Articles

Oral submucous fibrosis: a contemporary narrative review with a proposed inter-professional approach for an early diagnosis and clinical management

Oral Submucous fibrosis (OSMF) has traditionally been described as “a chronic, insidious, scarring disease of the oral cavity, often with involvement of the pharynx and the upper esophagus”. Millions of indivi...

Authors: Naman R. Rao, Alessandro Villa, Chandramani B. More, Ruwan D. Jayasinghe, Alexander Ross Kerr and Newell W. Johnson

Characterization of the human helicotrema: implications for cochlear duct length and frequency mapping

Despite significant anatomical variation amongst patients, cochlear implant frequency-mapping has traditionally followed a patient-independent approach. Basilar membrane (BM) length is required for patient-spe...

Authors: Luke Helpard, Hao Li, Helge Rask-Andersen, Hanif M. Ladak and Sumit K. Agrawal

Preoperative prediction of non-invasive follicular thyroid neoplasm with papillary-like nuclear features: a Canadian single-Centre experience

An international group of experts recommended reclassifying non-invasive follicular variant of papillary thyroid cancers (FVPTC) as ‘non-invasive follicular thyroid neoplasm with papillary-like nuclear feature...

Authors: Vincent Larouche, Marc Philippe Pusztaszeri, Sabin Filimon, Richard Payne, Michael Hier and Michael Tamilia

Examining seasonal variation in epistaxis in a maritime climate

Epistaxis is a common reason patients present to the emergency department. There is significant variation in climate across Canada. Our study aimed to determine if epistaxis is related to season, temperature a...

Authors: Ben McMullin, Paul Atkinson, Natasha Larivée and Christopher J. Chin

Evaluating the effectiveness of adjuvant radiotherapy in addition to surgery versus surgery alone at improving oncologic outcomes for early stage buccal carcinoma: a systematic review

To systematically review the evidence to evaluate oncologic outcomes for patients with early stage buccal squamous cell carcinoma treated with surgery versus surgery and adjuvant radiation therapy.

Authors: Corliss Ann Elizabeth Best, Alexandra Elizabeth Quimby, Brittany Ann Barbara Best, Dean Fergusson and Hussain Alsaffar

Hemostasis of idiopathic recurrent epistaxis in children with microwave ablation: a prospective pilot case series

We evaluated microwave ablation (MWA) for treatment of idiopathic recurrent anterior epistaxis (RAE) in children, in terms of technical feasibility, efficacy, and safety.

Authors: Zheng-cai Lou

Diagnosis and management of septal deviation and nasal valve collapse - a survey of Canadian otolaryngologists

Management of nasal valve collapse (NVC) in patients with a septal deviation can be challenging. Our objective was to determine the opinions of Canadian Otolaryngologists regarding the diagnosis and management...

Authors: Yiqiao Wang and James P. Bonaparte

Rhinitis medicamentosa: a nationwide survey of Canadian otolaryngologists

Rhinitis medicamentosa is a non-allergic form of rhinitis that is typically caused by prolonged use of topical nasal decongestants. This condition commonly affects young adults and treatment is not trivial. We...

Authors: James Fowler, Christopher J. Chin and Emad Massoud

Overnight oximetry in children undergoing adenotonsillectomy: a single center experience

Obstructive sleep apnea (OSA) is the most common indication for adenotonsillectomy in children. Home-based sleep oximetry continues to be used in the diagnosis of pediatric OSA despite a lack of correlation wi...

Authors: C. Carrie Liu, Kathleen H. Chaput, Valerie Kirk and Warren Yunker

The impact of bilateral endoscopic inferior turbinoplasty with or without adenoidectomy on the quality of life of children: a retrospective case series study

Inferior turbinoplasty (IT) and adenoidectomy (Ad) are frequently resorted to in children with chronic rhinitis (CR) refractory to medical therapy. The aim of this study is to document the long-term improvemen...

