Αρχειοθήκη ιστολογίου

Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174

Τρίτη 17 Μαΐου 2016

OtoRhinoLaryngology,New Articles,May 18th,2016



OtoRhinoLaryngology - Alexandros G. Sfakianakis
Psychometric Validation of a Moroccan Version of the 22-Item Sino-Nasal Outcome Test
 
Psychometric Validation of a Moroccan Version of the 22-Item Sino-Nasal Outcome Test: ObjectiveThe objective of this study paper was to culturally adapt and validate the 22-item Sino-Nasal Outcome Test (SNOT-22) questionnaire for Moroccan Arabic speaking patients.Study DesignProspective cohort study.SettingTertiary...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Improving Access to Head and Neck Cancer Surgical Services through the Incorporation of Associate Providers
 
Improving Access to Head and Neck Cancer Surgical Services through the Incorporation of Associate Providers: ObjectiveThe urgent nature of head and neck cancer referrals often results in overbooked schedules, access delays, and patient, physician, and staff dissatisfaction. The goal of this study is...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Dystonia-Causing Mutations as a Contribution to the Etiology of Spasmodic Dysphonia
 
Dystonia-Causing Mutations as a Contribution to the Etiology of Spasmodic Dysphonia: ObjectiveSpasmodic dysphonia is a focal dystonia of the larynx with heterogeneous manifestations and association with familial risk factors. There are scarce data to allow precise understanding of etiology and pathophysiology....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Same-Day Evaluation and Surgery for Otitis Media and Tympanostomy Tube Placement
 
 A Feasibility Study: ObjectiveTo determine the feasibility of providing streamlined same-day evaluation and surgical management of children with recurrent otitis media or chronic serous otitis media who meet criteria for tympanostomy tube (TT) placement.Study DesignRetrospective matched case series.SettingTertiary...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Adverse Event Reporting for Proton Pump Inhibitor Therapy
 
 An Overview of Systematic Reviews: ObjectiveTo assist clinicians in counseling patients regarding the risk of adverse events from proton pump inhibitors (PPIs), by synthesizing evidence from published systematic reviews of antireflux therapy.Data SourcesCochrane Library, CINAHL, PubMed, Web of Knowledge.Review...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Vertebrobasilar insufficiency (VBI),Vertebral basilar ischemia,Beauty parlour syndrome (BPS)
 
Vertebrobasilar insufficiencyFrom Wikipedia, the free encyclopediaVertebrobasilar insufficiencyClassification and external resourcesSpecialtyneurologyICD-10G45.0ICD-9-CM435.3DiseasesDB29497MedlinePlus001423eMedicineemerg/834MeSHC10.228.140.300.150.956Vertebrobasilar insufficiency (VBI), or vertebral...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Subclavian steal syndrome (SSS)
 
Subclavian steal syndromeFrom Wikipedia, the free encyclopediaThe proximal part of left subclavian is blocked on left side so no flow in vertebral and to left arm. Blood from right vertebral enters left vertebral and flows back to supply left armSubclavian steal syndromeClassification and external resourcesSpecialtyneurologyICD-10G45.8ICD-9-CM435.2DiseasesDB31525eMedicinearticle/418203article/462036MeSHD013349In...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Cerebrovascular diseases
 
http://www.strokecenter.org/professionals/brain-anatomy/blood-vessels-of-the-brain/Major Blood VesselsNormal function of the brain’s control centers is dependent upon adequate supply of oxygen and nutrients through a dense network of blood vessels.Blood is supplied to the brain, face, and scalp via two...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Cerebral venous sinus thrombosis (CVST)
 
Cerebral venous sinus thrombosisFrom Wikipedia, the free encyclopediaCerebral venous sinus thrombosisDural veinsClassification and external resourcesSpecialtycardiologyICD-10I63.6,I67.6ICD-9-CM325, 437.6DiseasesDB2242eMedicineneuro/642 radio/105Cerebral venous sinus thrombosis (CVST) is the presence...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Focal middle cerebral artery occlusion (MCAo)
 
