Repair of Nasal Tip Defects Using the Crescentic Nasojugal Flap: A Series of 13 Cases

xloma.fota.13 shared this article with you from Inoreader Repair of Nasal Tip Defects Using the Crescentic Nasojugal Flap: A Series of 13 Cases Via Actas Dermo-Sifiliográficas J. Sarriugarte Aldecoa-Otalora, M. Azcona Rodríguez, I. Martínez de Espronceda Ezquerro, S. Oscoz Jaime, R. Santesteban Muruzábal, M.E. Iglesias Zamora Actas Dermosifiliogr. 2020;111:866-9 Abstract - Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Radioactive Cosmetics and Radiant Beauty

xloma.fota.13 shared this article with you from Inoreader Radioactive Cosmetics and Radiant Beauty Via Actas Dermo-Sifiliográficas R.M. Díaz Díaz, C. Garrido Gutiérrez, P. Maldonado Cid Actas Dermosifiliogr. 2020;111:863-5 Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Violaceous erythematous plaques on a lower limb

xloma.fota.13 shared this article with you from Inoreader Violaceous erythematous plaques on a lower limb Via Actas Dermo-Sifiliográficas I. Villegas-Romero, K. Tello-Collantes, D. Jiménez-Gallo Actas Dermosifiliogr. 2020;111:861-2 Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Drug Compounding for Diseases of the Oral Mucosa

xloma.fota.13 shared this article with you from Inoreader Drug Compounding for Diseases of the Oral Mucosa Via Actas Dermo-Sifiliográficas M. Iglesias-Sancho, F. Llambí Mateos, M. Salleras-Redonnet Actas Dermosifiliogr. 2020;111:822-8 Abstract - Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Theory and Practice of Compression Therapy for Treating and Preventing Venous Ulcers

xloma.fota.13 shared this article with you from Inoreader Theory and Practice of Compression Therapy for Treating and Preventing Venous Ulcers Via Actas Dermo-Sifiliográficas E. Conde Montero, N. Serra Perrucho, P. de la Cueva Dobao Actas Dermosifiliogr. 2020;111:829-34 Abstract - Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Tissue-Sparing Outcome of Mohs Micrographic Surgery in Squamous Cell Carcinomas

xloma.fota.13 shared this article with you from Inoreader Tissue-Sparing Outcome of Mohs Micrographic Surgery in Squamous Cell Carcinomas Via Actas Dermo-Sifiliográficas J. Correa, M. Pastor, E. Céspedes, J. Magliano, C. Bazzano Actas Dermosifiliogr. 2020;111:847-51 Abstract - Full Text - PDF View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Changes in electrically evoked auditory brainstem responses in children with sequential bilateral cochlear implants.

xloma.fota.13 shared this article with you from Inoreader Changes in electrically evoked auditory brainstem responses in children with sequential bilateral cochlear implants. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Changes in electrically evoked auditory brainstem responses in children with sequential bilateral cochlear implants. Int J Pediatr Otorhinolaryngol. 2020 Dec 11;141:110555 Authors: Deniz B, Kara E, Polat Z, Deniz R, Ataş A Abstract OBJECTIVES: The primary aim of this study is to investigate whether the electrical stimulation of the second ear causes a difference in electrically evoked auditory brainstem responses (eABR) between two ears over time. METHODS: The study included thirteen subjects under the age of five who used cochlear implants for at least six months in the first ear prior to the sequential cochlear implantation. Postoperative eABRs were conducted on the 1st (first fitting of the second speech processor), 3rd, and 6th months of the second implantation in the basal, medial, and apical electrode positions. The recording was started with the second cochlear implant (CI2), and then the first cochlear implant (CI1) was tested. Sound field audiometry and receptive/expressive language assessments were also performed at 1 and 6 months after the second cochlear implantation. RESULTS: eABR results indicate that when eV wave latencies are examined for all electrodes, CI2 is significantly longer than CI1 (p < 0.05). When eV wave amplitudes are examined for all electrodes, CI1 is significantly higher than the CI2 (p < 0.05). eV latency and amplitude changes between both implants were examined up to six months after implantation. Statistically significant changes were observed in the basal, medial, apical electrode for eV wave latencies, and only in the medial electrode for eV wave amplitudes (p < 0.05). Average sound field thresholds and receptive/expressive language scores improved statistically significantly for all subjects at the end of the study (p < 0.05). CONCLUSION: The postoperative eABR test is a valuable test battery that provides the clinician with important ideas about the estimated threshold, comfortable and audible sound level, CI performance, and auditory pathways up to the brainstem. Since the maturation is still ongoing, an extended period longer than six months is needed to evaluate interaural differences. PMID: 33333339 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Surgical interventions for pediatric unilateral vocal fold paralysis: A systematic review and meta-analysis.

