European Archives of Oto-Rhino-Laryngology最新文献_第10页

Anatomical requirements for dacryocystorhinostomy ostium patency. 泪囊鼻腔造口术造口通畅的解剖学要求。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI: 10.1007/s00405-024-08910-8

Eugenia L Atkova, Tatiana E Borisenko, Vasily D Yartsev

{"title":"Anatomical requirements for dacryocystorhinostomy ostium patency.","authors":"Eugenia L Atkova, Tatiana E Borisenko, Vasily D Yartsev","doi":"10.1007/s00405-024-08910-8","DOIUrl":"10.1007/s00405-024-08910-8","url":null,"abstract":"Purpose: To identify anatomical factors affecting the outcome of dcryocystorhinostomy (DCR).Methods: The study included the results of dacryocystography in 73 patients after DCR: 37 cases of failed DCR and 36 cases of successful DCR. Biometric characteristics of the formed ostium were evaluated: the horizontal size of the bony \"window\" and the soft tissue part of the ostium, the vertical size of the bony \"window\" and soft tissue ostium, the height of the fragment of the remaining bone above and below the line of the common canaliculus, and the height of the \"pocket\" formed below the lower edge of the ostium. Statistical analysis was performed using parametric and non-parametric statistical methods. Differences were considered significant at p ≤ 0.05.Results: Intergroup differences were identified in the values of the maximum horizontal size of the bony \"window\" (p = 0.015), the maximum horizontal size of the soft tissue \"window\" (p < 0.001), the maximum vertical size of the soft tissue \"window\" (p < 0.001), and the height of the fragment of the remaining bone below the level of the common canaliculus to the edge of the formed ostium (p = 0.004).Conclusion: The stage of forming the bony \"window\" influences the success of DCR. Not only the position of the \"window\" is important, but also the geometric properties of the formed ostium.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6415-6422"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141975362","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}

引用次数: 0

MRI-confirmed cochlear artery infarct clinically diagnosed in a patient with sickle cell disease: a case report. 镰状细胞病患者临床确诊的磁共振成像耳蜗动脉梗塞：病例报告。

IF 1.9 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI: 10.1007/s00405-024-08837-0

Michaël Risoud, Philippine Toulemonde, Cyril Beck, Quentin Charley, Édouard Suzzoni, Christophe Vincent, Frédérique Dubrulle

{"title":"MRI-confirmed cochlear artery infarct clinically diagnosed in a patient with sickle cell disease: a case report.","authors":"Michaël Risoud, Philippine Toulemonde, Cyril Beck, Quentin Charley, Édouard Suzzoni, Christophe Vincent, Frédérique Dubrulle","doi":"10.1007/s00405-024-08837-0","DOIUrl":"10.1007/s00405-024-08837-0","url":null,"abstract":"Purpose: To corroborate the vascular etiology of sudden sensorineural hearing loss (SNHL) utilizing magnetic resonance imaging (MRI).Patient: A 24-year-old male with a history of sickle cell disease experienced sudden SNHL and right horizontal nystagmus, without accompanying vertigo.Intervention: Audiometric evaluation revealed left-sided SNHL, predominantly affecting high frequencies. Video head impulse testing demonstrated isolated dysfunction of the left posterior semicircular canal. An urgent brain MRI identified a recent punctiform ischemic stroke in the frontal region. A subsequent MRI, conducted with a 4-hour delay and post-contrast enhancement, highlighted a hyperintense signal within the left cochlear region and the left posterior semicircular canal.Conclusion: The investigative results substantiate an infarction in the territory of the cochlear artery, precipitated by a vaso-occlusive event, thereby reinforcing the vascular hypothesis of cochleovestibular artery syndrome. This case underscores the congruence between clinical observations and delayed post-contrast MRI findings.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6699-6703"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nasopharyngeal carcinoma in Sarawak : a 10-year review and update. 沙捞越州的鼻咽癌：10 年回顾与更新。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-09-06 DOI: 10.1007/s00405-024-08955-9

Boon Han Kevin Ng, Kah Chong Hoe, Yueh Ni Lim, Chun Yiing Wong, Pei Jye Voon, Ing Ping Tang

