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'Seeing is believing' - gender disparities in otolaryngology-head and neck surgery in Africa: a narrative review. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-02-16 Amina Seguya, Fiona Kabagenyi, Sharon Ovnat Tamir
Various factors affect otolaryngology - head and neck surgery (OHNS) services in low- and middle-income countries (LMICs); including inadequate infrastructure, limited academic positions, unfavorable hospital research policies, and traditional misconceptions about gender and surgery, among others. Although gender inequalities exist globally, they are particularly pronounced in LMICs, especially in
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The added value of radiomics in determining patient responsiveness to laryngeal preservation strategies. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-01-19 Marco Ravanelli, Paolo Rondi, Nunzia Di Meo, Davide Farina
Laryngeal cancer (LC) is a highly aggressive malignancy of the head and neck and represents about 1-2% of cancer worldwide.Treatment strategies for LC aim both to complete cancer removal and to preserve laryngeal function or maximize larynx retention.Predicting with high precision response to induction chemotherapy (IC) is one of the main fields of research when considering LC, since this could guide
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Compartmental surgery for T4b oral squamous cell carcinoma involving the masticatory space. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-01-09 Davide Mattavelli, Claudia Montenegro, Cesare Piazza
This review aims to describe the oncological outcomes of T4b oral squamous cell carcinomas (OSCC) with masticatory space involvement as well as the surgical approaches that are able to achieve compartmental 'en bloc' resection of these lesions.
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Temporal bone management in external and middle ear carcinoma. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-01-09 Shravan Gowrishankar, Daniele Borsetto, John Marinelli, Ben Panizza
The purpose of this review is to outline the temporal bone management of external and middle ear carcinoma. The review will outline the current evidence involved in deciding which surgical approach to take, as well as new advances in auditory rehabilitation and immunotherapy.
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Hyperspectral imaging and evaluation of surgical margins: where do we stand? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-01-04 David Pertzborn, Ayman Bali, Anna Mühlig, Ferdinand von Eggeling, Orlando Guntinas-Lichius
To highlight the recent literature on the use of hyperspectral imaging (HSI) for cancer margin evaluation ex vivo, for head and neck cancer pathology and in vivo during head and neck cancer surgery.
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Head and neck nonmelanoma skin cancers: surgical management and debated issues. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2024-01-04 Vittorio Rampinelli, Aurora Pinacoli, Cesare Piazza
This review critically assesses the current literature and guidelines, aiming to clarify some of the most important factors that impact surgical strategies of head and neck nonmelanoma skin cancers (NMSCs), focusing on squamous, basal, and Merkel cell carcinomas.
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Extranodal extension in head and neck squamous cell carcinoma: need for accurate pretherapeutic staging to select optimum treatment and minimize toxicity. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-21 Patrick J Bradley
In 2017, the American Joint Committee on Cancer (AJCC) introduced the inclusion of extracapsular nodal extension (ENE) into the N staging of nonviral head and neck squamous cell carcinoma (HNSCC), while retaining the traditional N classification based on the number and sizes of metastatic nodes. The extent of ENE was further defined as microscopic ENE (ENEmi) and major ENE (ENEma) based on extent of
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Neurosurgery for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-14 Mariagrazia Nizzola, Luciano C P C Leonel, Maria Peris-Celda
The purpose of this review is to provide a comprehensive anatomical appraisal of the neurosurgical anatomy exposed through the endonasal and paranasal sinuses routes, focusing on the most common expanded endonasal approaches (EEAs) as well as recent advances in this surgical field.
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A stepwise approach to the adult immunodeficiency evaluation for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-14 Timothy M Buckey, John V Bosso
Patients with an immunodeficiency may present to their Rhinologist with a history of recurrent, severe, and chronic infections. Therefore, it is essential for the Rhinologist to have a basic understanding of clinically relevant immune deficiencies.
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Benign bony lesions of paranasal sinuses and skull base: from osteoma to fibrous dysplasia. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-14 Georgia Evangelia Papargyriou, Amanda Oostra, Christos Georgalas
Benign bony lesions of the craniofacial complex are relatively common. However, their location close to critical neurovascular structures may render their treatment, if required, highly challenging.This article reviews the current literature on their pathophysiology, diagnosis, natural course and treatment, with a focus on most recent findings.
