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Current Opinion in Otolaryngology & Head and Neck Surgery - Current Table Of Contents
Editorial introductions.
Page: viDOI: 10.1097/MOO.0b013e32831fb47b
Editorial comment.
Page: 497DOI: 10.1097/MOO.0b013e328317797eAuthors: Belafsky, Peter C
The diagnosis and management of globus: a perspective from Japan.
Page: 498DOI: 10.1097/MOO.0b013e328313bb69Authors: Oridate, Nobuhiko a; Nishizawa, Noriko a,b; Fukuda, Satoshi a
Archives of Otolaryngology current issue
ANNOUNCEMENT: Call for Photographs
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THE COVER: Roaring Fork River in spring thaw
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
ORIGINAL ARTICLE: Endolymphatic Sac Surgery for Meniere's Disease: Long-term Results After Primary and Revision Surgery
Wetmore, S. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To analyze the results of primary and revision endolymphatic sac surgery for the treatment of Ménière's disease in patients who failed medical therapy. Design Retrospective medical chart review. Setting Tertiary referral center. Patients Fifty-one adult patients with Ménière's disease who failed medical therapy. Interventions Endolymphatic sac to mastoid shunts were performed. Revision sac procedures were performed in patients who developed clinically significant recurrent vertiginous spells 5 months or longer after their original procedure. Main Outcome Measures Frequency of major vertiginous episodes measured by the standards listed in the 1995 American Academy of Otolaryngology guidelines for evaluation of therapy in Ménière's disease. Results Twenty-four months after primary sac surgery, 27 patients (53%) exhibited class A results (no vertigo), and 12 (24%) exhibited class B results (1%-40% of baseline). In 14 patients undergoing revision sac surgery, 5 (36%) showed class A results and 4 (29%) showed class B results. Patients who failed treatment with sac surgery more than 24 months after their primary procedure obtained better results than those who failed treatment less than 24 months after their initial sac procedure. In the 37 patients who had long-term follow-up (mean duration of follow-up, 88 months) after their last sac procedure, 57% exhibited class A results (21 cases) and 35% exhibited class B results (13 cases). Conclusions Endolymphatic sac surgery provided improvement in major spells of vertigo in 77% of patients at 24 months after surgery. Revision surgery provided improvement in 65% of cases. Results of revision surgery were better in those patients who developed recurrent symptoms more than 24 months after their original procedure compared with those of patients who failed treatment earlier.
ORIGINAL ARTICLE: Time Course of Episodes of Definitive Vertigo in Meniere's Disease
Perez-Garrigues, H., Lopez-Escamez, J. A., Perez, P., Sanz, R., Orts, M., Marco, J., Barona, R., Tapia, M. C., Aran, I., Cenjor, C., Perez, N., Morera, C., Ramirez, R. Mon, 17 Nov 2008 00:00:00 -0000
Objective To evaluate the frequency and duration of episodes of definitive vertigo in Ménière’s disease. Design Prospective longitudinal study. Setting Multiple tertiary referral centers. Patients Five hundred ten individuals from 8 hospitals that met the American Academy of Otolaryngology–Head and Neck Surgery diagnostic criteria for definitive Ménière’s disease. Intervention Conservative treatment. Main Outcome Measure Frequency and duration of episodes of definitive vertigo during follow-up. Results Ménière’s disease affects both sexes and both ears equally, with onset generally in the fourth decade of life. The number of episodes of vertigo is greater in the first few years of the disease. Although episodes of vertigo that last longer than 6 hours are less frequent than shorter episodes, they occur with similar frequency throughout the natural course of the disease. The percentage of patients without episodes of vertigo increases as the disease progresses, and 70% of patients who did not have an episode of vertigo for 1 year will continue to be free of episodes during the following year. Thus, there is a relationship between the frequency of episodes in consecutive years, although this association decreases rapidly as the number of years increases. Conclusion The frequency of definitive episodes of vertigo in Ménière’s disease decreased during follow-up, and many individuals reached a steady-state phase free of vertigo.
