Abstract:
BACKGROUND:Peritonsillar abscesses (PTA) are a common complication of tonsillitis. Recent global epidemiological data regarding PTAs have demonstrated increasing antimicrobial resistance patterns. No similar studies have been conducted in Canada and no Canadian study has examined the post-discharge course of treated patients. METHODS:A prospective observational study of the epidemiology, antibiotic resistance and post-discharge course of patients presenting with a peritonsillar abscess to the Emergency Department in London, Ontario over one year. A follow-up telephone survey was conducted 2-3 weeks after abscess drainage. RESULTS:60 patients were diagnosed with an abscess, giving an incidence of 12/100,000. 46 patients were enrolled in the study; the average duration of symptoms prior to presentation was 6 days, with 51% treated with antibiotics prior to presentation. Streptococcus pyogenes and Streptococcus anginosus were present in 56% of isolates and of those, 7/23 (32%) of specimens demonstrated resistance to clindamycin. Eight patients were treated with clindamycin and had a culture that was resistant, yet only one had recurrence. Telephone follow-up was possible for 38 patients: 51% of patients reported a return to solid food within 2 days, and 75% reported no pain by 5 days. Resolution of trismus took a week or longer for 51%. INTERPRETATION:Clindamycin resistance was identified in a third of Streptococcus isolates, which should be taken into account when prescribing antibiotics. Routine culture appears unnecessary as patients recover quickly from outpatient drainage and empiric therapy, with less pain than expected, but trismus takes time to resolve.
journal_name
J Otolaryngol Head Neck Surgjournal_title
Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-facialeauthors
Sowerby LJ,Hussain Z,Husein Mdoi
10.1186/1916-0216-42-5subject
Has Abstractpub_date
2013-01-31 00:00:00pages
5eissn
1916-0208issn
1916-0216pii
1916-0216-42-5journal_volume
42pub_type
杂志文章abstract:OBJECTIVES:To assess patient adherence to nasal spray regimens after endoscopic sinus surgery (ESS) and to study factors that predict adherence. METHODS:A three-arm, randomized, blinded, controlled trial was conducted at a tertiary care academic hospital, studied via a prospective longitudinal survey, of 60 consecutiv...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Severe epistaxis is often difficult to control in patients with hereditary hemorrhagic telangiectasia (HHT). Propranolol has been shown to have antiangiogenic properties in vitro and in vivo and is commonly used to treat hemangiomas. We present our experience with topical nasal propranolol for the treatment ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-017-0235-x
更新日期:2017-10-04 00:00:00
abstract:BACKGROUND:Flexible fibre-optic nasolaryngoscopy (FFN) is a common otolaryngology procedure that patients may find uncomfortable. Preparative agents, including topical anesthetic, vasoconstrictive, and lubricating agents, have been studied in randomized controlled trials (RCTs). METHODS:A systematic review and meta-an...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Metabolic tumour volume (MTV) obtained from pre-treatment 18 F-fluorodeoxydeglucose positron emission tomography with computed tomography (PET-CT) has been validated as an independent predictive factor of outcomes in head and neck cancer patients (HNC) treated with primary chemoradiotherapy (CRT). However it...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-014-0033-7
更新日期:2014-10-13 00:00:00
abstract:BACKGROUND:Cochlear Duct Length (CDL) has been an important measure for the development and advancement of cochlear implants. Emerging literature has shown CDL can be used in preoperative settings to select the proper sized electrode and develop customized frequency maps. In order to improve post-operative outcomes, an...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章,评审
doi:10.1186/s40463-017-0194-2
更新日期:2017-03-07 00:00:00
abstract:BACKGROUND:Flexible nasolaryngoscopy is an essential component of the otolaryngological physical exam. Historically, the ability to create and share video recordings of these endoscopic exams has been limited by poor mobility of fixed endoscopy towers. The advent of smartphone endoscope adapters has allowed physicians ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章,评审
doi:10.1186/s40463-018-0279-6
更新日期:2018-05-08 00:00:00
abstract:BACKGROUND:Internal derangement is the clinical and pathological condition of disc displacement of the temporomandibular joint. Management of these cases involve conservative and surgical treatment options. Minimally invasive surgical procedures namely arthrocentesis and arthroscopy are promising techniques in the mana...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-018-0282-y
