ENT Telephone Clinics During the Coronavirus Pandemic: An Analysis of 400 Telephone Consultations at a District General Hospital

xlomafota13 shared this article with you from Inoreader ENT Telephone Clinics During the Coronavirus Pandemic: An Analysis of 400 Telephone Consultations at a District General Hospital Via ear nose throat Ear Nose Throat J. 2021 Jun 25:1455613211028091. doi: 10.1177/01455613211028091. Online ahead of print. ABSTRACT BACKGROUND: The COVID-19 pandemic led to the introduction of telephone consultations in order to provide specialist health care remotely. This study analyses the outcomes of ear, nose, and throat (ENT) telephone consultations. METHODS: Retrospective analysis was undertaken of 400 ENT telephone consultations. RESULTS: All 2-week-wait neck or face lump p atients underwent imaging and 78% were successfully discharged. 80% of vertigo patients and 100% of 2-week-wait throat symptom patients were offered face-to-face consultations. All primary hyperparathyroidism patients were managed remotely, being discharged, or with telephone follow-up. The majority of routine referrals were managed without the need for face-to-face consultation. CONCLUSION: Vertigo patients and 2-week-wait throat symptom patients should be offered a face-to-face consultation in the first instance. For patients with neck or face lumps, initial referral for imaging may improve patient flow and facilitate safe discharge. It is appropriate to continue with telephone consultations for all other patient groups. PMID:34167356 | DOI:10.1177/01455613211028091 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Colon Cancer With Metastatic Involvement of the Thyroid Incidentally Found at Excision of Parathyroid Adenoma

xlomafota13 shared this article with you from Inoreader Colon Cancer With Metastatic Involvement of the Thyroid Incidentally Found at Excision of Parathyroid Adenoma Via ear nose throat Ear Nose Throat J. 2021 Jun 25:1455613211028060. doi: 10.1177/01455613211028060. Online ahead of print. ABSTRACT Metastatic disease from primary colon cancer in the thyroid is rare. The authors have submitted such a case. What makes this case particularly unusual is that it was in a man. 80% of such cases are in women. It has been speculated that there may be a humoral component. What is even more unique in this case is that it was found during the workup of a symptomatic pa rathyroid adenoma. The diagnosis was confirmed with immunochemistry using markers Cytokeratin 20 (CK20), Cytokeratin 7 (CK7), and Thyroid Transcription Factor 1 (TTF-1) . PMID:34167381 | DOI:10.1177/01455613211028060 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

An Unusual Case of Stubborn Petrified Pinna

xlomafota13 shared this article with you from Inoreader An Unusual Case of Stubborn Petrified Pinna Via ear nose throat Ear Nose Throat J. 2021 Jun 25:1455613211028087. doi: 10.1177/01455613211028087. Online ahead of print. ABSTRACT Petrified pinna is clinically characterized by an unbending rigid stone hard ear. Usually, the majority of the patients are asymptomatic but occasionally may experience pain from local pressure while sleeping. This uncommon condition is reported to be in association with local trauma, hypothermia, inflammation, and several life-threatening endocrine and systemic d iseases. Awareness and knowledge to identify this entity is essential as it might be helpful in treating several systemic conditions and thus any untoward events. PMID:34167342 | DOI:10.1177/01455613211028087 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Effects of long-term azithromycin therapy on auditory functions in children with chronic respiratory diseases

xlomafota13 shared this article with you from Inoreader Effects of long-term azithromycin therapy on auditory functions in children with chronic respiratory diseases Via International Journal of Pediatric Otorhinolaryngology Publication date: August 2021 Source: International Journal of Pediatric Otorhinolaryngology, Volume 147 Author(s): Hakan Yazan, Ayse Ayzit Kilinc, Remzi Dogan, Ozge Gedik, Lina Muhammed Al Shadfan, Meliha Basoz, Orhan Ozturan, Erkan Cakir View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Effects of quinolone and poloxamer otic suspension on rat tympanic membranes

xlomafota13 shared this article with you from Inoreader Effects of quinolone and poloxamer otic suspension on rat tympanic membranes Via International Journal of Pediatric Otorhinolaryngology Publication date: August 2021 Source: International Journal of Pediatric Otorhinolaryngology, Volume 147 Author(s): Carolyn O. Dirain, Patrick J. Antonelli View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Buccal fat pad to improve velum competency after transoral lateral oropharyngectomy

