International Archives of Otorhinolaryngology最新文献

Change in Symptoms and Mucosal Findings after Proton Pump Inhibitor in Patients with Laryngopharyngeal Reflux.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-02-06 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791642

Min Woo Park, Sin Jae Kang, Jee Hye Wee

{"title":"Change in Symptoms and Mucosal Findings after Proton Pump Inhibitor in Patients with Laryngopharyngeal Reflux.","authors":"Min Woo Park, Sin Jae Kang, Jee Hye Wee","doi":"10.1055/s-0044-1791642","DOIUrl":"10.1055/s-0044-1791642","url":null,"abstract":"Introduction Although there are several reports of endoscopic findings of the larynx and esophagus in laryngopharyngeal reflux (LPR) patients, little is known about the correlation between change in symptoms and laryngeal and esophageal mucosal findings after proton pump inhibitor (PPI) treatment. Objective The present study aimed to evaluate the changes in symptoms and mucosal findings of the larynx and esophagus using transnasal esophagoscopy (TNE) after PPI medication and to analyze their relationship in LPR patients. Methods The current prospective study included 36 patients who complained of LPR symptoms. Reflux Symptom Index (RSI), Reflux Finding Score (RFS), and modified Los Angeles classification using TNE were obtained pretreatment and 8 weeks after treatment with PPIs. Results Data from 22 patients who completed all examinations were analyzed. The mean age was 52.8 years, and 4 patients were men. The most common symptom was a globus sensation (54.6%). Both RSI ( p < 0.001) and RFS ( p < 0.001) were significantly improved after 8 weeks with PPI treatment. However, there was no correlation between improvement of RSI and RFS ( p = 0.350). Thirteen patients showed improvement in esophageal findings. However, there was no significant association between improvement of esophageal findings and RSI ( p = 0.350) or RFS ( p = 0.376). Conclusion Although PPI treatment improved LPR symptoms and endoscopic findings, the change in symptoms was not related to endoscopic mucosal findings in the larynx and esophagus.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11802262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Near Point of Convergence in Patients with Vestibular Migraine.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-02-05 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791643

Francisco Carlos Zuma E Maia, Bernardo Faria Ramos, Roseli Saraiva Moreira Bittar, Renato Valerio Rodrigues Cal, Leonel Almeida Luís, Pedro Luiz Mangabeira Albernaz

{"title":"The Near Point of Convergence in Patients with Vestibular Migraine.","authors":"Francisco Carlos Zuma E Maia, Bernardo Faria Ramos, Roseli Saraiva Moreira Bittar, Renato Valerio Rodrigues Cal, Leonel Almeida Luís, Pedro Luiz Mangabeira Albernaz","doi":"10.1055/s-0044-1791643","DOIUrl":"10.1055/s-0044-1791643","url":null,"abstract":"Introduction Vestibular migraine (VM) is one of the most common vestibular disorders and its diagnosis is based entirely on clinical features. A recent case series suggested a possible link between migraines and convergence insufficiency. Objective To compare the near point of convergence (NPC) in patients with and without VM. Methods We retrospectively reviewed the data of 50 patients with and 50 without VM, comparing the NPC between both groups. The NPC was measured according to the recommendations of the American Academy of Ophthalmology. Differences in the results between groups were compared using the Mann-Whitney test. The association of the NPC with age, gender, and the use of corrective glasses or contact lenses was evaluated by the Student t or Mann-Whitney tests for parametric and nonparametric data, respectively. To determine the diagnostic accuracy and optimal cut-off point, receiver operating characteristic (ROC) curves were created. Results The mean NPC was significantly higher in patients with VM (18.50 ± 5.88 cm) compared to the control group (8.06 ± 1.46 cm; p < 0.001). The area under the curve (AUC) was 0.986 (95% CI: 0.938-0.999; p < 0.0001), suggesting that NPC was able to accurately discriminate between patients with and without VM with a sensitivity of 94% and specificity of 100%. Conclusion Our results suggest that convergence insufficiency is a common sign in patients with VM and may be considered a potential clinical biomarker. However, further studies are needed to confirm this hypothesis.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-4"},"PeriodicalIF":1.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11798653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Myofunctional Therapy for the Treatment of Obstructive Sleep Apnea: Systematic Review and Meta-Analysis. 治疗阻塞性睡眠呼吸暂停的肌功能疗法：系统回顾与元分析》。

