International Archives of Otorhinolaryngology最新文献

{"title":"Effect of Topical Intra-Auricular Lidocaine on Tinnitus: A Randomized Double-Blind Placebo-Controlled Study.","authors":"Tatiane Vacaro Campos, Ricardo Ferreira Bento, Jeanne Oticica, Maíra Said Jabour, Nathália Távora, Isabela Jardim, Cristiane Leite de Marchi, Robinson Koji Tsuji","doi":"10.1055/s-0045-1810028","DOIUrl":"10.1055/s-0045-1810028","url":null,"abstract":"<p><strong>Introduction: </strong>Tinnitus is a prevalent symptom and has no proven effective treatment. Clinical observations that some patients reported significantly improved tinnitus after topical ear drop administration of lidocaine motivated research on this drug.</p><p><strong>Objective: </strong>Evaluate the action of topical intra-auricular 10% lidocaine in suppressing tinnitus compared to placebo.</p><p><strong>Methods: </strong>This was a randomized, crossover, double-blind, placebo-controlled clinical trial. The variations of the visual analog scale (VAS), tinnitus loudness, and the minimum masking level (MML) after intra-auricular lidocaine 10% were compared with a placebo. The same variables were compared with some sample features.</p><p><strong>Results: </strong>There was no statistically significant difference between the action of lidocaine and placebo in tinnitus variation measured by VAS (p = 0.361), tinnitus loudness (p = 0.850), and MML. (p = 0.213). The VAS variation was statistically lower in patients with any hearing loss (p = 0.005); the tinnitus loudness variation was higher in patients with tinnitus modulation (p = 0.049) and lower in patients with any hearing loss (p = 0.045). The MML variation was lower in patients with bruxism/TMD (p = 0.026).</p><p><strong>Conclusion: </strong>In this study the action of lidocaine on the variation of tinnitus intensity was similar to placebo. We believe that the use of manipulated medication may have interfered in the outcome and that the large number of patients with positive response to placebo should be investigated in further studies.</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/PMC12530916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145328996","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":"Impact of Head Trauma: How MMA (Mixed Martial Arts) Affects the Sense of Smell, Cognition, and Quality of Life in Fighters.","authors":"Guilherme Basso Durães, José Lucas Barbosa da Silva Bortoleto Guerino, Ellen Cristine Duarte Garcia, Richard Louis Voegels, Fábio de Rezende Pinna, Marco Aurélio Fornazieri","doi":"10.1055/s-0045-1810027","DOIUrl":"10.1055/s-0045-1810027","url":null,"abstract":"<p><strong>Introduction: </strong>The sense of smell plays an essential role in well-being, influencing relationships, the formation of emotional memories, and protection against toxic substances in food and the environment. Post-traumatic olfactory loss is among the leading causes of olfactory alterations, especially in contact sports like Mixed Martial Arts (MMA), which involve frequent physical trauma, particularly to the head. To date, the relationship between olfactory dysfunction and head trauma in fighters remains underexplored.</p><p><strong>Objective: </strong>To evaluate possible olfactory, gustatory, and cognitive dysfunctions in MMA fighters. Methods: Fourteen MMA fighters and 14 control participants, matched for sex and age, were recruited. The participants underwent tests to evaluate olfaction (Visual Analog Scale (VAS) and the University of Pennsylvania Smell Identification Test (UPSIT), taste (Modified Global Gustatory Test), cognition (Montreal Cognitive Assessment, MoCA) and quality of life (The 36-Item Short Form Health Survey questionnaire, SF-36).</p><p><strong>Results: </strong>A statistically significant difference was found in olfactory function between the groups (p = 0.021), with fighters having a lower mean score than the control group (fighters: 28.5 ± 4.4 vs. controls: 31.8 ± 2.4). Additionally, MMA fighters showed cognitive decline and impairment in quality of life aspects. No difference was observed in gustatory function between the groups (p = 0.508).</p><p><strong>Conclusion: </strong>The results indicate that MMA fighters exhibit impairments in olfactory function, as well as in cognition and quality of life. Further studies with larger sample sizes are needed for a more in-depth analysis of the impact of this sport on athletes' lives.