Nasal Septal Abscesses: A Systematic Review.

Background: Nasal septal abscesses (NSA) necessitate prompt recognition and management to prevent morbidity and long-term sequelae. To date, no comprehensive review of NSA alone has been conducted.

Objective: To conduct a systematic review of the presentation and management of NSA and determine patients at risk of sequelae.

Ewing Sarcoma of the Sinonasal Tract: A Scoping Review.

Objective: Ewing sarcoma (ES) is a rare aggressive malignancy that can present in the sinonasal region. The objective of this study is to investigate the demographics, presentation, management, and outcomes of patients with sinonasal ES.

Data Sources: PubMed, Web of Science, SCOPUS, CINAHL, and Cochrane Library.

Essential Reads in Rhinology: A Bibliometric Analysis.

Aims: Rhinology is a progressive subspecialty within otolaryngology. Bibliometric analysis is a powerful method to survey the landscape of literature on a specific topic and identify publication trends. We aimed to analyze the 50 most impactful English-language rhinology manuscripts of all time to create a targeted reading list for otolaryngologists.

Association Between Modified Frailty Index and Postoperative Outcomes of Tracheostomies.

Objective: The 5-item modified frailty index (mFI-5) has been used to stratify patients based on the risk of postoperative complications in several surgical procedures but has not yet been done in tracheostomies. This study investigates the association between the mFI-5 score and tracheostomy complications.

Study Design: Retrospective database review.

The Relative Citation Ratio: An Impartial Assessment of Productivity in Academic Otolaryngologists.

Objectives: Quantification of academic productivity relies on bibliometric measurements, such as the Hirsch index (h-index). The National Institutes of Health (NIH) recently developed the relative citation ratio (RCR), an article-level, citation-driven metric that compares researchers with others within their respective fields. Our study is the first to compare the usage of RCR in academic otolaryngology.

MELD-Na Score as a Predictor of Postoperative Complications in Ventral Skull Base Surgery.

 The Model for End-stage Liver Disease-Sodium (MELD-Na) score was designed for prognosis of chronic liver disease and has been predictive of outcomes in a variety of procedures. Few studies have investigated its utility in otolaryngology. This study uses the MELD-Na score to investigate the association between liver health and ventral skull base surgical complications.

Diagnosis, Treatment and Follow-Up of Sinonasal Leiomyomas: A Systematic Review.

Background: Leiomyomas are benign smooth muscle tumors that are rarely diagnosed in the nasal cavity and paranasal sinuses.

Objective: This systematic review summarizes the histopathologic and clinical tumor characteristics, surgical management, and follow-up of sinonasal leiomyomas.

Methods: A systematic review of the literature on sinonasal leiomyoma was performed by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

Analysis of Care and Outcomes for Epistaxis Weekend Admissions.

Objectives: To study differences in care of patients admitted for epistaxis during the weekend compared to the weekday.

Study Design: Retrospective database review.

Setting: 2003 to 2014 National Inpatient Sample.

Endoscopic Management of Rhinolithiasis: A Systematic Review.

Objective: This study reviews the presentation, management, and outcomes of patients with rhinolithiasis.

Data Sources: An electronic database search of PubMed, SCOPUS, CINAHL, and the Cochrane Library was performed in accordance with the PRISMA 2020 updated guidelines for reporting systematic reviews.

Review Methods: Case reports and case series published from 2004 to 2020 were included.

Adjunct neutralization plating in patella fracture fixation: a technical trick.

Patella fracture outcomes are positive overall; however, in some cases, traditional fixation methods result in complications, including loss of fixation and irritable hardware requiring removal. We present a technique of plate fixation that we believe has the potential to improve stability and is less offensive in more comminuted fracture patterns. Improved stability should allow unfettered advancement of rehabilitation without concern for loss of fixation.

Racial Disparities in Charges, Length of Stay, and Complications Following Adult Inpatient Epistaxis Treatment.

Background: Although recent studies have identified an association between race and adverse outcomes in head and neck surgeries, there are limited data examining the impact of racial disparities on adult inpatient outcomes following epistaxis management procedures.

Objective: To analyze the association between race and adverse outcomes in hospitalized patients undergoing epistaxis treatment.

Methods: This retrospective cohort analysis utilized the 2003 to 2014 National Inpatient Sample.