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Oncology for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-07 Kenric Tam, Lara A Dunn, Marc A Cohen
The purpose of this review is to summarize current evidence regarding the use of induction chemotherapy for a variety of histopathologies of sinonasal malignancy (SNMs) and to review the potential adverse effects of cytotoxic agents.
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Ophthalmology and oculoplastics for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-07 S Tonya Stefko, Anna K Terrarosa
As the management of ophthalmic and sinus disease advances, it is important to stay abreast of all current management options. This involves knowledge of adjacent anatomy and disease processes, and collaboration between multiple specialties. The authors provide a review of relevant ophthalmic and oculoplastic topics for the rhinologist.
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Host-related indexes in head and neck cancer. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-04 Cristina Valero, Xavier León, Miquel Quer
Peripheral blood host-related indexes have been widely studied in cancer patients. Several authors have shown the prognostic capacity of these indexes in head and neck cancer. Therefore, there has been an increasing interest in this topic recently.
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Management of aggressive variants of papillary thyroid cancer. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-01 Ying Ki Lee, Aleix Rovira, Paul V Carroll, Ricard Simo
The aim of this study was to provide a timely and relevant review of the latest findings and explore appropriate management of aggressive variants of papillary thyroid cancer (AVPTC).
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Radiation oncology for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-12-01 Helena Levyn, Fan Yang, Nancy Y Lee
This comprehensive review explores evolving treatment strategies for sinonasal and nasopharyngeal malignancies. It analyzes the role of adjuvant radiotherapy, the potential of intensity-modulated proton therapy (IMPT), and the relevance of de-escalation strategies nasopharyngeal carcinoma (NPC). Additionally, it discusses hyperfractionation in re-irradiation in NPC.
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Machine learning in the evaluation of voice and swallowing in the head and neck cancer patient. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-28 Yashes Srinivasan, Amy Liu, Anaïs Rameau
The purpose of this review is to present recent advances and limitations in machine learning applied to the evaluation of speech, voice, and swallowing in head and neck cancer.
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Infectious disease for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-23 Lu Hui Png, Dorothy Hui Lin Ng, Neville Wei Yang Teo
The purpose of this review is to summarize the recent literature relating to viral, fungal and bacterial infections and their interactions within the sinonasal tract in the past 18 months.
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Where do we stand with immunotherapy for nonmelanoma skin cancers in the curative setting? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-21 Andrea Alberti, Cristina Gurizzan, Alice Baggi, Paolo Bossi
Nonmelanoma skin cancers (NMSC) represent a heterogeneous group of diseases that encompasses among the principal histologies basal cell carcinoma (BCC), cutaneous squamous cell carcinoma (cSCC), and Merkel cell carcinoma (MCC). Given the fact that high tumor mutational burden due to ultraviolet mutagenesis represents a common hallmark of NMSCs, immunotherapy has proved to be a promising therapeutic
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Obstructive sleep apnea for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-21 Juan C Nogues, Nikhita Jain, Courtney T Chou, Fred Y Lin
Obstructive sleep apnea (OSA) is a ubiquitous disease defined by repetitive partial or complete cessation of airflow during sleep caused by upper airway collapse. Otolaryngologists play a crucial role in the management of OSA, which is rapidly evolving with the advent of new surgical techniques and medical devices. Here we review the medical and surgical treatment options for OSA with a focus on unique
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Pulmonology for the rhinologist. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-16 Raewyn G Campbell, Titus Auyeung, Gregory P Katsoulotos
The upper and lower airways are inter-related despite serving different functions and can no longer be considered separately. Rhinologists are becoming increasingly aware of the role the lower airway plays in optimizing outcomes for their patients. This review highlights recent developments in pulmonology that impact rhinologic conditions.
