Σάββατο 30 Απριλίου 2016

P2X2 Receptor Terminal Field Demarcates a "Transition Zone" for Gustatory and Mechanosensory Processing in the Mouse Nucleus Tractus Solitarius

Peripheral gustatory neurons express P2X2 purinergic receptors and terminate in the rostral portion of the nucleus tractus solitarius (rNTS), but a relationship between the P2X2 terminal field and taste evoked activity has not been established. Additionally, a portion of somatosensory neurons from the trigeminal nerve, which are devoid of P2X2 expression, also terminate in the lateral rNTS. We hypothesized that P2X2 receptor expression on afferent nerve endings could be used as an anatomical tool for segregating gustatory from mechanosensory responsive regions in the mouse rNTS. C57BL/6 mice were used to record extracellular activity from neurons within the rNTS and the laterally adjacent reticular formation and trigeminal nucleus. Histological reconstruction of electrolytic lesions indicated that gustatory activity coincided with electrode tracks that traversed through P2X2 terminal fields. Gustatory recordings made more rostral in the rNTS had receptive fields located in the anterior oral cavity (AO), whereas gustatory recordings made more caudal in the rNTS had receptive fields located in the posterior oral cavity (PO). Mechanosensory neurons with AO receptive fields were recorded near the lateral border of the P2X2 terminal field and became numerous on electrode tracks made lateral to the P2X2 terminal field. In contrast, mechanosensory responses with PO receptive fields were recorded within the P2X2 terminal field along with gustatory activity and transitioned to mechanosensory only outside the P2X2 terminal field. Collectively, our results indicate that the lateral border of the P2X2 terminal field, demarcates a faithful "transition zone," where AO responses transition from gustatory to mechanosensory.



from #ΓεύσηΌσφρηση via a.lsfakia on Inoreader http://ift.tt/1SFIOsq
via IFTTT

Differential expression of LOXL4 in normal and tumour tissue samples of laryngeal squamous cell carcinoma



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIzhx
via IFTTT

Evaluation of the antioxidant effects of melatonin on the larynx mucosa of rats exposed to environmental tobacco smoke



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMkC1
via IFTTT

Relationship between tinnitus and suicidal behaviour in Korean men and women: a cross‐sectional study



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIzht
via IFTTT

Quality of life after different procedures for regional control in oral cancer patients: cross‐sectional survey



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMkBW
via IFTTT

Comparison of calcium alginate and carboxymethyl cellulose for nasal packing after endoscopic sinus surgery: a prospective, randomised, controlled single‐blinded trial



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIz19
via IFTTT

Surfactant proteins A and D are related to severity of the disease, pathogenic bacteria and comorbidity in patients with chronic rhinosinusitis with and without nasal polyps



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIB96
via IFTTT

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMitI
via IFTTT

Hearing loss in survivors of childhood head and neck rhabdomyosarcoma: a long‐term follow‐up study



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIz13
via IFTTT

Odontogenic Sinusitis an underappreciated diagnosis: Our experience



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMklB
via IFTTT

High‐flow oxygen, a primary oxygenation technique for endolaryngeal airway surgery: Our experience with 10 patients



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIydx
via IFTTT

Evolution of a UK endoscopic anterior skull base pituitary service – the first one hundred and twenty‐three patients: Our Experience



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMids
via IFTTT

Antibiotic prescribing trends in necrotising otitis externa: a survey of 85 trusts in the United Kingdom: Our Experience



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIz0Z
via IFTTT

Recurrent laryngeal nerve identification in thyroidectomy by intra‐operative staining with methylene blue in forty‐six patients



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMidn
via IFTTT

Endoscopic posterior graft laryngotracheal reconstruction – our initial experience of surgical technique in six children



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIydm
via IFTTT

The Sheffield ACS sickle knife for endoscopic anterior cricoid split



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMidl
via IFTTT

Response to: a review of the management of 84 cases of nasal polyposis in a Tertiary Otorhinolaryngology Centre: our experience



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIyKC
via IFTTT

Response to Shelton, F. et al., procedures of limited clinical value in ENT: what effect has there been on operating numbers?



from #ORL via xlomafota13 on Inoreader http://ift.tt/1YYMklp
via IFTTT

The role of diffusion‐weighted magnetic resonance imaging in assessing residual/recurrent cholesteatoma after canal wall down mastoidectomy



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VZIxX5
via IFTTT

Frequency selectivity of the human cochlea: Suppression tuning of spontaneous otoacoustic emissions

Publication date: Available online 29 April 2016
Source:Hearing Research
Author(s): Geoffrey A. Manley, Pim van Dijk
Frequency selectivity is a key functional property of the inner ear and since hearing research began, the frequency resolution of the human ear has been a central question. In contrast to animal studies, which permit invasive recording of neural activity, human studies must rely on indirect methods to determine hearing selectivity. Psychophysical studies, which used masking of a tone by other sounds, indicate a modest frequency selectivity in humans. By contrast, estimates using the phase delays of stimulus-frequency otoacoustic emissions (SFOAE) predict a remarkably high selectivity, unique among mammals. An alternative measure of cochlear frequency selectivity are suppression tuning curves of spontaneous otoacoustic emissions (SOAE). Several animal studies show that these measures are in excellent agreement with neural frequency selectivity. Here we contribute a large data set from normal-hearing young humans on suppression tuning curves (STC) of spontaneous otoacoustic emissions (SOAE). The frequency selectivities of human STC measured near threshold levels agree with the earlier, much lower, psychophysical estimates. They differ, however, from the typical patterns seen in animal auditory nerve data in that the selectivity is remarkably independent of frequency. In addition, SOAE are suppressed by higher-level tones in narrow frequency bands clearly above the main suppression frequencies. These narrow suppression bands suggest interactions between the suppressor tone and a cochlear standing wave corresponding to the SOAE frequency being suppressed. The data show that the relationship between pre-neural mechanical processing in the cochlea and neural coding at the hair-cell/auditory nerve synapse needs to be reconsidered.

Graphical abstract

image


from #Audiology via xlomafota13 on Inoreader http://ift.tt/1Y02jQ5
via IFTTT

Osteosarcoma of head and neck: A retrospective study on prognostic factors from a single institute database

gr1.sml

Osteosarcoma is a common neoplasm of the bones, effecting infrequently in the head and neck region, Osteosarcoma occurs in two peaks of life, first peak is during adolescence and the second peak in older adulthood. Skeleton of the extremities are most often involved by this tumor and only 8% are reported in skull and jaw [1].

from #ORL via xlomafota13 on Inoreader http://ift.tt/26F72wg
via IFTTT

ACR Appropriateness criteria® for nasopharyngeal carcinoma

Abstract

Background

Nasopharyngeal carcinoma (NPC) presents mostly with locally advanced disease and is treated with multimodal therapy; however, consensus is lacking for different clinical scenarios.

Methods

The American College of Radiology (ACR) Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Results

The ACR Expert Panel on Radiation Oncology – Head and Neck Cancer developed consensus recommendations for guiding management of nasopharyngeal carcinoma.

Conclusion

Multidisciplinary evaluation is essential to guiding the optimal use of surgery, radiation, and systemic therapy in this disease. © 2015 American College of Radiology Head Neck, 2015



from #ORL via xlomafota13 on Inoreader http://ift.tt/1NaJKbm
via IFTTT

One-stage reconstruction of tracheal defects with the medial femoral condyle corticoperiosteal-cutaneous free flap

Abstract

Background

The demanding anatomic and mechanical requirements make the reconstruction of long tracheal defects challenging. Multiple attempts at replacing tracheal segments are described, including the use of autologous, allogeneic, and synthetic tissues. However, the multilayer structure of the trachea and its function as a conduit for air had generally resulted in the use of nonvascularized tissue and/or multistage procedures.

Methods

The authors report on a 1-stage autologous reconstruction using local skin flaps for inner lining and a free medial femoral condyle corticoperiosteal-cutaneous (FCCPC) flap for the remaining layers. The skin island directly located over the FCCPC flap serves as an external coverage of the tracheal reconstruction.

Results

Within the follow-up, the reconstructed trachea has retained its shape, diameter, and airway function. No notable stenosis or instability was observed.

Conclusion

This concept combines ideal biological and mechanical tissue properties, offering the potential to meet the reconstructive requirements for extended tracheal defects. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1pSeHFY
via IFTTT

Pretreatment computed tomographic gross tumor volume as predictor of persistence of tracheostomy and percutaneous endoscopic gastrostomy tube in patients undergoing larynx preservation

cover.gif?v=1&s=ed7593daaae1b7c806505d93

ABSTRACT

Background

Although larynx preservation affords patients improvements in laryngectomy-free survival, little has been reported regarding the functional outcomes after larynx preservation. The purpose of this study was to report the predictive value of pretreatment CT-gross tumor volume (GTV) for persistence of tracheostomy and percutaneous endoscopic gastrostomy (PEG) tube in larynx preservation patients.

Methods

Each patient had a CT scan before initiation of therapy and the GTV was contoured.

Results

Using recursive partitioning analysis (RPA), threshold GTVs of 27.16 cc and 12 cc were identified for association of time with tracheostomy and PEG tube, respectively. Median (95% confidence interval [CI]) times above and below these thresholds were 1.84 (1.06–not reached [NR]) and 0.75 (0.63–1.26) years, respectively (p = .03) for time with tracheostomy and 1.75 (1.34–NR) and 0.84 (0.46–NR) years, respectively (p = 0.10) for time with PEG tube.

Conclusion

This study demonstrates that pretreatment CT-GTV is predictive of an approximately 2.5-fold and approximately 2-fold, respectively, increase in time with tracheostomy and PEG tube. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1NaJHfL
via IFTTT

Management of orbital invasion in sinonasal malignancies

cover.gif?v=1&s=ed7593daaae1b7c806505d93

Abstract

Background

Indications for preservation of orbital contents in case of malignant sinonasal tumors invading the orbit remain controversial.

Methods

A retrospective consecutive review was conducted of patients in a tertiary care center over a 15-year period.

Results

Ninety-three patients were diagnosed with a malignant tumor invading the orbit. Eighty-three were treated with curative intent of which 58 underwent surgery. Mean follow-up was 45 months. Orbital preservation was feasible in 66% of cases, whereas orbital clearance was performed in cases of locally advanced disease (invasion of extraocular muscles, ocular globe, or orbital apex). Local control rate was 70% for patients treated with orbital clearance and 74% for those with orbital preservation, with no statistical difference. Five-year survival and 5-year relapse-free survival were similar in both groups.