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145328946","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 Awareness of the Jordanian Population Regarding Intranasal Corticosteroids' Uses for Allergic Rhinitis.","authors":"Hasan Ibrahim Al-Balas, Almu'atasim Khamees, Tala Abd Aljaleel Okour, Ruaa Ismail Ababneh, Bara' Hussein Al-Smadi, Leen Mohamad Almomani, Reem Nazem BaniHani, Marah Akram AlRawashdeh","doi":"10.1055/s-0045-1810049","DOIUrl":"10.1055/s-0045-1810049","url":null,"abstract":"<p><strong>Introduction: </strong>Intranasal corticosteroids are widely regarded as the most efficacious remedy for managing moderate to severe allergic rhinitis. However, the Jordanian population's understanding and attitudes toward the safe and proper use of these medications remain ambiguous.</p><p><strong>Objective: </strong>This study was undertaken to evaluate Jordanian individuals' awareness of intranasal corticosteroids by examining their present perceptions, attitudes, and behaviors regarding these pharmaceuticals.</p><p><strong>Methods: </strong>We conducted a cross-sectional study within the adult Jordanian demographic using an online survey based on a structured questionnaire.</p><p><strong>Results: </strong>The study comprised 1509 participants, revealing that 34.2% of the adult Jordanian population suffers from allergic rhinitis, with a prevalence of 39.5% in males and 60.5% in females. Among individuals with allergic rhinitis, 34.1%, 38.4%, 67.1%, and 43.2% hold beliefs regarding the impact of intranasal corticosteroids on blood sugar, blood pressure, pregnancy, and obesity, respectively. Notably, 67.8% of allergic rhinitis patients in our study actively use intranasal corticosteroids, and users demonstrate a significantly higher level of awareness compared with non-users, as we found significantly higher awareness levels among allergic rhinitis patients regarding possible side effects compared with non-allergic rhinitis group (p-value = < .0001, 0.0019, 0.0109, <.0001 and 0.0034) for blood sugar, blood pressure, pregnancy, children less than 5 years and obesity respectively.</p><p><strong>Conclusion: </strong>The results obtained from this research underscore the critical need for educational initiatives and interventions to enhance understanding and utilization of these medications within Jordan. These efforts can significantly contribute to improved patient outcomes and decreased healthcare expenses.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329009","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":"Comparative Evaluation of Wet and Dry Swallowing in Assessing Eustachian Tube Function in Tympanic Membrane Perforation.","authors":"Suresh Kruthika, Jeevan Govindaraju, Hemanth N Shetty","doi":"10.1055/s-0045-1811253","DOIUrl":"10.1055/s-0045-1811253","url":null,"abstract":"<p><strong>Introduction: </strong>The Eustachian tube is a pressure-equalizing structure, also called the auditory tube, connecting the middle ear to the nasopharynx. Eustachian tube dysfunction is a leading cause of middle-ear infections leading to tympanic-membrane perforation. Therefore, it is necessary to assess the Eustachian tube functioning before determining the management to avoid recurrent middle-ear infections.</p><p><strong>Objective: </strong>To compare the functional assessment of the Eustachian tube by measuring pressure changes in patients with tympanic-membrane perforation, during the Toynbee test. The effectiveness of wet versus dry swallowing, ease of swallowing, and test-retest reliability for both conditions were examined.</p><p><strong>Methods: </strong>The study included 52 ears with tympanic-membrane perforations. The Toynbee test involved applying positive pressure to the ear canal while participants performed dry and wet swallowing maneuvers to measure the resulting pressure changes (in daPa). Subjective difficulty ratings were obtained using a 10-point Likert-scale for both swallowing conditions. Additionally, test-retest reliability for each swallowing condition was evaluated in 20 ears.