Articles

Avoiding allogenic blood transfusions in endoscopic angiofibroma surgery

Surgical approaches for many tumours are often limited by blood loss, exposure and risk to vital anatomical structures. Therefore, the standard of care for certain skull base tumours has become endoscopic tran...

Authors: Hisham Wasl, Jessica McGuire and Darlene Lubbe

An outcomes analysis of anterior epistaxis management in the emergency department

Many treatment options exist for the management of anterior epistaxis. However, little is known about treatment outcomes. The objective was to identify the currently utilised methods of management and outcomes...

Authors: E. Newton, A. Lasso, W. Petrcich and S. J. Kilty

Reconsidering first-line treatment for obstructive sleep apnea: a systematic review of the literature

Continuous positive airway pressure (CPAP) is typically recommended as first line therapy for obstructive sleep apnea, but the adherence rate of CPAP is problematic. This study’s objective was to systematicall...

Authors: Brian W. Rotenberg, Claudio Vicini, Edward B. Pang and Kenny P. Pang

The surgical plane for lingual tonsillectomy: an anatomic study

The presence of a plane between the lingual tonsils and the underlying soft tissue has not been confirmed. The objective of this study is to ascertain the presence and the characteristics about this plane for ...

Authors: Eugene L. Son, Michael P. Underbrink, Suimin Qiu and Vicente A. Resto

Rinne test: does the tuning fork position affect the sound amplitude at the ear?

Guidelines and text-book descriptions of the Rinne test advise orienting the tuning fork tines in parallel with the longitudinal axis of the external auditory canal (EAC), presumably to maximise the amplitude ...

Authors: Oleksandr Butskiy, Denny Ng, Murray Hodgson and Desmond A. Nunez

Xanthogranuloma in the heavily irradiated low neck in a patient with head and neck cancer

Head and neck cancer is often managed with a combination of surgery, radiation therapy, and chemotherapy, and skin toxicity is not uncommon. Xanthogranuloma is a pathological finding resulting from an inflamma...

Authors: Lisa Singer, Sarah M. Calkins, Andrew E. Horvai, William R. Ryan and Sue S. Yom

Correction of severe columella and tip retraction in silicone implanted Asian short noses

Silicone Implants and other alloplastic materials are frequently used in rhinoplasty to augment Asian short noses. However, nasal deformities as a result of implant-related infections are increasing in inciden...

Authors: Serkan Sertel, Ioana Irina Venara-Vulpe and Philippe Pasche

How can the audiogram be more useful?

The Canadian Hearing and Auditory Research Translation (CHART) group is a newly formed taskforce to develop collaborative research initiatives. Initial discussions centered on diagnostic improvements for middl...

Authors: Robert V Harrison

Oral corticosteroid prescribing habits of Canadian Otolaryngologist-Head and Neck Surgeons

Oral corticosteroids (OCSs) are widely prescribed in Otolaryngology-Head & Neck surgery (OtoHNS). There is evidence in the literature regarding specific dosing regimens. However, it is not known to what extent...

Authors: Saad Ansari, Brian W. Rotenberg and Leigh J. Sowerby

Decisional conflict in patients considering diagnostic thyroidectomy with indeterminate fine needle aspirate cytopathology

Fine needle aspiration (FNA) cytopathology is the gold standard work-up for thyroid nodules. However, indeterminate lesions are encountered commonly and can lead to difficult treatment decisions. We sought to ...

Authors: Benjamin A. Taylor, Robert D. Hart, Matthew H. Rigby, Jonathan Trites, S. Mark Taylor and Paul Hong

Erratum to: Detection of bacteria in middle ear effusions based on the presence of allergy: does allergy augment bacterial infection in the middle ear?

Authors: Woo Jin Kim, Byung-Guk Kim, Ki-Hong Chang and Jeong-Hoon Oh

Informed consent: do information pamphlets improve post-operative risk-recall in patients undergoing total thyroidectomy: prospective randomized control study

Informed consent consists of basic five elements: voluntarism, capacity, disclosure, understanding, and ultimate decision-making. Physician disclosure, patient understanding, and information retention are all ...

