Pub Date : 2021-08-20DOI: 10.24983/scitemed.aohns.2021.00144
F. Kavanagh, K. Watters, S. Kieran, R. Rosen, G. Visner, R. Rahbar, S. Vargas
The study assesses the correlation between lipid-laden macrophage index in tracheal secretions (tLLMI) acquired at the time of direct laryngobronchoscopy (DLB) with the bronchoalveolar LLMI (aLLMI) collected via flexible bronchoscopy. Assessment of lipid-laden macrophages within bronchoalveolar lavage fluid has been proposed to be diagnostically helpful in evaluation of tracheobronchial inflammation. However, measurement requires flexible bronchoscopy with bronchoalveolar lavage, which can be associated with oxygen desaturation and post-operative fever. Quantification of lipid-laden macrophages in tracheal material has not been explored. The study demonstrates that the LLMI in tracheal aspirates collected at the time of DLB correlates with that of aspirates measured directly from the lower airways.
{"title":"Comparable Specimens for Lipid-Laden Macrophage Index: Pediatric Tracheal Aspirate Versus Bronchoalveolar Lavage Fluid","authors":"F. Kavanagh, K. Watters, S. Kieran, R. Rosen, G. Visner, R. Rahbar, S. Vargas","doi":"10.24983/scitemed.aohns.2021.00144","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2021.00144","url":null,"abstract":"The study assesses the correlation between lipid-laden macrophage index in tracheal secretions (tLLMI) acquired at the time of direct laryngobronchoscopy (DLB) with the bronchoalveolar LLMI (aLLMI) collected via flexible bronchoscopy. Assessment of lipid-laden macrophages within bronchoalveolar lavage fluid has been proposed to be diagnostically helpful in evaluation of tracheobronchial inflammation. However, measurement requires flexible bronchoscopy with bronchoalveolar lavage, which can be associated with oxygen desaturation and post-operative fever. Quantification of lipid-laden macrophages in tracheal material has not been explored. The study demonstrates that the LLMI in tracheal aspirates collected at the time of DLB correlates with that of aspirates measured directly from the lower airways.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133795433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-05DOI: 10.24983/scitemed.aohns.2021.00142
V. Siafaka, M. Prodromou, Kleoniki Katinioti, D. Tafiadis, Nafsika Ziavra, P. Tsekeris, T. Hyphantis
The study aims to assess the predictive values of certain psychological factors on the quality of life in patients with Head and Neck Cancer after radiotherapy. The authors conclude that the identification and the understanding of the depressive symptoms of patients, their beliefs about their illness as well as their coping strategies may provide the basis for timely implementation of appropriate intervention that may improve the quality of life in patients.
{"title":"Illness Perceptions, Psychological Distress and Coping Strategies as Predictors of Quality of Life After Radiotherapy in Head and Neck Cancer Patients","authors":"V. Siafaka, M. Prodromou, Kleoniki Katinioti, D. Tafiadis, Nafsika Ziavra, P. Tsekeris, T. Hyphantis","doi":"10.24983/scitemed.aohns.2021.00142","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2021.00142","url":null,"abstract":"The study aims to assess the predictive values of certain psychological factors on the quality of life in patients with Head and Neck Cancer after radiotherapy. The authors conclude that the identification and the understanding of the depressive symptoms of patients, their beliefs about their illness as well as their coping strategies may provide the basis for timely implementation of appropriate intervention that may improve the quality of life in patients.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131222981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-09-09DOI: 10.24983/scitemed.aohns.2020.00136
Monalisa Hui, S. Uppin, T. Paul, S. Jena, Rajashekar S. Patil, R. Ranganath
Ectopic hamartomatous thymoma is a rare neoplasm with classic anatomical location and characteristic histological and immunohistochemical features. Awareness of ectopic hamartomatous thymoma is essential to accurately diagnose these lesions which clinically mimics lipoma. Based on the morphologic and immunophenotypic features, the authors stress the need to discontinue the existing term of ectopic hamartomatous thymoma and replacing it with suitable nomenclature that aptly denotes its phenotype and possible histogenesis. The authors propose a new terminology “Triphasic Epithelial Myoepithelial Mesenchymal Branchial Anlage Tumor” as it encompasses three important constituents of the lesion (epithelial, myoepithelial, and mesenchymal) and its possible histogenesis in relation to branchial remnants.
