Journal of Laryngology and Otology最新文献_第10页

Paediatric temporal bone fractures: a single centre experience. 儿童颞骨骨折：单中心经验

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001397

Arash Algouneh, Edward Madou, Karan Gandhi, Josee Paradis, M Elise Graham, Julie Strychowsky, Murad Husein, Peng You

{"title":"Paediatric temporal bone fractures: a single centre experience.","authors":"Arash Algouneh, Edward Madou, Karan Gandhi, Josee Paradis, M Elise Graham, Julie Strychowsky, Murad Husein, Peng You","doi":"10.1017/S0022215124001397","DOIUrl":"10.1017/S0022215124001397","url":null,"abstract":"Objective: This study aimed to evaluate clinical characteristics, treatments and outcomes of paediatric temporal bone fractures at our institute.Methods: A retrospective study of paediatric skull fractures confirmed by imaging from January 2010 to December 2022. Data on demographics, clinical presentations, injury mechanisms and complications were analysed, and fractures were categorised into otic capsule sparing (OCS) and violating (OCV).Results: Of 369 skull fracture cases, 88 (24 per cent) involved temporal bones, predominantly caused by falls and vehicle accidents. Common symptoms were loss of consciousness, hematoma, and hemotympanum, with complications like facial nerve injury and cerebrospinal fluid leaks in 3.4 per cent of cases. OCV fractures led to more severe complications, including hearing loss. Audiology showed 65 per cent without hearing impairment, while others had various degrees of loss.Conclusion: Paediatric temporal bone fractures, particularly OCV types, pose significant challenges. Early detection and thorough management are vital, underscoring the need for consistent data collection and regular audiometric monitoring.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"113-117"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sublingual ranulas, is it time for a new classification? A systematic review and meta-analysis. 舌下溃疡，是时候进行新的分类了吗？系统回顾与荟萃分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-22 DOI: 10.1017/S0022215124001464

Matteo Lazzeroni, Massimo Del Fabbro, Michele Gaffuri, Mark McGurk, Gabriele Alessandro Novarria, Gianluca Martino Tartaglia, Lorenzo Pignataro, Pasquale Capaccio

{"title":"Sublingual ranulas, is it time for a new classification? A systematic review and meta-analysis.","authors":"Matteo Lazzeroni, Massimo Del Fabbro, Michele Gaffuri, Mark McGurk, Gabriele Alessandro Novarria, Gianluca Martino Tartaglia, Lorenzo Pignataro, Pasquale Capaccio","doi":"10.1017/S0022215124001464","DOIUrl":"10.1017/S0022215124001464","url":null,"abstract":"Objectives: Sublingual ranulas present diagnostic and therapeutic challenges due to their heterogenous clinical presentations. This systematic review and meta-analysis aims to synthesise treatment outcomes and proposes a new classification for this condition.Methods: Following PRISMA guidelines, a thorough literature search identified studies on patients with sublingual ranulas receiving medical or surgical treatment. Proportion meta-analysis compared success rates among studies using a random-effects model.Results: Forty-two studies were included, covering 686 endoral ranulas, 429 plunging ranulas, and 16 ranulas extending into the parapharyngeal space. Sublingual sialoadenectomy with or without pseudocyst wall excision showed low heterogeneity and the highest success rates. Consequently, a new classification system is proposed categorising ranulas by intraoral (Type 1), cervical (Type 2) or parapharyngeal space (Type 3) extension.Conclusion: This study confirms the role of sublingual gland resection as standard of care and highlights the need for a revised classification to improve patient outcomes.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"88-94"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Revisiting the retroauricular revolving door island flap: Our experience. 重新审视耳后旋转门岛状瓣：我们的经验

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001440

Carolina Mora Sánchez, Natsuki Oishi, Agustín Campos Catalá, Enrique Zapater Latorre

