Articles

Improved symptomatic, functional, and fluoroscopic outcomes following serial “series of three” double-balloon dilation for cricopharyngeus muscle dysfunction

Cricopharyngeus muscle dysfunction (CPMD) is a common cause of dysphagia. We employ a progressive series of three double-balloon dilations separated by 4–6 weeks between procedures as a primary treatment optio...

Authors: Derrick R. Randall, Lisa M. Evangelista, Maggie A. Kuhn and Peter C. Belafsky

A stepped approach for the management of symptomatic internal derangement of the temporomandibular joint

Internal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally inv...

Authors: Candan Efeoglu, Aylin Sipahi Calis, Huseyin Koca and Esra Yuksel

Cavernous sinus involvement in human papillomavirus associated oropharyngeal squamous cell carcinoma: case report of an atypical site of distant metastasis

HPV-associated OSCC (HPV-OSCC) has been determined to be a distinct disease entity from non-HPV associated OSCC. Patients affected by HPV-OSCC generally have a more favourable prognosis, with improved rates of...

Authors: David Forner, Derek Wilke, Matthew H. Rigby, Sidney Croul, Anuradha Mishra, Emad Massoud, David B. Clarke and Nathan Lamond

An evaluation of in-office flexible fiber-optic biopsies for laryngopharyngeal lesions

Operative endoscopy and flexible fiber-optic in-office tissue biopsy are common techniques to assess suspicious laryngopharyngeal lesions.

Authors: Francisco Lee, Kristine A. Smith, Shamir Chandarana, T. Wayne Matthews, J. Douglas Bosch, Steven C. Nakoneshny and Joseph C. Dort

Smartphone adapters for flexible Nasolaryngoscopy: a systematic review

Flexible nasolaryngoscopy is an essential component of the otolaryngological physical exam. Historically, the ability to create and share video recordings of these endoscopic exams has been limited by poor mob...

Authors: A. E. Quimby, S. Kohlert, L. Caulley and M. Bromwich

Efficacy of postoperative pain management in head and neck cancer patients

Our study quantifies the effectiveness of perioperative pain control in a cohort of patients undergoing major head and neck surgery with free flap reconstruction. Our long-term goal is to improve pain control ...

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

Mortality risk after clinical management of recurrent and metastatic adenoid cystic carcinoma

Management of locoregional recurrence (LRR) and distant metastasis (DM) in adenoid cystic carcinoma (ACC) is guided by limited data. We investigated mortality risks in patients diagnosed and treated for recurr...

Authors: Melody J. Xu, Tara J. Wu, Annemieke van Zante, Ivan H. El-Sayed, Alain P. Algazi, William R. Ryan, Patrick K. Ha and Sue S. Yom

Multi-dimensional analysis of oral cavity and oropharyngeal defects following cancer extirpation surgery, a cadaveric study

Defects following resection of tumors in the head and neck region are complex; more detailed and defect-specific reconstruction would likely result in better functional and cosmetic outcomes. The objectives of...

Authors: Sherif Idris, Alex M. Mlynarek, Khalid Ansari, Jeffrey R. Harris, Nabil Rizk, David Cote, Daniel A. O’Connell, Heather Allen, Peter Dziegielewski and Hadi Seikaly

A simple management option for chronically impacted sharp tracheobronchial foreign bodies in children

Distally impacted chronic tracheobronchial sharp foreign bodies in children are a management challenge that presents with clinical subtlety and extreme variability. The use of image guided techniques, imaginat...

Authors: Sherif Idris, Russell A. Murphy, Manisha Witmans and Hamdy El-Hakim

Hemorrhagic stroke after Epley maneuver: a case report

This is the first case to our knowledge of a serious adverse event following the Epley maneuver, which is the treatment of choice for benign paroxysmal positional vertigo (BPPV), the most common vestibular dis...

