International Archives of Otorhinolaryngology最新文献

{"title":"Comorbidities and Complications in Adult Peritonsillar Abscess Tonsillectomy Patients.","authors":"Erin M Gawel, Alexandra F Corbin, Gaayathri Varavenkataraman, Sean Clausen, Michele M Carr","doi":"10.1055/s-0045-1810077","DOIUrl":"10.1055/s-0045-1810077","url":null,"abstract":"<p><strong>Introduction: </strong>Tonsillectomy is often used to treat recurrent tonsillitis (RT), but it is less commonly performed to treat peritonsillar abscess (PTA). While most PTAs are treated with needle aspiration or incision and drainage, quinsy tonsillectomy is used in select cases.</p><p><strong>Objective: </strong>To compare clinical characteristics and postoperative outcomes of patients undergoing quinsy tonsillectomy for PTA versus those undergoing tonsillectomy for RT.</p><p><strong>Methods: </strong>The American College of Surgeons NSQIP database was used to identify adults who underwent tonsillectomy (CPT code 42826) with a diagnosis of either PTA or RT. Data was collected from 2018-2021. Demographics, comorbidities, risk factors, postoperative complications, and outcomes including operative time, length of stay (LOS), readmission, and reoperation were compared. Logistic regression identified predictors of readmission and reoperation.</p><p><strong>Results: </strong>10241 patients had RT and 366 had PTA. PTA patients had significantly higher rates of smoking (27.0% versus 12.3%), diabetes (6.6% versus 2.5%), hypertension (11.5% versus 5.8%), and preoperative sepsis (14.5% versus 0.3%; <i>p</i>  < .001 for all). Operative time and LOS were longer in the PTA group (33.5 minutes versus 25.8 minutes; 2.5 days versus 0.2 days, respectively; <i>p</i>  < .001 for both). Despite higher rates of rare complications like ventilator use (0.8% versus 0.0%) and sepsis (2.2% versus 0.0%; <i>p</i>  < .001 for both), no significant differences were observed in postoperative hemorrhage, readmission, or reoperation.</p><p><strong>Conclusion: </strong>Adults undergoing quinsy tonsillectomy for PTA have more comorbidities and rare complications compared with RT patients, likely due to active infection. However, the procedure is not linked to increased hemorrhage risk and remains safe treatment.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329154","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}

{"title":"Telerehabilitation and Physical Therapy: Proposal for a Therapeutic Assessment Applied to Vestibular Dysfunctions.","authors":"Lucas Barbosa de Araújo, Karla Vanessa Rodrigues Soares Menezes, Jully Israely de Azevedo Rodolfo, Maria das Graças de Araújo Lira, Karyna Myrelly Oliveira Bezerra de Figueiredo Ribeiro","doi":"10.1055/s-0045-1810116","DOIUrl":"10.1055/s-0045-1810116","url":null,"abstract":"<p><strong>Introduction: </strong>Telerehabilitation has been used in several areas of physical therapy, including for respiratory, neurological, and musculoskeletal functions of patients with coronavirus disease 2019 (COVID-19), after stroke, and after hospital discharge (respectively). However, a few studies investigated protocols for assessing vestibular dysfunctions using teleconsultation.</p><p><strong>Objective: </strong>To propose a protocol for remote physical therapy assessment of vestibular dysfunctions.</p><p><strong>Methods: </strong>A literature review on telerehabilitation in physical therapy was conducted in the PubMed and SciELO databases using the search terms <i>telehealth</i> , <i>telerehabilitation</i> , <i>vestibular disease</i> , <i>dizziness</i> , <i>vertigo</i> , and <i>postural balance</i> . Four physical therapists with experience in the vestibular rehabilitation field discussed the collected data and suggested adaptations for remote clinical and functional tests to assess patients with vestibular dysfunctions.</p><p><strong>Results: </strong>The proposed protocol for remote assessment of vestibular dysfunctions comprised anamnesis, adaptations of nine oculomotors, two static balance, and one dynamic gait balance tests, a questionnaire assessing the impact of dizziness on quality of life, and observation of cervical mobility.</p><p><strong>Conclusion: </strong>The protocol may be a valuable tool to assess and monitor the care of patients with vestibular dysfunction, reducing healthcare costs for the therapist and patient and enabling the attendance of those with difficulties in traveling to the rehabilitation center or needing isolation.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145328936","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}

