Articles

Development of a pediatric obstructive sleep apnea triage algorithm

Diagnosis and treatment of obstructive sleep apnea (OSA) in children is often delayed due to the high prevalence and limited physician and sleep testing resources. As a result, children may be referred to mult...

Authors: D. S. Heath, H. El-Hakim, Y. Al-Rahji, E. Eksteen, T. C. Uwiera, A. Isaac, M. Castro-Codesal, C. Gerdung, J. Maclean and P. J. Mandhane

Three dimensional printed models of the airway for preoperative planning of open Laryngotracheal surgery in children: Surgeon’s perception of utility

Preoperative planning of open laryngotracheal surgery is important for achieving good results. This study examines the surgeon’s perception of the importance of using life size 3D printed models of the pediatr...

Authors: Oshri Wasserzug, Gadi Fishman, Narin Carmel-Neiderman, Yael Oestreicher-Kedem, Maher Saada, Solomon Dadia, Eran Golden, Philip Berman, Ophir Handzel and Ari DeRowe

A national study of choanal atresia in tertiary care centers in Canada – part II: clinical management

To evaluate the clinical management of choanal atresia (CA) in tertiary centers across Canada.

Authors: Josee Paradis, Agnieszka Dzioba, Hamdy El-Hakim, Paul Hong, Frederick K. Kozak, Lily H. P. Nguyen, Demitri Perera, Evan Jon Propst, Jennifer M. Siu, Monika Wojtera and Murad Husein

A national study of choanal atresia in tertiary care centers in Canada – part I: clinical presentation

To evaluate the clinical presentation of choanal atresia (CA) in tertiary centers across Canada.

Authors: Josee Paradis, Agnieszka Dzioba, Hamdy El-Hakim, Paul Hong, Frederick K. Kozak, Lily H. P. Nguyen, Demitri Perera, Evan Jon Propst, Jennifer M. Siu, Monika Wojtera and Murad Husein

Rapid standardized operating rooms (RAPSTOR) in thyroid and parathyroid surgery

To evaluate the impact of a high efficiency rapid standardized OR (RAPSTOR) for hemithyroid/parathyroid surgery using standardized equipment sets (SES) and consecutive case scheduling (CCS) on turnover times (...

Authors: Hannah Ernst, Leigh Sowerby, Axel Sahovaler, Danielle Macneil, Anthony Nichols, John Yoo, Richard Hilsden, Julie Strychowsky and Kevin Fung

Human-derived acellular dermal matrix may be an alternative to autologous grafts in tympanic membrane reconstruction: systematic review and meta-analysis

Human-derived acellular dermal matrix (ADM) has been widely used as an effective alternative to autologous grafts in tympanoplasty. However, evidence of ADM as an alternative to autologous grafts in the repair...

Authors: Shan Xu, Xia Sun, Ning Yang and Aihui Yan

Systematic and other reviews: criteria and complexities

Authors: Robert T. Sataloff, Matthew L. Bush, Rakesh Chandra, Douglas Chepeha, Brian Rotenberg, Edward W. Fisher, David Goldenberg, Ehab Y. Hanna, Joseph E. Kerschner, Dennis H. Kraus, John H. Krouse, Daqing Li, Michael Link, Lawrence R. Lustig, Samuel H. Selesnick, Raj Sindwani…

Non-acid reflux and sleep apnea: the importance of drug induced sleep endoscopy

We present the first case of a patient with obstructive sleep apnea syndrome (OSA), where drug induced sleep endoscopy was helpful to suspect a non-acid reflux disease and showed an improvement in a swollen ep...

Authors: Carlos O’Connor-Reina, Jose Maria Ignacio Garcia, Peter Baptista, Maria Teresa Garcia-Iriarte, Carlos Casado Alba, Monica Perona, Paz Francisca Borrmann, Laura Rodriguez Alcala and Guillermo Plaza

Proceedings of the Canadian Thyroid Cancer Active Surveillance Study Group 2019 national investigator meeting

Active surveillance (AS) in the management of small, low risk papillary thyroid cancer (PTC) as an alternative option to thyroidectomy, is an area of active research. A national Canadian study is proposed to e...

