Falls have multiple causes, and those who fall have multiple risk factors, which increase the likelihood of falling. The first step in preventing falls is to determine which individuals are at higher risk of falling. This study was designed to determine which elements of a patient"šs history, physical examination, and ancillary testing correlated highest with a risk of falls.
As with most new technologies, a question exists whether the benefits are outweighed additional problems. A group of esearchers from various academic institutions set out to investigate the patient benefit in using image guided surgery (IGS) without increasing the risk associated with endoscopic sinus surgery.
While surgery remains the primary treatment for acoustic tumors, the choice of surgical approach (middle fossa, retrosigmoid, translabyrinthine) depends upon multiple factors, in particular the location of the tumor in the internal auditory canal (IAC). Magnetic resonance imaging (MRI) scans are highly sensitive tools for the diagnosis of acoustic tumors. However, MRI imaging may not be as accurate as previously thought for delineating the extension of tumor.
The most frequently used preservative in nasal saline sprays (NSS) and other aqueous nasal sprays is benzalkonium chloride (BKC). This study suggests that NSS containing BKC, found in commercially available preparations, alters neutrophil morphology, decreases viability and increases neutrophil LDH activity in a concentration and time dependent manner.
Many plastic surgeons use a Caucasian standard to perform nasal analysis on all their plastic surgery patients, regardless of ethnic background. In recognition of the growing diversity of Americans seeking plastic surgery, new research now provides a guide for performing a nasal analysis on African-American women.
Pharyngitis (sore throat) is the third most common complaint of patients seeking physician care. Pharyngitis and respiratory tract illness are the major causes of emergency room antibiotic use, and the management costs of pharyngitis alone account for over $300 million annually in the United States. Now, a new study states that a single dose of the steroid dexamethasone, administered by injection or pill, offers earlier onset of pain relief.
Recurrence of cancer in the nasopharynx (the part of the pharynx that lies above the soft palate) has usually been treated with a second course of radiation. Additionally, the disease is known to be Epstein-Barr virus related and, unlike other epithelial tumors from other parts of the upper aerodigestive tract, the mainstay treatment of this disorder has been radiotherapy. This study examined the feasibility of surgical resection for nasopharynx cancer and documented long-term survival results.
Researchers set out to demonstrate that the anatomy of the paranasal sinuses constitutes a complex three-dimensional structure that deserves the accurate spatial representation afforded by computer-aided image-guided endoscopic sinus surgery to avoid surgical pitfalls. Six cases were examined in this study.
Two Minnesota ear, nose, and throat specialists have completed new research that specifies medical conditions calling for keeping a tonsillectomy patient overnight for observation. This is an important step in ensuring that physicians and insurance companies use reliable information to ensure that children undergoing this common surgical procedure are not sent home prematurely.
A new study from Canada suggests that wide-field head and neck radiotherapy adversely affects voice, even when compared to patients receiving laryngeal RT. Essentially, radiotherapy affects the extralaryngeal upper aerodigestive tract and soft tissues leading to vocal dysfunction. Accordingly, a new direction for speech therapists may be appropriate for treating these patients.
Little research has been done to assess the efficacy of cochlear implantation at a delayed age for the congenitally deaf child or adult. A new postoperative study addresses that issue.
The American Society of Pediatric Otolaryngology (ASPO) is holding its 16th Annual Meeting at Marriott's Camelback Inn in Scottsdale, AZ, May 9-12. More than 250 specialists who treat disorders of the ears, nose, throat and related structures of the head and neck in the pediatric population are expected to attend. New advancements in the diagnosis and treatment of ENT disorders in children will be presented.
Two otolaryngologist have now determined that acyclovir, a treatment for herpes simplex and Epstein Barr virus, combined with prednisolone, is highly effective in restoring hearing loss due to inner ear inflammation.
A new study suggests that the clinical practice guidelines have had little effect on the actual practice patterns of pediatricians and otolaryngologist--head and neck surgeons.
A retrospective study from the University of Texas MD Anderson Cancer Center suggested that an increased risk exists for women with an index thyroid carcinoma to develop subsequent breast carcinoma.
A team of otolaryngologist--head and neck surgeons have completed a study which demonstrates that limited surgery, with medical intervention, can clear postoperative infection without removing the cochlear implant.
Researchers at the Walter Reed Army Medical Center have completed a study which demonstrates that image guided surgery, integrating medical imaging, sensor technology, and computers, offers safe, effective, and minimally invasive surgical alternatives for children with select diseases of the head and neck.
Pennsylvania medical researchers have developed a technique of ear piercing and earring retention that permits hypersensitive individuals to wear earrings in pierced lobes. The procedure entails the insertion of a catheter shaft to use over earring posts.
Researchers have compared the composition of several ear tubes to find one that is most resistant to specific bacteria. They concluded that the use of PC-coated fluoroplastic tubes may decrease chronic infection and the need for tube removal.
To provide a guide to their colleagues regarding new internet technology, three otolaryngologists have set out to identify patients' usage patterns and interest in the Internet.
Laser Office Ventilation of Ears with Insertion of Tubes (referred to as LOVE IT by the author) is an alternative to the more common procedure, myringotomy with insertion of pressure equalization tubes, which is performed in an operating room under general anesthesia.
A new research study has found that otolaryngologist--head and neck surgeons are using more conservative procedures for Meniere's disease, specifically the intratympanic installation of medications such as steroids, gentamicin, and streptomycin.