Authors: Hussain Alsaffar, Lindsay Wilson, Dev P. Kamdar, Faizullo Sultanov, Danny Enepekides and Kevin M. Higgins

Balloon dilation of the eustachian tube: a tympanometric outcomes analysis

Eustachian tube dysfunction (ETD) is a common medical issue, occurring in at least 1 % of the adult population. Patients suffering from ET dysfunction typically present with complaints of hearing loss or sensa...

Authors: Blair Williams, Benjamin A. Taylor, Neil Clifton and Manohar Bance

Evaluation of the utricular and saccular function using oVEMPs and cVEMPs in BPPV patients

It is well-known that ocular vestibular evoked myogenic potentials (oVEMPs) predominantly reflect utricular function whilst cervical vestibular evoked myogenic potentials (cVEMPs) reflect saccular function. To...

Authors: Hui Xu, Fa-ya Liang, Liang Chen, Xi-cheng Song, Michael Chi Fai Tong, Jiun Fong Thong, Qing-quan Zhang and Yan Sun

Submental island flap reconstruction reduces cost in oral cancer reconstruction compared to radial forearm free flap reconstruction: a case series and cost analysis

In Canada, 4,400 cases of oral cancer are diagnosed yearly. Surgical resection is a key component of treatment in many of these cancers. Reconstruction of defects, with the goal of preserving function, is of u...

Authors: D. Forner, T. Phillips, M. Rigby, R. Hart, M. Taylor and J. Trites

Journal of Otolaryngology – Head & Neck Surgery reviewer acknowledgement 2015

The Editors of Journal of Otolaryngology – Head & Neck Surgery would like to thank all our reviewers who have contributed their time and expertise to the journal in Volume 44 (2015).

Authors: Hadi Seikaly and Erin Wright

Upper airway obstruction due to a change in altitude: first report in fifty years

Air travel mostly causes minor ear, nose and throat complaints. We describe a second report in literature of airway obstruction caused by a drop in atmospheric pressure during a routine commercial flight.

Authors: Oleksandr Butskiy and Donald W. Anderson

Cochlear implant and congenital cholesteatoma

The occurence of cholesteatoma and cochlear implant is rare. Secondary cholesteatomas may develop as a result of cochlear implant surgery. Primarily acquired cholesteatoma is not typically associated with cong...

Authors: J. Mierzwinski, AJ Fishman, T. Grochowski, S. Drewa, M. Drela, P. Winiarski and I. Bielecki

Brief electrical stimulation after facial nerve transection and neurorrhaphy: a randomized prospective animal study

Recent studies have examined the effects of brief electrical stimulation (BES) on nerve regeneration, with some suggesting that BES accelerates facial nerve recovery. However, the facial nerve outcome measurem...

Authors: Adrian Mendez, Hadi Seikaly, Vincent L. Biron, Lin Fu Zhu and David W. J. Côté

Erratum to: Adjuvant Radioactive iodine 131 ablation in papillary microcarcinoma of thyroid: Saudi Arabian experience

Authors: Khalid Hussain AL-Qahtani, Mushabbab Al Asiri, Mutahir A. Tunio, Naji J. Aljohani, Yasser Bayoumi, Hanadi Fatani and Abdulrehman AlHadab

Knowledge and risk perception of oral cavity and oropharyngeal cancer among non-medical university students

To assess non-medical university students' knowledge and perceived risk of developing oral cavity and oropharyngeal cancer.

Authors: Nosayaba Osazuwa-Peters and Nhial T. Tutlam

Endoscopic ear surgery in Canada: a cross-sectional study

Endoscopic ear surgery is an emerging technique with recent literature highlighting advantages over the traditional microscopic approach. This study aims to characterize the current status of endoscopic ear su...

Authors: Michael Yong, Tamara Mijovic and Jane Lea

Epistaxis in hereditary hemorrhagic telangiectasia: an evidence based review of surgical management

Patients with Hereditary Hemorrhagic Telangiectasia (HHT) frequently present with epistaxis. Up to 98 % of these patients will have epistaxis at some point in their life. There are multiple ways to deal with t...

