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In a recent issue of The Journal of Allergy and Clinical Immunology, Ozturk et al assessed for the first time the effectiveness of oral methylprednisolone (MP) as an adjunct to antibiotics in the treatment of 48 children and adolescents with CRS without nasal polyposis in a double-blind placebo controlled study. Short-term oral MP seems to provide added benefit to treatment with antibiotics for children with CRS.
American Academy of Allergy, Asthma and Immunology (Otorinolaringoiatria) - Mar, 7 Giugno 2011
http://www.aaaai.org
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Swimmer's ear leads to about 2.4 million doctor visits each year and is responsible for nearly $500 million dollars in annual health care costs, according to estimates released by CDC on Thursday. The report, published in CDC's MMWR, is the first national study to estimate healthcare costs associated with this common ailment. Swimmer's ear can develop when water stays in the ear canal for a long time, allowing germs to grow and infect the skin.
Centers for Disease Control and Prevention (CDC) (Otorinolaringoiatria) - Mar, 24 Maggio 2011
http://www.cdc.gov/
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Through some trials, a relation between the presence of Staphylococci in nasal cavities and an increase in post-operative local infections, representing a severe risk above all in orthopedic interventions with the insertion of prosthesis and orthesis, has been hypothesized. In order to avoid this risk, some orthopedic surgeons perform a sterilization of nasal cavities before intervention. A recent trial, however, puts under discussion the usefulness of this procedure. In France, a prospective trial has been performed in 17 orthopedic centers on 3908 patients undergoing surgeries during the period 2003-2007: nasal samples and cultures have been taken from all patients at hospitalization, with a finding of Staphylococcus aureus in 790 subjects (20%).
MedNews (Otorinolaringoiatria) - Mar, 3 Maggio 2011
http://mn.medsurfnews.com/
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Dysphagia is associated with numerous medical conditions and the major intervention to avoid aspiration in people with dysphagia involves modifying the diet to thickened fluids. This is associated with issues related to patient quality of life and in many cases non-compliance leading to dehydration. Given these concerns and in the absence of conclusive scientific evidence, a study further investigates the effects of oral intake of
water in people with dysphagia. Findings indicate a significantly increased risk in the development of lung complications in patients given access to water (6/42; 14.3%) compared to the control group (0/34; no cases) and results show and increased total fluid intake in the patients allowed access to water. The quality of life surveys, albeit from a limited number of patients (4% of patients), suggest the dissatisfaction of patients to diets composed of only thickened fluids. On the basis of these findings authors recommend that acute patients, patients with severe neurological dysfunction and immobility, should be strongly encouraged to adhere to a thickened fluid or modified solid consistency diet.
BioMed Central (Otorinolaringoiatria) - Mar, 1 Marzo 2011
http://www.biomedcentral.com
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It has been well established that a crisis exists in the biomedical research enterprise of clinical surgery departments: the extinction of the surgeon-scientist. A number of factors, including dwindling research funding, decreasing reimbursement from insurance providers, shrinking salaries for researchers, waning interest in academia among graduating residents, and financial pressures on departments for greater clinical productivity, have contributed to this phenomenon in recent years.
Archives of Otolaryngology-Head & Neck Surgery (Otorinolaringoiatria) - Gio, 17 Dicembre 2009
http://archotol.ama-assn.org/
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The presidential year is a time for reflection on our purpose as an organization and consideration of where we should place our efforts for the future. People are telic, they exist for a purpose and spend a great deal of time and energy finding that purpose and pursuing it. As a society of health care providers engaged in caring for people with the devastating effects of cancer of the mouth, throat, neck, and skull base, we share many personal purposes. This results in common goals that the American Head and Neck Society (AHNS) should attempt to reach together as an organization. The amount of time and energy each of us dedicates to AHNS will be directly related to how much commonality we feel in these shared purposes, how passionate we are to pursue them, and how well the Society functions in addressing them.
Archives of Otolaryngology-Head & Neck Surgery (Otorinolaringoiatria) - Ven, 27 Novembre 2009
http://archotol.ama-assn.org/
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It has been affirmed since a long time that the best therapeutical choice in case of acute otitis media (AOM) in children is represented by watchful waiting, but now someone has wondered whether this choice can imply an increase in the number of mastoidites.
MedNews (Otorinolaringoiatria) - Lun, 7 Settembre 2009
http://mn.medsurfnews.com/
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Bell palsy is an inflammatory condition of the facial nerve that is associated with herpes simplex or varicella virus infections and can result in temporary or permanent facial disfigurement and pain. With an annual incidence of 13 to 43 per 100 000 population, more than 60 000 cases are diagnosed each year in the United States.1-2 Approximately 15% of patients with Bell palsy will have persistent facial nerve dysfunction and related impairments in quality of life.
Journal of the American Medical Association (Otorinolaringoiatria) - Lun, 7 Settembre 2009
http://jama.ama-assn.org/
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Choanal atresia and stenosis is associated with a wide range of disorders. Congenital anomalies, neurologic abnormalities, and developmental disabilities are commonly identified in affected individuals. Bilateral CA/S is more commonly seen in patients in whom specific diagnoses or other congenital anomalies are identified. Unilateral CA/S occurs more frequently in isolated cases. A comprehensive evaluation is recommended in individuals with CA/S to evaluate for other congenital anomalies, neurologic abnormalities, developmental delays, and evidence of a specific underlying disorder.
Archives of Otolaryngology-Head & Neck Surgery (Otorinolaringoiatria) - Ven, 26 Giugno 2009
http://archotol.ama-assn.org/
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To determine the prevalence of refractive and nonrefractive ophthalmologic abnormalities in children with sensorineural hearing loss (SNHL) and to evaluate the overall utility of routine ophthalmological examination in children with SNHL.
Archives of Otolaryngology-Head & Neck Surgery (Otorinolaringoiatria) - Ven, 6 Marzo 2009
http://archotol.ama-assn.org/