{"title":"Need for Re-Classifying the Rare Condition of Ectopic Hamartomatous Thymoma Based on Tumor Analysis","authors":"Monalisa Hui, S. Uppin, T. Paul, S. Jena, Rajashekar S. Patil, R. Ranganath","doi":"10.24983/scitemed.aohns.2020.00136","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00136","url":null,"abstract":"Ectopic hamartomatous thymoma is a rare neoplasm with classic anatomical location and characteristic histological and immunohistochemical features. Awareness of ectopic hamartomatous thymoma is essential to accurately diagnose these lesions which clinically mimics lipoma. Based on the morphologic and immunophenotypic features, the authors stress the need to discontinue the existing term of ectopic hamartomatous thymoma and replacing it with suitable nomenclature that aptly denotes its phenotype and possible histogenesis. The authors propose a new terminology “Triphasic Epithelial Myoepithelial Mesenchymal Branchial Anlage Tumor” as it encompasses three important constituents of the lesion (epithelial, myoepithelial, and mesenchymal) and its possible histogenesis in relation to branchial remnants.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122326349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-31DOI: 10.24983/scitemed.aohns.2020.00134
C. Kuo
The author reports a case involving a 59-year-old man with delayed presentation of a huge mastoid cholesteatoma complicated by skull base erosion and cerebrospinal fluid leakage. Delayed presentation of this disease entity can have negative health consequences for patients. Regular otologic examinations, audiologic follow-up, and imaging examinations are viewed as the most effective strategies for the prevention of this type of situation. Early recognition of cholesteatomas is essential, as appropriate and timely treatment can prevent this rare comorbid condition from becoming fatal.
{"title":"Dangers of a False Sense of Security in a Huge Mastoid Cholesteatoma With Skull Base Erosion and Cerebrospinal Fluid Leakage","authors":"C. Kuo","doi":"10.24983/scitemed.aohns.2020.00134","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00134","url":null,"abstract":"The author reports a case involving a 59-year-old man with delayed presentation of a huge mastoid cholesteatoma complicated by skull base erosion and cerebrospinal fluid leakage. Delayed presentation of this disease entity can have negative health consequences for patients. Regular otologic examinations, audiologic follow-up, and imaging examinations are viewed as the most effective strategies for the prevention of this type of situation. Early recognition of cholesteatomas is essential, as appropriate and timely treatment can prevent this rare comorbid condition from becoming fatal.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121108639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-22DOI: 10.24983/scitemed.aohns.2020.00131
Julian D. Amin, Timothy E Ortlip, D. Cohen, K. Vakharia, J. Lubek
The authors review the accuracy of barium swallow studies in the assessment of post-laryngectomy pharyngocutaneous fistula. The findings are significant in that they will help guide practitioners in swallow assessment decision making and perhaps lead to a standardized protocol.
{"title":"The Utility of Barium Swallow Studies for Evaluation of Pharyngocutaneous Fistula After Total Laryngectomy","authors":"Julian D. Amin, Timothy E Ortlip, D. Cohen, K. Vakharia, J. Lubek","doi":"10.24983/scitemed.aohns.2020.00131","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00131","url":null,"abstract":"The authors review the accuracy of barium swallow studies in the assessment of post-laryngectomy pharyngocutaneous fistula. The findings are significant in that they will help guide practitioners in swallow assessment decision making and perhaps lead to a standardized protocol.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121545459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-07-02DOI: 10.24983/scitemed.aohns.2020.00132
R. Merrill, N. Roy, J. Pierce, K. Sundar
The study identifies how current voice, cough, and daytime breathing problems affect mental and physical quality of life in obstructive sleep apnea patients, as well as how the combination of voice, cough, and diurnal dyspnea impacts quality of life.
{"title":"Voice, Cough, and Diurnal Breathing Problems and Quality of Life in Obstructive Sleep Apnea","authors":"R. Merrill, N. Roy, J. Pierce, K. Sundar","doi":"10.24983/scitemed.aohns.2020.00132","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00132","url":null,"abstract":"The study identifies how current voice, cough, and daytime breathing problems affect mental and physical quality of life in obstructive sleep apnea patients, as well as how the combination of voice, cough, and diurnal dyspnea impacts quality of life.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122298476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-13DOI: 10.24983/scitemed.aohns.2020.00129
Yu-Chun Tsai, Nancy Chang, Chin-Lung Kuo
This article describes how blockchain technology can be used in several key data-driven healthcare areas, including health care records, health claims, interoperability, patient access, and supply chains.