{"title":"Revisiting the retroauricular revolving door island flap: Our experience.","authors":"Carolina Mora Sánchez, Natsuki Oishi, Agustín Campos Catalá, Enrique Zapater Latorre","doi":"10.1017/S0022215124001440","DOIUrl":"10.1017/S0022215124001440","url":null,"abstract":"Objectives: Surgical treatment of auricular concha, the helix root and the external auditory canal tumours, and their reconstruction, is a challenge because of the complexity of this anatomic region and the significant functional and aesthetic requirements of these treatments. The purpose of this study is to describe our experience with the retroauricular revolving door island flap technique.Method: This was a retrospective descriptive study (series of nine clinical cases) conducted between 2020 and 2023 of revolving door island flap reconstruction of auricular conchal and external auditory canal defects caused by tumour removal.Results: In all the cases, tumour-free margins and total reconstruction of the defect were achieved through the revolving door island flap intervention, with optimal aesthetic and functional results.Conclusion: Revolving door island flap reconstruction is a viable surgical option for the reconstruction of auricular conchal and external auditory canal defects because of its versatility, reproducibility, low post-operative morbidity and optimal results.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"146-148"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of heated-cigarette smoking on voice in comparison to combustion-cigarette smoking: self-perceived evaluation. 加热香烟与燃烧香烟相比对嗓音的影响：自我评价。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-28 DOI: 10.1017/S0022215124001427

Abdul-Latif Hamdan, Christophe Abi Zeid Daou, Yara Yammine, Christopher Jabbour, Ibana Carapiperis, Vanessa Helou, Justin Ghadieh, Jerome R Lechien

{"title":"The effect of heated-cigarette smoking on voice in comparison to combustion-cigarette smoking: self-perceived evaluation.","authors":"Abdul-Latif Hamdan, Christophe Abi Zeid Daou, Yara Yammine, Christopher Jabbour, Ibana Carapiperis, Vanessa Helou, Justin Ghadieh, Jerome R Lechien","doi":"10.1017/S0022215124001427","DOIUrl":"10.1017/S0022215124001427","url":null,"abstract":"Objective: To investigate the effect of heated-cigarette smoking on voice.Methods: Participants completed a survey including three sections: section-1 comprised demographic data, section-2 comprised visual analogue scale grading of voice changes and fatigue and section-3 consisted of the voice handicap index-10.Results: Two hundred and eighty-two participants filled the survey. Heated-cigarette smokers had a significantly higher mean voice handicap index-10 score compared to non-smokers (p < 0.05). The difference in voice handicap index-10 scores between heated- and combustion-cigarette smokers was not statistically significant. The number of abnormal voice handicap index-10 scores was higher in heated-cigarette smokers compared to non-smokers (p < 0.05) and significantly higher in combustion-cigarette and dual heated- and combustion-cigarette smokers compared to the other 2 groups (p < 0.05). Non-smokers had significantly lower grades of voice changes and fatigue when compared to combustion and dual heated- and combustion-cigarette smokers (p < 0.05).Conclusion: Smokers of heated cigarettes have a significantly higher mean voice handicap index-10 score compared to non-smokers and higher grade of voice changes and fatigue.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"129-133"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors for pharyngocutaneous fistula formation: a study focused on pharyngeal reconstruction technique. 咽瘘形成的风险因素：以咽部重建技术为重点的研究

