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Current Opinion in Otolaryngology & Head and Neck Surgery - Current Table Of Contents
Editorial introductions.
Page: viDOI: 10.1097/MOO.0b013e32831fb47b
Editorial comment.
Page: 497DOI: 10.1097/MOO.0b013e328317797eAuthors: Belafsky, Peter C
The diagnosis and management of globus: a perspective from Japan.
Page: 498DOI: 10.1097/MOO.0b013e328313bb69Authors: Oridate, Nobuhiko a; Nishizawa, Noriko a,b; Fukuda, Satoshi a
Archives of Otolaryngology current issue
ANNOUNCEMENT: Call for Photographs
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THE COVER: Roaring Fork River in spring thaw
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
ORIGINAL ARTICLE: Endolymphatic Sac Surgery for Meniere's Disease: Long-term Results After Primary and Revision Surgery
Wetmore, S. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To analyze the results of primary and revision endolymphatic sac surgery for the treatment of Ménière's disease in patients who failed medical therapy. Design Retrospective medical chart review. Setting Tertiary referral center. Patients Fifty-one adult patients with Ménière's disease who failed medical therapy. Interventions Endolymphatic sac to mastoid shunts were performed. Revision sac procedures were performed in patients who developed clinically significant recurrent vertiginous spells 5 months or longer after their original procedure. Main Outcome Measures Frequency of major vertiginous episodes measured by the standards listed in the 1995 American Academy of Otolaryngology guidelines for evaluation of therapy in Ménière's disease. Results Twenty-four months after primary sac surgery, 27 patients (53%) exhibited class A results (no vertigo), and 12 (24%) exhibited class B results (1%-40% of baseline). In 14 patients undergoing revision sac surgery, 5 (36%) showed class A results and 4 (29%) showed class B results. Patients who failed treatment with sac surgery more than 24 months after their primary procedure obtained better results than those who failed treatment less than 24 months after their initial sac procedure. In the 37 patients who had long-term follow-up (mean duration of follow-up, 88 months) after their last sac procedure, 57% exhibited class A results (21 cases) and 35% exhibited class B results (13 cases). Conclusions Endolymphatic sac surgery provided improvement in major spells of vertigo in 77% of patients at 24 months after surgery. Revision surgery provided improvement in 65% of cases. Results of revision surgery were better in those patients who developed recurrent symptoms more than 24 months after their original procedure compared with those of patients who failed treatment earlier.
ORIGINAL ARTICLE: Time Course of Episodes of Definitive Vertigo in Meniere's Disease
Perez-Garrigues, H., Lopez-Escamez, J. A., Perez, P., Sanz, R., Orts, M., Marco, J., Barona, R., Tapia, M. C., Aran, I., Cenjor, C., Perez, N., Morera, C., Ramirez, R. Mon, 17 Nov 2008 00:00:00 -0000
Objective To evaluate the frequency and duration of episodes of definitive vertigo in Ménière’s disease. Design Prospective longitudinal study. Setting Multiple tertiary referral centers. Patients Five hundred ten individuals from 8 hospitals that met the American Academy of Otolaryngology–Head and Neck Surgery diagnostic criteria for definitive Ménière’s disease. Intervention Conservative treatment. Main Outcome Measure Frequency and duration of episodes of definitive vertigo during follow-up. Results Ménière’s disease affects both sexes and both ears equally, with onset generally in the fourth decade of life. The number of episodes of vertigo is greater in the first few years of the disease. Although episodes of vertigo that last longer than 6 hours are less frequent than shorter episodes, they occur with similar frequency throughout the natural course of the disease. The percentage of patients without episodes of vertigo increases as the disease progresses, and 70% of patients who did not have an episode of vertigo for 1 year will continue to be free of episodes during the following year. Thus, there is a relationship between the frequency of episodes in consecutive years, although this association decreases rapidly as the number of years increases. Conclusion The frequency of definitive episodes of vertigo in Ménière’s disease decreased during follow-up, and many individuals reached a steady-state phase free of vertigo.
ORIGINAL ARTICLE: Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media
Webb, B. D., Chang, C. Y. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations. Design Retrospective controlled study based on a prospective database. Setting Academic tertiary referral center. Patients A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005. Intervention Tympanoplasty without mastoidectomy. Main Outcome Measure Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery. Results The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03). Conclusions The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.
