"Kids E.N.T. Health," a national public information campaign to inform the public about pediatric ear, nose, and throat disorders, will be observed in February, 2004. This initiative seeks to advise caregivers that ear, nose, and throat disorders remain among the primary reasons children visit a physician.
A new report, "Adult Chronic Rhinosinusitis: Definitions, Diagnosis, Epidemiology, and Pathophysiology,"is a supplement to the September 2003 edition of Otolaryngology"”Head and Neck Surgery. This major undertaking represents a needed step for all clinicians to effectively diagnose and treat this medical disorder that results in 18 to 22 million physician visits each year.
A new study compares the functioning, with respect to quality of life (QOL) of cochlear implant(CI) patients with an average group of hearing patients. By evaluating the QOL benefit from CI's with that of hearing aids (HA) in hearing impaired adults, the impact of auditory intervention on the functional gap between CI and HA candidates is assessed. Specifically, the degree that CI's raise deaf patients' QOL towards levels enjoyed by HA patients can be determined.
A new technology that allows radiofrequency energy to heat the dermis without removing the epidermis has been developed by Thermage, Inc., Hayward, CA. The applied heat causes a thermal injury, which initiates a healing response. The device uses capacitive coupling rather than conductive coupling to deliver the therapeutic energy.
The National Center for Education Statistics reported that reading levels for fourth graders showed no significant improvement over grades recorded in 1992. According to a new research study conducted in Israel, the incidence of acute otitis media and middle ear infection, may have a direct impact on a child's ability to read at a level comparable to peers without this common childhood disorder.
A new study focuses on the 86 patients with laryngeal carcinoma who were included in the initial study group of 357 patients and performed a five-year follow-up, both of clinical data and their HRQL, using the same questionnaires.
A new study has determined that radiofrequency is an effective and safe treatment for chronic tonsillitis, producing little pain and discomfort and few side effects. Prior to this study, the procedure was primarily used for reduction of enlarged tonsils.
A team of German researchers have completed a study that suggests that Transcranial Magnetic Stimulation, which induces an electrical current in nearby regions of the brain to diagnose brain abnormalities may be an effective inhibitor of tinnitus.
The new role of the Loudness Discomfort Level (LDL) test led a team of Brazilian researchers to systematically study the LDL on normal subjects. A secondary purpose of their research was to examine the possible correlation between the values of LDL and acoustic reflex. The method used to test the LDL was the same used on the most important centers specialized on evaluation and treatment of tinnitus and hyperacusis.
Traditional treatments for snoring can range from weight loss to a change in sleeping patterns to one of multiple well-documented surgical options. Currently, over 300 non-invasive, over-the-counter snoring remedies are registered with the U.S. Patent and Trademark Office. However, the question remains, "Do these treatments really work?"
A duo of researchers add to the current small body of data on intratympanic therapy, by evaluating if high-dose steroid delivered at the round window memebrane via these devices can improve the hearing result after failure of conventional therapy.
A new study has examined changes in the physiological parameters of sleep and in quality of life after adenotonsillectomy for obstructive sleep apnea (OSA) in obese children. This research seeks to establish the outcome of surgery for OSA in obese children.
To determine septoplasty's efficacy, the American Academy of Otolaryngology"”Head and Neck Surgery (AAO-HNS) initiated the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. This research effort sought to: (1) Develop a validated outcomes instrument for use in nasal obstruction; (2) Determine whether nasal septoplasty improves patients' disease-related quality of life as measured by the new instrument; (3) Assess impact of other clinical factors on outcome.
German researchers have set out to attempt to detect nystagmus during exposure to EM fields from a standardized radiation source similar to a mobile phone. Additionally, they sought to assess the dimension of thermal effects on the outer surface of the mobile phone and on tissues exposed to its EM radiation.
The varied locations of dermoid growths in children may lead caregivers to bring their pediatric patients to a wide variety of practitioners. A team of researchers from the Mayo Clinic has defined these neoplasms through their experience with the presentation, diagnosis, and treatment of pediatric dermoid cysts of the head and neck.
In relation to the head and neck, an infection with B. henselae that typically leads to cat-scratch disease usually results in an attack on the area's lymph nodes. Another consequence to the head and neck is Parinaud's oculoglandular syndrome, which is a combination of conjunctivitis and ispilateral (same side) preauricular lymphadenopathy.