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Carotid endarterectomy for the management of carotid stenosis occurring concurrently with head and neck cancer. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-11-02 Julia Telischi,Eric Nisenbaum,Elizabeth Nicolli
PURPOSE OF REVIEW Currently, most patients with concurrent head and neck cancer (HNC) and carotid stenosis (CS) are treated disjointedly for their oncologic and vascular lesions. The purpose of this review is to evaluate literature exploring a novel approach to these cases that poses several advantages, in which carotid endarterectomy (CEA) is performed simultaneously with surgical resection of HNC
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Muscle transposition and free muscle transfer in facial nerve reanimation. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-26 Kia Jones,S Mark Taylor,Ayham Al Afif
PURPOSE OF REVIEW This review highlights recent advances in facial reanimation surgery particularly related to muscle transposition and free functional muscle transfer (FFMT). RECENT FINDINGS FFMT and muscle transposition are mainstays in the treatment of chronic facial paralysis. Recent literature evaluates single versus dual innervated FFMT, reanimation of the periocular region and lower lip depressors
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Total lower lip reconstruction: a review of recent advances. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-13 Aishwarya Shukla, Kelsey Loy, G Nina Lu
This review describes the fundamental principles and recent advances in the reconstruction of total lower lip defects to restore peri-oral aesthetic and function.
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Newborn cytomegalovirus screening: is this the new standard? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-12 Soren Gantt
Congenital cytomegalovirus infection (cCMV) is a major cause of childhood hearing loss and neurodevelopmental delay. Early identification of cCMV allows for interventions that improve outcomes, particularly for cCMV-related hearing loss that develops in early childhood. Most cCMV is asymptomatic at birth and is rarely diagnosed without newborn screening. Therefore, various approaches to cCMV screening
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Current opinion in otolaryngology and head and neck surgery: the role of the otolaryngologist in the management of pediatric dysphagia. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-12 Annie Farrell, Nikhila Raol
Dysphagia affects at least 1% of the pediatric population. This prevalence further increases in patients who are born prematurely or who have underlying neuromuscular or cardiopulmonary disorders. A multidisciplinary team approach, including an Otolaryngologist, can help promote an expedited diagnosis and therapeutic regimen, ensuring that the patient receives adequate nutrition needed for growth and
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Laryngeal verrucous cell carcinoma. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-11 Jerome R Lechien, Luigi A Vaira, Carlos M Chiesa-Estomba
To summarize the recent literature on epidemiology, clinical findings, treatment, and survival of laryngeal verrucous cell carcinoma (LVC).
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Intracapsular tonsillectomy: setting a new standard. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-10 Ethan Bassett
Tonsillectomy is one of the most common surgical procedures performed on children in the United States. Since 2002, the intracapsular technique has been studied as a safer and less painful alternative to total tonsillectomy. Concerns have been raised, however, as to the potential for regrowth and long-term outcomes regarding this technique.
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Emerging findings for the assessment and treatment of pediatric deep neck abscesses. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-10 Paul Bryan Hankey, Meghan Tracy, Jill M Arganbright
The purpose of this review is to summarize new literature regarding the description, diagnosis, and treatment of pediatric deep neck abscesses.
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The management of pediatric Graves' disease. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-10 Lourdes Quintanilla-Dieck
Graves' disease (GD) constitutes a significant proportion of thyroid disorders seen during childhood. Several specialties may be closely involved in the management of pediatric patients with GD and emerging research in each field contributes to variations in the approach over time. Here we review the recent literature on the management of the disease, with the hope that this can be a valuable resource
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Esophageal motility disorder - has Chicago classification v4.0 simplified our management? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-10-05 Francis Edeani, Benson Massey
Addressing dysphagia is vital due to its prevalence and impact on healthcare expenditure. While high resolution manometry (HRM) effectively evaluates esophageal dysphagia, its role in oropharyngeal dysphagia and upper esophageal sphincter (UES) dysfunction remains debated. The fourth iteration of the Chicago classification (CC) offers an algorithmic approach for diagnosing abnormal motor patterns via
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Pediatric tracheostomy decannulation: what's the evidence? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-27 Tiffany Raynor, Joshua Bedwell
Pediatric decannulation failure can be associated with large morbidity and mortality, yet there are no published evidence-based guidelines for pediatric tracheostomy decannulation. Tracheostomy is frequently performed in medically complex children in whom it can be difficult to predict when and how to safely decannulate.
