Swallowing frequency: Impact of accumulated oropharyngeal secretion levels and gustatory stimulation.

We conducted a prospective, descriptive study of 27 individuals with known or suspected dysphagia to investigate the relationship between swallowing frequency, accumulated oropharyngeal secretion levels, and gustatory stimulation. Assessment of the secretion level was quantified with the use of a previously published 5-point rating scale using endoscopy. Overall, we found a moderate relationship between the baseline swallowing frequency at rest and the accumulated oropharyngeal secretion level (Pearson correlation 0.

Strobovideolaryngoscopy and laboratory voice evaluation.

A complete and thorough vocal history and physical examination is the cornerstone of the evaluation of any patient who has a vocal complaint. Continued scientific progress in the understanding of vocal fold vibration and sound production combined with advances in technology have resulted in the availability of numerous supplemental diagnostic laboratory tools for an optimal voice evaluation. This article presents additional clinical tools accessible to the otolaryngologist that may aid in diagnosis and help elucidate difficult vocal tract pathology.

Effect of initial treatment on disease outcome for patients with submandibular gland carcinoma.

Objective: To elucidate the effect on outcome of initial surgical enucleation with or without definitive surgical resection and radiation therapy for patients with submandibular gland carcinoma.

Design: Retrospective clinicopathological review.

Setting: Tertiary referral center.

Medical management and diagnosis of chronic rhinosinusitis: A survey of treatment patterns by United States otolaryngologists.

Background: This study was performed to identify current patterns of diagnostic criteria and medical treatment for chronic rhinosinusitis (CRS) by otolaryngologists in the United States.

Methods: A 15-item survey was mailed to a random sample of 200 members of the American Academy of Otolaryngology-Head and Neck Surgery; statistical analysis was performed.

Results: The overall response rate was 40.