An otolaryngologist"”head and neck surgeon and a researcher have anecdotally observed a surprisingly high percentage of non-smokers with doctoral degrees who presented with laryngeal cancer. A retrospective assessment of this population was performed to shed light on this observation.
A new research study examines the relationship between the presence of frontal pain and CRS disease process, and the association between frontal pain and degree of frontal sinus disease as determined by CT scan.
Experts still debate treatment for the frontal sinuses; how to effectively deal with surgery, medical management, and surgical failures. A new study set out to document the causes of those failures in patients who had undergone surgical treatment for sinus disorders.
The April 2004 issue of Otolaryngology"”Head Neck Surgery, the peer-reviewed, scientific journal of the American Academy of Otolaryngology"”Head and Neck Surgery offers new research findings in cosmetic surgery, balance problems, migraine, cancer, and more.
The American Academy of Otolaryngology--Head and Neck Surgery is observing World Voice Day, Friday April 16, with a live webcast on voice disorders. This one hour interactive event is scheduled for 1 pm EDT on April 16. The webcast is hosted by a leading medical expert on voice disorders.
On the second annual "World Voice Day," an international health observance day for the human voice, April 16, the public is asked to assess their voice quality and recognize that harmful speaking techniques, alcohol, and tobacco abuse can easily and irrevocably damage the voice.
Twelve new studies are in the March issue of Otolaryngology"”Head Neck Surgery, the peer-reviewed, scientific journal.
Researchers present findings of their ongoing efforts to create a screening tool and battery of diagnostic tests to identify children with auditory processing disorder, an often misdiagnosed learning disability that affects how the brain translates sound into understandable speech.
Nearly 23,000 Americans have received cochlear implants, typically in just one ear. Researchers have investigated whether having an implant in both ears (bilateral implantation) would improve the ability to localize sound and understand speech.
A tracheotomy is the most common treatment for children born with vocal cord paralysis, resulting in tracheostomy-dependence for generally three years. At the Mid Winter Meeting, researchers will propose a new surgical procedure to remove the tracheostomy earlier in life.
Preliminary findings of a new study have determined that diabetes, a disease approaching epidemic proportions, may lead to premature aging of the body's auditory or hearing system.
Results of a pilot study pave the way for understanding the basic process of migraine-related dizziness, possibly leading to new treatments for the nearly three percent of the US population affected with this condition. Researchers present at the Mid Winter Meeting, February 22-26.
Enticing growth of nerve fibers toward cochlear implants may dramatically improve ability to hear through these devices.
Researchers investigate possible breakthroughs in treating the profoundly deaf through biological implants.
Investigators find that prophylactic antibiotic therapy may diminish hearing loss associated with a serious complication of mastoid surgery.
Scientists specializing in the research of the ear, nose, throat and related head and neck structures will gather at the 2004 Mid-Winter Meeting. Scientists and physicians from around the globe will be available for comment.
"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.
A new study set out to assess Quality of Life in patients with advanced laryngeal/hypopharyngeal cancers that were treated with concurrent chemoradiotherapy and compare it to those treated with total laryngectomy.
When most mothers hear their child with a crowing or barking noise, a hoarse voice, or cough, they usually assume that croup is the culprit. However, their maternal instincts may be wrong for these symptoms are also typical of a laryngeal foreign body (LFB), and the diagnosis may be missed unless it is specifically considered in all young children presenting with stridor (a high-pitched, noisy respiration, like the blowing of the wind; a sign of respiratory obstruction, especially in the trachea or larynx) of acute onset.
Deep brain stimulation (DBS) is currently being offered to Parkinson's disease (PD) patients whose disease is recalcitrant to medical therapy, but who are in otherwise relative good health. DBS has emerged as an attractive alternative to the ablative procedures by creation of a Å’functional"š lesion. No study to date has looked at the laryngeal and vocal outcomes in patients that have undergone DBS. A new study set out to obtain pilot data regarding the laryngeal findings in advanced PD patients seeking surgical treatments for their symptoms.
Vertigo usually does not occur in ototoxicity unless the induced ototoxic effects are asymmetrical or if subjects undergoing ototoxic drug treatment have a preexisting vestibular asymmetry (difference in function between the two ears). A team of researchers has set out to investigate the occurrence of BPPN in subjects undergoing treatment with potentially ototoxic medications through prospective and retrospective record reviews.
Aesthetic surgery on Asian-American patients relying on Caucasian norms may result in dissonant facial proportions. Furthermore, many Asian-Americans seek to maintain their ethnicity through cosmetic procedures making the challenge for surgeons to maintain appropriate ethnic facial features and correct only the features that are disproportionate to the rest of the face.
Steroids delivered by the intratympanic route for Meniere's disease demonstrate higher concentrations in the perilymph that those administered intravenously; the best profile has been reported for methylprednisolone.
The reported mortality for invasive fungal sinusitis is between 50 and 80 percent. Organisms from Aspergillus and Mucoracaea (Mucor) fungi cause IFS and mortality results from intracranial invasion by these organisms. A research team from Atlanta conducted a retrospective study of 45 individual cases of 43 patients with invasive fungal sinusitis treated over the past 15 years at a tertiary care academic hospital.
A team of researchers from the Johns Hopkins University has found that there was no functional disadvantage to implanting the worse hearing ear, implying that trophic influences of residual hearing in the central nervous system may be more important to cochlear implant outcome than trophic effects in the spiral ganglion, which is directly stimulated by the device and conveys coded electrical signals generated by the prosthesis to the brain. These findings imply that the better ear could be preserved for the continued use of a hearing aid with the implant, or the use of future technologies.
The sleep study has been considered the "gold standard" diagnostic tool determine which children with upper airway obstruction would benefit from a tonsillectomy and adenoidectomy. Yet, numerous prior reports have shown that children's upper airway obstruction symptoms improve after T&A regardless of whether a child's apnea is documented by a PSG. A team of specialists set out to determine whether otherwise healthy children with a clinical assessment of significant upper airway obstruction but with a PSG negative for OSA have improvement after tonsillectomy/adenoidectomy as compared to children who do not undergo surgery.
A team of researchers set out to determine (1) whether newborn middle ear effusion present at age 30 to 48 hours is related to later diagnosis of chronic otitis media during the first year of life; (2) if infants with neonatal middle ear effusion have significantly more episodes of middle ear effusion during the first year of life than infants without neonatal middle ear effusion; (3) if infants with neonatal middle ear effusion have hearing loss during the first year of life as compared to infants without neonatal middle ear effusion.
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