{"title":"Post-COVID-19 Dysphonia: Risk, Voice Handicap, and Laryngological Findings in COVID-19 Critical Illness Survivors.","authors":"Juliana Alves Souza, Carla Aparecida Cielo, Bruna Franciele da Trindade Gonçalves, Élisson Krug Oliveira, Aloma Jacobi Dalla Lana, Adriane Shmidt Pasqualoto","doi":"10.1055/s-0045-1810026","DOIUrl":"10.1055/s-0045-1810026","url":null,"abstract":"<p><strong>Objective: </strong>To investigate and relate the risk of dysphonia, voice handicap, and laryngological findings in COVID-19 critical illness survivors, stratified by sex and the need for orotracheal intubation (OTI) during hospitalization in the intensive care unit. Additionally, identify predictors of voice symptoms after COVID-19 critical illness.</p><p><strong>Methods: </strong>A cross-sectional study included 50 patients (mean age 51.70 ± 11.90 years; 26 women and 24 men) from a post-COVID-19 Rehabilitation Outpatient Clinic. Evaluations for voice symptoms and dysphonia risk were conducted using the Screening Index for Voice Disorder, vocal handicap using the Voice Handicap Index, and laryngeal health via laryngoscopic examination.</p><p><strong>Results: </strong>Dysphonia risk and voice handicap were significantly more frequent in women. There was no significant association between voice self-assessment instruments and OTI. However, voice symptoms were significantly higher in intubated women. Commonly reported voice symptoms included dry throat, throat clearing, hoarseness, and vocal fatigue. Intubation was associated with laryngeal disorders, particularly in women, with the hypopharyngeal and supraglottic regions more affected by erythema and edema. Female gender, dyspnea, and cough accounted for 51% of the variance in voice symptoms.</p><p><strong>Conclusions: </strong>COVID-19 critical illness survivors reported dry throat, throat clearing, hoarseness, and vocal fatigue even four months post-discharge. Women were at greater risk of dysphonia and voice handicaps. More than a quarter of patients presented laryngeal disorders related to OTI. Female gender and persistent symptoms of cough and dyspnea were predictors of voice symptoms. These findings enhance understanding of COVID-19's impact on the voice, highlighting the need for multidisciplinary approaches.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329011","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}

{"title":"The Relationship Between Functional Parameters Derived from Diffusion-Weighted MRI and 18F-Fluorodeoxyglucose PET/CT in Head and Neck Squamous Cell Carcinoma: A Systematic Review and Meta-analysis.","authors":"Ludovico Maria Garau, Marco Rensi, Livio Bastianutti, Roberto Bologna, Michele Povolato, Decio Capobianco, Fernando Di Gregorio","doi":"10.1055/s-0045-1811201","DOIUrl":"10.1055/s-0045-1811201","url":null,"abstract":"<p><strong>Introduction: </strong>Over the past decade, a mechanistic hypothesis emerged linking limited water diffusivity (often reflecting densely packed, actively dividing tumor cells) to elevated glucose uptake in head and neck cancer.</p><p><strong>Objective: </strong>A systematic search of MEDLINE via PubMed identified eligible studies assessing the correlation between apparent diffusion coefficients from diffusion-weighted MRI and standardized uptake values from 18F-fluorodeoxyglucose PET/CT in head and neck cancer. Weighted correlation coefficients (ρ) were computed using Fisher Z transformations, and 95% confidence intervals (CIs) were calculated. Heterogeneity was evaluated with Higgins's inconsistency index, and potential publication bias was evaluated by visually inspecting funnel plots.</p><p><strong>Results: </strong>A total of 25 articles, encompassing 790 patients, were systematically appraised to summarize the available evidence regarding the relationship between functional parameters in head and neck cancer. Thirteen studies, involving 367 patients and reporting a statistically significant inverse correlation between functional parameters, were summarized in the forest plot; the pooled correlation coefficient estimate was ρ = -0.55 (95% CI: -0.624 to -0.473; P < 0.05), with low heterogeneity. A further 12 studies were systematically reviewed for qualitative analysis due to the absence of significant relationships.</p><p><strong>Conclusion: </strong>The correlations observed in some studies between apparent diffusion coefficients and standardized uptake values may provide insights to develop metrics for evaluating treatment efficacy and predicting clinical outcomes in head and neck cancer. However, not all studies confirmed this result, possibly due to factors such as molecular characteristics or clinical settings.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145328989","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}

