Modified transoral endoscopic thyroidectomy technique using trapdoor suspension sutures

xlomafota13 shared this article with you from Inoreader Modified transoral endoscopic thyroidectomy technique using trapdoor suspension sutures Via pubmed: "clin exp otorhinola... Clin Exp Otorhinolaryngol. 2021 Mar 30. doi: 10.21053/ceo.2021.00101. Online ahead of print. NO ABSTRACT PMID:33781057 | DOI:10.21053/ceo.2021.00101 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Hearing impairment increases economic inequality

xlomafota13 shared this article with you from Inoreader Hearing impairment increases economic inequality Via pubmed: "clin exp otorhinola... Clin Exp Otorhinolaryngol. 2021 Mar 30. doi: 10.21053/ceo.2021.00325. Online ahead of print. ABSTRACT OBJECTIVE: We evaluated the change in income level in a hearing-impaired population. METHODS: The study subjects were selected from the Korean National Health Insurance Service-Health Screening Cohort data from 2002-2015 of Koreans ≥ 40 years old. In all, 5,857 hearing-impaired subjects were matched with 23,428 comparison participants. The difference in the initial income level and the income level at 1, 2, 3, 4, and 5 years post-enrollment were compared between the hearing-impaired and comparison groups. The interaction of time*hearing impairment/comparison was estimated. RESULTS: Both the hearing-impaired group and the comparison group showed increased income levels over time. In the hearing-impaired group, the income levels at 4 and 5 years post-enrollment were higher than the initial income level (each p < 0.001). In the comparison group, the income levels of all the participants after 1-5 years were higher than the initial income level (each p < 0.001). The interaction of time*hearing impairment was statistically significant (p = 0.021). CONCLUSION: The increase in income over time was relatively lower in the hearing-impaired adult population; therefore, the gap in income level widened between this population and the normal-hearing population. PMID:33781058 | DOI:10.21053/ceo.2021.00325 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Development of HIGH-INTENSITY FOCUSED ULTRASOUND(HIFU) Therapy in Inferior Turbinate Hypertrophy

xlomafota13 shared this article with you from Inoreader Development of HIGH-INTENSITY FOCUSED ULTRASOUND(HIFU) Therapy in Inferior Turbinate Hypertrophy Via pubmed: "clin exp otorhinola... Clin Exp Otorhinolaryngol. 2021 Mar 30. doi: 10.21053/ceo.2020.02383. Online ahead of print. ABSTRACT OBJECTIVES: Inferior turbinate (IT) hypertrophy is the main cause of chronic nasal obstruction. We developed a high-intensity focused ultrasound (HIFU) ablation device to treat patients with IT hypertrophy. METHODS: First, computed tomography (CT) images of patients without any evidence of sinonasal disease were evaluated to measure and compared the IT, medial mucosal thickness (MT), and space between the nasal septum and IT according to clinical characteristics such as septal deviation. A HIFU prototype was developed based on human anatomical studies. The experimental study was performed in five pigs; the cross-sectional areas of the nasal cavity airway and histological changes at 1 and 4 weeks postoperatively were evaluated to compare the efficacy of HIFU turbinoplasty with that of radiofrequency turbinoplasty and control. < p>RESULTS: The mean medial MT of the anterior, middle, and posterior portions of the IT were 4.66±1.14, 4.23±0.97, and 6.17±1.29 mm, respectively. The mean medial IT spaces was 2.65±0.79 mm. The diameter and focal depth of the prototype were 4 mm and 3 mm. HIFU showed no postoperative complications including bleeding or scar formation. After HIFU treatment, the cross-sectional area of the nasal airway increased by 196.62(7.8%) mm3 and 193.74(8.3%) mm3 at 1 week and 4 weeks, compared with the increase of 87.20(3.1%) mm3 and 213.81(9.0%) mm3, respectively, after radiofrequency therapy. Qualitative histologic analysis after radiofrequency turbinoplasty showed epithelial layer disruption at 1 week and increased fibrosis along with decreased glandular structure at 4 weeks. The HIFU group had an intact epithelial layer at 1 week postoperatively. However, significant differences were observed at 4 weeks, including increased fibrosis, and decreased glandular structure. CONCLUSION: The efficacy and safety of HIFU turbinoplasty had been observed in an animal study. Our results warrant the need for further human clinical trials. PMID:33781059 | DOI:10.21053/ceo.2020.02383 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Extraction of Aural Foreign Bodies in a Rural Setting: 10-Year Review and a Novel Method to Remove Magnetic Stones

