Αρχειοθήκη ιστολογίου

Κυριακή 28 Φεβρουαρίου 2021

Liebe Kolleginnen und Kollegen, liebe Freunde der LRO,

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Laryngorhinootologie 2021; 100: 160-161
DOI: 10.1055/a-1331-1660



Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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Larynxmaske oder endotracheale Intubation während einer Adenotomie bei Kindern

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Laryngorhinootologie 2021; 100: 163-164
DOI: 10.1055/a-1256-5076



Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Article in Thieme eJournals:
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Aus der Gutachtenpraxis: Die 6. Auflage der „Königsteiner Empfehlung“ ist erschienen

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Laryngorhinootologie 2021; 100: 217-221
DOI: 10.1055/a-1331-1717



Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Article in Thieme eJournals:
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Metabolic syndrome and postoperative thyroidectomy outcomes

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Novel imaging classification system of nodal disease in human papillomavirus‐mediated oropharyngeal squamous cell carcinoma prognostic of patient outcomes

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Abstract

Background

Matted nodes in human papillomavirus (HPV)‐mediated oropharyngeal squamous cell carcinoma (OPC) is an independent predictor of distant metastases and decreased overall survival. We aimed to classify imaging patterns of metastatic lymphadenopathy, analyze our classification system for reproducibility, and assess its prognostic value.

Methods

The metastatic lymphadenopathy was classified based on radiological characteristics for 216 patients with HPV‐mediated OPC. Patient outcomes were compared and inter‐rater reliability was calculated.

Results

The presence of ≥3 abutting lymph nodes with imaging features of surrounding extranodal extension (ENE), one subtype of matted nodes, was associated with worse 5‐year overall survival, overall recurrence‐free survival, regional recurrence‐free survival, and distant recurrence‐free survival (p ≤ 0.03). Other patterns were not significantly associated with outcome measures. Overall inter‐rater agreement was substantial (κ = 0.73).

Conclusion

One subtype of matted nodes defined by ≥3 abutting lymph nodes with imaging features of surrounding ENE is the radiological marker of worst prognosis.

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The Automatic Detection of Heart Failure Using Speech Signals

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Publication date: Available online 27 February 2021

Source: Computer Speech & Language

Author(s): M. Kiran Reddy, Pyry Helkkula, Y. Madhu Keerthana, Kasimir Kaitue, Mikko Minkkinen, Heli Tolppanen, Tuomo Nieminen, Paavo Alku

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Workhorse Free Functional Muscle Transfer Techniques for Smile Reanimation in Children with Congenital Facial Palsy: Case Report and Systematic Review of the Literature

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J Plast Reconstr Aesthet Surg. 2021 Jan 31:S1748-6815(21)00050-4. doi: 10.1016/j.bjps.2021.01.007. Online ahead of print.

ABSTRACT

BACKGROUND: Pediatric facial palsy represents a rare multifactorial entity. Facial reanimation restores smiling, thus boosting self-confidence and social integration of the affected children. The purpose of this paper is to present a systematic review of microsurgical workhorse free functional muscle transfer procedures with emphasis on the long-term functional, aesthetic, and psychosocial outcomes.

MATERIALS AND METHODS: We performed a literature search of the PubMed database from 1995 to 2019 using the following search strategy: "facial paralysis"[Title/Abstract] OR "facial palsy"[Title]. We used as limits: full text, English language, age younger than 18 years, and humans. Two independent reviewers performed the online screening process using Covidence. Forty articles met the inclusion criteria. Th e protocol was aligned with the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and was registered at the International Prospective Register of Systematic Reviews (PROSPERO, CRD42019150112) of the National Institute for Health Research.

RESULTS: Free functional muscle transfer procedures include mainly segmental gracilis, latissimus dorsi, and pectoralis minor muscle transfer. Facial reanimation procedures with the use of the cross-face nerve graft (CFNG) or masseteric nerve result in almost symmetric smiles. The transplanted muscle grows harmoniously along with the craniofacial skeleton. Muscle function and aesthetic outcomes improve over time. All children presented improved self-esteem, oral commissure opening, facial animation, and speech.

CONCLUSIONS: A two-stage CFNG plus an FFMT may restore a spontaneous emotive smile in pediatric facial palsy patients. Superior results of children FFMT compared to adults FFMT are probably att ributed to greater brain plasticity.

PMID:33637466 | DOI:10.1016/j.bjps.2021.01.007

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Perceived utility of electronic noses in patients with loss of smell

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Eur Arch Otorhinolaryngol. 2021 Feb 26. doi: 10.1007/s00405-021-06708-6. Online ahead of print.