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1801780

Lucas Gabriel Dos Anjos Ferreira, Vanessa Souza Gigoski de Miranda, Maria Eduarda Pedroso Baseggio, Miriam Allein Zago Marcolino, Deisi Cristina Gollo Marques Vidor

{"title":"Myofunctional Therapy for the Treatment of Obstructive Sleep Apnea: Systematic Review and Meta-Analysis.","authors":"Lucas Gabriel Dos Anjos Ferreira, Vanessa Souza Gigoski de Miranda, Maria Eduarda Pedroso Baseggio, Miriam Allein Zago Marcolino, Deisi Cristina Gollo Marques Vidor","doi":"10.1055/s-0044-1801780","DOIUrl":"10.1055/s-0044-1801780","url":null,"abstract":"Introduction Given the severity with which obstructive sleep apnea (OSA) syndrome can affect the patient's health, many therapies have been presented to minimize the occurrence of episodes of airway obstruction during sleep. Regarding non-invasive and effective methods, orofacial myofunctional therapy (OMT) is an important adjuvant in the clinical treatment. Objective To verify the effectiveness of OMT in the treatment of adult patients affected by OSA. Data Synthesis A search strategy was developed with terms adapted to the requirements of the main databases in the health field (PubMed, Cochrane, Embase and secondary databases) to designate the adult OSA population and the OMT intervention. The analysis of the records found was performed by two independent examiners and, at the end, we included five randomized clinical trials that presented the outcome of effectiveness of the OMT verified through the apnea-hypopnea index (AHI). Conclusion The effectiveness of the OMT in the treatment of adult OSA patients was verified, both alone and in association with other interventions, through the reduction in the AHI and the Epworth Sleepiness Scale.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11793941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Graft Uptake in Perforated Eardrums with and without Myringosclerosis: A Prospective Case-control Study in a Tertiary Centre.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791730

Ayaz Rehman, Faizah Ashfah Latief Deva, Asef Ahmad Wani, Majid Masoodi, Bashir Malik, Owais Makhdoomi

{"title":"Comparison of Graft Uptake in Perforated Eardrums with and without Myringosclerosis: A Prospective Case-control Study in a Tertiary Centre.","authors":"Ayaz Rehman, Faizah Ashfah Latief Deva, Asef Ahmad Wani, Majid Masoodi, Bashir Malik, Owais Makhdoomi","doi":"10.1055/s-0044-1791730","DOIUrl":"10.1055/s-0044-1791730","url":null,"abstract":"Introduction Various factors have been reported to affect the rates of success after tympanoplasty, among them, myringosclerosis. However, there are few studies focusing only on the effect of myringosclerotic plaque removal on tympanoplasty outcomes. Objective To compare the outcome of tympanoplasty in perforated eardrums with and without myringosclerosis. Methods The study included patients aged between 21 and 53 years diagnosed at the outpatient department with inactive mucosal chronic otitis media. The sample was divided into the case group, which included subjects with tympanic membrane perforation and myringosclerosis, and the control group, which included subjects with tympanic membrane perforation only, without myringosclerosis. We assessed the audiological findings of the patients before and after surgery, as well as hearing gain, graft uptake, and residual perforation/reperforation. Results No significant relationships were observed involving the age or sex of the patient and the closure rate or hearing gain, neither between the location of the perforation and graft uptake. Graft uptake was higher in patients with perforation size < 50%. The graft uptake and hearing gain were higher in the case group. Conclusion The removal of sclerotic plaques increases the surface of the raw area created by subepithelial excision of the myringosclerotic plaques, leading to a high rate of surgical success for the closure of tympanic membrane defects with coexisting myringosclerosis.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-9"},"PeriodicalIF":1.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11785424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143079973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacts on Postoperative Bleeding of Surgery for Head and Neck Malignancies While Continuing Antithrombotic Agents.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-29 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791644

Koji Ushiro, Ryo Asato, Hiroki Ishida, Chisato Chikugo, Yukiko Ito, Takuya Tsuji, Jun Tsuji

