Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · May 2012
Treatment strategies for lateral sphenoid sinus recess cerebrospinal fluid leaks.
To highlight concepts critical to achieving successful repair and avoiding intracranial complications in the treatment of cerebrospinal fluid (CSF) leaks from the lateral recess of the sphenoid sinus (LRS). ⋯ The current study demonstrated a 92% success rate using the endoscopic transpterygoid approach for LRS skull base defects providing support for routine use in the treatment algorithm. Poor outcomes were observed with previous surgical attempts to obstruct the LRS without repairing the skull base defect.
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Arch. Otolaryngol. Head Neck Surg. · Apr 2012
Pulse transit time and assessment of childhood sleep disordered breathing.
To compare nocturnal polysomnography (PSG) with pulse transit time (PTT) recordings and structured clinical assessments and assess the reliability of these methods as a surrogate for the apnea-hypopnea index (AHI; calculated as the number of apneas/hypopneas per hour of total sleep time) and to test the associations between the clinical assessments and sleep disordered breathing (SDB). ⋯ Pulse transit time shows promise as a screening test for SDB associated with an AHI greater than 3. For less severe SDB, the validity of using the PTT to separate these conditions from primary snoring has not been demonstrated in a clinical setting.
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Arch. Otolaryngol. Head Neck Surg. · Apr 2012
Outcomes of paramedian forehead and nasolabial interpolation flaps in nasal reconstruction.
To determine the factors contributing to failure of interpolation flaps in nasal reconstruction. ⋯ The overall success rate of interpolation flaps in nasal reconstruction was 94.4%. Defect thickness, use of a cartilage graft, type of flap used, and presence of comorbidities did not affect outcome. Although the comparison was not statistically significant (P = .21), flap failures were more commonly observed in smokers.
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Arch. Otolaryngol. Head Neck Surg. · Apr 2012
Long-term voice outcomes after thyroplasty for unilateral vocal fold paralysis.
To investigate the long-term clinical efficacy and stability of thyroplasty type I for unilateral vocal cord palsy, and to identify the appropriate timing of posttreatment evaluations for determination of long-term voice outcome. Study ⋯ Thyroplasty type I may provide evidence that voice outcome progressively evolves during the first years after the surgical procedure, and that subsequent vocal improvement presented long-lasting stabilization. To assess the long-term voice quality, it may be enough to perform the voice evaluation at 1 year after the procedure.