Authors: David P. Goldstein, Sangeet Ghai, Martin Corsten, Eric Bissada, Nathalie Audet, Han Zhang, Anthony Nichols, Deric Morrison, Stephanie Johnson-Obeski, Donald W. Anderson, Eitan Prisman, Nancy N. Baxter, Jennifer Jones, Amiram Gafni, Ian Witterick and Anna M. Sawka

Microwave ablation eustachian tuboplasty: a preliminary investigation with long-term follow-up

This study was performed to evaluate the efficacy of microwave ablation (MWA) eustachian tuboplasty for the treatment of patients with retracted tympanic membrane (TM) due to eustachian tube dysfunction (ETD).

Authors: Zhengcai Lou, Zihan Lou, Junzhi Sun, Zhengnong Chen and Shankai Yin

Is otologic surgery contributing to the opioid epidemic?

The opioid epidemic is a significant public health crisis challenging the lives of North Americans. Interestingly, this problem does not exist to the same extent in Europe. Surgeons play a significant role in ...

Authors: Valerie Dahm, Justin T. Lui, Rudolfs Liepins, Joseph M. Chen, Trung N. Le, Christoph Arnoldner and Vincent Y. W. Lin

Specimen oriented intraoperative margin assessment in oral cavity and oropharyngeal squamous cell carcinoma

Evaluate the oncologic outcomes and cost analysis of transitioning to a specimen oriented intraoperative margin assessment protocol from a tumour bed sampling protocol in oral cavity (OCSCC) and oropharyngeal ...

Authors: P. Horwich, C. MacKay, M. Bullock, S. M. Taylor, R. Hart, J. Trites, L. Geldenhuys, B. Williams and M. H. Rigby

What is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts

Many experts feel that in the absence of well-defined goals for success, they have an easier time identifying failure. As success ought to not be defined only by absence of failure, we aimed to define optimal ...

Authors: Nadim Saydy, Sami P. Moubayed, Marie Bussières, Arif Janjua, Shaun Kilty, François Lavigne, Eric Monteiro, Smriti Nayan, Marilou Piché, Kristine Smith, Doron Sommer, Leigh Sowerby, Marc A. Tewfik, Ian J. Witterick, Erin Wright and Martin Desrosiers

Effectiveness of modified cutting and suture technique for endonasal caudal septoplasty in correcting nasal obstruction and preventing nasal tip projection loss

Caudal septoplasty is a difficult procedure. The cutting and suture technique is suitable for caudal septoplasty, but a batten graft is always necessary and bears the risk of nasal tip projection loss. We esta...

Authors: Yu Hosokawa, Takeshi Miyawaki, Taisuke Akutsu, Kazuhiro Omura, Shinya Tsumiyama, Jiro Iimura, Nobuyoshi Otori and Hiromi Kojima

Patient perspectives on endoscopic sinus surgery for chronic rhinosinusitis

Through shared decision-making, physicians and patients can elect endoscopic sinus surgery (ESS) when maximal medical therapy fails in patients with chronic rhinosinusitis (CRS). In this study, we aim to explo...

Authors: Nadim Saydy, Sami Pierre Moubayed and Martin Desrosiers

Micro-CT imaging of Thiel-embalmed and iodine-stained human temporal bone for 3D modeling

This pilot study explores whether a human Thiel-embalmed temporal bone is suitable for generating an accurate and complete data set with micro-computed tomography (micro-CT) and whether solid iodine-staining i...

Authors: Sebastian Halm, David Haberthür, Elisabeth Eppler, Valentin Djonov and Andreas Arnold

A novel approach to earlobe reconstruction using the V to Y advancement flap

The V to Y advancement flap offers an excellent option for reconstructing defects of the lobule and adjacent structures of the external ear. We demonstrate its utility for small defects of the earlobe includin...

Authors: Laura Allen, Kelti Munroe and S. Mark Taylor

The association of heat shock protein genetic polymorphisms with age-related hearing impairment in Taiwan

Age-related hearing impairment (ARHI) is a major disability among the elderly population. Heat shock proteins (HSPs) were found to be associated with ARHI in animal studies. The aim of this study was to analyz...

Authors: Ning-Chia Chang, Hua-Ling Yang, Chia-Yen Dai, Wen-Yi Lin, Meng-Hsuen Hsieh, Chen-Yu Chien and Kuen-Yao Ho

Role of LncRNA score and PVT1 in primary hyperparathyroidism-- a preliminary study

Dysregulated lncRNA score and PVT1 expression may be involved in cancer. However, relationships of lncRNAs with hyperparathyroidism and parathyroid cancer (PC) diagnosis remain mysterious.

