Category: Auris Nasus Larynx

Auris Nasus Larynx

Validation of epistaxis severity score for hereditary hemorrhagic telangiectasia in Japan

Auris Nasus Larynx. 2021 Nov 29:S0385-8146(21)00265-0. doi: 10.1016/j.anl.2021.11.005. Online ahead of print.ABSTRACTOBJECTIVE: This study aimed to assess the health-related QoL (HR-QoL) of patients with hereditary hemorrhagic telangiectasia (HHT), with emphasis on the role/social aspects, and validate the Japanese version of the epistaxis severity score (ESS) in these patients.METHODS: The Japanese version of the ESS was created through forward and reverse translation, and consultation with the original author. A validation analysis was performed by comparing ESS severity with the invasiveness of previous treatments for epistaxis and assessing the correlation between the ESS and HR-QoL. Medical history forms, ESS questionnaires, and the...

On the radiologic anatomy of pediatric sinus tympani: HRCT study

Auris Nasus Larynx. 2021 Nov 26:S0385-8146(21)00264-9. doi: 10.1016/j.anl.2021.11.004. Online ahead of print.ABSTRACTOBJECTIVE: Sinus tympani (ST) is considered the most constant among retrotympanic recesses but it is of great anatomical variability in shape and relation to mastoid portion of facial nerve. ST is difficult to access when clearing the cholesteatoma or serving as a window for cochlear implantation. The objective was to describe morphology of ST and assess feasibility of retrofacial approach in children under 5 years old.METHODS: HRCT images of 150 children were reviewed. The type of sinus tympani was assessed according to Marchioni’s classification. Width of entrance to sinus...

Changes during medical treatments before adenotonsillectomy in children with obstructive sleep apnea

Auris Nasus Larynx. 2021 Nov 25:S0385-8146(21)00263-7. doi: 10.1016/j.anl.2021.11.001. Online ahead of print.ABSTRACTOBJECTIVES: The severity of pediatric obstructive sleep apnea (OSA) can vary from mild to very severe (AHI ≥ 30 events/h) with the seasons. The efficacy of medical treatment has been investigated in cases of mild and moderate pediatric OSA, but not in severe cases thoroughly.METHODS: Our prospective cohort study involved 205 children who visited our outpatient clinic between December 2014 and May 2020. We performed home sleep tests after the initial visit, and then polysomnography after optimizing the control of rhinitis, sinusitis, adenoid hypertrophy, and tonsillitis by using medical...

Are the hearing and eustachian tube functions of the hot air balloon pilots disturbed?

Auris Nasus Larynx. 2021 Nov 25:S0385-8146(21)00261-3. doi: 10.1016/j.anl.2021.11.002. Online ahead of print.ABSTRACTOBJECTIVE: To evaluate the hearing and Eustachian tube functions (ETF) of hot air balloon (HAB) pilots, who are exposed to high altitude occupationally.MATERIALS AND METHODS: The study was designed as a cross-sectional controlled study. Thirty HAB pilots and 30 healthy volunteers were included. Pure tone audiometry and speech discrimination scores (SDS) were used to assess the hearing function. Pure tone average (PTA) was calculated using the hearing thresholds (HT) at the frequencies 500, 1000, 2000, and 4000 Hz. Tympanometry and automatic Williams test (ETF1) were conducted to assess the...

Efficacy of endoscopic ultrasonography in evaluating tumor thickness in patients with superficial pharyngeal carcinoma: A pilot study

Auris Nasus Larynx. 2021 Nov 25:S0385-8146(21)00262-5. doi: 10.1016/j.anl.2021.11.003. Online ahead of print.ABSTRACTOBJECTIVES: A histopathological tumor thickness of ≥1000 μm has been reported as one of many risk factors for recurrent lymph node metastasis in superficial pharyngeal cancer (SPC). However, methods for assessing this risk factor preoperatively have not yet been established. Hence, the current study aimed to evaluate the efficacy of endoscopic ultrasonography (EUS) in measuring tumor thickness preoperatively in patients with SPC.METHODS: This single-center retrospective study included 44 consecutive patients with 47 lesions who underwent endoscopic submucosal dissection (ESD). Prior to surgery, EUS examination was performed while under general...

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