Conclusion

Using our strategy, the eye can be spared in more patients than what is currently proposed, without oncologic or survival disadvantages. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1pSeGSk
via IFTTT

HERG1 potassium channel expression in potentially malignant disorders of the oral mucosa and prognostic relevance in oral squamous cell carcinoma

cover.gif?v=1&s=ed7593daaae1b7c806505d93

ABSTRACT

Background

HERG1 potassium channel plays a critical role in the cell proliferation.

Methods

HERG1 protein expression was analyzed by immunohistochemistry (IHC) in 62 patients with oral leukoplakias and 100 patients with oral squamous cell carcinomas (OSCC). HERG1 mRNA levels were assessed by real-time reverse transcriptase-polymerase chain reaction (RT-PCR) in 22 patients with primary head and neck squamous cell carcinoma (HNSCC).

Results

Statistically significant associations were found between HERG1 expression and tobacco consumption, disease stage, tumor differentiation, tumor recurrence, and reduced survival. There was no association between HERG1 expression and the risk of progression from oral leukoplakia to OSCC. In addition, a high proportion of tumors (80%) showed increased HERG1 mRNA levels compared to normal mucosa from nononcologic patients.

Conclusion

Aberrant HERG1 expression increases as oral tumorigenesis progresses from oral hyperplasia to OSCC. Increased HERG1 mRNA levels were also frequently detected in OSCC and other HNSCC subsites. HERG1 expression emerges as a clinically relevant feature during tumor progression and a potential poor prognostic biomarker for OSCC. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1NaJGIE
via IFTTT

Right-sided aortic arch and aberrant left subclavian artery with or without a left nonrecurrent inferior laryngeal nerve

cover.gif?v=1&s=ed7593daaae1b7c806505d93

ABSTRACT

Background

In thyroid surgery, preserving the recurrent laryngeal nerve (RLN) is crucial for preventing postoperative phonatory dysfunction. Right nonrecurrent laryngeal nerves (NRLNs) are not particularly rare, and they are vulnerable to injury during surgery. This anomaly is associated with a right aberrant subclavian artery. Thus, a right-sided aortic arch with an aberrant left subclavian artery (LSA) suggests a possible left NRLN.

Methods

We report the cases of 4 patients with right-sided aortic arch and aberrant LSA. Preoperative imaging studies revealed those anomalies, but no signs of situs inversus. During the surgeries, only 1 of the 4 cases had a left NRLN. We retrospectively evaluated the patients' imaging studies.

Results

An aortic diverticulum was found at the point at which the aberrant LSA originated in the 3 patients with left-RLNs, but not in the patient with the left-NRLN.

Conclusion

In right-sided aortic arch + aberrant LSA cases, the absence of an aortic diverticulum suggests a left NRLN. © 2016 The Authors Head & Neck Published by Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1pSeD96
via IFTTT

Functional outcomes of sensate versus insensate free flap reconstruction in oral and oropharyngeal reconstruction: A systematic review

ABSTRACT

The purposes of this article were to review the literature regarding subjective outcomes, objective functional outcomes, and objective sensation return after sensate and/or insensate free flap reconstruction of the oral cavity and oropharynx. Sensate radial forearm and anterolateral thigh free flaps tend to have better static 2-point discrimination and pressure threshold sensitivity than insensate flaps. There is insufficient evidence to draw conclusions on whether sensate flaps improve functional speech and swallowing outcomes measured by videofluoroscopic swallowing studies and percentage of word intelligibility by a listener blinded to the study. These data highlight the complexity and number of variables affecting functional outcomes in patients who have undergone reconstructive surgery after oral and oropharyngeal cancer ablative operations. A prospective randomized multicenter study that properly and rigidly stratifies patients by defect, flap and recipient nerve choice, adjuvant therapies, and uses widely agreed upon pretreatment and posttreatment evaluation tools could help to answer this important question. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1NaJFEz
via IFTTT

Complications after surgery for benign parotid gland neoplasms: A prospective cohort study

cover.gif?v=1&s=ed7593daaae1b7c806505d93

Abstract

Background

Prospective studies on procedure-specific incidences of complications after benign parotid surgery are lacking. Predictive factors for postoperative facial dysfunction remain controversial.

Methods

We conducted a prospective study on 132 patients undergoing parotid surgery for benign parotid neoplasms. We analyzed complication rates and assessed risk factors of postoperative transient facial palsy.

Results

Facial palsy rate was 40.2% on the first postoperative day, 28.3% at 2 weeks, 3.9% at 6 months, and 1.6% at 12 months. Immediate postoperative palsy rates in subgroups of partial superficial parotidectomy, superficial parotidectomy, extended parotidectomy, and ECD were 41.5%, 43.8%, 53.8%, and 6.3%, respectively. Age, duration of surgery, and use of ultrasound knife were identified as risk factors for transient facial palsy.

Conclusion

Depending on the operation type, up to half of the patients experience facial palsy after benign parotid surgery. Higher age and longer duration of operation increase the risk. The role of operative instrumentation requires further studies. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1pSeBOC
via IFTTT

Subclinical atherosclerosis in patients with recurrent apthous stomatitis.

Related Articles

Subclinical atherosclerosis in patients with recurrent apthous stomatitis.

Oral Dis. 2016 Apr 29;

Authors: Sereflican M, Sereflican B, Dagistan E, Goksugur N, Kizildag B

Abstract
OBJECTIVE: Recurrent aphtous stomatitis (RAS) is an inflammatory oral mucosal disease. It has been known that inflammatory cascade plays important role in the atherosclerotic process. The aim of the study was to investigate the relationship between subclinical atherosclerotic findings and a systemic inflammatory disease, RAS.
METHODS: In total, 32 patients with RAS were matched with 30 control subjects on the basis of age, sex, and major cardiovascular risk factors. Laboratory parameters including lipid profiles were determined for patients and controls. B-mode ultrasonography was used to assess carotid extra-medial thickness (cEMT) and carotid intima-media thickness (cIMT).
RESULTS: Both cEMT and cIMT in the RAS group were significantly higher than in the control group (p = 0.002 and 0.013, respectively). There was a significant positive correlation between cIMT and cEMT (r = 0.381, p = 0.034). cIMT was positively correlated with age, triglyceride levels, and systolic blood pressure, while cEMT was positively correlated with age in patients with RAS.
CONCLUSIONS: To our knowledge, this is the first reported study to evaluate cEMT and cIMT in patients with RAS. This study presents morphological evidence of subclinical atherosclerosis in patients with RAS. Further studies investigating the relationship between atherosclerosis and RAS are needed. This article is protected by copyright. All rights reserved.

PMID: 27128209 [PubMed - as supplied by publisher]



from #ORL via xlomafota13 on Inoreader http://ift.tt/1QGVc9c
via IFTTT

The prevalence of dysphagia among adults in the United States.

Related Articles

The prevalence of dysphagia among adults in the United States.

Otolaryngol Head Neck Surg. 2014 Nov;151(5):765-9

Authors: Bhattacharyya N

Abstract
OBJECTIVE: To determine the prevalence of dysphagia, reported etiologies, and impact among adults in the United States.
STUDY DESIGN: Cross-sectional analysis of a national health care survey.
SUBJECTS AND METHODS: The 2012 National Health Interview Survey was analyzed, identifying adult cases reporting a swallowing problem in the preceding 12 months. In addition to demographic data, specific data regarding visits to health care professionals for swallowing problems, diagnoses given, and severity of the swallowing problem were analyzed. The relationship between swallowing problems and lost workdays was assessed.
RESULTS: An estimated 9.44 ± 0.33 million adults (raw N = 1554; mean age, 52.1 years; 60.2% ± 1.6% female) reported a swallowing problem (4.0% ± 0.1%). Overall, 22.7% ± 1.7% saw a health care professional for their swallowing problem, and 36.9% ± 0.1.7% were given a diagnosis. Women were more likely than men to report a swallowing problem (4.7% ± 0.2% versus 3.3% ± 0.2%, P < .001). Of the patients, 31.7% and 24.8% reported their swallowing problem to be a moderate or a big/very big problem, respectively. Stroke was the most commonly reported etiology (422,000 ± 77,000; 11.2% ± 1.9%), followed by other neurologic cause (269,000 ± 57,000; 7.2% ± 1.5%) and head and neck cancer (185,000 ± 40,000; 4.9% ± 1.1%). The mean number of days affected by the swallowing problem was 139 ± 7. Respondents with a swallowing problem reported 11.6 ± 2.0 lost workdays in the past year versus 3.4 ± 0.1 lost workdays for those without a swallowing problem (contrast, +8.1 lost workdays, P < .001).
CONCLUSION: Swallowing problems affect 1 in 25 adults, annually. A relative minority seek health care for their swallowing problem, even though the subjective impact and associated workdays lost with the swallowing problem are significant.

PMID: 25193514 [PubMed - indexed for MEDLINE]



from Swallowing and Swallowing Disorders (Dysphagia) via a.lsfakia on Inoreader http://ift.tt/1O2K5rm
via IFTTT

Peri-implant bony overgrowth as a cause of revision surgery in auditory osseointegrated implantation

Publication date: July 2016
Source:International Journal of Pediatric Otorhinolaryngology, Volume 86
Author(s): Jared J. Tompkins, Dana K. Petersen, Daniel D. Sharbel, Brian J. McKinnon, C. Bruce MacDonald
Implantation of auditory osseointegrated implants, also known as bone-anchored hearing systems (BAHS), represents a surgical option for select pediatric patients aged 5 years or older with hearing loss. Functional indications in this patient population include conductive or mixed hearing loss. Common complications of implantation include skin infections, chronic skin irritation, hypertrophic skin overgrowth, and loose abutments. In a case series of 15 pediatric patients, we discovered an unexpectedly high skin-related complication rate requiring surgical revision of 53%. During revision surgery, we discovered 5 patients who exhibited significant bony overgrowth at the abutment site, a complication infrequently noted in past literature.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1O2PgHY
via IFTTT

Retropharyngeal Steroids and Dysphagia Following Multilevel Anterior Cervical Surgery.

Retropharyngeal Steroids and Dysphagia Following Multilevel Anterior Cervical Surgery.

