Olfactory function in mild cognitive impairment and Alzheimer's disease: A meta ‐analysis
ConclusionsMeta ‐analysis results revealed that olfactory identification was more profoundly impaired in patients with AD than in those with MCI. These findings suggest that a simple test of odor identification is valuable in differentiating individuals at a risk of AD.Level of EvidenceNALaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Hahn Jin Jung, In ‐Soo Shin, Ji‐Eun Lee Tags: General Otolaryngology Source Type: research

The Impact of a Stepwise Approach to Primary Tumor Detection in Squamous Cell Carcinoma of the Neck With Unknown Primary
ConclusionsA stepwise approach to primary tumor identification identifies a primary tumor in a majority of patients.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: John F. Ryan, Kevin M. Motz, Lisa M. Rooper, Wojciech K. Mydlarz, Harry Quon, Christine G. Gourin, Marietta Tan, David W. Eisele, Carole Fakhry Tags: Head and Neck Source Type: research

Feasibility of shotgun metagenomics to assess microbial ecology of pediatric tracheostomy tubes
ConclusionThis study reveals that metagenomic shotgun sequencing of biofilms formed on pediatric TTs is feasible with an apparent difference in microbiome for patients with granulation tissue. Further studies are necessary to elucidate the pathogenesis of microbial ecology and its role in airway disease in patients with TTs.Level of Evidence2c.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: James C. Wang, Mathieu Bergeron, Heidi Andersen, Raisa Tikhtman, David Haslam, Tammy Hunter, Andrew B. Herr, Alessandro de Alarcon Tags: Bronchoesophagology Source Type: research

Levator claviculae muscle: Anatomic variation found during neck dissection
We report here, for the first time, a case discovering this muscle variation intraoperatively during a modified radical neck dissection. The muscle was identified on the left side, originating from the transverse processes of the upper cervical vertebrae (C2 ‐C3), attached to the upper aspect of the middle part of the clavicle. This muscle was innervated by the supraclavicular nerve, coming from the third and fourth rami of the cervical spinal nerves. Blood supply to the muscle could not be identified clearly during the surgical procedure. Surgeons an d radiologists should be aware of the presence of this rare variant mu...
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Fabio Ferreli, Giuseppe Mercante, Giuseppe Spriano Tags: Head and Neck Source Type: research

Second primary lung malignancy following head and neck squamous cell carcinoma
ConclusionsPatients who undergo curative treatment of HNSCC are at high risk for developing SPLMs. Subsite ‐specific differences may help elucidate the degree of risk attributable to smoking, genetic susceptibility, human papillomavirus infection, or metastasis masquerading as an SPLM.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Meghan M. Crippen, Jacob S. Brady, Lindsay A. Burke, Jean Anderson Eloy, Soly Baredes, Richard Chan Woo Park Tags: Head and Neck Source Type: research

Should the Contralateral Tonsil Be Removed in Cases of HPV ‐Positive Squamous Cell Carcinoma of the Tonsil?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Christine M. Kim, Maie A. John Tags: Triological Society Best Practice Source Type: research

Do steroids improve recovery in vestibular neuritis?
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Roberto N. Solis, Daniel Q. Sun, Eric Tatro, Marlan R. Hansen Tags: Otology/Neurotology Source Type: research

Analysis of patient factors associated with 30 ‐day mortality after tracheostomy
ConclusionHigher CCI and specifically severe liver disease, congestive heart failure, and peripheral vascular disease were associated with increased 30 ‐day mortality posttracheostomy. No association was found between BMI or SES and 30‐day survival. This study identified three comorbidities that independently affect mortality in tracheostomy patients, which should be discussed with patients and families before tracheostomy.Level of Evidence3.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Khaled N. Kashlan, Amy M. Williams, Steven S. Chang, Kathleen L. Yaremchuk, Ross Mayerhoff Tags: Sleep Medicine Source Type: research

