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Ghaly GA, Toynton SC, Espeso A. Suggested proforma for national standard of parental satisfaction with tongue frenolutomy procedures. Br J Oral Maxillofac Surg 2014. [DOI: 10.1016/j.bjoms.2014.07.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Barrett G, Espeso A, Hickey S. Sphenoid sinus metastatic lesion from a pyriform fossa squamous cell carcinoma. J Surg Case Rep 2011; 2011:2. [PMID: 24949697 PMCID: PMC3649251 DOI: 10.1093/jscr/2011.6.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Head and neck cancers represent a significant proportion of all malignancies; comparatively few occur in the nasal sinuses, and fewer still of these are metastatic in origin. This case describes the presentation and management of a sphenoid sinus metastasis from a primary squamous cell carcinoma of the pyriform fossa.
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Affiliation(s)
- G Barrett
- Department of ENT, Torbay Hospital, Lawes Bridge, Devon, UK
| | - A Espeso
- Department of ENT, Torbay Hospital, Lawes Bridge, Devon, UK
| | - Sa Hickey
- Department of ENT, Torbay Hospital, Lawes Bridge, Devon, UK
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Ghaly G, Espeso A, Fish B. Idiopathic cervical osteomyelitis presenting as dysphagia. J Surg Case Rep 2010; 2010:6. [PMID: 24946176 PMCID: PMC3649090 DOI: 10.1093/jscr/2010.3.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
We discuss a case of idiopathic cervical epidural abscess, complicated by osteomyelitis, presenting with dysphagia as the main complaint. No predisposing factors were identified and blood cultures were negative. Case was treated conservatively by long course of IV antibiotics. We present a review of presentation of spinal epidural abscesses and indications for surgical intervention.
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Affiliation(s)
- G Ghaly
- Derriford Hospital, Plymouth, UK
| | - A Espeso
- Derriford Hospital, Plymouth, UK
| | - B Fish
- Addenbrooke's Hospital, Cambridge, UK
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Huyghe JR, Van Laer L, Hendrickx JJ, Fransen E, Demeester K, Topsakal V, Kunst S, Manninen M, Jensen M, Bonaconsa A, Mazzoli M, Baur M, Hannula S, Mäki-Torkko E, Espeso A, Van Eyken E, Flaquer A, Becker C, Stephens D, Sorri M, Orzan E, Bille M, Parving A, Pyykkö I, Cremers CW, Kremer H, Van de Heyning PH, Wienker TF, Nürnberg P, Pfister M, Van Camp G. Genome-wide SNP-based linkage scan identifies a locus on 8q24 for an age-related hearing impairment trait. Am J Hum Genet 2008; 83:401-7. [PMID: 18760390 DOI: 10.1016/j.ajhg.2008.08.002] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2008] [Revised: 08/07/2008] [Accepted: 08/07/2008] [Indexed: 10/21/2022] Open
Abstract
Age-related hearing impairment (ARHI), or presbycusis, is a very common multifactorial disorder. Despite the knowledge that genetics play an important role in the etiology of human ARHI as revealed by heritability studies, to date, its precise genetic determinants remain elusive. Here we report the results of a cross-sectional family-based genetic study employing audiometric data. By using principal component analysis, we were able to reduce the dimensionality of this multivariate phenotype while capturing most of the variation and retaining biologically important features of the audiograms. We conducted a genome-wide association as well as a linkage scan with high-density SNP microarrays. Because of the presence of genetic population substructure, association testing was stratified after which evidence was combined by meta-analysis. No association signals reaching genome-wide significance were detected. Linkage analysis identified a linkage peak on 8q24.13-q24.22 for a trait correlated to audiogram shape. The signal reached genome-wide significance, as assessed by simulations. This finding represents the first locus for an ARHI trait.