Authors: Paige Moore, Trung Le, Brian Blakley, Jason Beiko and Eric Meen

Endoscopic management of maxillary sinus inverted papilloma attachment sites to minimize disease recurrence

Inverted papillomas (IPs) are benign neoplasms, most commonly arising from the mucosal lining of the maxillary sinus. IPs can have single or multifocal sites of attachment. Although pedicle location is an impo...

Authors: Vincent Wu, Jennifer Siu, Jonathan Yip and John M. Lee

In-office laryngeal procedures (IOLP) in Canada: current safety practices and procedural care

The advent of chip tip technology combined with advanced endoscopy has revolutionized the field of laryngology in the past decade. Procedures such as transnasal esophagoscopy, site-specific steroid injections,...

Authors: Yael Bensoussan and Jennifer Anderson

Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial

Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer f...

Authors: Uthman Alamoudi, Benjamin Taylor, Colin MacKay, Matthew H. Rigby, Robert Hart, Jonathan R. B. Trites and S. Mark Taylor

Predicting complications of major head and neck oncological surgery: an evaluation of the ACS NSQIP surgical risk calculator

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) universal surgical risk calculator is an online tool intended to improve the informed consent process and surgical dec...

Authors: Peter S. Vosler, Mario Orsini, Danny J. Enepekides and Kevin M. Higgins

Brief electrical stimulation and synkinesis after facial nerve crush injury: 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, Alex Hopkins, Vincent L. Biron, Hadi Seikaly, Lin Fu Zhu and David W. J. Côté

Treatment of early stage Supraglottic squamous cell carcinoma: meta-analysis comparing primary surgery versus primary radiotherapy

For early stage supraglottic squamous cell carcinoma (SCC), single modality treatment either in the form of primary organ preservation surgery alone or radiation alone is recommended. Thus, a definite treatmen...

Authors: Krupal B. Patel, Anthony C. Nichols, Kevin Fung, John Yoo and S. Danielle MacNeil

Systematic review of ototoxic pre-surgical antiseptic preparations – what is the evidence?

There is uncertainty regarding the safety of surgical antiseptic preparations in the ear. A systematic review of the literature was conducted to assess the evidence regarding ototoxicity of surgical antiseptic...

Authors: Shubhi Singh and Brian Blakley

Auditory effects of autologous fat graft for TORP stabilization in the middle ear: a cadaveric study

Total ossicular replacement prostheses (TORP) are often used to re-establish ossicular coupling of sound in an ear lacking a stapes supra-structure. The use of TORPs, however, is associated with a 2/3 five yea...

Authors: Margaret Aron, Thomas G. Landry and Manohar Bance

Bilateral Piriform sinus fistulas: a case study and review of management options

Piriform sinus fistulas occur due to developmental abnormalities of the third and fourth branchial arches, and almost always occur unilaterally. They generally present as recurrent abscesses in the anterior-in...

Authors: Deanna Lammers, Ross Campbell, Jorge Davila and Johnna MacCormick

Reliability and construct validity of the Ottawa valve collapse scale when assessing external nasal valve collapse

Nasal valve collapse is a common cause of nasal obstruction in otolaryngology practice. Common examination methods, such as the Cottle Maneuver and modified Cottle Maneuver are available. However, these method...

Authors: Hedyeh Ziai and James P. Bonaparte

Laryngeal recurrence sites in patients previously treated with transoral laser microsurgery for squamous cell carcinoma

The laryngeal framework provides a natural barrier preventing tumour spread to extralaryngeal structures. Transoral laser microsurgery (TLM) for laryngeal squamous cell carcinoma (SCC) may violate these bounda...

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

Differences in gene expression profile between vocal cord Leukoplakia and normal larynx mucosa by gene chip

Long non-coding RNAs (lncRNAs) play an important role in tumorigenesis. Vocal cord leukoplakia is a precancerous lesion in otolaryngological practice. Till now, the expression patterns and functions of lncRNAs...

Authors: Jianhua Peng, He Li, Jun Chen, Xianming Wu, Tao Jiang and Xiaoyun Chen

Cavernous sinus involvement is not a risk factor for the primary tumor site treatment outcome of Sinonasal adenoid cystic carcinoma

Sinonasal adenoid cystic carcinoma is a rare malignancy of the head and neck. Cavernous sinus invasion from sinonasal adenoid cystic carcinoma and its related management have rarely been investigated. This stu...

