Objective: Evaluate the influence of oral contraceptives on the distribution and concentration of estrogenic receptors in nasal mucosa.Method: There were selected 2 groups of 32 women, with regular menstrual cycles, who had undergone nasal surgery. One group of women was taking oral contraceptives and the other was not. Samples of mucosa of inferior nasal turbinate were analyzed by immunohistochemical staining for alpha and beta estrogen receptors.Results: A decrease of beta-receptor in lamina propria cells with the use of oral contraceptives was observed. On the other locations there was not any statistically significant difference. In both groups there was a predominance of beta-receptor presence.Conclusion: Women taking contraceptive pills had a decrease of beta-receptor in lamina propria cells. General OtolaryngologyHalf-time SPECT Acquisition with Resolution Recovery for 99mTc-sestaMiBi SPECT/CT imaging in the Assessment of Primary Hyperparathyroidism Ronen Bar (presenter); Alex Frenkel; Aviram Netzer, MD; Avishay Golz, MD; Ora Israel, MD; Zohar Keidar, MD, PhDObjective: 99mTc-sestaMIBI SPECT/CT has a proven value for diagnosis and localization of parathyroid adenoma (PTA). Present study compared diagnostic accuracy and image quality of half-time SPECT to standard full-time SPECT.Method: A total of 90 patients performed 99mTc-sestaMIBI scintigraphy. "H"-mode, 360 degrees SPECT was performed 45 minutes after injection using standard and half-time protocols. The SPECTs were reviewed randomly. Results were graded as negative, probable, and positive. SPECT image quality was graded as poor, good and excellent. PTA detection and image quality were compared. Results:A total of 85 studies demonstrated cervical 99mTc-sestaMIBI foci and 5 were ectopic. A total of 73 studies (81%) showed congruent PTA detection scoring. In 17 studies a difference of one level in the probability for PTA was found. One of the ectopic foci was demonstrated on standard full-time SPECT only. Image quality was graded as good or excellent in all studies. 64 studies (71.1%) showed the same image quality on full-and half-time SPECT acquisition including 39 graded good, and 25 graded excellent. No significant difference in image quality was found between SPECT techniques.Conclusion: Significant reduction in acquisition time of 99mTc-sestaMIBI SPECT can be successfully implemented into SPECT/CT for a total study time of 9 min. Diagnosis and precise preoperative localization is obtained without compromising clinically significant information. General OtolaryngologyHardware
Masseteric nerve transfer is an alternative to hypoglossal nerve transfer that improves midface appearance and function for properly selected patients with facial paralysis.
Overall, removal rates between Champy line and 8-hole strut plates are not different in treating mandibular angle fractures, although the 8-hole strut plate has a lower rate of loose hardware-related plate removal compared with the Champy line plate.
Objectives/Hypothesis To develop a “word cloud”–based visual letter of recommendation (VLOR) and to evaluate its efficiency in discerning applicant quality compared to narrative letters of recommendation (NLORs). Study Design Cross‐sectional cohort study. Methods NLORs for 48 otolaryngology residency applicants interviewed from the 2016 application cycle were identified and mined for descriptive terms to generate a word cloud, referred to as a VLOR. Eight individuals reviewed and rated a total of 187 blinded NLORs and 48 VLORs on a four‐point scale (negative to exceptional). Median VLOR and NLOR scores and the time to review for each candidate were compared using the Wilcoxon signed rank test. Results It took significantly more time to review the NLORs in comparison to the VLORs (67 seconds, interquartile range [IQR]: 41–98 seconds vs. 17 seconds, IQR: 11–26 seconds, P < .001). There was no significant difference between median scores for VLORs and NLORs (P = .136). Review time and score correlated positively for VLORs and was statistically significant (ρ = 0.459, P = .001), indicating that more time spent reviewing equates to higher scores. The same relationship appeared with NLORs, but was not statistically significant (ρ = 0.276, P = .058). Conclusions VLORs are a novel and efficient additive tool for screening candidates for otolaryngology residency interview slots. Their scores do not significantly vary from NLOR scores and are significantly faster to evaluate. Level of Evidence 2b Laryngoscope, 129:2026–2030, 2019
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