xlomafota13 shared this article with you from Inoreader Buccal fat pad to improve velum competency after transoral lateral oropharyngectomy Via European Annals of Otorhinolaryngology, Head and Neck Diseases Publication date: Available online 24 June 2021 Source: European Annals of Otorhinolaryngology, Head and Neck Diseases Author(s): O. Laccourreye, F.C. Holsinger, G.S. Weisntein View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Relationship of human papillomavirus with seborrheic keratosis of the female genital tract - a case-series and literature review

xlomafota13 shared this article with you from Inoreader Relationship of human papillomavirus with seborrheic keratosis of the female genital tract - a case-series and literature review Via Cellular and Molecular Biology Histol Histopathol. 2021 May 25:18357. doi: 10.14670/HH-18-357. Online ahead of print. ABSTRACT Seborrheic keratoses (SKs) are benign lesions of uncertain etiology, which can develop in both genital and extra-genital locations. For genital SKs, there has been conjecture about the pathogenic role of human papillomavirus (HPV), in view of the frequent association of this virus with genital lesions. In light of the potential consequences on patient management, we investigated the relationship between HPV and SKs of the female genital tract (FGT). For this, we evaluated the current evidence on this relationship by performing an in-depth review of the literature. Furthermore, to add to the evidence on this association, we investigated the presence of HPV in a series of vulvar SKs (n=15), using a novel multimodal approach. This involved whole tissue section-polymerase chain reaction (WTS-PCR) using SPF10-DEIA-LipA25 for HPV detection and gen otyping. In addition, immunohistochemistry (IHC) was performed with cellular biomarkers p16 and MIB-1, and viral biomarker E4, to augment HPV-testing. Finally, laser-capture microdissection-PCR (LCM-PCR) was performed to locate HPV to specific lesional cells, and to rule out incidental detection of resident HPV with WTS-PCR. Our findings from the literature review, as well as, the case-series are presented. PMID:34170001 | DOI:10.14670/HH-18-357 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Transnasal Endoscopic Surgery for Suprasellar Meningiomas

xlomafota13 shared this article with you from Inoreader Transnasal Endoscopic Surgery for Suprasellar Meningiomas Via leak of cerebrospinal fluid Neurol India. 2021 May-Jun;69(3):630-635. doi: 10.4103/0028-3886.319224. ABSTRACT AIM: Endoscopic trans-nasal surgery has evolved a long way from the days of narrow corridors with high rates of cerebrospinal fluid (CSF) leak to the present state of HD optics with better tissue differentiation, extended approaches, and use of vascularized flaps for defect closure. Trans-nasal approach is an established technique for pituitary tumors practiced worldwide. However, trans-nasal endoscopic excision of suprasellar meningiomas provides a tougher challenge in terms of instrument manipulation, tumor excision with good visual outcome, and a robust defect closure to prevent CSF leaks. MATERIALS AND METHODS: Out of 83 cases of midline anterior cranial fossa meningiomas operated over 14 years, our experience in 12 cases of suprasellar meningiomas for radical resection via the trans-nasal endoscopic route is discussed. RESULTS: Amongst these, si x were excised via primary extended endoscopic trans-sphenoidal surgery, four cases had a residual lesion or recurrence after primary transcranial surgery, and two cases involved a combined transcranial and extended endoscopic approach. Visual improvement along with resolution of headache was seen in all patients postoperatively. None of the patients had CSF leak requiring further repair. Syndrome of inappropriate antidiuretic hormone was found in one patient, which was transient and easily corrected. CONCLUSION: Trans-nasal endoscopic surgery for suprasellar meningiomas is an effective technique that provides results of tumor excision comparable to the transcranial approach in suitable cases. Visual outcome was found to be superior, and rates of CSF leak were remarkably reduced with vascularized flap. However, each case must be assessed individually and lateral extension beyond the optic canals with internal carotid artery encasement must be considered before planning surgery . PMID:34169857 | DOI:10.4103/0028-3886.319224 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Regional disease in head and neck cutaneous squamous cell carcinoma: the role of primary tumor characteristics and number of nodal metastases