{"title":"Impacts on Postoperative Bleeding of Surgery for Head and Neck Malignancies While Continuing Antithrombotic Agents.","authors":"Koji Ushiro, Ryo Asato, Hiroki Ishida, Chisato Chikugo, Yukiko Ito, Takuya Tsuji, Jun Tsuji","doi":"10.1055/s-0044-1791644","DOIUrl":"10.1055/s-0044-1791644","url":null,"abstract":"Introduction Perioperative management of antithrombotic agents may affect bleeding and lead to thromboembolic complications, but there is no consensus on optimal protocol in head and neck surgery. Objective To explore the effect of antithrombotic agents on postoperative bleeding. Methods We compared clinical characteristics, type of surgery, antithrombotic agents, continued use of medication or not, and frequency of postoperative bleeding among patients who were receiving antithrombotic therapy at the time of their decision to undergo surgery for head and neck malignancies, from 2008 to 2022. Results A total of 168 patients were included. There was no significant difference in the incidence of intraoperative blood loss or postoperative bleeding between the group that underwent surgery while on antithrombotic therapy and those that underwent surgery after antithrombotic therapy was discontinued. In particular, there was no increase in bleeding complications with antiplatelet agents, regardless of the type or number of agents used. Conclusion Surgery for head and neck malignancies with continued antiplatelet therapy may not increase bleeding complications, regardless of the type of antiplatelet therapy and even when multiple agents are taken.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11779530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143065464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological Characteristics and Maternal Risk Factors of Microtia and Aural Atresia in Kazakhstan.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1792015

Assel Imangaliyeva, Rimma Suatbayeva, Tatyana Slazhneva, Aigul Medeulova, Zhanetta Mukanova, Amangeldy Kulimbetov, Neilya Mileshina, Natalya Glushkova, Marina Izmailovich, Yuliya Semenova

{"title":"Epidemiological Characteristics and Maternal Risk Factors of Microtia and Aural Atresia in Kazakhstan.","authors":"Assel Imangaliyeva, Rimma Suatbayeva, Tatyana Slazhneva, Aigul Medeulova, Zhanetta Mukanova, Amangeldy Kulimbetov, Neilya Mileshina, Natalya Glushkova, Marina Izmailovich, Yuliya Semenova","doi":"10.1055/s-0044-1792015","DOIUrl":"10.1055/s-0044-1792015","url":null,"abstract":"Introduction Microtia and aural atresia present congenital ear anomalies that affect external ear and are associated with conductive hearing loss. Both anomalies result from exposure to various prenatal risk factors, most common during the first trimester of pregnancy. Objective This study was aimed at epidemiological analysis of microtia/atresia and associated risk factors in the Kazakhstani population. Methods A retrospective study in two stages. First, a cross-sectional analysis of microtia/ atresia frequencies from 2015 to 2019 on the basis of official statistics obtained from the Republican Centre for E-Health. Then, a case-control study was carried out to elucidate maternal risk factors associated with occurrence of microtia/atresia. We recruited patients presented in Almaty, Kazakhstan, between September 2021 and February 2022. Results There was a substantial regional variation in the rates of both aural atresia and microtia/anotia. Mothers of children with microtia disclosed toxoplasmosis, other agents (including HIV, syphilis, varicella), rubella, cytomegalovirus, herpes simplex (TORCH) infections during pregnancy more often than those of healthy children (45.8 versus 7.3%; p < 0.001). Exposure to different chemicals during pregnancy was mentioned more frequently by mothers of children with microtia when compared with the healthy controls (18.1 versus 8.1%; p = 0.035). Self-reporting of alcohol consumption and intake of antibiotics was also significantly higher in mothers of children with microtia (31.9 and 36.1% respectively). Conclusion Elucidation of microtia/atresia epidemiology is important due to their imposed social and economic burden, associated with treatment and rehabilitation costs.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility of Self-Programming of the Speech Processor Via Remote Assistant Fitting in Experienced Cochlear Implant Users.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1789194

