International Archives of Otorhinolaryngology最新文献

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Management of Benign Paroxysmal Positional Vertigo with the TRV Chair. TRV椅治疗良性阵发性体位性眩晕。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-09-11 eCollection Date: 2026-07-01 DOI: 10.1055/a-2795-9986
Sandra Krzywdzińska, Michał Kaczmarczyk, Paweł Rozbicki, Dariusz Jurkiewicz, Jacek Usowski, Marcin Jadczak
{"title":"Management of Benign Paroxysmal Positional Vertigo with the TRV Chair.","authors":"Sandra Krzywdzińska, Michał Kaczmarczyk, Paweł Rozbicki, Dariusz Jurkiewicz, Jacek Usowski, Marcin Jadczak","doi":"10.1055/a-2795-9986","DOIUrl":"10.1055/a-2795-9986","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the growing awareness regarding benign paroxysmal positional vertigo (BPPV), establishuing an accurate diagnosis in atypical or subtle cases remains a clinical challenge, especially when standard positional maneuvers yield negative results.</p><p><strong>Objective: </strong>To evaluate the effectiveness of the TRV Chair (Interacoustics A/S) in the diagnosis and treatment of patients with a clinical history suggestive of BPPV but negative findings on conventional diagnostic maneuvers.</p><p><strong>Methods: </strong>A total of 40 patients with vertigo symptoms suggestive of BPPV and negative results on standard positional tests underwent evaluation and therapy using the TRV Chair. Symptom severity and functional impact were assessed before and after the intervention using the Dizziness Handicap Inventory (DHI; total and subscales), the Vertigo Symptom Scale (VSS), and the Berg Balance Scale (BBS).</p><p><strong>Results: </strong>Significant improvements were observed following the TRV Chair intervention. The mean total DHI score decreased from 40.3 to 22.2 ( <i>p</i>  < 0.0001), with improvements in the functional (17.6-7.1), emotional (13.5-8.8), and physical (17.1-5.8) subscales ( <i>p</i>  < 0.0001 for all). The VSS scores improved from 17.7 to 10.4 ( <i>p</i>  < 0.0001), and the BBS scores increased from 51.8 to 53.6 ( <i>p</i>  < 0.0001).</p><p><strong>Conclusion: </strong>The TRV Chair appears to be an effective diagnostic and therapeutic tool for patients with suspected BPPV not confirmed by standard tests. Its application may enhance the management of atypical cases; however, further studies are warranted to define optimal clinical protocols and confirm the long-term efficacy.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955866","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
Tracheal Stenting with Dumon Stent - A Novel Treatment Modality for Tracheal Stenosis. 气管支架置入-一种治疗气管狭窄的新方法。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-09-11 eCollection Date: 2026-07-01 DOI: 10.1055/a-2858-1040
Acharya Anand, Phani Bhushan I, Kondra Swamy, Sampath Rao Dudapaka, V Nair Lakshmi, Jambula Mohana, P Ravali, Ullas Nair Vrinda
{"title":"Tracheal Stenting with Dumon Stent - A Novel Treatment Modality for Tracheal Stenosis.","authors":"Acharya Anand, Phani Bhushan I, Kondra Swamy, Sampath Rao Dudapaka, V Nair Lakshmi, Jambula Mohana, P Ravali, Ullas Nair Vrinda","doi":"10.1055/a-2858-1040","DOIUrl":"10.1055/a-2858-1040","url":null,"abstract":"<p><strong>Introduction: </strong>Tracheal stenosis is defined as pathological narrowing of the trachea. Tracheal stenosis can be caused by various factors but endotracheal intubation and tracheostomy are the most common causes of acquired benign tracheal stenosis. Airway narrowing due to inflammation or scar tissue impairs normal breathing and may predispose to upper and lower respiratory infections. The Goal of treatment for tracheal stenosis is to restore a patent airway and glottic competence.</p><p><strong>Objective: </strong>To determine the efficacy and complication profile of Dumon's stent in treatment for tracheal stenosis.</p><p><strong>Methods: </strong>An observational prospective cohort study was conducted at a tertiary care center from January 2018 to December 2023. All patients presenting with tracheal stenosis resulting from post-intubation, post-tracheostomy, or corrosive acid ingestion were considered. A complete history was obtained followed by physical examination and necessary investigations.</p><p><strong>Results: </strong>Mean age of study subjects was 22.5 years and male preponderance (60.7%) was noted. Most common cause of tracheal stenosis was found to be endotracheal intubation (57.1%). Dumon stent placement demonstrated no complications such as granulation tissue formation, scarring or restenosis.</p><p><strong>Conclusion: </strong>Post-intubation airway stenosis is the most common cause of tracheal stenosis. Surgical management is the definitive treatment for tracheal stenosis. In this study, Dumon's stent showed no recurrences. These findings suggest that Dumon stent placement is a safe and viable alternative to laryngotracheal end-to-end anastomosis.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13569923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148955832","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