ORIGINAL ARTICLE: Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media
Webb, B. D., Chang, C. Y. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations. Design Retrospective controlled study based on a prospective database. Setting Academic tertiary referral center. Patients A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005. Intervention Tympanoplasty without mastoidectomy. Main Outcome Measure Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery. Results The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03). Conclusions The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.
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Editorial introductions.
Page: viDOI: 10.1097/MOO.0b013e32831fb47b
Editorial comment.
Page: 497DOI: 10.1097/MOO.0b013e328317797eAuthors: Belafsky, Peter C
The diagnosis and management of globus: a perspective from Japan.
Page: 498DOI: 10.1097/MOO.0b013e328313bb69Authors: Oridate, Nobuhiko a; Nishizawa, Noriko a,b; Fukuda, Satoshi a
Archives of Otolaryngology current issue
ANNOUNCEMENT: Call for Photographs
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THE COVER: Roaring Fork River in spring thaw
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
ORIGINAL ARTICLE: Endolymphatic Sac Surgery for Meniere's Disease: Long-term Results After Primary and Revision Surgery
Wetmore, S. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To analyze the results of primary and revision endolymphatic sac surgery for the treatment of Ménière's disease in patients who failed medical therapy. Design Retrospective medical chart review. Setting Tertiary referral center. Patients Fifty-one adult patients with Ménière's disease who failed medical therapy. Interventions Endolymphatic sac to mastoid shunts were performed. Revision sac procedures were performed in patients who developed clinically significant recurrent vertiginous spells 5 months or longer after their original procedure. Main Outcome Measures Frequency of major vertiginous episodes measured by the standards listed in the 1995 American Academy of Otolaryngology guidelines for evaluation of therapy in Ménière's disease. Results Twenty-four months after primary sac surgery, 27 patients (53%) exhibited class A results (no vertigo), and 12 (24%) exhibited class B results (1%-40% of baseline). In 14 patients undergoing revision sac surgery, 5 (36%) showed class A results and 4 (29%) showed class B results. Patients who failed treatment with sac surgery more than 24 months after their primary procedure obtained better results than those who failed treatment less than 24 months after their initial sac procedure. In the 37 patients who had long-term follow-up (mean duration of follow-up, 88 months) after their last sac procedure, 57% exhibited class A results (21 cases) and 35% exhibited class B results (13 cases). Conclusions Endolymphatic sac surgery provided improvement in major spells of vertigo in 77% of patients at 24 months after surgery. Revision surgery provided improvement in 65% of cases. Results of revision surgery were better in those patients who developed recurrent symptoms more than 24 months after their original procedure compared with those of patients who failed treatment earlier.
ORIGINAL ARTICLE: Time Course of Episodes of Definitive Vertigo in Meniere's Disease
Perez-Garrigues, H., Lopez-Escamez, J. A., Perez, P., Sanz, R., Orts, M., Marco, J., Barona, R., Tapia, M. C., Aran, I., Cenjor, C., Perez, N., Morera, C., Ramirez, R. Mon, 17 Nov 2008 00:00:00 -0000
Objective To evaluate the frequency and duration of episodes of definitive vertigo in Ménière’s disease. Design Prospective longitudinal study. Setting Multiple tertiary referral centers. Patients Five hundred ten individuals from 8 hospitals that met the American Academy of Otolaryngology–Head and Neck Surgery diagnostic criteria for definitive Ménière’s disease. Intervention Conservative treatment. Main Outcome Measure Frequency and duration of episodes of definitive vertigo during follow-up. Results Ménière’s disease affects both sexes and both ears equally, with onset generally in the fourth decade of life. The number of episodes of vertigo is greater in the first few years of the disease. Although episodes of vertigo that last longer than 6 hours are less frequent than shorter episodes, they occur with similar frequency throughout the natural course of the disease. The percentage of patients without episodes of vertigo increases as the disease progresses, and 70% of patients who did not have an episode of vertigo for 1 year will continue to be free of episodes during the following year. Thus, there is a relationship between the frequency of episodes in consecutive years, although this association decreases rapidly as the number of years increases. Conclusion The frequency of definitive episodes of vertigo in Ménière’s disease decreased during follow-up, and many individuals reached a steady-state phase free of vertigo.
