ENT News

New Bell's Palsy Treatment Video

New Therapies Fight Phantom Noises of Tinnitus
Although there is no cure, researchers say they have never had a better understanding of the cascade of physiological and psychological mechanisms responsible for tinnitus. As a result, new treatments under investigation — some of them already on the market — show promise in helping patients manage the ringing, pinging and hissing that otherwise drives them to distraction.

Plasma Osteopontin Levels in Patients With Head and Neck Cancer Undergoing Chemoradiotherapy
Archives of Otolaryngology Head and Neck Surgery Abstract
To explore the prognostic role of plasma levels of osteopontin (OPN), a phosphoglycoprotein with adhesive properties, in patients with head and neck squamous cell carcinoma (HNSCC) undergoing concomitant chemoradiotherapy. Previous studies have proposed OPN level as a prognostic factor in several cancers. In patients with HNSCC undergoing chemoradiotherapy, a low pretreatment plasma OPN level is associated with treatment response and better survival. Modulation of OPN levels by chemoradiotherapy may also be associated with outcome. Further studies with serial measurement of OPN levels are warranted in these patients.

Sleep Benefits From Tonsillectomy Peak at 6 Months
 Children who had their tonsils and adenoids removed slept better after having the procedure, but the benefit began to decline six months post-surgery, a new study has found.

Corticosteroids vs Corticosteroids Plus Antiviral Agents in the Treatment of Bell Palsy
Archives of Otolaryngology
The present systematic review and meta-analysis, based on the currently available evidence, suggests that the addition of an antiviral agent to corticosteroids for the treatment of Bell palsy is not associated with an increase in the complete recovery rate of the facial motor function.

Potential adverse effect of using the high dose of amoxicillin in the treatment of acute otitis media in children
Archives of Otolaryngology Head Neck Surgery
Of 50 children diagnosed as having acute otitis media, 25 received a low dose of amoxicillin (45 mg/kg/d) (group 1) and 25 received a high dose of amoxicillin (90 mg/kg/d) (group 2) for 10 days. The number of penicillin-susceptible isolates was equally reduced after both therapies. However, an increase was noted in the recovery of S aureus only in group 2. A greater eradication rate of interfering organisms following therapy was noted in group 2 than in group 1. These changes may contribute to the greater recovery rate of patients infected with S aureus who received a high dose of amoxicillin.

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Patient history and CT findings in predicting surgical outcomes for patients with rhinogenic headache
ENT Journal
The concept of rhinogenic headaches remains a subject of much debate. While many authors have reported good results in treating these headaches with endoscopic sinus surgery, few have attempted to establish objective criteria for identifying the best surgical candidates. We conducted a study of 33 adults with rhinogenic headaches to determine if three elements of the history and/or five aspects of computed tomography (CT) would predict which patients might benefit from the minimally invasive sinus technique (MIST) as the primary treatment modality for their headaches. Postoperative follow-up interviews revealed that endoscopic surgery was widely successful, as 28 patients (84.8%) reported improvement. However, we were unable to find any statistically significant history or CT parameters that predicted surgical outcomes.

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