The Journal of Laryngology & Otology - Current Issue

Volume 122 Issue 05

Wed, 30 Apr 2008 23:00:00 GMT

The Journal of Laryngology & Otology, Volume 122 Issue 05

The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is essential reading for ENT specialists and students. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practice. JLO contains main articles (original, review and historical), case reports and short reports, book reviews, letters to the editor, calendar, operative surgical techniques and occasional supplements. It is fully illustrated and has become the definitive reference source in this fast moving subject area. Published monthly an annual subscription is excellent value for money and includes access to the JLO interactive website with a searchable abstract database, access to articles accepted prior to paper publication, videos of prestigious lectures and an archive of all past issues dating back to the inception of the journal as well as the current issue (www.jlo.co.uk).

Evolving concepts of laryngeal paralysis

Review Articles
G Woodson,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 437-441

Abstract
Accepted concepts of the pathophysiology and treatment of laryngeal paralysis have changed over the years. It has long been observed that symptoms of laryngeal paralysis vary greatly, both between patients and over time. There have been various theories to explain these differences. This article reviews how these ideas have changed over time as research has produced new information. Currently, the most popular view is that the laryngeal nerve regenerates after injury, albeit incompletely and inconsistently, and that variations in symptoms and laryngeal posture can be accounted for by muscle activity.

Clinico-epidemiological study of complicated and uncomplicated chronic suppurative otitis media

Research Articles
B K Vikram, N Khaja, S G Udayashankar, B K Venkatesha, D Manjunath,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 442-446

Abstract
Introduction: This study aimed to compare the clinical and epidemiological profiles of cases of complicated and uncomplicated chronic suppurative otitis media, based on their prognostic factors.

Effectiveness of transmeatal low power laser irradiation for chronic tinnitus

Research Articles
A Gungor, S Dogru, H Cincik, E Erkul, E Poyrazoglu,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 447-451

Abstract
Objective: To evaluate effectiveness of 5 mW laser irradiation in the treatment of chronic tinnitus.

Clinical value of tone burst vestibular evoked myogenic potentials at threshold in acute and stable Ménière's disease

Research Articles
V Osei-Lah, B Ceranic, L M Luxon,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 452-457

Abstract
Introduction: The objectives of this preliminary, prospective, cohort study were to ascertain the characteristics of vestibular evoked myogenic potentials at threshold levels in two groups of M re's disease patients and to identify whether vestibular evoked myogenic potentials can provide any specific, objective information to distinguish acute from stable M re's disease.

Receptive (aural) vocabulary development in children with permanent bilateral sensorineural hearing impairment

Research Articles
C Kiese-Himmel,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 458-465

Abstract
Objective: The receptive (aural) vocabulary development of children with binaural-aided residual hearing was investigated in a prospective longitudinal analysis (repeated measures).

Vertigo, dizziness and imbalance in the elderly

Research Articles
A Üneri, S Polat,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 466-469

Abstract
Objective: The aim of this retrospective analysis was to evaluate the diagnosis of vertigo, dizziness and imbalance in elderly patients in two tertiary neurotology clinics.

Bone changes after maxillary sinus surgery: an experimental scanning electron microscopy study

Research Articles
P M Moreno, D H Meseguer,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 470-475

Abstract
Aims: The purpose of this study was to explore the pathogenic role of bone in sinus surgery, and to determine whether mucosal disease after sinus surgery may be induced by underlying disease within the bone.

Cost-efficiency of endoscopic and external dacryocystorhinostomy

Research Articles
S Anari, G Ainsworth, A K Robson,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 476-479

Abstract
Background: In most centres in the United Kingdom, endoscopic dacryocystorhinostomy is currently undertaken as a joint operation between ophthalmologists and otolaryngologists. The addition of an extra surgeon, the use of endoscopic equipment and the relatively lower success rate of this procedure made us compare endoscopic dacryocystorhinostomy and external dacryocystorhinostomy with regards to costs and income for our hospital.

Paediatric neck abscesses: microbiology and management

Research Articles
I K Rustom, J A T Sandoe, Z G G Makura,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 480-484

Abstract
Introduction: Paediatric neck abscesses remain common problems which are sometimes difficult to manage.

Impact of different pH thresholds for 24-hour dual probe pH monitoring in patients with suspected laryngopharyngeal reflux

Research Articles
O Reichel, W J Issing,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 485-489

Abstract
Objectives: The gold standard test for laryngopharyngeal reflux is 24-hour pH monitoring, which determines the reflux area index with a pH threshold of less than four (i.e. the reflux area index four). However, refluxed pepsin is able to cause laryngeal injury at pH levels above five.

Incidence of complications after temperature-controlled radiofrequency treatment for sleep-disordered breathing: a Singapore sleep centre experience

Research Articles
S-T Toh, P-P Hsu, Y-H Ng, T-W D Teo, K-L A Tan, K-S P Lu,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 490-494

Abstract
Objective: To determine the incidence of complications following temperature-controlled radiofrequency treatment of the soft palate, uvula and tongue base.

