European Archives of Oto-Rhino-Laryngology最新文献

{"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":"https://doi.org/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":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","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":"Biosynthetic graft versus autologous graft tympanoplasty: a prospective randomized controlled trial.","authors":"Herbert S H Lee, Hilary H C Kwok, Muriel L Q Xiao, Cynthia K C Wai","doi":"10.1007/s00405-024-09166-y","DOIUrl":"https://doi.org/10.1007/s00405-024-09166-y","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to compare the graft success rate, hearing outcome, and operative time in patients undergoing tympanoplasty for tympanic membrane perforation with the use of either biosynthetic or autologous graft material.</p><p><strong>Methods: </strong>This was a prospective randomized controlled trial performed at a regional hospital. 41 patients were enrolled and randomized, with 20 patients allocated to the treatment arm (biosynthetic graft) and 21 patients allocated to the control arm (autologous graft). The primary outcome was graft success rate. The secondary outcomes were operative time and hearing outcomes (assessed by pure tone audiogram hearing threshold improvement and closure of air-bone gap at 6 months postoperatively).</p><p><strong>Results: </strong>There was no statistically significant difference in the graft success rate between the two groups (P = 0.645). There was also no statistically significant difference in the hearing outcomes (hearing thresholds improvement P = 0.886, air-bone gap improvement P = 0.651). However operative time was significantly shorter in the biosynthetic graft group compared with the autologous graft group (45.5 min vs. 72 min respectively; P < 0.001).</p><p><strong>Conclusion: </strong>This study demonstrates that tympanoplasty using a biosynthetic graft material can achieve comparable graft success rate and hearing outcomes as compared with conventional autologous graft tympanoplasty, but with the added benefits of a shortened operative time and avoiding incisions.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863413","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":"Authorship transparency and equity in otolaryngology and maxillofacial surgery: current practices and the potential impact of large language models.","authors":"Andrea Frosolini, Simone Benedetti, Paolo Gennaro, Guido Gabriele","doi":"10.1007/s00405-024-09151-5","DOIUrl":"https://doi.org/10.1007/s00405-024-09151-5","url":null,"abstract":"<p><strong>Purpose: </strong>The determination of authorship order in scientific publications is critical for researcher recognition and career progression. According to a recent survey's meta-analysis, the prevalence of Honorary Authorship reaches 20% of authors. This study evaluates the adoption and proficency of authorship guidelines in maxillofacial surgery and otolaryngology.</p><p><strong>Methods: </strong>On March 16, 2024, a search of Scopus-indexed journals identified relevant journals in from which recent articles were sampled using a stratified random method. The author contribution alignment with actual authorship was evaluated through CalculAuthor tool and a detailed process involving large language models (LLM) and manual checks, employing statistical tests to evaluate the adoption of author contribution guidelines and agreement scores across different fields and journal quartiles.</p><p><strong>Results: </strong>A review of 21 Scopus-indexed journals revealed that 8 adhered to the CRediT system, 7 to other systems, and 6 had no guidelines. From 147 randomly selected manuscripts, 57 reported contributions (38.8%). The mean agreement score was 65.3% (SD = 26.8), without significant differences in journal quartiles or disciplines.</p><p><strong>Conclusions: </strong>This study highlights the moderate to low adoption of standardized contribution systems in maxillofacial and otolaryngology journals, with a fair level of agreement between reported contributions and actual authorship. Future research should focus on larger, more diverse samples and develop prospective implementations to ensure accurate and equitable authorship credit in the context of the Artificial Intelligence's scientific writing era.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863325","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":"Petrous bone cholesteatoma (PBC): report of 94 cases of PBC with focus on intraoperative endoscopic assistance, and systematic review of the literature.","authors":"Monica Rueda Vega, Carolina López Granados, Carlos Martín Oviedo, Ignacio Arístegui Torrano, Miguel Arístegui Ruiz","doi":"10.1007/s00405-024-09144-4","DOIUrl":"https://doi.org/10.1007/s00405-024-09144-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to assess the clinical characteristics, classification, surgical approaches, interventional strategies, and treatment outcomes of patients with petrous bone cholesteatoma (PBC).</p><p><strong>Methods: </strong>Observational retrospective study of patients with PBC managed by the senior author of this paper between 1995 and 2024 in a tertiary referral center. A literature review was made, identifying 16 articles. Clinical presentations, Sanna's classification, pre- and post-surgical facial function and audiometry, surgical approach and intraoperative endoscopic assistance, postoperative complications, and recurrence rates were reported.</p><p><strong>Results: </strong>We report on a large series of 94 cases managed by the senior author. The most common type was supralabyrinthine PBCs (40.43%; 38 cases), followed by massive (18.09%; 17). Hearing loss was present in almost all the patients (98.91%). The most frequent approaches were the modified translabyrinthine approach (24.51%; 25), the subtotal petrosectomy (22.55%; 23) and the transotic approach (18.63%; 19). In 11 patients the approach was assisted by the use of an endoscope. Recurrence of PBC was identified in 8 cases (8.51%) that were surgically resolved. Additionally, we report a review of the literature (16 articles).