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Editorial introductions.
Page: viDOI: 10.1097/MOO.0b013e32831fb47b
Editorial comment.
Page: 497DOI: 10.1097/MOO.0b013e328317797eAuthors: Belafsky, Peter C
The diagnosis and management of globus: a perspective from Japan.
Page: 498DOI: 10.1097/MOO.0b013e328313bb69Authors: Oridate, Nobuhiko a; Nishizawa, Noriko a,b; Fukuda, Satoshi a
Archives of Otolaryngology current issue
ANNOUNCEMENT: Call for Photographs
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THE COVER: Roaring Fork River in spring thaw
Mon, 17 Nov 2008 00:00:00 -0000
ABOUT THIS JOURNAL: About This Journal
Mon, 17 Nov 2008 00:00:00 -0000
ORIGINAL ARTICLE: Endolymphatic Sac Surgery for Meniere's Disease: Long-term Results After Primary and Revision Surgery
Wetmore, S. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To analyze the results of primary and revision endolymphatic sac surgery for the treatment of Ménière's disease in patients who failed medical therapy. Design Retrospective medical chart review. Setting Tertiary referral center. Patients Fifty-one adult patients with Ménière's disease who failed medical therapy. Interventions Endolymphatic sac to mastoid shunts were performed. Revision sac procedures were performed in patients who developed clinically significant recurrent vertiginous spells 5 months or longer after their original procedure. Main Outcome Measures Frequency of major vertiginous episodes measured by the standards listed in the 1995 American Academy of Otolaryngology guidelines for evaluation of therapy in Ménière's disease. Results Twenty-four months after primary sac surgery, 27 patients (53%) exhibited class A results (no vertigo), and 12 (24%) exhibited class B results (1%-40% of baseline). In 14 patients undergoing revision sac surgery, 5 (36%) showed class A results and 4 (29%) showed class B results. Patients who failed treatment with sac surgery more than 24 months after their primary procedure obtained better results than those who failed treatment less than 24 months after their initial sac procedure. In the 37 patients who had long-term follow-up (mean duration of follow-up, 88 months) after their last sac procedure, 57% exhibited class A results (21 cases) and 35% exhibited class B results (13 cases). Conclusions Endolymphatic sac surgery provided improvement in major spells of vertigo in 77% of patients at 24 months after surgery. Revision surgery provided improvement in 65% of cases. Results of revision surgery were better in those patients who developed recurrent symptoms more than 24 months after their original procedure compared with those of patients who failed treatment earlier.
ORIGINAL ARTICLE: Time Course of Episodes of Definitive Vertigo in Meniere's Disease
Perez-Garrigues, H., Lopez-Escamez, J. A., Perez, P., Sanz, R., Orts, M., Marco, J., Barona, R., Tapia, M. C., Aran, I., Cenjor, C., Perez, N., Morera, C., Ramirez, R. Mon, 17 Nov 2008 00:00:00 -0000
Objective To evaluate the frequency and duration of episodes of definitive vertigo in Ménière’s disease. Design Prospective longitudinal study. Setting Multiple tertiary referral centers. Patients Five hundred ten individuals from 8 hospitals that met the American Academy of Otolaryngology–Head and Neck Surgery diagnostic criteria for definitive Ménière’s disease. Intervention Conservative treatment. Main Outcome Measure Frequency and duration of episodes of definitive vertigo during follow-up. Results Ménière’s disease affects both sexes and both ears equally, with onset generally in the fourth decade of life. The number of episodes of vertigo is greater in the first few years of the disease. Although episodes of vertigo that last longer than 6 hours are less frequent than shorter episodes, they occur with similar frequency throughout the natural course of the disease. The percentage of patients without episodes of vertigo increases as the disease progresses, and 70% of patients who did not have an episode of vertigo for 1 year will continue to be free of episodes during the following year. Thus, there is a relationship between the frequency of episodes in consecutive years, although this association decreases rapidly as the number of years increases. Conclusion The frequency of definitive episodes of vertigo in Ménière’s disease decreased during follow-up, and many individuals reached a steady-state phase free of vertigo.