Authors: Ahmed Mourad, Hussein Jaffal, Ismaeel El-Hakim and Hamdy El-Hakim

Comparison of the anatomical and functional success of fascia and perichondrium grafts in transcanal endoscopic type 1 tympanoplasty

There are no studies in the literature, comparing the functional and anatomical successes of the use of fascial and perichondrial grafts in endoscopic type 1 tympanoplasties.

Authors: Kadir Özdamar and Alper Sen

Building an Otoscopic screening prototype tool using deep learning

Otologic diseases are often difficult to diagnose accurately for primary care providers. Deep learning methods have been applied with great success in many areas of medicine, often outperforming well trained h...

Authors: Devon Livingstone, Aron S. Talai, Justin Chau and Nils D. Forkert

Cone beam CT for perioperative imaging in hearing preservation Cochlear implantation – a human cadaveric study

Knowledge of the cochlear implant array’s precise position is important because of the correlation between electrode position and speech understanding. Several groups have provided recent image processing evid...

Authors: Kayvan Nateghifard, David Low, Lola Awofala, Dilakshan Srikanthan, Jafri Kuthubutheen, Michael Daly, Harley Chan, Jonathan Irish, Joseph Chen, Vincent Lin and Trung Ngoc Le

Reconstructive trends and complications following parotidectomy: incidence and predictors in 11,057 cases

Parotidectomy is a common treatment option for parotid neoplasms and the complications associated with this procedure can cause significant morbidity. Reconstruction following parotidectomy is utilized to addr...

Authors: Cory Donovan Bovenzi, Peter Ciolek, Meghan Crippen, Joseph M. Curry, Howard Krein and Ryan Heffelfinger

Idiopathic facial lipoatrophy in a healthy middle-aged woman: a case report

Facial lipoatrophy is a rare condition described by the disappearance of facial subcutaneous fat. The etiology of lipoatrophy can be congenital, or acquired including traumatic, iatrogenic or idiopathic. Idiop...

Authors: Chad Purcell and S. Mark Taylor

Improving exposure for transoral oropharyngeal surgery with the floor of mouth window: a cadaveric feasibility study

Transoral robotic and laser surgery is rising in popularity due to the increasing incidence of Human Papilloma Virus (HPV) related oropharyngeal cancer. However, adequate exposure of the tongue base remains a ...

Authors: Jeffson Chung, Adam Bender-Heine and H. Wayne Lambert

Third or fourth branchial pouch sinus lesions: a case series and management algorithm

The purpose of this study was to develop an effective management algorithm for lesions of third or fourth branchial sinuses.

Authors: Yun Li, Kexing Lyu, Yihui Wen, Yang Xu, Fanqin Wei, Haocheng Tang, Siyu Chen, Zhangfeng Wang, Xiaolin Zhu, Weiping Wen and Wenbin Lei

Otology/Neurotology recommendations – Choosing Wisely campaign

The Choosing Wisely Canada Campaign aims to raise awareness amongst physicians and patients regarding unnecessary tests and treatment. The otology/neurotology subspecialty group within the Canadian Society of ...

Authors: Andrew K. Ma, Julian Nedzelski, Joseph Chen, Trung Le, Paul Mick, Jane Lea, David Morris, Margaret Aron, Sumit Agrawal, Lorne Parnes, Tamara Mijovic and Vincent Lin

Adult validation of a self-administered tablet audiometer

There is evidence to suggest that rates of hearing loss are increasing more rapidly than the capacity of traditional audiometry resources for screening. A novel innovation in tablet, self-administered portable...

Authors: Mark Bastianelli, Amy E. Mark, Arran McAfee, David Schramm, Renée Lefrançois and Matthew Bromwich

Cost-comparison analysis of diffusion weighted magnetic resonance imaging (DWMRI) versus second look surgery for the detection of residual and recurrent cholesteatoma

Cholesteatoma is a destructive, erosive growth of keratinizing squamous epithelium in the middle ear cleft. Following treatment with a canal wall-up (CWU) tympanomastoidectomy, surveillance of residual and rec...