</p><p><strong>Results: </strong>The pressure changes observed between the open and closed phases during both swallowing conditions differed significantly. Wet swallowing exhibited a larger initial pressure change than dry swallowing ( <i>p</i>  < 0.001). Participants rated wet swallowing as significantly easier in contrast to dry swallowing. Additionally, the test-retest reliability for wet swallowing was good (intraclass correlation coefficient [ICC] = 0.737-0.876), while it was poor for dry swallowing (ICC = 0.282-0.350).</p><p><strong>Conclusion: </strong>Wet swallowing reliably assesses the Eustachian tube's function in tympanic-membrane perforation cases to aid in informed decision making on the possible method of tympanoplasty.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329023","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":"Audiological Profile of Patients with Vitiligo.","authors":"Inna Fayaz, Neha Saraf, Gopika Kalsotra, Parmod Kalsotra, Vikas Mahajan, Samreen Dilawar, Sahil Kalsotra","doi":"10.1055/s-0045-1809648","DOIUrl":"10.1055/s-0045-1809648","url":null,"abstract":"<p><strong>Introduction: </strong>Vitiligo is one of the most common causes of hypopigmentation; it occurs when melanin production is impaired due to the loss of melanocytes, which are present throughout the skin, in the epidermis, and in hair follicles, and are also seen in the mucosa, uvea, and several structures of the inner ear. Scientists have investigated the association between vitiligo and sensorineural hearing loss (SNHL); some believe there is a connection, while others disagree.</p><p><strong>Objective: </strong>To evaluate the relationship between vitiligo and SNHL.</p><p><strong>Methods: </strong>The present observational study was conducted from February 2023 to January 2024. A total of 54 patients with clinically diagnosed vitiligo were assessed for hearing impairment. Simultaneously, 50 healthy volunteers were included as a control group, and the data was analyzed to assess any potential association between vitiligo and SNHL.</p><p><strong>Results: </strong>The mean age of the control group was of 37.5(± 10) years, and that of the patients with vitiligo was of 38.8(± 11) years, and the male-to-female ratio was of 1:1. We observed SNHL in 32 (59.3%) patients with vitiligo, and those with vitiligo vulgaris were the most afflicted. The hearing loss was mild in 2 ears (3.1%), moderate in 24 (37.5%), and severe in 29 (45.3%), with 29 patients belonging to the group with high frequency hearing loss.</p><p><strong>Conclusion: </strong>Based on the findings; it is imperative that patients with vitiligo undergo routine auditory function assessments to facilitate the early detection of SNHL.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329148","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":"Acoustic Changes in Voicemail Transmission Induced by Mobile Phones.","authors":"Halil Erdem Özel","doi":"10.1055/s-0045-1810029","DOIUrl":"10.1055/s-0045-1810029","url":null,"abstract":"<p><strong>Introduction: </strong>Given the widespread use of mobile phones for voice communication, a comprehensive understanding of the objective acoustic alterations in voicemail transmission is lacking, motivating this investigation into voice quality changes.</p><p><strong>Objective: </strong>This study aims to explore the objective changes in voice recordings caused by mobile phones and voicemail applications during the transmission process, specifically focusing on the alterations to voice quality that occur during this process.</p><p><strong>Methods: </strong>A volunteer sample of 45 healthy male hospital employees, with an average age of 36.7 ± 7.5 (ranging from 22 to 50), in a tertiary referral center were included in this study. The Multi-Dimensional Voice Program (Kay Elemetrics, Lincoln Park, NJ, USA) was employed to compare a set of nine parameters derived from sustained vowel phonations of /a/, encompassing free-field voice and mobile phone voicemail recordings. Average fundamental frequency (Fo), frequency perturbation parameters [Pitch Period Perturbation Quotient (PPQ), Relative Average Perturbation (RAP)], amplitude perturbation parameters [Shimmer in dB (ShdB), Shimmer Percent (Shim), Amplitude Perturbation Quotient (APQ)], noise parameters [Noise-to-Harmonic Ratio (NHR)] were calculated.