Publications by authors named "A P Ottinger"

Chemodenervation is widely used for management of synkinesis in patients with facial palsy, but there is limited objective data assessing treatment effect. To measure the eyelid palpebral fissure height at rest and during movement after chemodenervation of the orbicularis oculi muscle among patients with ocular synkinesis, as measured on photographs with computerized facial analysis application. A retrospective review of patients who underwent initial chemodenervation to the orbicularis oculi for synkinesis was conducted from January 1, 2015, and July 26, 2023.

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Objective: To characterize the opioid prescribing patterns for and requirements of patients undergoing repair of spontaneous cerebrospinal fluid (sCSF) leaks of the lateral skull base.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

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Objective: To examine the otologic and neurotologic symptoms, physical examination findings, and imaging features secondary to hematologic malignancies.

Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, databases, including PubMed, Scopus, and CINAHL, were searched for articles including patients with otologic manifestations of leukemia, lymphoma and multiple myeloma. Data collected included patient and study demographics, specific hematologic malignancy, timing and classification of otologic symptoms, physical examination findings, imaging features and methods of diagnosis.

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Article Synopsis
  • Unilateral tonsillar enlargement is often a reason for tonsillectomy, but the risk of malignancy in asymmetrical tonsils is unclear and lacks standardized management guidelines.
  • A rare case of chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) was reported in a 51-year-old man whose symptoms included tonsillar asymmetry and obstructive sleep apnea without typical signs of cancer.
  • This case emphasizes the need for careful physical examinations, considering family history, and obtaining tissue biopsies in patients with OSA and asymmetric tonsils to rule out rare malignancies.
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Objective: To compare the presentation and outcomes of patients with and without obstructive eustachian tube dysfunction (oETD) undergoing repair of lateral skull base spontaneous cerebrospinal fluid (sCSF) leaks.

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

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