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  1. The diagnosis of chronic rhinosinusitis (CRS) based on clinical presentation alone remains challenging. To improve the accuracy of clinical diagnosis, the Canadian Rhinosinusitis Guidelines recommend the use o...

    Authors: Paige Moore, Brian Blakley and Eric Meen
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:65
    Content type: Original research article Published on:

  2. Recalcitrant chronic rhinosinusitis without polyposis (CRSsP) is a challenging condition to manage as traditional medical therapies and surgery fail to provide satisfactory clinical improvements. Colloidal sil...

    Authors: John R. Scott, Rohin Krishnan, Brian W. Rotenberg and Leigh J Sowerby
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:64
    Content type: Original research article Published on:

  3. With an increasing proportion of the population living in cities, mass transportation has been rapidly expanding to facilitate the demand, yet there is a concern that mass transit has the potential to result i...

    Authors: Christopher M.K.L. Yao, Andrew K. Ma, Sharon L. Cushing and Vincent Y.W. Lin
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:62
    Content type: Original research article Published on:

  4. Chronic suppurative otitis media can be recalcitrant and difficult to treat, particularly with the increasing occurrence of antibiotic resistance. Lactobacillus plantarum is a probiotic that has been shown to dec...

    Authors: Carol Nhan, Aren Bezdjian, Shyamali Saha, Satya Prakash, Lily H. P. Nguyen and Sam J. Daniel
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:63
    Content type: Original research article Published on:

  5. Human papillomavirus (HPV) has recently been implicated as a causative agent in a rapidly growing number of oropharyngeal cancers. Emerging literature supports the hypothesis that HPV vaccination may protect a...

    Authors: Scott Anderson, Andre Isaac, Caroline C. Jeffery, Joan L. Robinson, Daniela Migliarese Isaac, Christina Korownyk, Vincent L. Biron and Hadi Seikaly
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:61
    Content type: Original research article Published on:

  6. We describe a modification of the conventional subtotal parathyroidectomy operation where the parathyroid gland(s) remnant is repositioned with intact vascular supply to a plane superficial to the infrahyoid s...

    Authors: Tsu-Hui ( Hubert) Low and John Yoo
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:60
    Content type: Original research article Published on:

  7. Authors: Agnieszka Dzioba, Daniel Aalto, Georgina Papadopoulos-Nydam, Hadi Seikaly, Jana Rieger, Johan Wolfaardt, Martin Osswald, Jeffrey R. Harris, Daniel A. O’Connell, Cathy Lazarus, Mark Urken, Ilya Likhterov, Raymond L. Chai, Erika Rauscher, Daniel Buchbinder, Devin Okay…
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:59
    Content type: Correction Published on:

    The original article was published in Journal of Otolaryngology - Head & Neck Surgery 2017 46:56

  8. Severe epistaxis is often difficult to control in patients with hereditary hemorrhagic telangiectasia (HHT). Propranolol has been shown to have antiangiogenic properties in vitro and in vivo and is commonly us...

    Authors: Meir Mei-Zahav, Hannah Blau, Elchanan Bruckheimer, Eyal Zur and Neta Goldschmidt
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:58
    Content type: Short report Published on:

  9. This article describes a paradigm shift in what is considered to be good care for patients living with and after (head and neck) cancer. HNO patients often experience severe and difficult physical and psychoso...

    Authors: Chiquit van Linden van den Heuvell, Florence van Zuuren, Mary Wells, Geert van der Laan and Harry Reintsema
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:57
    Content type: Letter to the Editor Published on:

  10. While aggressive treatment for oral cancer may optimize survival, decrements in speech and swallowing function and quality of life often result. This exploratory study investigated how patients recover their c...

    Authors: Agnieszka Dzioba, Daniel Aalto, Georgina Papadopoulos-Nydam, Hadi Seikaly, Jana Rieger, Johan Wolfaardt, Martin Osswald, Jeffrey R. Harris, Daniel A. O’Connell, Cathy Lazarus, Mark Urken, Ilya Likhterov, Raymond L. Chai, Erika Rauscher, Daniel Buchbinder, Devin Okay…
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:56
    Content type: Original research article Published on:

    The Correction to this article has been published in Journal of Otolaryngology - Head & Neck Surgery 2017 46:59

  11. The proportion of females enrolling into medical schools has been growing steadily. However, the representation of female residents among individual specialties has shown considerable variation. The purpose of...

    Authors: Sarah Chorfi, Joseph S. Schwartz, Neil Verma, Meredith Young, Lawrence Joseph and Lily H. P. Nguyen
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:55
    Content type: Original research article Published on:

  12. Pharyngocutaneous fistula (PCF) is a problematic complication following total laryngectomy. Disagreement remains regarding predisposing factors. This study examines perioperative factors predicting PCF followi...

