European Archives of Oto-Rhino-Laryngology最新文献

{"title":"Prevalence and characteristics of facial nerve bifurcation in the mastoid segment: a retrospective analysis using temporal bone CT scans.","authors":"Masato Suzuki, Ryoukichi Ikeda, Iori Kusaka, Aya Katsura, Jun Suzuki, Kiyoto Shiga","doi":"10.1007/s00405-024-09054-5","DOIUrl":"10.1007/s00405-024-09054-5","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the prevalence and characteristics of bifurcation of the facial nerve (FN) in the mastoid segment using temporal bone CT scans.</p><p><strong>Methods: </strong>A total of 970 cases (1931 ears) of temporal bone CT scans were reviewed, including 463 females and 498 males, aged 1 to 95 years (interquartile range: 20-69 years). CT imaging with multiplanar reconstruction (MPR) was used to identify and evaluate the bifurcation of the FN. Cases showing branching were confirmed by consensus among three physicians.</p><p><strong>Results: </strong>We identified 10 cases (10 ears) with facial nerve branching in the vertical segment, yielding an incidence rate of 0.52% (10/1931 ears). Every cases were unilateral, predominantly on the left side. Age analysis revealed 1 case (0.22%) in individuals under 20 years and 9 cases (0.61%) in those over 20 years. Bifurcation generally occurred near the middle to lower vertical segment, with the closest proximity to the second genu observed in a 15-year-old patient.</p><p><strong>Conclusions: </strong>Bifurcation of the FN in the mastoid segment, though rare, can be encountered in otologic surgery. Detailed preoperative imaging evaluations are crucial for surgical planning to minimize the risk of nerve damage. Our findings emphasize the importance of recognizing anatomical variations in the FN for improving surgical outcomes and patient safety.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1751-1755"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the exhalation delivery system with fluticasone for treating chronic rhinosinusitis with nasal polyposis: a systematic review and meta-analysis.","authors":"Yun Jin Kang, Gulnaz Stybayeva, Se Hwan Hwang","doi":"10.1007/s00405-024-09073-2","DOIUrl":"10.1007/s00405-024-09073-2","url":null,"abstract":"<p><strong>Purpose: </strong>We evaluated the effects of two doses (186 µg and 372 µg) of exhalation delivery system with fluticasone (EDS-FLU) on chronic rhinosinusitis (CRS) with nasal polyp as a novel sinonasal delivery system.</p><p><strong>Methods: </strong>We analyzed 5 studies retrieved from PubMed, SCOPUS, Embase, Web of Science, and Cochrane databases up to April 2024, focusing on subjective and objective scores, and adverse and beneficial effects (responder and complete responder rates, improvements in Patient Global Impression of Change [PGIC] scores, and surgical indication rates before and after EDS-FLU use.</p><p><strong>Results: </strong>Over 3 months, EDS-FLU significantly reduced polyp (mean difference [MD] - 1.1605; 95% confidence interval [CI] [- 1.3277; -0.9934], I² = 61.4%) and 22-item Sinonasal Outcome Test (MD - 20.7561; 95% CI [- 22.3473; -19.1648], I² = 0.0%) scores compared to baseline. At 1 month, nasal congestion, facial pain, olfactory dysfunction, and rhinorrhea significantly improved compared to baseline. EDS-FLU significantly reduced the surgical indication rate (odds ratio 0.2594; 95% CI [0.1910; 0.3522], I² = 0.0%) and improved patient satisfaction, with 63.34% of patients reporting significant improvement in PGIC scores after 3 months. However, adverse effects, including epistaxis, headache, nasal congestion, and nasopharyngitis, were reported, with incidence rates ranging from 4.46 to 8.99%. There were no significant differences in beneficial or adverse effects between high and low fluticasone doses, but the high dose was associated with a higher percentage of complete responders.</p><p><strong>Conclusion: </strong>Both doses of EDS-FLU significantly improved subjective and objective outcomes of CRS patients with nasal polyps. However, epistaxis and nasal septal erosive or ulcerative lesions were also considered.