Authors: Dongxue Zhang, Bojun Wei, Long Li, Tao Jiang, Xiaoai Yao, Xin Liu and Yuyan Sun

Molecular testing for cytologically suspicious and malignant (Bethesda V and VI) thyroid nodules to optimize the extent of surgical intervention: a retrospective chart review

Molecular testing has been used for cytologically indeterminate thyroid nodules (Bethesda III and IV), where the risk of malignancy is 10–40%. However, to date, the role of molecular testing in cytologically s...

Authors: Jessica Hier, Galit Avior, Marc Pusztaszeri, Joshua R. Krasner, Noura Alyouha, Veronique-Isabelle Forest, Michael P. Hier, Alex Mlynarek, Keith Richardson, Nader Sadeghi, Michael Tamilia and Richard J. Payne

Chronic opioid use following surgery for head and neck cancer patients undergoing free flap reconstruction

Physician opioid-prescribing patterns have significant impacts on the current opioid crisis. Patients who use opioids in the postoperative period are at risk of developing chronic postoperative opioid use. Thi...

Authors: Ashley Hinther, Alysha Rasool, Steven C. Nakoneshny, Shamir P. Chandarana, Robert Hart, T. Wayne Matthews and Joseph C. Dort

Effect of low salicylate diet on clinical and inflammatory markers in patients with aspirin exacerbated respiratory disease – a randomized crossover trial

Aspirin-exacerbated respiratory disease (AERD) is characterized by eosinophilic rhinosinusitis, nasal polyposis, and bronchial asthma, along with the onset of respiratory reactions after the ingestion of nonst...

Authors: Leigh J. Sowerby, Krupal B. Patel, Crystal Schmerk, Brian W. Rotenberg, Taciano Rocha and Doron D. Sommer

Carbon footprint reduction associated with a surgical outreach clinic

Healthcare systems generate substantial carbon footprints that may be targeted to decrease greenhouse gas emissions. Outreach clinics may represent tools to assist in this reduction by optimizing patient relat...

Authors: David Forner, Chad Purcell, Victoria Taylor, Christopher W. Noel, Larry Pan, Matthew H. Rigby, Martin Corsten, Jonathan R. Trites, Antoine Eskander, Ted McDonald and S. Mark Taylor

Inner ear salivary gland choristoma extending to the middle ear with congenital profound hearing loss and facial palsy: a case report

Salivary gland choristoma (SGCh) is a rare benign tumor reported in several unusual sites, such as the gastrointestinal tract, the optic nerve, and the internal auditory canal, but never reported in the inner ...

Authors: Yoshiharu Yamanobe, Naoki Oishi, Takanori Nishiyama, Makoto Hosoya and Kaoru Ogawa

Virtual Care in Rhinology

The SARS-CoV-2 (COVID) pandemic has resulted in an increase in virtual care. While some specialties are well suited to virtual care, Otolaryngology – Head and Neck Surgery could be limited due to reliance on p...

Authors: Kristine A. Smith, Andrew Thamboo, Yvonne Chan, Christopher J. Chin, Megan Werger and Brian Rotenberg

Ultrasonic bone removal from the ossicular chain affects cochlear structure and function

Ultrasonic bone removal devices (UBD) are capable of cutting through bony tissue without injury to adjacent soft tissue. The feasibility and safety of using this technology for removal of bone from an intact o...

Authors: Jennifer M. Siu, Jaina Negandhi, Robert V. Harrison, Nikolaus E. Wolter and Adrian James

Management of sudden sensorineural hearing loss among primary care physicians in Canada: a survey study

Sudden Sensorineural Hearing Loss (SSNHL) is a medical emergency requiring immediate attention as delayed treatment can lead to permanent and devastating consequences. Primary care physicians are likely the fi...

Authors: Benjamin Ng, Matthew G. Crowson and Vincent Lin

LigaSure small jaw versus conventional neck dissection: a systematic review and meta-analysis

Neck dissection has a central role in the management of head and neck cancers. This systematic review aimed to compare the intraoperative and postoperative parameters between conventional and LigaSure Small Ja...

Authors: Tai-Yu Chen, Li-Jen Hsin, Wan-Ni Lin, Ming-Shao Tsai, Yao-Te Tsai and Yi-Chan Lee

Quality of life after Supracricoid Partial Laryngectomy

Supracricoid partial laryngectomy has good oncologic results in the treatment of advanced laryngeal cancer with the advantage of preserving larynx phonatory function when compared with total laryngectomy. Howe...