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:The indeterminate fine needle aspiration biopsy (FNAB) results present a clinical dilemma for physicians. The aim of this study was to evaluate the diagnostic accuracy of fluorine-18 fluorodeoxyglucose positron emission tomography (18F-FDG PET) in the detection of these indeterminate lesions. METHODS:Seven ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章,meta分析
doi:10.1186/1916-0216-42-38
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:First branchial cleft anomalies are rare, accounting for only 10% of all branchial cleft anomalies. We report an even more rare and unique case of a branchial cleft cyst with features of both first and second arch derivatives. CASE PRESENTATION:A 6-year-old boy presented to us with a left conductive hearing...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-020-00426-5
更新日期:2020-05-29 00:00:00
abstract:BACKGROUND:The presence of a plane between the lingual tonsils and the underlying soft tissue has not been confirmed. The objective of this study is to ascertain the presence and the characteristics about this plane for surgical use. METHODS:Five cadaver heads were obtained for dissection of the lingual tonsils. Six p...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-016-0137-3
更新日期:2016-04-05 00:00:00
abstract:OBJECTIVE:To determine whether preoperative radiologic imaging of parotid tumours would alter the surgical approach to complete eradication of the parotid tumours. METHODS:A retrospective chart review of 173 patients with parotid tumours who underwent removal of parotid tumours at Mount Sinai Hospital in Toronto, Onta...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:The diagnosis of chronic rhinosinusitis (CRS) based on clinical presentation alone remains challenging. To improve the accuracy of clinical diagnosis, the Canadian Rhinosinusitis Guidelines recommend the use of specific symptom and endoscopic criteria. Our study objective was to determine whether symptom and...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-017-0243-x
更新日期:2017-12-04 00:00:00
abstract:BACKGROUND:This prospective study investigated the change of swallowing ability using the Swallowing Ability Scale System (SASS) and swallowing-related quality of life (QOL) by Performance Status Scale for Head and Neck Cancer patients (PSS-H&N). This study also investigated the risk factors for postoperative dysphagia...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-020-00479-6
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:our group has previously demonstrated that serum calcium levels measured in conjunction with parathyroid hormone (PTH) levels early in the postoperative period can help identify and prophylactically treat patients at significant risk for postthyroidectomy hypocalcemia. This study evaluated whether preoperati...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract:INTRODUCTION:Video teaching modules are proven effective tools for enhancing student competencies and technical skills in the operating room. Integration into post-graduate surgical curricula, however, continues to pose a challenge in modern surgical education. To date, video teaching modules for neck dissection have y...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/1916-0216-43-7
更新日期:2014-03-25 00:00:00
abstract:OBJECTIVE:To describe residents' satisfaction with Canadian Otolaryngology-Head and Neck Surgery programs. DESIGN:Electronic survey of 21 items scored on a 5-point Likert scale. SETTING:All Canadian Otolaryngology-Head and Neck Surgery residency programs were surveyed between February and April 2008. Responses were a...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Lip reconstruction for defects greater than 80 % present a challenge in maintaining acceptable oral function and good aesthetic results. Abbé flaps offer an excellent reconstructive option but are limited to defects under 65 %. METHODS:We describe a two-stage "modified Abbé island flap" technique whereby a ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-016-0148-0
更新日期:2016-05-31 00:00:00