ORIGINAL ARTICLE: Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media
Webb, B. D., Chang, C. Y. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations. Design Retrospective controlled study based on a prospective database. Setting Academic tertiary referral center. Patients A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005. Intervention Tympanoplasty without mastoidectomy. Main Outcome Measure Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery. Results The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03). Conclusions The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.
Sites:
CRS - Center for Research and Studies Amplifon: About this non-profit Organization founded in 1971. Includes courses and conferences, library, ENT net guide, newsletter and technologies. Based in Milan, Italy.ENTLinx.com: Otolaryngologists keep informed with free medical news and daily newsletters. ENTLinx and MDLinx combine the most current medical journal news and research from premier medical and healthcare journals and news sources. Comprehensive, specialized content--updated every day on the web...and in emai...
ENTonline: enter a description here
Head and Neck Surgery of the University of South Florida: Department of Otolaryngology information for patients and physicians on diseases of the ears nose and throat, listing of services and physicians and links to medical sites.
London Snoring Center: London Snoring Center.
Mayo Clinic Vestibular Rehabilitation Program: Vestibular/Balance Lab, Mayo Clinic in Rochester, Minn.
Oto-Rhino-Laryngology: Oto Rhino Laryngolgy web (www.orl.nl) is the Ear Nose & Threat information source including voice rehabiliation, conference news, politzer meeting ....... .
Otohns.net: Site for otolaryngologists with multiple features including an employment board and online discussions.
Otolaryngology examination: RJ's medical pages: Aa collection of medical information and links, maintained by Raza Jafri.
Otolaryngology Houston: Dr. Ghorayeb specializes in otolaryngology head and neck surgery. Diseases and surgery of the ear nose and throat, Houston, Texas. Laser surgery for snoring. Endoscopic sinus surgery. Vertigo, balance and equilibrium disorders. Audiology and hearing aids. Patient education links. Informed consen...
Otolaryngology jobs: Otolaryngology jobs are listed at Physician Employment and offfering an automatic email update for all new jobs as they are listed.
Piedmont Ear, Nose and Throat Associates: Penta Otolaryngology practice in Winston-Salem, NC. Describing services, frequently asked questions, and links.
Puget Sound Otolaryngology: Puget Sound Otolaryngology is focused on providing our patients with the best care and medical services. Our practice specializes in diseases of the ear, nose, and throat; with surgeons who specialize in head & neck, and plastic surgery., Puget Sound Otolaryngology is focused on providing our pa...
Rhinocare - Laser Nose Surgery Centers - Dr. Hayward L. Eubanks.: Laser procedures, treatment for nasal and sinus disorders. No pains and discomfort, quick patient surgery, immediate recovery. Insurance plans accepted, no inflammations.
Université catholique de Louvain: Multidisciplinary approach of head and neck cancer at University Hospital St Luc, Brussels, Belgium. Information on physicians, research, and contacts.
University of Michigan Otolaryngology Department: Specializes in diagnosis and treatment of sinus disorders. Also specializes in voice disorders for anyone who having vocal difficulties.
VCU/MCV Otolaryngology: Virginia Commonwealth University Medical College of Virginia Campus, Head and Neck Surgery Department. Faculty, staff and information. (Richmond, VA)
Voice Disorders: Surgical and medical information about your voice by James P. Thomas, MD., a physician specializing in the diagnosis and treatment of voice disorders including Vocal nodules, polyps, spasmodic dysphonia, throat cancer and all causes of hoarseness. Photos, audio and video recordings of various voi...
Voice Rehabilitation: prosthetic voice rehabilitation after laryngectomy using different voice prosthesis, like Blom-Singer VoiceMaster and Provox. electrolarynx and alaryngeal voice restoration
This directory is based on the Open Directory and may have been modified