Authors: Marianne Yumi Nakai, Marcelo Benedito Menezes, Julia Vilas Boas Gonçalves de Carvalho, Lucas Porto Maurity Dias, Leandro Augusto de Barros Silva, Lucas Ribeiro Tenório and Antonio José Gonçalves

Insight into the current practice of ototoxicity monitoring during cisplatin therapy

The aim of this study is to evaluate the current state of ototoxicity monitoring for patients receiving cisplatin chemotherapy in an academic medical center with particular attention to how closely monitoring ...

Authors: N. M. Santucci, B. Garber, R. Ivory, M. A. Kuhn, M. Stephen and D. Aizenberg

The subtle nuances of intranasal corticosteroids

In the specialty of Otolaryngology – Head and Neck Surgery, intranasal corticosteroids are the mainstay treatment for inflammatory processes within the nasal cavity. All too often, physician prescribing patter...

Authors: James Fowler, Brian W. Rotenberg and Leigh J. Sowerby

Prospective cohort study of voice outcomes following secondary tracheoesophageal puncture in gastric pull-up reconstruction after total laryngopharyngoesophagectomy

Gastric pull-up is a reconstructive option for circumferential defects after resection of advanced laryngopharyngeal malignancy. Voice loss is expected and vocal rehabilitation remains a challenge. Our study o...

Authors: Emily C. Deane, Harman Parhar, Linda Rammage, Amanda Hu and Donald W. Anderson

Readability and quality assessment of internet-based patient education materials related to nasal septoplasty

Given that nasal septoplasty is a common procedure in otolaryngology – head and neck surgery, the objective of this study was to evaluate the quality and readability of online patient education materials on se...

Authors: Elysia M. Grose, Connor P. Holmes, Kaishan A. Aravinthan, Vincent Wu and John M. Lee

Canadian Rhinology Working Group consensus statement: biologic therapies for chronic rhinosinusitis

Recent evidence suggests that biologic therapy with targeted activity within the Type 2 inflammatory pathway can improve the clinical signs and symptoms of chronic rhinosinusitis with nasal polyposis (CRSwNP)....

Authors: Andrew Thamboo, S. Kilty, I. Witterick, Y. Chan, C. J. Chin, A. Janjua, A. Javer, J. Lee, E. Monterio, B. Rotenberg, J. Scott, K. Smith, D. D. Sommer, L. Sowerby, M. Tewfik, E. Wright…

Comparison of miRNA expressions among benign, premalignant and malignant lesions of the larynx: could they be transformation biomarkers?

The malignancy potential of the laryngeal lesions are one of the major concerns of the surgeons about choosing the treatment options, forming surgical margins, deciding the follow-up periods. Finding a biomark...

Authors: Fatma Ruya Tuncturk, Ibrahim Akalin, Lokman Uzun and Tulay Zenginkinet

Visual biofeedback for paradoxical vocal fold motion (PVFM)

Paradoxical vocal fold motion (PVFM) is a common condition where the vocal folds inappropriately adduct during inspiration. This results in dyspnea and occasionally significant distress. The condition is thoug...

Authors: Rachelle Alyce LeBlanc, Daniel Aalto and Caroline C. Jeffery

5-year outcomes of salvage endoscopic nasopharyngectomy for recurrent nasopharyngeal carcinoma

Recurrent nasopharyngeal carcinoma (rNPC) can be salvaged with re-irradiation, open nasopharyngectomy, and more recently endoscopic nasopharyngectomy. However, long-term outcomes of endoscopic approaches are l...

Authors: Andrew Thamboo, Vishal S. Patel and Peter H. Hwang

A smartphone application to objectively monitor music listening habits in adolescents

Listening to music through personal listening devices (PLDs) has become more prevalent during last decades. The aim of this study was to evaluate music listening habits through PLDs in adolescents with a smart...

Authors: Danique E. Paping, Jantien L. Vroegop, Simone P. C. Koenraads, Carlijn M.P. le Clercq, André Goedegebure, Robert J. Baatenburg de Jong and Marc P. van der Schroeff

Outpatient versus inpatient superficial parotidectomy: clinical and pathological characteristics

Superficial parotidectomy has a potential to be performed as an outpatient procedure. The objective of the study is to evaluate the safety and selection profile of outpatient superficial parotidectomy compared...

