Artículos

Postoperative Hemorrhage After Transoral Oropharyngectomy for Cancer of the Lateral Oropharynx

 Laccourreye O, Malinvaud D, Garcia D, Ménard M, Hans S, Cauchois R, Bonfils P; Annals of Otology Rhinology & Laryngology (Nov 2014)

OBJECTIVE Assessment of incidence, risk factors, management, and outcome of postoperative hemorrhage after transoral oropharyngectomy for cancer of the lateral oropharynx.

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The vestibulo-ocular reflex assessment in patients with Ménière's disease: examining all semicircular canals

 

 Zulueta-Santos C, Lujan B, Manrique-Huarte R, Perez-Fernandez N; Acta Oto-Laryngologica 134 (11), 1128-33 (Nov 2014)  

Abstract Conclusion: The distribution of abnormal results is not uniform between different canals in each patient; the most frequent gain reduction is obtained for the posterior canal. Gain reduction reflects the disease duration and amount of hearing loss.

Leer más: The vestibulo-ocular reflex assessment in patients with Ménière's disease: examining all...

Transoral robotic lingual tonsillectomy in adults: preliminary results

Muderris T, Sevil E, Bercin S, Gul F, Kiris M; Acta Oto-Laryngologica 1-6 (Oct 2014)

ls can be safely and effectively managed by transoral robotic surgery via a minimally invasive approach. The operating costs can be relatively high although the advantages to patients seem to justify the procedure. Transoral robotic surgery can represent the definitive treatment in hypertrophy of the lingual tonsils.

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Prevalence and risk of malignancy of focal incidental uptake detected by fluorine-18-fluorodeoxyglucose positron emission tomography in the parotid gland: a meta-analysis

Treglia G, Bertagna F, Sadeghi R, Muoio B, Giovanella L; European Archives of Oto-Rhino-Laryngology (Sep 2014)

This study aimed at performing a meta-analysis on the prevalence and risk of malignancy of focal parotid incidental uptake (FPIU) detected by hybrid fluorine-18-fluorodeoxyglucose ((18)F-FDG) positron emission tomography/computed tomography (PET/CT) or (18)F-FDG PET alone.

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History of smoking and olfaction in Parkinson's disease

Lucassen E, Sterling N, Lee E, Chen H, Lewis M, Kong L, Huang X; Movement Disorders (May 2014)

OBJECTIVE Olfactory dysfunction is the most common pre-motor symptom in Parkinson's disease (PD), and smoking is known to be associated with lower risk of PD. This study tested the hypothesis that smoking is associated with better olfaction in PD.

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Utricular Dysfunction in Refractory Benign Paroxysmal Positional Vertigo

Angeli S, Abouyared M, Snapp H, Jethanamest D; Otolaryngology Head and Neck Surgery (Apr 2014)

OBJECTIVE To determine the prevalence of otolith dysfunction in patients with refractory benign paroxysmal positional vertigo (BPPV).

STUDY DESIGN Unmatched case control.

SETTING Tertiary care institution.

SUBJECTS AND METHODS Patients included were diagnosed with BPPV, failed initial in-office canalith repositioning maneuvers (CRMs), and completed vestibular testing and vestibular rehabilitation (n = 40). Refractory BPPV (n = 19) was defined in patients whose symptoms did not resolve despite vestibular rehabilitation. These patients were compared with a control group of those with nonrefractory BPPV (n = 21) for results of a caloric test, cervical vestibular evoked myogenic potential (cVEMP), and subjective visual vertical (SVV).

RESULTS Forty-six of 251 patients failed initial treatment with in-office CRM. Forty patients met inclusion criteria. There was no significant difference between the cases (refractory BPPV) (n = 19) and controls (nonrefractory BPPV) (n = 21) in terms of age, duration of symptoms, laterality of BPPV, and BPPV symptoms. There was no difference in the prevalence of caloric weakness and cVEMP abnormalities (P>.05), with odds ratios (ORs [95% confidence interval (CI)]) of having abnormal results among cases vs controls of 1.1818 (0.3329-4.1954) and 4.3846 (0.7627-25.2048), for caloric and cVEMP, respectively. Abnormal eccentric SVV was more prevalent in refractory BPPV cases (58%) than in controls (14%) (P<.0072). The OR (95% CI) of having abnormal SVV was 8.25 (1.7967-37.8822) higher among patients with refractory BPPV than those with nonrefractory BPPV.

CONCLUSION Patients with refractory BPPV are more likely to have abnormal eccentric SVV and thus underlying utricular dysfunction. This finding is important to take into account when designing rehabilitation strategies for patients with BPPV who fail CRM.

Risk Factors for Cerebrospinal Leak after Endoscopic Skull Base Reconstruction with Nasoseptal Flap

Gruss C, Al Komser M, Aghi M, Pletcher S, Goldberg A, McDermott M, El-Sayed I; Otolaryngology - Head and Neck Surgery (Jun 2014)

OBJECTIVE The use of expanded endonasal surgery (EES) in the treatment of skull base neoplasms has increased significantly in recent years. Since 2006, the nasoseptal flap (NSF) has become the workhorse for the closure of skull base defects involving the anterior and central skull base. We hypothesized that defect site impacts the rate of cerebrospinal fluid (CSF) leak following EES. 

Leer más: Risk Factors for Cerebrospinal Leak after Endoscopic Skull Base Reconstruction with Nasoseptal Flap