Topic Review
Enduring Controversy of Cervicogenic Vertigo
The idea of cervicogenic vertigo (CV) was proposed nearly a century ago, yet despite considerable scrutiny and research, little progress has been made in clarifying the underlying mechanism of the disease, developing a confirmatory diagnostic test, or devising an appropriately targeted treatment. Given the history of this idea, we offer a review geared towards understanding why so many attempts at clarifying it have failed, with specific comments regarding how CV fits into the broader landscape of positional vertigo syndromes, what a successful diagnostic test might require, and some practical advice on how to approach this in the absence of a diagnostic test.
  • 576
  • 28 Sep 2021
Topic Review
Circulating Tumor DNA in Head and Neck Cancer
Head and neck cancer remains a challenging and deadly disease as it is often identified in more advanced stages due to limitations in screening and surveillance. Circulating tumor DNA (ctDNA) has the potential to improve outcomes by enhancing screening, early diagnosis, and surveillance in head and neck cancer patients.
  • 571
  • 14 Jul 2022
Topic Review
Tissue Engineering for Glottic Insufficiency
Glottic insufficiency is widespread in the elderly population and occurs as a result of secondary damage or systemic disease. Tissue engineering is a viable treatment for glottic insufficiency since it aims to restore damaged nerve tissue and revitalize aging muscle. After injection into the biological system, injectable biomaterial delivers cost- and time-effectiveness while acting as a protective shield for cells and biomolecules.
  • 552
  • 13 Dec 2022
Topic Review
Diagnosis of Reflux and Place of pH Study
Laryngopharyngeal reflux (LPR) is an inflammatory condition of the upper aerodigestive tract tissues related to direct and indirect effect of gastroduodenal content reflux, which induces morphological changes in the upper aerodigestive tract. The demonstration of pharyngeal reflux events through pH study is an important step in the management of LPR because this is the most effective approach to objective the back flow of gastric content into the pharynx.
  • 551
  • 08 Jun 2022
Topic Review
Pathophysiology, Immunosenescence and Inflammaging of Presbyacusis
Age-related hearing loss (ARHL), or presbyacusis, is a type of sensorineural hearing loss that primarily affects the elderly. However, the age of onset, rate of decline, and severity of hearing loss vary widely. As a result of ageing, the immune system can become defective, leading to the accumulation of unresolved inflammatory processes in the body. Various stimuli can sustain inflammaging, including pathogens, cell debris, nutrients, and gut microbiota.
  • 551
  • 12 Jul 2022
Topic Review
Olfactory-Disorders in Post-Acute COVID-19 Syndrome
Altered smell is one of the most prevalent symptoms in acute COVID-19 infection. Although most patients recover normal neurosensory function in a few weeks, approximately one-tenth of patients report long-term smell dysfunction, including anosmia, hyposmia, parosmia and phantosmia, with a particularly notable impact on quality of life. In this complex scenario, inflammation and cellular damage may play a key role in the pathogenesis of olfactory dysfunctions and may affect olfactory signaling from the peripheral to the central nervous system.
  • 538
  • 29 Sep 2021
Topic Review
Nutritional Intervention on Taste Perception
Taste is primarily a nutrient sensing system. The texture of the food and the rate at which it is eaten, have a profound effect on the time of orosensory exposure to foods and to satiation. It has been established that slower eating leads to a longer exposure to taste.
  • 536
  • 29 Mar 2022
Topic Review
Oxidative Stress in Obstructive Sleep Apnea Syndrome
Obstructive sleep apnea syndrome (OSAS) is a disease that affects 2% of men and 4% of women of middle age. It is a major health public problem because untreated OSAS could lead to cardiovascular, metabolic, and cerebrovascular complications.
  • 530
  • 21 Jul 2023
Topic Review
EBV-Positive Mucocutaneous Ulcer
EBV-positive mucocutaneous ulcer (EBV-MCU) was classified as a rare new entity of the lymphoproliferative B-cell diseases by the WHO in 2017 and must be distinguished from head and neck squamous cell carcinoma by early biopsy.
  • 529
  • 29 Apr 2022
Topic Review
HRQOL in Oral Cancer Patients
The scope of the present entry was to highlight possible sources of bias that could be encountered when evaluating HRQOL (Health-Related Quality of Life) in patients treated for oral cancer. The second aim was to lay the foundation of a standardized protocol for cohort selection, data collection, and stratification that could enhance knowledge in the field.
  • 522
  • 22 Sep 2021
Topic Review
Bilateral Vestibular Dysfunction
Patients with dysfunction of both vestibular systems of the inner ear experience postural instability and gait disturbances.  This condition is called Bilateral Vestibular Dysfunction (BVD). 