Paola Angelica Samuel-Sierra, Maria Valéria Schimidt Goffi-Gomez, Ana Tereza de Matos Magalhães, Ricardo Ferreira Bento, Robinson Koji Tsuji

{"title":"Feasibility of Self-Programming of the Speech Processor Via Remote Assistant Fitting in Experienced Cochlear Implant Users.","authors":"Paola Angelica Samuel-Sierra, Maria Valéria Schimidt Goffi-Gomez, Ana Tereza de Matos Magalhães, Ricardo Ferreira Bento, Robinson Koji Tsuji","doi":"10.1055/s-0044-1789194","DOIUrl":"10.1055/s-0044-1789194","url":null,"abstract":"Introduction Adults with cochlear implants (CIs) need periodic programming of their speech processors to take advantage of alternative adjustments. However, this requires patients to attend the CI center in person. Objectives To evaluate the feasibility of speech processor (SP) self-programming with remote assistance in CI users. To establish the characteristics of those who could benefit from self-programming. Methods Adults with at least 1 year of experience with their CI, and whose SP was compatible with the use of the remote assistant fitting (RAF) were selected. Maps were created by the RAF from the neural response telemetry (NRT) results, evaluated in the same session with the audiologist. Patients were given 15-days to adjust to either the routine map or the NRT-based one. In the next session, the minimum and maximum stimulation levels (T- and C-levels) of all the maps were compared. Results No statistical difference was found when comparing the T- and C-levels of the map in use, the map adjusted by RAF, and the NRT-based map created by the RAF and adjusted by the patient. Conclusion Self-programming of the SP was safe and feasible in the studied sample of adults, since T- and C-levels were similar between the behavioral and RAF-adjusted maps. We consider it advisable to use the RAF for patients who have insertion of electrodes and at least one functioning; as well as those who do not have changes in anatomy, nor motor and cognitive conditions that prevent RAF usage.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Efficacy of Platelet-Rich Plasma in the Repair of Tympanic Membrane Perforation.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791646

Kudure Basavaraj Prashanth, Haraganahalli Anandappa Manjunatha, Prathvi P Nayak

{"title":"The Efficacy of Platelet-Rich Plasma in the Repair of Tympanic Membrane Perforation.","authors":"Kudure Basavaraj Prashanth, Haraganahalli Anandappa Manjunatha, Prathvi P Nayak","doi":"10.1055/s-0044-1791646","DOIUrl":"10.1055/s-0044-1791646","url":null,"abstract":"Introduction Platelet-rich plasma (PRP) contains high platelet concentration and growth factors that help in rapid wound healing, hemostasis, and decreased scarring. It has been used in various conditions to aid in healing, but its use in ear, nose, and throat (ENT) is not yet common. Objective To compare the outcome of using PRP with myringoplasty with that of myringoplasty alone in the repair of tympanic membrane perforations. Methods Sixty-eight patients in the 16-to-50 years age group with tympanic membrane perforation of 3 months duration, with dry ear for 6 weeks, and mild to-moderate conductive hearing loss were selected and divided by simple randomization into 2 equal groups. A thorough preoperative evaluation was done. In group A, patients underwent myringoplasty, and in group B, patients underwent myringoplasty with PRP. Patients were followed up for 3 months postsurgery. Results At 6 weeks, 67.6 and 94.1% had graft uptake in groups A and B, respectively ( p -value 0.011). At 3 months, 85.3 and 97.1% had graft uptake in groups A and B, respectively ( p -value 0.197). The mean pure tone audiometry difference in group A was 8.35 ± 2.05, and 11.00 ± 2.28 in group B ( p < 0.001). The mean air-bone gap difference for group A was 8.29 ± 2.14, and 10.76 ± 2.36 for group B ( p < 0.001). Graft uptake rate at 6 weeks, pure tone audiometry, and air-bone gap difference were statistically significant. Conclusion The present study results showed that the use of PRP during myringoplasty aids healing of the tympanic membrane with better hearing improvement in the postoperative period when compared to myringoplasty alone.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomical Variations of the Nasal Conchae and Nasal Septum and their Relationships with Alterations in the Maxillary Sinus Mucosa: A Study on Cone-beam Computed Tomography Images.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788909