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001415

Yagmur Barcan, Yalcin Alimoglu, Gokhan Gurbuz, Omer Uysal

{"title":"Risk factors for pharyngocutaneous fistula formation: a study focused on pharyngeal reconstruction technique.","authors":"Yagmur Barcan, Yalcin Alimoglu, Gokhan Gurbuz, Omer Uysal","doi":"10.1017/S0022215124001415","DOIUrl":"10.1017/S0022215124001415","url":null,"abstract":"Objective: This study investigated the risk factors for developing pharyngocutaneous fistula, the most common complication following total laryngectomy.Methods: We included all patients who underwent total laryngectomy and bilateral neck dissection from 2009 to 2021. Patients excluded were those with hypopharyngeal involvement, total or partial pharyngectomy, base of the tongue resection, large pharyngeal defects requiring free/pedicle flap reconstruction, or salvage laryngectomy.Results: A total of 164 patients participated in the study. Multivariate regression analysis identified two independent predictors of pharyngocutaneous fistula formation: pharyngeal reconstruction with simple interrupted sutures (odds ratio: 3.12, 95 per cent confidence interval: 1.31-17.00, p = 0.010) and radical neck dissection (odds ratio: 3.16, 95 per cent confidence interval: 1.13-8.82, p = 0.028).Conclusions: Our findings suggest that pharyngeal reconstruction using simple interrupted sutures and radical neck dissection are independent risk factors for pharyngocutaneous fistula development. Based on this, we recommend using the modified Cushing suture technique over simple interrupted sutures due to its association with a significantly lower pharyngocutaneous fistula rate.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"134-140"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum calcium relative decline as a predictor of post thyroidectomy hypocalcaemia. 预测甲状腺切除术后低钙血症的血清钙相对下降指标

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-22 DOI: 10.1017/S0022215124001270

Hamed Al Maawali, Yahya Al Badaai

{"title":"Serum calcium relative decline as a predictor of post thyroidectomy hypocalcaemia.","authors":"Hamed Al Maawali, Yahya Al Badaai","doi":"10.1017/S0022215124001270","DOIUrl":"10.1017/S0022215124001270","url":null,"abstract":"Objectives: To assess the value of corrected calcium decline at 6 hours as a predictor of hypocalcaemia post total thyroidectomy by comparing it to the currently widely used intact parathyroid hormone.Methods: A retrospective cohort study of patients who underwent total thyroidectomy from January 2016 to February 2020. Serum intact parathyroid hormone and corrected calcium data pre-operatively and 6 hours post-operatively were obtained. Receiver operating characteristic curves were used to compare corrected calcium decline at 6 hours versus 6 hours for relative intact parathyroid hormone decline as predictors of hypocalcaemia, and the area under the curve for each metric was reported.Results: Patients included in this analysis totalled 209. The receiver operating characteristic analysis suggested that corrected calcium decline at 6 hours has a similar predictive value to 6 hours relative intact parathyroid hormone. The areas under the curves for predicting hypocalcaemia were 0.797 for corrected calcium decline at 6 hours and 0.737 for 6 hours relative intact parathyroid hormone, but the difference (0.06) was not statistically significant.Conclusions: Our results suggest that corrected calcium decline at 6 hours has a similar predictive value to 6 hours relative intact parathyroid hormone and hence has the potential to predict post-operative hypocalcaemia.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"125-128"},"PeriodicalIF":1.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical treatment for benign tumours in the external nose: an 18-year experience. 鼻外良性肿瘤的外科治疗：18年的经验。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-01-31 DOI: 10.1017/S0022215124002123

Yung Jin Jeon, Ja Yoon Ku, Yong Ju Jang

引用次数: 0

Relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction: a systematic review. 结构性鼻塞临床检查结果与客观鼻通畅措施的关系：系统综述。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-01-03 DOI: 10.1017/S002221512400210X

