Radioiodine Imaging and Treatment in Thyroid Disorders

xlomafota13 shared this article with you from Inoreader Radioiodine Imaging and Treatment in Thyroid Disorders Via radioactive iodine Neuroimaging Clin N Am. 2021 Aug;31(3):337-344. doi: 10.1016/j.nic.2021.04.003. ABSTRACT Thyroid hormones T3 and T4 are crucial for development and differentiation of various cells in the body. They are also essential for regulating metabolism in nearly all tissues. Iodine is an integral element in the synthesis of thyroid hormone and is actively transported into the thyroid by a Na+/I- symporter. The thyroid can take up radioactive iodine just like it would t ake iodine and hence can be used to evaluate and treat several thyroid diseases. Radioactive iodine is one of the first radioisotopes to be used in medicine. PMID:34243868 | DOI:10.1016/j.nic.2021.04.003 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Comparison of the Healing Effect of Nasal Saline Irrigation with Triamcinolone Acetonide Versus Nasal Saline Irrigation alone in COVID-19 Related Olfactory Dysfunction: A Randomized Controlled Study

xlomafota13 shared this article with you from Inoreader Comparison of the Healing Effect of Nasal Saline Irrigation with Triamcinolone Acetonide Versus Nasal Saline Irrigation alone in COVID-19 Related Olfactory Dysfunction: A Randomized Controlled Study Via Otolaryngology Indian Abstract There is no routinely determined treatment for olfactory dysfunction because of COVID-19. Saline irrigation and nasal corticosteroid treatments are safe and inexpensive methods, and have low side effects. In our study, we argue that saline nasal irrigation and topical corticosteroid treatment can be used in the treatment of patients with olfactory loss in all areas of rhinology. A total of 150 patients who admitted to our clinic with other symptoms or with only acute odor loss, diagnosed with COVID-19 with RT-PCR were divided into 3 equal groups.Fifty patients in Group 1 were not given any extra treatments. The other 50 patients in Group 2 were given saline irrigation for treatment; and the 50 people in Group 3 were given both saline irrigation and nasal steroid spray for treatment. The "Subjective Olfactory Capability (SOC)" was used for olfactory function evaluation of patients. Self-Rating Olfactory Score (SROS), and Olfactory Dysfunction Duration (ODD) were recorded on the 1st, 15th and 30th days. SROS of the group receiving Nasal Saline + Triamcinolone Acetonide treatment on the 30th day was significantly higher than in other groups (p−1–3 = 0.018, p2−3 = 0.033). Also, the ODD was significantly reduced in this group compared to other groups (p−1–3 = 0.022, p2−3 = 0.028,). Topical triamcinolone treatment was found to be successful in the treatment of olfactory dysfunction due to COVID-19. Nasal steroids, which are both inexpensive and have low side effect profiles, can be used safely in the treatment of patients with olfactory losses. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Effect of Adenotonsillectomy on Peak Expiratory Flow Rate Among Children

xlomafota13 shared this article with you from Inoreader Effect of Adenotonsillectomy on Peak Expiratory Flow Rate Among Children Via Otolaryngology Indian Abstract Adenotonsillar hypertrophy is one of the commonest causes of upper airway obstruction in children. It can cause hypoxic state by impairing pulmonary functions. Peak expiratory flow rate is a basic, convenient and reliable indicator of pulmonary function in children. To study the improvement in pulmonary functions by assessing Peak expiratory flow rate, before and after adenotonsillectomy in children. Design: Cross sectional, prospective, observational study. Setting: Department of otorhinolaryngology in tertiary care centre. Subjects: Included 40 children aged between 5 and 15 years, who had adenotonsillar hypertrophy and underwent adenotonsillectomy. Method: Diagnostic nasal endoscopy and X-ray, nasopharynx, was done to assess the grade of adenoid hypertrophy endoscopically and radiologically respectively. Peak expiratory flow rate was assessed using Mini Wright peak expiratory flow meter pre-operatively and 1 month post-operatively and both the readin gs were compared. Subjective improvement was also compared pre-operatively and post-operatively using visual analogue score. This study included 40 patients with male to female ratio of 1.6:1, 92.5% presented with mouth breathing. 92.5% presented with grade III tonsillar hypertrophy and 70% with grade III adenoid hypertrophy endoscopically. After adenotonsillectomy, improvement in Peak expiratory flow rate ranged from 16 to 25.3% which was statistically significant. Patients with grade III tonsillar and grade IV adenoid hypertrophy showed 25.3% improvement. Subjective improvement was 98.8% in the complaint of snoring. Adenotonsillectomy significantly improves pulmonary functions. This may help to improve physical and cognitive development in children and decrease chances of getting cardiopulmonary problems in later life. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Is Early Cochlear Implantation Leads to Better Speech and Language Outcomes?