Early Postoperative PTH Determination as Predictor for Post-Thyroidectomy Hypocalcemia. 术后早期PTH检测作为甲状腺切除术后低钙血症的预测指标。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-09-01 eCollection Date: 2026-07-01 DOI: 10.1055/a-2846-4602
Ahmed Youssef, Amr Kholief, Austin Milton, Rusha Patel, Nilesh Vasan, Greg Krempl
{"title":"Early Postoperative PTH Determination as Predictor for Post-Thyroidectomy Hypocalcemia.","authors":"Ahmed Youssef, Amr Kholief, Austin Milton, Rusha Patel, Nilesh Vasan, Greg Krempl","doi":"10.1055/a-2846-4602","DOIUrl":"10.1055/a-2846-4602","url":null,"abstract":"<p><strong>Objective: </strong>Post-thyroidectomy hypocalcemia is a major complication following total thyroidectomy. This study aimed to evaluate early postoperative parathyroid hormone (PTH) measurement as a predictor of hypocalcemia after thyroidectomy and its impact on same-day discharge.</p><p><strong>Methods: </strong>This study combined a prospective IRB-approved correlation study of 60 patients who underwent total thyroidectomy with a meta-analysis of 5 observational studies.</p><p><strong>Results: </strong>Using Pearson Correlation Coefficient correlation, there was a significant positive correlation between PTH measured 1H after surgery with 4 H PTH (PCC = 0.787) and 4H Ionized Ca (PCC = 0.642). The sensitivity of early PTH measurement (cutoff < 14 pg/mL) for detecting hypocalcemia was 100%, with an AUC of 0.977 (95% CI: 0.565-1.0). Meta-analysis of previous studies confirmed a strong positive association between early PTH and late measurements.</p><p><strong>Conclusions: </strong>Early PTH measurement at 1 hour after surgery is a highly sensitive tool for detecting post-thyroidectomy hypocalcemia, which may help reduce hospital stay following thyroidectomy.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13533580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874042","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
Air and Bone-Conduction Masseteric Vestibular Evoked Myogenic Potentials: A Simulated Conductive Hearing Loss Study. 空气和骨传导咬肌前庭诱发肌原电位:模拟传导性听力损失研究。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2846-4560
Raghav Katyal, Jim Saroj Winston
{"title":"Air and Bone-Conduction Masseteric Vestibular Evoked Myogenic Potentials: A Simulated Conductive Hearing Loss Study.","authors":"Raghav Katyal, Jim Saroj Winston","doi":"10.1055/a-2846-4560","DOIUrl":"https://doi.org/10.1055/a-2846-4560","url":null,"abstract":"<p><strong>Introduction: </strong>Masseteric vestibular evoked myogenic potentials assess saccular-masseteric pathway function using air-conducted or bone-conducted stimuli.</p><p><strong>Objective: </strong>This study investigated whether simulated bilateral conductive hearing loss differentially affects mVEMP response characteristics under air- and bone-conducted stimulation in young adults.</p><p><strong>Methods: </strong>Fifty healthy participants were included in the study. Conductive hearing loss was simulated in 25 individuals using silicone-blocked foam ear tips to create controlled bilateral attenuation. Masseteric vestibular evoked myogenic potentials were elicited using 500 Hz tone bursts delivered to the right ear through air and bone-conducted methods. Responses were recorded using a two-channel zygomatic electrode placement and analyzed for P1 and N1 latencies and P1-N1 peak-to-peak amplitude.</p><p><strong>Results: </strong>In the simulated conductive hearing loss group, air-conducted masseteric vestibular evoked myogenic potential responses showed decreased response rate, delayed latency, and reduced amplitude compared with normal hearing participants. In contrast, bone-conducted masseteric vestibular evoked myogenic potentials were consistently recorded in both groups, demonstrating significantly higher amplitudes and earlier latencies than air-conducted responses in the simulated conductive hearing loss group. Spectral analysis revealed a consistent peak around 100 Hz for all conditions except air-conducted stimulation in the simulated conductive hearing loss group, which showed no distinct peak.</p><p><strong>Conclusion: </strong>Simulated conductive hearing loss significantly affects air-conducted masseteric vestibular evoked myogenic potential responses, often rendering them absent or diminished. However, bone-conducted responses remain robust and reliable in normal and simulated conductive hearing loss conditions, highlighting their diagnostic value when conductive pathologies compromise air-conducted responses.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758912","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