xlomafota13 shared this article with you from Inoreader Regional disease in head and neck cutaneous squamous cell carcinoma: the role of primary tumor characteristics and number of nodal metastases Via http://link.springer.com/journal/405,European archives of oto-rhino-laryngology,The European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino Eur Arch Otorhinolaryngol. 2021 Jun 25. doi: 10.1007/s00405-021-06944-w. Online ahead of print. ABSTRACT PURPOSE: To identify potential risk factors impacting on overall survival (OS) of patients affected by lymph node metastasis from cutaneous squamous cell carcinoma (cSCC) of the head and neck (HN), with special emphasis on primary tumor characteristics and pattern of nodal recurrence (intraparotid and/or cervical). METHODS: A bi-institutional retrospective study on consecutive patients affected by cervical and/or intraparotid NM from HN cSCC and surgically treated with curative intent from May 2010 to January 2020 was conducted. OS was considered the outcome of interest. RESULTS: The study included 89 patients (M:F = 3.4:1; median age, 78 years; range, 22-99). Among the primary tumor characteristics, the most relevant prognostic factors were diameter ≥ 4 cm (hazard ratio [HR] = 2.56, p = 0.010) and depth of infiltratio n ≥ 6 mm (HR = 3.54, p = 0.027). Cervical NM was associated with worse OS (HR = 2.09, p = 0.016) compared to purely intraparotid NM (5-year OS: 60.9% vs. 28.1%, p = 0.014). At multivariable analysis, age, immunosuppression, pT3-T4 categories and a high burden of nodal disease (> 2 NM) confirmed to be independent risk factors, whereas adjuvant radiotherapy was independently associated with better outcome. CONCLUSION: This study confirms the association of several independent prognosticators related to the patient, primary tumor, and nodal burden status. Patients with cervical NM should be considered at risk for harboring a higher number of metastatic lymph nodes. PMID:34170382 | DOI:10.1007/s00405-021-06944-w View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Epley’s Manoeuvre: A Single Line Treatment for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo

xlomafota13 shared this article with you from Inoreader Epley's Manoeuvre: A Single Line Treatment for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo Via Otolaryngology Indian Abstract Benign Paroxysmal Positional Vertigo (BPPV) is the commonest cause of peripheral vertigo. Displaced free floating otoconia in the semicircular canals are responsible for brief attacks of vertigo and nystagmus. Epley's manoeuvre relocates these particles into the utricle. Here we studied the efficacy of Epley's manoeuvre in posterior semicircular canal BPPV without labyrinthine sedatives. 120 patients presented with positional vertigo were included in the study based on positive Dix- hallpike test from August 2018 to July 2019. These patients were treated with only the Epley's manoeuvre and followed up for 6 months. Patients who were previously on labyrinthine sedatives were advised to stop them and treated with only the Epley's manoeuvre. In our study of 120 patients, mean age was 43.5 yrs. Females (52.5%) were commonly affected. Left side posterior semicircular involvement was more than the right side. Epley's manoeuvre had 90% efficacy at 1s t week and 100% efficacy at 4th week. Duration of vertigo had significant association (p < 0.01) with the number of sessions required. There was significant improvement in the duration of vertigo attack (p < 0.0001) and frequency of attack (p < 0.0001) before and after the manoeuvre. Epley's manoeuvre lead to significant (p < 0.001) improvement in the quality of life of affected patients measured by DHI scoring. In our 6 months follow up, 10 recurrences occurred having significant (p < 0.01) association with the duration of vertigo attack. Only Epley's manoeuvre without any labyrinthine sedatives is an effective treatment for posterior semicircular canal BPPV patients. It also improves the quality of life of affected patients. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Prolonged ulcerative laryngitis

xlomafota13 shared this article with you from Inoreader Prolonged ulcerative laryngitis Via hno HNO. 2021 Jun 25. doi: 10.1007/s00106-021-01079-0. Online ahead of print. ABSTRACT BACKGROUND: Prolonged ulcerative laryngitis is a rare, benign inflammatory alteration of the larynx that persists for months. The laryngoscopic findings suggest a malignant process and can therefore be a challenge for the treating ear, nose and throat (ENT) physician. OBJECTIVES: Presentation of the current database to provide an overview of the etiology, progress and treatment for every day clinical practice. METHODS: Three case studies from the Department of Phoniatrics and Speech Pathology of the ENT Department, University Hospital Zurich, Switzerland, are presented. Analysis and discussion of the current literature base and of case reports in the English literature. RESULTS: The etiology and predisposing factors for this disease are unclear. Previous respiratory infection with cough and dysphonia seems to be the most common cause. Biopsies should be avoided. CONCLUSIONS: The typical laryngoscopic findings show corresponding circumscribed lancet-shaped ulcerations in the middle third of the vocal fold. The course of the disease appears to be self-limiting and without permanent structural consequences. Therefore, good patient education and close laryngoscopic follow-up should be performed. PMID:34170335 | DOI:10.1007/s00106-021-01079-0 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.