. This version is usable in a French‐speaking population.
This article is protected by copyright. All rights reserved.
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Giving epistaxis two fingers
Abstract
Epistaxis is a common presentation to ENT and the use of ice packs is a generally accepted first aid measure.
Traditional ice packs on the forehead, bridge of the nose or back of neck can be cumbersome and often requires someone holding onto the ice pack.
We describe a simple method to create an ice pack that sits neatly on the nose.
This article is protected by copyright. All rights reserved.
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Surgical and pathological outcomes of elective neck dissection during salvage total laryngectomy
Abstract
The rate of occult nodal metastases during primary laryngectomy with no clinical or radiological evidence of neck disease (cN0) has been found to be as high as 20%. Therefore, bilateral elective neck dissection is usually recommended. However, the role of neck dissection in the salvage laryngectomy setting remains unclear. Improvements in the accuracy of cross sectional imaging mean occult disease is less common.
This article is protected by copyright. All rights reserved.
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TransOral Endoscopic Surgery for Posterior Palate (TOESPP): a novel approach for lesions at this location
Abstract
Transoral robotic surgery (TORS) has demonstrated its feasibility, high rates of local control and good functional outcomes for lesions of oral cavity, oropharynx and laryngopharynx (1,2). High definition videocameras as well as the new videoendoscopes have a critical role in its results. Nonetheless, robotic platform remains unreachable for many institutions regarding its high costs, being necessary more affordable proposals in order to spread the endoscopic transoral approach philosophy.
This article is protected by copyright. All rights reserved.
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Protective Role of α2‐Macroglobulin against Jaw Osteoradionecrosis in a Preclinical Rat Model
Abstract
Objective
We have previously demonstrated the effect of alpha‐2‐macroglobulin (α2M) in the remediation of radiation‐induced cellular damage. Here, we investigated the protective effects of α2M in a preclinical rat model of jaw osteoradionecrosis (ORN).
Methods
Eighteen rats were divided randomly into three groups: the control group, the radiation therapy (RT) alone group, and the radiated mandibles pretreated with α2M (α2M + RT) group. One month after radiation, all left molar teeth were extracted. After another three months, the animals were sacrificed and body weight, histopathology, microcomputed tomography and immunofluorescence were evaluated in all groups.
Results
The RT group showed serious alopecia, bone exposure, inflammation, necrosis, fibrosis, and absence of new bone formation within the socket. The α2M + RT group exhibited less alopecia than the RT group and slight inflammation and fibrosis in the bone marrow cavity. The cortical bone was similar to normal bone tissue. Interestingly, compared with RT group, serum superoxide dismutase levels in the α2M + RT group increased at the 1th day (p= 0.037), 14th day (p= 0.012), while reactive oxygen species levels clearly decreased at the 1th day (p< 0.001), 14th day (p= 0.007), and 28th day (p= 0.013).
Conclusions
A clinically translational model of jaw ORN was successfully established and the application of α2M prior to radiation protected the bone from being injured by the radiation, possibly related to oxidative stress.
This article is protected by copyright. All rights reserved.
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French validation of the FACE‐Q Rhinoplasty module
Summary
Objectives
The aim of this study was to translate the FACE‐Q "Rhinoplasty" module into French and validate its use for the French‐speaking population.
Design
"Satisfaction with the nose" and "Satisfaction with nostrils" questionnaires were used and translated.
Settings
We were granted permission to use the FACE‐Q Rhinoplasty module by the development team. These two questionnaires constitute the Rhinoplasty module of the FACE‐Q questionnaire. ISPOR and WHO recommendations were used to complete the translation process from English into French in six steps.
Main outcome measurement
Our goal was to obtain, not a literal translation, but rather a translation of the idea or concept.
Results
Each step allowed us to make changes to achieve a conceptual translation equivalent to the original version.