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Fransen E, Topsakal V, Hendrickx JJ, Van Laer L, Huyghe JR, Van Eyken E, Lemkens N, Hannula S, Mäki-Torkko E, Jensen M, Demeester K, Tropitzsch A, Bonaconsa A, Mazzoli M, Espeso A, Verbruggen K, Huyghe J, Huygen PLM, Kunst S, Manninen M, Diaz-Lacava A, Steffens M, Wienker TF, Pyykkö I, Cremers CWRJ, Kremer H, Dhooge I, Stephens D, Orzan E, Pfister M, Bille M, Parving A, Sorri M, Van de Heyning P, Van Camp G. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European population-based multicenter study. J Assoc Res Otolaryngol 2008; 9:264-76; discussion 261-3. [PMID: 18543032 PMCID: PMC2492985 DOI: 10.1007/s10162-008-0123-1] [Citation(s) in RCA: 180] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2007] [Accepted: 04/21/2008] [Indexed: 11/27/2022] Open
Abstract
A multicenter study was set up to elucidate the environmental and medical risk factors contributing to age-related hearing impairment (ARHI). Nine subsamples, collected by nine audiological centers across Europe, added up to a total of 4,083 subjects between 53 and 67 years. Audiometric data (pure-tone average [PTA]) were collected and the participants filled out a questionnaire on environmental risk factors and medical history. People with a history of disease that could affect hearing were excluded. PTAs were adjusted for age and sex and tested for association with exposure to risk factors. Noise exposure was associated with a significant loss of hearing at high sound frequencies (>1 kHz). Smoking significantly increased high-frequency hearing loss, and the effect was dose-dependent. The effect of smoking remained significant when accounting for cardiovascular disease events. Taller people had better hearing on average with a more pronounced effect at low sound frequencies (<2 kHz). A high body mass index (BMI) correlated with hearing loss across the frequency range tested. Moderate alcohol consumption was inversely correlated with hearing loss. Significant associations were found in the high as well as in the low frequencies. The results suggest that a healthy lifestyle can protect against age-related hearing impairment.
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Affiliation(s)
- Erik Fransen
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
| | - Vedat Topsakal
- Department of Otorhinolaryngology, University Hospital of Antwerp, 2650 Antwerp, Belgium
| | - Jan-Jaap Hendrickx
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
- Department of Otorhinolaryngology, University Hospital of Antwerp, 2650 Antwerp, Belgium
| | - Lut Van Laer
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
| | - Jeroen R. Huyghe
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
| | - Els Van Eyken
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
| | - Nele Lemkens
- Department of Otorhinolaryngology, University Hospital of Antwerp, 2650 Antwerp, Belgium
| | - Samuli Hannula
- Department of Otorhinolaryngology, University of Oulu, 90014 Oulu, Finland
| | - Elina Mäki-Torkko
- Department of Otorhinolaryngology, University of Oulu, 90014 Oulu, Finland
| | - Mona Jensen
- Department of Audiology, Bispebjerg Hospital, 2400 NV Copenhagen, Denmark
| | - Kelly Demeester
- Department of Otorhinolaryngology, University Hospital of Antwerp, 2650 Antwerp, Belgium
| | - Anke Tropitzsch
- Department of Otorhinolaryngology, University of Tübingen, 72074 Tübingen, Germany
| | - Amanda Bonaconsa
- Department of Oto-Surgery, University Hospital Padova, 35128 Padova, Italy
| | - Manuela Mazzoli
- Department of Oto-Surgery, University Hospital Padova, 35128 Padova, Italy
| | - Angeles Espeso
- College of Medicine, Cardiff University, CF14 4XW Cardiff, UK
| | - Katia Verbruggen
- Department of Otorhinolaryngology, University Hospital of Ghent, 9000 Ghent, Belgium
| | - Joke Huyghe
- Department of Otorhinolaryngology, University Hospital of Ghent, 9000 Ghent, Belgium
| | - Patrick L. M. Huygen
