Purpose of review The purpose of this review is to examine current trends in reconstruction following orbital exenteration. Defects ranging from isolated exenteration to more complex midface resections are explored. Recent findings Goals of reconstruction include separating the sino-orbital cavities and creating a safe, stable wound that can withstand adjuvant radiation. When planning for orbital rehabilitation, it is important to create a concave cavity that can accommodate a prosthesis....
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Purpose of review To discuss the different types of bone conduction implants available today and describe the types of hearing loss that could benefit from bone conduction implants. Recent findings Bone conduction implants have been used successfully for over two decades. However, there have been barriers to their use because of skin complications and limited high-frequency hearing gains. Recently developed technologies, such as active bone conduction implants may overcome some of these limitations,...
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Purpose of review The aim of this study was to review the recent literature on the utilization of the lateral arm free flap use in head and neck reconstruction. Recent findings The lateral arm free flap provides a reliable fasciocutaneous free tissue transfer option ideally suited for reconstruction of the oral cavity, pharynx and parotid. Primary donor site closure, compartmentalized fat and excellent colour match make it an excellent option for head and neck reconstruction. Donor site morbidity...
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Abstract Background In this study, we evaluate a new flexible, single‐arm robotic system in performing thyroidectomy via a retroauricular approach. Methods Four fresh cadavers were used. Technical details of the new system are discussed, and the comprehensive surgical procedures are described step by step. Results This single‐port flexible system could be used to successfully perform retroauricular thyroidectomy. The ideal angle to dock the patient‐side cart was at a 90° angle to...
Thu Aug 27, 2020 15:09
Abstract Background This study aimed to develop a novel temporal bone squamous cell carcinoma (TBSCC) prognosis scoring system and compare it with the revised Pittsburgh staging system. Methods Forty‐four consecutive TBSCC patients were assessed to identify predictors of recurrence. Each predictor's hazard ratio for recurrence was used to develop our novel scoring system. Results Based on variables with P < .10 in Cox's regression model, our score included: revised Pittsburgh stage;...
Thu Aug 27, 2020 11:34
Abstract Background To investigate nutritional impairment during intensity‐modulated radiotherapy (IMRT) in patients with nasopharyngeal carcinoma (NPC) taking normal nutrition before IMRT and its effect on treatment‐related toxicities (TRTs) and survival. Methods Modified nutrition index (m‐NI) of 187 patients with NPC, comprised eight indicators (body mass index, circumference of upper arm muscles, total lymphocyte count, red blood cell count, levels of albumin, pre‐albumin, transferrin,...
Thu Aug 27, 2020 11:23
Abstract Background Glomus jugulare tumors (GJTs) are challenging to treat due to their vascularization and location. This analysis evaluates the effectiveness and safety of image‐guided robotic radiosurgery (RRS) for GJTs in a multicenter study and reviews the existing radiosurgical literature. Methods We analyzed outcome data from 101 patients to evaluate local control (LC), changes in pretreatment deficits, and toxicity. Moreover, radiosurgical studies for GJTs have been reviewed. ...
Thu Aug 27, 2020 11:23
Zusammenfassung Einleitung Nach einer Cochleaimplantation (CI) ist i.d.R. ein Hör- und Sprachtraining erforderlich, das bislang entweder ambulant oder stationär im direkten Kontakt mit einem Therapeuten erfolgt. Bedingt durch technische Weiterentwicklungen, aber vor allem durch die zunehmende Nutzung digitaler Medien und dem Wunsch nach Mobilität und Selbständigkeit steigt der Bedarf an digitalen Trainingsprogrammen auch im Rahmen der...
Thu Aug 27, 2020 03:00
This case report describes a woman in her 20s who underwent chemoradiation for cervical carcinoma and subsequently presented with headaches and right-sided temporomandibular joint pain.
Thu Aug 27, 2020 03:00
Hearing loss is the most common sensory disorder in humans. According to recent estimates by the World Health Organization, disabling hearing loss (>40 dB in the better-hearing ear in adults and >30 dB in the better-hearing ear in children) affects 466 million people worldwide, including 34 million children, and is expected to double to 900 million people by 2050. Left untreated, hearing loss is associated with health issues, deterioration in quality of life, and financial costs; the latter...
Thu Aug 27, 2020 03:00
This systematic review and consensus study uses a modified Delphi consensus process, informed by a systematic review of the literature and 30 international specialists, to develop 20 evidence-based consensus statements regarding the use of unilateral cochlear implants in adults with severe, profound, or moderate sloping to profound bilateral sensorineural hearing loss.