Authors: David L. Choi, Michael K. Gupta, Ryan Rebello and Jason D. Archibald

Response to commentary on “the middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation”

The aim of this letter is to respond to a commentary on a published article on the middle fossa approach to BONEBRIDGE implantation with self-drilling screws published by the senior authors.

Authors: Peng You, Lauren H. Siegel, Zahra Kassam, Matthew Hebb, Lorne Parnes, Hanif Ladak and Sumit Kishore Agrawal

Commentary on “the middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation”

Authors: C. Carnevale, M. Tomás-Barberán, G. Til-Pérez, E. Enchev and P. Sarría-Echegaray

Pathological margins and advanced cutaneous squamous cell carcinoma of the head and neck

The recommended treatment for cutaneous squamous cell cancer (CuSCC) of the head and neck is Mohs surgical excision or wide local excision. Excision is recommended to a gross surgical margin of 4–6 mm however ...

Authors: T. J. Phillips, B. N. Harris, M. G. Moore, D. G. Farwell and A. F. Bewley

Impact of marginalization on tobacco use in individuals diagnosed with head and neck Cancer

Considerable evidence now indicates that individuals living in underprivileged neighbourhoods have higher rates of mortality and morbidity independent of individual-level characteristics. This study explored t...

Authors: Grace Margaret Scott, Corliss Best, Kevin Fung, Michael Gupta, Doron D. Sommer, Christopher Szeto and Damian Christopher Micomonaco

Differences in patients derived from otolaryngology and other specialties with sleep apnea

Snoring is a main concern in patients who consult an otolaryngologist (ENT physicians) and patients who have cardiovascular comorbidities or excessive daytime sleepiness who usually consult with other speciali...

Authors: Constanza Salas, Jorge Dreyse, Andrea Contreras, Gonzalo Nazar, Constanza Astorquiza, Rodrigo Cabezon, Gonzalo Labarca and Jorge Jorquera

A case report of severe nasal ischemia from cold agglutinin disease and a novel treatment protocol including HBOT

Cold agglutinin disease (CAD) is a rare condition leading to blood agglutination and autoimmune hemolytic anemia. Cutaneous ischemia resulting from CAD in the head and neck is uncommon. Treatment regimens and ...

Authors: Scott Kohlert, Laurie McLean, Dimitrios Scarvelis and Calvin Thompson

Molecular mutations as a possible factor for determining extent of thyroid surgery

Molecular testing of thyroid nodules is a diagnostic tool used to better understand the nature of thyroid nodules. The aim of this study is to better comprehend the relationship between specific mutations and ...

Authors: Joshua R. Krasner, Nourah Alyouha, Marc Pusztaszeri, Veronique-Isabelle Forest, Michael P. Hier, Galit Avior and Richard J. Payne

Intra-operative nasal compression after lateral osteotomy to minimize post-operative Peri-orbital ecchymosis and edema

Post-operative periorbital ecchymosis and edema following rhinoplasty is a well-known sequela of surgery. Unfortunately, this can be a source of distress for patients, resulting in a longer post-operative reco...

Authors: L. Sowerby, L. M. Kim, W. Chow and C. Moore

The infectious thyroid nodule: a case report of mucormycosis associated with ibrutinib therapy

Acute invasive fungal infections of the head and neck secondary to tyrosine kinase inhibitors are rare and potentially life-threatening events.

Authors: Marco A. Mascarella, Lorne Schweitzer, Mahmoud Alreefi, Jennifer Silver, Derin Caglar, Vivian G. Loo, Keith Richardson, Philippe Dufresne, Todd C. Lee and Nader Sadeghi

Prospective pilot study of Floseal® for the treatment of anterior epistaxis in patients with hereditary hemorrhagic telangiectasia (HHT)

Epistaxis is the most common symptom of hereditary hemorrhagic telangiectasia (HHT), affecting more than 98% of adults with HHT, with significant impact on quality of life. Floseal® has been shown to be effect...