{"title":"Thyroidectomy with Tracheal/Cricotracheal Resection Anastomosis for Different Pathologies: Optimizing the Outcomes.","authors":"Ahmed Musaad Abd-Elfattah, Ali Tawfik, Amr Hossam, Mohammed Nashaat Mohammed, Hisham Atef Ebada","doi":"10.1055/s-0045-1810076","DOIUrl":"10.1055/s-0045-1810076","url":null,"abstract":"<p><strong>Introduction: </strong>Thyroid cancer extending to trachea has a poor prognosis. Deep tracheal invasion necessitates circumferential tracheal resection and anastomosis with thyroidectomy to achieve radical resection. Thyroid gland invasion by advanced tracheal tumors is rare. Similarly, tracheal resection with thyroidectomy is the treatment of choice for these cancers.Neck trauma that results in simultaneous damage of a tracheal segment and thyroid gland, may necessitate tracheal resection with thyroidectomy.</p><p><strong>Objectives: </strong>The aim of this study was to evaluate the oncologic and functional outcomes in patients who had undergone thyroidectomy with tracheal/cricotracheal resection anastomosis for pathologies involving both a thyroid gland and airway.</p><p><strong>Methods: </strong>This is a study that was conducted over 5 years on 11 patients who underwent thyroidectomy with tracheal/cricotracheal resection for pathologies involving both the thyroid gland and the airway (thyroid gland tumors, primary tracheal tumors, and traumatic impaction of the thyroid gland in the trachea).</p><p><strong>Results: </strong>Successful outcomes were achieved in all patients. No intraoperative complications were reported. Minor postoperative complications were reported in 1 patient, in the form of limited surgical emphysema and air leak through the drains.</p><p><strong>Conclusion: </strong>Tracheal/cricotracheal resection anastomosis represents the best compromise between oncologic radicality and postoperative quality of life. Highly skilled teams familiar with these types of airway surgery are required to achieve optimum results.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280036","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}

{"title":"Self-Reported Dysphagia and Laryngopharyngeal Reflux among a Community-Dwelling Elderly Rural Population.","authors":"Giorgos Sideris, Melina Kourklidou, John Plioutas, Ilias Georgantis, Eleni Petridou, Alexander Delides","doi":"10.1055/s-0045-1810025","DOIUrl":"10.1055/s-0045-1810025","url":null,"abstract":"<p><strong>Introduction: </strong>There is a lack of community-dwelling population-based examinations of geriatric dysphagia and laryngopharyngeal reflux (LPR).</p><p><strong>Objective: </strong>To assess the prevalence of geriatric dysphagia and laryngopharyngeal reflux (LPR) in a community-dwelling population from a rural area.</p><p><strong>Methods: </strong>Volunteers from Velestino, a 4,000-person community, were given the Eating Assessment Tool (EAT-10) and Reflux Symptom Index (RSI) questionnaires at the health center. Demographic, medical, and pharmaceutical histories were recorded.</p><p><strong>Results: </strong>160 participants (92 females, 68 males) self-presented. Ages were between 65-95 years (Mean 76.04). 27 (16.88%) scored an abnormal EAT-10 and 13 (8.13%) RSI over 13. RSI was statistically correlated with total and positive only EAT-10 scores. Age and gender did not affect EAT-10 or RSI scores. The EAT-10 score decreased with age progression.</p><p><strong>Conclusion: </strong>This is one of the few studies to investigate the relationship between geriatric dysphagia and LPR in a rural population. A 23.0% prevalence of dysphagia was observed in elderly adults as well as an increase in both EAT-10 and RSI scores with age progression. More studies are needed to explore this field.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280035","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}