    Authors: Nicole L. Lebo, Lisa Caulley, Hussain Alsaffar, Martin J. Corsten and Stephanie Johnson-Obaseki
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:54
    Content type: Original research article Published on:

  13. Endoscopic transcanal approaches to the facial nerve allow excellent exposure of the tympanic facial nerve. This approach becomes limited when access is required to the more proximal geniculate ganglion and la...

    Authors: Nicholas Jufas and Manohar Bance
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:53
    Content type: Original research article Published on:

  14. Human papillomavirus (HPV) has been identified as an etiopathogenetic factor in oropharyngeal squamous cell carcinoma. The HPV E6 and E7 oncogenes are instrumental in promoting proliferation and blocking differen...

    Authors: Robert E. Brown, Syed Naqvi, Mary F. McGuire, Jamie Buryanek and Ron J. Karni
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:52
    Content type: Original research article Published on:

  15. Although 20–40% of primary care complaints are Otolaryngology-Head and Neck Surgery (OtoHNS) related, little emphasis is placed on OtoHNS instruction at the undergraduate medical education level. An OtoHNS cle...

    Authors: Grace Margaret Scott, Corliss Ann Elizabeth Best and Damian Christopher Micomonaco
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:51
    Content type: Original research article Published on:

  16. Only few therapeutic options exist for patients with refractory sudden idiopathic sensorineural hearing loss (SISHL). Little is known about the efficacy of second-line therapies. Rheopheresis seems to be an ef...

    Authors: Milan Kostal, Jakub Drsata, Milan Bláha, Miriam Lánská and Viktor Chrobok
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:50
    Content type: Original research article Published on:

  17. We have identified a cause of falsely elevated parathyroid hormone (PTH) levels after total parathyroidectomy with forearm auto-transplantation (TPT-ATx). Our cases highlight the need to draw PTH samples remot...

    Authors: Diana Khalil and Paul D. Kerr
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:49
    Content type: Case report Published on:

  18. Tympanoplasty is a common procedure performed by Otolaryngologists. Many types of autologous grafts have been used with variations of techniques with varying results. This is the first systematic review of the...

    Authors: Caroline C. Jeffery, Cameron Shillington, Colin Andrews and Allan Ho
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:48
    Content type: Review Published on:

  19. Eustachian tube (ET) dysfunction can be very difficult to diagnose accurately. Our aim is to determine whether a newly developed sonotubometric test using clicks can reliably detect ET opening during swallowin...

    Authors: Justin M. Pyne, Yaw Amoako-Tuffour, Guy Earle, Graham McIntyre, Michael B. Butler and Manohar Bance
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:47
    Content type: Original research article Published on:

  20. Minimally Invasive Ponto Surgery (MIPS) was recently described as a new technique to facilitate the placement of percutaneous bone anchored hearing devices.

    Authors: Yaeesh Sardiwalla, Nicholas Jufas and David P. Morris
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:46
    Content type: Original research article Published on:

  21. Head and neck cancer of unknown primary (HNCUP) is rare and prospective studies are lacking. The impact of different prognostic factors such as age and N stage is not completely known, the optimal treatment is...

    Authors: Lars Axelsson, Jan Nyman, Hedda Haugen-Cange, Mogens Bove, Leif Johansson, Shahin De Lara, Anikó Kovács and Eva Hammerlid
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:45
    Content type: Original research article Published on:

  22. Vestibular disorders have been reported following cochlear implant (CI) surgery, but the literature shows a wide discrepancy in the reported clinical impact. The aim of this meta-analysis is to quantify the ef...

    Authors: Iman Ibrahim, Sabrina Daniela da Silva, Bernard Segal and Anthony Zeitouni
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:44
    Content type: Review Published on:

  23. Practice variability exists for the extent of neck dissection undertaken for papillary thyroid carcinoma (PTC) metastatic to the lateral neck nodes, with disagreement over routine level V dissection.

    Authors: Jason J. Xu, Eugene Yu, Caitlin McMullen, Jesse Pasternak, Jim Brierley, Richard Tsang, Han Zhang, Antoine Eskander, Lorne Rotstein, Anna M. Sawka, Ralph Gilbert, Jonathan Irish, Patrick Gullane, Dale Brown, John R. de Almeida and David P. Goldstein
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:43
    Content type: Original research article Published on:

  24. Learners often utilize online resources to supplement formalized curricula, and to appropriately support learning, these resources should be of high quality. Thus, the objectives of this study are to develop ...

