Evidence based clinical practice in otolaryngology:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pa.
Saunders
2012
|
| Schriftenreihe: | Otolaryngologic clinics of North America
45,5 |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII S., S. 925 - 1201 Ill., graph. Darst. |
| ISBN: | 9781455749232 |
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Datensatz im Suchindex
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|---|---|
| adam_text | Titel: Evidence based clinical practice in otolaryngology
Autor: Smith, Timothy L
Jahr: 2012
Evidence-Based Clinical Practice in Otolaryngology
Contents
Preface: Clinical Decision-Making Based on Evidence xiii
Timothy L. Smith
Evidence-Based Practice: Management of Vertigo 925
Anh T Nguyen-Huynh
The article focuses on the evidence basis for the management of benign
paroxysmal positional vertigo (BPPV), the most common diagnosis of ver-
tigo in both primary care and subspecialty settings. An overview is pre-
sented, along with evidence-based clinical assessment, diagnosis, and
management. Summaries of differential diagnosis of vertigo and outcomes
are presented.
Evidence-Based Practice: Management of Adult Sensorineural Hearing Loss 941
Justin K. Chau, John J.W. Cho, and Dieter K. Fritz
Sensorineural hearing loss is a complex disease state influenced by genet-
ics, age, noise, and many other factors. This article reviews our current
knowledge regarding the causes of sensorineural hearing loss and reviews
the more challenging clinical presentations of sensorineural hearing loss.
We have reviewed the latest medical literature in an attempt to provide
an evidence-based strategy for the assessment and management of sud-
den sensorineural hearing loss, rapidly progressive sensorineural hearing
loss, and asymmetric/unilateral sensorineural hearing loss.
Cochlear Implants: Clinical and Societal Outcomes 959
Yevgeniy R. Semenov, Rodrigo Martinez-Monedero, and John K. Niparko
Over the past 30 years, hearing care clinicians have increasingly relied on
cochlear implants to restore auditory sensitivity in selected patients with
advanced sensorineural hearing loss. This article examines the impact of
intervention with cochlear implantation in children and adults. The authors
report a range of clinic-based results and patient-based outcomes re-
flected in the reported literature on cochlear implants. The authors de-
scribe the basic assessment of the physiologic response to auditory
nerve stimulation; measures of receptive and productive benefit; and sur-
veys of life effects as reflected measures of quality of life, educational
attainment, and economic impact.
Evidence-Based Practice: Reflux in Sinusitis 983
Michael Lupa and John M. DelGaudio
It is now widely recognized that extraesophageal reflux (reflux reaching
structures above the upper esophageal sphincter) has a wide range of ef-
fects on the upper aerodigestive tract, as well as the lungs. The degree to
which this reflux contributes to the pathophysiology of sinusitis and other
sinonasal diseases is still not completely clear, but an increasing body of
literature supports a potential role.
Contents
Evidence-Based Practice: Balloon Catheter Dilation in Rhinology 993
Pete S. Batra
Balloon catheter dilation (BCD) is a treatment paradigm for surgical manage-
ment of paranasal sinus inflammatory disease. There are few robust clinical
trials evaluating the efficacy of balloon technology in chronic rhinosinusitis
(CRS). The available database largely comprises retrospective, uncontrolled
studies with insufficiently characterized patient cohorts and a lack of com-
parator groups. Thus, the current evidence base is unable to elucidate the
role and indications for BCD in the management of medically refractory
CRS. Future studies should include selected control groups, preferably
with randomization and validated outcome measures, to determine the effi-
cacy of balloon technology compared with endoscopic sinus surgery.
Epistaxis: A Contemporary Evidence Based Approach 1005
M.L. Barnes, P.M. Spielmann, and P.S. White
This article provides a contemporary management protocol for adult epi-
staxis admissions, evidence based where possible, and otherwise based
on the authors own experience.