</p><p><strong>Results: </strong>Analysis of the patient data revealed that fundamental frequency (Fo) was resistant to alterations of voice ( <i>p</i>  = 0,313). Frequency perturbation parameters (PPQ, RAP) were impacted ( <i>p</i>  = 0.018, 0.020 respectively), however, amplitude perturbation parameters (ShdB, Shim, APQ) and noise parameter (NHR) were much more affected in voice transmission caused by mobile phones ( <i>p</i>  < 0,001 in all).</p><p><strong>Conclusion: </strong>The findings of this study indicate that mobile phones induce significant acoustic changes in voicemail transmission. The fundamental frequency remained resistant to alterations in voice.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329170","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":"Prevalence of Cholesteatoma in School Children of Nepal.","authors":"Milan Maharjan, Samira Rajbhandari, Shristi Subba, Anjani Gupta","doi":"10.1055/s-0045-1811514","DOIUrl":"10.1055/s-0045-1811514","url":null,"abstract":"<p><strong>Introduction: </strong>Cholesteatoma remains a serious condition that poses a challenge to otolaryngologists around the world. It is found to be more aggressive in the pediatric group than in adults. If left untreated, the disease can be dangerous due to its ability to expand and destroy bones, leading to complications such as hearing loss, vestibular dysfunction, facial paralysis, and intracranial infections.</p><p><strong>Objective: </strong>To find out the prevalence of cholesteatoma in the school-aged children of Nepal.</p><p><strong>Methods: </strong>This is a retrospective study conducted within a span of 10 years from 2014 to 2024 in which all medical records of the school-based ear screening programs were studied. Data including personal details, brief history, and ear and audiometry findings were recorded. All suspected cases of cholesteatoma were reexamined under microscope at our institute, and only those with confirmed diagnosis of chronic otitis media (COM) with cholesteatoma were included in the study.</p><p><strong>Results: </strong>Out of the total of 143,544 children screened, COM with cholesteatoma was diagnosed in 0.20% (n = 282), and COM in total in 7.56% (n = 10,853). Hearing loss was seen in 273 (96.81%) of the 282 cases, with conductive hearing loss being the most common type of hearing loss.</p><p><strong>Conclusion: </strong>There is a higher prevalence of cholesteatoma in Nepalese children. Early diagnosis with proper management helps reduce the chances of life-threatening complications. Thus, having regular screening programs in school children will help in reducing morbidity.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145328973","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":"Cost Analysis of Sentinel Lymph Node Biopsy for Oral Tongue Squamous Cell Carcinoma: Institutional Cohort and Population-Based Simulation.","authors":"Hugo Fontan Köhler, Genival Barbosa de Carvalho, José Guilherme Vartanian, Luiz Paulo Kowalski","doi":"10.1055/s-0045-1809906","DOIUrl":"10.1055/s-0045-1809906","url":null,"abstract":"<p><strong>Introduction: </strong>In oral carcinoma patients classified as cN0, selective neck dissection (SND) and sentinel lymph node biopsy (SLNB) may be used to stage the neck with equivalent oncological results.</p><p><strong>Objective: </strong>Compare the costs of SLNB and SND for oral squamous cell carcinoma.</p><p><strong>Methods: </strong>Analysis of institutional cohort and Markov chain model simulation using populational data.</p><p><strong>Results: </strong>We included 84 patients submitted to transoral resection and SLNB or SND and patients submitted only to SND. The mean cost was R$4,943,67 for SLNB and R$ 11,005.49 for SND with significant differences in length of stay (one versus three days, p < 0.001), operative time (92 versus 177 minutes, p < 0.001) and postoperative hospital visits in 60 days (two versus eight, p < 0.001). For the simulation model, the probability of not finding the SLN ranged from 0.0% to 5.7% with 0.5% increments and the probability of occult neck metastasis ranged from 9.0% to 100.0% with 1% increments. The costs of SLNB increase progressively as the rate of occult neck metastasis increases. When this rate reaches 56%, the cost difference becomes not significant. With rates above 72%, SLNB becomes significantly more expensive than SND. Using a public database, we calculate a cost decrease ranging from 27.93% to 66.54% with SLNB adoption.