ENTtoday: February 2010



Literature Reviews

Submandibular Gland Excision Successful for Surgical Management of Sialorrhea

What is the best procedure for surgical management of drooling? Background: Surgical treatment for sialorrhea is considered when conservative measures fail. Options include sublingual gland excision, submandibular gland (SMG) duct ligation or rerouting, submandibular gland excision, parotid duct ligation or rerouting and combinations of these procedures. The authors reviewed the literature to compare efficacy, recognizing […]

Literature Reviews

Propranolol Effective, Well-Tolerated for Symptomatic IH

Will propranolol become the mainstay of treatment for symptomatic infantile hemangiomas (IH)? Background: IH are the most common tumor of infancy, affecting four to 10 percent of infants. Spontaneous involution is the expected outcome, but nearly 10 percent cause symptoms warranting early therapy. Propranolol was serendipitously found to hasten IH involution, with fewer side effects […]

Literature Reviews

Language Performance in Disabled Children with Cochlear Implants

What are the effects of cochlear implants (CIs) on language among children with disabilities? Background: Early implantation of a CI in children with typical development is strongly associated with improved outcomes. There are few studies, however, showing the effects of CI among children with additional disabilities, making decision-making and standards of care difficult for families […]

Literature Reviews

Avastin Treatment for Hereditary Hemorrhagic Telangiectasia Epistaxis

Can the vascular endothelial growth factor (VEGF) inhibitor bevacizumab (Avastin) treat hereditary hemorrhagic telangiectasia (HHT) epistaxis? Background: HHT is an autosomal dominant disorder involving abnormal blood vessel development. An estimated 90 percent of HHT patients have epistaxis which can lead to significant blood loss requiring IV iron, emergency room visits and blood transfusions. Surgical outcomes […]

Literature Reviews

The Impact of Thyroidectomy on Vocal Quality Characteristics

With no laryngeal nerve injury, do vocal characteristics change after thyroidectomy? Background: Vocal dysfunction is a feared complication of thyroidectomy. While operative injury to the recurrent laryngeal nerve is a primary cause of voice alterations, changes have also been noted in the absence of this injury. Study design: Prospective study of patients one week prior […]