{"title":"Nasopharyngeal carcinoma in Sarawak : a 10-year review and update.","authors":"Boon Han Kevin Ng, Kah Chong Hoe, Yueh Ni Lim, Chun Yiing Wong, Pei Jye Voon, Ing Ping Tang","doi":"10.1007/s00405-024-08955-9","DOIUrl":"10.1007/s00405-024-08955-9","url":null,"abstract":"Aim: Nasopharyngeal carcinoma (NPC) is prevalent in certain regions, particularly Southeast Asia and Southern China. In Malaysia, it is notably frequent among the Bidayuh community. This study presents a comprehensive review of NPC cases diagnosed and treated at Sarawak General Hospital from 2010 to 2020.Method: A retrospective data collection was conducted using the clinical records of patients who were histopathologically diagnosed with NPC at the Otolaryngology-Head & Neck Clinic and the Radiotherapy & Oncology Clinic at Sarawak General Hospital.Result: The study comprised a total of 892 patients from 2010 to 2020. Males outnumbered females 3-to-1, with a mean age of 51 years (standard deviation: 13.9). The largest groups of patients were the Iban (34%) and the Bidayuh (21%), followed by the Chinese (19%) and the Malay (15%). The Bidayuh had the highest incidence rate with 81 cases per 100,000. Only 10% of the study population had a family history of NPC. The most common presentation was a neck lump (64.5%). Distant metastasis was discovered in 20% of patients. 82% of the cases were stage 3 or 4 at the time of presentation. The histological types of the 892 cases were mainly undifferentiated carcinoma (73%). Eighty-six patients developed recurrence, with 83% experiencing local recurrence, 10% developing distant metastasis, and 7% developing regional recurrence. Treatment for recurrence included nasopharyngectomy, neck dissection, and chemotherapy.Conclusion: The study highlights a significant incidence of NPC among the Bidayuh. Emphasis on screening and early detection is crucial for better outcomes, with lifelong follow-up recommended.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6493-6498"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142145433","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}

引用次数: 0

Performance of hybrid gain formula versus traditional fitting formulas in hearing aid fitting in tinnitus patients with hearing loss. 在为听力损失的耳鸣患者验配助听器时，混合增益公式与传统验配公式的性能对比。

IF 1.9 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-07-28 DOI: 10.1007/s00405-024-08846-z

Eser Sendesen, Hasan Colak

{"title":"Performance of hybrid gain formula versus traditional fitting formulas in hearing aid fitting in tinnitus patients with hearing loss.","authors":"Eser Sendesen, Hasan Colak","doi":"10.1007/s00405-024-08846-z","DOIUrl":"10.1007/s00405-024-08846-z","url":null,"abstract":"Purpose: Hearing aid fitting can be challenging when tinnitus accompanies hearing loss, as speech intelligibility and quality of life are affected by both hearing loss and tinnitus perception. However, studies focusing on the optimal hearing aid fitting for this group are scarce. Here, we aim to investigate the performance of alternative hearing aid fitting scenarios in improving hearing aid benefit and managing tinnitus.Methods: Sixty-six participants were included in the study and randomly divided into three groups based on the fitting formula: NAL-NL2, DSL pediatric and hybrid gain fitting procedure (covering NAL-NL2 for low frequencies and DSL pediatric formulas for high frequencies). Hearing aid benefit was evaluated using the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire and speech perception in noise (SPIN). To evaluate tinnitus perception, psychoacoustic characteristics of tinnitus were determined, and the Tinnitus Handicap Inventory (THI) was gathered.Results: The NAL-NL2 fitting procedure showed better results in hearing aid benefit and SPIN compared to the DSL pediatric procedure. In the DSL pediatric procedure, better results were obtained in tinnitus management compared to NAL-NL2. There was no difference between the hybrid fitting procedure and DSL pediatric in tinnitus management. The hybrid fitting procedure also did not differ from NAL-NL2 in SPIN and hearing aid benefit.Conclusion: Here, we propose a hybrid gain fitting procedure that can be a better alternative to boost hearing aid performance and tinnitus management in clinical practice.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6295-6302"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Scale for the assessment of mucosal wave dynamics of the free edges during stroboscopic examination: clinical validation study and analysis of results. 频闪镜检查时游离边缘粘膜波动态评估量表：临床验证研究和结果分析。

IF 1.9 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI: 10.1007/s00405-024-08975-5

Walter Tenesaca Pintado, Roberto Fernández Baillo, Isabel Cardoso Lopez, Ángel Rodriguez Paramas, Alfredo Martínez Martínez

