Arterial calcification on preoperative computed tomography imaging as a risk factor for pharyngocutaneous fistula formation after total laryngectomy

xlomafota13 shared this article with you from Inoreader Arterial calcification on preoperative computed tomography imaging as a risk factor for pharyngocutaneous fistula formation after total laryngectomy Via Head & Neck Abstract Background Research in esophageal surgery showed that computed tomography (CT) assessed arterial calcification (AC) is associated with postoperative complications. We investigated the association between AC and pharyngocutaneous fistula (PCF) formation after laryngectomy. Methods This was a retrospective cohort study of patients undergoing laryngectomy. AC was scored at 10 different anatomical locations on CT imaging, blinded for PCF occurrence. Association with PCF was investigated using logistic regression. Results The 224 patients were included; 62 (27.7%) developed a PCF. Moderate to severe AC was widespread in patients undergoing TL; 7.1% of patients had at most mild AC, of whom 1 experienced a PCF (p = 0.05). A higher cumulative calcification score was associated with PCF in univariable (OR 1.11, p = 0.04) and multivariable analysis (OR 1.14, p = 0.05). Conclusion AC is widespread in patients undergoing laryngectomy and its burden is associated with PCF. Extensive AC on preoperative imaging may be considered a risk factor for PCF. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Iron deficiency and high-intensity running interval training do not impact femoral or tibial bone in young female rats

xlomafota13 shared this article with you from Inoreader Iron deficiency and high-intensity running interval training do not impact femoral or tibial bone in young female rats Via swallowing exercises Br J Nutr. 2021 Nov 11:1-22. doi: 10.1017/S0007114521004426. Online ahead of print. ABSTRACT In the US, as many as 20% of recruits sustain stress fractures during basic training. In addition, approximately one-third of female recruits develop iron deficiency upon completion of training. Iron is a cofactor in bone collagen formation and vitamin D activation, thus we hypothesized iron deficiency may be contributing to altered bone microarchitecture and mechanics during 12-weeks of in creased mechanical loading. Three-week old female Sprague Dawley rats were assigned to one of four groups: iron adequate sedentary, iron deficient sedentary, iron adequate exercise, and iron deficient exercise. Exercise consisted of high-intensity treadmill running (54 min 3×/week). After 12-weeks, serum bone turnover markers, femoral geometry and microarchitecture, mechanical properties and fracture toughness, and tibiae mineral composition and morphometry were measured. Iron deficiency increased the bone resorption markers C-terminal telopeptide type I collagen and tartate-resistant acid phosphatase 5b (TRAcP 5b). In exercised rats, iron deficiency further increased bone TRAcP 5b, while in iron adequate rats, exercise increased the bone formation marker procollagen type I N-terminal propeptide. In the femur, exercise increased cortical thickness and maximum load. In the tibia, iron deficiency increased the rate of bone formation, mineral apposition, and zinc content. These data s how that the femur and tibia structure and mechanical properties are not negatively impacted by iron deficiency despite a decrease in tibiae iron content and increase in serum bone resorption markers during 12-weeks of high-intensity running in young growing female rats. PMID:34758890 | DOI:10.1017/S0007114521004426 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Sensitivity of Communicative Participation Item Bank for Measuring Unilateral Vocal Fold Immobility

xlomafota13 shared this article with you from Inoreader Sensitivity of Communicative Participation Item Bank for Measuring Unilateral Vocal Fold Immobility Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This case series examines differences in patients' score s on the Communicative Participation Item Bank before and after treatment of unilateral vocal fold immobility and how the scores compare with qualitative self-reports of treatment outcomes. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Persistent Postthyroidectomy Hypoparathyroidism in the Netherlands

xlomafota13 shared this article with you from Inoreader Persistent Postthyroidectomy Hypoparathyroidism in the Netherlands Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This cohort study examines the incidence of postoperative , persistent hypoparathyroidism after total or completion thyroidectomy in Dutch patients. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Cystic Neck Mass

xlomafota13 shared this article with you from Inoreader Cystic Neck Mass Via JAMA Otolaryngology–Head & Neck Surgery Current Issue A 44-year-old woman presented with a 6-month history of a right neck mass with compressive symptoms. What is your diagnosis? View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Thyroid Lobectomy for T1 Papillary Thyroid Carcinoma in Pediatric Patients

xlomafota13 shared this article with you from Inoreader Thyroid Lobectomy for T1 Papillary Thyroid Carcinoma in Pediatric Patients Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This cohort study assesses the use of thyroid lobectomy fo r the treatment of papillary thyroid cancer in pediatric patients. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Levels of Triamcinolone Acetonide in Human Perilymph and Plasma After Intratympanic Application

xlomafota13 shared this article with you from Inoreader Levels of Triamcinolone Acetonide in Human Perilymph and Plasma After Intratympanic Application Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This randomized clinical trial compares levels of triamci nolone acetonide in perilymph and plasma after intratympanic injection. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Clinical Staging to Estimate the Probability of Postoperative Complications in Vestibular Schwannoma

xlomafota13 shared this article with you from Inoreader Clinical Staging to Estimate the Probability of Postoperative Complications in Vestibular Schwannoma Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This cohort study presents a staging system to predict se vere surgical complications in patients who undergo surgical resection of vestibular schwannoma. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Nonsurgical Risk Factors Associated With Pharyngocutaneous Fistula After Laryngectomy

xlomafota13 shared this article with you from Inoreader Nonsurgical Risk Factors Associated With Pharyngocutaneous Fistula After Laryngectomy Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This multicenter cohort study of adult patients with lary ngeal cancer uses data from a national database to identify nonclinical risks associated with the formation of pharyngocutaneous fistula after total laryngectomy. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

An Unusual Case of Bilateral Chylothorax After Neck Dissection

xlomafota13 shared this article with you from Inoreader An Unusual Case of Bilateral Chylothorax After Neck Dissection Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This case report describes a woman in her 30s who underwe nt total thyroidectomy with modified radical neck dissection due to papillary thyroid cancer and was subsequently diagnosed with bilateral chylothorax secondary to cervical thoracic duct injury. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Hearing Loss and Impaired Physical Function, Frailty, and Disability in Older Adults

xlomafota13 shared this article with you from Inoreader Hearing Loss and Impaired Physical Function, Frailty, and Disability in Older Adults Via JAMA Otolaryngology–Head & Neck Surgery Current Issue This cross-sectional study examines the association betwe en hearing loss and impaired lower extremity function, frailty syndrome, and disability in older adults. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Long-term Outcomes of Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea

xlomafota13 shared this article with you from Inoreader Long-term Outcomes of Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea Via JAMA Otolaryngology–Head & Neck Surgery Online First This cohort study investigates the association between long-te rm use of hypoglossal nerve stimulation for obstructive sleep apnea and improved patient-reported outcomes, particularly insomnia and depression indices, and compares these outcomes with those for positive airway pressure therapy. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.