Clinical Otolaryngology最新文献

{"title":"The Norfolk Smell and Taste Clinic Experience-A Decade of Olfactory and Gustatory Dysfunction.","authors":"Jeremy J Wong, Adam Lloyd, Ishan Singh, Louis Luke, Carl Philpott","doi":"10.1111/coa.70110","DOIUrl":"https://doi.org/10.1111/coa.70110","url":null,"abstract":"","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dynamic Inspiratory Oropharyngeal Obstruction in Children With Obstructive Sleep-Disordered Breathing: A Cross-Sectional Study.","authors":"Amani Kais, Ruifeng Cui, Ryan S Ziltzer, Christopher Deskins, Hussein Jaffal","doi":"10.1111/coa.70113","DOIUrl":"https://doi.org/10.1111/coa.70113","url":null,"abstract":"","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment-Related Adverse Event Claims in Otorhinolaryngology-Head and Neck Surgery: A Nationwide Finnish Review (2012-2023).","authors":"Alexander Westerholm, Satu Lamminmäki, Lasse Rämö, Leena-Maija Aaltonen, Paula Virkkula, Antti Mäkitie, Morag Tolvi","doi":"10.1111/coa.70114","DOIUrl":"https://doi.org/10.1111/coa.70114","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the frequency and characteristics of patient injuries related to Otorhinolaryngology-head and neck surgery (ORL-HNS) in Finland from 2012 to 2023, with a focus on common complications, trends in injury frequency and comparisons with previous studies.</p><p><strong>Methods: </strong>Data were obtained from the Patient Insurance Centre (PIC) of Finland, encompassing all ORL-HNS-related patient injury cases from 2012 to 2023. The study reviewed 1153 claims, of which 317 (27.5%) were compensated. The analysed variables included patient demographics, procedure types, complications and healthcare settings. Descriptive statistics were used to summarise the data.</p><p><strong>Results: </strong>Most compensated injuries (66.6%) were due to surgical or procedural complications, followed by inadequate management (24.3%). Most cases occurred at university hospitals (40.1%) or regional hospitals (38.8%) and were handled by specialists (69.7%). Endoscopic sinus surgery and septoplasty had compensation ratios of 0.7 and 0.72 per 1000 procedures, respectively. The likelihood of compensation decreased with patient age but was not correlated with hospital type. Among subspecialties, rhinology (31%) and head and neck surgery (30%) had the highest frequency of compensated claims.</p><p><strong>Conclusions: </strong>This study corroborates previous findings that ORL-HNS patient injuries are relatively rare, with many occurring during routine surgeries performed by specialists. These results challenge the assumption that surgical errors stem primarily from inexperience. The greater number of reported complications in university hospitals may reflect the trend towards centralising complex procedures.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Joint Special Issue Clinical Otolaryngology and Headache.","authors":"James R Tysome, Amy A Gelfand","doi":"10.1111/coa.70108","DOIUrl":"https://doi.org/10.1111/coa.70108","url":null,"abstract":"","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Complications Are Rare After Cholesteatoma Surgery.","authors":"Agnes Modée Borgström, Cecilia Engmér Berglin, Johan Knutsson, Åsa Bonnard","doi":"10.1111/coa.70111","DOIUrl":"https://doi.org/10.1111/coa.70111","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the incidence and nature of short-term complications following cholesteatoma surgery in a heterogeneous cohort.</p><p><strong>Design: </strong>A retrospective cohort study including complete coverage of cholesteatoma surgery in a Swedish region between 1 January 2005 and 31 December 2015. A total of 966 patients were followed for 6 weeks postoperatively. Severe complications were defined as facial palsy, thromboembolic events, cerebrospinal fluid (CSF) leakage, serious postoperative infection, or death within 6 weeks of surgery.</p><p><strong>Results: </strong>Severe complications were uncommon, occurring in 14 patients (1.4%). Thromboembolic events were observed in five patients (0.5%), two of which (0.2%) resulted in postoperative mortality-one following cardiac arrest in the postoperative care unit and one due to a thromboembolic event approximately 3 weeks after surgery. Serious infections occurred in five patients (0.5%): three retroauricular abscesses, one case of meningitis, and one infected preauricular fistula with abscess formation. Additional severe complications included three cases of facial palsy and one case of CSF leakage.</p><p><strong>Conclusion: </strong>Cholesteatoma surgery demonstrates a low rate of severe short-term complications, underscoring its overall safety with risks mainly attributable to general surgical or medical causes rather than cholesteatoma-specific factors. The present cholesteatoma-specific data constitute a solid basis for preoperative counselling and benchmarking within otology.</p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Modified Delphi UK Consensus to Develop a Surgical Safety Checklist for Transoral Robotic Surgery.","authors":"Keshav Kumar Gupta, Anthony Simons, Sean Mortimore, David Walker, Raguwinder Bindy Sahota, Mriganka De, Asit Arora, George Garas","doi":"10.1111/coa.70112","DOIUrl":"https://doi.org/10.1111/coa.70112","url":null,"abstract":"<p><strong>Objectives: </strong>The utilisation of transoral robotic surgery (TORS) has grown in popularity over recent years with wide applications for both benign and malignant disease. It is important to recognise that the introduction of robotic surgery inserts a new variable into an already error-prone healthcare service that has a high preventable adverse event rate. Surgical safety checklists (SSC) have been well established in recent years and demonstrated to improve outcomes and reduce complications. This study aims to introduce a novel SSC designed for use specifically in operating theatres for cases using TORS.