Authors: Christopher J. Chin, Brian W. Rotenberg and Ian J. Witterick

Acoustic rhinometry and video endoscopic scoring to evaluate postoperative outcomes in endonasal spreader graft surgery with septoplasty and turbinoplasty for nasal valve collapse

Nasal obstruction is a common complaint seen by otolaryngologists. The internal nasal valve (INV) is typically the narrowest portion of the nasal cavity, and if this area collapses on inspiration the patient e...

Authors: Bree Erickson, Robert Hurowitz, Caroline Jeffery, Khalid Ansari, Hamdy El Hakim, Erin D. Wright, Hadi Seikaly, Sam R. Greig and David W. J. Côté

Tympanoplasty—conchal cavum approach

The three well recognized tympanoplasty approaches: permeatal, postaural, and endaural, each have advantages and disadvantages. The permeatal approach is suitable only for ears with adequate canal size. The po...

Authors: S. Christopher Man and Desmond A. Nunez

Technique modifications for septodermoplasty: an illustrative case

Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease that results in telangiectasia of the sinonasal tract, gastro-intestinal tract as well as possible arteriovenous malformations of th...

Authors: Mark Bastianelli and Shaun J. Kilty

Detection of bacteria in middle ear effusions based on the presence of allergy: does allergy augment bacterial infection in the middle ear?

Bacterial infection, Eustachian tube dysfunction, allergies, and immunologic factors are major causes of otitis media with effusion (OME). However, the exact pathogenesis of OME is still unclear. This study ev...

Authors: Woo Jin Kim, Byung-Guk Kim, Ki-Hong Chang and Jeong-Hoon Oh

Evaluating the referral preferences and consultation requests of primary care physicians with otolaryngology – head and neck surgery

No literature exists which examines referral preferences to, or the consultation process with, Otolaryngology. In a recent Canadian Medical Association nation-wide survey of General Practitioners and Family Ph...

Authors: John R. Scott, Eric Wong and Leigh J Sowerby

Endoscopic Dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique

Dacrocystorhinostomy (DCR) is an operation used to treat nasolacrimal duct obstruction. Essentially there are two approaches: external and endoscopic. Several modalities are used in endoscopic DCR; all aiming ...

Authors: Islam Herzallah, Bassam Alzuraiqi, Naif Bawazeer, Osama Marglani, Ameen Alherabi, Sherif K. Mohamed, Khalid Al-Qahtani, Talal Al-Khatib and Abdullah Alghamdi

Erratum to: Outcome analysis of 215 patients with parotid gland tumors: a retrospective cohort analysis

Authors: Boban M. Erovic, Manish D. Shah, Guillem Bruch, Meredith Johnston, John Kim, Brian O’Sullivan, Bayardo Perez-Ordonez, Ilan Weinreb, Eshetu G. Atenafu, John R. de Almeida, Patrick J. Gullane, Dale Brown, Ralph W. Gilbert, Jonathan C. Irish and David P. Goldstein

Ototoxicity of acetic acid on the guinea pig cochlea

To evaluate the ototoxicity of acetic acid solutions.

Authors: Takafumi Yamano, Hitomi Higuchi, Takashi Nakagawa and Tetsuo Morizono

Incidence of cutaneous malignant melanoma by socioeconomic status in Canada: 1992–2006

There are no nationwide studies documenting changes in cutaneous malignant melanoma incidence or association of incidence with socioeconomic status (SES) in Canada. We sought to determine whether melanoma inci...

Authors: Stephanie E. Johnson-Obaseki, Varant Labajian, Martin J. Corsten and James T. McDonald

Local molecular analysis of indeterminate thyroid nodules

Thyroid nodules are common but only a minority are malignant. Molecular testing can assist in helping determine whether indeterminate nodules are suspicious for malignancy or benign. The objective of the study...