Tuberculosis of the middle ear: A systematic review.

Objective: Tuberculous otitis media (TOM) is a rare extrapulmonary manifestation of tuberculosis (TB) and remains challenging to diagnose due to non-specific symptoms. This systematic review identifies clinical characteristics, diagnostic evaluation, and outcomes in cases of TOM.

Methods: A comprehensive literature search utilizing the PubMed, CINAHL, Scopus, and Cochrane Library databases was conducted for relevant articles published between 2000 and 2021.

Localized laryngeal amyloidosis: A systematic review.

Objective: The larynx is the most common site of localized head and neck amyloidosis. Our study aimed to review the clinical features, treatments, and outcomes associated with localized laryngeal amyloidosis (LA). We also compared these features between two different time periods to evaluate the evolution of LA management.

Malnutrition and Postoperative Outcomes Following Transcervical Zenker Diverticulectomy.

Objectives: Hypoalbuminemia has been used as a proxy for poor nutrition, and has been associated with poor postoperative outcomes in varying surgical procedures. This study investigates the association between albumin status and complications following transcervical Zenker diverticulectomy.

Study Design: Retrospective database review.

Endoscopic Techniques for Nasal Septal Perforation Repair: A Systematic Review.

Objectives: Surgical repair of nasal septal perforations (NSPs) is technically challenging. Advantages associated with endoscopic NSP repair (ENSPR) include enhanced visualization and its minimally invasive nature. Purely endoscopic techniques have successful outcomes with low morbidity.

Kaposi Sarcoma of the Larynx: A Systematic Review.

Objective: Kaposi sarcoma (KS) of the larynx is a rare disease with few cases reported in the literature. This study aims to provide a comprehensive review of laryngeal KS, including patient characteristics, treatment, and clinical outcomes.

Data Sources: PubMed, CINAHL, SCOPUS, and Cochrane Library.

Effect of Hospital Safety Net Burden on Survival for Patients With Sinonasal Squamous Cell Carcinoma.

Objective: To examine factors associated with hospital safety net burden and its impact on survival for patients with sinonasal squamous cell carcinoma (SNSCC).

Study Design: Retrospective database study.

Setting: National Cancer Database from 2004 to 2016.

Analysis of the Treatment and Survival of Sinonasal Extramedullary Plasmacytoma.

Background: While extramedullary plasmacytomas are infrequently encountered plasma cell malignancies, most cases occur in the head and neck, with a predilection for the sinonasal cavity. Due to the rarity of this disease, the majority of studies on sinonasal extramedullary plasmacytoma (SN-EMP) are case reports or small retrospective case series.

Objective: To investigate the impact of patient, disease, and treatment factors on the survival of patients with SN-EMP.

Impact of Facility Volume on Patient Safety Indicator Events After Transsphenoidal Pituitary Surgery.

Objectives: To investigate the impact of facility volume on Patient Safety Indicator (PSI) events following transsphenoidal pituitary surgery (TSPS).

Study Design: Retrospective database review.

Setting: National Inpatient Sample database (2003-2011).

Overview of Pituitary Surgery.

Management of patients with pituitary lesions is complex given the delicate nature of the surrounding anatomy and complexity of underlying disease. The care of these patients ideally involves a multidisciplinary team composed of endocrinologists, neuroradiologists, otolaryngologists, neurosurgeons, critical care physicians, and anesthesiologists. The endoscopic endonasal approach to the skull base has revolutionized pituitary and anterior skull base surgery and has gained popularity worldwide.

Impact of Prolonged Operative Time on Complications Following Endoscopic Sinonasal Surgery.

Objective: To determine how prolonged operative time (POT) impacts 30-day outcomes in patients undergoing endoscopic sinonasal surgery (ESNS).

Study Design: Retrospective study.

Methods: Data from patients who underwent ESNS (nonsinus, sinus, and extended sinus) between 2005 to 2018 were collected from the American College of Surgeons National Surgical Quality Improvement database.

Sex Disparities in Pediatric Acute Rhinosinusitis: A National Perspective.

Objective: This study aims to provide an age-stratified analysis of associations with patient sex in pediatric inpatients with acute rhinosinusitis (ARS).

Study Design: Retrospective cohort study.

Setting: National administrative database.