Spine (Phila Pa 1976). 2016 May;41(9):E530-E534

Authors: Koreckij TD, Davidson AA, Baker KC, Park DK

Abstract
STUDY DESIGN: A retrospective case-control study.
OBJECTIVE: The aim of this study was to determine the effect of retropharyngeal steroids on postoperative dysphagia scores and clinical outcomes following multilevel anterior cervical discectomy and fusion (ACDF).
SUMMARY OF BACKGROUND DATA: Dysphagia is a well-known complication following ACDF surgery and increased rates of dysphagia are seen with increased levels of surgery. Retropharyngeal steroids have been shown to decrease painful swallowing and prevertebral soft tissue (PSTS) swelling in 1- and 2-level anterior cervical surgery.
METHODS: A retrospective review of 44 patients undergoing multilevel (2-, 3-, 4-level) ACDF. Twenty-two patients who received retropharyngeal steroids (methylprednisone) placed on a collagen sponge at the time of surgery were compared with a matched cohort of controls who did not receive local steroids. Postoperative day 1 and 6-week radiographs were analyzed for differences in PSTS. Clinical outcomes were measured pre-operatively, 6 weeks, and 3 months postoperatively utilizing the Neck Disability Index (NDI), the Bazaz-Yoo Dysphagia Scoring System, and Eat Assessment Tool (EAT-10).
RESULTS: Significant improvement in dysphagia scores were seen utilizing both outcome measures. Bazaz-Yoo scores were significantly better at both 6 weeks and 3 months in patients receiving local steroids compared with controls (P = 0.008 and P = 0.022, respectively). EAT-10 showed similar improvement of the steroid group versus control at 6 weeks and 3 months (P = 0.067 and P = 0.012, respectively). A trend toward decreased PSTS was found with locally delivered steroids on initial postoperative radiographs (P = 0.07), but was no longer evident at 6 weeks. NDI, although improved from pre-operative scores, failed to demonstrate significant differences between groups. No differences in length of stay or complications were observed between the groups.
CONCLUSION: The use of retropharyngeal steroids resulted in decreased rates of dysphagia following multilevel ACDF. Locally delivered methylprednisone did not result in increased rates of short-term postoperative complications.
LEVEL OF EVIDENCE: 4.

PMID: 27128258 [PubMed - as supplied by publisher]



from Swallowing and Swallowing Disorders (Dysphagia) via a.lsfakia on Inoreader http://ift.tt/1QGSRLI
via IFTTT

Dysphagia in Tongue Cancer Patients Before and After Surgery.

Dysphagia in Tongue Cancer Patients Before and After Surgery.

J Oral Maxillofac Surg. 2016 Apr 2;

Authors: Huang ZS, Chen WL, Huang ZQ, Yang ZH

Abstract
PURPOSE: To define factors influencing postoperative aspiration in tongue cancer patients and to analyze the characteristics of dysphagia before and after surgery.
MATERIALS AND METHODS: A total of 112 tongue cancer patients participated in this work. Videofluoroscopic swallowing studies were performed in all patients before and after surgery. A Penetration-Aspiration Scale score of 3 or greater was defined as an aspiration risk. Qualitative data were collected on a frame-by-frame basis from each videofluoroscopic swallowing study and analyzed.
RESULTS: Smoking (58.14%, P < .01), tongue resection greater than 50% (38.71%, P < .05), and advanced tumor stage (49.18%, P < .01) were strong risk factors for aspiration. High incidences of inadequate tongue movement, delayed oral transit time, reduced hyoid bone elevation, poor aspiration or penetration, vallecula epiglottica, and residual material in the pyriform sinuses were evident after surgery (all P < .001). The Penetration-Aspiration Scale score was significantly higher after surgery than before surgery. The incidence of silent aspiration increased to 6.25% postoperatively.
CONCLUSIONS: Smoking, larger tongue resection, and advanced tumor stage were strong risk factors for postoperative aspiration and dysphagia complications in tongue cancer patients. The aspiration rate was higher after surgery. Further studies should focus on the prevention and early treatment of dysphagia, especially postoperative aspiration, in tongue cancer patients.

PMID: 27126392 [PubMed - as supplied by publisher]



from Swallowing and Swallowing Disorders (Dysphagia) via a.lsfakia on Inoreader http://ift.tt/1SAQxvc
via IFTTT

Epidemiology of globus symptoms and its associated psychological factors in China.

Epidemiology of globus symptoms and its associated psychological factors in China.

J Dig Dis. 2016 Apr 29;

Authors: Tang B, Cai HD, Xie HL, Chen DY, Jiang SM, Jia L, Jiang SM, Xie HL

Abstract
AIM: To investigate epidemiological and psychological characteristics of globus symptoms in China.
METHODS: Three thousand three hundred and sixty individuals were randomly selected and invited to participate in the study. Subjects completed questionnaires about demographic characteristics, globus symptomatology questionnaire,Glasgow-Edinburgh Throat Scale, psychological characteristics, quality of sleep and life. Subjects who reported having experienced a globus sensation in their lifetime and there is no history of GERD, true dysphagia, odynophagia or alerting signal such as weight loss or hoarseness were judged as having globus.
RESULTS: A total of 3006 subjects completed the questionnaires, giving a response rate of 89.46%. The overall lifetime prevalence of globus was 21.46%, with a peak onset age in 35-54 years old. Lifetime prevalence of globus was higher in the urban area than in the rural area (26.48% vs. 16.41%, P = 0.001). No gender-related difference in prevalence was observed (female: 22.67%, male: 20.05%, P = 0.082). The incidence of anxiety, depression, and sleep disorders was significantly higher in respondents with globus than in respondents without globus (39.84% vs. 22.28%, P = 0.001; 31.16% vs. 17.96%, P = 0.001; and 23.72% vs. 13.55%, P = 0.001, respectively). Scores on all dimensions of the 36-item short-form health survey except physical function were lower in respondents with globus than in respondents without globus (all P < 0.05).
CONCLUSION: Globus symptoms is common, often accompanied by psychological and sleep disorders. The medical community should pay more attention to it.

PMID: 27125332 [PubMed - as supplied by publisher]



from Swallowing and Swallowing Disorders (Dysphagia) via a.lsfakia on Inoreader http://ift.tt/1QGSUqS
via IFTTT

The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients.

The Effect of Optokinetic Stimulation on Perceptual and Postural Symptoms in Visual Vestibular Mismatch Patients.

PLoS One. 2016;11(4):e0154528

Authors: Van Ombergen A, Lubeck AJ, Van Rompaey V, Maes LK, Stins JF, Van de Heyning PH, Wuyts FL, Bos JE

Abstract
BACKGROUND: Vestibular patients occasionally report aggravation or triggering of their symptoms by visual stimuli, which is called visual vestibular mismatch (VVM). These patients therefore experience discomfort, disorientation, dizziness and postural unsteadiness.
OBJECTIVE: Firstly, we aimed to get a better insight in the underlying mechanism of VVM by examining perceptual and postural symptoms. Secondly, we wanted to investigate whether roll-motion is a necessary trait to evoke these symptoms or whether a complex but stationary visual pattern equally provokes them.
METHODS: Nine VVM patients and healthy matched control group were examined by exposing both groups to a stationary stimulus as well as an optokinetic stimulus rotating around the naso-occipital axis for a prolonged period of time. Subjective visual vertical (SVV) measurements, posturography and relevant questionnaires were assessed.
RESULTS: No significant differences between both groups were found for SVV measurements. Patients always swayed more and reported more symptoms than healthy controls. Prolonged exposure to roll-motion caused in patients and controls an increase in postural sway and symptoms. However, only VVM patients reported significantly more symptoms after prolonged exposure to the optokinetic stimulus compared to scores after exposure to a stationary stimulus.
CONCLUSIONS: VVM patients differ from healthy controls in postural and subjective symptoms and motion is a crucial factor in provoking these symptoms. A possible explanation could be a central visual-vestibular integration deficit, which has implications for diagnostics and clinical rehabilitation purposes. Future research should focus on the underlying central mechanism of VVM and the effectiveness of optokinetic stimulation in resolving it.

PMID: 27128970 [PubMed - as supplied by publisher]



from Speech via a.lsfakia on Inoreader http://ift.tt/1WZgMgN
via IFTTT

Dilemmatic group memberships of hard-of-hearing employees during the process of acquiring and adapting to the use of hearing aids.

Dilemmatic group memberships of hard-of-hearing employees during the process of acquiring and adapting to the use of hearing aids.

Int J Rehabil Res. 2016 Apr 28;

Authors: Koskela I, Ruusuvuori J, Juvonen-Posti P, Nevala N, Husman P, Aaltonen T, Lonka E, Laakso M

Abstract
We describe how hard-of-hearing (HOH) employees renegotiate both their existing and new group memberships when they acquire and begin to use hearing aids (HAs). Our research setting was longitudinal and we carried out a theory-informed qualitative analysis of multiple qualitative data. When an individual discovers that they have a hearing problem and acquire a HA, their group memberships undergo change. First, HOH employees need to start negotiating their relationship with the HOH group. Second, they need to consider whether they see themselves as members of the disabled or the nondisabled employee group. This negotiation tends to be context-bound, situational, and nonlinear as a process, involving a back-and-forth movement in the way in which HOH employees value different group memberships. The dilemmatic negotiation of new group memberships and the other social aspects involved in HA rehabilitation tend to remain invisible to rehabilitation professionals, occupational healthcare, and employers.

PMID: 27128825 [PubMed - as supplied by publisher]



from Speech via a.lsfakia on Inoreader http://ift.tt/1SErkN0
via IFTTT

Orofacial reflex myocloni. Definition, relation to epilepsy syndromes, nosological and prognosis significance. A focused review.

http:--linkinghub.elsevier.com-ihub-imag Related Articles

Orofacial reflex myocloni. Definition, relation to epilepsy syndromes, nosological and prognosis significance. A focused review.

Seizure. 2015 Aug;30:1-5

Authors: Yacubian EM, Wolf P

Abstract
PURPOSE: There is increasing awareness that reflex epileptic mechanisms provide unique insight into ictogenesis in human epilepsies. Among the complex triggers of seizures, this review considers orofacial reflex myocloni (ORM) from the aspects of history and delineation, clinical and electroencephalographic presentation, syndromatic relations, prevalence, mechanisms of ictogenesis and nosological implications, treatment and prognosis.
METHODS: We reviewed all published articles and case reports on ORM in order to clarify clinical and electroencephalographic findings, treatment and outcome.
RESULTS: ORM, besides Reading Epilepsy (RE), is closely related to idiopathic generalized epilepsies especially Juvenile Myoclonic Epilepsy (JME) where hyperexcitability of the network supporting linguistic communication seems to provide the precondition for eliciting reflex myocloni in the perioral muscles active in the precipitating task.
CONCLUSION: The conclusions on ictogenesis derived from ORM support the concept of both, RE and JME, as system disorders of the brain.