abstract:OBJECTIVE:To study the effects of various densities of middle ear fluids on acoustic immittance and elucidate the characteristics of this study that might be beneficial for clinical use in otitis media with effusion. STUDY DESIGN:Experimental, in vivo model. MATERIALS AND METHODS:The study was performed on 12 ears of...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2008-02-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine the utility of using an endoscope in cholesteatoma surgery and to demonstrate how it allows a reduction in the incidence of residual disease. MATERIAL AND METHODS:Thirty-two ears with acquired cholesteatoma (primary) were resected. Twenty cases were resected using a ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Various methods have been described for tonsillectomy. Convincing evidence in the literature is still lacking regarding the optimal method of performing this surgical procedure. AIM:To investigate the outcome of bipolar scissors tonsillectomy and compare it to bipolar diathermy forceps tonsillectomy. METHO...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:Vestibular evoked myogenic potential (VEMP) recording is a new method for testing the otolith receptors and vestibulospinal pathways. The aim of this study was to evaluate the characteristics of VEMP using four different techniques to find reasons to prefer one type of recording over the others. MATERIAL AND...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVE:Radiation therapy (RT) and transoral laser microsurgery (TLM) are established treatments for early glottic squamous cell carcinoma (SCC). Similar oncologic outcomes have been reported with both modalities, leading physicians to consider other factors when making clinical recommendations. One such factor is vo...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:We have identified a cause of falsely elevated parathyroid hormone (PTH) levels after total parathyroidectomy with forearm auto-transplantation (TPT-ATx). Our cases highlight the need to draw PTH samples remotely, away from forearm graft sites, to ensure accurate levels. CASE PRESENTATIONS:We report on four...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-017-0226-y
更新日期:2017-06-23 00:00:00
abstract:OBJECTIVE:The frequency characteristics of the vestibular organ have gained notice in recent years, but the morphologic basis was unknown. This study investigated the gentamicin-induced damage of frequency-selective perception of the horizontal semicircular canal and its morphologic basis. METHODS:Eighty guinea pigs w...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Two options exist for restoring structure and function after maxillectomy. Prosthodontic rehabilitation requires that an obturator be constructed to address the oronasal communication that exists after resection of the maxilla. Surgical reconstruction of the defect is another option, often accomplished with ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Cocaine has traditionally been the topical decongestant most frequently used for visualization of the surgical field in Endoscopic Sinus Surgery (ESS). Alternatives include xylometazoline, oxymetazoline, and epinephrine. The understanding of the safety profile of each agent is changing, as are the practices ...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-019-0337-8
更新日期:2019-03-18 00:00:00
abstract:BACKGROUND:Snoring is a main concern in patients who consult an otolaryngologist (ENT physicians) and patients who have cardiovascular comorbidities or excessive daytime sleepiness who usually consult with other specialists. The aim of this study was to describe the clinical differences in patients with obstructive sle...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-019-0373-4
更新日期:2019-10-22 00:00:00
abstract:BACKGROUND:Operating room (OR) efficiency is related to minutes spared from surgical time and has been linked to the make up of surgical teams and operating room workplace. The research on the efficiency of surgical nursing staff members is scant. The current study evaluates the effect of ENT trained OR resource nurses...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-020-00431-8
更新日期:2020-07-23 00:00:00
abstract:OBJECTIVE:In this cross-sectional study, we investigated the frequency tuning properties of sound-evoked vestibular myogenic potentials in extraocular muscles (OVEMPs) in normal human subjects. METHODS:Acoustic tone bursts (130 dB pSPL, 10 ms plateau, 1 ms rise/fall) with nine frequencies from 125 to 4000 Hz were pres...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Health care costs in Canada continue to rise. As a result of this relentless increase in healthcare spending, ways to increase efficiency and decrease cost are constantly being sought. Surgical treatment is the mainstay of therapy for many conditions in the field of Otolaryngology- Head and Neck Surgery. The...
journal_title:Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
pub_type: 杂志文章
doi:10.1186/s40463-014-0046-2
更新日期:2014-12-03 00:00:00