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1709-1718"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral same-day endoscopic tympanoplasty: a paradigm shift? or mere hype?","authors":"Rubeena Arora, Jitendra Singh, Deepankshi Rawal, Monika Barkhane, Aashish Goyal","doi":"10.1007/s00405-024-09178-8","DOIUrl":"10.1007/s00405-024-09178-8","url":null,"abstract":"<p><strong>Objective: </strong>To ascertain the feasibility of simultaneous bilateral same-day endoscopic tympanoplasty in a secondary-level hospital in a developing country.</p><p><strong>Material & methods: </strong>A prospective interventional cohort study conducted at a secondary-care hospital in North India.</p><p><strong>Inclusion criteria: </strong>Consenting patients having bilateral perforations aged 10-50 years.</p><p><strong>Exclusion criteria: </strong>Cholesteatoma/granulations/need for ossiculoplasty/previously operated ear/s. Temporalis fascia graft sufficient to repair 2 perforations was harvested from a right-side supratemporal incision followed by endoscopic trans-canal underlay tympanoplasty on both ears in the same session.</p><p><strong>Follow-up: </strong>7th day and 1, 3, and 6 months post-operatively. An intact graft at 6 months was considered surgical success. Hearing improvement was assessed by pure tone audiometry done 6 months postoperatively.</p><p><strong>Results: </strong>20 patients (40 ears) had large central/subtotal perforations. 38 out of 40 ears had successful graft uptake at 6 months. Average preoperative and postoperative air-bone gaps were 31+-4.4, 16.6+-2.9 dB respectively (p < 0.001, significant). Average air-bone gap closure was14.5+-3.2 dB. There was no instance of postoperative sensorineural hearing loss/postoperative complications.</p><p><strong>Conclusion: </strong>Bilateral same-day endoscopic tympanoplasty is feasible, safe, and efficient, saving time and resources for both the healthcare system and patients.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"2155-2158"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterotopic submandibular gland with herniation through the mylohyoid boutonnière: a unique radiological case.","authors":"Anne R J Péporté, Andreas A Moser, Franca Wagner","doi":"10.1007/s00405-024-09137-3","DOIUrl":"10.1007/s00405-024-09137-3","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a rare case of heterotopic submandibular gland (SMG) tissue herniating through the mylohyoid boutonnière into the anterior submandibular space, diagnosed using imaging, and to provide insights into its clinical implications.</p><p><strong>Methods: </strong>A 59-year-old male with a history of smoking and type 2 diabetes presented with new-onset hoarseness. Imaging, including contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI), was performed. The lesion's imaging characteristics, location, and tissue composition on CT and MRI were analyzed, and differential diagnoses were considered.</p><p><strong>Results: </strong>CT and MRI revealed a well-defined soft tissue lesion in the right anterior submandibular space, exhibiting features consistent with ectopic SMG tissue. On MRI, the lesion was iso- to slightly hyperintense compared to surrounding muscle tissue and showed ductal structures leading to the sublingual space, with a discontinuity in the mylohyoid muscle. No malignancy or other pathologies were identified, and the patient's hoarseness improved with treatment for dyspepsia.</p><p><strong>Conclusions: </strong>This case highlights the diagnostic value of imaging in identifying rare anatomical anomalies like heterotopic SMG with herniation through the mylohyoid boutonnière. Accurate diagnosis can prevent unnecessary procedures and guide appropriate management.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"2173-2178"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The international expert consensus on management of external auditory canal carcinoma.","authors":"Pei Zhou, Rubens de Brito, Yong Cui, Simon Lloyd, Henricus Kunst, J Walter Kutz, Navin Mani, In Seok Moon, Badr Eldin Mostafa, Cindy Nabuurs, Sampath Chandra Prasad Rao, Bingbin Xie, Yibo Zhang, Chunfu Dai","doi":"10.1007/s00405-024-09033-w","DOIUrl":"10.1007/s00405-024-09033-w","url":null,"abstract":"<p><strong>Purpose: </strong>The objective of this consensus is to provide otolaryngologists with appropriate strategies in the management of external auditory canal (EAC) carcinoma.