  • 511
  • 11 Mar 2022
Topic Review
Atypical Skull-Base Osteomyelitis
Atypical skull-base osteomyelitis is a rare but fatal disease that usually involves infection of the ethmoid, sphenoid, occipital, or temporal bones that form the skull base. Unlike typical (so-called otogenic), atypical skull-base osteomyelitis has no otogenic cause. Instead, some authors call atypical skull-base osteomyelitis sinonasal, since the infection most often originates from the nose and paranasal sinuses. 
  • 510
  • 09 May 2023
Topic Review
Sobrerol
Respiratory tract infections (RTIs) are usually characterized by mucus hypersecretion. This condition may worsen and prolong symptoms and signs. For this reason, reducing mucus production and improving mucus removal represent relevant aspects of managing patients with RTIs. In this regard, mucoactive drugs may be effective. Mucoactive agents constitute a large class of compounds characterized by different mechanisms of action. Sobrerol is a monoterpene able to fluidify mucus, increase mucociliary clearance, and exert antioxidant activity. Sobrerol is available in various formulations (granules, syrup, nebulized, and suppository). Sobrerol has been on the market for over 50 years.
  • 510
  • 18 Jul 2023
Topic Review
CO2 Laser Transoral Laryngeal Microsurgery
CO2 laser transoral laryngeal microsurgery (TLM) is the preferred option for the majority of small–medium size glottic and supraglottic cancers and may also be used for bigger tumors, especially in older patients.
  • 503
  • 05 May 2022
Topic Review
Epithelial-to-Mesenchymal Transition
Epithelial-to-mesenchymal transition is a well-studied phenomenon in embryology and occurs during the morphogenesis of organs. It is described as epithelial-to-mesenchymal transition (EMT) type I. The molecular procedure of EMT is also reprogrammed in the healing of wounds and the pathological fibrosis of organs, known as EMT type II. EMT III is the type that is implicated in tumor metastasis. While initially focusing on the abolishment of epithelial and acquisition of mesenchymal characteristics by the tumor cells, the idea behind EMT currently incorporates all the phenotypic and molecular characteristics that enable tumor cells to migrate, survive, and proliferate in distant tissues. In other words, it is a complete model of molecular processes signaled by specific factors called inducers. This model progresses via cross-linked molecular pathways, concluding with functional and structural modifications that make the carcinoma cells metastatic. These modifications are mediated by molecules known as the effectors of EMT.
  • 500
  • 16 Sep 2022
Topic Review
Transoral Robotic Surgery: Applications in HNC
Minimally invasive surgery is a growing field in surgical oncology. After acquiring its first Food and Drug Administration approval in 2009 for T1–T2 malignancies of the oral cavity, oropharynx, and larynx, transoral robotic surgery (TORS) has gained popularity thanks to its wristed instruments and magnified three-dimensional view, enhancing surgical comfort in remote-access areas. Its indications are expanding in the treatment of head and neck cancer, i.e., resection of tumors of the larynx, hypopharynx, or parapharyngeal space. Head and neck cancer (HNC) incidence has increased, ranking eighth among the most common cancers worldwide in 2020 with approximately 900,000 cases yearly. Following a similar trend, head and neck surgeons in Australia and New Zealand have a TORS adoption rate of 43.6%. The main indications for TORS in all these countries are lateral oropharyngectomy, base-of-tongue mucosectomy, and surgery for obstructive sleep apnea.
  • 492
  • 30 Mar 2023
Topic Review
Extracellular Vesicles in Head and Neck Surgery
EVs has spread from various medical fields to otorhinolaryngology, as well as head and neck surgery (ORL-HNS). 
  • 480
  • 06 Dec 2021
Topic Review
Surgical Techniques and The Benefits of Cochlear Implantation
As selection criteria for CI are continuously evolving and more patients are eligible for implantation, the preservation of residual hearing is becoming increasingly studied. Sustained trauma to the cochlea during the advancement of the electrode array was identified as a critical factor that can deteriorate residual hearing; therefore, in recent years, increasing attention has been directed towards surgical principles.
  • 476
  • 15 Jun 2022
Topic Review
Muscle Tension Dysphonia
Muscle Tension Dysphonia (MTD) is a relatively new clinical entity that, despite being one of the most frequent causes of functional dysphonia, is little-known by many otorhinolaryngologists. MTD has been defined as a functional voice disorder characterized by excessive tension in the extrinsic laryngeal musculature during phonation but without organic or neurological alterations.
  • 468
  • 13 Mar 2024
Topic Review
Vertigo Associated with Otosclerosis and Stapes Surgery
Otosclerosis is a pathological condition affecting the temporal bone, and is characterized by remodelling of the labyrinthine bone tissue through a dynamic process of osteolysis and osteogenesis. This condition progressively leads to hearing loss, tinnitus, and vertigo.
  • 467
  • 24 Aug 2023
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