xloma.fota.13 shared this article with you from Inoreader Surgical interventions for pediatric unilateral vocal fold paralysis: A systematic review and meta-analysis. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Surgical interventions for pediatric unilateral vocal fold paralysis: A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2020 Dec 11;141:110553 Authors: Aires MM, Marinho CB, Vasconcelos SJ Abstract OBJECTIVE: To evaluate outcomes of injection laryngoplasty (IL) and laryngeal reinnervation for the treatment of pediatric Unilateral Vocal Fold Paralysis (UVFP), especially on swallowing and quality of voice. METHODS: A literature review was performed in Medline/PubMed and Cochrane Library, following PRISMA guidelines, with no constraints on publication date. We included studies in English, Portuguese or Spanish about surgical treatment for UVFP on the pediatric population (0-21 years) that documented outcomes for one of the following techniques: IL or laryngeal reinnervation. Study characteristics, patient demographics, technical aspects of each procedure, complications, and outcomes for voice and swallowing were extracted. A meta-analysis with inverse variance, random-effects model was performed. RESULTS: The PRISMA approach yielded 22 studies, totaling 267 patients. Seven reinnervation articles were included in meta-analysis for maximum phonation time (MPT) and quality of voice measured by Grade, Roughness, Breathiness, Asthenia and Strain (GRBAS) scale. Cardiac surgery had caused UVFP in 62.8% (142/226) of the cases. The main indication for IL was aspiration and for reinnervation was dysphonia. For IL, there was an improvement of 84.5% (confidence interval [CI] 82.6-88.4%) in swallowing and 81.4% (CI 74.6-88.1%) in voice. For reinnervation, there was an improvement of 91.6% (CI 88.2-94.9%) in swallowing and 96.8% (CI 95.5-98.0%) in voice. We found an increase of 6.19 s (CI 1.00 to 11.38) in MPT and a mean difference in GRBAS sum of -3.53 points (CI -6.15 to -0.91) after reinnervation. CONCLUSION: Retrospective cohort studies suggest that injection laryngoplasty and reinnervation are both effective in improving swallowing and voice in children with UVFP. There was clinical evidence of improvement in the MPT and GRBAS scale meta-analysis in patients undergoing reinnervation. PMID: 33333340 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Treatment selection in microtia and aural atresia.

xloma.fota.13 shared this article with you from Inoreader Socioeconomic and clinical factors influencing treatment selection in microtia and aural atresia. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Socioeconomic and clinical factors influencing treatment selection in microtia and aural atresia. Int J Pediatr Otorhinolaryngol. 2020 Dec 10;141:110551 Authors: Ghadersohi S, Haville S, Hedman M, Adkisson K, Cooper E, Kaizer A, Gitomer SA, Kelley PE Abstract OBJECTIVES: Patients with microtia and aural atresia have multiple options for treatment of conductive hearing loss (CHL) and auricle reconstruction; however, little is known about the factors influencing treatment selection. This study aims to review the socioeconomic and clinical data of microtia/atresia patients to evaluate congruency with national data and whether these factors affect treatment decisions. METHODS: Retrospective review of patients evaluated in the microtia and atresia multidisciplinary clinic (MDC) at a tertiary academic children's hospital between 2008 and 2018. Outcomes included demographic, socioeconomic and clinical factors associated with hearing surgery and framework surgery. RESULTS: 373 patients were seen in the Microtia MDC: 193 (51.7%) were male, 187 (50.1%) identified as Hispanic and 23 (6.2%) identified as Asian. 267 (75.6%) patients received a nonsurgical bone conduction hearing device (BCHD); fitting at a younger age was associated with better nonsurgical BCHD compliance. Multivariate analysis was performed on the patients that were eligible for surgery based on age and appropriate follow-up. 70 (18.8%) patients had placement of an osseointegrated BCHD; inconsistent compliance with nonsurgical BCHD decreased the odds of proceeding with osseointegrated BCHD placement. 60 (16.1%) patients underwent framework surgery for external reconstruction. Placement of osseointegrated BCHD was the only factor that was associated with proceeding with framework surgery. Other assessed demographic and socioeconomic factors were statistically not associated with selection of surgical intervention. CONCLUSION: Fitting a nonsurgical BCHD at a younger age is associated with higher likelihood of nonsurgical BCHD compliance, that is in turn associated with patients and families proceeding with osseointegrated BCHD and framework surgery. PMID: 33338703 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Bone conduction hearing device adherence in relationship to age in pediatric unilateral congenital aural atresia.

