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.
  • 40
  • 13 Mar 2024
Topic Review
Use of Immune Regulation in HNSCC
Immunotherapy has emerged as a promising new treatment modality for head and neck cancer, offering the potential for targeted and effective cancer management. Squamous cell carcinomas pose significant challenges due to their aggressive nature and limited treatment options. Conventional therapies such as surgery, radiation, and chemotherapy often have limited success rates and can have significant side effects. Immunotherapy harnesses the power of the immune system to recognize and eliminate cancer cells, and thus represents a novel approach with the potential to improve patient outcomes. In the management of head and neck squamous cell carcinoma (HNSCC), important contributions are made by immunotherapies, including adaptive cell therapy (ACT) and immune checkpoint inhibitor therapy.
  • 69
  • 12 Mar 2024
Topic Review
p16 Expression in Laryngeal Squamous Cell Carcinoma
Laryngeal squamous cell carcinoma (LSCC) is a common malignancy that, despite scientific advancements, has not seen an improvement in its prognosis. Few promising predictive markers have been found and none are relevant in clinical practice. p16ink4a, an oncosuppressor protein involved in cell cycle arrest, with a prognostic impact on other cancers, has been widely used in the head and neck region as a surrogate marker of HPV infection. Published papers and meta-analyses seem to minimize the biological role of HPV in the context of LSCC’s cancerogenesis, and to disprove the reliability of p16ink4a as a surrogate prognostic marker in this context, while still highlighting its potential role as an independent predictor of survival. 
  • 46
  • 08 Mar 2024
Topic Review
Vestibular Assessment and Rehabilitation in the Operational Environment
The vestibular system, comprised of the semicircular canals, otolith organs, and eighth cranial nerves in the peripheral system, and the brainstem, brain, and cerebellum in the central system, is essential for gaze and postural stability. It allows service members to keep their eyes fixed on a target while their head is moving, and additionally contributes to the maintenance of balance. Evaluation of the vestibular system requires a systematic assessment of the visual, vestibular, and balance systems; technology can aid in this assessment. While technology can assist physical and occupational therapists in performing vestibular assessment and rehabilitation, not all such technologies are conducive to delivery of healthcare in an operational environment. In this context, the environment is characterized by the presence of extreme conditions and constrained resource availability.
  • 46
  • 05 Mar 2024
Topic Review
Role of Oxidative Stress on Human Vocal Pathologies
Vocal fold pathologies include polyp, nodule, cyst, and Reinke’s edema (RE). A vocal fold polyp is usually a unilateral lesion that occurs as a result of focal hemorrhage inside the mucosa. 
  • 45
  • 26 Feb 2024
Topic Review
Adherence to Intranasal Steroids in CRSwNP
Adherence to treatment is essential in chronic rhinosinusitis with nasal polyposis (CRSwNP). Intranasal corticosteroids (INCS) are the first-line therapy, followed by systemic corticosteroids and surgery if needed. In cases of refractory disease, biologics are added to conventional treatment, making adherence to INCS crucial in assessing eligibility for these targeted therapies.
  • 39
  • 21 Feb 2024
Topic Review
Skull Vibration-Induced Nystagmus in Superior Semicircular Canal Dehiscence
The third window syndrome, often associated with the Tullio phenomenon, is most often observed in patients with a superior semicircular-canal dehiscence (SCD) but is not specific to this pathology. Clinical and vestibular tests suggestive of this pathology are not always concomitantly observed and have been complemented by the skull-vibration-induced nystagmus test, which constitutes a bone-conducted Tullio phenomenon (BCTP).
  • 66
  • 18 Feb 2024
Topic Review
Frontal Recess Cell Variation and Frontal Sinusitis Development
Chronic rhinosinusitis (CRS) can have a significant impact on quality of life. With persistent symptoms and the failure of initial medical treatments, surgical management is indicated. Despite the excellent results of endoscopic sinus surgery for persistent CRS, it is quite a challenging procedure for frontal sinusitis given the complex anatomy and location of the frontal sinus. Frontal recess cells significantly contribute to the complexity of the frontal sinus, and numerous studies have sought to establish their association with sinusitis.
  • 60
  • 29 Jan 2024
Topic Review
Anterior Skull Base Reconstruction Using the Nasoseptal Flap
The nasoseptal flap (NSF) has become a workhorse reconstructive option in the endonasal repair of anterior skull base defects. The flap is pedicled on the posterior septal nasal artery, which branches off the sphenopalatine artery and courses along the posterior nasal cavity and inferior sphenoid face. Due to its versatile nature and customizability, the NSF can be utilized for a range of different defects extending from the frontal recess to the low clivus in the sagittal plane. 
  • 82
  • 11 Jan 2024
Topic Review
Airways Type-2 Related Disorders
Chronic rhinosinusitis (CRS) has recently undergone a significant paradigm shift, moving from a phenotypical classification towards an “endotype-based” definition that places more emphasis on clinical and therapeutic aspects. Similar to other airway diseases, like asthma, most cases of CRS in developed countries exhibit a dysregulated type-2 immune response and related cytokines. Consequently, the traditional distinction between upper and lower airways has been replaced by a “united airway” perspective. Additionally, type-2 related disorders extend beyond respiratory boundaries, encompassing conditions beyond the airways, such as atopic dermatitis. This necessitates a multidisciplinary approach. Moreover, consideration of possible systemic implications is crucial, particularly in relation to sleep-related breathing diseases like Obstructive Sleep Apnoea Syndrome (OSAS) and the alteration of systemic inflammatory mediators such as nitric oxide. The trends in epidemiological, economic, and social burden are progressively increasing worldwide, indicating syndemic characteristics.
  • 50
  • 10 Jan 2024
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