    Authors: Nathan Yang, Sarah Hosseini, Marco A. Mascarella, Meredith Young, Nancy Posel, Kevin Fung and Lily H. P. Nguyen
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:42
    Content type: Original research article Published on:

  25. Noise-induced hearing loss is one of the most common forms of sensorineural hearing loss, is a major health problem, is largely preventable and is probably more widespread than revealed by conventional pure to...

    Authors: Trung N. Le, Louise V. Straatman, Jane Lea and Brian Westerberg
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:41
    Content type: Review Published on:

  26. The inserted cochlear implanted electrode is covered at the site of the round window or cochleostomy to prevent infections and leakage. In a surgically hearing preservational concept, low intracochlear pressur...

    Authors: Ingo Todt, Julica Utca, Dania Karimi, Arne Ernst and Philipp Mittmann
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:40
    Content type: Original research article Published on:

  27. We aim to characterize the workup received by and identify any delays to diagnosis or treatment in patients referred to a tertiary cancer centre with the diagnosis of squamous cell carcinoma in neck node(s) an...

    Authors: Kevin Martell, Joanna Mackenzie, Warren Kerney and Harold Yeehau Lau
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:39
    Content type: Original research article Published on:

  28. This was a diagnostic accuracy study to develop an algorithm based on administrative database codes that identifies patients with Chronic Rhinosinusitis (CRS) who have endoscopic sinus surgery (ESS).

    Authors: Kristian I. Macdonald, Shaun J. Kilty and Carl van Walraven
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:38
    Content type: Original research article Published on:

  29. Adenotonsillectomy (AT) is the most commonly performed procedure for sleep disordered breathing (SDB) in pediatrics. However, 20-40% of patients will have persistent signs and symptoms of SDB after AT. Drug-in...

    Authors: Noura Alsufyani, Andre Isaac, Manisha Witmans, Paul Major and Hamdy El-Hakim
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:37
    Content type: Original research article Published on:

  30. Eosinophilic chronic frontal sinusitis is difficult to treat compared with non-eosinophilic sinusitis because of recurring inflammation and polyp formation in the frontal recess after the post-operative follow...

    Authors: Kazunori Kubota, Sachio Takeno, Takayuki Taruya, Atsushi Sasaki, Takashi Ishino and Katsuhiro Hirakawa
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:36
    Content type: Original research article Published on:

  32. Research productivity is an important component of the CanMEDS Scholar role and is an accreditation requirement of Canadian Otolaryngology training programs. Our objective was to determine if an association ex...

    Authors: Scott Kohlert, Laura Zuccaro, Laurie McLean and Kristian Macdonald
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:34
    Content type: Original research article Published on:

  33. Autologous and synthetic nasal and auricular frameworks require skin coverage. The surgeon’s decides on the appropriate skin coverage for reconstruction based on colour matching, subcutaneous tissue thickness,...

    Authors: M. F. Griffin, B. C. Leung, Y. Premakumar, M. Szarko and P. E. Butler
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:33
    Content type: Original research article Published on:

  34. Hypertrophy of the lingual tonsil tissue in the adult patient is thought to contribute to the pathophysiology of obstructive sleep apnea. The underlying etiology of lingual tonsil hypertrophy (LTH) in the adul...

    Authors: Matthew S. Harris, Brian W. Rotenberg, Kathryn Roth and Leigh J. Sowerby
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:32
    Content type: Original research article Published on:

  35. The surgical excision of anatomic obstructions such as adenoids, palatine or lingual tonsils are commonly performed in children with sleep disordered breathing (SDB). Imaging studies measuring airway changes p...

    Authors: Noura A. Alsufyani, Michelle L. Noga, Manisha Witmans, Irene Cheng, Hamdy El-Hakim and Paul W. Major
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:31
    Content type: Original research article Published on:

  36. Plate-related complications following head and neck cancer ablation and reconstruction remains a challenging problem often requiring further management and reconstructive surgeries. We aim to identify an assoc...

    Authors: Christopher M. Yao, Hedyeh Ziai, Gordon Tsang, Andrea Copeland, Dale Brown, Jonathan C. Irish, Ralph W. Gilbert, David P. Goldstein, Patrick J. Gullane and John R. de Almeida
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:30
    Content type: Original research article Published on:

  37. To review the available evidence and make recommendations regarding use of systemically administered drugs in combination or in sequence with radiation (RT) and/or surgery for cure and/or organ preservation in...

    Authors: Eric Winquist, Chika Agbassi, Brandon M. Meyers, John Yoo and Kelvin K. W. Chan
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:29
    Content type: Review Published on:

  38. The incidence of thyroid nodules is increasing among patients in North America. Few of these nodules harbour malignancy, thus further research is required to identify predictive markers of malignant thyroid di...