Conclusion
The FACE‐Q questionnaire is a reference in the field of cosmetic surgery outcome evaluation. The use of two validated translation recommendations, with a six‐step translation‐back‐translation process, leading to a French version corresponding to the original. This version is usable in a French‐speaking population.
This article is protected by copyright. All rights reserved.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2PcKwq3
Giving epistaxis two fingers
Abstract
Epistaxis is a common presentation to ENT and the use of ice packs is a generally accepted first aid measure.
Traditional ice packs on the forehead, bridge of the nose or back of neck can be cumbersome and often requires someone holding onto the ice pack.
We describe a simple method to create an ice pack that sits neatly on the nose.
This article is protected by copyright. All rights reserved.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2zwRAJ2
Surgical and pathological outcomes of elective neck dissection during salvage total laryngectomy
Abstract
The rate of occult nodal metastases during primary laryngectomy with no clinical or radiological evidence of neck disease (cN0) has been found to be as high as 20%. Therefore, bilateral elective neck dissection is usually recommended. However, the role of neck dissection in the salvage laryngectomy setting remains unclear. Improvements in the accuracy of cross sectional imaging mean occult disease is less common.
This article is protected by copyright. All rights reserved.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2PdT2oJ
TransOral Endoscopic Surgery for Posterior Palate (TOESPP): a novel approach for lesions at this location
Abstract
Transoral robotic surgery (TORS) has demonstrated its feasibility, high rates of local control and good functional outcomes for lesions of oral cavity, oropharynx and laryngopharynx (1,2). High definition videocameras as well as the new videoendoscopes have a critical role in its results. Nonetheless, robotic platform remains unreachable for many institutions regarding its high costs, being necessary more affordable proposals in order to spread the endoscopic transoral approach philosophy.
This article is protected by copyright. All rights reserved.
from #Head and Neck by Sfakianakis via simeraentaxei on Inoreader https://ift.tt/2zA7O4a
Protective Role of α2‐Macroglobulin against Jaw Osteoradionecrosis in a Preclinical Rat Model
Abstract
Objective
We have previously demonstrated the effect of alpha‐2‐macroglobulin (α2M) in the remediation of radiation‐induced cellular damage. Here, we investigated the protective effects of α2M in a preclinical rat model of jaw osteoradionecrosis (ORN).
Methods
Eighteen rats were divided randomly into three groups: the control group, the radiation therapy (RT) alone group, and the radiated mandibles pretreated with α2M (α2M + RT) group. One month after radiation, all left molar teeth were extracted. After another three months, the animals were sacrificed and body weight, histopathology, microcomputed tomography and immunofluorescence were evaluated in all groups.
Results
The RT group showed serious alopecia, bone exposure, inflammation, necrosis, fibrosis, and absence of new bone formation within the socket. The α2M + RT group exhibited less alopecia than the RT group and slight inflammation and fibrosis in the bone marrow cavity. The cortical bone was similar to normal bone tissue. Interestingly, compared with RT group, serum superoxide dismutase levels in the α2M + RT group increased at the 1th day (p= 0.037), 14th day (p= 0.012), while reactive oxygen species levels clearly decreased at the 1th day (p< 0.001), 14th day (p= 0.007), and 28th day (p= 0.013).
Conclusions
A clinically translational model of jaw ORN was successfully established and the application of α2M prior to radiation protected the bone from being injured by the radiation, possibly related to oxidative stress.
This article is protected by copyright. All rights reserved.
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Auditory Perception vs. Speech Production in Children
No abstract available (Source: The Hearing Journal)
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Audiology Response to the FDA Reauthorization Act of 2017
No abstract available (Source: The Hearing Journal)
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Duration of unilateral auditory deprivation is associated with reduced speech perception after cochlear implantation: A single-sided deafness study
. (Source: Cochlear Implants International)
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Cochlear implantation in a 10-year old boy with Pendred syndrome and extremely enlarged endolymphatic sacs
. (Source: Cochlear Implants International)
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