Authors: John M. Lee, Vincent Wu, Marie E. Faughnan, Andrea Lasso, Andrea Figol and Shaun J. Kilty

Supraglottic p16+ squamous cell carcinoma during pregnancy: a case report and review of the literature

Head and neck cancer during pregnancy is uncommon. Specifically, laryngeal cancer in pregnancy has only been previously reported 10 times. HPV p16+ supraglottic cancer during pregnancy has never been described...

Authors: Jakob Pugi, Marc Levin and Michael Gupta

Electrophysiological measurements with electrode types of different perimodiolar properties and the same cochlear implant electronics – a retrospective comparison study

Authors: A. Perenyi, F. Toth, B. Dimak, R. Nagy, P. Schoerg, J. Jori, J. G. Kiss, G. Sprinzl, M. Csanady and L. Rovo

Topical biomaterials to prevent post-tonsillectomy hemorrhage

Despite advances in surgical technique, postoperative hemorrhage remains a common cause of mortality and morbidity for patients following tonsillectomy. Application of biomaterials at the time of tonsillectomy...

Authors: Lumei Liu, Cole Rodman, Noah E. Worobetz, Jed Johnson, Charles Elmaraghy and Tendy Chiang

Systematic review and meta-analysis of T1 glottic cancer outcomes comparing CO₂ transoral laser microsurgery and radiotherapy

The objective of this study is to compare the oncologic outcomes of CO₂ transoral laser microsurgery (TLM) and radiotherapy (RT) for treatment of T1 glottic carcinoma.

Authors: Michael F. Vaculik, Colin A. MacKay, S. Mark Taylor, Johnathan R. B. Trites, Robert D. Hart and Matthew H. Rigby

Survival outcomes of marijuana users in p16 positive oropharynx cancer patients

Oropharynx squamous cell carcinoma (OPSCC) has become the predominant subsite for head and neck mucosal cancers (HNC) due to the rise of human papillomavirus (HPV) related disease. Previous studies have sugges...

Authors: Han Zhang, Michael Xie, Marc Levin, Stuart D. Archibald, B. Stanley Jackson, J. E. M. Young and Michael K. Gupta

Clinical implications of Delphian lymph node metastasis in papillary thyroid carcinoma: a single-institution study, systemic review and meta-analysis

To evaluate the possible predictive value and clinicopathological characteristics of Delphian lymph node metastasis in papillary thyroid carcinoma.

Authors: Bin Wang, Xing-zhu Wen, Wei Zhang and Ming Qiu

Utility of clinical features with fine needle aspiration biopsy for diagnosis of Warthin tumor

Conservative management of Warthin tumor (WT) may be a viable alternative to surgery, but there are concerns of missed malignancies on fine needle aspiration biopsy (FNAB). The purpose of this study is to meas...

Authors: Thomas So, Axel Sahovaler, Anthony Nichols, Kevin Fung, John Yoo, Michele M. Weir and S. Danielle MacNeil

Prevalence and aggressiveness of papillary thyroid carcinoma in surgically-treated graves’ disease patients: a retrospective matched cohort study

Reported rates of thyroid cancer in Graves’ disease (GD) vary widely. The aim of this study was to evaluate the prevalence of papillary thyroid carcinoma (PTC), including aggressive forms, in GD compared to ma...

Authors: Eunice You, Marco A. Mascarella, Abrar Al Jassim, Veronique-Isabelle Forest, Michael P. Hier, Michael Tamilia, Marc Pusztaszeri and Richard J. Payne

Evaluating short and long term outcomes following pediatric Myringoplasty with Gelfoam graft for tympanic membrane perforation following ventilation tube insertion

Myringotomy with ventilation tube (VT) insertion to treat recurrent acute otitis media and chronic secretory otitis media has become one of the most common surgical procedures performed in children. Although c...

Authors: Jin Soo Song, Gerard Corsten and Liane B. Johnson

Voice hoarseness in a patient with underlying Eisenmenger’s syndrome: a case report

The natural history of patients diagnosed with Eisenmenger’s Syndrome typically revolve around the pediatric population. Medical advances have allowed these patients to live longer and present with a different...

