How does reflux affect laryngeal tissue quality? Background: Laryngopharyngeal reflux has deleterious effects on the larynx. Due to the poor intrinsic protective mechanisms in this tissue, damage occurs at a higher […]
A Patient with Right-Sided Odynophagia
A 33-year-old white male presented with a one-year history of right-sided odynophagia. Symptoms were constant and exacerbated by swallowing. He had a history of cryptic tonsils but had not undergone tonsillectomy; his past medical history was otherwise unremarkable. There was tenderness to palpation over the right tonsil with exacerbation of symptoms. No head and neck masses were appreciated. A CT scan was obtained.
Nasopharyngeal Trumpet Serves as Direct Conduit in Fiberoptic Intubation
Is there a simple approach to facilitating fiberoptic intubation in the difficult airway? Background: Although fiberoptic intubation is one of the more successful and frequently utilized methods to access the difficult […]
Large Study IDs Risk Factors for Hemorrhage After Tonsillectomy
What are the main risk factors associated with postoperative hemorrhage following tonsillectomy? Background: The most serious risk associated with tonsillectomy is postoperative hemorrhage, with previous reports linking it to operative technique. […]
Nasal Endoscopes May Cause Thermal Injury
What are the temperature variations of nasal endoscopes, and do older scopes reach higher temperatures? Background: Although advances in endoscopic technology have improved illumination and light transmission, there may be […]
High-Resolution CT and Diffusion-Weighted MRI Combo Improves Pediatric Cholesteatoma Detection
Does the technique of fusing MRI images with high-resolution CT images improve the efficiency of detecting recurrent cholesteatoma in children, in particular for small cholesteatomas? Background: Radiographic documentation of small recurrent […]
Laryngeal EMG Is Best Technique to Differentiate Arytenoid Dislocation from Unilateral Vocal Fold Paralysis
What are the incidence, diagnosis, laryngeal findings and management of arytenoid dislocation as a separate entity from vocal fold paralysis? Background: A rare clinical entity, arytenoid dislocation commonly presents with hoarseness, […]
Link Between Mortality and Post-Surgery Complications Unclear
Is there a correlation between rates of complications after inpatient surgery and mortality? Background: Hospital mortality associated with inpatient surgery varies widely. Hospitals, regulatory agencies and payers have focused on reducing […]
Purpura Formation a Poor Clinical Endpoint for Laser Treatment
How effective are subjective clinical endpoints in determining the effectiveness of laser therapy in the treatment of capillary malformations, also commonly referred to as port wine stains (PWS)? Background: PWS arise […]
Disposable Sterile Sheaths Effective Against Cross-Contamination
What is the efficacy of sterile sheath use to prevent cross-contamination when using a fiberoptic nasopharyngolaryngoscope (FNPL) in an otolaryngology clinic? Background: After each use of FNPL, the endoscope must be […]
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