Evidence-Based Practice: Postoperative Care in Endoscopic Sinus Surgery 1019
Luke Rudmik and Timothy L. Smith
Postoperative care following endoscopic sinus surgery (ESS) for medically
refractory chronic rhinosinusitis (CRS) is believed to be important to opti-
mize clinical outcomes. There is no standardized approach to postopera-
tive care and, because of the numerous reported strategies, there remains
a debate as to what constitutes the optimal postoperative care protocol.
This article reviews the evidence and describes an evidence-based ap-
proach for postoperative care following ESS for medically refractory CRS.
Evidence-Based Practice: Functional Rhinoplasty 1033
Daniel E. Cannon and John S. Rhee
The cause of nasal obstruction can often be attributed to pathologic con-
ditions of the nasal valve. The key physical examination finding in nasal
valve compromise is inspiratory collapse of the nasal sidewall. Validated
subjective and objective measures evaluating nasal obstruction exist, al-
though with weak correlation. Functional rhinoplasty encompasses the
surgical techniques used to address obstruction occurring in this area.
These techniques aim to increase the size of the nasal valve opening
and/or strengthen the lateral nasal wall and nasal ala, preventing dynamic
collapse. Much of the supporting evidence for functional rhinoplasty con-
sists of observational studies that are universally favorable.
Evidence-Based Practice: Sublingual Immunotherapy for Allergic Rhinitis 1045
Sarah K. Wise and Rodney J. Schlosser
In this article, the authors review the current evidence regarding the public
health and economic impact of allergic rhinitis. Diagnostic methods for
allergic disease are discussed as well as certain nuances of allergy skin
testing protocols. In addition, the evidence supporting sublingual
Contents
immunotherapy (SLIT) for allergic rhinitis is reviewed, with subsequent at-
tention to certain subgroups, such as adults and children, seasonal versus
perennial allergens, and SLIT efficacy for individual antigens. The authors
consider the evidence supporting appropriate SLIT dosing as well as the
existing data on SLIT safety.
Evidence-Based Practice: Pediatric Obstructive Sleep Apnea 1055
Stacey L. Ishman
Diagnosis of sleep-disordered breathing (SDB) is most accurately obtained
with a nocturnal polysomnogram. However, limitations on availability make
alternative screening tools necessary. Nocturnal oximetry studies or nap pol-
ysomnography can be useful if positive; however, further testing is necessary
to if these tests are negative. History and physical examination have insuffi-
cient sensitivity and specificity for definitive diagnosis of pediatric OSA.
Adenotonsillectomy remains first-line therapy for pediatric SDB and obstruc-
tive sleep apnea (OSA). Additional study of limited therapies for mild OSA are
necessary to determine if these are reasonable primary methods of treatment
or if they should be reserved for children with persistent OSA.
Evidence-Based Practice: Pediatric Tonsillectomy 1071
Karin P.Q. Oomen, Vikash K. Modi, and Michael G. Stewart
Tonsillectomy is one of the most common surgical procedures performed
in children in the United States. Indications and recommendations for peri-
operative management are multiple and may vary among clinicians. Al-
though tonsillectomy is a safe procedure, it can be associated with
morbidity. Several techniques have been developed to reduce periopera-
tive complications, but evidence of this reduction is lacking. This article
provides clinicians with evidence-based guidance on perioperative clinical
decision making and surgical technique for tonsillectomy.
Evidence-Based Practice: Evaluation and Management of Unilateral Vocal
Fold Paralysis 1083
Stephanie Misono and Albert L. Merati
Current evidence on the etiologies and presentation, evaluation, and man-
agement of unilateral vocal fold paralysis (UVFP) is reviewed. Cross-sec-
tional imaging is appropriate in the work-up of idiopathic UVFP, but
routine use of serology is not well supported. With laryngeal electromyog-
raphy, predictors of poor prognosis for functionally meaningful recovery
include fibrillation potentials, positive sharp waves, and absent/reduced
voluntary motor unit potentials, but optimal timing remains unclear. Voice
therapy may be helpful. Injection and laryngeal framework surgery (medi-
alization thyroplasty) improve vocal quality. The vocal impact of laryngeal
reinnervation is comparable with that of medialization. Some patients may
benefit from multiple procedures.