PMID: 26216677 [PubMed - indexed for MEDLINE]



from Speech via a.lsfakia on Inoreader http://ift.tt/1SAM0ZP
via IFTTT

The role of facial canal diameter in pathogenesis and grade of Bell's palsy: a study by high resolution computed tomography

Publication date: Available online 29 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Onur Celik, Gorkem Eskiizmir, Burak Ulkumen, Gokce Tanyeri Toker, Yuksel Pabuscu
IntroductionThe exact etiology of Bell's palsy still remains obscure. The only authenticated finding is the inflammation and edema of the facial nerve (FN) leading entrapment inside the facial canal.ObjectiveTo identify if there is any relationship between the grade of Bell's palsy and diameter of the facial canal and also to study any possible anatomic predisposition of facial canal for Bell's palsy including parts which have not been studied before.MethodsMedical records and temporal computed tomography scans of 34 patients with Bell's palsy were utilized in this retrospective clinical study. Diameters of both facial canals (affected and unaffected) of each patient were measured at labyrinthine segment, geniculate ganglion, tympanic segment, second genu, mastoid segment and stylomastoid foramen. House-Brackmann (HB) scale of each patient at presentation and 3 months after the treatment were evaluated from their medical records. The digital the paired samples t-test and Wilcoxon signed-rank test were used for comparison of width between the affected side and unaffected side. The Wilcoxon signed-rank test was also used for evaluation of relationship between the diameter of facial canal and the grade of the Bell's palsy. Significant differences were established at a level of p=0.05 (IBM SPSS Statistics for Windows, Version 21.0.; Armonk, NY, IBM Corp).ResultsThirty-four patients – 16 females, 18 males; mean age±Standard Deviation (SD), 40.3±21.3 with Bell's palsy were included in the study. According to the HB facial nerve grading system; 8 patients were grade V, 6 were grade IV, 11 were grade III, 8 were grade II and 1 patient was grade I. The mean width at the labyrinthine segment of the facial canal in the affected temporal bone was significantly smaller than the equivalent in the unaffected temporal bone (p=0.00). There was no significant difference between the affected and unaffected temporal bones at the geniculate ganglion (p=0.87), tympanic segment (p=0.66), second genu (p=0.62), mastoid segment (p=0.67) and stylomastoid foramen (p=0.16). We did not found any relationship between the HB grade and the facial canal diameter at the level of labyrinthine segment (p=0.41), tympanic segment (p=0.12), mastoid segment (p=0.14), geniculate ganglion (p=0.13) and stylomastoid foramen (p=0.44), while we found significant relationship at the level of second genu (p=0.02).ConclusionWe found the diameter of labyrinthine segment of facial canal as an anatomic risk factor for Bell's palsy. We also found significant relationship between the HB grade and FC diameter at the level of second genu. Future studies (MRI-CT combined or 3D modeling) are needed to promote this possible relevance especially at second genu. Thus, in the future it may be possible to decompress particular segments in high grade BP patients.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1SEfQsO
via IFTTT

Feasibility of ossicular chain reconstruction with resin cement

Publication date: Available online 29 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Fernando de Andrade Quintanilha Ribeiro, Yumi Tamaoki, Gabriel Wynne Cabral
IntroductionDisjunction of ossicular chain is a common finding in middle ear chronic disease. In addition to ossicular interposition, various materials have been used reconstruction, such as ceramic prostheses, polyethylene, and titanium.ObjectiveBecause of the high cost of the available options, the authors proposed to reconstruct the ossicular chain with resin cement, a material normally used in dental reconstruction and fixation.MethodsTwo anatomical parts of the temporal bones are be used, creating a disjunction of the ossicular chain between the anvil and stirrup and then rebuilding with resin cement. These reconstructions were repeated four times by three different surgeons to ensure the feasibility of the method.ResultsA total of 12 reconstructions were made, four per surgeon. After applying the cement, it could be verified by touch that the space was filled properly by the material used. Proper articulation with motion transfer to the entire ossicular chain was also observed.ConclusionResin cement is a suitable material in the reconstruction of ossicular chain injury, and it is inexpensive and technically simple.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VYMew8
via IFTTT

Assessment of hearing threshold in adults with hearing loss using an automated system of cortical auditory evoked potential detection

Publication date: Available online 29 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Alessandra Spada Durante, Margarita Bernal Wieselberg, Nayara Costa, Sheila Carvalho, Beatriz Pucci, Nicolly Gudayol, Kátia de Almeida
IntroductionThe use of hearing aids by individuals with hearing loss brings a better quality of life. Access to and benefit from these devices may be compromised in patients who present difficulties or limitations in traditional behavioral audiological evaluation, such as newborns and small children, individuals with auditory neuropathy spectrum, autism, and intellectual deficits, and in adults and the elderly with dementia. These populations (or individuals) are unable to undergo a behavioral assessment, and generate a growing demand for objective methods to assess hearing. Cortical auditory evoked potentials (CAEP) have been used for decades to estimate hearing thresholds. Current technological advances have lead to the development of equipment that allows their clinical use, with features that enable greater accuracy, sensitivity, and specificity, and the possibility of automated detection, analysis, and recording of cortical responses.ObjectiveTo determine and correlate behavioral auditory thresholds with cortical auditory thresholds obtained from an automated response analysis technique.MethodsThe study included 52 adults, divided into two groups: 21 adults with moderate to severe hearing loss (study group); and 31 adults with normal hearing (control group). An automated system of detection, analysis, and recording of cortical responses (HEARLab®) was used to record the behavioral and cortical thresholds. The subjects remained awake in an acoustically treated environment. Altogether, 150 tone bursts at 500, 1000, 2000, and 4000Hz were presented through insert earphones in descending-ascending intensity. The lowest level at which the subject detected the sound stimulus was defined as the behavioral (hearing) threshold (BT). The lowest level at which a cortical response was observed was defined as the cortical electrophysiological threshold (CET). These two responses were correlated using linear regression.ResultsThe cortical electrophysiological threshold was, on average, 7.8dB higher than the behavioral for the group with hearing loss and, on average, 14.5dB higher for the group without hearing loss for all studied frequencies.ConclusionThe cortical electrophysiological thresholds obtained with the use of an automated response detection system were highly correlated with behavioral thresholds in the group of individuals with hearing loss.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1SEfQsM
via IFTTT

Difficult septal deviation cases: is it open or closed technique?

Publication date: Available online 29 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Sultan Şevik Eliçora, Duygu Erdem, Hüseyin Işık, Murat Damar, Aykut Erdem Dinç
IntroductionAim of this study is to compare the functional aspects of open technique (OTS) and endonasal septoplasty (ENS) in "difficult septal deviation cases".Methods60 patients who have nasal obstruction because of S-shaped deformities, multiple deformities, high deviations etc. were included in the study. The OTS was used in 30 patients and the ENS was performed in 30 patients. The Nasal Obstruction Symptom Evaluation (NOSE) scale was administered preoperatively and at first month following surgery. Patients were also evaluated with Visual Analog Scale (VAS) for pain postoperatively.ResultsThe mean NOSE score was decreased 62.5–11.0 in the OTS group and 61.3–21.33 in the ENS group. Improvement of the symptoms in two surgical techniques is accepted agreeable and no statistically significant difference was found between both techniques. Also there was no statistically significant difference in postoperative pain degrees which was evaluated by VAS between the OTS and the ENS group.ConclusionAccording to our data the ENS is as successful as the OTS in management of difficult septal deviation cases. In patients with severe septal deformities type of the surgical technique should be selected according to the surgeon's experience and the patient's preference.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1VYMew3
via IFTTT

Παρασκευή 29 Απριλίου 2016

Descriptions of vestibular migraine and Menieres disease in Greek and Chinese antiquity

Background

Vestibular migraine and Menière's disease are two types of episodic vertigo syndromes that were already observed in Greek and Chinese antiquity. Descriptions first appeared in the work of the classical Greek physician Aretaeus of Cappadocia, who lived in the 2nd century AD, and in Huangdi Neijing, a seminal medical source in the Chinese Medical Classics, written between the 2nd century BC and the 2nd century AD.

Aim

The aim of this paper is to search in Aretaeus' book De causis et signis acutorum et chronicorum morborum and in Huangdi Neijing for descriptions of vertigo co-occurring with headache or ear symptoms that resemble current classifications of vestibular migraine or Menière's disease.

Results

Aretaeus describes a syndrome combining headache, vertigo, visual disturbance, oculomotor phenomena, and nausea that resembles the symptoms of vestibular migraine. In the Chinese book Huangdi Neijing the Yellow Thearch mentions the co-occurrence of episodic dizziness and a ringing noise of the ears that recalls an attack of Menière's disease.

Conclusions

The descriptions of these two conditions in Greek and Chinese antiquity are similar to the vertigo syndromes currently classified as vestibular migraine and Menière's disease. In clinical practice it may be difficult to clearly differentiate between them, and they may also co-occur.



from Cephalalgia via xlomafota13 on Inoreader http://ift.tt/24r5sMG
via IFTTT

Challenges of Active Surveillance Protocols for Low-Risk Papillary Thyroid Microcarcinoma in the United States

access_free.gif

Thyroid , Vol. 0, No. 0.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1YX6BYx
via IFTTT

Triiodothyroacetic Acid Treatment in MCT8 Deficiency: A Word of Nuance

access_no.gif

Thyroid May 2016, Vol. 26, No. 5: 615-617.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1VYGeDH
via IFTTT

Highly Concordant Key Genetic Alterations in Primary Tumors and Matched Distant Metastases in Differentiated Thyroid Cancer

access_free.gif

Thyroid May 2016, Vol. 26, No. 5: 672-682.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1YX6zQr
via IFTTT

Inappropriate Suppression of Thyrotropin Concentrations in Young Patients with Thyroid Nodules Including Thyroid Cancer: The Fukushima Health Management Survey

access_no.gif

Thyroid May 2016, Vol. 26, No. 5: 717-725.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1YX6BYv
via IFTTT

Characteristics of Antithyroid Drug–Induced Agranulocytosis in Patients with Hyperthyroidism: A Retrospective Analysis of 114 Cases in a Single Institution in China Involving 9690 Patients Referred for Radioiodine Treatment Over 15 Years

Thyroid May 2016, Vol. 26, No. 5: 627-633.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1YX6zQp
via IFTTT

Future Meetings

Thyroid May 2016, Vol. 26, No. 5: 756-757.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1VYGeDC
via IFTTT

Clinicopathological Features of Gastric Adenocarcinoma of the Fundic Gland (Chief Cell Predominant Type) by Retrospective and Prospective Analyses of Endoscopic Findings

Objectives:

Gastric adenocarcinoma of the fundic gland type (chief cell predominant type) (GA-FG-CCP) is a variant of gastric adenocarcinoma with chief cell differentiation. GA-FG-CCP is rare and has not been well understood. The present study aimed to investigate the clinicopathological features of GA-FG-CCP via retrospective and prospective analyses of endoscopic findings.