Focal middle cerebral artery ischemia in rats via a transfemoral approach using a custom designed microwire: ObjectivesThe aim of this study was to develop a reliable and repeatable method of inducing focal middle cerebral artery occlusion (MCAo) in rats without ligation of the external carotid artery...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Treating cranial and spinal dural arteriovenous fistulas : The liquid embolic material agent PHIL (Precipitating Hydrophobic Injectable Liquid)
 
Preliminary experience with the liquid embolic material agent PHIL (Precipitating Hydrophobic Injectable Liquid) in treating cranial and spinal dural arteriovenous fistulas: technical note: BackgroundLiquid embolic agents are the preferred embolic material in endovascular treatment of pial and brain...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Mechanical thrombectomy using a combined CT/C-arm X-ray system
 
Mechanical thrombectomy using a combined CT/C-arm X-ray system: BackgroundMechanical thrombectomy (MT) using stent-retrievers has been proven to be a safe and effective treatment in acute ischemic stroke (AIS), particularly in large vessel occlusion. Other than patient characteristics, time to recanalization...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Dizziness : Optical coherence tomography showed multiple channels surrounding a narrowed central lumen (lotus root-like appearance)
 
A lotus root-like appearance in carotid stenosis on optical coherence tomography: An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA)...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A lotus root-like appearance in carotid stenosis on optical coherence tomography
 
A lotus root-like appearance in carotid stenosis on optical coherence tomography: An 82-year-old man visited the outpatient clinic of our stroke centre because of dizziness. He had a previous history of stroke without definite sequelae. Severe stenosis in the left proximal internal carotid artery (ICA)...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Reduced cerebrovascular reserve is associated with an increased risk of postoperative ischemic lesions during carotid artery stenting
 
Reduced cerebrovascular reserve is associated with an increased risk of postoperative ischemic lesions during carotid artery stenting: BackgroundReduced cerebrovascular reserve (CVR) is associated with increased risk of ischemic events in carotid steno-occlusive diseases.ObjectiveTo determine whether...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Arterial embolization with Onyx of head and neck paragangliomas
 
Arterial embolization with Onyx of head and neck paragangliomas: ObjectTo report the morbidity and long term results in the treatment of paragangliomas by transarterial embolization with ethylene vinyl alcohol (Onyx), either as preoperative or palliative treatment.MethodsBetween September 2005 and 2012,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Lower vertebral-epidural spinal arteriovenous fistulas
 
 a unique subtype of vertebrovertebral arteriovenous fistula, treatable with coil and Penumbra Occlusion Device embolization: A vertebral-epidural spinal arteriovenous fistula (AVF) is an abnormal arteriovenous shunt connecting the vertebral artery to the spinal epidural venous plexus, and may occur...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Dural arteriovenous fistulas at the craniocervical junction
 
a systematic review: BackgroundDural arteriovenous fistulas (DAVFs) at the craniocervical junction are uncommon but clinically important abnormalities.ObjectiveTo investigate the clinical characteristics of patients with DAVFs at the craniocervical junction and assess angiographic features associated...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Proximal posterior cerebral artery (PCA) aneurysms
 
Endovascular parent artery occlusion of proximal posterior cerebral artery aneurysms: a report of two cases: We report two cases of proximal posterior cerebral artery (PCA) aneurysms treated with endovascular parent artery occlusion (PAO) with coils. In both cases, selective injection from the 4 F distal...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Subarachnoid hemorrhage then thrombosis of posterior inferior cerebellar artery dissection
 
 is early surgical exploration warranted?: The natural history of spontaneous cerebral artery dissection and thrombosis remains uncertain. Concurrent subarachnoid hemorrhage further complicates the therapeutic approach. Thus the best strategy for managing patients with acute vessel thrombosis in the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Sinus thrombectomy for purulent cerebral venous sinus thrombosis
 
 utilizing a novel combination of the Trevo stent retriever and the Penumbra ACE aspiration catheter: the stent anchor with mobile aspiration technique: Intracranial complications of sinusitis are rare but life threatening. We present a case of a 17-year-old woman with sinusitis who deteriorated over...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Surgical phase recognition using sensor data is challenging due to high variation in patient anatomy and surgeon-specific operating styles
 
