Articles

Open resection and reconstruction of a Nasoseptal Chondrosarcoma: case report and literature review

Primary chondrosarcomas of the nasal septum are rare, with a variety of clinical features that evade detection and treatment. While endoscopic surgery has become increasingly accessible, open approaches may be...

Authors: Changseok Lee, David Forner, Martin Bullock, Matthew H. Rigby, Martin Corsten, Jonathan R. Trites and S. Mark Taylor

The relationship between the Ottawa Valve Collapse Scale (OVCS) and clinical outcomes in septoplasty patients

The Ottawa Valve Collapse scale (OVCS) was developed to classify the severity of nasal valve collapse (NVC) in patients with nasal obstruction. The goal of this study was to determine, in patients who have nas...

Authors: Phillip Staibano and James P. Bonaparte

Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations

To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC).

Authors: Zheng-cai Lou

Risk factors of obstructive sleep apnea syndrome in children

The known risk factors of childhood OSAS include tonsillar and adenoidhypertrophy, obesity, craniofacial anomalies, neuromuscular disorders and African-American (AA) ancestry. Whether other factors such as all...

Authors: Zhifei Xu, Yunxiao Wu, Jun Tai, Guoshuang Feng, Wentong Ge, Li Zheng, Zhe Zhou and Xin Ni

Choosing Wisely Canada rhinology recommendations

The Choosing Wisely Canada campaign is an initiative that aims to involve physicians and patients in collaborative decision making to avoid unnecessary tests and treatments. The Rhinology Subspecialty Group of...

Authors: Neil Arnstead, Yvonne Chan, Shaun Kilty, Ragavan Ganeshathasan, Armin Rahmani and Eric Monteiro

Can drug-induced sleep endoscopy improve the success rates of tongue base surgery?

The purpose of this study was to determine the therapeutic value of drug-induced sleep endoscopy (DISE) by comparing the outcomes of tongue base surgery based on Muller’s maneuver (MM) and those based on DISE ...

Authors: Jong-Gyun Ha, Youngwoo Lee, Jae Sung Nam, Jeong Jin Park, Joo-Heon Yoon, Chang-Hoon Kim and Hyung-Ju Cho

Evolution of Cochlear implant mapping and vestibular function in a pediatric case of Labyrinthitis

Vestibular symptoms such as vertigo and imbalance are known to occur in some cochlear implant patients during the immediate postoperative period; however, acute vertigo in implanted children occurring remotely...

Authors: Sophie Lipson, Ross O’Shea, Susan Gibbons, Guangwei Zhou and Jacob Brodsky

Mobile phone app Vs bucket test as a subjective visual vertical test: a validation study

The SVV tests the ability of a person to perceive the gravitational vertical. A tilt in SVV indicates vestibular imbalance in the roll plane, and thus injuries to the utricle or its connecting nerves. A valida...

Authors: Tianyang Dai, George Kurien and Vincent YW Lin

Correction to: 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

Following publication of the original article [1], the authors reported that one of the authors’ names was spelled incorrectly. In this Correction the incorrect and correct author name are shown. The original ...

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

Retrospective review of dosing trends in botulinum toxin injections for the treatment of adductor spasmodic dysphonia in a long-term cohort

Botulinum toxin A (BT) is the gold standard treatment for adductor spasmodic dysphonia (AdSD) with established use for greater than thirty years. The spasmodic dysphonia (SD) literature would benefit from addi...

Authors: Gabrielle French, J. Douglas Bosch and Derrick R. Randall

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