xlomafota13 shared this article with you from Inoreader Extraction of Aural Foreign Bodies in a Rural Setting: 10-Year Review and a Novel Method to Remove Magnetic Stones Via ear nose throat Ear Nose Throat J. 2021 Mar 30:1455613211006007. doi: 10.1177/01455613211006007. Online ahead of print. ABSTRACT BACKGROUND: The external auditory canal's unique anatomical characteristics made the presence of foreign bodies (FBs) a clinical challenge, particularly in rural settings without ready access to tertiary care and specialist intervention. AIMS: Our study surveys the experience in aural FBs surgical management in a rural Australian tertiary center. It proposes a safe, easy, and affordable technique to remove stones from the ear canal. METHODS: We have completed a 10-year retrospective surgical chart review, including 474 patients (52 adults and 428 children) requiring surgical management to remove aural FBs at the Royal Darwin Hospital, Northern Territory, Australia. We surveyed for patient demographics, foreign-body description, complications, location, and removal attempts. We identified what factors determine the need for surgical management and propose a technique for a safe, uncomplicated, and affordable removal of stones from the ear canal after applying this method in a small subgroup. RESULTS: The most common FBs requiring surgery in children were stones. A predominance in the Aboriginal population from remote communities was found, leading to a nasal bridle magnet technique to remove stones in rural settings. This method reduces the number of extraction attempts of the most frequent FB found in children's ears, aimin g to minimize complications, negative experiences, and health cost. CONCLUSION: Contrary to international literature, stones were found to be the most common FB in remote aboriginal populations. The proposed technique reduces the number of extraction attempts of the most frequent FB found in children's ears, aiming to minimize complications, negative experiences, and health cost. PMID:33781128 | DOI:10.1177/01455613211006007 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Chronic Invasive Fungal Sinusitis With Negative Histopathology: A Diagnostic Challenge

xlomafota13 shared this article with you from Inoreader Chronic Invasive Fungal Sinusitis With Negative Histopathology: A Diagnostic Challenge Via ear nose throat Ear Nose Throat J. 2021 Mar 30:145561320973773. doi: 10.1177/0145561320973773. Online ahead of print. ABSTRACT Although the diagnosis of chronic invasive fungal sinusitis relies chiefly on identification of invasive fungi on histology, the insidious nature of the disease can preclude detection of fungal organisms. Here, we present a case of chronic invasive fungal sinusitis with negative histopathologic findings and a definitive diagnosis made through fungal DNA detection. C linicians should consider polymerase chain reaction an important complement to histology and culture in the diagnosis of chronic invasive fungal sinusitis. PMID:33781123 | DOI:10.1177/0145561320973773 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Giant Fibrovascular Polyp as an Unusual Cause of Globus Pharyngeus

xlomafota13 shared this article with you from Inoreader Giant Fibrovascular Polyp as an Unusual Cause of Globus Pharyngeus Via ear nose throat Ear Nose Throat J. 2021 Mar 30:1455613211003989. doi: 10.1177/01455613211003989. Online ahead of print. ABSTRACT Differential diagnosis of globus sensation in an otherwise asymptomatic patient should include hypopharyngeal fibrovascular polyp to avoid potentially fatal complications like airway compromise following regurgitation. We present a case of a 74-year-old man with a 13-cm long hypopharyngeal fibrovascular polyp with 9 months history of globus sensation. A narrow stal k of the giant polyp allowed endoscopic removal and complete resection with the CO2 laser. Histopathological examination was conclusive for the fibrovascular polyp. PMID:33781124 | DOI:10.1177/01455613211003989 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

COVID19 and acute lymphoblastic leukemias of children and adolescents: Updated recommendations (Version 2) of the Leukemia Committee of the French Society for the fight against Cancers and leukemias in children and adolescents (SFCE)

xlomafota13 shared this article with you from Inoreader COVID19 and acute lymphoblastic leukemias of children and adolescents: Updated recommendations (Version 2) of the Leukemia Committee of the French Society for the fight against Cancers and leukemias in children and adolescents (SFCE) Via Association française pour l'étude du cancer Bull Cancer. 2021 Mar 11:S0007-4551(21)00082-5. doi: 10.1016/j.bulcan.2021.02.004. Online ahead of print. ABSTRACT Since the emergence of the SARS-CoV-2 infection, many recommendations have been made. However, the very specific nature of acute lymphoblastic leukemias and their treatment in children and adolescents led the Leukemia Committee of the French Society for the fight against Cancers and leukemias in children and adolescents (SFCE) to propose more specific recommendations. Here is the second version of these recommendations updated according to the evolution of knowledge on COVID19. PMID:33781551 | DOI:10.1016/j.bulcan.2021.02.004 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Reduction of seroma and improvement of quality of life after early drain removal in immediate breast reconstruction with tissue expander. Preliminary report from a randomized controlled study