Methods

A total of 20 patients including nine cases treated with endoscopic submucosal dissection were diagnosed with GA-FG-CCP. The morphological changes were analyzed by retrospectively retracing past endoscopic records and following up after definitive diagnoses, including the status of Helicobacter pylori (H. pylori) infection.

Results

The GA-FG-CCPs were small and whitish lesions accompanied by atypical vascular growth and their macroscopic types were classified as 0-IIa (60%), 0-IIb (25%), and 0-IIc (15%), respectively. The lesions were found in the non-atrophic gastric mucosa of the upper (70%) or middle portion (30%), although gastric mucosal atrophy associated with current or past H. pylori infection was identified in 75% of cases. In the nine cases treated with endoscopic submucosal dissection, submucosal invasion was identified in 80% of the resected lesions, but no lymphovenous infiltration was detected. Ki-67-LIs of GA-FG-CCP were low at 3.2% and visible morphologic changes were rarely detected during long-term endoscopic observation for 58.9 ± 13.1 months.

Conclusions

These data indicate that GA-FG-CCP, even when submucosal invasion occurs easily, might be of low-grade malignancy as long as it is the chief cell predominant type without other epithelial abnormalities. In addition, GA-FG-CCP might develop despite H. pylori infection or gastric mucosal atrophy.



from #Esophageal Cancer via a.lsfakia on Inoreader http://ift.tt/1WwFXXr
via IFTTT

Patient's knowledge and fear about colorectal cancer risk in inflammatory bowel disease

ABSTRACT

Aim

To investigate patients' knowledge and fear about colorectal cancer (CRC) risk in inflammatory bowel disease (IBD) patients.

Methods

A 12-items self-administered questionnaire, developed after a careful literature review, was administered to all consecutive IBD patients treated with infliximab followed at Nancy University Hospital, France, between February and May 2012.

Results

100 patients (72 % with Crohn's disease [CD]) were included. Only 6% of patients spontaneously mentioned CRC risk as a main feature of IBD and 37% as a potential IBD complication. CRC was the most feared complication by 26% of patients (ulcerative colitis [UC] = 46% and CD = 18%, p < 0.01). Two thirds of patients knew that IBD increases CRC risk (UC = 82% and CD = 57%, p = 0.02). Main information's source was their gastroenterologist (52%). About the best screening method for CRC, 86% of respondents mentioned colonoscopy. Only 32% of patients knew that it has to be performed 10 years after diagnosis. In case of dysplasia, half of patients would not undergo colectomy (CD = 60% and UC = 29%, p < 0.01), mainly due to the fear of having a stoma. Only one quarter of UC patients were aware of the chemopreventive effect of 5-aminosalicylates on CRC risk.

Conclusions

Two thirds of IBD patients are aware of CRC risk. UC patients have a better knowledge of this risk and are more afraid of this complication. Our results underscore the need for therapeutic education about CRC in IBD patients.



from #Esophageal Cancer via a.lsfakia on Inoreader http://ift.tt/1SQcV2B
via IFTTT

Gene Expression Classifier Testing and the Surgical Decision-Making Process for Patients With Thyroid Nodules.

Gene Expression Classifier Testing and the Surgical Decision-Making Process for Patients With Thyroid Nodules.

JAMA Otolaryngol Head Neck Surg. 2016 Apr 28;

Authors: Kloos RT, Barth NM

PMID: 27124249 [PubMed - as supplied by publisher]



from #ORL via xlomafota13 on Inoreader http://ift.tt/1WWK3bT
via IFTTT

Hypercalcemia in a Young Man.

Hypercalcemia in a Young Man.

JAMA Otolaryngol Head Neck Surg. 2016 Apr 28;

Authors: Canfarotta M, Hegde P, Parham K

PMID: 27124092 [PubMed - as supplied by publisher]



from #ORL via xlomafota13 on Inoreader http://ift.tt/1T9tl3a
via IFTTT

Left Temple Ulceration.

Left Temple Ulceration.

JAMA Otolaryngol Head Neck Surg. 2016 Apr 28;

Authors: Ting J, Bell DM, Lewis CM

PMID: 27123903 [PubMed - as supplied by publisher]



from #ORL via xlomafota13 on Inoreader http://ift.tt/1WWK1ku
via IFTTT

Development and validation of a smartphone-based digits-in-noise hearing test in South African English

10.3109/14992027.2016.1172269<br/>Jenni-Marí Potgieter

from #Audiology via xlomafota13 on Inoreader http://ift.tt/248U0sc
via IFTTT

Auditory Nerve Recovery Function in Cochlear Implant Surgery with Local Anesthesia and Sedation versus General Anesthesia

Objective: To analyze auditory nerve recovery function (REC), comparing the results after local anesthesia and sedation with those after general anesthesia. Methods: This was a prospective, cross-sectional and descriptive study in a tertiary referral center hospital. We included all patients (37 ears) who underwent surgery for cochlear implant under either general anesthesia or local anesthesia and sedation during 3 years. REC was measured according to the function of 3 components, 'T0', 'A' and 'tau', and was taken for 3 cochlear electrodes (apical, medial and basal). Results: There were no significant differences in 'tau' and in the current level used, but there were significant differences in the parameters 'T0' apical and 'A' basal. Conclusions: There were no significant differences in REC between the 2 types of anesthesia, except for the parameters 'T0' apical and 'A' basal.
Audiol Neurotol 2016;21:150-157

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1QECeA3
via IFTTT

Pedicled adipofascial infraclavicular flap: Elevation technique and its use for maintaining neck contour and vessel coverage after radical and modified radical neck dissection

cover.gif?v=1&s=ed7593daaae1b7c806505d93

ABSTRACT

Background

The pedicled adipofascial infraclavicular flap (ICF) is based on the anterior perforator of the supraclavicular artery and supplies the fasciocutaneous tissue of the upper chest. This flap may be used to address neck contour defects and vessel coverage after radical and modified radical neck dissections (MRNDs).

Methods

We described the pedicled adipofascial ICF elevation technique and its use immediately after neck dissections in order to maintain soft tissue volume and vessel coverage. A video of the operation is provided.

Results

Our results demonstrated satisfactory neck contours with adequate volume replacement, great vessel coverage, and little donor-site morbidity.

Conclusion

The pedicled adipofascial ICF is a technically straightforward operation with broad possible applications in head and neck surgery. It may be useful to provide vascularized soft-tissue coverage and maintain neck contour after neck dissections. © 2016 Wiley Periodicals, Inc. Head Neck, 2016



from #ORL via xlomafota13 on Inoreader http://ift.tt/1rmRX28
via IFTTT

Epidemiology of globus symptoms and its associated psychological factors in China

ABSTRACT

AIM

To investigate epidemiological and psychological characteristics of globus symptoms in China.

METHODS

Three thousand three hundred and sixty individuals were randomly selected and invited to participate in the study. Subjects completed questionnaires about demographic characteristics, globus symptomatology questionnaire,Glasgow-Edinburgh Throat Scale, psychological characteristics, quality of sleep and life. Subjects who reported having experienced a globus sensation in their lifetime and there is no history of GERD, true dysphagia, odynophagia or alerting signal such as weight loss or hoarseness were judged as having globus.

RESULTS

A total of 3006 subjects completed the questionnaires, giving a response rate of 89.46%. The overall lifetime prevalence of globus was 21.46%, with a peak onset age in 35-54 years old. Lifetime prevalence of globus was higher in the urban area than in the rural area (26.48% vs. 16.41%, P = 0.001). No gender-related difference in prevalence was observed (female: 22.67%, male: 20.05%, P = 0.082). The incidence of anxiety, depression, and sleep disorders was significantly higher in respondents with globus than in respondents without globus (39.84% vs. 22.28%, P = 0.001; 31.16% vs. 17.96%, P = 0.001; and 23.72% vs. 13.55%, P = 0.001, respectively). Scores on all dimensions of the 36-item short-form health survey except physical function were lower in respondents with globus than in respondents without globus (all P < 0.05).

CONCLUSION

Globus symptoms is common, often accompanied by psychological and sleep disorders. The medical community should pay more attention to it.



from #Esophageal Cancer via a.lsfakia on Inoreader http://ift.tt/24ouX1b
via IFTTT

Influence of virtual height exposure on postural reactions to support surface translations

Publication date: June 2016
Source:Gait & Posture, Volume 47
Author(s): Taylor W. Cleworth, Romeo Chua, J. Timothy Inglis, Mark G. Carpenter
As fear of falling is related to the increased likelihood of falls, it is important to understand the effects of threat-related factors (fear, anxiety and confidence) on dynamic postural reactions. Previous studies designed to examine threat effects on dynamic postural reactions have methodological limitations and lack a comprehensive analysis of simultaneous kinetic, kinematic and electromyographical recordings. The current study addressed these limitations by examining postural reactions of 26 healthy young adults to unpredictable anterior–posterior support-surface translations (acceleration=0.6m/s2, constant velocity=0.25m/s, total displacement=0.75m) while standing on a narrow virtual surface at Low (0.4cm) and High (3.2m) virtual heights. Standing at virtual height increased fear and anxiety, and decreased confidence. Prior to perturbations, threat led to increased tonic muscle activity in tibialis anterior, resulting in a higher co-contraction index between lower leg muscles. For backward perturbations, muscle activity in the lower leg and arm, and center of pressure peak displacements, were earlier and larger when standing at virtual height. In addition, arm flexion significantly increased while leg, trunk and center of mass displacements remained unchanged across heights. When controlling for leaning, threat-related factors can influence the neuro-mechanical responses to an unpredictable perturbation, causing specific characteristics of postural reactions to be facilitated in young adults when their balance is threatened.