{"title":"Performance of Children with and without Auditory Processing Disorders in Adaptive Temporal Gap Detection Measures.","authors":"Chandni Jain, Kishore Tanniru, Gayathri Kalarikkal","doi":"10.1055/s-0045-1804517","DOIUrl":"10.1055/s-0045-1804517","url":null,"abstract":"<p><strong>Introduction: </strong>Children with auditory processing disorder (APD) exhibit various auditory processing deficits, including temporal processing deficits. Temporal processing abilities are assessed by estimating the gap detection threshold (GDT) as the lowest perceivable gap duration identified by the subject.</p><p><strong>Objective: </strong>The present study attempted to examine the performance of normal-hearing children and children with APD using adaptive within-channel and across-channel gap detection tests.</p><p><strong>Methods: </strong>Two groups of children aged between 10 and 12 years participated in the study. Group 1 included children diagnosed with APD, and group 2 included normal hearing, typically developing children (TD), with 12 participants in each group. For each subject, the lowest detectable gap duration was obtained monoaurally, using broadband noise (BBN), within-channel (narrow bands of noise centered spectrally at 2 kHz on either side of the gap), and across-channel (narrow bands of noise leading marker spectrally centered at 2 kHz and trailer marker spectrally centered at 1 kHz) gap detection tests through the Psycon platform (free).</p><p><strong>Results: </strong>The results of the statistical analysis revealed significant group differences only in across-channel GDT measures between the two groups. In contrast, there were no statistically significant differences between the groups in terms of either within-channel GDT or BBN GDT.</p><p><strong>Conclusion: </strong>The results indicate that, compared to other stimuli, an across-channel gap detection test would be a better diagnostic test of temporal resolution to identify and assess children with APD.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280034","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}

{"title":"Laryngeal Dimensions: A Computed Tomography Study.","authors":"Mohammad Waheed El-Anwar, Ali Awad, Atef Hussain, Ehsan Hendawy, Mohammad A El Shawadfy, Mohamed Ibrahim Abdelzeem Heggy, Mohamed Adel Mobasher","doi":"10.1055/s-0045-1810117","DOIUrl":"10.1055/s-0045-1810117","url":null,"abstract":"<p><strong>Introduction: </strong>The computed tomography (CT) details of the dimensions of the larynx are not fully covered in the literature, so it is important to build up a database for the CT measurements of that area in different ethnic groups. Preoperative details provided by CT are crucial prior to any procedure or approach involving the larynx.</p><p><strong>Objective: </strong>To measure and report the different dimensions of the larynx and vocal cords through CT.</p><p><strong>Methods: </strong>We analyzed 100 CTs of the larynx (200 vocal cords): axial images were acquired through multiplanar reformation to obtain minute details of all subjects.</p><p><strong>Results: </strong>The mean anteroposterior (AP) vocal fold length (VFL) was of 16.8 ± 2.6 (range: 11.8-22.9) mm, which was significantly longer in male subjects (mean = 18.4 ± 2.2 mm; range = 10.9-19.8 mm) compared to female subjects (mean = 15.3 ± 1.95 mm; range = 10.9-22.9 mm). The mean width of the subglottic area was of 14.88 ± 2.18 (range = 8.9-21.1) mm, which was significantly wider in male subjects (15.6 ± 2.13 mm; range = 9.1-21.1 mm) compared to female subjects (mean = 14.18 ± 1.99 mm; range = 8.9-17.8 mm). There was a positive correlation between the AP and transverse diameters of the subglotic area with the VFL: the longer the AP and transverse diameters of the subglottic area, the longer the VFL and vice versa.</p><p><strong>Conclusion: </strong>The present study improves the awareness of surgeons and radiologists of the laryngeal dimensions, and it can be of help to residents in training.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280033","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}