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Realities and challenges of head and neck free flap reconstruction in sub-Saharan Africa. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-19 Samuel Okerosi, Aslam Nkya, Johan Fagan, Mary Jue Xu
With an increased need to decentralize and train more head and neck ablative and reconstructive surgeons in sub-Saharan Africa, we assess the realities and challenges of free flap reconstruction in sub-Saharan Africa to provide context of its use as a reconstructive option.
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Large-data contextualizations of social determinant associations in pediatric head and neck cancers. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-15 David J Fei-Zhang, Daniel C Chelius, Anthony M Sheyn, Jeff C Rastatter
Prior investigations in social determinants of health (SDoH) and their impact on pediatric head and neck cancers are limited by the narrow scope of cancer types and SDoH being studied while lacking inquiry on the interrelational contribution of varied SDoH in real-world contexts. The purpose of this review is to discuss the current research tackling these shortcomings of SDoH-based studies in head
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The development of a pediatric skull base team: how, where and why? Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-14 Joseph Lee, Jeffrey Leonard, Patrick Walz
The purpose of this review is to describe the development of pediatric skull base surgical techniques and illustrate the advantages of pediatric endonasal skull base surgery (ESBS) when applied in appropriate settings. Additionally, this manuscript endeavors to define the pediatric skull base team components, highlight circumstances amenable to the development of a pediatric skull base surgery team
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Current management of cervicofacial nontuberculous mycobacterial infections in the pediatric population. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-13 Keshav V Shah, Lazaro R Peraza, Joshua P Wiedermann
The purpose of this review is to analyze and consolidate recently published literature to provide updated guidelines on the diagnosis and management of nontuberculous mycobacterial lymphadenitis (NTM LAD) in the pediatric population and to suggest areas of further research.
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Supragastric belching and rumination syndrome: diagnosis and management. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-08 Kate Davidson, Haley Sibley, Ashli K O'Rourke
This review article aims to discuss the clinical presentation and diagnosis of rumination syndrome and supragastric belching, as well as treatment options for both diseases.
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Update on the evaluation and management of dysphagia in sporadic inclusion body myositis. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-09-04 Kendrea L Focht Garand, Georgia A Malandraki, Mazen M Dimachkie
Dysphagia is a common symptom of sporadic inclusion body myositis (IBM), affecting disease trajectory and patient quality-of-life. Despite this, it is considerably understudied. The purpose of this review is to summarize current evidence related to the evaluation and management of dysphagia in IBM. We highlight a patient case involving a multidisciplinary management approach, and we encourage continued
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Minimization of facial synkinesis. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-18 Raisa Tikhtman, Tsung-Yen Hsieh
To summarize the treatment options available for the management of postparalytic facial synkinesis which include facial rehabilitation, chemodenervation, and a spectrum of surgical interventions.
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Ménière's disease is a disorder of the inner ear. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-18 Jumah G Ahmad, Kenny F Lin
Ménière's disease is a disorder characterized by recurrent episodes of vertigo, hearing loss, tinnitus, and pressure in the ear. Its pathogenesis and optimal management continue to be the subject of ongoing debate. Although it is classically believed to be a primary disorder of the inner ear, some clinicians have hypothesized that it is a form of vestibular migraine.
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Nerve guide conduits, nerve transfers, and local and free muscle transfer in facial nerve palsy. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-13 Nael Shoman
PURPOSE OF REVIEW To highlight the recent literature on reinnervation options in the management of facial nerve paralysis using nerve conduits, and nerve and muscle transfers. RECENT FINDINGS Engineering of natural and synthetic nerve conduits has progressed and many of these products are now available on the market. The use of the masseter nerve has become more popular recently as a choice in nerve
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Advances in and applications of imaging and radiomics in head and neck cancer survivorship. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-07 Laurelie R Wishart, Elizabeth C Ward, Graham Galloway
Radiological imaging is an essential component of head/neck cancer (HNC) care. Advances in imaging modalities (including CT, PET, MRI and ultrasound) and analysis have enhanced our understanding of tumour characteristics and prognosis. However, the application of these methods to evaluate treatment-related toxicities and functional burden is still emerging. This review showcases recent literature applying
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Transitions in tracheostomy care: from childhood to adulthood. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-07 Louise Edwards, Jackie McRae
The purpose of this review is to explore the evidence around children and young people who require a tracheostomy and transition into adult services, reflecting on the challenges and considerations for clinical practice as these needs increase.