NO ABSTRACT

PMID:33638086 | DOI:10.1007/s00405-021-06708-6

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Thyroid chondroplastic flap for resection of laryngoceles

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Eur Arch Otorhinolaryngol. 2021 Feb 27. doi: 10.1007/s00405-021-06677-w. Online ahead of print.

ABSTRACT

PURPOSE: Large and combined laryngoceles usually need an external approach. One difficulty in such approach was the dissection at the paraglottic space. To overcome such difficulty, a thyroid chondroplastic flap approach to the paraglottic space was designed.

METHODS: This study is a case series of thirty consecutive patients (24 men and six women with an average age of 45.6 years), having large combined laryngocele resected externally between January 1995 and December 2019) at the department of ORL_HNS Tanta University, Egypt.

RESULTS: This approach allowed for excellent exposure of the paraglottic space, facilitating complete resection. Complications included perichondrial tearing in five patients, obstructing hematoma in two patient and minimal edema in four patients.

CONCLUSIONS: Thyroid chondroplastic flap is an excellent and safe approach for the paraglottic space facilitating complete resection of large laryngoceles.

PMID:33638087 | DOI:10.1007/s00405-021-06677-w

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Robotic Posterior Capsule Polishing by Optical Coherence Tomography Image Guidance

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Abstract

Background

In cataract surgery, polishing of the posterior capsule (PC) can lead to improved surgical outcomes but is currently avoided due to its high‐risk nature. This work developed a robotic system capable of performing PC polishing on ex vivo pig eyes using optical coherence tomography (OCT) guidance.

Methods

The lenses of five ex vivo pig eyes were extracted and a thin layer of glue deposited onto the PC. Transpupillary OCT scans of the anterior segment were used to generate a PC‐polishing trajectory. During polishing, OCT B‐scans tracked the tool tip and were displayed to the operator.

Results

Complete removal of the glue was accomplished in all five trials with no PC rupture reported.

Conclusions

The feasibility of using a robotic system guided by OCT to perform PC polishing on a biological model was demonstrated. Contributions include modeling of the PC anatomy, intraoperative OCT visualization, and automated tool‐tip motion with scheduled aspiration pressures.

This article is protected by copyright. All rights reserved.

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Relationship of triceps aponeurosis with radial nerve in anterior compartment of the arm

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Surg Radiol Anat. 2021 Feb 27. doi: 10.1007/s00276-021-02722-9. Online ahead of print.

NO ABSTRACT

PMID:33638658 | DOI:10.1007/s00276-021-02722-9

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Impact of subspecialty training on management of laryngopharyngeal reflux: results of a worldwide survey

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Eur Arch Otorhinolaryngol. 2021 Feb 27. doi: 10.1007/s00405-021-06710-y. Online ahead of print.

ABSTRACT

OBJECTIVE: To study the management of laryngopharyngeal reflux (LPR) among the subspecialties of practicing otolaryngology-head and neck surgeons and their trainees.

METHODS: A survey was sent to over 8000 otolaryngologists (OTOHNS) over 65 countries, utilizing membership lists of participating otolaryngological societies. The outcomes were answers to questions regarding LPR knowledge and practice patterns, and included queries about its definition, prevalence, clinical presentation, diagnosis, and treatment.

RESULTS: Of the 824 respondents, 658 practiced in one specific otolaryngologic subspecialty. The symptoms and findings thought to be the most related to LPR varied significantly between subspecialists. Extra-laryngeal findings were considered less by laryngologists while more experienced OTOHNS did not often conside r digestive complaints. Compared with colleagues, otologists, rhinologists and laryngologists were less aware of the involvement of LPR in otological, rhinological and laryngological disorders, respectively. Irrespective of subspecialty, OTOHNS consider symptoms and signs and a positive response to empirical therapeutic trial to establish a LPR diagnosis. Awareness regarding the usefulness of impedance pH-studies is low in all groups. The therapeutic approach significantly varies between groups, although all were in agreement for the treatment duration. The management of non-responder patients demonstrated significant differences among laryngologists who performed additional examinations. The majority of participants (37.1%) admitted to being less than knowledgeable about LPR management.

CONCLUSIONS: LPR knowledge and management vary significantly across otolaryngology subspecialties. International guidelines on LPR management appear necessary to improve knowledge and manageme nt of LPR across all subspecialties of otolaryngology.

PMID:33638681 | DOI:10.1007/s00405-021-06710-y

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