    Authors: Mark Sasson, Emily Kay-Rivest, Rami Shoukrun, Anca Florea, Michael Hier, Veronique-Isabelle Forest, Michael Tamilia and Richard J. Payne
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:28
    Content type: Original research article Published on:

  39. Sudden sensorineural hearing loss (SSHL) is a disease, which severely affects the patient’s social and relational life. The underlying pathomechanisms have not been finally clarified yet and outcome is not pre...

    Authors: Daniel Weiss, Armin Julius Böcker, Mario Koopmann, Eleftherios Savvas, Matthias Borowski and Claudia Rudack
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:27
    Content type: Original research article Published on:

  41. Thyroid nodules are common and often benign, although prove to be malignant upon surgical pathology in 5–15% of cases. When assessed with ultrasound-guided fine-needle aspiration (USFNA), 15–30% of the nodules...

    Authors: Emily Kay-Rivest, Jamie Tibbo, Sarah Bouhabel, Michael Tamilia, Rebecca Leboeuf, Veronique-Isabelle Forest, Michael P. Hier, Loren Savoury and Richard J. Payne
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:25
    Content type: Original research article Published on:

  42. In otologic surgery good visualization is paramount, and patients with bleeding diatheses or who need to be anti-coagulated can present a significant challenge. Here, we determine whether Floseal™, a hemostati...

    Authors: Carol Nhan, Aren Bezdjian, Abdullah Alarfaj and Sam J. Daniel
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:24
    Content type: Original research article Published on:

  43. This study sheds important light on the association between sino-nasal symptoms and global quality of life in patients with chronic rhinosinusitis waiting for endoscopic sinus surgery. Using patient-reported i...

    Authors: Bassem M. N. Hanna, R. Trafford Crump, Guiping Liu, Jason M. Sutherland and Arif S. Janjua
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:23
    Content type: Original research article Published on:

  44. Thyroid incidentaloma is defined as an unsuspected thyroid lesion found on imaging study or while performing a surgery non-related to the thyroid gland. Most recent scientific literature tends to demonstrate a...

    Authors: N. Hagenimana, J. Dallaire, É. Vallée and M. Belzile
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:22
    Content type: Original research article Published on:

  45. FoxP3 is the most dependable marker for regulatory T cells which play a major role in immune tolerance. Foxp3 gene polymorphisms were associated with various autoimmune diseases and clearance of viral infectio...

    Authors: Tack-Kyun Kwon, Eun Jae Chung, Nuri Lee, Eun Youn Roh and Eun Young Song
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:21
    Content type: Short report Published on:

  46. The resection of large oropharyngeal tumors traditionally involves a lip-splitting mandibulotomy for adequate margin visualization and free flap reconstruction of the surgical defect. Transoral robotic surgery...

    Authors: Vincent L. Biron, Daniel A. O’Connell, Brittany Barber, Jessica M. Clark, Colin Andrews, Caroline C. Jeffery, David W. J. Côté, Jeffrey Harris and Hadi Seikaly
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:20
    Content type: Original research article Published on:

  47. Cochlear Duct Length (CDL) has been an important measure for the development and advancement of cochlear implants. Emerging literature has shown CDL can be used in preoperative settings to select the proper si...

    Authors: Robert W. Koch, Hanif M. Ladak, Mai Elfarnawany and Sumit K. Agrawal
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:19
    Content type: Review Published on:

  48. Autoimmune inner ear disease (AIED) is a rare condition characterized by bilateral fluctuating sensorineural hearing loss (SNHL). The labile nature of this hearing loss makes it difficult to accurately quantif...

    Authors: Scott Kohlert and Matthew Bromwich
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:18
    Content type: Original research article Published on:

  49. Thyroid metastases to distant sites are uncommon incidents, most often metastasizing to the lungs and bones. Rates of metastasis to the kidney are particularly low, ranging from 2.8–3.8% for papillary and 6–20...

    Authors: Jin Soo Andy Song, S. Mark Taylor, Jonathan Trites, Matthew H. Rigby, Martin Joseph Bullock, Jennifer Merrimen, Ricardo Rendon and Robert D. Hart
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:17
    Content type: Case report Published on:

  50. The residency match is an important event in an aspiring physician’s career. Otolaryngology – Head and Neck Surgery (OTL-HNS) is a surgical specialty that has enjoyed high numbers of applicants to its residenc...

    Authors: E. Kay-Rivest, N. Varma, G. M. Scott, J. J. Manoukian, M. Desrosiers, J. P. Vaccani and L. H. P. Nguyen
    Citation: Journal of Otolaryngology - Head & Neck Surgery 2017 46:16
    Content type: Original research article Published on:
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Journal of Otolaryngology - Head & Neck Surgery

ISSN: 1916-0216

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