Authors: Daniel J. Lee, David Forner, Christopher End, Christopher M. K. L. Yao, Shireen Samargandy, Eric Monteiro, Ian J. Witterick and Jeremy L. Freeman

The impact of close surgical margins on recurrence in oral squamous cell carcinoma

Close margins influence treatment and outcome in patients with oral squamous cell carcinoma (OSCC). This study evaluates 187 cases of surgically treated OSCC regarding the impact of close margins on recurrence...

Authors: Joseph Solomon, Ashley Hinther, T. Wayne Matthews, Steven C. Nakoneshny, Rob Hart, Joseph C. Dort and Shamir P. Chandarana

Noise in Otolaryngology – Head and Neck Surgery operating rooms: a systematic review

Noise in operating rooms (OR) can have negative effects on both patients and surgical care workers. Noise can also impact surgical performance, team communication, and patient outcomes. Such implications of no...

Authors: Gianluca Sampieri, Amirpouyan Namavarian, Marc Levin, Justine Philteos, Jong Wook Lee, Anni Koskinen, Vincent Lin and John Lee

Epistaxis first-aid management: a needs assessment among healthcare providers

To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada.

Authors: Leigh Sowerby, Chandheeb Rajakumar, Matthew Davis and Brian Rotenberg

Blood clots affect the response of tympanic membrane perforations to gelfoam grafting after ventilation tube insertion

Chronic tympanic membrane (TM) perforation associated with ventilation tube (VT) insertion was commonly encountered in pediatric patients with chronic otitis media with effusion (COME) treatment and eustachian...

Authors: Zhengcai Lou

Variability in instructions for performance of nasopharyngeal swabs across Canada in the era of COVID-19 – what type of swab is actually being performed?

The primary method of surveillance for the presence of SARS-CoV-2 is with nasopharyngeal swabs. Given the significant demand for nasopharyngeal swabs, a large number of previously untrained and unfamiliar staf...

Authors: Nole M. Hiebert, Breanna Ashley Chen and Leigh J. Sowerby

The prospective evaluation and risk factors of dysphagia after surgery in patients with oral cancer

This prospective study investigated the change of swallowing ability using the Swallowing Ability Scale System (SASS) and swallowing-related quality of life (QOL) by Performance Status Scale for Head and Neck ...

Authors: Takumi Hasegawa, Nanae Yatagai, Tatsuya Furukawa, Emi Wakui, Izumi Saito, Daisuke Takeda, Yasumasa Kakei, Akiko Sakakibara, Ken-ichi Nibu and Masaya Akashi

An environmental study of tracheostomy on eight COVID-19 patients

Tracheostomy, as an aerosol-generating procedure, is considered as a high-risk surgery for health care workers (HCWs) during the coronavirus disease (COVID-19) pandemic. Current recommendations are to perform ...

Authors: Kai Xu, Xin-Hao Zhang, Xiao-Bo Long, Xiang Lu and Zheng Liu

Prehabilitation in head and neck cancer patients: a literature review

Dysphagia is one consequence of head and neck cancer that has a significant impact on quality of life for head and neck cancer survivors. While survival rates continue to improve, focus has shifted to maximizi...

Authors: Irene Loewen, Caroline C. Jeffery, Jana Rieger and Gabriela Constantinescu

Concurrent chemoradiation in locally advanced primary middle ear lymphoepithelial carcinoma: an effective treatment modality case report

Definitive treatment of primary middle ear lymphoepithelial carcinoma (LEC) is not well established owing to the rarity of this disease entity. We report a case of locally advanced primary middle ear LEC treat...

Authors: Pei Yuan Fong, Tiong Yong Tan and Kimberley Liqin Kiong

Role of drug-induced sleep endoscopy in evaluation of positional vs non-positional OSA

The study aimed to evaluate the anatomical differences between positional and non-positional OSA, and to identify the potential predictors for distinguishing between these two types of OSA.

Authors: Ming-Chin Lan, Stanley Yung-Chuan Liu, Ming-Ying Lan, Yun-Chen Huang, Tung-Tsun Huang and Yen-Bin Hsu

Case report series: revisiting third and fourth pharyngeal arch anomalies, − are they thymopharyngeal duct remnants?

Pharyngeal arch anomalies are the second most common form of head and neck congenital defect. The second arch anomalies are the most common, and compromise 95% of cases. Little is known about the 3rd and 4th a...

Authors: A. O. Kotwica, J. Rudd and D. J. Howard