xlomafota13 shared this article with you from Inoreader Reduction of seroma and improvement of quality of life after early drain removal in immediate breast reconstruction with tissue expander. Preliminary report from a randomized controlled study Via Journal of plastic, reconstructive & aesthetic surgery : JPRAS J Plast Reconstr Aesthet Surg. 2021 Mar 9:S1748-6815(21)00074-7. doi: 10.1016/j.bjps.2021.02.005. Online ahead of print. ABSTRACT Seroma is the most common complication of breast reconstruction with tissue expander (incidence 0.2-20%) with increased risk of infection and implant loss by 4-6 fold. About 90% of plastic surgeons routinely placed drains for its prevention. We theorized that early drain removal is a safe procedure that improves postoperative quality of life (QoL), reducing pain, length of hospital stay, and limitations on daily activities. We divided 49 patients operated on between September 2016 and March 2018 (follow-up: 9-26 months) into two groups: Group1 (output-based; drains removed when <30 ml/day); and Group2 (early-removal; at 3-4 days postop.). A study-specific questionnaire about the patient's QoL was conducted 3 weeks after surgery. We performed an intention-to-treat analysis. A comparison was performed using a Fisher test and a Mann-Whitney U test with p = 0.05. We observed lower production of wound fluid (641±49 ml vs 231±20 ml; p = 0.004), and a shorter time until wound healing (31.3±4.2 days vs 22±3.9 days; p = 0.031) for Group 2. The difference for infection (p = 0.36), impaired wound healing (p = 0.22), and the seroma formation period (p = 0.11) was not significant. Group 2 experienced less breast pain (8% vs 87.5%; p = 0.001), fewer limitations in daily activities (16% vs 50%; p = 0.002), in mobility (20% vs 83.3%; p = 0.001), and in social life (8% vs 91.7%; p < 0.001), and a better quality of sleep than Group 1 (36% vs 75%; p = 0.002). Group 2 did not require home care after hospital discharge (p < 0.001). The limitations of study are: its small sample size, the wound healing assessment, and the use of a non-validated questionnaire. PMID:33781704 | DOI:10.1016/j.bjps.2021.02.005 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

How Face Masks Affect Acoustic and Auditory Perceptual Characteristics of the Singing Voice

xlomafota13 shared this article with you from Inoreader How Face Masks Affect Acoustic and Auditory Perceptual Characteristics of the Singing Voice Via Journal of Voice Wearing a face mask has been accepted as one of the most effective ways for slowing the spread of COVID-19. Yet information regarding the degree to which masks affect acoustics and perception associated with voice performers is scarce. This study examines these effects with common face masks, namely a neck gaiter, disposable surgical mask, and N95 mask, as well as a novel material that could be used as a mask (acoustic foam). A recorded excerpt from the "Star-Spangled Banner" was played through a miniature speaker placed inside the mouth of a masked manikin. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

A novel seven‑gene panel predicts prognosis of head and neck squamous cell carcinoma treated with platinum‑based radio(chemo)therapy

xlomafota13 shared this article with you from Inoreader A novel seven‑gene panel predicts prognosis of head and neck squamous cell carcinoma treated with platinum‑based radio(chemo)therapy 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 Mar 26. doi: 10.1007/s00405-021-06760-2. Online ahead of print. NO ABSTRACT PMID:33770246 | DOI:10.1007/s00405-021-06760-2 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Bilateral Chronic Subdural Hematomas

xlomafota13 shared this article with you from Inoreader Bilateral Chronic Subdural Hematomas Via leak of cerebrospinal fluid No Shinkei Geka. 2021 Mar;49(2):238-243. doi: 10.11477/mf.1436204384. ABSTRACT Chronic subdural hematomas(SDHs)do not infrequently present isodensity on CT. They should not be overlooked, particularly if bilateral. Therefore, checking for an abnormal mass effect and visualizing the cortical sulci in higher slices should be routine. In suspected cases, MRI can be a reliable tool for establishing the diagnosis. SDHs or subdural hygromas are often found in patients with intracranial hypotension, along with other findings such as thickened dural enhancement, enlarged dural sinuses, an anterior shift of the brainstem, inferior shift of the cerebellar tonsils, and others. In such cases, some techniques are indicated for visualizing cerebrospinal fluid leakage from the dural sac. Conditions with similar imaging findings, such as chronic SDHs, include dural metastases, several kinds of granulomatous disease, and hypertrophic pachymeningitis. Addition ally, it is essential to consider child abuse when SDH is found in children. PMID:33762443 | DOI:10.11477/mf.1436204384 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.