Luara da Silveira Roberto Almeida, Aline da Silva Ruffo, Karina Lopes Devito

{"title":"Anatomical Variations of the Nasal Conchae and Nasal Septum and their Relationships with Alterations in the Maxillary Sinus Mucosa: A Study on Cone-beam Computed Tomography Images.","authors":"Luara da Silveira Roberto Almeida, Aline da Silva Ruffo, Karina Lopes Devito","doi":"10.1055/s-0044-1788909","DOIUrl":"10.1055/s-0044-1788909","url":null,"abstract":"Introduction In the literature, there is divergence about the relationship between anatomical variations of the turbinates and nasal septum (NS) and alterations in the maxillary sinus (MS) mucosa. Objective To determine, through cone-beam computed tomography (CBCT) images of Brazilian individuals, the prevalence and relationship of anatomical variations of the turbinates and NS with alterations in the mucosa of the MS, as well as to analyze the relationships of these variables with demographic data. Methods The present cross-sectional study involved the analysis of 120 CBCT scans using the i-CAT Vision software, conducted by 2 calibrated examiners. The MS, lower and medium turbinates, and NS were evaluated. Data on gender, age, and the side affected by anatomical variation were also collected. The intra- and interexaminer agreements were assessed using Kappa indices. The association was analyzed using the Chi-squared or Fisher exact tests, and measured by the Phi, Cramer V, or Kendall Tau-C values. Results Most patients presented partial opacification of the MS (89.2%), inferior turbinate hypertrophy (TH) (60.8%), and NS deviation (85%). There were no cases of inferior concha bullosa (CB), while the prevalence of middle CB was of 20%. Variation in the turbinates, CB, and NS were not significantly related to changes in the MS mucosa. Conclusion We can conclude that, in the evaluated sample, there was no significant associations involving the studied variables.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hearing Performance and Soft-Tissue Outcomes of Minimally Invasive Ponto Surgery and Local Anesthesia in Children with Unilateral Craniofacial Malformation.

IF 1

International Archives of Otorhinolaryngology Pub Date : 2025-01-27 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788910

Andrea Caruso Leone, Arthur Menino Castilho, Fabiana Danieli, Daniela Bortoloti Calil, Katia de Almeida

{"title":"Hearing Performance and Soft-Tissue Outcomes of Minimally Invasive Ponto Surgery and Local Anesthesia in Children with Unilateral Craniofacial Malformation.","authors":"Andrea Caruso Leone, Arthur Menino Castilho, Fabiana Danieli, Daniela Bortoloti Calil, Katia de Almeida","doi":"10.1055/s-0044-1788910","DOIUrl":"10.1055/s-0044-1788910","url":null,"abstract":"Introduction Minimally invasive Ponto surgery (MIPS) enables the installation of percutaneous bone-anchored hearing implants (BAHIs) with a drill guide through a hole punch incision. Despite being well established for adults, there is a lack of studies in the literature regarding its use in pediatric patients. Objective The aim of the present study was to investigate the hearing performance and soft-tissue outcomes of the use of MIPS under local anesthesia in children with unilateral craniofacial malformation (UCM). Methods The study used a retrospective cohort design. Nine subjects with UCM, aged between 6.5 and 17.1 (median = 12) years, who underwent the MIPS procedure under local anesthesia were included. Surgical procedure, intra, and postoperative complications were investigated. Speech recognition thresholds in quiet (SRTQ) and in noise (SRTN), daily use, satisfaction, and perceptual listening effort of the subjects were assessed after 4 months of postoperative follow-up. Results It was possible to perform MIPS under local anesthesia in 8 of 9 subjects, with no intraoperative complications. One subject (11.11%) showed adverse skin reactions during a mean follow-up period of 11.4 months with MIPS. Speech recognition thresholds in quiet, SRTN, and subjective listening effort scores significantly decreased with the use of BAHI. The subjects were overall satisfied with the device and using it 8.2 hours/day, on average. Conclusion Under local anesthesia, MIPS showed to be a viable option for BAHI installation in children with UCM. The hearing performance of the subjects improved, and they were globally satisfied with the device. Soft-tissue complications were minimal, and our results are comparable to those reported in the literature for adults.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0