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Laryngology

The use of high-resolution pharyngeal manometry as biofeedback in dysphagia therapy

February 20, 2017  |  Ashli O'Rourke, MD; Kate Humphries, MS

HRPM biofeedback therapy may be particularly beneficial for patients with sensory deficits by providing a visual mechanism for accurate exercise and strategy implementation.

Alteration of serum levels of inflammatory cytokines and polysomnographic indices after uvulopalatal flap surgery in obstructive sleep apnea

February 20, 2017  |  Murad Mutlu, MD; Erkan Vuralkan, MD; Istemihan Akin, MD; Hikmet Firat, MD; Sadik Ardic, MD; Sevgi Akaydin, PhD; Ece Miser, PhD

Abstract

The aim of the current study was to compare the changes in polysomnographic indices and serum levels of C-reactive protein (CRP), cystatin C, tumor necrosis factor-α (TNF-α), and intercellular adhesion molecule-1 (ICAM-1) in patients with obstructive sleep apnea (OSA) who were...

Invasive fungal laryngopharyngitis resulting in laryngeal destruction with complete laryngotracheal separation: Report of a case

January 25, 2017  |  Tyler Swiss, BS; Sergio Santino Cervantes, MD; Michael Hinni, MD; David G. Lott, MD

Abstract

As the treatment of hematopoietic cancers evolves, otolaryngologists will see a higher incidence of opportunistic infections. We discuss a case of invasive fungal disease that invaded the larynx, pharynx, trachea, and pulmonary parenchyma after chemotherapy. The patient, a 46-...

Intramural esophageal hematoma mimicking a hypopharyngeal tumor

January 25, 2017  |  Chao-Jung Lin, MD; Bor-Hwang Kang, MD, PhD; Yueng-Hsiang Chu, MD, PhD; Chih-Hung Wang, MD, PhD

The common presentation of intramural esophageal hematoma is acute onset of retrosternal pain, typically accompanied by dysphagia, odynophagia, or hematemesis.

Retropharyngeal and parapharyngeal abscesses: Factors in medical management failure

January 25, 2017  |  James Kosko, MD; Justin Casey, MD

Abstract

Retropharyngeal and parapharyngeal abscesses are the most common deep neck infections in the pediatric population. How best to treat these patients, be it intravenous antibiotics or immediate surgical incision and drainage, has long been debated. The purpose of this study was...

Effect of renal failure on voice

January 25, 2017  |  Walid A. Mudawwar, MD; Elie S. Alam, MD; Doja S. Sarieddine, BS; Zaahir A. Turfe, MD; Abdul-Latif H. Hamdan, MD, EMBA, FACS

Abstract

The objective of this case-control study was to assess the impact of dysphonia on quality of life and to report the perceptual and acoustic findings in patients with chronic renal failure. A total of 22 patients with chronic renal failure and 18 healthy controls were recruited...

Surgical management of parapharyngeal space tumors: The role of cervical and lateral skull base approaches

December 7, 2016  |  Arturo Mario Poletti, MD; Siba P. Dubey, MS; Giovanni Colombo, MD; Giovanni Cugini, MD

Abstract

We conducted a retrospective study to analyze the role of the cervical and lateral skull base approaches in the surgical excision of parapharyngeal space (PPS) tumors. Our study population was made up of 34 patients-15 males and 19 females, aged 13 to 73 years (mean: 50.6)-who...

Undifferentiated pleomorphic sarcoma of the vocal fold

December 7, 2016  |  Chang-Yeong Jeong, MD; Choung-Soo Kim, MD

Abstract

Undifferentiated pleomorphic sarcoma, previously called malignant fibrous histiocytoma, usually arises in the extremities and retroperitoneum. Primary laryngeal undifferentiated pleomorphic sarcoma is very rare, with only 63 cases having been reported in the literature...

Rare primary mucosal melanoma of the larynx

December 7, 2016  |  Adam Blanchard, MD; Jeremy B. Nguyen, MD; Philip Daroca, MD; Paul Friedlander, MD; Eleanor Lewin, MD; James Vu, MD, MBA; Enrique Palacios, MD, FACR

Abstract

Few cases of primary mucosal melanoma of the larynx have been documented in the literature, so only a limited amount of data exists regarding its diagnosis and treatment. The prognosis is poor, as patients often present at a late stage with regional or distant metastases. We...

The "lake road sign": Another way to track the sulcus vocalis

December 7, 2016  |  Gauthier Desuter, MD, MSc; Delphine de Cock de Rameyen, MD; Donatienne Boucquey, MSc

Hypothetically, the lake road sign also could be applicable to mucosal bridges.

Clinical course of acute laryngeal hematoma associated with vocal fold fixation

October 25, 2016  |  Wan-Chun Tsai, MD; Jih-Chin Lee, MD; Chih-Hung Wang, MD, PhD; Hsin-Chien Chen, MD, PhD

Disruptions of the anterior commissure, multiple displaced cartilage fractures, and larger open lacerations require open laryngeal exploration.

A novel approach to excision of distal tracheal granulation tissue in tracheostomy patients with difficult anatomy

October 25, 2016  |  Allison Rasband-Lindquist, MD; Keith Sale, MD

Abstract

Tracheostomy predisposes patients to various complications. The most common late complication is granuloma formation; others include tracheal stenosis, bleeding, infection, and fistula development. Small granulomas may not require treatment, but large ones necessitate removal...

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