A Comparison between Mygind and Kaiteki positions in administration of drops to the olfactory cleft

xlomafota13 shared this article with you from Inoreader Message: https://media.springernature.com/lw685/springer-static/image/art%3A10.1007%2Fs00405-015-3701-y/MediaObjects/405_2015_3701_Fig1_HTML.jpg https://authorea.com/users/344181/articles/470848-a-comparison-between-mygind-and-kaiteki-positions-in-administration-of-drops-to-the-olfactory-cleft/master/file/figures/Figure%201%20july/Figure%201%20july.png?1606681897 A Comparison between Mygind and Kaiteki positions in administration of drops to the olfactory cleft Dafna G. Milk Grace C. Khong Osman H. Çam Fernando Alfaro‐Iraheta Claire Tierney Firas Kassem Samuel C. Leong First published: 16 December 2020 https://doi.org/10.1111/coa.13690 The study was performed at the Human Anatomy Resource Center, University of Liverpool, UK Read the full text PDFPDFTOOLS SHARE Abstract Objectives Topical nasal steroids are a common treatment intervention for olfactory dysfunction. Penetration of topical treatment to the olfactory cleft (OC), such as nasal drops, is greatly dependent on the position of the head when the treatment is administered. We aimed to examine the penetrance of nasal drops to the OC in two different head positions: the Mygind (lying head back) position and the Kaiteki position. Design and Setting The specimens were firstly positioned in Mygind, and thereafter in Kaiteki positions. Nasal drops mixed with blue food dye were administered into the nostrils in each of the head position. Endoscopic videos were recorded, and two blinded observers scored the extent of olfactory cleft penetration (OCP) using a 4‐point scale (0 = none, 3 = heavy). Participants Twelve fresh‐frozen cadaver specimens. Main outcome measures Penetration of the dye into the OC. Results The mean score of nasal drops penetrance to the OC in the Mygind position was 1.34 (standard deviation, SD = 0.92), as compared to 1.76 (SD = 0.65) in the Kaiteki position. The difference in the OCP score between the two groups was not statistically significant (P > .05). Conclusion Both Mygind and Kaiteki head positions are reasonable options for patients considering topical nasal drops for olfaction impairment. The preference of one position over the other should be determined by patient's preference and comfort. Open Research Volume46, Issue2 March 2021 Pages 406-411 Related Information Metrics Article has an altmetric score of 2 Details © 2021 John Wiley & Sons Ltd Keywords anosmia nasal drops olfaction olfactory cleft Publication History Issue Online: 23 February 2021 Version of Record online: 03 January 2021 Accepted manuscript online: 16 December 2020 Manuscript accepted: 29 November 2020 Manuscript revised: 07 November 2020 Manuscript received: 18 July 2020 Download PDF Back Additional links About Wiley Online Library Privacy Policy Terms of Use Cookies Accessibility Help & Support Contact Us Opportunities Subscription Agents Advertisers & Corporate Partners Connect with Wiley The Wiley Network Wiley Press Room Copyright © 1999-2021 John Wiley & Sons, Inc. All rights reservedWiley Home Page Rhinology Published: 04 July 2015 The administration of nasal drops in the "Kaiteki" position allows for delivery of the drug to the olfactory cleft: a pilot study in healthy subjects Eri Mori, Christos Merkonidis, Mandy Cuevas, Volker Gudziol, Yoshinori Matsuwaki & Thomas Hummel European Archives of Oto-Rhino-Laryngology volume 273, pages939–943(2016)Cite this article 544 Accesses 10 Citations 1 Altmetric Metricsdetails Abstract Systemic treatment with corticosteroids shows therapeutic effects, few patients benefit from intranasal topical drug application, probably due to limited access of the drug to the olfactory epithelium. The aim of the present study was to investigate how drops distribute within the nasal cavity when the "Kaiteki" position is performed. Thirteen healthy volunteers participated. Subjects were lying on the side with the head tilted and the chin turned upward. Blue liquid was used to visualize the intranasal distribution of the nasal drops. The investigation was carried out using photo documentation thorough nasal endoscopy; the intranasal distribution of the dye was judged by two independent observers in both a decongested state and a natural state where no decongestants had been used. With regard to the main criterion of this study, using the "Kaiteki" position, nasal drops reached the olfactory cleft in 96 % of the decongested cases and 75 % of the cases who had not been decong ested. However, this difference was not statistically different. Because the "Kaiteki" maneuver is not too difficult to perform, it is more likely that topical steroids can be helpful in cases of olfactory loss. This is a preview of subscription content, access via your institution. References 1. Landis BN, Konnerth CG, Hummel T (2004) A study on the frequency of olfactory dysfunction. Laryngoscope 114:1764–1769 CAS Article PubMed Google Scholar 2. 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Wolfensberger M, Hummel T (2002) Anti-inflammatory and surgical therapy of olfactory disorders related to sino-nasal disease. Chem Senses 27:617–622 Article PubMed Google Scholar 17. Pade J, Hummel T (2008) Olfactory function following nasal surgery. Laryngoscope 118:1260–1264 Article PubMed Google Scholar 18. Vandenhende-Szymanski C, Hochet B, Chevalier D, Mortuaire G (2015) Olfactory cleft opacity and CT score are predictive factors of smell recovery after surgery in nasal polyposis. Rhinology 53:29–34 CAS PubMed Google Scholar A Comparison between Mygind and Kaiteki positions in administration of drops to the olfactory cleft Via Latest Issue of Clinical Otolaryngology RSS Feed View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Prognostic value of the neutrophil‐to‐lymphocyte ratio, platelet‐to‐lymphocyte ratio and systemic immune‐inflammation index in patients with laryngeal squamous cell carcinoma

