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Laryngology

Evaluating the quality and readability of Internet information sources regarding the treatment of swallowing disorders

March 24, 2017  |  Ashley P. O'Connell Ferster, MD; Amanda Hu, MD, FRCSC

Abstract

The Internet has become a popular resource for patient education. The information it provides, however, is rarely peer-reviewed, and its quality may be a concern. Since the average American reads at an 8th grade level, the American Medical Association and the National...

Treatment success with titratable thermoplastic mandibular advancement devices for obstructive sleep apnea: A comparison of patient characteristics

March 24, 2017  |  Tang-Chuan Wang, MD; Yung-An Tsou, MD, MSc; Yi-Fan Wu, MD; Chia-Chang Huang, MD; Wesley Wen-Yang Lin, MSc; Yu-Fen Li, PhD, MPH; Michael Yuan-Chien Chen, MD; Chih-Jaan Tai, MD, MSc; Ming-Hsui Tsai, MD

Abstract

A titratable thermoplastic mandibular advancement device (MAD) is clearly an effective treatment option in some patients with obstructive sleep apnea (OSA). Determining which patients may be more likely to respond to treatment with thermoplastic MADs and to adhere to treatment...

Airway foreign body occurring during in-office vocal fold injection

March 24, 2017  |  Pamela Chia, MD; Aaron Jaworek, MD; Robert T. Sataloff, MD, DMA, FACS

Needle foreign bodies in the upper airway can result in life-threatening infections or hemorrhage from injury to the major vessels in the neck or chest.

Presbyphonia: What can be done?

March 24, 2017  |  Karen Kost, MD, FRCSC; Kourosh Parham, MS, PhD, FACS

In assessing elderly patients with dysphonia, it is important to recognize that prespyphonia is a diagnosis of exclusion, and it may coexist with other vocal disorders.

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...

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.

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-...

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...

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...

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.

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...

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...

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