ORIGINAL ARTICLE: Efficacy of Tympanoplasty Without Mastoidectomy for Chronic Suppurative Otitis Media
Webb, B. D., Chang, C. Y. J. Mon, 17 Nov 2008 00:00:00 -0000
Objective To compare the efficacy of tympanoplasty without mastoidectomy in patients with chronic suppurative otitis media (CSOM) vs efficacy in those with dry tympanic membrane (TM) perforations. Design Retrospective controlled study based on a prospective database. Setting Academic tertiary referral center. Patients A total of 150 consecutive patients without cholesteatoma with CSOM or dry perforations alone who underwent tympanoplasty without mastoidectomy from January 2000 through December 2005. Intervention Tympanoplasty without mastoidectomy. Main Outcome Measure Perforation recurrence. Independent variables were age, surgical approach, perforation size, and revision surgery. Results The TM graft failure rate was not significantly worse in the CSOM group compared with the dry perforation group (P = .48). The independent variables studied were not statistically related to the success of tympanoplasty except that revision surgery was associated with a slightly reduced success rate (P = .03). Conclusions The success rate of tympanoplasty without mastoidectomy is at least as good for patients with CSOM as it is for patients with perforation without prior otorrhea. Age (P = .28), perforation size (P = .11), and surgical approach (P = .82) were not significantly related to success rate. Revision surgery was associated with a slightly lower success rate.
Sites:
Hearing Center: ENT Clinics Minnesota - The Ear Nose and Throat Clinic & Hearing Center in Edina Minnesota - ENT Care, Audiologists, Hearing Aids, OtolaryngologyKallman Inc.: Specializing in pediatric and adult otolaryngology and facial plastic and reconstructive surgery.
Mashburn, M.D: At Drs. Weiss and Dr. Mashburn we provide complete high quality treatment of a wide spectrum of diseases of the ear, nose, and throat to our patients.
Throat: Ear, Nose & Throat, Sutter Medical Group
Throat Medical Associates, PA: Located in Hackettstown, New Jersey. Dr. Victor G. Gentile's medical practice specializes in otolaryngology.
Affiliated Ear, Nose and Throat of Orange County: Located in Fullerton and Orange, California. Information on the practice of Dr. Norman J. Harris, specialty of Otolaryngology and Head and Neck Surgery.
Arnaldo Garro, M.D.: Located in Clinton, Maryland. Provides medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Arthur Rosenblatt, M.D., F.A.C.S.: Located in New Bedford and Swansea, Massachusetts. Includes information about the medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Associates in Otolaryngology: Associates in Otolaryngology - Head & Neck Surgery and Cosmetic Surgery
Associates in Otolaryngology PA, of NJ: Associates in Otolaryngology of NJ, P.A.
Atlanta Ear, Nose and Throat Associates, PC: Atlanta Ear, Nose and Throat Associates is the premiereear, nose and throat practice in the SouthEast with locations throughout the Atlanta metro area. Service offerings include diagnostics and treatment for sleep apnea, chronic sinusitis, allergies, reconstructive and cosmetic facial plastic sur...
Atlanta Institute for ENT and Facial Aesthetic Surgery: Board Certified Otolaryngology (ENT) specialist in Atlanta, Georgia offers information and education on diseases of the ear nose and throat and related structures of the head and neck
Barry J. Feinberg, MD: Dr. Barry J. Feinberg and the Los Angeles Facial Plastic Surgery Center have been serving the needs of the patients in the greater Los Angeles area of Southern California since 1976. The office is located at 5400 Balboa Blvd., Suite 222 in Encino, California. Some of the many types of services of...
Boone Regional Ear, Nose and Throat Associates, LLC.: Located in North Carolina, specializing in sinus, hearing and allergy.
Broker and Cramer: Dr. Brian Broker, Dr. Laurence Cramer and Dr. Paul Swanson are Board Certified Physicians of adult and pediatric care. They specialize in Ear, Nose and Throat, Facial Plastic Surgery, Sinus Surgery, Allergy, Hearing Aids and Audiology Services. Broker and Cramer, ENT has offices in Phoenixville a...