xloma.fota.13 shared this article with you from Inoreader Bone conduction hearing device adherence in relationship to age in pediatric unilateral congenital aural atresia. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Bone conduction hearing device adherence in relationship to age in pediatric unilateral congenital aural atresia. Int J Pediatr Otorhinolaryngol. 2020 Dec 15;141:110564 Authors: Alexander NL, Feng Z, Silva RC, Liu YC Abstract OBJECTIVE: To characterize the adherence of bone conduction hearing devices (BCHDs) for hearing management in children with unilateral congenital aural atresia (UCAA) in relation to the age of offer and fitting. BCHD Soft Bands help predict amplification benefits before surgery can be performed beginning around five years when both hearing and parental compliance reach stability. We hypothesized device compliance might decrease with age of fitting from lack of early acclimatization. METHODS: Retrospective case series of patients less than five years old at a tertiary pediatric center's microtia clinic database, born between 2014 and 2018 with UCAA. Adherence was assessed through electronic health record note documentation at less than 1 year, 1-2 years, and greater than 2 years from fitting. The ages at offer and fitting, along with the time from offer to fitting, were recorded. RESULTS: One hundred and eight patients with UCAA were identified, including 46 patients fit with a BCHD used for further analysis. Adherence rates at 1 year, 1-2 years, and greater than 2 years were 47.8%, 30%, and 43.5%, respectively. However, there was no significant association between age offered, age fit, or time from offer to fit and adherence at all time points. Also, there was no significant difference between ages at the time of BCHD offer for those who chose not to proceed with fitting (20.9 months) compared to the age of offer in patients that were subsequently fit (13.9 months). CONCLUSION: BCHD adherence in patients less than five years old may not be affected by the age offered or fit. The time between offer and fitting was also not associated with usage. BCHDs should be offered to UCAA patients regardless of age. Further investigation in this younger age group would help expand these findings. PMID: 33340984 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Speech and language outcomes in mild-moderate unilateral sensorineural hearing loss.

xloma.fota.13 shared this article with you from Inoreader Speech and language outcomes in mild-moderate unilateral sensorineural hearing loss. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Speech and language outcomes in mild-moderate unilateral sensorineural hearing loss. Int J Pediatr Otorhinolaryngol. 2020 Dec 14;141:110558 Authors: Mahomva C, Kim A, Lieu JEC, Goldberg DM, Anne S Abstract OBJECTIVE: The impact of mild-moderate unilateral sensorineural hearing loss (USNHL) on speech and language delay (SLD) is not well established. Objectives included (1) determining SLD prevalence in patients with mild-moderate USNHL in comparison to prevalence in the general population and severe-profound USNHL patients and (2) examining speech, language, and auditory function testing (SLAT) results in USNHL patients. METHODS: A retrospective chart review of pediatric patients with USNHL, classified using pure tone averages (PTA) into mild-moderate (PTA 21-60) and severe-profound (PTA ≥ 61) USNHL groups was conducted. Abnormal SLAT values defined SLD. Prevalence and association of SLD based on USNHL severity was calculated. Onesample binomial tests compared observed frequencies of SLD to reported values. RESULTS: Forty-nine patients were identified with USNHL; 34 patients underwent SLAT. SLD frequency for mild-moderate USNHL was 25% (95% CI, 9-49%), higher than the general population rate (5.95%). No statistically significant difference was noted between SLD frequency in mild-moderate versus severe-profound USNHL. There were no significant correlations between SLAT measures and PTA thresholds. CONCLUSION: There was a statistically significant increase in SLD in mild-moderate USNHL compared to the general population. There were no correlations between SLAT measures and PTA thresholds. Children with USNHL need close monitoring of speech, language and auditory development and functioning. Studies with larger sample sizes will help delineate if these findings truly reflect results in children with USNHL. PMID: 33340985 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical evaluation of the vestibular impairment using video head impulse test In children with acute otitis media.

xloma.fota.13 shared this article with you from Inoreader Clinical evaluation of the vestibular impairment using video head impulse test In children with acute otitis media. Via International journal of pediatric otorhinolaryngology,http://goo.gl/4YdRhz Related Articles Clinical evaluation of the vestibular impairment using video head impulse test In children with acute otitis media. Int J Pediatr Otorhinolaryngol. 2020 Dec 16;141:110568 Authors: Cömert E, Şencan Z, Koçak FM, Şimşek G, Muluk NB Abstract OBJECTIVES: The objectives of the present study were to evaluate the vestibular impairment in children with acute otitis media (AOM) and dizziness by using video head impulse test (vHIT) and to compare their results with healthy children. METHODS: The study included two groups of subjects. The patient group consisted of 34 pediatric patients with AOM and dizziness and the control group consisted of 35 healthy children, age between 4 and 15. The age, gender, mean vHIT gains and gain asymmetry values were compared between groups for each canal. In both groups, mean vHIT gains were compared between the right and left sides. Additionally, mean vHIT gains and the presence of saccades according to AOM stages were analyzed. RESULTS: The comparison of vHIT gains between affected and unaffected sides in patients revealed a significant decrease only in the anterior canal plane on the affected side. Covert saccades were observed in 32% of the patients. When comparing the AOM stages and the presence of saccades in patients, no difference was detected between stages. CONCLUSION: vHIT is a useful vestibular test for the evaluation of vestibular impairment in children with an applicability rate of 92% in healthy children and 70% in patients with AOM and dizziness. The patients with AOM and dizziness are presented with a decrease in vHIT gains and the presence of cover saccades only in vertical canal planes, supporting that slight vestibular impairment in these patients may represent pathologic vHIT results only in vertical canal planes. PMID: 33341714 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.