Pavithran Maniam, Ian Wei Lim, Kim Hui Lim, Sean Carrie, James O'Hara

{"title":"Relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction: a systematic review.","authors":"Pavithran Maniam, Ian Wei Lim, Kim Hui Lim, Sean Carrie, James O'Hara","doi":"10.1017/S002221512400210X","DOIUrl":"10.1017/S002221512400210X","url":null,"abstract":"Background: The relationship between clinical examination findings and objective nasal patency measures in structural nasal obstruction remains uncertain. This review aims to explore the relationship between clinical nasal examination findings and objective nasal patency measures using acoustic rhinometry, peak nasal inspiratory flow, rhinomanometry and rhinospirometry.Methods: Qualitative systematic review using the Preferred Reporting Items for Systematic reviews and Meta-Analyses 2020 statement.Results: A total of 17 articles were included in the systematic review. Several studies showed a positive relationship between objective nasal patency measures and clinical nasal examination findings, however evidence in the literature is limited and confined to cohort studies. Objective nasal patency measures using acoustic rhinometry, rhinomanometry and rhinospirometry assessment correlate positively in severe anterior septal deviation but its role in assessing middle/posterior and mild/moderate septal deviation in isolation remains uncertain. There is limited evidence in the literature to assess the relationship between peak nasal inspiratory flow and clinical examination findings.Conclusion: ","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sensorineural hearing loss in stroke: an age-matched retrospective study. 感觉神经性听力损失在中风：年龄匹配的回顾性研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-01-01 Epub Date: 2025-01-03 DOI: 10.1017/S0022215124001051

Sam J Neilson, Paul Sooby, Xuya Huang, Georgios Kontorinis

{"title":"Sensorineural hearing loss in stroke: an age-matched retrospective study.","authors":"Sam J Neilson, Paul Sooby, Xuya Huang, Georgios Kontorinis","doi":"10.1017/S0022215124001051","DOIUrl":"10.1017/S0022215124001051","url":null,"abstract":"Objective: To compare characteristics between stroke populations with and without sensorineural hearing loss (SNHL) and assess the impact of SNHL on stroke outcome.Methods: A retrospective study of patients admitted with stroke was carried out. Patients were divided into two groups, where group A were diagnosed with SNHL and group B were without SNHL. Baseline age, gender, vascular risk factors and disability were compared. Logistic regression analyses were performed with three-month mortality and SNHL as dependent variables.Results: A total of 631 admissions were reviewed, with mean age 79.2 years, including 305 patients with SNHL and 326 without. More severe disability was more prevalent in patients with SNHL. Sensorineural hearing loss was not associated with increased mortality (odds ratio = 1.1, 95 per cent confidence interval = 0.7-2.0, p = 0.668). Hypertension was present in 210 (68.9 per cent) with SNHL versus 189 (58 per cent) without SNHL (p = 0.005). Small-vessel disease aetiology was more prevalent in SNHL 51 (16.7 per cent) versus 30 (9.2 per cent) without SNHL (p = 0.005).Conclusion: Sensorineural hearing loss appears to have an association with stroke of small-vessel disease aetiology and hypertension. Sensorineural hearing loss does not affect three-month mortality but is associated with increased disability.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"19-22"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs. 扁桃体切除术中手术器械的合理化：减少温室气体排放和成本的试点研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-01-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001129

Justin Jui Yuan Yeo, Keshav Kumar Gupta, Zahir Mughal, Chaitanya Bhatt

{"title":"Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs.","authors":"Justin Jui Yuan Yeo, Keshav Kumar Gupta, Zahir Mughal, Chaitanya Bhatt","doi":"10.1017/S0022215124001129","DOIUrl":"10.1017/S0022215124001129","url":null,"abstract":"Objective: The healthcare industry is estimated to contribute 4.4 per cent of global greenhouse gas emissions. This pilot study aimed to investigate the impact of rationalising surgical instruments in tonsillectomy trays on greenhouse gas emissions and costs.Method: We conducted a prospective observational study over a six-month period. All patients who underwent tonsillectomy were included. The instruments used during the procedure and their frequency of use were counted, with the operating surgeon being unaware of the study.Results: During the 6-month timeframe, 46 tonsillectomies were performed. From the standard tonsillectomy tray containing 38 pieces, 9 pieces were never used. The removal of unused reusable instruments resulted in an estimated total reduction of 594 g of carbon dioxide equivalents and a saving of €9.63 per operation.Conclusion: Rationalising the contents of the surgical instrument tray can have a positive environmental impact by reducing greenhouse gas emissions. There are also pecuniary benefits for the National Health Service because of the potential for cost savings.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"68-71"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0