Authors: Palak Suryavanshi, Sreejit Parameswaran, Nishant Sharma, Russell A. Murphy and Anil R. Sharma

A case report of a primary lymphoma of the tongue presenting as trigeminal neuralgia

Primary lymphoma of the oral cavity is a rare phenomenon. Herein we describe a unique presentation of lymphoma of the tongue which initially manifested as trigeminal neuralgia.

Authors: Andrew J. Arifin, Selay Lam and S. Danielle MacNeil

Evaluation of one-point fixation for zygomaticomaxillary complex fractures using a three-dimensional photogrammetric analysis

The goal of treatment for zygomaticomaxillary (ZM) complex (ZMC) fractures is to achieve stability and restore aesthetic appearance through three-dimensional reduction and rigid fixation. The purpose of this s...

Authors: Se Young Kim, Seung Min Nam, Eun Soo Park and Yong Bae Kim

The middle fossa approach with self-drilling screws: a novel technique for BONEBRIDGE implantation

Bone conduction implants can be used in the treatment of conductive or mixed hearing loss. The BONEBRIDGE bone conduction implant (BB-BCI) is an active, transcutaneous device. BB-BCI implantation can be perfor...

Authors: Peng You, Lauren H. Siegel, Zahra Kassam, Matthew Hebb, Lorne Parnes, Hanif M. Ladak and Sumit Kishore Agrawal

Impact of metformin on disease control and survival in patients with head and neck cancer: a retrospective cohort study

A number of in vitro and clinical studies have suggested potential antineoplastic effects of metformin. The impact of this medication on outcomes in head and neck cancer is less clear. Our aim was to determine...

Authors: Daniel J. Lee, Caitlin P. McMullen, Andrew Foreman, Shao Hui Huang, Lin Lu, Wei Xu, John R. de Almeida, Geoffrey Liu, Scott V. Bratman and David P. Goldstein

The effect of second hand smoke in patients with squamous cell carcinoma of the head and neck

Active tobacco smoking is a well-known risk factor for head and neck malignancy, and strong evidence has associated tobacco as the main carcinogenic factor in squamous cell cancers of this region. Evidence sup...

Authors: Sherif Idris, Abdulsalam Baqays, André Isaac, Jason K. M. Chau, Karen H. Calhoun and Hadi Seikaly

An aggressive central giant cell granuloma in a pediatric patient: case report and review of literature

Central giant cell granulomas are benign tumours of the mandible, presenting in children and young adults. Divided into non- and aggressive subtypes, the aggressive subtype is relatively rare and can occasiona...

Authors: Yiqiao Wang, Andre Le, Dina El Demellawy, Mary Shago, Michael Odell and Stephanie Johnson-Obaseki

Correction to: Clinically relevant phenotypes in chronic rhinosinusitis

Following publication of the original article [1], the authors reported an error in Table 1. In the second columns of the ‘Radiology’ row, ‘Normal anterolateral sinus mucosa’ should read ‘Normal superolateral ...

Authors: Jessica W. Grayson, Marina Cavada and Richard J. Harvey

Endoscopic removal of ectopic sinonasal teeth: a systematic review

Ectopic sinonasal teeth are uncommon. The classic approach to removal of such foreign bodies was the Caldwell-Luc. In recent years however, endoscopic approaches have become increasingly utilized. Despite this...

Authors: Marc Levin and Doron D. Sommer

Opioid prescribing practices following elective surgery in Otolaryngology-Head & Neck Surgery

Prescription opioid abuse has become a major issue across the world and especially in North America. Canada has the second highest number of opioid prescriptions per capita in the world, second only to the Uni...

Authors: Mathew Biskup, Agnieszka Dzioba, Leigh J. Sowerby, Eric Monteiro and Julie Strychowsky

Perceptions and observations of shared decision making during pediatric otolaryngology surgical consultations

Increased parental involvement in the decision-making process when considering elective surgeries for their children, termed shared decision-making (SDM), may lead to positive outcomes. The objective of this s...

Authors: Yolanda Evong, Jill Chorney, Gilanders Ungar and Paul Hong