- Department of Otorhinolaryngology, St. Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Sylvia Kunst
- Department of Otorhinolaryngology, St. Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Minna Manninen
- Department of Otorhinolaryngology, University of Tampere, 33014 Tampere, Finland
| | - Amalia Diaz-Lacava
- Institute of Medical Biometry, Informatics and Epidemiology, University of Bonn, 53105 Bonn, Germany
| | - Michael Steffens
- Institute of Medical Biometry, Informatics and Epidemiology, University of Bonn, 53105 Bonn, Germany
| | - Thomas F. Wienker
- Institute of Medical Biometry, Informatics and Epidemiology, University of Bonn, 53105 Bonn, Germany
| | - Ilmari Pyykkö
- Department of Otorhinolaryngology, University of Tampere, 33014 Tampere, Finland
| | - Cor W. R. J. Cremers
- Department of Otorhinolaryngology, St. Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Hannie Kremer
- Department of Otorhinolaryngology, St. Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
| | - Ingeborg Dhooge
- Department of Otorhinolaryngology, University Hospital of Ghent, 9000 Ghent, Belgium
| | - Dafydd Stephens
- College of Medicine, Cardiff University, CF14 4XW Cardiff, UK
| | - Eva Orzan
- Department of Oto-Surgery, University Hospital Padova, 35128 Padova, Italy
| | - Markus Pfister
- Department of Otorhinolaryngology, University of Tübingen, 72074 Tübingen, Germany
| | - Michael Bille
- Department of Audiology, Bispebjerg Hospital, 2400 NV Copenhagen, Denmark
| | - Agnete Parving
- Department of Audiology, Bispebjerg Hospital, 2400 NV Copenhagen, Denmark
| | - Martti Sorri
- Department of Otorhinolaryngology, University of Oulu, 90014 Oulu, Finland
| | - Paul Van de Heyning
- Department of Otorhinolaryngology, University Hospital of Antwerp, 2650 Antwerp, Belgium
| | - Guy Van Camp
- Department of Medical Genetics, University of Antwerp, Universiteitsplein, 2610 Antwerp, Belgium
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Van Eyken E, Van Laer L, Fransen E, Topsakal V, Hendrickx JJ, Demeester K, Van de Heyning P, Mäki-Torkko E, Hannula S, Sorri M, Jensen M, Parving A, Bille M, Baur M, Pfister M, Bonaconsa A, Mazzoli M, Orzan E, Espeso A, Stephens D, Verbruggen K, Huyghe J, Dhooge I, Huygen P, Kremer H, Cremers C, Kunst S, Manninen M, Pyykkö I, Rajkowska E, Pawelczyk M, Sliwinska-Kowalska M, Steffens M, Wienker T, Van Camp G. The contribution of GJB2 (Connexin 26) 35delG to age-related hearing impairment and noise-induced hearing loss. Otol Neurotol 2007; 28:970-5. [PMID: 17909436 DOI: 10.197/mao.0b013e3180dca1b9] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
HYPOTHESIS The common GJB2 (Connexin 26) 35delG mutation might contribute to the development of age-related hearing impairment (ARHI) and noise-induced hearing loss (NIHL). BACKGROUND GJB2, a gene encoding a gap junction protein expressed in the inner ear, has been suggested to be involved in the potassium recycling pathway in the cochlea. GJB2 mutations account for a large number of individuals with nonsyndromic recessive hearing loss, with 35delG being the most frequent mutation in populations of European origin. Other genes involved in potassium homeostasis have been suggested to be associated with ARHI and NIHL, and distortion product otoacoustic emission distortions indicative of hearing loss alterations have been found in 35delG carriers. METHOD We genotyped 35delG in two distinct sample sets: an ARHI sample set, composed of 2,311 Caucasian samples from nine different centers originating from seven different countries with an age range between 53 and 67 years, and an NIHL sample set consisting of 702 samples from the two extremes of a noise-exposed Polish sample. RESULTS After statistical analysis, we were unable to detect an association between 35delG and ARHI, nor between 35delG and NIHL. CONCLUSION Our findings indicate that there is no increased susceptibility in 35delG carriers for the development of ARHI or NIHL.