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Dysphagia and dementia: a 'double dilemma'. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-08-03 Rebecca Leonard
Dementia and its variants, including Alzheimer's disease, become more prevalent with age. Dysphagia, that is, difficulty swallowing, also occurs with aging, and is often associated with dementia. Currently, there is no cure for dementia, and dysphagia, unrecognized or untreated, can have life-altering, even fatal consequences. Prolonged ability to eat safely and effectively could contribute to improved
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Facial nerve schwannoma and other benign neoplastic facial nerve lesions. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-07-20 Tsubasa Kitama, Makoto Hosoya, Naoki Oishi
Several neoplastic lesions may originate from facial nerves, including facial nerve schwannomas. These neoplastic lesions can cause various symptoms, such as facial nerve paralysis, and decrease the quality of life of patients. Therefore, knowledge of how to manage these diseases is important for otologists. However, the incidence of these diseases is extremely low, and universal management methods
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Malnutrition in aged care: interplay between dysphagia and diet. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-07-14 Xiaojing Sharon Wu, Anna Miles, Andrea Braakhuis
This review aims to deliver expert insights on the current advances and challenges in managing malnutrition in aged care settings, with a specific emphasis on the interaction between dysphagia and diet.
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Update on injection augmentation pharyngoplasty in the treatment of velopharyngeal insufficiency. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-06-21 Zachary Kelly, Michel Nassar
Velopharyngeal insufficiency (VPI) refers to a structural defect resulting in incomplete closure between the soft palate and posterior pharyngeal wall, leading to inadequate speech and deglutition. Traditional surgical options for VPI include sphincter pharyngoplasty, pharyngeal flaps and palatoplasty. Although these procedures have been successfully used over the past several decades, they are associated
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Infectious causes and mimickers of meniere's disease. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-06-13 Joey S Kurtzman, Pedrom C Sioshansi
To review the evidence of a possible viral etiology of Meniere's disease, the role of antiviral therapy, as well as other infectious disease processes that may mimic Meniere's disease. Better understanding of the etiology of Meniere's disease and the role of various infectious disease processes may allow for more effective diagnosis and management.
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Management of eagle syndrome. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-06-09 Alireza Sharifi, Ali Kouhi
Eagle syndrome is a challenging clinical presentation with important potential complications. It can be misdiagnosed due to lack of awareness; this review provides information in terms of diagnosis and management of eagle syndrome.
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Meniere's disease is a manifestation of migraine. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-06-03 Madelyn Frank, Mehdi Abouzari, Hamid R Djalilian
To discuss the theory that Meniere's disease (MD) is a variation of otologic migraine rather than an isolated inner ear condition.
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Recent surgical advances and continued controversies in medically refractory Meniere's disease. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-05-29 Jacob C Lucas, Robert S Hong
Meniere's disease is caused by hydropic changes in the endolymphatic system, and manifests as a collection of vertigo, hearing loss, tinnitus, and aural fullness. Although high-quality clinical practice guidelines exist for the diagnosis and initial management of Meniere's disease, there is no strong consensus for treatment of medically refractory Meniere's disease. This review summarizes treatment
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Evidence-based perioperative opioid-sparing techniques during the United States opioid crisis. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-05-10 Chloe Warinner, Lois F Parker, Fred Shapiro, Nate Jowett
The current United States opioid epidemic resulted from the overprescribing of opioids by physicians and surgeons in response to deceptive and unlawful marketing campaigns by pharmaceutical companies seeking to profit from opioid sales. Surgeons have a moral obligation to employ evidence-based opioid-sparing analgesia protocols for management of perioperative pain.