from #Audiology via xlomafota13 on Inoreader http://ift.tt/1rE6Pdd
via IFTTT

Temporal processing and long-latency auditory evoked potential in stutterers

Publication date: Available online 28 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Raquel Prestes, Adriana de Andrade Neves, Renata Beatriz Fernandes Santos, Andrea Tortosa Marangoni, Ana Maria Schiefer, Daniela Gil
IntroductionStuttering is a speech fluency disorder, and may be associated with neuroaudiological factors linked to central auditory processing, including changes in auditory processing skills and temporal resolution.ObjectiveTo characterize the temporal processing and long-latency auditory evoked potential in stutterers and to compare them with non-stutterers.MethodsThe study included 41 right-handed subjects, aged 18–46 years, divided into two groups: stutterers (n=20) and non-stutters (n=21), compared according to age, education, and sex. All subjects were submitted to the duration pattern tests, random gap detection test, and long-latency auditory evoked potential.ResultsIndividuals who stutter showed poorer performance on Duration Pattern and Random Gap Detection tests when compared with fluent individuals. In the long-latency auditory evoked potential, there was a difference in the latency of N2 and P3 components; stutterers had higher latency values.ConclusionsStutterers have poor performance in temporal processing and higher latency values for N2 and P3 components.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1N5smVz
via IFTTT

Role of cervical vestibular evoked myogenic potentials (cVEMP) and auditory brainstem response (ABR) in the evaluation of vestibular schwannoma

Publication date: Available online 28 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Deepa Aniket Valame, Geeta B. Gore
IntroductionCervical vestibular evoked myogenic potentials (cVEMP) can assess the integrity of the inferior vestibular nerve thereby promising to be a useful tool in the audiological test battery to diagnose vestibular schwannoma.ObjectiveTo ascertain the utility of cVEMP in diagnosis of vestibular schwannoma in conjunction with the ABR and to evaluate whether the size of lesion has any effect on the cVEMP measures.MethodsCase-files 15 known cases of vestibular schwannoma whose pure tone audiometry, auditory brainstem response (ABR), cVEMP and radiological investigation findings were available, were included in the study. Patients were categorised as large or small tumours based on the size. The absolute and inter-peak latencies of ABR, amplitudes of waves V and I and inter-aural latency difference of wave V of ABR; and latency of P1 and N1 of cVEMP and amplitude of P1–N1 complex were considered in the study.ResultsThere were eight large and nine small tumours. All the patients with large tumours showed significant severity of hearing loss whereas only three out of nine patients with small tumours showed severe to profound deafness in the affected ear. The rest showed hearing status ranging from normal hearing sensitivity to moderate hearing loss. Most of the patients with large tumours showed complete absence of ABR in the affected ears with no identifiable wave-peaks. ABR in small tumours exhibited delayed III–I and delayed V–I interpeak latency interval (IPL). Four out of five patients with large unilateral tumours revealed contralateral effects of reduced amplitude or absence of cVEMP. On the contrary six out of eight unilateral small tumours showed a normal cVEMP response in the contralateral ear. Both the patients with NF2 in the present study demonstrated cVEMP abnormalities.ConclusionABR and cVEMP, when used in combination, can be of immense use in identification of neuro-otologic conditions such as vestibular schwannoma and bilateral tumours in NF2. In the evaluation of unilateral vestibular schwannoma, abnormal contralateral findings of cVEMP and ABR are strongly indicative of the tumour size >2.5cm. In unilateral severe to profound loss wherein ABR in poorer ear cannot give information of site-of-lesion, cVEMP can help in the differentiation.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1NZgiQB
via IFTTT

Obstructive sleep apnea and oral language disorders

Publication date: Available online 28 April 2016
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Camila de Castro Corrêa, Maria Gabriela Cavalheiro, Silke Anna Theresa Weber, Luciana Paula Maximino
IntroductionChildren and adolescents with obstructive sleep apnea (OSA) may have consequences, such as daytime sleepiness and learning, memory, and attention disorders, that may interfere in oral language.ObjectiveTo verify, based on the literature, whether OSA in children was correlated to oral language disorders.MethodsA literature review was carried out in the Lilacs, PubMed, Scopus, and Web of Science databases using the descriptors "Child Language" AND "Obstructive Sleep Apnea". Articles that did not discuss the topic and included children with other comorbidities rather than OSA were excluded.ResultsIn total, no articles were found at Lilacs, 37 at PubMed, 47 at Scopus, and 38 at Web of Science databases. Based on the inclusion and exclusion criteria, six studies were selected, all published from 2004 to 2014. Four articles demonstrated an association between primary snoring/OSA and receptive language and four articles showed an association with expressive language. It is noteworthy that the articles used different tools and considered different levels of language.ConclusionThe late diagnosis and treatment of obstructive sleep apnea is associated with a delay in verbal skill acquisition. The professionals who work with children should be alert, as most of the phonetic sounds are acquired during ages 3–7 years, which is also the peak age for hypertrophy of the tonsils and childhood OSA.



from #ORL via xlomafota13 on Inoreader http://ift.tt/1N5sm7U
via IFTTT

Randomized clinical trial: mixed soluble/insoluble fibre vs. psyllium for chronic constipation

Summary

Background

Fibre supplements are useful, but whether a plum-derived mixed fibre that contains both soluble and insoluble fibre improves constipation is unknown.

Aim

To investigate the efficacy and tolerability of mixed soluble/insoluble fibre vs. psyllium in a randomized double-blind controlled trial.

Methods

Constipated patients (Rome III) received mixed fibre or psyllium, 5 g b.d., for 4 weeks. Daily symptoms and stool habit were assessed using stool diary. Subjects with ≥1 complete spontaneous bowel movement/week above baseline for ≥2/4 weeks were considered responders. Secondary outcome measures included stool consistency, bowel satisfaction, straining, gas, bloating, taste, dissolvability and quality of life (QoL).

Results

Seventy-two subjects (mixed fibre = 40; psyllium = 32) were enrolled and two from psyllium group withdrew. The mean complete spontaneous bowel movement/week increased with both mixed fibre (P < 0.0001) and psyllium (P = 0.0002) without group difference. There were 30 (75%) responders with mixed fibre and 24 (75%) with psyllium (P = 0.9). Stool consistency increased (P = 0.04), straining (P = 0.006) and bloating scores decreased (P = 0.02) without group differences. Significantly more patients reported improvement in flatulence (53% vs. 25%, P = 0.01) and felt that mixed fibre dissolved better (P = 0.02) compared to psyllium. QoL improved (P = 0.0125) with both treatments without group differences.

Conclusions

Mixed fibre and psyllium were equally efficacious in improving constipation and QoL. Mixed fibre was more effective in relieving flatulence, bloating and dissolved better. Mixed fibre is effective and well tolerated.



from #Esophageal Cancer via a.lsfakia on Inoreader http://ift.tt/1NZ6LsL
via IFTTT

Πέμπτη 28 Απριλίου 2016

Safety of Monopolar Electrocautery in Patients With Cochlear Implants

Objective:

The outcomes of 2 patients with cochlear implants (CIs) who underwent adenotonsillectomy (AT) with inadvertent use of monopolar cautery are presented. The safety data regarding monopolar cautery use in CI recipients is also reviewed.

Study Design:

This is a retrospective case series of 2 CI recipients that underwent AT with monopolar cautery and literature review of electrocautery safety in the setting of CI.

Results:

Two patients with CIs underwent AT with use of monopolar cautery inadvertently by surgeons that do not routinely perform cochlear implants as part of his or her clinical practice. Patient 1 was a 9-year-old female who had AT for obstructive sleep apnea (OSA) after undergoing unilateral CI for profound congenital sensorineural hearing loss (SNHL) 8 years ago. Patient 2 was a 7-year-old female who underwent AT for OSA 4 months after undergoing unilateral CI for congenital SNHL. Both patients had no immediate signs of complications with their CI use postoperatively. Both patients demonstrated unchanged postoperative neural response telemetry and behavioral audiometric testing. Patient 1 continues to have no CI-related complications 3.5 years after the procedure. Patient 2 has been followed for at least 3 months by audiometric testing and 10 months by otolaryngologist with no CI-related complications.

Conclusion:

Although animal and cadaveric studies suggest that monopolar cautery may be safely used in patients with cochlear implants, there have been no in vivo human studies that have evaluated the risk to the patient or implant. This is a report of a small, unintended experience with 2 patients, both of whom exhibit no complications or changes to CI function thus far.



from #ORL via xlomafota13 on Inoreader http://ift.tt/26zsuTF
via IFTTT

Misdiagnosis of Graves' Disease with Apparent Severe Hyperthyroidism in a Patient Taking Biotin Megadoses

access_free.gif

Thyroid , Vol. 0, No. 0.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1T910Kc
via IFTTT

Daily Administration of Short-Acting Liothyronine Is Associated with Significant Triiodothyronine Excursions and Fails to Alter Thyroid-Responsive Parameters

Thyroid , Vol. 0, No. 0.


from #ORL via xlomafota13 on Inoreader http://ift.tt/1T910Ka
via IFTTT

Relations Among Detection of Syllable Stress, Speech Abnormalities, and Communicative Ability in Adults With Autism Spectrum Disorders

Purpose
To date, the literature on perception of affective, pragmatic, and grammatical prosody abilities in autism spectrum disorders (ASD) has been sparse and contradictory. It is interesting to note that the primary perception of syllable stress within the word structure, which is crucial for all prosody functions, remains relatively unexplored in ASD. Thus, in the current study, we explored syllable stress perception sensitivity and its relationship to speech production abnormalities and communicative ability in adults with ASD.
Method
A same–different syllable stress perception task using pairs of identical 4-syllable words was delivered to 42 adults with/without high-functioning ASD, matched for age, to investigate primary speech perception ability in ASD. Speech production and communicative ability in ASD was measured using the Autism Diagnostic Observation Schedule (Lord et al., 2000).
Results
As predicted, the results showed that adults with ASD were less sensitive in making judgments about syllable stress relative to controls. Also, partial correlations revealed a key association of speech production abnormalities with stress perception sensitivity, rather than communicative ability.
Conclusions
Our findings provide empirical evidence for deficits on primary syllable stress perception in ASD and its role on sociocommunicative difficulties. This information could facilitate the development of effective interventions for speech and language therapy and social communication.

from Speech via a.lsfakia on Inoreader http://ift.tt/1XyW0Co
via IFTTT

The Production of Complement Clauses in Children With Language Impairment

Purpose
The purpose of this research was to provide a comprehensive description of complement-clause production in children with language impairment. Complement clauses were examined with respect to types of complement structure produced, verb use, and both semantic and syntactic accuracy.
Method
A group of 17 children with language impairment (mean age = 6;10 [years; months]) was compared with a group of 17 younger children with typical language development (mean age = 4;6). Examples of both nonfinite complements with different subjects and sentential complements involving a range of complement-taking verbs were collected using specially designed elicitation tasks.
Results
The children with language impairment were able to construct both types of complement clauses, had access to a range of verbs that are utilized within these constructions, and had knowledge of the grammatical constraints imposed by these verbs. However, they were more restricted in their production of sentential complements and produced significantly fewer semantically accurate complements (both finite and nonfinite) than the children with typical language development.
Conclusion
Children with language impairment evidenced deviant rather than merely delayed development in the area of complement-clause production. Complex sentences such as complement clauses need to be targeted in language intervention programs.