Carolina Ear Nose and Throat Associates: Serving Gastonia and Shelby NC North carolina, we provide complete care for patients with ear, nose and throat disorders. We also offer cosmetic facial procedures, audiology services and treatment for snoring.
Carolina Ear, Nose and Throat, Head and Neck Surgery Center: Located in Hickory, North Carolina. Details on the practice, patient information and education resources and related links.
Coastal ENT: Located in New Bern, North Carolina. Offers treatment and surgery including relief from snoring.
Contra Costa Ear Nose and Throat: Ear Nose Throat. A group of highly specialized doctors offer comprehensive ear nose throat and facial plastics services.
Dennis M. Moore, MD: Dr. Moore and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with Ears and Hearing disorders and diseases.
Dr. Hazenfield: Dr. Hazenfield in Hawaii. Snoring, sleep apnea, sinus, professional voice, hearing loss, cancer, pediatric, and diving problems.
Dr. Marc Kayem: Located in Beverly Hills, California. Practice specializing in the various conditions and solutions for nose and throat problems, including snoring.
Dr. Stefan Kieserman: Dr. Stefan Kieserman and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Dr.G.K.Hebbar's Micro-Ear Surgery and ENT Endoscopy Centre: OFFERING STATE-OF-THE-ART MICRO EAR SURGERY AND ADVANCED SINUS SURGERY
Drs. Hauck and Bianchi PA: At Drs. Hauck, Bianchi and Driscoll PA we provide all aspects of the care encompassed by the specialty of Otolaryngology - Head and Neck Surgery, Facial Plastic, and Reconstructive Surgery, Otology, diseases of the oral cavity, nose, and paranasal sinuses, and snoring and sleep apnea. We also ...
Drs. Waguespack and Levine: Doctor Waguespack and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Ear Medical Group: Ear Medical Group of San Antonio, Texas offers hearing healthcare for all your hearing and hearing aids needs including hearing loss, dizziness, ear infections, and hearing related surgery.
Ear, Nose and Throat Associates of Savannah: Located in Savannah, Georgia. Specializing in sinus, ear and allergy treatments.
Ear, Nose and Throat Associates, P.C.: ENT specialty services provide care for our patients in specific areas such as balance, voice, sleep, sinus & allergy, hearing disorders and facial plastic surgery.
ENT Head and Neck Specialists: At Ear, Nose & Throat, Head and Neck Specialists, PC, our board certified otolaryngologists have been trained in medical and surgical skills to treat these areas of the head and neck. Skin and Face. including cancer, and limited cosmetic surgery. Nose, including allergy, sinus infection, breathin...
ENT of Georgia: The staff of ENT of Georgia is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
ENT Physicians and Surgeons, P.A.: The staff of ENT Physicians & Surgeons, P.A. is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
ENT Specialists of Abilene: ENT Specialists of Abilene - Ear, Nose, Throat, Otolaryngology, Head and Neck Surgery, Allergy, and Audiology
Fox Valley Ear, Nose and Throat Specialists: Ear, Nose and Throat Specialists of Wisconsin - Medical and Audiology Services - Specialized Care Just Makes Sense
Hudson Valley Otolaryngology: The staff of Hudson Valley Otolaryngology is uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Intermountain Otolaryngology: Drs. Mark Loury and Steve Schaffer at Intermountian Otolaryngology provide compassionate, state-of-the-art care for all Ear, Nose and Throat disorders. We are the only practice offering INJECTION SNOREPLASTY and COBLATION TONSILLECTOMY in northern Colorado. These are new, much less painful treatm...
Louisville ENT Associates: Located in Louisville, KY. Group of three physicians specializing in ear, nose, and throat disorders.
North Shore ENT Associates: Medical and surgical treatments for patients with ear, nose and throat and snoring disorders and disease. Three locations in Massachusetts.
Northeast Arkansas Ear Nose and Throat Surgical Associates: Harrison, Arkansas practice providing information and patient educational resources.
Northern Lights Ear Nose and Throat: Dr. Hnatuk and staff deliver medical and surgical treatments for patients with ear, nose and throat disorders and disease.
Northwestern Nasal and Sinus Associates: Northwestern Nasal + Sinus Associates is dedicated to diagnosing and treating the nasal, sinus, allergy and snoring disorders that can make your everyday life more difficult. Whether you suffer from allergies, sinus troubles, breathing difficulties, chronic snoring or problems with the function o...