{"title":"Scale for the assessment of mucosal wave dynamics of the free edges during stroboscopic examination: clinical validation study and analysis of results.","authors":"Walter Tenesaca Pintado, Roberto Fernández Baillo, Isabel Cardoso Lopez, Ángel Rodriguez Paramas, Alfredo Martínez Martínez","doi":"10.1007/s00405-024-08975-5","DOIUrl":"10.1007/s00405-024-08975-5","url":null,"abstract":"Introduction: Identifying the mucosal wave (MW) is essential when studying the voice; however, its characterization and perceived measurement during laryngeal stroboscopy (LS) are not well defined or standardized because of the subjectivity of its interpretation. This article proposed and validated a scale that characterized and approximated MW measurement during LS, applied it to participants divided into a healthy group and groups with free edge conditions, and identified differences between them.Methods: This is a descriptive and clinical validation study of the \"VASQ (Vertical axis, Anteroposterior axis, Symmetry and Quantity) mucosal wave score\" scale based on stroboscopy images of 137 adult men and women divided into a control group and functional and organic pathology groups. The images were analyzed by three evaluators according to an established protocol. Measurements dictating the reproducibility and validity criteria as well as the MW score in each group were obtained.Results: The reliability of the scale was α = 0.90, internal consistency success rate was 91%, intra-observer reliability was 0.83, inter-observer reliability was 0.83, content validity coefficient was 0.92, and factor loading was 0.37-0.53. The MW total score values between 5 and 6 were established as a reference for normality (P < 0.05). Organic pathology showed lower MW score values (P < 0.05), and functional pathology to a lesser extent (P > 0.05).Conclusions: The proposed scale is a consistent, valid, and reliable tool. Its widespread application would favor commonly used terminology and facilitate quantitative comparisons in future studies.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6565-6577"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bacterial biofilm formation on headpieces of Cochlear implants. 人工耳蜗头戴装置上细菌生物膜的形成。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-07-23 DOI: 10.1007/s00405-024-08835-2

Lisa Kirchhoff, Diana Arweiler-Harbeck, Moritz Meyer, Jan Buer, Stephan Lang, Joerg Steinmann, Ralf Bertram, Eric Deuss, Benedikt Höing

{"title":"Bacterial biofilm formation on headpieces of Cochlear implants.","authors":"Lisa Kirchhoff, Diana Arweiler-Harbeck, Moritz Meyer, Jan Buer, Stephan Lang, Joerg Steinmann, Ralf Bertram, Eric Deuss, Benedikt Höing","doi":"10.1007/s00405-024-08835-2","DOIUrl":"10.1007/s00405-024-08835-2","url":null,"abstract":"Introduction: Bacterial biofilm formation on medical devices, such as Cochlear implants (CI), can lead to chronic infections. Not only the inner parts of the implant but also the externally located headpiece might be associated with prolonged superficial skin eczema resulting in the inability of wearing the headpiece. In this study, the surface of three CI headpieces from different manufacturers were examined for bacterial biofilm formation.Materials and methods: Two bacterial species associated with implant-related infections were tested: Pseudomonas aeruginosa (ATCC9027) and Staphylococcus aureus (ATCC6538). Biofilms were formed over 24 h in tryptic soy broth at 36 °C. Biofilm formation was detected in form of biomass measurement by crystal violet staining. CI headpiece dummies of three manufacturers were used.Results: Both tested bacterial species formed biofilms on the examined CI headpiece-surfaces in a species-dependent manner with higher biofilm formation of P. aeruginosa. For both, S. aureus and P. aeruginosa, biofilm formation on the CI components was comparable to a polystyrene control surface. Between the three manufacturers, no significant difference in biofilm formation was found.Discussion: The tested bacteria displayed biofilm formation on the CI headpieces in a species-specific manner with higher amount of biofilm formed by P. aeruginosa. The biofilm formation was comparable between the manufacturers. In this study, an enhanced biofilm formation on CI headpieces could not be demonstrated. These in vitro tests suggest a minor role of bacterial biofilm on the CI headpiece in skin infections under the CI headpiece.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6261-6266"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747767","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}

引用次数: 0

The use of stem cells in treating xerostomia: a systematic review. 利用干细胞治疗口腔干燥症：系统综述。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-07-26 DOI: 10.1007/s00405-024-08829-0

Ioanna Aritzi, Iordanis Konstantinidis, Artemis Kyriakidou, Konstantinos Garefis, Giorgos Sideris, Alexander Delides