from Speech via a.lsfakia on Inoreader http://ift.tt/1pzozV6
via IFTTT

Dysarthria in Adults With Cerebral Palsy: Clinical Presentation and Impacts on Communication

Purpose
Although dysarthria affects the large majority of individuals with cerebral palsy (CP) and can substantially complicate everyday communication, previous research has provided an incomplete picture of its clinical features. We aimed to comprehensively describe characteristics of dysarthria in adults with CP and to elucidate the impact of dysarthric symptoms on parameters relevant for communication.
Method
Forty-two adults with CP underwent speech assessment by means of standardized auditory rating scales. Listening experiments were conducted to obtain communication-related parameters—that is, intelligibility and naturalness—as well as age and gender estimates.
Results
The majority of adults with CP showed moderate to severe dysarthria with symptoms on all dimensions of speech, most prominently voice quality, respiration, and prosody. Regression analyses revealed that articulatory, respiratory, and prosodic features were the strongest predictors of intelligibility and naturalness of speech. Listeners' estimates of the speakers' age and gender were predominantly determined by voice parameters.
Conclusion
This study provides an overview on the clinical presentation of dysarthria in a convenience sample of adults with CP. The complexity of the functional impairment described and the consequences on the individuals' communication call for a stronger consideration of dysarthria in CP both in clinical care and in research.

from Speech via a.lsfakia on Inoreader http://ift.tt/1V8JNYa
via IFTTT

Sentence Repetition Accuracy in Adults With Developmental Language Impairment: Interactions of Participant Capacities and Sentence Structures

Purpose
We asked whether sentence repetition accuracy could be explained by interactions of participant processing limitations with the structures of the sentences. We also tested a prediction of the procedural deficit hypothesis (Ullman & Pierpont, 2005) that adjuncts are more difficult than arguments for individuals with developmental language impairment (DLI).
Method
Forty-four young adults participated, 21 with DLI. The sentence repetition task varied sentence length and the use of arguments and adjuncts. We also administered measures of working memory and processing speed. Our regression models focused on these interactions: group and argument status; processing speed, length, and argument status; and working memory capacity, length, and argument status.
Results
Language ability group was a significant predictor of sentence repetition accuracy but did not interact with argument status. Processing speed interacted with sentence length and argument status. Working memory capacity and its separate interactions with argument status and sentence length predicted sentence repetition accuracy.
Conclusions
Many adults with DLI may have difficulty with adjuncts as a result of their working memory limitations rather than their language ability. Cognitive limitations common to individuals with DLI are revealed more by particular sentence structures, suggesting ways to construct more diagnostically accurate sentence repetition tasks.

from Speech via a.lsfakia on Inoreader http://ift.tt/1SkAzkg
via IFTTT

Comparison of Intelligibility Measures for Adults With Parkinson's Disease, Adults With Multiple Sclerosis, and Healthy Controls

Purpose
This study obtained judgments of sentence intelligibility using orthographic transcription for comparison with previously reported intelligibility judgments obtained using a visual analog scale (VAS) for individuals with Parkinson's disease and multiple sclerosis and healthy controls (K. Tjaden, J. E. Sussman, & G. E. Wilding, 2014).
Method
Speakers read Harvard sentences in habitual, clear, loud, and slow conditions. Sentence stimuli were equated for peak intensity and mixed with multitalker babble. A total of 50 listeners orthographically transcribed sentences. Procedures were identical to those for a VAS reported in Tjaden, Sussman, and Wilding (2014).
Results
The percent correct scores from transcription were significantly higher in magnitude than the VAS scores. Multivariate linear modeling indicated that the pattern of findings for transcription and VAS was virtually the same with respect to differences among groups and speaking conditions. Correlation analyses further indicated a moderately strong, positive relationship between the two metrics. The majority of these correlations were significant. Last, intrajudge and interjudge listener reliability metrics for the two intelligibility tasks were comparable.
Conclusion
Results suggest that there may be instances when the less time-consuming VAS task may be a viable substitute for an orthographic transcription task when documenting intelligibility in mild dysarthria.

from Speech via a.lsfakia on Inoreader http://ift.tt/1LUL29T
via IFTTT

Multidimensional Approach to the Development of a Mandarin Chinese–Oriented Sound Test

Purpose
Because the Ling six-sound test is based on American English phonemes, it can yield unreliable results when administered to non-English speakers. In this study, we aimed to improve specifically the diagnostic palette for Mandarin Chinese users by developing an adapted version of the Ling six-sound test.
Method
To determine the set of testing sounds, we performed an exhaustive acoustic and statistical analysis in which we considered not only the general acoustic properties but also the order of acquisition and the inter- and intraspeaker variability.
Results
Six phonemes (/u, ə, a, i, tɕh, s/) were selected as the testing items for the Mandarin Chinese sound test because these sounds exhibit a highly compartmentalized frequency specificity, spanning the entire Chinese speech spectrum, as well as a relatively low articulatory variability and can be acquired fairly early.
Conclusion
Through adopting language-dependent modifications, caregivers and professionals should have a more adequate tool to monitor children's auditory access to the full range of Mandarin speech sounds.

from Speech via a.lsfakia on Inoreader http://ift.tt/1ozscKf
via IFTTT

Functional Near-Infrared Spectroscopy Brain Imaging Investigation of Phonological Awareness and Passage Comprehension Abilities in Adult Recipients of Cochlear Implants

Purpose
The aim of this study was to examine how the brains of individuals with cochlear implants (CIs) respond to spoken language tasks that underlie successful language acquisition and processing.
Method
During functional near-infrared spectroscopy imaging, CI recipients with hearing impairment (n = 10, mean age: 52.7 ± 17.3 years) and controls with normal hearing (n = 10, mean age: 50.6 ± 17.2 years) completed auditory tasks—phonological awareness and passage comprehension—commonly used to investigate neurodevelopmental disorders of language and literacy.
Results
The 2 groups had similar reaction time and performance on experimental tasks, although participants with CIs had lower accuracy than controls. Overall, both CI recipients and controls exhibited similar patterns of brain activation during the tasks.
Conclusions
The results demonstrate that CI recipients show an overall neurotypical pattern of activation during auditory language tasks on which individuals with neurodevelopmental language learning impairments (e.g., dyslexia) tend to show atypical brain activation. These findings suggest that advancements in functional near-infrared spectroscopy neuroimaging with CI recipients may help shed new light on how varying types of difficulties in language processing affect brain organization for language.

from Speech via a.lsfakia on Inoreader http://ift.tt/1XyW31b
via IFTTT

The Effects of Age and Preoral Sensorimotor Cues on Anticipatory Mouth Movement During Swallowing

Purpose
The aim of this study was to investigate the effects of preoral sensorimotor cues on anticipatory swallowing/eating-related mouth movements in older and younger adults. It was hypothesized that these cues are essential to timing anticipatory oral motor patterns, and these movements are delayed in older as compared with younger adults.
Method
Using a 2 × 2 repeated-measures design, eating-related lip, jaw, and hand movements were recorded from 24 healthy older (ages 70–85 years) and 24 healthy younger (ages 18–30 years) adults under 4 conditions: typical self-feeding, typical assisted feeding (proprioceptive loss), sensory-loss self-feeding (auditory and visual loss/degradation), and sensory-loss assisted feeding (loss/degradation of all cues).
Results
All participants demonstrated anticipatory mouth opening. The absence of proprioception delayed lip-lowering onset, and sensory loss more negatively affected offset. Given at least 1 preoral sensorimotor cue, older adults initiated movement earlier than younger adults.
Conclusions
Preoral sensorimotor information influences anticipatory swallowing/eating-related mouth movements, highlighting the importance of these cues. Earlier movement in older adults may be a compensation, facilitating safe swallowing given other age-related declines. Further research is needed to determine if the negative impact of cue removal may be further exacerbated in a nonhealthy system (e.g., presence of dysphagia or disease), potentially increasing swallowing- and eating-related risks.

from Speech via a.lsfakia on Inoreader http://ift.tt/1RjtCpr
via IFTTT

Assessing Measurement Invariance for Spanish Sentence Repetition and Morphology Elicitation Tasks

Purpose
The purpose of this study was to evaluate evidence supporting the construct validity of two grammatical tasks (sentence repetition, morphology elicitation) included in the Spanish Screener for Language Impairment in Children (Restrepo, Gorin, & Gray, 2013). We evaluated if the tasks measured the targeted grammatical skills in the same way across predominantly Spanish-speaking children with typical language development and those with primary language impairment.
Method
A multiple-group, confirmatory factor analytic approach was applied to examine factorial invariance in a sample of 307 predominantly Spanish-speaking children (177 with typical language development; 130 with primary language impairment). The 2 newly developed grammatical tasks were modeled as measures in a unidimensional confirmatory factor analytic model along with 3 well-established grammatical measures from the Clinical Evaluation of Language Fundamentals–Fourth Edition, Spanish (Wiig, Semel, & Secord, 2006).
Results
Results suggest that both new tasks measured the construct of grammatical skills for both language-ability groups in an equivalent manner.
Conclusions
There was no evidence of bias related to children's language status for the Spanish Screener for Language Impairment in Children Sentence Repetition or Morphology Elicitation tasks. Results provide support for the validity of the new tasks as measures of grammatical skills.

from Speech via a.lsfakia on Inoreader http://ift.tt/1Mcs6mO
via IFTTT

Relations Among Detection of Syllable Stress, Speech Abnormalities, and Communicative Ability in Adults With Autism Spectrum Disorders