xlomafota13 shared this article with you from Inoreader Is Early Cochlear Implantation Leads to Better Speech and Language Outcomes? Via Otolaryngology Indian Abstract A cochlear implant is an electronic sensory system that converts mechanical energy into coded electrical signals that directly activate the auditory nerve fibers. Present review article investigates the findings of previous research papers which have assessed speech and language outcome in children who underwent early cochlear implantation. Several databases, including PubMed, Google, Google Scholar, and Medline, were investigated for research papers on the speech and language outcomes of children who had early-life implants. According to previous research, early detection and intervention of hearing loss are critical for the growth of speech and language skills. The effect of early detection of hearing loss and early cochlear implantation on a child's overall speech-language and auditory growth is highlighted in this article. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Characterization of Dermatoglyphic Profiles and its Relation to Acoustic Measures in Voice Professionals

xlomafota13 shared this article with you from Inoreader Characterization of Dermatoglyphic Profiles and its Relation to Acoustic Measures in Voice Professionals Via Journal of Voice Acoustic analysis is widely used for assessing and monitoring vocal function. Dermatoglyphics is a method that analyzes genetic fingerprint markers, and uses that information for predicting physical skills related to anaerobic (explosive strength and speed) and aerobic (motor coordination and resistance) mechanisms. Therefore, it can be used as an indicator for individualized vocal training. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Immediate Effects of Semi-occluded Vocal Tract Exercises as a Vocal Warm-Up in Singers

xlomafota13 shared this article with you from Inoreader Immediate Effects of Semi-occluded Vocal Tract Exercises as a Vocal Warm-Up in Singers Via Journal of Voice The present study aimed to investigate the Immediate Effects of Semi-occluded Vocal Tract Exercises (SOVTEs) as a vocal warm-up on the Electrical Activity of Extrinsic Laryngeal Muscles and acoustic parameters of voice in singers. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

3D Printed Larynx as a Novel Simulation Tool for Window Elaboration in Medialization Laryngoplasty

xlomafota13 shared this article with you from Inoreader 3D Printed Larynx as a Novel Simulation Tool for Window Elaboration in Medialization Laryngoplasty Via Journal of Voice Surgical simulation training in residents has declined due to the limited exposure to cadaveric specimens. Three-dimensional (3D)-printing technology is rapidly taking an important role in different medical areas, especially in surgical specialties. It provides an alternative for resident simulation practices and for developing surgical skills before exposure to real settings. The elaboration of the thyroid window in the medialization laryngoplasty procedure requires high technical precision and experience for better outcomes. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Alveolar bone grafting and gingivoperiosteoplasty in bilateral cleft lip and palate

xlomafota13 shared this article with you from Inoreader Alveolar bone grafting and gingivoperiosteoplasty in bilateral cleft lip and palate Via Current Opinion in Otolaryngology & Head and Neck Surgery - Current Issue Purpose of review Gingivoperiosteoplasty (GPP) and alveolar bone grafting (ABG) procedures have a vast history. There have been many publications regarding ABG and secondary ABG, with and without presurgical infant orthopedics (PSIO), in bilateral cleft lip and palate patients. There is little long-term data available describing results of both techniques. Recent findings The interdisciplinary approach to primary and secondary surgical procedures has proven to be beneficial for patients with bilateral cleft lip and palate. In the neonates, naso-alveolar molding (NAM) has been found to optimize the aesthetic outcome as well as re-approximating the arches to facilitate GPP. During the mixed dentition stage, arch preparation/expansion before the secondary ABG procedure improves arch morphology, restores the functional interarch relationship, and facilitates surgery. Summary This review aims to highlight the key points of both the procedures and why combining both procedures along with PSIO procedures such as NAM might be helpful for the patients in the long term. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Abdominal-based free flaps in head and neck reconstruction