Thu Aug 27, 2020 03:00
This Viewpoint encourages clinicians to listen to patient concerns regarding the varying treatment options available for single-sided deafness.
Thu Aug 27, 2020 03:00
This multicenter nonrandomized clinical trial examines the effectiveness of cochlear implants, as measured by improvement on the AzBio Sentence Test, for newly implanted Medicare beneficiaries who meet the expanded indications of an AzBio Sentence Test score of 41% to 60% in their best-aided condition.
Thu Aug 27, 2020 03:00
In Reply We thank Thong et al for their letter. We chose our method because it allows easy setup and takedown for continued microscope use after drilling is complete. We have taken to using the Sterile-Z Back Table Drape because it has a perforation down the middle to allow for easy break-away when it is no longer needed. As stated in our original Research Letter, we expect better modifications to come about, and otolaryngologists will always be a creative group.
Thu Aug 27, 2020 03:00
This secondary analysis of a nonrandomized clinical trial explores the audiometric and holistic effects of cochlear implantation in a group of adults 65 years or older compared with an optimized bilateral hearing aid condition.
Thu Aug 27, 2020 03:00
This case report descreibes a woman in her 30s who presented with worsening left-sided facial weakness and was diagnosed with a perineurioma.
Thu Aug 27, 2020 03:00
This nonrandomized controlled trial investigates the safety and effectiveness of a single-ear cochlear implant in a group of optimized adult hearing aid users with and without mild cognitive impairment across a variety of outcome domains.
Thu Aug 27, 2020 03:00
A Cost-effective Solution to Limit Aerosol Transmission of Infectious Agents During Mastoid Drilling
To the Editor We read with interest the research letter published online on April 28, 2020, titled “A Simple Technique for Droplet Control During Mastoid Surgery.” Mastoid bone drilling is an aerosol-generating procedure with the potential to transmit infectious agents from the upper aerodigestive tract via the eustachian tube and middle ear. Although there are no coronavirus disease 2019–specific data, other studies have found common viruses in the middle ear and nasopharynx. To continue safely...
Thu Aug 27, 2020 03:00
LaryngorhinootologieDOI: 10.1055/a-1226-6927Die Wiedererlangung einer Stimmfunktion nach Laryngektomie ist ein zentrales Element für die postoperative Lebensqualität. Dazu haben sich Stimmprothesen als probates Mittel etabliert. Häufige Prothesenwechsel stellen für einige Patienten jedoch eine teils große Belastung dar, sodass ein besseres Verständnis der Ätiologie der Stimmprothesen- und Stimmprothesenlagerinsuffizienz benötigt wird. Material und Methoden Es erfolgte die retrospektive...
Thu Aug 27, 2020 02:00
Publication date: Available online 26 August 2020Source: European Annals of Otorhinolaryngology, Head and Neck DiseasesAuthor(s): V. Parent, M. Codet, K. Aubry, P. Bordure, A. Bozorg-Grayeli, O. Deguine, C. Eyermann, V. Franco-Vidal, N. Guevara, A. Karkas, N. Klopp, M. Labrousse, J.-P. Lebreton, Y. Lerosey, E. Lescanne, N. Loundon, R. Marianowski, F. Merklen, K. Mezouaghi, T. Mom
Thu Aug 27, 2020 20:33
Abstract BackgroundTubal anastomosis has similar pregnancy rates regardless of approach. Historically, robotic anastomosis has been associated with increased cost and operative time. We sought to perform a contemporary study of these metrics.Methods109 patients were identified who underwent robotic assisted laparoscopic tubal anastomosis. Retrospective analysis of medical records was performed. Phone survey was conducted.ResultsThe mean operative time decreased from 140.7 ± 27.0 minutes in 2013...
Thu Aug 27, 2020 18:34
Objective: Thyroglobulin antibodies (TgAb), principally comprising immunoglobulin G (IgG), are frequently found in healthy individuals. Previously, we showed that the glycosylation levels of TgAb IgG differed across various thyroid diseases, suggesting an important role of glycosylation on antibodies in the pathogenesis of thyroid diseases. Since IgG1 and IgG4 are the primary TgAb IgG subclasses, this study aimed to investigate the glycosylation of TgAb IgG1 and IgG4 subclasses in thyroid diseases....
Thu Aug 27, 2020 11:40
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