{"title":"The use of stem cells in treating xerostomia: a systematic review.","authors":"Ioanna Aritzi, Iordanis Konstantinidis, Artemis Kyriakidou, Konstantinos Garefis, Giorgos Sideris, Alexander Delides","doi":"10.1007/s00405-024-08829-0","DOIUrl":"10.1007/s00405-024-08829-0","url":null,"abstract":"Introduction: The complex nature of xerostomia prevents the establishment of a definite cure. Recently, research has pivoted towards stem cell transplantation for glandular reconstruction. The aim of this study is to provide an updated review of the existing research, to highlight the encountered challenges and research pathways, potentially enhancing the therapeutic applications of stem cell transplantation.Methods: This is a systematic review according to PRISMA guidelines, using the following databases: PubMed (PMC), PMC Europe, Scopus, Medline, Research Gate, Elsevier. The main question was whether stem cell therapies can contribute to the treatment of xerostomia.Results: 19 of 226 publications met the criteria for this review, including 'in vivo', 'in vitro' studies and clinical trials. All 19 studies described thoroughly the stem cell source and the transplantation method, and documented results based on analytical and statistical methods of confirmation. Data show that the various sources of stem cells play a significant role, with bone marrow or adipose tissue-derived pluripotent blasts being the most utilized. Human transplants in mice have also been accepted and reversed hyposalivation. The effects have been beneficial especially in models undergone radiotherapy (IR) or exhibit Sjogren Syndrome-like symptoms (SS), suggesting that with appropriate treatment and enrichment techniques, stem cell transplantation seems effective regardless of the cause of the disorder. Extracts and co-cultures of gland and stem cells also seem to improve gland function.Conclusion: Although in its initial stages, the use of stem cells seems to be a promising therapy to alleviate xerostomia regardless of its cause.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6201-6209"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765854","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}

引用次数: 0

Comparison of endoscopic tympanoplasty, cartilage vs. temporalis fascia in chronic suppurative otitis media with inactive mucosal disease: A prospective randomised study. 慢性化脓性中耳炎伴非活动性粘膜病变的内窥镜鼓室成形术、软骨与颞筋膜的比较：前瞻性随机研究。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-08-04 DOI: 10.1007/s00405-024-08879-4

Ashish Nagar, Shailja Prajapati, Digvijay Singh Rawat, Yogesh Aseri

{"title":"Comparison of endoscopic tympanoplasty, cartilage vs. temporalis fascia in chronic suppurative otitis media with inactive mucosal disease: A prospective randomised study.","authors":"Ashish Nagar, Shailja Prajapati, Digvijay Singh Rawat, Yogesh Aseri","doi":"10.1007/s00405-024-08879-4","DOIUrl":"10.1007/s00405-024-08879-4","url":null,"abstract":"Background: The introduction of endoscopy into middle ear has open up new opportunities for minimal invasive temporal bone surgery. The present study was planned to compare anatomical and functional outcome in patients who underwent endoscope assisted tympanoplasty using cartilage and temporalis fascia graft.Methods: The present prospective observational randomized study was carried out in the Department of Otorhinolaryngology of a tertiary care teaching hospital of Rajasthan, India from September 2020 to July 2021. Fifty patients of age group 18-60 years, with diagnosis of chronic otitis media having inactive mucosal disease were enrolled in the study and divided into two groups viz. cartilage (group I) and temporalis fascia group (group II). Each patient postoperatively underwent otoscopic examination of ear and pure tone audiometery at 8 weeks and 3rd month. Local wound condition, graft uptake and healing and hearing were assessed and compared.Results: Graft uptake was 92% in cartilage group and 84% in temporalis fascia group. Air conduction and air-bone gap of patients in both the groups showed significant improvement after 3 months of surgery. (p˂0.05) Regarding bone conduction, both groups had shown non-significant changes. (p > 0.05) Hearing gain was comparable on both groups which was 6.71dB in cartilage group vs. 5.9 dB in other group.Conclusions: The present study showed that graft placement time for temporalis fascia graft was less than cartilage graft, but the difference was insignificant. Hearing improvement, graft uptake and clinical improvement were found to be statistically insignificant between both groups.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6377-6383"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141888844","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}

引用次数: 0

Endoscopic ear surgery in the treatment of chronic otitis media with atelectasis. 内窥镜耳科手术治疗慢性中耳炎并伴有耳淤血。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-08-10 DOI: 10.1007/s00405-024-08845-0