</p><p><strong>Conclusions: </strong>We focus on the introduction of endoscopic assisted techniques that may help in reducing the rate of residual and avoid rerouting of the facial nerve. At the same time, we encourage techniques that include elimination of the middle ear through a subtotal petrosectomy, as they are essential to protect vital structures that have been exposed by the disease or by the surgical technique.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853141","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":"Impact of FESS on symptomatology and quality of life of patients with CRSsNP.","authors":"A Romano, Simona Barone, G Borriello, G R De Fazio, S Paesano, G Grassia, P Bonavolontà, G Dell'Aversana Orabona, S Sivero","doi":"10.1007/s00405-024-09139-1","DOIUrl":"https://doi.org/10.1007/s00405-024-09139-1","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic rhinosinusitis (CRS) has an impact on health related quality of life (HRQOL). The objective of this study was to examine generic and disease specific HRQOL and symptoms in CRS patients before and 6 months after sinus surgery.</p><p><strong>Methods: </strong>This prospective, observational study consisted of 30 patients with chronic sinusitis. Generic and disease specific HRQOL were measured using the Short Form Health Survey (SF 36) and Sino Nasal Outcome Test (SNOT 22).</p><p><strong>Results: </strong>The results revealed that chronic sinusitis has a significant impact on a person's quality of life reflected in the vitality, mental health, social activities, physical pain and perceived health status of patients also a positive correlation emerged between functional endoscopic sinus surgery (FESS) and improvement not only in symptomatology but also overall quality of life.</p><p><strong>Conclusions: </strong>FESS turns out to be a useful and necessary intervention for the improvement of symptomatology related to chronic sinusitis but also for the improvement of the quality of life of individuals who appear to be severely affected by the condition.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863457","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":"Injury patterns of suicide attempts in the head and neck area-a retrospective analysis over 15 years.","authors":"R Lehner, R Lochbaum, T K Hoffmann, J Hahn","doi":"10.1007/s00405-024-09138-2","DOIUrl":"https://doi.org/10.1007/s00405-024-09138-2","url":null,"abstract":"<p><strong>Purpose: </strong>Suicide attempts may involve various parts of the body with different severity grades and therefore represent a multidisciplinary challenge. The head and neck region is highly vulnerable to severe self-inflicted injuries, yet literature on this topic remains limited.</p><p><strong>Methods: </strong>A retrospective analysis was performed of patients with suicide attempts in an Otorhinolaryngology (ORL) department of a tertiary referral hospital over a 15-year period. The aim of the study was to analyse their clinical course and injury patterns.</p><p><strong>Results: </strong>70 patients were included (m: 42/70; f: 28/70). The mean age at suicide attempt was 43.7 years. Women were significantly younger than men (p = 0.046). Seven injury types were differentiated: strangulation (44.3%), stabbing (17.1%), jumping from a height and firearm use (10.0% each), jumping in front of a moving vehicle and ingestion of acids/bases (7.1% each) as well as ingestion of pills (4.3%). Men were dominantly involved in strangulation (14/42; 33.3%) and stabbing (11/42; 26.2%), whereas women appeared with strangulation (17/28; 60.7%) and tablet ingestion (3/28; 10.7%). Men required ORL-specific surgical care significantly more often than women (43.9% vs. 7.1%; p < 0.001). Men chose \"violent\" methods more frequently than women (90.5% vs. 46.4%; p < 0.001). Women were more likely to receive psychiatric treatment (p = 0.0011).</p><p><strong>Conclusions: </strong>Violent suicide attempts were more common in males and therefore required more often surgical intervention. Soft attempts and psychiatric diagnoses were more often associated with female gender. Routine laryngoscopy is recommended within 24h after the initial trauma. All individuals were successfully treated in an interdisciplinary setting and survived with moderate morbidity.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853140","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":"Potential determinants and predictors of hypoparathyroidism after total thyroidectomy in pediatric patients.","authors":"Amit Ritter, Yonatan Reuven, Nir Tsur, Dean Dudkiewicz, Aviram Mizrachi, Thomas Shpitzer, Gideon Bachar, Roy Hod","doi":"10.1007/s00405-024-09152-4","DOIUrl":"https://doi.org/10.1007/s00405-024-09152-4","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have reported risk factors for post-thyroidectomy hypoparathyroidism (HPT) in children. We aimed to identify predicting factors for transient and permanent HPT after total thyroidectomy in pediatric patients.</p><p><strong>Study design: </strong>Retrospective review of medical charts.</p><p><strong>Setting: </strong>A tertiary university-affiliated medical center.</p><p><strong>Methods: </strong>A retrospective study of all children who underwent thyroid surgery between 2001 and 2019.</p><p><strong>Results: </strong>The study included 70 patients. Sixteen patients (23%) had postoperative HPT: 10 transient (14%) and 6 permanent (9%). Central compartment neck dissection, larger nodular size, malignant disease, and extrathyroidal extension (ETE) were associated with overall HPT. ETE (p = 0.034) and younger age at diagnosis (median 10.5 vs. 14.5 years, p = 0.035) were associated with permanent HPT. Several calcium indices were associated with permanent HPT, including first calcium level, minimal calcium level, and the decrease in calcium level after surgery.