Sternotomy for substernal goitre: an otolaryngologist's perspective

Research Articles
P Burns, J Doody, C Timon,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 495-499

Abstract
Introduction: Large substernal goitres present a challenge to the otolaryngologist due to their size and location. Predicting which patients will require sternotomy can enable planning of surgery in a specialist centre, with the assistance of a thoracic surgeon. Our aim for this study was to establish clinical and radiological predictors which would aid the otolaryngologist in the pre-operative planning of such cases.

Development and characterisation of an experimental recurrent laryngeal nerve injury model for the study of viral gene therapy

Research Articles
K Fung, N D Hogikyan, S B Heavner, D Ekbom, E L Feldman,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 500-505

Abstract
Objectives: To develop and characterise an experimental model of recurrent laryngeal nerve injury for the study of viral gene therapy.

Hypopharyngeal cancer treatment based on definitive radiotherapy: who is suitable for laryngeal preservation?

Research Articles
S-W Chen, M-H Tsai, S-N Yang, J-A Liang, A-C Shiau, F-J Lin,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 506-512

Abstract
Aims: To investigate prognostic factors for survival and locoregional control in patients with stage I IVA hypopharyngeal cancer treated with laryngeal preservation radiotherapy.

Short hairpin ribonucleic acid targeting the telomerase catalytic unit of messenger ribonucleic acid significantly limits the growth of laryngeal squamous cell carcinoma in nude mice

Research Articles
Xu-Hong Zhou, Shi-Ming Chen, Dan Liu, Yan Wang, Bo-Kui Xiao, Ze-Zhang Tao,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 513-521

Abstract
Objective: Telomerase is an attractive molecular target because it is active in most malignant cells but undetectable in most normal somatic cells. Small, interfering ribonucleic acid segments have been shown to be effective tools for inhibiting the expression of a given gene within human cells. In the present study, we examined the effects of short hairpin ribonucleic acid expression vectors on the growth of laryngeal squamous cell carcinoma in nude mice, and we assessed potential side effects in these animals.

Quilting sutures for nasal septum

Rapid Communication
C Hari, C Marnane, P J Wormald,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 522-523

Abstract
Suturing of the nasal septum after septal surgery is a commonly performed procedure designed to prevent complications such as septal haematoma and bleeding. It is also useful for closing any inadvertent tears of the septal mucosa and providing additional support for the cartilage pieces retained in septoplasty. In addition, the suture can be placed through the middle turbinates, stabilising them during the healing process. Placing knots for interrupted sutures in the posterior and middle part of the nasal septum can be technically difficult. We describe a continuous suturing technique for approximating the mucosal flaps following septal surgery.

Otophyma: a case report

Research Articles
K Daniels, K Haddow,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 524-526

Abstract
Objective: We report a rare case of otophyma.

Lemierre's syndrome associated with consumption coagulopathy and acute renal failure: a case report

Research Articles
S Georgopoulos, S Korres, M Riga, D Balatsouras, G Kotsis, E Ferekidis,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 527-530

Abstract
Background: Acute tonsillitis or pharyngitis may lead to suppurative thrombophlebitis of the internal jugular vein. This complication, also known as Lemierre's syndrome, remains, even nowadays, life threatening, due to dissemination of septic thromboemboli to various organs. Respiratory deficiency and renal impairment are often reported in patients suffering from Lemierre's syndrome.

Malignant triton tumour of the parapharyngeal space: a case arising from the cervical sympathetic nerve

Research Articles
B-B Yang, H Jiang, H-Y Chang,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 531-534

Abstract
Background: Malignant triton tumour is a relatively rare, aggressive sarcoma comprising both malignant schwannoma cells and malignant rhabdomyoblasts. Malignant triton tumour of the parapharyngeal space is exceptionally rare, with only one case being described in the literature. Malignant triton tumour of the cervical sympathetic nerve has not previously been reported.

Laryngeal squamous cell carcinoma presenting as a prelaryngeal, air-filled structure (pseudolaryngocoele)

Research Articles
T S Korampalli, A Belloso, P S Hans, K Irion, I J Sheppard,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 535-537

Abstract
Objective: We report a unique case of a squamous cell carcinoma of the larynx presenting as a large pseudolaryngocoele, arising through a thyroid cartilage defect.

Spontaneous maxillary sinus rupture in the absence of pre-existing sinus disease: case report

Research Articles
H Beaumont, N Sharma, S K Ahmed, J E O'Connell,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 538-539

Abstract
Introduction: Spontaneous fracture of the maxillary sinus is usually associated with enophthalmos and pre-existing sinus disease.

Differentiation between cholesteatoma and inflammatory process of the middle ear, based on contrast-enhanced computed tomography imaging

Letter

The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 540-542

Abstract

Otophyma is rosaceous lymphoedema (elephantiasis)

Letter

The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 543-544

Abstract

TEXTBOOK OF LARYNGOLOGY A L Merati, S A Bielamowicz, Plural Publishing, 2007 ISBN 13 978 1 59756 028 3 pp 544 Price £142

Book Reviews
T Innes,
The Journal of Laryngology & Otology, Volume 122 Issue 05 , pp 545-545

Abstract