To examine whether tympanoplasty is a prudent move for the aging population, two Chilean surgeons set out to determine the anatomic and audiological results of primary tympanoplasties on patients over 50 years of age and to determine whether age and type of grafting have an influence on the anatomic and functional success.
New improvements in control of energy delivery have allowed development of electrosurgery tools which are capable of delivering a more uniform and stable plasma energy output. A new study set out to confirm previous research indicating that Coblation electrosurgery tonsillectomy is associated with less postoperative pain and better quality recovery than conventional electrosurgery.
A new research study examining our nation's veterans sought to test the hypothesis that providing a continuous positive airway pressure device was associated with better survival than uvulopalatopharyngoplasty (with or without other sleep apnea surgeries) in sleep apnea patients, adjusting for important confounding variables.
Radiation therapy for head and neck cancer is a well accepted treatment and valuable adjunct in regional control when used in conjunction with surgery. However, one unforeseen consequence could be radiation induced malignancy, which has been examined in a new research study.
A new outreach effort seeks to advise the public about different types of hearing loss and the role of physicians in treating hearing disorders by providing information about the causes of hearing loss and the need for early hearing testing.
The American Academy of Otolaryngology"”Head and Neck Surgery Foundation Annual Meeting & OTO EXPO will meet September 21-24, 2003, addressing the diagnosis and treatment of a wide range of medical disorders of the ear, nose, throat, and related structures of the head and neck.
Researchers in Israel noted that patients hospitalized for acute vestibular dysfunction of different causes were more upset by their illness than patients with other, more disabling and disastrous, neurological symptoms, such as acute hemiparesis or paraparesis.
Although human bites are less common than dog or cat bites, they make up two to 23 percent of all bite wounds. Fifteen to 20 percent of human bites are in the head and neck. Other common sites include the hands, arms, and shoulders in men, and the breasts, genitalia, legs, and arms in women. There have been few recent studies on the treatment and outcome of human bites in the head and neck region. Now, the experience of treating such bites at a major medical center is recorded in a new study.
On April 16, 2003, the nation's largest group of ear, nose, and throat physicians is asking the public to recognize that the human voice is a fragile communication instrument that can be damaged through harmful speaking techniques and alcohol and tobacco abuse.
Two otolaryngologist--head and neck surgeons have validated a new survey instrument that assessed sinus infection, nasal obstruction, allergy symptoms, emotional distress, and activity limitations.
Ten otolaryngologist--head and neck surgeons and members of the AAOHNS from northern and southern California have joined together for "Community ENT 2003," a one-day event sponsored by the California Medical Association to provide treatment for ear, nose, and throat disorders for children without access to specialty medical care.
The American Academy of Otolaryngology--Head and Neck Surgery, is launching, "Kids E.N.T. Health," a new public education initiative that will advise parents, caregivers, and other physicians on the latest diagnostic and treatment procedures for children's ear, nose, and throat problems.
Findings of a new study demonstrate that administration of antibiotics by nebulization (versus oral or intravenous) was preferred by patients with chronic sinusitis whose infections persisted despite previous sinus surgery. This treatment also provided a longer infection-free period, up from six weeks to 17 weeks.
Here are preventative measures to ensure that your hearing, voice, sinuses, sense of smell, and throat will come through the holiday season free of discomfort or serious illness. The American Academy of Otolaryngology -- Head and Neck Surgery offers a holiday season survival guide to help you avoid ruining your holiday experience by suffering from an ear, nose, or throat illness.
A research team has completed the first randomized, controlled study that specifically evaluates Canalith Repositioning Maneuver efficiency in treating Benign Positional Paroxysmal Vertigo in the very old. Because this procedure requires significant head and neck manipulation, the study incorporated modifications to make the procedure safe and effective.
A new study from a department of otolaryngology in the United Kingdom finds that withdrawing the use of bipolar diathermy for dissection in adult tonsillectomy led to no significant reduction in adult secondary post-tonsillectomy haemorrhage rates.