</p><p><strong>Conclusions: </strong>Patients under 10.5 years of age and those presenting with ETE are at potential risk of developing permanent HPT after total thyroidectomy. Postoperative calcium levels may have a role as a predictor of permanent HPT and should be considered in the decision on calcium monitoring and supplementation.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863474","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":"Statin use in head and neck cancer.","authors":"Kuan-Fu Liao, Shih-Wei Lai","doi":"10.1007/s00405-024-09150-6","DOIUrl":"https://doi.org/10.1007/s00405-024-09150-6","url":null,"abstract":"","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863481","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":"A spot review on relations between socioeconomic aspect and clinical recurrence of cholesteatoma.","authors":"Mariam Jaber Aljehani, Rayan Marwan Mukhtar, Rayan AlFallaj, Renad Abdullah Alhusayni, Reem Marzouq Alraddadi, Rayan Alhussaini","doi":"10.1007/s00405-024-09101-1","DOIUrl":"https://doi.org/10.1007/s00405-024-09101-1","url":null,"abstract":"<p><strong>Background: </strong>This study investigates the relationship between the recurrence of Chronic Otitis Media with Otorrhea (ChOLE) and patient-related factors, surgical procedures, and elements. It involved 190 patients and aimed to identify significant relationships between demographics, condition severity, surgical approaches, comorbidities, problem classification, hygiene practices, and education level. Statistical analyses, including Chi-Square tests, were used to determine these connections.</p><p><strong>Methodology: </strong>Data from 190 patients were meticulously reviewed, leading to significant discoveries. Statistical techniques, particularly Chi-Square tests, were employed to comprehend the links between ChOLE recurrence and diverse patient-related factors.</p><p><strong>Results: </strong>The examination yielded crucial insights, revealing significant correlations between ChOLE recurrence and comorbidities, education level, complications, problem classification, and hygiene habits. These findings were confirmed with a confidence level of 95%. Moreover, specific relationships were observed between recurrence and surgical procedures, geographic location, and condition severity.</p><p><strong>Conclusion: </strong>This study highlights the significance of factors like comorbidities, education level, complications, problem classification, and hygiene practices in predicting ChOLE recurrence. It also reveals notable associations with surgical techniques, patient location, and condition severity. Understanding these factors is vital for assessing recurrence risk, improving patient care, and developing personalized treatments. These findings advance our understanding of ChOLE recurrence, enabling more targeted interventions for this common ear condition.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846009","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 effect of COVID-19 pandemic on routine surgical turnover in otolaryngology: a retrospective analysis of service dynamics utilizing finalized, cumulative data from a tertiary-care teaching institute in India.","authors":"Mainak Dutta, Misbahul Haque, Arijit Jotdar, Sarvesh Premanand Azgaonkar","doi":"10.1007/s00405-024-09113-x","DOIUrl":"https://doi.org/10.1007/s00405-024-09113-x","url":null,"abstract":"<p><strong>Objective: </strong>To ascertain the effect of coronavirus (COVID-19) pandemic on routine (non-COVID) Otolaryngology and Head-Neck Surgery (ORL-HNS) turnover in a tertiary-care teaching institute, utilizing the cumulated, finalized dataset one year after the pandemic ceased to be a \"public health emergency of international concern\".</p><p><strong>Methodology: </strong>In this retrospective analysis, annual routine turnover in the ORL-HNS categories (otology, rhinology/skull-base, head-neck/airway, emergency, miscellaneous) for the COVID-period (2020-21) were individually compared with pre-COVID (2017-19) data. Subsequently, categorical turnovers, along with the major surgeries in each category, were compared trimester-wise in the COVID-period. Data were interpreted statistically and explained graphically superimposing on the COVID timeline.</p><p><strong>Results: </strong>Overall surgical turnover in 2020-2021 decreased by 64.11% and 34.59%, respectively, from the pre-COVID period. The decline was [62.3%, 78.05%, 59.96%, 65.14%] and [34.2%, 29.27%, 30.64%, 45.6%] in otology, rhinology/skull-base, head-neck/airway, and emergency surgeries, in 2020 and 2021, respectively. Significant decline, however, was only in rhinology/skull-base (p = 0.00012) for 2020, which again increased in 2021 (p < 0.00001). Tympanomastoid surgeries, endoscopic sinus/septal surgeries, direct laryngoscopic procedures and tracheostomy topped the respective categories. Despite the deadlier second wave in 2021, there was a statistically significant change in trimester-wise turnovers across categories from 2020 to 2021. Overall turnover in 2020 was lesser, the second and third (lockdown/unlock) trimesters being mostly affected.</p><p><strong>Conclusions: </strong>In the most comprehensive post-COVID service dynamics analysis, routine ORL-HNS turnover was apparently not found to be significantly affected by the pandemic except in rhinology/skull-base. However, trimester-wise comparison within the COVID-years revealed statistically significant changes in categorical turnovers from 2020 to 2021.</p>","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834831","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}