Giannicola Iannella, Annalisa Pace, Antonio Greco, Armando De Virgilio, Enrica Croce, Antonino Maniaci, Jerome R Lechien, Federico Maria Gioacchini, Massimo Re, Giovanni Cammaroto, Tiziano Perrone, Salvatore Cocuzza, Giuseppe Magliulo

{"title":"Endoscopic ear surgery in the treatment of chronic otitis media with atelectasis.","authors":"Giannicola Iannella, Annalisa Pace, Antonio Greco, Armando De Virgilio, Enrica Croce, Antonino Maniaci, Jerome R Lechien, Federico Maria Gioacchini, Massimo Re, Giovanni Cammaroto, Tiziano Perrone, Salvatore Cocuzza, Giuseppe Magliulo","doi":"10.1007/s00405-024-08845-0","DOIUrl":"10.1007/s00405-024-08845-0","url":null,"abstract":"Purpose: Atelectasis otitis media (AtOM) is a chronic condition where the tympanic membrane (TM) becomes retracted towards the middle ear and the ossicular chain. Surgical treatment for this condition could be indicated based on stage of atelectasis, patient's clinical condition and hearing loss. Over the years, AtOM has been treated with various types of tympanoplasty under microscopic view. The aim of this study is to present the results of endoscopic ear surgery in AtOM.Methods: Forty-five patients who underwent endoscopic trans-canal tympanoplasty were included in the study. Preoperative features, intraoperative findings and postoperative outcomes were collected.Results: Preoperatively, none of the study's patients were classified with a Sadè Grade I, whereas grades II, III and IV were 3 (6.6%), 23 (32.1%) and 19 (67.8%) respectively. The 3 patients with Sadè grade II showed a conductive hearing loss higher than 20 dB and a continuous ear fullness, therefore they were surgically treated. The postoperative graft success rate was estimated at 95.5%. During follow-up, 2 patients showed a TM perforation (at 6 and 12 months after surgery) whereas 1 patient experienced a recurrence of atelectasis in the TM (16 months after surgery). The overall success rate at the final follow-up was calculated at 88.8%. The average preoperative air-conduction threshold was 51.1 ± 21.5, which reduced to 34.6 ± 22.1 (p = 0.04) at follow-up. The preoperative air-bone gap decreased from 28 ± 7.2 to 11.8 ± 10 (p = 0.002) after surgery.Conclusion: Atelectasis otitis media might be suitable for exclusive endoscopic surgical treatment, as it appears to exhibit a low recurrence rate and promising audiological outcomes.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6283-6291"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141912329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of the in-office surgical activity on the classical phonomicrosurgical interventions in a laryngology referral center. 诊室手术活动对喉科转诊中心经典咽喉外科手术干预的影响。

IF 16.4 3区医学

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI: 10.1007/s00405-024-08936-y

Ralph Haddad, Alexia Mattei, William Blanc, Justin Michel, Antoine Giovanni

{"title":"Impact of the in-office surgical activity on the classical phonomicrosurgical interventions in a laryngology referral center.","authors":"Ralph Haddad, Alexia Mattei, William Blanc, Justin Michel, Antoine Giovanni","doi":"10.1007/s00405-024-08936-y","DOIUrl":"10.1007/s00405-024-08936-y","url":null,"abstract":"Office-based laryngology procedures evolved in the recent years with all the technology advances and have gained popularity among laryngologists. The indications enlarged, making it a valid surgical option for almost all voice disorders. This emerging technique raise the question of the place left for traditional phonosurgeries in the operating room under general anesthesia. We reviewed our surgical activity in our laryngology referral center from 2018 to 2023. Since we started the in-office procedures in 2018, the number of these interventions significantly increased, accompanying a significant increase in our total surgical activity. We noted no significant decrease in the number of interventions done in the operating room, which made us consider the office-based procedures as a complimentary and not a competitive option for traditional surgeries, helping us increase our total number of interventions, and thus offer patients more opportunities for a quicker medical care. Our register review showed also a change of treatment trends for unilateral vocal fold paralysis, with office-based interventions becoming the first-line treatment.","PeriodicalId":11952,"journal":{"name":"European Archives of Oto-Rhino-Laryngology","volume":" ","pages":"6547-6553"},"PeriodicalIF":16.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142105705","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}

引用次数: 0