Topic Review
Biomarkers in Laryngeal Squamous Cell Carcinoma
Laryngeal squamous cell carcinoma is a prevalent cancer associated with poor prognosis in advanced stages. Despite advancements in diagnostic tools, there have been minimal improvements in therapeutic approaches. The potential new frontier lies in the realm of biomarkers.
  • 179
  • 23 Nov 2023
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.
  • 456
  • 14 Jul 2022
Topic Review
Clinical Application of Botulinum Toxin in Laryngeal Dystonia
Laryngeal dystonia (LD), or spasmodic dysphonia (SD), is a chronic, task-specific, focal movement disorder affecting the larynx. It interferes primarily with the essential functions of phonation and speech. LD affects patients’ ability to communicate effectively and significantly diminishes their quality of life. Botulinum neurotoxin was first used as a therapeutic agent in the treatment of LD four decades ago and remains the standard of care for the treatment of LD. 
  • 455
  • 09 Dec 2022
Topic Review
Clinical Application of Human Stem Cells
Genetic sensorineural hearing loss and Meniere disease have been associated with rare variations in the coding and non-coding region of the human genome. Most of these variants were classified as likely pathogenic or variants of unknown significance and require functional validation in cellular or animal models. Given the difficulties to obtain human samples and the raising concerns about animal experimentation, human-induced pluripotent stem cells emerged as cellular models to investigate the interaction of genetic and environmental factors in the pathogenesis of inner ear disorders. The generation of human sensory epithelia and neuron-like cells carrying the variants of interest may facilitate a better understanding of their role during differentiation.
  • 152
  • 03 Jul 2023
Topic Review
Clinical Use of the Suppression Head Impulse Paradigm
he instrumental assessment of the vestibular system has made significant progress. Two protocol tests are available in the clinical practice to evaluate the vestibular ocular reflex (VOR) function through the use of the video head impulse test (vHIT): the head impulse paradigm (HIMP) and the suppression head impulse paradigm (SHIMP). These tests can be used alone (in the case of HIMP) or in combination to test semicircular canal function and to determine the residual VOR gain and the visuo-vestibular interaction. The suppression head impulse paradigm (SHIMP) has a potential clinical application in patients with unilateral and bilateral vestibulopathy. The SHIMP could be a useful tool to diagnose a VOR alteration in patients with unilateral and bilateral vestibulopathy. Further well-designed studies are needed to evaluate if the new paradigm could replace the HIMP in both the acute and chronic phases of vestibulopathy.
  • 329
  • 11 Jul 2022
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.
  • 329
  • 05 May 2022
Topic Review
Cochlear Implantation
Cochlear implants (CIs) are prostheses that electrically stimulate the cochlear nerve to restore not only sound perception, but speech understanding in people with profound sensorineural hearing loss. CIs use a battery-powered sound processor worn at ear level to transmit electrical signals to an electrode array that has been surgically implanted in the inner ear. The first generation of implants was approved by the FDA in 1984. These devices used a single electrode that allowed recipients to perceive the presence or absence of sound, while variably restoring some speech understanding. The FDA approved the first multi-channel implants for adults and children in 1987 and 1990, respectively. Patients who undergo implantation today do so under a growing number of indications and use devices with a tonotopic array of as many as 24 electrodes. These modern CIs promote language acquisition, literacy, and academic performance in pre-lingually deaf children, while restoring meaningful speech recognition and generating better quality-of-life outcomes for adults who are unable to use traditional amplification.
  • 293
  • 19 May 2022
Topic Review
Current Therapies for Chronic Subjective Tinnitus
Chronic subjective tinnitus, the perception of sound without an external source for longer than six months, may be a greatly debilitating condition for some people, and is associated with psychiatric comorbidities and high healthcare costs.
  • 138
  • 08 Nov 2023
Topic Review
Diagnosis of Pediatric Obstructive Sleep Apnea
Diagnosis of obstructive sleep apnea (OSA) in children with sleep-disordered breathing (SDB) requires hospital-based, overnight level I polysomnography (PSG). Obtaining a level I PSG can be challenging for children and their caregivers due to the costs, barriers to access, and associated discomfort. Less burdensome methods that approximate pediatric PSG data are needed.
  • 159
  • 19 Jun 2023
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.
  • 431
  • 08 Jun 2022
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