xlomafota13 shared this article with you from Inoreader Prognostic value of the neutrophil‐to‐lymphocyte ratio, platelet‐to‐lymphocyte ratio and systemic immune‐inflammation index in patients with laryngeal squamous cell carcinoma Via Latest Issue of Clinical Otolaryngology RSS Feed View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Association between sex and survival in patients with head and neck spindle cell carcinoma

xlomafota13 shared this article with you from Inoreader Association between sex and survival in patients with head and neck spindle cell carcinoma Via Head & Neck Abstract Background Head and neck spindle cell carcinoma (HNSpCC) is a rare histological variant associated with worse outcomes. Our objective was to identify clinicopathological factors associated with survival in patients with HNSpCC compared to patients with conventional head and neck squamous cell carcinoma (HNSCC). Methods Using clinical data from the Surveillance, Epidemiology, and End Results database, we performed a survival analysis in patients with HNSpCC or HNSCC between 2004 and 2016. Results A total of 458 HNSpCC and 77 104 HNSCC were identified, including 17% and 16% female, respectively. Five‐year disease‐specific survival (DSS) was 63.90% and 73.90% in patients with HNSpCC and HNSCC, respectively. Sex (hazard ratio [HR] for females = 2.816; CI: 1.139–6.965; p = 0.025) was significantly associated with DSS in HNSpCC while no association was observed between sex and DSS in HNSCC. Conclusion HNSpCC in women is a specific subgroup of HNSCC, which is associated with a poor prognosis. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Tension pneumocephalus following an implant removal from spine

xlomafota13 shared this article with you from Inoreader Tension pneumocephalus following an implant removal from spine Via leak of cerebrospinal fluid BMJ Case Rep. 2021 Feb 24;14(2):e239694. doi: 10.1136/bcr-2020-239694. ABSTRACT Pneumocephalus is commonly seen after skull and maxillofacial fractures. It can also occur following cerebrospinal fluid leak after skull base surgery and epidural catheter placement. We report a rare case report of a 20-year-old man who developed tension pneumocephalus following implant removal from the spine. He responded well to the conservative treatment without any neurological complications. PMID:33627348 | DOI:10.1136/bcr-2020-239694 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Aggressive Differentiated Thyroid Cancer due to EML4e13-ALKe20 Fusion: A Case Presentation and Review of the Literature

xlomafota13 shared this article with you from Inoreader Aggressive Differentiated Thyroid Cancer due to EML4e13-ALKe20 Fusion: A Case Presentation and Review of the Literature Via radioactive iodine Case Rep Endocrinol. 2021 Feb 15;2021:8837399. doi: 10.1155/2021/8837399. eCollection 2021. ABSTRACT BACKGROUND: Differentiated thyroid cancer (DTC) is an indolent malignancy. It rarely presents with aggressive local invasion and/or distant metastatic disease. Patient findings. We describe a case of a 30-year-old man with a locally aggressive form of papillary thyroid cancer with EML4e13-ALKe20 fusion (EML4: echinoderm microtubule-associated protein-like 4; ALK: anaplastic lymphoma kinase). He presented with right-side cervical lymphadenopathy with a highly suspicious right-side thyroid nodule. Total thyroidectomy and level IV lymph node resection showed extensive bilateral disease, with extrathyroidal and extranodal extension. FDG-PET CT scan following surgery confirmed the presence of significant residual disease in the neck area. He underwent bilateral lateral lymph node dissection followed by radioactive iodine treatment. Somatic mutation testing showed EML4e13-ALKe20 fusion. Summary. This case represents an aggressive form of DTC with EML4e13-ALKe20 fusion. The rapid progression of clinical signs and symptoms and the local extension beyond the thyroid and lymph nodes with the persistence of high-volume local disease after thyroidectomy highlight the aggressive nature of this mutation and the importance of performing genetic analysis to guide future treatments and determine prognosis. CONCLUSION: This case highlights the importance of using molecular diagnostics in patient care, especially if the presentation is unusual for DTC. A thorough evaluation of the tumor pathology and the somatic mutational profile analysis are important for obtaining vital therapeutic and prognostic guidance. PMID:33628533 | PMC:PMC7899757 | DOI:1 0.1155/2021/8837399 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Long-term course after inpatient speech therapy: educational and language development of children with severe specific language impairment (SLI)