Italian Cross-Cultural Adaptation and Validation of the 7-Item Eustachian Tube Dysfunction Questionnaire (ETDQ-7). 7项咽鼓管功能障碍问卷(ETDQ-7)的意大利跨文化适应与验证。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2873-3749
Alessandro Marcocci, Antje-Maren Heyer, Maria Emanuela Schiraldi, Roberto Magnato, Charbel Khoury, Barbara Kofler
{"title":"Italian Cross-Cultural Adaptation and Validation of the 7-Item Eustachian Tube Dysfunction Questionnaire (ETDQ-7).","authors":"Alessandro Marcocci, Antje-Maren Heyer, Maria Emanuela Schiraldi, Roberto Magnato, Charbel Khoury, Barbara Kofler","doi":"10.1055/a-2873-3749","DOIUrl":"https://doi.org/10.1055/a-2873-3749","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic dysfunction of the Eustachian tube is a common complaint, affecting approximately 1-5% of adults and significantly reducing quality of life. This condition may give rise to various symptoms and disorders of the middle ear. To date, the diagnostic tools for this dysfunction remain inadequate. In 2012, McCoul et al. published a questionnaire for the evaluation of Eustachian tube dysfunction, known as the ETDQ-7, and demonstrated its validity and reliability.</p><p><strong>Objectives: </strong>To prove an in Italian translated version of the ETDQ-7.</p><p><strong>Methods: </strong>The ETDQ-7 was translated into Italian and administered to two groups: 68 patients with chronic Eustachian tube dysfunction (ETD) and 50 healthy controls. Statistical analyses included test-retest reliability, item-total score correlation, receiver operating characteristic (ROC) analysis, and assessment of internal consistency.</p><p><strong>Results: </strong>Analysis of the Italian version of the ETDQ-7 confirmed the findings of McCoul et al. (2012). The Cronbach's alpha coefficient was 0.838 for the entire questionnaire. The Spearman's rho coefficient for test-retest was 0.804, indicating good temporal stability in patients' responses. Both total and item scores were significantly higher in the patient group than in the control group.</p><p><strong>Conclusion: </strong>The Italian version of the ETDQ-7 demonstrates high validity and reliability. Its use is recommended for diagnosing and monitoring patients with chronic Eustachian tube dysfunction.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760536","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
Differential Expression of SERCA and Myosin Heavy Chain Isoforms in Rat Laryngeal Muscles. SERCA和肌球蛋白重链异构体在大鼠喉肌中的差异表达。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2858-5802
Mohammed Elrabie Ahmed, Hideki Bando, Takahiro Tsujikawa, Mona Elrabie Ahmed, Yasuo Hisa
{"title":"Differential Expression of SERCA and Myosin Heavy Chain Isoforms in Rat Laryngeal Muscles.","authors":"Mohammed Elrabie Ahmed, Hideki Bando, Takahiro Tsujikawa, Mona Elrabie Ahmed, Yasuo Hisa","doi":"10.1055/a-2858-5802","DOIUrl":"https://doi.org/10.1055/a-2858-5802","url":null,"abstract":"<p><strong>Introduction: </strong>Intrinsic laryngeal muscles (ILMs) play a fundamental role in airway protection, respiration, and phonation.</p><p><strong>Objective: </strong>Knowledge of the distribution and roles of different sarcoplasmic reticulum Ca2+ ATPase (SERCA) and myosin heavy chain (MHC) isoforms in ILMs is essential for understanding their functions and associated pathophysiological changes.</p><p><strong>Methods: </strong>We immunohistochemically characterized SERCA and MHC isoform expression and co-expression patterns in five ILMs of young, aged, and denervated rats.</p><p><strong>Results: </strong>ILMs exhibited the predominant expression of fast fibers that would be important in airway protection. ILMs showed spatially different percentages of muscle fibers and SERCA2. Slow fibers were higher in medial thyroarytenoid (TA) muscles than lateral TA. Significant increases were observed in slow and hybrid fibers with aging. SERCA2 noticeably diminished after denervation, pointing to an increased vulnerability of the denervated muscle to fatigue. A compensatory increase in SERCA2 and hybrid fibers was observed in contralateral muscles likely reflecting adaptation to increased mechanical load.</p><p><strong>Conclusion: </strong>These results indicate that ILMs, like limb muscle fibers, are subject to neural regulation. These findings may significantly advance the understanding of the Ca2+ handling system in ILMs and its role in unique laryngeal muscle functions.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758854","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