Otolaryngology Clinic of North America: Evidence-Based Practice Management
of Hoarseness/Dysphonia 1109
Jaime I. Chang, Scott E. Bevans, and Seth R. Schwartz
This article reviews the evidence for the evaluation and management
for patients with dysphonia. The evidence behind laryngoscopy,
Contents
laryngostroboscopy, laryngeal imaging, laryngeal electromyography, and
disease-specific questionnaires are reviewed. The evidence for manage-
ment of some of the common conditions leading to dysphonia is also re-
viewed. This article reviews the evidence for voice therapy for various
voice pathologies; medical management of dysphonia, including antibi-
otics, steroids, and antireflux therapy; and surgical management of glottic
insufficiency and some benign laryngeal masses.
Evidence-Based Practice: Endoscopic Skull Base Resection for Malignancy 1127
Rounak B. Rawal, Mitchell R. Gore, Richard J. Harvey, and Adam M. Zanation
Successful outcomes of endoscopic approaches to benign sinonasal tu-
mors have launched interest in expanding its use for sinonasal malignancy.
Because of the heterogeneity and rarity of sinonasal malignancy, evidence
for clinical outcomes of endoscopic approaches versus traditional cranio-
facial resection is low. Using the Oxford Center for Evidence-based
Medicine guidelines, we present the existing evidence comparing both
techniques for a variety of sinonasal malignancies.
Evidence-Based Practice: Management of Glottic Cancer 1143
Dana M. Hartl
The main issue in the management of glottic squamous cell carcinoma, as
for all cancers, is adequate disease control while optimizing functional out-
comes and minimizing morbidity. This is true for early-stage disease as for
advanced tumors. This article evaluates the current evidence for the diag-
nostic and pretherapeutic workup for glottic squamous ceN carcinoma and
the evidence concerning different treatment options for glottic carcinoma,
from early-stage to advanced-stage disease.
Management of Well-Differentiated Thyroid Cancer 1163
Selena Liao and Maisie Shindo
This review provides an overview of current guideline recommendations
for the clinical evaluation and surgical management of well-differentiated
thyroid cancer, and further examines the evidence for controversial topics
such as the minimum degree of primary resection, the role of elective cen-
tral neck dissection, and the extent of lateral neck dissection. Well-differ-
entiated thyroid cancer comprises the majority of thyroid cancers, about
90%, and includes both papillary and follicular carcinomas. Despite con-
vergence of the medical community in establishing treatment guidelines
under the American Thyroid Association, there still remain many areas of
disagreement.
Evidence-Based Practice: Management of the Clinical Node-Negative Neck in
Early-Stage Oral Cavity Squamous Cell Carcinoma 1181
Marcus M. Monroe and Neil D. Gross
This article provides a critical review of the evidence surrounding the man-
agement of the clinical node negative patient with early-stage oral cavity
squamous cell carcinoma.
Index 1195
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| spelling | Evidence based clinical practice in otolaryngology guest ed. Timothy L. Smith Evidence-based clinical practice in otolaryngology Philadelphia, Pa. Saunders 2012 XIII S., S. 925 - 1201 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Otolaryngologic clinics of North America 45,5 Smith, Timothy L. Sonstige oth Otolaryngologic clinics of North America 45,5 (DE-604)BV000003387 45,5 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=025742837&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Evidence based clinical practice in otolaryngology Otolaryngologic clinics of North America |
| title | Evidence based clinical practice in otolaryngology |
| title_alt | Evidence-based clinical practice in otolaryngology |
| title_auth | Evidence based clinical practice in otolaryngology |
| title_exact_search | Evidence based clinical practice in otolaryngology |
| title_full | Evidence based clinical practice in otolaryngology guest ed. Timothy L. Smith |
| title_fullStr | Evidence based clinical practice in otolaryngology guest ed. Timothy L. Smith |
| title_full_unstemmed | Evidence based clinical practice in otolaryngology guest ed. Timothy L. Smith |
| title_short | Evidence based clinical practice in otolaryngology |
| title_sort | evidence based clinical practice in otolaryngology |
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