Medialization laryngoplasty/arytenoid adduction: U.S. outcomes, discharge status, and utilization trends
ConclusionTo our knowledge, this is the first search evaluating national claims data for ML with or without AA. Overall rate of ML is low, and same ‐day discharge has become more common over a 10‐year period, with an associated higher 30‐day hospital admission risk. Correct patient selection criteria for disposition status cannot be fully determined based on current data, but a high Elixhauser comorbidity index clearly carries increased r isk for hospitalization after initial discharge.Level of Evidence4.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Dale C. Ekbom, Diana M. Orbelo, Lindsey R. Sangaralingham, Raphael Mwangi, Holly K. Houten, Karthik Balakrishnan Tags: Laryngology Source Type: research

Validation of a septoplasty deformity grading system for the evaluation of nasal obstruction
ConclusionsOur SDG system addresses the challenge of providing objective anatomic information on the severity of nasal septal deformities, and may be valuable when used in conjunction with subjective data gathered from the NOSE questionnaire.Level of Evidence4Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Jeffrey T. Gu, Sherrie Kaplan, Sheldon Greenfield, Hollin Calloway, Brian J. F. Wong Tags: Facial Plastics/Reconstructive Surgery Source Type: research

Solving periprosthetic leakage with a novel prosthetic device
The Laryngoscope, EarlyView. (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: Japke F. Petersen, Liset Lansaat, Frans Hilgers, Michiel van den Brekel Tags: Head and Neck Source Type: research

Physician impact on the patient and family experience in a pediatric otolaryngology practice
ConclusionPatient satisfaction surveys are utilized as a quality metric of the patient and family experience. These scores serve as one of several measures that affect reimbursement. The results demonstrate that most of the factors correlated with “likelihood of recommending practice” are provider‐based. In conclusion, the physician–patient interaction strongly influences the potential for a practice to earn top box scores on the PG item “likelihood of recommending practice” and thereby achieve the highest patient satisfaction.Level of EvidenceNA.Laryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 22, 2018 Category: ENT & OMF Authors: P. Ryan Camilon, Jessica R. Levi, Rose A. Carrion, Gary D. Josephson Tags: Pediatrics Source Type: research

Over –under versus medial tympanoplasty: Comparison of benefit, success, and hearing results
ConclusionsIn this series, the OUT technique had a high success rate with TM perforations, including anterior, near total, and total perforations. Hearing loss from dissection on the malleus was not found. This approach blends the advantages and minimizes the disadvantages of the classic techniques and is well suited for all types of tympanic membrane perforations.Level of Evidence3bLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 21, 2018 Category: ENT & OMF Authors: Seilesh Babu, Alexander L. Luryi, Christopher A. Schutt Tags: Otology/Neurotology Source Type: research

Using word clouds to Re ‐envision letters of recommendation for residency applicants
ConclusionsVLORs are a novel and efficient additive tool for screening candidates for otolaryngology residency interview slots. Their scores do not significantly vary from NLOR scores and are significantly faster to evaluate.Level of Evidence2bLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Sinehan B. Bayrak, Jennifer A. Villwock, Mark R. Villwock, Alexander G. Chiu, Kevin J. Sykes Tags: General Otolaryngology Source Type: research

Progression of hearing loss in neurofibromatosis type 2 according to genetic severity
ConclusionsThis is the first description of long ‐term hearing outcomes in a clinical setting across a large heterogeneous cohort of patients with NF2. The results highlight the potential importance and benefit of considering the genetic severity score of patients when undertaking treatment decisions, as well as planning future natural history s tudies.Level of Evidence2cLaryngoscope, 2018 (Source: The Laryngoscope)
Source: The Laryngoscope - November 19, 2018 Category: ENT & OMF Authors: Beatrice Emmanouil, Rory Houston, Anne May, James D. Ramsden, C. Oliver Hanemann, Dorothy Halliday, Allyson Parry, Samuel Mackeith Tags: Otology/Neurotology Source Type: research