System events: readily accessible features for surgical phase detection: AbstractPurposeSurgical phase recognition using sensor data is challenging due to high variation in patient anatomy and surgeon-specific operating styles. Segmenting surgical procedures into constituent phases is of significant...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Decompressive craniectomy using standard bone flap
 
Size of bone flap and bone window area may impact the outcome of decompressive craniectomy using standard bone flap: OBJECTIVE: Correlation between the size of bone flap and the bone window area with the outcome of intracranial pressure in the standard bone flap decompressive craniectomy was studied.PATIENTS...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Size of bone flap and bone window area
 
 may impact the outcome of decompressive craniectomy using standard bone flap: OBJECTIVE: Correlation between the size of bone flap and the bone window area with the outcome of intracranial pressure in the standard bone flap decompressive craniectomy was studied.PATIENTS AND METHODS: From February 2012...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Robotic Follicular Unit Graft Selection.
 
Robotic Follicular Unit Graft Selection. AbstractBACKGROUND: The use of robotic technology to harvest grafts in a follicular unit extraction (FUE) hair transplant procedure has been available since 2011. A new capability of the robotic system is to harvest follicular units based on the number of hairs...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Large Gel Particle Hyaluronic Acid With Lidocaine for Correction of Midface Volume Deficit or Contour Deficiency.
 
Effectiveness and Safety of AbstractBACKGROUND: Aging effects, such as facial flatness, increased tissue laxity, and soft tissue descent and deflation, contribute to midface deficiency.OBJECTIVE: To evaluate whether large gel particle hyaluronic acid with lidocaine (LGP-HAL) is more effective in the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Wrong Site Surgery
 
Review of Smartphone Applications Repurposed to Help Reduce the Incidence of Wrong Site Surgery.:
OtoRhinoLaryngology - Alexandros G. Sfakianakis
A Novel Collagen-Gelatin Scaffold for the Treatment of Deep Dermal Wounds
 
An Evaluation in a Minipig Model.: BACKGROUND: Today, autologous skin transplantation is frequently used for full-thickness skin defects. There is still a high demand for new wound-healing products to replace autologous skin transplantation.OBJECTIVE: In this context, the effect of a new collagen-gelatin...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Paramidline Forehead Flap
 
 A Clinical and Microanatomic Study.: BACKGROUND: The traditional paramedian forehead flap (FHF) is an axial flap based on the supratrochlear artery (STA). Doppler examination is often used to ensure inclusion of the STA within the flap. The authors hypothesized that a FHF pedicle design could be simplified...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Resveratrol Prevents Reactive Oxygen Species-Induced Effects of Light-Emitting Diode-Generated Blue Light
 
t in Human Skin Fibroblasts.: BACKGROUND: Light-emitting diode-generated blue light (LED-BL) is part of the visible light spectrum that does not cause DNA damage and may represent a safer alternative to ultraviolet phototherapy. Previous research demonstrated that LED-BL can inhibit adult human skin...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Treatment of Porocarcinoma With Mohs Micrographic Surgery
 
The Mayo Clinic Experience.: BACKGROUND: Eccrine porocarcinoma (EPC) is a rare malignant adnexal neoplasm with reported metastatic potential and undefined optimal treatment.OBJECTIVE: This study reviews the clinical characteristics and outcomes of patients with EPC treated with Mohs micrographic surgery...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Decompressive hemicraniectomy for Hemiconvulsion-hemiplegia-epilepsy (HHE)
 