{"title":"Blockchain Technology and Healthcare Applications","authors":"Yu-Chun Tsai, Nancy Chang, Chin-Lung Kuo","doi":"10.24983/scitemed.aohns.2020.00129","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00129","url":null,"abstract":"This article describes how blockchain technology can be used in several key data-driven healthcare areas, including health care records, health claims, interoperability, patient access, and supply chains.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129271510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-24DOI: 10.24983/scitemed.aohns.2020.00127
Caitlin M. Coviello, Opeoluwa Daniyan, C. Green, Mario A. Landera, D. Lundy, A. Mantero, J. Ahmed, G. Thomas
Dysphagia is an important consequence of cancer treatment and has overarching implications on quality of life. Using the FOIS, we demonstrated that swallowing function may be worse in the long term in patients with OPSCC undergoing triple therapy, although this finding did not reach statistical significance. This study emphasizes the importance of diligent selection in patients undergoing TORS to avoid poor functional swallowing outcomes, particularly in those that may need adjuvant chemoradiation therapy. A study with a larger sample size may determine the significance of these trends.
{"title":"Functional Swallowing Outcomes in Transoral Robotic Surgery Patients With and Without Adjuvant Treatment","authors":"Caitlin M. Coviello, Opeoluwa Daniyan, C. Green, Mario A. Landera, D. Lundy, A. Mantero, J. Ahmed, G. Thomas","doi":"10.24983/scitemed.aohns.2020.00127","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00127","url":null,"abstract":"Dysphagia is an important consequence of cancer treatment and has overarching implications on quality of life. Using the FOIS, we demonstrated that swallowing function may be worse in the long term in patients with OPSCC undergoing triple therapy, although this finding did not reach statistical significance. This study emphasizes the importance of diligent selection in patients undergoing TORS to avoid poor functional swallowing outcomes, particularly in those that may need adjuvant chemoradiation therapy. A study with a larger sample size may determine the significance of these trends.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130316379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-16DOI: 10.24983/scitemed.aohns.2020.00126
Hamed H. Tewfik, F. Tewfik, Thomas Viner, Dwayne Capper, J. Buatti
Total thyroidectomy and adjuvant RIT followed by a suppressive dose of levothyroxine are the established therapeutic procedures of choice for DTC. The treatment of DTC has changed from a one size fits all standard to a more individualized approach. The use of less complete surgery as well as decision to use RIT and the dose administered are to be considered carefully in the treatment of DTC. Surveillance for very low risk DTC is an acceptable option. The aim to lower morbidity, lower the cost of treatment and improve patient quality of life is attainable using these principles.
{"title":"Differentiated Thyroid Cancer: Management and Treatment in a Community Hospital and Guidelines to Lower Morbidity","authors":"Hamed H. Tewfik, F. Tewfik, Thomas Viner, Dwayne Capper, J. Buatti","doi":"10.24983/scitemed.aohns.2020.00126","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00126","url":null,"abstract":"Total thyroidectomy and adjuvant RIT followed by a suppressive dose of levothyroxine are the established therapeutic procedures of choice for DTC. The treatment of DTC has changed from a one size fits all standard to a more individualized approach. The use of less complete surgery as well as decision to use RIT and the dose administered are to be considered carefully in the treatment of DTC. Surveillance for very low risk DTC is an acceptable option. The aim to lower morbidity, lower the cost of treatment and improve patient quality of life is attainable using these principles.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"48 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141211927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-31DOI: 10.24983/scitemed.aohns.2020.00125
Yi Chen, C. Kuo
Auditory evoked potentials provide a non-invasive means by which to record the electrical signals of neural activities from the scalp, thus provide a useful tool for the evaluation of auditory disorder, such as tinnitus and hearing loss.
{"title":"Auditory Evoked Potential in Patients with Tinnitus","authors":"Yi Chen, C. Kuo","doi":"10.24983/scitemed.aohns.2020.00125","DOIUrl":"https://doi.org/10.24983/scitemed.aohns.2020.00125","url":null,"abstract":"Auditory evoked potentials provide a non-invasive means by which to record the electrical signals of neural activities from the scalp, thus provide a useful tool for the evaluation of auditory disorder, such as tinnitus and hearing loss.","PeriodicalId":272593,"journal":{"name":"Archives of Otorhinolaryngology-Head & Neck Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131331628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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