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Management of osteosarcoma of the head and neck Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-05-04 Florida Sharin, Ameya Pai, Manish Mair
Purpose of review There is no clear consensus guideline that specifies the optimum course of treatment for adult head and neck osteosarcoma (HNO) because of its rarity. The review's goal is to examine the most recent research on the presentation, diagnosis, prognosis, and therapy of head and neck osteosarcoma. Recent findings Due to overlapping symptoms with various benign disorders of the lower
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Selective neurectomy for nonflaccid facial palsy Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-26 Alyssa K. Ovaitt, Cynthia M. Chweya, John Flynn
Purpose of review To review the evolving role of selective neurectomy in the management of patients with synkinesis including the history of selective neurectomy, operative techniques, and clinical outcomes. Recent findings Modified selective neurectomy alone or in conjunction with other procedures achieves more durable outcomes based on objective measures such as time to recurrence of symptoms and
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Current trends in unilateral cleft lip repair Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-26 Evan B. Hughes, Sherard A. Tatum
The purpose of this review is to provide an in-depth look at the current perioperative and intraoperative practices for unilateral cleft lip repair. The contemporary literature reveals trends towards incorporation of curvilinear and geometric hybrid lip repairs. Perioperative practices are trending in new directions as well with the use of enhanced recovery after surgery (ERAS) protocols to reduce
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Strategies for expanding patient and public involvement into under-served head and neck cancer communities Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-19 Michelle Lawton, Julie Crane, Vince Killen, J. M. Patterson
Purpose of review In this review, we discuss two case studies in which we summarize the process of expanding patient and public involvement (PPI) representation specific to the head and neck cancer population, highlighting the challenges and successes within each project. The first case study reports on the expansion of HaNC PPI membership, a long-established PPI forum which supports Liverpool Head
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Modern use of tranexamic acid in facial plastic surgery. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-14 Friederike S Luetzenberg, Sofia Lyford-Pike
Although tranexamic acid is commonly used in surgical fields such as obstetrics, orthopedics, and trauma, its utilization in facial plastic surgery is a recently emerging concept, and studies examining its potential impact have been few. This review highlights how tranexamic acid may be employed during facial plastic procedures and the promising impact it may have.
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Reconstruction of partial auricular skin cancer defects: a review of current techniques Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-11 Anthony Noor, Neil Thomson
Purpose of review To discuss the principles of auricular reconstruction and review recently published literature in the field. Recent findings Auricular reconstruction poses several challenges to the surgeon aiming to restore form and function following skin cancer resection. Various techniques have been described in the literature with many modifications also reported to address their shortcomings
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Recent evidence of advanced preservation rhinoplasty. Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-13 Miguel G Ferreira, Mariline Santos
The philosophy of preservation rhinoplasty originated 100 years ago. Many variations have appeared in the last 10 years, with different opinions emerging in the literature and scientific meetings.
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Update on congenital ear molding Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-07 Brianne Barnett Roby, Tiffanie Woods, Sivakumar Chinnadurai
Purpose of review Congenital ear deformities are characterized by distorted, but still present, landmarks of the auricle. Interventions include early treatment with ear molding or delayed surgical treatment. The purpose of this review is to provide an update on the latest information related to ear molding for congenital ear deformities. Recent findings Various ear molding techniques date back to
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Barriers to head and neck cancer care in high-income and low- and middle-income countries: a scoping review Curr. Opin. Otolaryngol. Head Neck Surg. (IF 1.6) Pub Date : 2023-04-04 Holly Sprow, Baveena Heer, Sarah Nuss, Farizeh Jashek-Ahmed, Joshua Wiedermann, Amina Seguya
Purpose of review Identify patient-perceived barriers to head and neck cancer care and compare differences in barriers by country income status. Recent Findings Of the 37 articles, 51% (n = 19) were from low- and middle-income countries (LMICs), while 49% (n = 18) were from high-income countries. Of the papers from high-income countries, unspecified head and neck cancer (HNC) subtype (67%, n = 12)