Authors: Mandeep S. Gill, Smriti Nayan, Linda Kocovski, Jean-Claude Cutz, Stuart D. Archibald, Bernard S. Jackson, James E. M. Young and Michael K. Gupta

Adjuvant Radioactive iodine 131 ablation in papillary microcarcinoma of thyroid: Saudi Arabian experience

Papillary Microcarcinoma (PMC) of thyroid is a rare type of differentiated thyroid cancer (DTC), which according to the World Health Organization measures 1.0 cm or less. The gold standard of treatment of PMC ...

Authors: Khalid Hussain AL-Qahtani, Mushabbab Al Asiri, Mutahir A. Tunio, Naji J. Aljohani, Yasser Bayoumi, Hanadi Fatani and Abdulrehman AlHadab

Identification of altered protein abundances in cholesteatoma matrix via mass spectrometry-based proteomic analysis

Cholesteatoma are cyst-like structures lined with a matrix of differentiated squamous epithelium overlying connective tissue. Although epithelium normally exhibits self-limited growth, cholesteatoma matrix ero...

Authors: Derrick R. Randall, Phillip S. Park and Justin K. Chau

Computerized tomography based tumor-thickness measurement is useful to predict postoperative pathological tumor thickness in oral tongue squamous cell carcinoma

Tumor thickness has been shown in oral tongue squamous cell carcinoma (OTSCC) to be a predictor of cervical metastasis. The postoperative histological measurement is certainly the most accurate, but it would b...

Authors: J. Madana, Frederick Laliberté, Grégoire B. Morand, Deeke Yolmo, Martin J. Black, Alex M. Mlynarek and Michael P. Hier

“Clinicopathological features and treatment outcomes of differentiated thyroid cancer in Saudi children and adults”

Age is an important prognostic factor in differentiated thyroid cancer (DTC). Our aim was to evaluate differences in clinicopathological features and treatment outcomes among children and adult patients with DTC.

Authors: Khalid Hussain AL-Qahtani, Mutahir A. Tunio, Mushabbab Al Asiri, Naji J. Aljohani, Yasser Bayoumi, Khalid Riaz and Wafa AlShakweer

The Allen’s test: revisiting the importance of bidirectional testing to determine candidacy and design of radial forearm free flap harvest in the era of trans radial endovascular access procedures

The radial forearm free flap is a workhorse free flap. The radial artery, which supplies it, is increasingly being used for endovascular access. A complication of this is radial artery occlusion. Although ofte...

Authors: Andrew Foreman, John R. de Almeida, Ralph Gilbert and David P. Goldstein

The usefulness of routine histopathology of bilateral nasal polyps – a systematic review, meta-analysis, and cost evaluation

Controversy regarding the usefulness of routine histopathological examination of bilateral nasal polyps removed during endoscopic sinus surgery to identify occult diagnoses still exists. There is a paucity of ...

Authors: Jay SM Wong, Stephanie Hoffbauer, David H Yeh, Brian Rotenberg, Michael Gupta and Doron D Sommer

Algorithm based patient care protocol to optimize patient care and inpatient stay in head and neck free flap patients

To determine if rigid adherence (where medically appropriate) to an algorithm/checklist-based patient care pathway can reduce the duration of hospitalization and complication rates in patients undergoing head ...

Authors: Daniel A. O’Connell, Brittany Barber, Max F. Klein, Jeff Soparlo, Hani Al-Marzouki, Jeffrey R. Harris and Hadi Seikaly

3-phase dual-energy CT scan as a feasible salvage imaging modality for the identification of non-localizing parathyroid adenomas: a prospective study

Accurate pre-operative imaging of parathyroid adenomas (PAs) is essential for successful minimally invasive surgery; however, rates of non-localizing PAs can be as high as 18 %. Multiphasic dual-energy CT (DEC...

Authors: Michael Roskies, Xiaoyang Liu, Michael P. Hier, Richard J. Payne, Alex Mlynarek, Veronique Forest, Mark Levental and Reza Forghani

Outcome analysis of 215 patients with parotid gland tumors: a retrospective cohort analysis

To identify prognostic factors in patients with parotid gland carcinomas who were treated at the Princess Margaret Hospital.