</p><p><strong>Methods: </strong>A modified Delphi process was utilised to define consensus for a proposed TORS specific SSC. An initial iteration was devised using a literature search. Experts with significant TORS experience rated each proposed item for potential inclusion using a Likert scale. The process was repeated until consensus was reached for all items.</p><p><strong>Results: </strong>Two rounds were completed with seven experts agreeing on various items to be included in the TORS specific SSC.</p><p><strong>Conclusions: </strong>This novel surgical safety checklist is the first developed specifically for use with TORS. It has been designed using robust Delphi methodology with several TORS experts from high-volume centres across the UK. The aim of the TORS SSC is to be used alongside the WHO SSC and requires ideally long-term and multi-centre adoption in order to validate its implementation.</p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Update on the Management of Otogenic Cerebral Sinus Thrombosis: A Systematic Review.","authors":"Charles Picton, Joseph Rassam, Claire Lloyd-Davies, Mihir Gajre, Iain Mckay-Davies","doi":"10.1111/coa.70107","DOIUrl":"https://doi.org/10.1111/coa.70107","url":null,"abstract":"<p><strong>Introduction: </strong>Otogenic cerebral sinus thrombosis (OCST) represents a rare but serious pathology. The medical and surgical treatment to achieve optimal patient outcomes remains unclear. This review assesses the published evidence of OCST to guide best practice.</p><p><strong>Methods: </strong>A search of electronic databases Medline, Embase, Emacare, Cochrane and Clinicaltrials.gov was conducted from inception to November 2024. Eligible studies were identified and relevant findings extracted.</p><p><strong>Results: </strong>Sixty-eight papers, 43 case reports and 25 case series met the inclusion criteria with a total of 149 patients. 88.5% of patients underwent surgery, most commonly cortical mastoidectomy. 54.8% of patients received anticoagulation. Sixty-five percent of patients with reimaging had complete recannalisation of the sinus and 9.4% of patients experienced long term complications.</p><p><strong>Conclusions: </strong>The combination of antibiotics, anticoagulation and surgery was associated with the most favourable outcome. Mastoidectomy and decompression of the sigmoid were commonly performed and largely safe. However, no additional benefit of incision and drainage of the sigmoid sinus was found and this was associated with a higher complication rate.</p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to Editor: Analysis of Vestibular Function Assessment Methods for Patients With Peripheral Vertigo Disease: A 5-Year Retrospective Study.","authors":"Nasser Junedi, Akarsh Lal, Andrew J Stefan, Swetha Reddy, Michael A Carron","doi":"10.1111/coa.70109","DOIUrl":"https://doi.org/10.1111/coa.70109","url":null,"abstract":"","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147644046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to 'Non-Recurrent Laryngeal Nerve: Surgical Risk of Injury in Comparison With the Normal Recurrent Laryngeal Nerve-A Systematic Review and Meta-Analysis'.","authors":"","doi":"10.1111/coa.70105","DOIUrl":"https://doi.org/10.1111/coa.70105","url":null,"abstract":"","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence and Effect on Allergy Medication Use in Allergic Rhinoconjunctivitis Patients Treated With House Dust Mite Allergen Immunotherapy—A Nationwide Cohort Study","authors":"Morten Borg,&nbsp;Ole Hilberg,&nbsp;Rikke Ibsen,&nbsp;Anders Løkke","doi":"10.1111/coa.70083","DOIUrl":"10.1111/coa.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>House dust mite (HDM) allergy significantly impacts quality of life. Allergen immunotherapy (AIT), specifically sublingual immunotherapy (SLIT), is an effective treatment for HDM allergy, but adherence to SLIT remains a challenge. This study aimed to evaluate the impact of adherence to SLIT on the use of allergy medications, including antihistamines, nasal corticosteroids, and inhaled corticosteroids (ICS) in a real-world setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a nationwide cohort study using data from Denmark's comprehensive registries. Patients who initiated HDM SLIT between 2015 and 2020 were included, with follow-up through 2022. Adherent patients, defined as those obtaining at least 80% of the prescribed Defined Daily Dose (DDD) of SLIT, were compared to non-adherent patients. Medication use was tracked for antihistamines, nasal corticosteroids, and ICS. Statistical analyses, including Probit and generalised linear models, assessed the likelihood of obtaining medications and the quantity dispensed, adjusted for age and sex.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 950 patients, 456 (48%) were classified as adherent. Adherent patients showed significantly reduced usage of antihistamines (<i>p</i> &lt; 0.001) and nasal corticosteroids (<i>p</i> &lt; 0.001) compared to non-adherent patients. No significant differences were found in ICS use or dosage. Additionally, adherent patients were more likely to have higher education levels and be married or cohabiting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Adherence to SLIT for HDM allergy is associated with reduced use of antihistamines and nasal corticosteroids. These findings emphasise the importance of SLIT adherence in managing HDM allergy and suggest that improving adherence could further reduce medication usage, improving patient outcomes in real-world settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":"51 3","pages":"394-400"},"PeriodicalIF":1.5,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145899481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}