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Affiliation(s)
- Els Van Eyken
- Department of Medical Genetics, University of Antwerp, Antwerp, Belgium
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Van Laer L, Van Eyken E, Fransen E, Huyghe JR, Topsakal V, Hendrickx JJ, Hannula S, Mäki-Torkko E, Jensen M, Demeester K, Baur M, Bonaconsa A, Mazzoli M, Espeso A, Verbruggen K, Huyghe J, Huygen P, Kunst S, Manninen M, Konings A, Diaz-Lacava AN, Steffens M, Wienker TF, Pyykkö I, Cremers CWRJ, Kremer H, Dhooge I, Stephens D, Orzan E, Pfister M, Bille M, Parving A, Sorri M, Van de Heyning PH, Van Camp G. The grainyhead like 2 gene (GRHL2), alias TFCP2L3, is associated with age-related hearing impairment. Hum Mol Genet 2007; 17:159-69. [PMID: 17921507 DOI: 10.1093/hmg/ddm292] [Citation(s) in RCA: 94] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Age-related hearing impairment (ARHI) is the most prevalent sensory impairment in the elderly. ARHI is a complex disease caused by an interaction between environmental and genetic factors. The contribution of various environmental factors has been relatively extensively studied. In contrast, investigations to identify the genetic risk factors have only recently been initiated. In this paper we describe the results of an association study performed on 2418 ARHI samples derived from nine centers from seven European countries. In 70 candidate genes, a total of 768 tag single nucleotide polymorphisms (SNPs) were selected based on HAPMAP data. These genes were chosen among the monogenic hearing loss genes identified in mice and men in addition to several strong functional candidates. After genotyping and data polishing, statistical analysis of all samples combined resulted in a P-value that survived correction for multiple testing for one SNP in the GRHL2 gene. Other SNPs in this gene were also associated, albeit to a lesser degree. Subsequently, an analysis of the most significant GRHL2 SNP was performed separately for each center. The direction of the association was identical in all nine centers. Two centers showed significant associations and a third center showed a trend towards significance. Subsequent fine mapping of this locus demonstrated that the majority of the associated SNPs reside in intron 1. We hypothesize that the causative variant may change the expression levels of a GRHL2 isoform.
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Affiliation(s)
- Lut Van Laer
- Department of Medical Genetics, University of Antwerp, B-2610 Antwerp, Belgium
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Espeso A, Verma S, Jani P, Sudhoff H. Mediastinal foregut duplication cyst presenting as a rare cause of breathing difficulties in an adult. Eur Arch Otorhinolaryngol 2007; 264:1357-60. [PMID: 17594109 DOI: 10.1007/s00405-007-0364-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2007] [Accepted: 05/23/2007] [Indexed: 12/29/2022]
Abstract
Foregut duplication cysts are rare congenital anomalies of enteric origin. The diagnosis is usually made in infancy. We report the unusual case of a 71-year-old female presenting to the ENT department with shortness of breath and stridor due to an oesophageal reduplication cyst. The presentation, diagnosis and management of this potential pitfall for the unwary are outlined.
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Affiliation(s)
- A Espeso
- Department of Otolaryngology and Skull Base Surgery, Addenbrooke's Hospital, Cambridge, UK.