</p><p><strong>Conclusion: </strong>SLNB adoption may significantly decrease the costs associated with early-stage oral cancer treatment. It would allow more patients to be treated with the same number of resources now available.</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/PMC12530907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329032","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":"Bilateral Fitting of Bone-Anchored Hearing Devices: Speech Recognition and Sound Localization.","authors":"Cynthia Harumi Yokoyama Ueda, Isabela de Souza Jardim, Ricardo Ferreira Bento, Renata Marcial Soares","doi":"10.1055/s-0045-1810002","DOIUrl":"10.1055/s-0045-1810002","url":null,"abstract":"<p><strong>Introduction: </strong>Bilateral fitting of bone-anchored hearing devices (BAHD) remains a contentious topic, as the use of a single device can direct sound to both cochleae. However, the interplay of interaural attenuation and time delay may result in different responses in each ear; thus, greater challenges for unilateral BAHD users.</p><p><strong>Objective: </strong>To assess the auditory performance of BAHD users with unilateral and bilateral fitting regarding speech recognition in silence and noise and sound localization.</p><p><strong>Methods: </strong>Cross-sectional study. Unilateral BAHD users treated at a Brazilian public hospital underwent a speech recognition test, containing a list of monosyllables at 65dBSPL in silence and noise (S/N ratio = 0dB). The sound localization test employed eight speakers arranged at 45° distance. A recorded trisyllabic word served as the stimulus. For bilateral fitting, an elastic band with a device similar to the implant was used; patients underwent the same tests under identical conditions.</p><p><strong>Results: </strong>Sixteen patients were assessed (mean age = 24.2 years). The average monosyllable recognition in silence rate was 71.5% in unilateral fitting and 78.2% in bilateral fitting. In noise, 61% in unilateral fitting and 72.2% in bilateral fitting. The mean angular deviation for the sound localization test was 80.48° in unilateral fitting and 68.08° in bilateral fitting. The bilateral fitting outcomes were better for all tests.</p><p><strong>Conclusion: </strong>Users with bilateral BAHD fitting had better outcomes for speech recognition and sound localization.</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/PMC12530911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329139","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":"An Epidemiological Analysis of Vocal Fold Atrophy at the Tokyo Voice Center.","authors":"Tomohiro Hasegawa, Yusuke Watanabe","doi":"10.1055/s-0045-1810095","DOIUrl":"10.1055/s-0045-1810095","url":null,"abstract":"<p><strong>Introduction: </strong>Vocal fold atrophy (VFA) is the most common voice disorder, and its morbidity increases with age.</p><p><strong>Objective: </strong>To update the epidemiological understanding of VFA by assessing prevalence and phonographic characteristics by age, sex, and occupation.</p><p><strong>Methods: </strong>A single-center retrospective chart review examined records of patients newly diagnosed with VFA from January 2020 to December 2022, analyzing age, sex, maximum phonation time (MPT), Voice Handicap Index (VHI), occupation, and voice disease complications.</p><p><strong>Results: </strong>Six hundred-and-ten patients (319 women, 291 men), ages 17 to 96 (median 64; mean 61.14), were included. Most were in their 70s, with a higher proportion of women overall, but a greater number of men in their 60s, and an equal sex distribution in their 70s. Among those ≥60, there were 185 women and 189 men. Some were diagnosed with atrophy at a young age. Most participants were unemployed, and functional dysphonia was the most common complication. A moderately negative correlation was found between VHI and MPT in unemployed men, while other analyses showed no or weak correlations between age, sex, occupation, and complications.</p><p><strong>Conclusion: </strong>VFA does not exclusively impact older adults. Early diagnosis and simple tests could potentially extend healthy life expectancy in unemployed men with VFA.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 4","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145329145","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}