Past medical research has examined the complications associated with pediatric tracheostomies, but none have studied the factors influencing the need for tracheostomy in the preterm infant. In a first of its kind study, researchers have examined the events surrounding a tracheostomy in high-risk preterm infants by reviewing the charts of children admitted to the neonatal intensive care unit who required a tracheostomy, analyzing their co-morbidities and the indications for tracheostomy.
A new research study from Sweden now provides evidence that men and women differ in their physiological predictors of sleep apnea, suggesting that the physicial examination for this disorder should incorporate gender differences.
A research team from the University of Chicago hypothesized that subjects with perennial allergic rhinitis treated with a topical steroid nasal spray without benzalkonium chloride would have reduced nasal inflammation, improved quality of life, and unaffected nasal clearance. They also suggested that another popular intranasal steroid preparation with benzalkonium chloride would similarly reduce nasal inflammation and improve quality of life, but reduce nasal clearance.
A new research study has found that treatment with a longer course of steroids in addition to antivirals is a preferred option for the treatment of sudden sensorineural hearing loss (SSNHL).
A research team has reported some success with transtympanic steroid therapy for treatment of hearing loss in patients with various inner ear problems. They have concluded that direct inner ear steroid perfusion helps to achieve higher inner ear concentrations while minimizing systemic side effects.
This study investigated the potential benefit of intratympanic steroids in the treatment of sudden hearing loss. The results of this protocol were compared to the results using oral steroids, since the latter have proven effective in SSNHL treatment.
A study was undertaken in an Irish treatment center to examine the outcome of tympanoplasty in children and investigate the influence of the age of the child, the site and size of the perforation, history of ventilation tube insertion, and presence of a narrow anterior rim of tympanic membrane on the surgical result.
This study attempts to measure objectively the impact of adenotonsillar disease and note the areas of concern by the child's caretakers. At the same time comparisons were made with other conditions, such as asthma and juvenile rheumatoid arthritis. Essentially, the research defines a framework within which treatment decisions can be examined and validated.
This research presents the first results of a large-scale study that utilized a combined treatment approach of APC and topical estriol, one of the three naturally occurring estrogens, in Olser´s disease and recurrent nosebleeds. Estrogens are known to induce an epithelial metaplasia by changing the ciliary columnar epithelium into a keratinizing squamous epithelium.
Similarities in neuro-biological models, patient psychological profiles, and treatment options warrant greater attention. A team of researchers set out to examine these similarities. Their objective was to find out how many chronic pain patients suffer from tinnitus, the relation of tinnitus to pain in onset or severity, and whether treatments received for chronic pain impact tinnitus.
A team of otolaryngologists from Brazil have examined the skeletal surgeries carried out in treating primary snoring and mild and moderate OSAS. They focused on procedures limited to the palate, lower tongue and skeletal surgeries, and areas of the upper airway most receptive for treatment.
A research team from the United Kingdom has conducted a prospective study, analyzing the role of routine CT scan of the chest in consecutive newly diagnosed head and neck squamous cell carcinomas in detecting synchronous tumors in the chest.
A new study explores otolaryngologic applications of the da Vinci in the laboratory setting. Optimal location and setup for the robotic system were established for various surgical techniques, along with review procedures for the operative advantages of the da Vinci, its potential application in otolaryngology, and its current limitations.
This study examined the existing medical literature comparing the two procedures for the surgical removal of tonsils (tonsillectomy). The criteria included resulting pain, morbidity, operative time, and intraoperative time from the two different methods, monopolar electrocautery and cold knife dissection.
A new research study suggests examination of related inner ear physiology and disorders to seek an alternative treatment for Meniere's disease.
A pediatric otolaryngologist and a research scientist have made their case that the next stage for the tonsillectomy will be the use of the contact diode laser (CDL).
In their search for a less invasive, but equally effective technique, a team of ear, nose, and throat specialists revisited an old procedure, tonsillotomy, or partial tonsillectomy, but in this case, performed with contemporary technology. The procedure involves a reduction in the tonsil size, partially shaving them away using an endoscopic microdebrider, a very small, high-speed device that shaves soft tissue.
A team of researchers have undertaken a longitudinal study in which a large number of children scheduled for adenotonsillectomy (AT) and a smaller number of controls (children with no clinical symptoms of SDB scheduled for non-airway procedures) are investigated by collecting PSG, cognitive and behavioral data at two distinct time points, just before surgery and one year later.
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