New research findings suggest that tumor size and surgeon's experience are key factors that determine patient's recovery after acoustic neuroma removal. An acoustic neuroma can lead to life threatening conditions if untreated.
Researchers have found that otoacoustic emissions testing with a follow-up of the same is the most effective and least costly of various methods for testing newborns for hearing ability.
A new study reveals that for the morbidly obese, bariatric surgery may be the best solution. The surgical intervention for control of obesity and its allied diseases leads to a loss of weight which may alleviate sleep apnea.
A research finding from the Oregon Hearing Research Center calls for a new standard of care for patients with severe tinnitus. Patients with tinnitus incur a "vicious cycle" of symptoms often found in those suffering from chronic pain.
Tonsillectomy is one of the most common surgical procedures performed on children. This study seeks to provide evidence that use of the harmonic scalpel provides optimum quality-of-life benefits to patients and families.
A recent study indicates that there is little difference in outcome when the thyroid is removed by a third-year otolaryngology--head and neck surgery resident--when compared to a more senior specialist.
A new study demonstrates that patients with chronic sinusitis may benefit from use of nasal irrigation using a saline solution. Nasal irrigation is inexpensive and yet easy to use.
Researchers reviewed treatment of patients with aggressive non-melanoma skin cancer to evaluate factors that predict tumor recurrence and affect patient survival. Their effort measured effectiveness of current treatment in an effort to modify future treatment strategies.
Two otolaryngologist reveal that snoring is a direct consequence of sleep disordered breathing. Patients who seek treatment for snoring should also consider an examination for sleep disordered breathing.
Researchers at the Walter Reed Army Medical Center have completed a study which demonstrates that Injection Snoreplasty, a low-cost alternative to traditional snoring treatments, is effective, and relatively painless.
A new research study offers early hearing results of the "Vibrant Soundbridge", a new device that is designed to overcome the shortcomings of hearing aids.
Researchers have tested a new procedure that will help determine whether or not compromised patients can safely swallow. Patients, who have severe sensory deficits in the hypopharynx, are at increased risk for aspirating liquids or food while swallowing, which can develop into the potentially life-threatening complication of pneumonia.
Tinnitus affects thousands, and its cause is usually attributed to an ear disorder. A new study examined patients with tinnitus and measured the prevalence of the condition with selected ear disorders.
A team from the Department of Pediatric Otolaryngology--Head and Neck Surgery, Children's Hospital Medical Center, Cincinnati, set out to determine if parents were satisfied with the opportunity to discuss, by phone, their postoperative concerns with a qualified otolaryngology nurse.
Vocal or facial tic disorders may actually be caused by Tourette syndrome, necessitating a diagnostic examination by a neurologist. The study concludes that ear, nose, and throat specialists need to be aware of this neurological disorder and its symptoms.
This research represents the first attempt to adapt a new surgical Uvulopalatal Flap procedure to an office-based treatment for the palatal obstruction of sleep disordered breathing.
A new study suggests that patients with head and neck cancer have a greater propensity for alcohol abuse and depression than patients with cancer in other parts of the body. Its conclusions recommend new strategies of treatment for head and neck surgeons.
A study from the M.D. Anderson Cancer Center provides objective data that Botulinum toxin provides a simpler, quite effective, standard of care for a select group of cancer patients who might not have been able to successfully speak following laryngectomy.
That some patients with advanced head and neck cancer would benefit from additional systemic treatment designed to eradicate clinically unidentified tumors that spread to distant parts of the body has been determined by a team of head and neck surgeons from The University of Tennessee-Memphis.
A team of French cancer researchers has determined that younger patients with head and neck squamous cell carcinoma will have similar outcomes to older patients with the same disease and this occurs despite the consensus that younger patients can tolerate more aggressive treatments for the cancer.
A new study identifies several clinical and pathologic criteria associated with distant metastasis. This is the first study with lengthy follow-up data and large patient population to correlate these prognostic factors to rates of distant metastasis in head and neck squamous cell carcinoma.
The perception of the nasopharynx as a surgical no man's land has changed. A team of head and neck surgeons from Taiwan has demonstrated that a nasopharyngectomy, or salvage surgery, is an effective control of Nasopharyngeal carcinoma recurrence when radiation therapy fails.
PPARgamma may be important in carcinogenesis. Solid tumors such as colon, prostate, and breast cancers express PPARgamma. A new study suggests that ligands may have a role in preventing or treating head and neck cancer.
When recurrent or new tumors occur in previously irradiated patients and they are not resectable, treatment options are limited. A new study examines how effective re-irradiation is in providing local control and cure.
Elderly patients who have thyroid cancer and those electing to have a partial-thyroidectomy are at higher risk for cancer recurrence, according to researchers at the M.D. Anderson Cancer Center in Houston.
Of the treatment options for tonsillar cancer, irradiation offers a similar chance of cure and a lower risk of complications when compared to surgery, finds a University of Florida College of Medicine study.
Delaying diagnosis of some head and neck cancers has not proven to have an impact on the extent of disease when found. If these findings are confirmed and found to extend to other cancer types, as is likely, then it will have important ramification on future health strategy for cancer in general and specifically head and neck.
A team of head and neck surgeons from Madrid proved that a Near-Total Laryngectomy, allowing preservation of part of the larynx and tumor control, results in patients' retaining part or most of their voice.
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