Linear Versus Curved Incision for Transcutaneous Bone Conduction Implants: Comparative Scar Assessment. 经皮骨传导植入物的直线切口与弯曲切口:比较疤痕评估。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2852-9524
Leonardo Elías Ordóñez-Ordóñez, José Agustín Caraballo-Arias, Hernán Díaz-Badillo, Paola Andrea Medina-Bravo, Camilo Macias-Tolosa, Jorge Alexis Medina-Parra, Esther Sofía Angulo-Martínez, Estefany Catherine Hernández
{"title":"Linear Versus Curved Incision for Transcutaneous Bone Conduction Implants: Comparative Scar Assessment.","authors":"Leonardo Elías Ordóñez-Ordóñez, José Agustín Caraballo-Arias, Hernán Díaz-Badillo, Paola Andrea Medina-Bravo, Camilo Macias-Tolosa, Jorge Alexis Medina-Parra, Esther Sofía Angulo-Martínez, Estefany Catherine Hernández","doi":"10.1055/a-2852-9524","DOIUrl":"https://doi.org/10.1055/a-2852-9524","url":null,"abstract":"<p><strong>Introduction: </strong>In some patients with conductive or mixed hearing loss, or single-sided deafness, bone conduction implants (BCIs) offer an effective treatment; and scar appearance is a relevant factor in the overall outcome.</p><p><strong>Objective: </strong>To compare scar appearance and alopecia between linear and curved scalp incisions in patients undergoing transcutaneous BCIs surgery.</p><p><strong>Methods: </strong>An observational, cross-sectional study was conducted at a tertiary referral center in patients who underwent transcutaneous BCI. Postoperative follow-up period was between 6m to 3y. Scar evaluation was performed using the Patient and Observer Scar Assessment Scale (POSAS) and the Vancouver Scar Scale (VSS). Alopecia was defined as absence of hair follicles within 2 mm of the incision line. Statistical comparisons between linear and curved incisions groups were conducted, as well as multivariate analysis with logistic regression models.</p><p><strong>Results: </strong>Eighty-four cases were analyzed: 28 underwent linear incisions and 56 underwent curved incisions. Patients reported significantly better scar appearance with linear incisions in POSAS, <i>p</i>  = 0.035. Alopecia occurred less frequently among patients who received the Bonebridge implant (OR = 0.113; 95% CI: 0.027-0.478; <i>p</i>  = 0.003). No statistically significant differences were found in observer assessment of POSAS or VSS scores.</p><p><strong>Conclusion: </strong>Linear incisions may offer advantages in scar appearance with transcutaneous BCIs. Certain scar characteristics may also be influenced by the type of device and the surgical approach required for its placement, making it challenging to isolate this effect from that attributed solely to type of incision. These results highlight the need to consider both cosmetic factors and auditory outcomes in surgical planning.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-11"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764891","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
Navigating Oral Cancer Management: Combining Artificial Intelligence and Clinical Guidelines for Optimal Decision-Making. 导航口腔癌管理:结合人工智能和最佳决策的临床指南。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2852-9642
Mario Augusto Ferrari de Castro, Rogério Aparecido Dedivitis, Leandro Luongo de Matos, Paulo Vitor Sóla Gimenes, Bruno Pelinson Fogaça Duarte, Luiz Paulo Kowalski