</p><p><strong>Methods: </strong>In the absence of randomized controlled trials, the consensus is based on expert opinions utilizing the Rand/UCLA appropriateness method [Fitch and Aguilar in The RAND/UCLA appropriateness method user's manual, RAND Corporation, Santa Monica, CA, 2001], drawing from existing literature and clinical experience.</p><p><strong>Results: </strong>The management recommendations are structured around 12 key areas, including: definition and pathology, pathogenesis, clinical manifestations, work-up, tumor staging system, surgical management of primary tumor, surgical management of the parotid gland and the temporomandibular joint, lymph node metastasis, radiotherapy, chemotherapy, reconstruction, and follow-up.</p><p><strong>Conclusion: </strong>Management strategies for EAC carcinoma rely on tumor extension and histopathological features. Surgical removal with free surgical margins or combination with radiotherapy, chemotherapy are most often the best options. Given the rarity of the disease, prospective, randomized, multi-institutional clinical trials should be designed to enable reliable comparisons of the outcomes of EAC carcinoma treatments, thereby providing evidence-based clinical data to establish widely accepted guidelines. It emphasizes the need for a multidisciplinary team to be involved in the management of EAC carcinoma, and regular follow-up should be implemented postoperatively.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1677-1691"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum 25-hydroxyvitamin D levels and peripheral blood eosinophil percentages as predictive indicators for eosinophilic chronic sinusitis with nasal polyps.","authors":"Jianqi Wang, Yuwei Jiang, Xiaohong Chen, Junming Ma, Yue Li, Weiqiang Huang, Yanjie Jiang, Haotian Wu, Xia Li, Xifu Wu, Zizhen Huang, Yana Zhang, Lihong Chang, Gehua Zhang","doi":"10.1007/s00405-025-09263-6","DOIUrl":"10.1007/s00405-025-09263-6","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic rhinosinusitis (CRS) has a high incidence rate and different endotypes. Serum 25-hydroxyvitamin D (25(OH)D) deficiency is common in patients with eosinophilic and non-eosinophilic chronic rhinosinusitis with nasal polyps (ECRSwNP and nECRSwNP, respectively). This study explored the relationship between serum 25(OH)D levels and CRS risk and determined the value of combining serum 25(OH)D with peripheral blood markers in distinguishing between ECRSwNP and nECRSwNP.</p><p><strong>Methods: </strong>This study enrolled 275 CRS patients and 298 healthy controls. The relationship between serum 25(OH)D levels and CRS risk was determined using logistic regression after propensity score matching (PSM). The efficiency of various peripheral blood markers in distinguishing between ECRSwNP and nECRSwNP was assessed using a decision-tree model.</p><p><strong>Results: </strong>The final analysis included 189 CRS patients and 189 controls after 1:1 PSM. Serum 25(OH)D levels were significantly lower in CRS patients than in controls. Patients with mild CRS showed higher serum 25(OH)D levels than those with moderate or severe CRS, and ECRSwNP patients had lower serum 25(OH)D levels than nECRSwNP patients (all Ps < 0.05). Eosinophil percentages and IgE levels were independent risk factors for ECRSwNP, whereas serum 25(OH)D was an independent protective factor. 25(OH)D deficiency increased the ECRSwNP risk (OR = 3.074, P = 0.04). An eosinophil percentage ≥ 5% and a 25(OH)D level < 61.8 nmol/L could be used to predict ECRSwNP, with training and test set accuracies of 89.7% and 85.7%, respectively.</p><p><strong>Conclusion: </strong>Our findings suggest that serum 25(OH)D deficiency is an independent risk factor for CRS, especially ECRSwNP. Combining serum 25(OH)D levels with peripheral eosinophil percentages could be a promising biomarker for ECRSwNP.