Authors: Boban M. Erovic, Manish D. Shah, Guillem Bruch, Meredith Johnston, John Kim, Brian O’Sullivan, Bayardo Perez-Ordonez, Ilan Weinreb, Eshetu G. Atenafu, John R. de Almeida, Patrick J. Gullane, Dale Brown, Ralph W. Gilbert, Jonathan C. Irish and David P. Goldstein

Surgeon-performed ultrasound guided fine-needle aspirate biopsy with report of learning curve; a consecutive case-series study

Fine-needle aspiration biopsy has become the standard of care for the evaluation of thyroid nodules. More recently, the use of ultrasound guided fine-needle aspiration biopsy (UG-FNAB) has improved adequacy of...

Authors: Vinay T. Fernandes, Robert J. De Santis, Danny J. Enepekides and Kevin M. Higgins

Erratum to: Transoral laser microsurgery for the treatment of oropharyngeal cancer: the Dalhousie University experience

Authors: Jonathan C. Melong, Matthew H. Rigby, Martin Bullock, Robert D. Hart, Jonathan R.B. Trites and S. Mark Taylor

Face and content validity of a virtual-reality simulator for myringotomy with tube placement

Myringotomy with tube insertion can be challenging for junior Otolaryngology residents as it is one of the first microscopic procedures they encounter. The Western myringotomy simulator was developed to allow ...

Authors: Caiwen Huang, Horace Cheng, Yves Bureau, Sumit K. Agrawal and Hanif M. Ladak

Transoral laser microsurgery for the treatment of oropharyngeal cancer: the Dalhousie University experience

The optimal treatment strategy for oropharyngeal squamous cell carcinoma is highly debated. However, growing evidence supports the use of minimally invasive techniques, such as transoral laser microsurgery (TL...

Authors: Jonathan C. Melong, Matthew H. Rigby, Martin Bullock, Robert D. Hart, Jonathan R.B. Trites and S. Mark Taylor

Depression as a predictor of postoperative functional performance status (PFPS) and treatment adherence in head and neck cancer patients: a prospective study

Head and neck cancer (HNC) is a debilitating disease due in part to its effects on function, including speech, swallowing, and cosmesis. Previous studies regarding depression in HNC have focused on demographic...

Authors: Brittany Barber, Jace Dergousoff, Margaret Nesbitt, Nicholas Mitchell, Jeffrey Harris, Daniel O’Connell, David Côté, Vincent Biron and Hadi Seikaly

Correlation of PET-CT nodal SUVmax with p16 positivity in oropharyngeal squamous cell carcinoma

The incidence of human papillomavirus (HPV)-related oropharyngeal squamous cell carcinoma (OPSCC) has been rising in recent years. Given the clinical impact of HPV/p16 positivity in OPSCC, identifying surrogat...

Authors: Jessica Clark, Caroline C. Jeffery, Han Zhang, Tim Cooper, Daniel A. O’Connell, Jeffrey Harris, Hadi Seikaly and Vincent L. Biron

Incidence of differentiated thyroid cancer in Canada by City of residence

Thyroid cancer incidence in Canada is increased in high socioeconomic groups, and in urban compared with rural areas. The objective of this study was to analyze patterns in thyroid cancer incidence across Cana...

Authors: Martin J. Corsten, Matthew Hearn, James Ted McDonald and Stephanie Johnson-Obaseki

Optimal detection of hypothyroidism in early stage laryngeal cancer treated with radiotherapy

Hypothyroidism following radiation therapy (RT) for treatment of Head and Neck Cancer (HNC) is a common occurrence. Rates of hypothyroidism following RT for Early Stage Laryngeal Squamous Cell Carcinoma (ES-LS...

Authors: Graeme B. Mulholland, Han Zhang, Nhu-Tram A. Nguyen, Nicholas Tkacyzk, Hadi Seikaly, Daniel O’Connell, Vincent L. Biron and Jeffrey R. Harris