Purpose
To date, the literature on perception of affective, pragmatic, and grammatical prosody abilities in autism spectrum disorders (ASD) has been sparse and contradictory. It is interesting to note that the primary perception of syllable stress within the word structure, which is crucial for all prosody functions, remains relatively unexplored in ASD. Thus, in the current study, we explored syllable stress perception sensitivity and its relationship to speech production abnormalities and communicative ability in adults with ASD.
Method
A same–different syllable stress perception task using pairs of identical 4-syllable words was delivered to 42 adults with/without high-functioning ASD, matched for age, to investigate primary speech perception ability in ASD. Speech production and communicative ability in ASD was measured using the Autism Diagnostic Observation Schedule (Lord et al., 2000).
Results
As predicted, the results showed that adults with ASD were less sensitive in making judgments about syllable stress relative to controls. Also, partial correlations revealed a key association of speech production abnormalities with stress perception sensitivity, rather than communicative ability.
Conclusions
Our findings provide empirical evidence for deficits on primary syllable stress perception in ASD and its role on sociocommunicative difficulties. This information could facilitate the development of effective interventions for speech and language therapy and social communication.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1XyW0Co
via IFTTT

The Production of Complement Clauses in Children With Language Impairment

Purpose
The purpose of this research was to provide a comprehensive description of complement-clause production in children with language impairment. Complement clauses were examined with respect to types of complement structure produced, verb use, and both semantic and syntactic accuracy.
Method
A group of 17 children with language impairment (mean age = 6;10 [years; months]) was compared with a group of 17 younger children with typical language development (mean age = 4;6). Examples of both nonfinite complements with different subjects and sentential complements involving a range of complement-taking verbs were collected using specially designed elicitation tasks.
Results
The children with language impairment were able to construct both types of complement clauses, had access to a range of verbs that are utilized within these constructions, and had knowledge of the grammatical constraints imposed by these verbs. However, they were more restricted in their production of sentential complements and produced significantly fewer semantically accurate complements (both finite and nonfinite) than the children with typical language development.
Conclusion
Children with language impairment evidenced deviant rather than merely delayed development in the area of complement-clause production. Complex sentences such as complement clauses need to be targeted in language intervention programs.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1pzozV6
via IFTTT

Dysarthria in Adults With Cerebral Palsy: Clinical Presentation and Impacts on Communication

Purpose
Although dysarthria affects the large majority of individuals with cerebral palsy (CP) and can substantially complicate everyday communication, previous research has provided an incomplete picture of its clinical features. We aimed to comprehensively describe characteristics of dysarthria in adults with CP and to elucidate the impact of dysarthric symptoms on parameters relevant for communication.
Method
Forty-two adults with CP underwent speech assessment by means of standardized auditory rating scales. Listening experiments were conducted to obtain communication-related parameters—that is, intelligibility and naturalness—as well as age and gender estimates.
Results
The majority of adults with CP showed moderate to severe dysarthria with symptoms on all dimensions of speech, most prominently voice quality, respiration, and prosody. Regression analyses revealed that articulatory, respiratory, and prosodic features were the strongest predictors of intelligibility and naturalness of speech. Listeners' estimates of the speakers' age and gender were predominantly determined by voice parameters.
Conclusion
This study provides an overview on the clinical presentation of dysarthria in a convenience sample of adults with CP. The complexity of the functional impairment described and the consequences on the individuals' communication call for a stronger consideration of dysarthria in CP both in clinical care and in research.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1V8JNYa
via IFTTT

Sentence Repetition Accuracy in Adults With Developmental Language Impairment: Interactions of Participant Capacities and Sentence Structures

Purpose
We asked whether sentence repetition accuracy could be explained by interactions of participant processing limitations with the structures of the sentences. We also tested a prediction of the procedural deficit hypothesis (Ullman & Pierpont, 2005) that adjuncts are more difficult than arguments for individuals with developmental language impairment (DLI).
Method
Forty-four young adults participated, 21 with DLI. The sentence repetition task varied sentence length and the use of arguments and adjuncts. We also administered measures of working memory and processing speed. Our regression models focused on these interactions: group and argument status; processing speed, length, and argument status; and working memory capacity, length, and argument status.
Results
Language ability group was a significant predictor of sentence repetition accuracy but did not interact with argument status. Processing speed interacted with sentence length and argument status. Working memory capacity and its separate interactions with argument status and sentence length predicted sentence repetition accuracy.
Conclusions
Many adults with DLI may have difficulty with adjuncts as a result of their working memory limitations rather than their language ability. Cognitive limitations common to individuals with DLI are revealed more by particular sentence structures, suggesting ways to construct more diagnostically accurate sentence repetition tasks.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1SkAzkg
via IFTTT

Comparison of Intelligibility Measures for Adults With Parkinson's Disease, Adults With Multiple Sclerosis, and Healthy Controls

Purpose
This study obtained judgments of sentence intelligibility using orthographic transcription for comparison with previously reported intelligibility judgments obtained using a visual analog scale (VAS) for individuals with Parkinson's disease and multiple sclerosis and healthy controls (K. Tjaden, J. E. Sussman, & G. E. Wilding, 2014).
Method
Speakers read Harvard sentences in habitual, clear, loud, and slow conditions. Sentence stimuli were equated for peak intensity and mixed with multitalker babble. A total of 50 listeners orthographically transcribed sentences. Procedures were identical to those for a VAS reported in Tjaden, Sussman, and Wilding (2014).
Results
The percent correct scores from transcription were significantly higher in magnitude than the VAS scores. Multivariate linear modeling indicated that the pattern of findings for transcription and VAS was virtually the same with respect to differences among groups and speaking conditions. Correlation analyses further indicated a moderately strong, positive relationship between the two metrics. The majority of these correlations were significant. Last, intrajudge and interjudge listener reliability metrics for the two intelligibility tasks were comparable.
Conclusion
Results suggest that there may be instances when the less time-consuming VAS task may be a viable substitute for an orthographic transcription task when documenting intelligibility in mild dysarthria.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1LUL29T
via IFTTT

Multidimensional Approach to the Development of a Mandarin Chinese–Oriented Sound Test

Purpose
Because the Ling six-sound test is based on American English phonemes, it can yield unreliable results when administered to non-English speakers. In this study, we aimed to improve specifically the diagnostic palette for Mandarin Chinese users by developing an adapted version of the Ling six-sound test.
Method
To determine the set of testing sounds, we performed an exhaustive acoustic and statistical analysis in which we considered not only the general acoustic properties but also the order of acquisition and the inter- and intraspeaker variability.
Results
Six phonemes (/u, ə, a, i, tɕh, s/) were selected as the testing items for the Mandarin Chinese sound test because these sounds exhibit a highly compartmentalized frequency specificity, spanning the entire Chinese speech spectrum, as well as a relatively low articulatory variability and can be acquired fairly early.
Conclusion
Through adopting language-dependent modifications, caregivers and professionals should have a more adequate tool to monitor children's auditory access to the full range of Mandarin speech sounds.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1ozscKf
via IFTTT

Functional Near-Infrared Spectroscopy Brain Imaging Investigation of Phonological Awareness and Passage Comprehension Abilities in Adult Recipients of Cochlear Implants

Purpose
The aim of this study was to examine how the brains of individuals with cochlear implants (CIs) respond to spoken language tasks that underlie successful language acquisition and processing.
Method
During functional near-infrared spectroscopy imaging, CI recipients with hearing impairment (n = 10, mean age: 52.7 ± 17.3 years) and controls with normal hearing (n = 10, mean age: 50.6 ± 17.2 years) completed auditory tasks—phonological awareness and passage comprehension—commonly used to investigate neurodevelopmental disorders of language and literacy.
Results
The 2 groups had similar reaction time and performance on experimental tasks, although participants with CIs had lower accuracy than controls. Overall, both CI recipients and controls exhibited similar patterns of brain activation during the tasks.
Conclusions
The results demonstrate that CI recipients show an overall neurotypical pattern of activation during auditory language tasks on which individuals with neurodevelopmental language learning impairments (e.g., dyslexia) tend to show atypical brain activation. These findings suggest that advancements in functional near-infrared spectroscopy neuroimaging with CI recipients may help shed new light on how varying types of difficulties in language processing affect brain organization for language.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1XyW31b
via IFTTT

The Effects of Age and Preoral Sensorimotor Cues on Anticipatory Mouth Movement During Swallowing

Purpose
The aim of this study was to investigate the effects of preoral sensorimotor cues on anticipatory swallowing/eating-related mouth movements in older and younger adults. It was hypothesized that these cues are essential to timing anticipatory oral motor patterns, and these movements are delayed in older as compared with younger adults.
Method
Using a 2 × 2 repeated-measures design, eating-related lip, jaw, and hand movements were recorded from 24 healthy older (ages 70–85 years) and 24 healthy younger (ages 18–30 years) adults under 4 conditions: typical self-feeding, typical assisted feeding (proprioceptive loss), sensory-loss self-feeding (auditory and visual loss/degradation), and sensory-loss assisted feeding (loss/degradation of all cues).
Results
All participants demonstrated anticipatory mouth opening. The absence of proprioception delayed lip-lowering onset, and sensory loss more negatively affected offset. Given at least 1 preoral sensorimotor cue, older adults initiated movement earlier than younger adults.
Conclusions
Preoral sensorimotor information influences anticipatory swallowing/eating-related mouth movements, highlighting the importance of these cues. Earlier movement in older adults may be a compensation, facilitating safe swallowing given other age-related declines. Further research is needed to determine if the negative impact of cue removal may be further exacerbated in a nonhealthy system (e.g., presence of dysphagia or disease), potentially increasing swallowing- and eating-related risks.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1RjtCpr
via IFTTT

Assessing Measurement Invariance for Spanish Sentence Repetition and Morphology Elicitation Tasks

Purpose
The purpose of this study was to evaluate evidence supporting the construct validity of two grammatical tasks (sentence repetition, morphology elicitation) included in the Spanish Screener for Language Impairment in Children (Restrepo, Gorin, & Gray, 2013). We evaluated if the tasks measured the targeted grammatical skills in the same way across predominantly Spanish-speaking children with typical language development and those with primary language impairment.
Method
A multiple-group, confirmatory factor analytic approach was applied to examine factorial invariance in a sample of 307 predominantly Spanish-speaking children (177 with typical language development; 130 with primary language impairment). The 2 newly developed grammatical tasks were modeled as measures in a unidimensional confirmatory factor analytic model along with 3 well-established grammatical measures from the Clinical Evaluation of Language Fundamentals–Fourth Edition, Spanish (Wiig, Semel, & Secord, 2006).
Results
Results suggest that both new tasks measured the construct of grammatical skills for both language-ability groups in an equivalent manner.
Conclusions
There was no evidence of bias related to children's language status for the Spanish Screener for Language Impairment in Children Sentence Repetition or Morphology Elicitation tasks. Results provide support for the validity of the new tasks as measures of grammatical skills.

from #Audiology via xlomafota13 on Inoreader http://ift.tt/1Mcs6mO
via IFTTT