Old Westport Medical Association, Inc.: Focusing on ear and throat problems.
Oregon Sinus Center: The Oregon Sinus Center at Oregon Health & Science University is a comprehensive nasal and sinus care center directed by Dr. Timothy L. Smith.
Otolaryngology and Communication Sciences: Today, the Department of Otolaryngology and Communication Sciences is a vibrant clinical, research, and teaching organization.
Otolaryngology Houston: Dr. Ghorayeb specializes in otolaryngology head and neck surgery. Diseases and surgery of the ear nose and throat, Houston, Texas. Laser surgery for snoring. Endoscopic sinus surgery. Vertigo, balance and equilibrium disorders. Audiology and hearing aids. Patient education links. Informed consen...
Paul E. Hammerschlag, M.D.: Paul E. Hammerschlag, M.D. brings to his otology practice a technical and personal understanding of hearing loss and of the educational and social problems associated with disability. He serves on the Board of Directors of the League for the Hard of Hearing. He is a graduate of the Albert Einstei...
Roanoke Ear, Nose and Throat Clinic: Providing medical and surgical treatments for patients with ear, nose and throat disorders and disease. (Roanoke, Virginia)
Seattle Ear Clinic: Description of surgical options and pros and cons. Information on hearing preservation, anatomy of tumor and links to patient support groups.
Southdale Otolaryngology: Southdale Otolaryngology is a three physician practice in Minnesota specializing in the treatment of diseases of the ear, nose, and throat. Our Audiology department consists of two clinical audiologists, each trained in the identification and rehabilitation of hearing loss. With offices in Edin...
Southern Otologic Clinic - Dr. William H. Moretz, Jr.: The staff of Southern Otologic Clinic are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear disorders and disease., The staff of Southern Otologic Clinic are uniquely qualified to deliver the most current and state-of-the-art...
Tampa Ear Nose and Throat Associates: We are a group of Board Certified Otolaryngologists with two of our doctors also Board Certified Facial Plastic and Reconstructive Surgeons of the head and neck.
The Center for Surgery of the Head and Neck: Welcome to the Center for Surgery of the Head and Neck and the Voice Center of Rochester with John U. Coniglio, MD, FACS - Clinical Associate Professor of Surgery at the University of Rochester in New York. We provide extensive medical as well as surgical experience in the management of a wide ra...
The London Laser Clinic: Located in London. Laser surgery for ear, nose, throat, head and neck, and skin conditions. Treats snoring, tonsillitis, blocked nose, catarrh, moles, facial lines, and cancers.
The Sleep Surgery Centre: Is snoring a problem for you? The Sleep Surgery Centre provides a full range of snoring remedies and sleep apnea treatments for a permanent solution. Snoring or sleep apnea can affect more than your sleep, it can seriously affect your quality of life. Don't let snoring take over your life. ...
Town and Country Head and Neck Surgery: Located in St. Louis, Missouri. Dr. James Boyd is a board-certified Otolaryngologist provides information about his practice and services, hospital affiliations, questions, links and patient information.
Voice Care Associates: Voice Care Associates ... We put voices back to work
Washington ENT Group: Washington ENT Group, a premiere Ear, Nose and Throat practice located in Washington, DC, provides diagnosis, medical and surgical treatment of patients with ENT and allergy-related problems.
West Michigan ENT, PC: Located in Muskegon and Ludington, Dr. Komray and his staff specialize in ear, nose and throat disorders and diseases.
Westmoreland Head and Neck Surgery: Offering a range of otorhinolaryngology and facial plastic surgeries in Pennsylvania.
William Cohen, D.O.: Dr. William Cohen provides complete high quality cosmetic procedures to his patients.
William M. Portnoy, M.D.: William M. Portnoy, M.D., F.A.C.S. and his staff are uniquely qualified to deliver the most current and state-of-the-art medical and surgical treatments for patients with ear, nose and throat disorders and disease.
William Sheppard, M.D.: Located in Wilmington, Delaware. The site supplies information regarding the board certified ENT specialist's practice and services, including allergy testing and hearing aids.
This directory is based on the Open Directory and may have been modified