{"title":"Navigating Oral Cancer Management: Combining Artificial Intelligence and Clinical Guidelines for Optimal Decision-Making.","authors":"Mario Augusto Ferrari de Castro, Rogério Aparecido Dedivitis, Leandro Luongo de Matos, Paulo Vitor Sóla Gimenes, Bruno Pelinson Fogaça Duarte, Luiz Paulo Kowalski","doi":"10.1055/a-2852-9642","DOIUrl":"https://doi.org/10.1055/a-2852-9642","url":null,"abstract":"<p><strong>Introduction: </strong>Decision-making is one of the most difficult and important tasks performed by surgeons. Clinical guidelines and, more recently, Artificial Intelligence (AI) have been implemented to support these decisions. However, there is a paucity of research exploring the impact of AI on surgical decision-making strategies.</p><p><strong>Objective: </strong>To evaluate the accuracy of AI in informing clinical decision-making for the treatment of advanced oral cancer.</p><p><strong>Methods: </strong>Structured questions based on seven selected clinical recommendations were formulated and processed through multiple large language model (LLM) platforms. Claude (Sonnet 3.5) was used to identify discrepancies between established guidelines and LLM-generated responses. Subsequently, three subject matter experts assessed the identified differences to evaluate their clinical significance.</p><p><strong>Results: </strong>Analysis of the 28 generated responses revealed that 21 (75%) showed congruence between LLM outputs and established guideline recommendations. In three instances, guidelines provided significantly more comprehensive content than LLM responses. One LLM response contained additional relevant information, while three responses were contradictory to the guidelines.</p><p><strong>Conclusion: </strong>The LLMs demonstrated 75% concordance with guideline recommendations and should be considered complementary tools for established clinical guidelines.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760245","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
Audiometric Profile in Post-COVID-19 Patients. covid -19后患者的听力学特征
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/a-2873-4569
Mathias Antonialli Castoldi, Fernando de Andrade Quintanilha Ribeiro
{"title":"Audiometric Profile in Post-COVID-19 Patients.","authors":"Mathias Antonialli Castoldi, Fernando de Andrade Quintanilha Ribeiro","doi":"10.1055/a-2873-4569","DOIUrl":"https://doi.org/10.1055/a-2873-4569","url":null,"abstract":"<p><strong>Introduction: </strong>There is uncertainty about whether COVID-19 is a risk factor for hearing loss.</p><p><strong>Objective: </strong>To evaluate the audiometric profile of patients post-COVID-19 infection and compare it to unaffected individuals, clarifying the correlation between COVID-19 and hearing loss. Additionally, we sought correlations between reported otorhinolaryngological symptoms during COVID-19 and changes in tonal thresholds.</p><p><strong>Methods: </strong>A cross-sectional study compared the pure-tone thresholds of 120 individuals with a confirmed history of COVID-19 and 120 unexposed controls, evaluated between 2021 and 2023.</p><p><strong>Results: </strong>The median tonal thresholds of exposed individuals were predominantly higher than those of unexposed individuals in both ears. The rate of hearing threshold alteration was 28.3% in exposed individuals versus 15% in unexposed individuals, with an odds ratio (OR) of 2.24 (95% CI: 1.18-4.25). Comparison of thresholds between the right and left ears of each exposed individual demonstrated asymmetric hearing impairment. The distribution of otorhinolaryngological symptoms included: nasal symptoms 67.5%; cough 65.8%; loss of smell 60%; loss of taste 56.7%; sore throat 47.5%; dizziness 30.8%; hoarseness 21.7%; tinnitus 19.2%; earache 18.3%; hearing loss 18.3%; and facial paralysis 0.8%. The association between reported symptoms and changes in pure-tone thresholds was statistically significant only for hearing loss (p < 0.001; OR = 8.9) and tinnitus (p = 0.005; OR = 3.7).</p><p><strong>Conclusion: </strong>Individuals exposed to COVID-19 showed worse tonal thresholds and a higher rate of hearing changes compared with non-exposed individuals.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760461","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
Centennial CORLAS: Returning to Groningen, Where It All Began. 百年CORLAS:回到格罗宁根,一切开始的地方。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2026-08-14 eCollection Date: 2026-07-01 DOI: 10.1055/s-0046-1825532
Myrthe K S Hol, Antti A Mäkitie, Sandro J Stoeckli, Barbara Wollenberg, Pim van Dijk
{"title":"Centennial CORLAS: Returning to Groningen, Where It All Began.","authors":"Myrthe K S Hol, Antti A Mäkitie, Sandro J Stoeckli, Barbara Wollenberg, Pim van Dijk","doi":"10.1055/s-0046-1825532","DOIUrl":"https://doi.org/10.1055/s-0046-1825532","url":null,"abstract":"","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"30 3","pages":"1-2"},"PeriodicalIF":1.1,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13476105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759704","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
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