The timing of tracheostomy tube changes should be tailored to each individual case.
Recurrent Laryngeal Nerves Recover Function with Neoadjuvant Treatment of Locally Advanced Thyroid Cancer
Advanced Thyroid Carcinomatous neural invasion can be a reversible process, and recovered nerves may demonstrate normal morphology and electrophysiological activity.
19th Century Laryngologist Effectively Saved the Brooklyn Bridge
Built in the 19th century, the East River Bridge employed a suspension design and materials on a never-before-seen scale. Its masonry towers required the use of pressured caissons for excavation. When workers began collapsing after exiting the caisson at day’s end, a laryngologist was called in to save the project.
How To: Transverse Cordotomy with Thyroarytenoid Myectomy for Bilateral Vocal Fold Immobility
Currently, Bilateral Vocal Fold Immobility (BVCP) is often treated by transoral CO2 laser-assisted transverse cordotomy. Still, this procedure can lead to subsequent scarring at the wound bed, resulting in re-narrowing of the airway and poor voice. Transverse cordotomy with thyroarytenoid myectomy may promote faster healing and may limit scarring and restenosis.
Superior Laryngeal Nerve Block Safe, Effective for Treatment of Neurogenic Cough
Superior laryngeal nerve block is a safe and effective treatment of neurogenic cough, according to a recent study by the department of otolaryngology–head and neck surgery at the Medical University of South Carolina, Charleston, S.C.
Objective Testing for Patients with Suspected Laryngopharyngeal Reflux Requires a More Specific Approach
Objective testing for patients with suspected LPR is indicated if the patient presents with typical alarm symptoms, after empiric treatment fails to improve symptoms, or to ensure the need for long-term therapy or surgical interventions.
Pre-Existing Anxiety/Depression May Aggravate Dysphagia in Patients with Normal Swallowing Function
Although anxiety/depression may aggravate dysphagia in patients with normal swallowing function, this correlation may not hold in those with objective swallowing dysfunction.
> 80% Drop in Post-Excision Intraoperative Parathyroid Hormone Predicts High Rate of Cure in Both Classical and Normohormonal Primary Hyperparathyroidism
Patients with normohormonal primary hyperparathyroidism undergoing parathyroidectomy can expect cure rates like those of patients with classical primary hyperparathyroidism, with an 80% drop or more in intraoperative parathyroid hormone levels predicting a high likelihood of cure.
A New Survey Found Swallowing Disturbances to be Weakly Linked to Aspiration Findings
The SDQ is a survey of 15 questions developed for Parkinson’s disease patients but has been validated for patients with non-neurological disorders.
Determining Appropriate Objective Testing for Patients with Suspected Laryngopharyngeal Reflux
Staging severity of laryngopharyngeal reflux with more objective testing is crucial to understanding its natural history, forecasting response to treatment, and it may serve as a gateway to considering surgical treatments.
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