Survival following decompressive hemicraniectomy for hemiconvulsion-hemiplegia-epilepsy syndrome: case report: Journal of Neurosurgery: Pediatrics, Ahead of Print. Hemiconvulsion-hemiplegia-epilepsy (HHE) is an uncommon epileptic syndrome that affects young children. Typical management includes early...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Indirect and direct revascularization of ACTA2 cerebral arteriopathy: feasibility of the superficial temporal artery to anterior cerebral artery bypass with posterior auricular artery interposition graft
 
: case report: Journal of Neurosurgery: Pediatrics, Ahead of Print. Mutations in the smooth muscle–specific isoform of alpha actin (ACTA2) cause smooth muscle dysfunction in arteries. This rare loss-of-function mutation may cause a diffuse occlusive cerebral arteriopathy, resulting in stroke. While ACTA2...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Foramen magnum meningiomas
 
: surgical results and risks predicting poor outcomes based on a modified classification: Journal of Neurosurgery, Ahead of Print. OBJECTIVE This study aimed to evaluate neurological function and progression/recurrence (P/R) outcome of foramen magnum meningioma (FMM) based on a modified classification....
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Treatment of a skull-base giant cell tumor with endoscopic endonasal resection and denosumab
 
: case report: Journal of Neurosurgery, Ahead of Print. A 34-year-old man with a 1-week history of diplopia was referred to the authors' hospital. Neurological examination revealed left abducens nerve palsy. Computed tomography showed a lesion in the left sphenoid sinus involving the medial wall of the...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
N-acetylaspartate in the motor and sensory cortices following functional recovery after surgery for cervical spondylotic myelopathy
 
N-acetylaspartate in the motor and sensory cortices following functional recovery after surgery for cervical spondylotic myelopathy: Journal of Neurosurgery: Spine, Ahead of Print. OBJECTIVE Cervical spondylotic myelopathy (CSM) is the most common cause of reversible spinal cord dysfunction in people...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Multifocal granulocytic sarcoma of the spine mimicking neurofibromatosis Type 2
 
case report: Journal of Neurosurgery: Spine, Ahead of Print. In this report the authors report on a patient with a very indolent course of granulocytic sarcoma, characterized by steroid-induced remission of spinal and cranial tumors and recurrence over a period of several years. This 24-year-old man...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
30 Years of Robotic Surgery
 
30 Years of Robotic Surgery: AbstractThe idea of reproducing himself with the use of a mechanical robot structure has been in man’s imagination in the last 3000 years. However, the use of robots in medicine has only 30 years of history. The application of robots in surgery originates from the need of...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Ventilation in Trauma Patients
 
The First 24 h is Different!: AbstractIntroductionVentilation of major trauma patients is often needed in both the acute (emergency department and early ICU phase) and subsequent phases of trauma care for those who need ICU admission. What is unclear is whether ICU ventilation strategies should be directly...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Assessment Tools for Facial Rejuvenation Treatment
 
A Review: AbstractBackgroundIn the field of cosmetic medicine, patient satisfaction is an important and common indicator used to measure the efficacy of the treatment. However, it is insufficient to prove objectively that the benefit of the specific factors involved in the cosmetic outcomes. The practitioner...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Endoscopic-Assisted Versus Open Neck Tissue Expander Placement in Reconstruction of Post-Burn Facial Scar Deformities
 
A Randomized Controlled Trial Comparing AbstractBackgroundTissue expansion has evolved reconstruction surgery by providing a great source of additional tissue for large skin defects. Nevertheless, wide application of tissue expander reconstruction is challenging due to high complication rates and uncertainty...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Aesthetic and Non-aesthetic Indications for Orbicularis Oculi Myectomy
 
Aesthetic and Non-aesthetic Indications for Orbicularis Oculi Myectomy: AbstractIntroductionCrows’ feet wrinkles are caused by the action of the orbicularis oculi muscle on overlying skin. Treatment options range from botulinum toxin to a multitude of surgical methods. We first described our technique...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Pediatric moyamoya disease treated by combined direct–indirect revascularization surgery
 
 single institute experience with surgical and perioperative management: AbstractMoyamoya disease (MMD) is a rare occlusive cerebrovascular disease that mainly presents in children as cerebral ischemia. Prompt treatment with either a direct or indirect revascularization procedure is necessary for children...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Severity of Recurrent Laryngeal Nerve Injuries in Thyroid Surgery
 