Authors: Yi-Chan Lee, Ta-Jen Lee, Ngan-Ming Tsang, Yenlin Huang, Cheng-Lung Hsu, Li-Jen Hsin, Yi-Hsuan Lee and Kai-Ping Chang

Cochlear implants and 1.5 T MRI scans: the effect of diametrically bipolar magnets and screw fixation on pain

The probability that a patient will need an MRI scan at least once in a lifetime is high. However, MRI scanning in cochlear implantees is associated with side effects. Moreover, MRI scan-related artifacts, dis...

Authors: Ingo Todt, Grit Rademacher, Gloria Grupe, Andreas Stratmann, Arne Ernst, Sven Mutze and Philipp Mittmann

Renal protective effect of a hydration supplemented with magnesium in patients receiving cisplatin for head and neck cancer

Our study analyzes the effect of magnesium supplementation on nephrotoxicity in patients receiving cisplatin for head and neck cancer.

Authors: Takahiro Kimura, Taijiro Ozawa, Nobuhiro Hanai, Hitoshi Hirakawa, Hidenori Suzuki, Hiroshi Hosoi and Yasuhisa Hasegawa

Resolution of unilateral sensorineural hearing loss in a pediatric patient with a severe phenotype of Muckle-Wells syndrome treated with Anakinra: a case report and review of the literature

Muckle-Wells syndrome (MWS) is a rare auto-inflammatory disease characterized by the presence of recurrent urticaria, deafness and amyloidosis. Progressive sensorineural hearing loss (SNHL) is reported to occu...

Authors: Cinzia Marchica, Faisal Zawawi, Dania Basodan, Rosie Scuccimarri and Sam J. Daniel

The prevalence of human papillomavirus in pediatric tonsils: a systematic review of the literature

HPV-related head and neck cancer rates have been increasing in recent years, with the tonsils being the most commonly affected site. However, the current rate of HPV infection in the pediatric population remai...

Authors: Monika Wojtera, Josee Paradis, Murad Husein, Anthony C. Nichols, John W. Barrett, Marina I. Salvadori and Julie E. Strychowsky

Intraoperative Brief Electrical Stimulation of the Spinal Accessory Nerve (BEST SPIN) for prevention of shoulder dysfunction after oncologic neck dissection: a double-blinded, randomized controlled trial

Shoulder dysfunction is common after neck dissection for head and neck cancer (HNC). Brief electrical stimulation (BES) is a novel technique that has been shown to enhance neuronal regeneration after nerve inj...

Authors: Brittany Barber, Hadi Seikaly, K. Ming Chan, Rhys Beaudry, Shannon Rychlik, Jaret Olson, Matthew Curran, Peter Dziegielewski, Vincent Biron, Jeffrey Harris, Margaret McNeely and Daniel O’Connell

Does hyperthyroidism worsen prognosis of thyroid carcinoma? A retrospective analysis on 2820 consecutive thyroidectomies

Hyperthyroidism is associated with high incidence of thyroid carcinoma; furthermore, tumors arisen in hyperthyroid tissue show an aggressive behavior. Thyroid Stimulating Hormone (TSH) and Thyroid-stimulating ...

Authors: Fabio Medas, Ernico Erdas, Gian Luigi Canu, Alessandro Longheu, Giuseppe Pisano, Massimiliano Tuveri and Pietro Giorgio Calò

An automated A-value measurement tool for accurate cochlear duct length estimation

There has been renewed interest in the cochlear duct length (CDL) for preoperative cochlear implant electrode selection and postoperative generation of patient-specific frequency maps. The CDL can be estimated...