xlomafota13 shared this article with you from Inoreader Abdominal-based free flaps in head and neck reconstruction Via Current Opinion in Otolaryngology & Head and Neck Surgery - Current Issue Purpose of review The head and neck reconstructive surgeon is intimately familiar with the anterolateral thigh, radial forearm, and parascapular flaps. This review serves to describe the major abdominal-based free tissue transfers in head and neck reconstruction that can be used as alternatives to these traditional workhorse flaps. Recent findings Abdominal-based free flaps, while not traditionally used in head and neck reconstruction, are great alternatives or second-line flaps. For example, the deep circumflex iliac artery flap is an excellent alternative to the fibular free flap due to its bone height and greater overall quality of life. Summary This review article serves to review the major abdominal-based free tissue transfers in head and neck reconstruction in order to expand the toolbox of the head and neck surgeon. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Management of facial burns: an update

xlomafota13 shared this article with you from Inoreader Management of facial burns: an update Via Current Opinion in Otolaryngology & Head and Neck Surgery - Current Issue Purpose of review This article reviews literature on the recent progress made on management of facial burns. The discussion focuses on those aspects of the management in which recent studies brought new ideas, and reviews some that failed to change practices in the management of facial burns. Recent findings Recent innovations and models have been proposed in an attempt to reduce the incidence of unnecessary intubations in patients with burns to the face and with suspected inhalational injury. However, the decision to secure the airway is still a challenging one. A new escharotomy method based on facial subunits principles has been described, while the practice of early tangential excision is still debated in the literature. Tarsorrhaphy without occluding the eyes has also been described in the management of peri-oral burns. Self-retaining and expandable stents for the nose have also been demonstrated to be effective in preventing nasal stenosis. 3D printed face masks have been more recently developed to improve the current wound-care methods used in facial scar management. Summary This article highlights recent developments in the management of facial burns in areas such as acute facial burn care, subsequent wound care and facial scar management. It highlights areas wherein progress has been made, as well as the need for further studies in certain areas. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Facial paralysis: timing of repair and management of the nonflaccidly paralyzed face

xlomafota13 shared this article with you from Inoreader Facial paralysis: timing of repair and management of the nonflaccidly paralyzed face Via Current Opinion in Otolaryngology & Head and Neck Surgery - Current Issue Purpose of review To explore recent advances in therapeutic interventions for nonflaccid facial paralysis (NFFP), including new evidence for surgical and nonsurgical treatments. Timing of treatment is also discussed, along with possible future treatments. Recent findings NFFP remains a difficult disease to treat. Chemodenervation with botulinum toxin remains a first-line treatment to suppress aberrant and antagonistic movements during voluntary use of muscles. More permanent treatments such as selective neurectomy, myectomy, and nerve and muscle transfers have been shown to offer promising results for the nonflaccidly paralyzed face. Summary NFFP is commonly seen in patients who have incomplete recovery from facial paralysis, and carries high psychosocial morbidity. A large array of treatments have been described in the literature, both procedural and nonprocedural. Both treatment type and timing are important in optimal patient recovery. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Surgical management of the orbit in thyroid eye disease: lateral orbital decompression

xlomafota13 shared this article with you from Inoreader Surgical management of the orbit in thyroid eye disease: lateral orbital decompression Via Current Opinion in Otolaryngology & Head and Neck Surgery - Current Issue Purpose of review Lateral orbital wall decompression is one of many well established techniques available to surgeons in management of patients with clinically significant thyroid eye disease (TED). Several different surgical approaches have been described in the literature and are reviewed herein. Recent findings Lateral orbital wall decompression remains a popular technique for surgical management of TED, with a recent American Society of Ophthalmic Plastic and Reconstructive Surgery survey showing that 22.6% of respondents preferred a single-wall procedure, with 36.8% of that subset preferring lateral wall decompression alone. Surgical techniques for lateral orbital wall decompression differ based on several steps, such as the incisional approach, whether to take an ab-interno versus ab-externo approach, and whether to remove orbital fat to achieve further decompression. In addition, technological advances have produced an array of tools available to the orbital surgeon to achieve efficient and accurate bone removal. Summary Lateral orbital wall decompression for TED, despite being an older technique, remains a popular and well established procedure for orbital decompression. Though no randomized controlled clinical trial supports one decompression technique over another for TED, lateral orbital wall decompression offers many benefits such as its ease of access and visualization of the orbital space. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.