Severity of Recurrent Laryngeal Nerve Injuries in Thyroid Surgery: AbstractBackgroundFew studies in the literature have reported recovery data for different types of recurrent laryngeal nerve injuries (RLNIs). This study is the first attempt to classify RLNIs and rank them by severity.MethodsThis prospective...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Hybrid procedure for total laryngectomy with a flexible robot-assisted surgical system
 
Hybrid procedure for total laryngectomy with a flexible robot-assisted surgical system: AbstractIntroductionTotal laryngectomy is a standard procedure in head-and-neck surgery for the treatment of cancer patients. Recent clinical experiences have indicated a clinical benefit for patients undergoing transoral...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Management of Battlefield Injuries to the Skull Base
 
Management of Battlefield Injuries to the Skull Base: J Neurol Surg BDOI: 10.1055/s-0036-1583541With high velocity weapons causing the injury, skull base injuries on the battlefield are unique in comparison to most civilian sector trauma. With more than 43,000 United States military personnel injuries...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Intracranial Pleomorphic Xanthoastrocytoma (PXA)
 
Perioperative Outcomes in Intracranial Pleomorphic Xanthoastrocytoma.: BACKGROUND: Patients with pleomorphic xanthoastrocytoma (PXA) routinely undergo multiple procedures to ensure recurrence-free survival and are resultantly at increased risk of experiencing perioperative complications (regional, medical,...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
The Embolus Retriever with Interlinked Cage (ERIC) stentriever for use in mechanical endovascular thrombectomy (MET)
 
Mechanical thrombectomy with the ERIC retrieval device: initial experience: ObjectiveTo report our experience with the Embolus Retriever with Interlinked Cage (ERIC) stentriever for use in mechanical endovascular thrombectomy (MET).MethodsThirty-four consecutive patients with acute stroke (21 men and...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Osteolysis and Cervical Cord Compression Secondary to Silicone Granuloma Formation around a Dorsal Spinal Cord Stimulator
 
A Case Report: J Neurol Surg Rep 2016; 77: e67-e72DOI: 10.1055/s-0036-1579631Spinal cord stimulators (SCSs) have long been in use as a modality for the management of numerous pain pathologies. Along with commonly anticipated morbidities such as displacement, failure (due to fracture or breakage), or...

OtoRhinoLaryngology - Alexandros G. Sfakianakis
Resolution of Chronic Aspiration Pneumonitis Following Endoscopic Endonasal Repair of Spontaneous Cerebrospinal Fluid Fistula of the Skull Base
 
Resolution of Chronic Aspiration Pneumonitis Following Endoscopic Endonasal Repair of Spontaneous Cerebrospinal Fluid Fistula of the Skull Base: J Neurol Surg Rep 2016; 77: e73-e76DOI: 10.1055/s-0036-1582238Spontaneous cerebrospinal fluid (CSF) rhinorrhea due to a skull base defect requires prompt diagnosis...
OtoRhinoLaryngology - Alexandros G. Sfakianakis
Assessment of late effects after treatment for head-and-neck cancer
 
A controlled study of use of patient-reported outcomes to improve via Radiotherapy and OncologyPublication date: Available online May 2016Source:Radiotherapy and OncologyAuthor(s): Trille Kjaer, Susanne Oksbjerg Dalton, Elo Andersen, Randi Karlsen, Anni Linnet Nielsen, Merete Kjaer Hansen, Kirsten Frederiksen,...
OtoRhinoLaryngology by Alexandros G.Sfakianakis
Medicare and Private Insurers Raise Rates For Sleep Apnea Dentistry
 
Sleep therapy continues to receive scrutiny by regulators a