Authors: John E. Iyaniwura, Mai Elfarnawany, Hanif M. Ladak and Sumit K. Agrawal

Clinical implications of the BRAF mutation in papillary thyroid carcinoma and chronic lymphocytic thyroiditis

The purpose of this study was to examine the possible prognostics and clinicopathologic characteristics underlying the BRAFV600E mutation and papillary thyroid carcinoma (PTC) coexisting or in absence of chron...

Authors: Woon Won Kim, Tae Kwun Ha and Sung Kwon Bae

Management of Persistent Epistaxis Using Floseal Hemostatic Matrix vs. traditional nasal packing: a prospective randomized control trial

Epistaxis is the most common emergent consultation to otolaryngology-head & neck surgery (OHNS) and with 60% of the population having experienced an episode and 1.6 in 10,000 requiring hospitalization in their...

Authors: Scott Murray, Adrian Mendez, Alexander Hopkins, Hamdy El-Hakim, Caroline C. Jeffery and David W. J. Côté

Head and Neck Surgical Oncology Choosing Wisely Campaign: imaging for patients with hoarseness, fine needle aspiration for neck mass, and ultrasound for odynophagia

Choosing Wisely Canada, is a campaign designed to raise awareness regarding inappropriate or unnecessary tests and treatments. The Canadian Society of Otolaryngology - Head & Neck Surgery and the Canadian Asso...

Authors: Antoine Eskander, Eric Monteiro, Dan O’Connell and S. Mark Taylor

Delayed facial nerve decompression for severe refractory cases of Bell’s palsy: a 25-year experience

This study aims to assess the effectiveness of delayed facial nerve decompression for Bell’s palsy (BP).

Authors: Ilyes Berania, Mohamed Awad, Issam Saliba, Jean-Jacques Dufour and Marc-Elie Nader

Improving learning and confidence through small group, structured otoscopy teaching: a prospective interventional study

Otologic diseases are common and associated with significant health care costs. While accurate diagnosis relies on physical exam, existing studies have highlighted a lack of comfort among trainees with regards...

Authors: Peng You, Saad Chahine and Murad Husein

Surgical management of inverted papilloma; a single-center analysis of 247 patients with long follow-up

Our aim was to review our management of inverted papilloma (IP), perform a recurrence analysis, and review the literature.

Authors: Oisín Bugter, Dominiek André Monserez, Floris Vincent Willem Joseph van Zijl, Robert Jan Baatenburg de Jong and Jose Angelito Hardillo

Mannitol and the blood-labyrinth barrier

Characterization of the blood labyrinth barrier (BLB) is extremely important to determine whether the BLB can be manipulated pharmacologically. However, experiments to investigate the BLB are technically diffi...

Authors: Trung N. Le and Brian W. Blakley

Clinical predictors of chronic rhinosinusitis: do the Canadian clinical practice guidelines for acute and chronic rhinosinusitis predict CT-confirmation of disease?

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

The effectiveness of topical colloidal silver in recalcitrant chronic rhinosinusitis: a randomized crossover control trial

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

Noise exposure while commuting in Toronto - a study of personal and public transportation in Toronto

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

Safety of transtympanic application of probiotics in a chinchilla animal model

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

Practices regarding human Papillomavirus counseling and vaccination in head and neck cancer: a Canadian physician questionnaire

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

Subtotal Parathyroidectomy and Relocation of the Parathyroid Remnant for Renal Hyperparathyroidism: modification of a traditional operation

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

Correction to: Functional and quality of life outcomes after partial glossectomy: a multi-institutional longitudinal study of the head and neck research network

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…

Topical propranolol improves epistaxis in patients with hereditary hemorrhagic telangiectasia - a preliminary report

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

Paradigm shift in head and neck oncology patient management

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

Functional and quality of life outcomes after partial glossectomy: a multi-institutional longitudinal study of the head and neck research network

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…

Evolution of gender representation among Canadian OTL-HNS residents: a 27-year analysis

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

Peri-operative factors predisposing to pharyngocutaneous fistula after total laryngectomy: analysis of a large multi-institutional patient cohort

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

Endoscopically-assisted transmastoid approach to the geniculate ganglion and labyrinthine facial nerve

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