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1951-1961"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic analysis of elective neck dissection in cT3/T4a/T4bN0 maxillary sinus squamous cell carcinoma.","authors":"Jun Dong, Zhengqiu Zhu","doi":"10.1007/s00405-024-09146-2","DOIUrl":"10.1007/s00405-024-09146-2","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the effect of elective neck dissection (END) on the prognosis of patients with cT3/T4N0 maxillary sinus squamous cell carcinoma (MSSCC).</p><p><strong>Methods: </strong>Data were obtained from the SEER database. Patients with cT3/T4a/T4bN0 MSSCC were included in the study and divided into two groups: those who received END treatment and those who did not. Differences between the two groups were assessed using propensity score matching. Cox regression was used to screen patients for independent risk factors. The effect of END on cancer-specific survival (CSS) and overall survival (OS) was explored, and subgroup analyses were performed.</p><p><strong>Results: </strong>A total of 327 patients with cT3/T4N0 MSSCC were enrolled. After propensity score matching (PSM), patients treated with END showed significant improvement in overall survival (OS) and cancer-specific survival (CSS) compared with those who did not receive END (P < 0.05). In subgroup analyses, the hazard ratio was 0.729 (95% confidence interval: 0.549-0.967), indicating a favourable prognosis for patients receiving END. Certain subgroups of patients benefited significantly from END. These subgroups included patients older than 65 years, Caucasian, male, not receiving radiotherapy, stage T3, grade II and MSSCC with a tumour size of 3-5 cm.</p><p><strong>Conclusion: </strong>END improves survival time and survival outcomes in patients with cT3/T4a/T4bN0 MSSCC, especially in cT3 patients.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"2115-2124"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of anesthesia instruments and drugs on the occurrence of vocal cord injury, systematic review and meta-analysis.","authors":"Pourya Shokri, Mohammad Zarif, Ladan Kharaz, Ali Jahanian, Firoozeh Madadi, Reza Vafaee, Ali Dabbagh","doi":"10.1007/s00405-024-09074-1","DOIUrl":"10.1007/s00405-024-09074-1","url":null,"abstract":"<p><strong>Objective: </strong>This study extensively examined common complications related to anesthesia drugs and equipment on vocal cords. It also delved into factors such as smoking, anesthesia duration and anesthesia induction methods. Overall, the research aimed to pinpoint influential factors for creating a general anesthesia protocol with minimal post-operative complications.</p><p><strong>Materials and methods: </strong>We searched PubMed, Scopus, Web of Science, and Google Scholar for studies concerning the impact of anesthesia drugs and equipment on the vocal cord, until May 2023. after screening and reviewing of full text, the characteristics of the study including sample size, age, dosage or size of anesthesia drugs and equipment, Duration of intervention, Adverse effects, and Maintenance of adverse effects, were extracted. The quality assessment was done using the Newcastle-Ottawa scale and the Jadad Scale.</p><p><strong>Results: </strong>Our review included 39 studies from 1983 to 2023. The most frequent VCAEs were cough‎ (39.17%; CI = 9.84-68.51)‎, hoarseness (‎35.32%; CI = 25.04-45.60)‎, and erythema (35.09%; CI=-4.84-75.02). VC paralysis was relatively less frequent (‎4.16%; CI = 2.90-5.43)‎. Meta-regression showed no difference in the frequency of VCAEs with or without single-lung ventilation and smoking. However, the duration of procedure was shown to be affecting three outcomes; the duration shorter than 120 min is associated with lower rates of granuloma (2.74% vs. 44.30%; p < 0.05) and higher rates of cough (48.89% vs. 15.91%; p < 0.05) and VC paralysis (42.86% vs. 0.12%; p < 0.05). The overall outcomes were not affected.</p><p><strong>Conclusions: </strong>The most common anesthesia-related VCAEs are cough, erythema, and dysphagia, while serious complications like vocal cord hematoma and paralysis are rare. Also surgery duration significantly influences VCAE occurrence.