{"title":"Translation and Cross-Cultural Adaptation of the Neck Dissection Assessment Tool to Spanish Language.","authors":"Carlos M Chiesa-Estomba, Miguel Mayo-Yanez, Jerome R Lechien, Jon Alexander Sistiaga-Suarez, José Ángel González-García, Ehkiñe Larruscain, Laura Rodrigáñez-Riesco, Tareck Ayad","doi":"10.1055/s-0045-1810080","DOIUrl":"10.1055/s-0045-1810080","url":null,"abstract":"<p><strong>Introduction: </strong>Training in Head and Neck surgery represents a complex process always in evolution. Due to the absence of specific surgical evaluation tools to assess neck dissection performance by residents during training, finding a proper way to evaluate those standards will be a matter of debate for decades, and continues to be a pending task in the field.</p><p><strong>Objective: </strong>Validation and cross-cultural adaptation of the TSCND questionnaire to the Spanish language.</p><p><strong>Methods: </strong>A prospective data collection, about the performance of Spanish TSCND measured with Cronbach α.</p><p><strong>Results: </strong>Internal consistency of the task-specific checklist section measured was 0.752 (95% CI = 0.638 to 0.839) with an intraclass correlation coefficient of 0.749 (95% CI = 0.651-0.837). Internal consistency of the global rating scale section measured with Cronbach α was 0.788 (95% CI = 0.681 to 0.865) with an intraclass correlation coefficient of 0.789 (95% CI = 0.703-0.857).</p><p><strong>Conclusion: </strong>The development of specific tools to support surgical training education makes it possible to improve surgical skills evaluation. The Spanish translation of the TSCND is a reliable option for Spanish-Speaking surgical training and trainers in the development of an up-to-date competency-based curriculum.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280037","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}

{"title":"Effect of Controlled Hypotension on the Outcomes of Stapes Surgery.","authors":"António Andrade, João Viana Pinto, Pedro Marques, Manuel Mendes Leal, Carla Pinto Moura","doi":"10.1055/s-0045-1811642","DOIUrl":"10.1055/s-0045-1811642","url":null,"abstract":"<p><strong>Introduction: </strong>Stapes surgery (SS) benefits from adequate anesthetic bleeding control due to its microscopic nature and greater difficulty in hemostasis. Adequate hypotension during intervention is considered critical to achieving this goal.</p><p><strong>Objective: </strong>To evaluate the role of controlled hypotension (CH) on surgical outcomes in SS.</p><p><strong>Methods: </strong>We conducted a retrospective observational study in a tertiary academic center with adults submitted to SS from January 2017 to October 2022. Hypotension was considered controlled if the mean intraoperative arterial pressure was between 50 and 65 mmHg throughout the procedure. Patients were divided into CH and non-CH groups. Demographic data, medical history, anesthetic and surgical reports, perioperative complications, and audiometry results were studied.</p><p><strong>Results: </strong>A total of 99 SS procedures were included. Of those, 23 met the criteria for CH. The non-CH group presented a nonsignificant longer operative time (71.4 ± 21.3 versus 83 ± 27.4 minutes; <i>p</i>  = 0.065). No statistical difference was observed in complication rates related to the procedure (39.1 vs. 48.7%; <i>p</i>  = 0.421). In terms of audiometric data, both groups showed comparable pre- and postoperative pure tone average (PTA) results (preoperative: 55.4 ± 11.3 versus 53.1 ± 16.2dB; <i>p</i>  = 0.525; postoperative: 31.6 ± 10.2 versus 33 ± 17dB; <i>p</i>  = 0.722). The postoperative average air-bone gap (ABG) was 9.3 ± 8.3 versus 10.1 ± 9dB; <i>p</i>  = 0.709, while closure of the ABG was 24 ± 13.1 versus 19.7 ± 17dB; <i>p</i>  = 0.287.</p><p><strong>Conclusion: </strong>Controlled hypotension in SS does not appear to impact the audiometric outcomes or complication rates, despite having a potential role in the surgery duration.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280084","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}