xlomafota13 shared this article with you from Inoreader Long-term course after inpatient speech therapy: educational and language development of children with severe specific language impairment (SLI) Via hno HNO. 2021 Feb 24. doi: 10.1007/s00106-021-01005-4. Online ahead of print. ABSTRACT BACKGROUND: Studies from primarily English-speaking countries have shown that specific language impairments can lead to disadvantages in educational and professional development. Corresponding studies for Germany have not been published. This study surveys the educational and language outcomes of adolescents and young adults who were treated in an inpatient setting during childhood. MATE RIALS AND METHODS: A total of 193 young adults who had received inpatient treatment between 1998 and 2005 at the Department of Communication Disorders of the Department of Otorhinolaryngology, Head, and Neck Surgery (ENT) of the Mainz University Medical Center were assessed. The cohort was contacted by telephone and interviewed about aspects of their educational and language development using a specially developed questionnaire. It was possible to include 70 participants in the study. RESULTS: Almost half (48.6%; n = 34) of the participants had attended a regular elementary school and 50% (n = 35) attended a special school with a focus on speech-language development (others: 1.4%, n = 1). Regarding school-leaving qualifications, 31.5% (n = 22) finished school with an Abitur/Fachabitur (high-school-level certificate), 33% (n = 23) with a Realschulabschluss (secondary school certificate), 30% (n = 21) with a Hauptschulabschluss (lower secondary certificate), and 4% (n = 3) with a special school certificate. Only one participant left school without a qualification. Of the interviewed participants, 71% (n = 50) do not feel any speech language limitations anymore. CONCLUSION: The results indicate a positive educational and language development of children with SLI after inpatient treatment in Germany. Over 90% of the participants finished school with a regular certification and most of them do not feel any speech and language limitations anymore. PMID:33629146 | DOI:10.1007/s00106-021-01005-4 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

X-shaped lateral neck lump on swallowing

xlomafota13 shared this article with you from Inoreader A Systematic Review of the Omohyoid Muscle Syndrome (OMS): Clinical Presentation, Diagnosis, and Treatment Options Via otol rhinol Ann Otol Rhinol Laryngol. 2021 Feb 25:3489421995037. doi: 10.1177/0003489421995037. Online ahead of print. ABSTRACT OBJECTIVE: Omohyoid muscle syndrome (OMS) is a condition that causes a X-shaped lateral neck lump on swallowing, caused by the failure of the central tendon of the omohyoid muscle to restrict movement of the muscle during swallowing. We aim to review the etiology, pathophysiology, diagnostic tests, and management options for this condition. DATA SOURCES: Pubmed, MEDLINE, EMBASE, and Cochrane databases were searched for all articles and abstracts related to OMS up to 29th July 2020. REVIEW METHODS: A systematic review was performed, data extracted from relevant full text articles. Both quantitative data and qualitative data were analyzed. RESULTS: Twenty cases of OMS were reported. Patients presented at a mean age of 36.0. All cases were Asian. There is a 7:3 ratio of males to females. The most common symptom was a transient neck mass. Most cases were managed conservatively with good prognosis. Open or endoscopic transection of the muscle and ultrasound-guided botulinum toxin injection were 3 treatment options, with no recurrence at 4 years, 6 months, and 6 months respectively. CONCLUSION: OMS could be genetic as all cases were Asian in ethnicity. The deep cervical fascia which usually envelopes the omohyoid muscle may be weakened by stress as 20% of cases had a preceding traumatic event. Real-time ultrasonography e stablishes the diagnosis, demonstrating the anterolateral displacement of the sternocleidomastoid muscle by a thickened omohyoid muscle during swallowing. Surgical transection can achieve cure, but due to limited studies available, they should be reserved for patients who are extremely bothered. Intramuscular injection of botulinum toxin is an effective alternative, but recurrence is expected. PMID:33626894 | DOI:10.1177/0003489421995037 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.