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1719-1730"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The intersubject reliability of cortical auditory evoked potential (CAEP) in pediatric cochlear implant recipients: comparisons between acoustic and electrical stimulations.","authors":"Rosninda Abdullah, Nashrah Maamor, Mohd Normani Zakaria, Nik Adilah Nik Othman, Basyariatul Fathi Othman, Noor Alaudin Abdul Wahab","doi":"10.1007/s00405-024-09080-3","DOIUrl":"10.1007/s00405-024-09080-3","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the intersubject reliability of cortical auditory evoked potential (CAEP) elicited by acoustic and electrical stimulations in pediatric cochlear implant (CI) recipients.</p><p><strong>Methods: </strong>Twenty-two MED-EL CI recipients (aged 13-93 months) participated in this study. The acoustic CAEP (aCAEP) waveforms were elicited using four speech stimuli (/ba/, /m/, /g/, and /t/) presented at 65 dB SPL in a free-field condition. The electrical CAEP (eCAEP) responses were obtained by presenting electrical pulses through apical, medial, and basal electrodes. The aCAEP and eCAEP data (n = 28 ears) were analyzed using coefficient of variation (CV) and other appropriate statistics.</p><p><strong>Results: </strong>P1, N1, and P2 peaks were observed in most of the children (92.9% response rate). The CV values were smaller for the latency metric (13.6-34.2%) relative to the amplitude metric (51.3-92.4%), and the differences were statistically significant (p < 0.001). The aCAEP yielded smaller mean CV values than the eCAEP (for both latency and amplitude measures), and the mean CV value for the aCAEP (15.6%) was found to be statistically different from that of the eCAEP (31.0%) for the P1 latency (p = 0.001).</p><p><strong>Conclusion: </strong>This study is the first to report the intersubject reliability of aCAEP and eCAEP in pediatric CI recipients. Overall, CAEP latencies were found to be more reliable than CAEP amplitudes, and the aCAEP testing demonstrated higher intersubject reliability compared to the eCAEP assessment. The present study's findings can be beneficial for researchers and clinicians in documenting CAEP in children who use CI.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1825-1833"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supraglottoplasty outcomes and peri-operative care in congenital laryngomalacia.","authors":"B Sabran, Z Ghelab, E Bois, E Chebib, S Levivien, L Kahn, S Bellanger, T Van Den Abbeele, N Teissier, C Benoit","doi":"10.1007/s00405-024-09172-0","DOIUrl":"10.1007/s00405-024-09172-0","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify factors predicting postoperative ICU admission, the need for orotracheal intubation (OTI), and the occurrence of supraglottic stenosis in children undergoing supraglottoplasty for laryngomalacia.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 31 children who underwent supraglottoplasty at Robert Debre University Hospital from February 2016 to June 2023. Patient demographics, medical history, pre- and postoperative findings, and outcomes were evaluated. Statistical analyses were performed using R software.</p><p><strong>Results: </strong>A total of 60% of patients required ICU admission postoperatively. Factors predictive of ICU admission included a history of genetic anomalies, younger age at surgery, poor weight gain, and preoperative enteral feeding. Among those requiring OTI, significant predictors included a history of neurological disease, abnormal vocal cord mobility, and intraoperative arterial oxygen saturation dropping below 90%. Two patients developed supraglottic stenosis, with a noted correlation to surgical technique and preoperative respiratory severity.</p><p><strong>Conclusion: </strong>While supraglottoplasty is generally safe and effective, specific factors can predict the need for postoperative ICU care and intubation. The findings highlight the importance of thorough preoperative assessments and optimization of gastroesophageal reflux management to mitigate complications.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"1971-1980"},"PeriodicalIF":1.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}