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Van Eyken E, Van Camp G, Fransen E, Topsakal V, Hendrickx JJ, Demeester K, Van de Heyning P, Mäki-Torkko E, Hannula S, Sorri M, Jensen M, Parving A, Bille M, Baur M, Pfister M, Bonaconsa A, Mazzoli M, Orzan E, Espeso A, Stephens D, Verbruggen K, Huyghe J, Dhooge I, Huygen P, Kremer H, Cremers CWRJ, Kunst S, Manninen M, Pyykkö I, Lacava A, Steffens M, Wienker TF, Van Laer L. Contribution of the N-acetyltransferase 2 polymorphism NAT2*6A to age-related hearing impairment. J Med Genet 2007; 44:570-8. [PMID: 17513527 PMCID: PMC2597944 DOI: 10.1136/jmg.2007.049205] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Age-related hearing impairment (ARHI) is the most common sensory impairment in older people, affecting 50% of those aged 80 years. The proportion of older people is increasing in the general population, and as a consequence, the number of people affected with ARHI is growing. ARHI is a complex disorder, with both environmental and genetic factors contributing to the disease. The first studies to elucidate these genetic factors were recently performed, resulting in the identification of the first two susceptibility genes for ARHI, NAT2 and KCNQ4. METHODS In the present study, the association between ARHI and polymorphisms in genes that contribute to the defence against reactive oxygen species, including GSTT1, GSTM1 and NAT2, was tested. Samples originated from seven different countries and were combined into two test population samples, the general European population and the Finnish population. Two distinct phenotypes for ARHI were studied, Z(low) and Z(high), representing hearing in the low and high frequencies, respectively. Statistical analysis was performed for single polymorphisms (GSTM1, GSTT1, NAT2*5A, NAT2*6A, and NAT2*7A), haplotypes, and gene-environment and gene-gene interactions. RESULTS We found an association between ARHI and GSTT1 and GSTM1 in the Finnish population sample, and with NAT2*6A in the general European population sample. The latter finding replicates previously published data. CONCLUSION As replication is considered the ultimate proof of true associations in the study of complex disorders, this study provides further support for the involvement of NAT2*6A in ARHI.
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Affiliation(s)
- E Van Eyken
- Department of Medical Genetics, University of Antwerp, Antwerp, Belgium
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Hendrickx JJ, Huyghe JR, Demeester K, Topsakal V, Van Eyken E, Fransen E, Mäki-Torkko E, Hannula S, Jensen M, Tropitzsch A, Bonaconsa A, Mazzoli M, Espeso A, Verbruggen K, Huyghe J, Huygen PLM, Kremer H, Kunst SJ, Manninen M, Diaz-Lacava AN, Steffens M, Parving A, Pyykkö I, Dhooge I, Stephens D, Orzan E, Pfister MHF, Bille M, Sorri M, Cremers CWRJ, Van Laer L, Van Camp G, Wienker TF, Van de Heyning P. Familial aggregation of tinnitus: a European multicentre study. B-ENT 2007; 3 Suppl 7:51-60. [PMID: 18225608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/25/2023] Open
Abstract
INTRODUCTION AND AIM Tinnitus is a common condition affecting approximately 20% of the older population. There is increasing evidence that changes in the central auditory system following cochlear malfunctioning are responsible for tinnitus. To date, few investigators have studied the influence of genetic factors on tinnitus. The present report investigates the presence of a familial effect in tinnitus subjects. METHODS In a European multicentre study, 198 families were recruited in seven European countries. Each family had at least 3 siblings. Subjects were screened for causes of hearing loss other than presbyacusis by clinical examination and a questionnaire. The presence of tinnitus was evaluated with the question "Nowadays, do you ever get noises in your head or ear (tinnitus) which usually last longer than five minutes". Familial aggregation was tested using three methods: a mixed model approach, calculating familial correlations, and estimating the risk of a subject having tinnitus if the disorder is present in another family member. RESULTS All methods demonstrated a significant familial effect for tinnitus. The effect persisted after correction for the effect of other risk factors such as hearing loss, gender and age. The size of the familial effect is smaller than that for age-related hearing impairment, with a familial correlation of 0.15. CONCLUSION The presence of a familial effect for tinnitus opens the door to specific studies that can determine whether this effect is due to a shared familial environment or the involvement of genetic factors. Subsequent association studies may result in the identification of the factors responsible. In addition, more emphasis should be placed on the effect of role models in the treatment of tinnitus.
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Affiliation(s)
- J J Hendrickx
- Department of Otorhinolaryngology, University Hospital of Antwerp, Antwerp, Belgium.
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Affiliation(s)
- A Serrat
- Regional Department of Oral and Maxillofacial Surgery, Del Río Hortega University Hospital, Valladolid, Spain
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