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

Bilateral vocal fold immobility following head and neck radiotherapy: an institutional review. 头颈部放射治疗后双侧声带不动：一项制度回顾。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-30 DOI: 10.1017/S0022215125103927

Jared C Dublin, Elliot Morse, Younes Attlassy, Yaerin Song, Taylor G Lackey, Milan R Amin

{"title":"Bilateral vocal fold immobility following head and neck radiotherapy: an institutional review.","authors":"Jared C Dublin, Elliot Morse, Younes Attlassy, Yaerin Song, Taylor G Lackey, Milan R Amin","doi":"10.1017/S0022215125103927","DOIUrl":"10.1017/S0022215125103927","url":null,"abstract":"Objectives: Bilateral vocal fold immobility is a rare, often delayed complication of head and neck radiotherapy that is not well described in the literature. This study aimed to characterise its timing and clinical course.Methods: Patients from 2016 to 2024 with prior head and neck radiotherapy, a diagnosis of bilateral vocal fold immobility and no residual disease were reviewed. Data included demographics, tumour site, radiotherapy type/dose, chemotherapy, interval to bilateral vocal fold immobility, airway intervention, nutrition route and mobility recovery.Results: Twelve patients (10 male, 2 female; median age 65.8 years) were identified. Glottic (4, 33.3 per cent) and nasopharyngeal (3, 25 per cent) tumours were the most common. Most (11, 91.7 per cent) received intensity-modulated radiotherapy (median dose 68 Gy); eight had chemoradiation. Median time to bilateral vocal fold immobility was 7.5 years. Seven required tracheostomy (two decannulated); eight needed percutaneous gastric tubes. No patients recovered mobility.Conclusion: Bilateral vocal fold immobility following radiotherapy is rare, delayed, often irreversible, and frequently requires tracheostomy and enteral nutrition.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086082","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 impact of parental touch and companionship on the emergence period of paediatric snoring surgery under general anaesthesia. 父母触摸和陪伴对全麻下儿童打鼾手术出现期的影响。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-22 DOI: 10.1017/S0022215126104289

Yi Fang Wang, Chengyan Zhong, Yue Liu

{"title":"The impact of parental touch and companionship on the emergence period of paediatric snoring surgery under general anaesthesia.","authors":"Yi Fang Wang, Chengyan Zhong, Yue Liu","doi":"10.1017/S0022215126104289","DOIUrl":"10.1017/S0022215126104289","url":null,"abstract":"Objectives: To explore the effect of parental presence on the recovery period of paediatric patients undergoing general anaesthesia for snoring surgery.Methods: Forty-two paediatric patients who underwent snoring surgery were randomly divided into control and observation groups. The control group received routine nursing intervention, while the observation group allowed either the father or mother to enter the recovery room immediately after the child was awake and extubated, in addition to the routine nursing intervention.Results: Paediatric anaesthesia emergence delirium score during the recovery period was significantly lower in the observation group than the control group. The Face, Legs, Activity, Cry, Consolability score during the recovery period was also significantly lower in the observation group. Parental satisfaction with nursing was significantly higher in the observation group.Conclusion: Immediate parental presence can effectively alleviate insecurity, reduce pain, decrease crying and restlessness of paediatric patients, and improve parental satisfaction with nursing.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146018658","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

Assessment of effectiveness of cantilever versus spreader grafts in functional septorhinoplasty: an interventional cohort study. 评估悬臂式与扩张式移植物在功能性鼻中隔成形术中的有效性：一项介入队列研究。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-21 DOI: 10.1017/S0022215126104356

Shruthi Gs, Kapil Soni, Swathi Krishna M, Vidhu Sharma, Bikram Choudhury, Amit Goyal, Ullas Raghavan

{"title":"Assessment of effectiveness of cantilever versus spreader grafts in functional septorhinoplasty: an interventional cohort study.","authors":"Shruthi Gs, Kapil Soni, Swathi Krishna M, Vidhu Sharma, Bikram Choudhury, Amit Goyal, Ullas Raghavan","doi":"10.1017/S0022215126104356","DOIUrl":"10.1017/S0022215126104356","url":null,"abstract":"Objectives: This study aims to compare the effectiveness of the spreader grafts and cantilever grafts in correcting the narrow internal nasal valve in patients undergoing functional septorhinoplasty.Methods: This ambispective interventional cohort study, involving 50 patients who underwent septorhinoplasty between December 2020 and November 2023 at our tertiary-care referral hospital, with 25 receiving spreader grafts (control group) and 25 undergoing surgery with cantilever grafts.Results: The results showed a significant improvement in nasal airflow in both groups post-operatively, with the cantilever graft group showing a slightly higher improvement than the spreader graft group, although not statistically significant (p = 0.062).Conclusions: Septorhinoplasty is a surgical procedure that aims to improve both the aesthetic appearance of the nose and nasal function. While spreader grafts are considered a standard technique for aesthetic improvement, the balanced cantilever graft offers a promising alternative for functional enhancement, particularly in patients with a narrow internal nasal valve.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010672","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

Effectiveness of the nucleus SmartNav system in detecting and preventing electrode tip fold-overs: a multi-centre retrospective analysis of 213 cochlear implantations. 核智能导航系统检测和预防电极尖端折叠的有效性：213例人工耳蜗植入的多中心回顾性分析。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-07 DOI: 10.1017/S0022215125104155

Mehmet Ekrem Zorlu, Emirhan Akyol, Secaattin Gülşen, Recep Karamert, Mehmet Birol Ugur, Hakan Tutar

{"title":"Effectiveness of the nucleus SmartNav system in detecting and preventing electrode tip fold-overs: a multi-centre retrospective analysis of 213 cochlear implantations.","authors":"Mehmet Ekrem Zorlu, Emirhan Akyol, Secaattin Gülşen, Recep Karamert, Mehmet Birol Ugur, Hakan Tutar","doi":"10.1017/S0022215125104155","DOIUrl":"10.1017/S0022215125104155","url":null,"abstract":"Objectives: This study aimed to evaluate the effectiveness of the SmartNav in detecting tip fold-over during cochlear implantation and to compare angular insertion depth measurements obtained via SmartNav and transorbital X-ray imaging.Methods: This retrospective multicentre study included patients with normal cochlear anatomy, comprising 163 individuals and 213 ears who underwent cochlear implantation using Nucleus CI522 and CI622 systems at Gazi University Faculty of Medicine and Gaziantep City Hospital.Results: Of the 213 cochlear implantations, tip fold-over was detected in 4 implantations (1.88 per cent) intra-operatively with SmartNav. One case (0.47 per cent) of tip fold-over was not detected by SmartNav and identified post-operatively through X-ray imaging. SmartNav showed a sensitivity of 80 per cent, specificity of 100 per cent. A strong correlation was found between SmartNav and X-ray angular insertion depth measurements (p < 0.001).Conclusion: The SmartNav is a reliable tool for the intra-operative detection of tip fold-overand the assessment of angular insertion depth in patients with normal cochlear anatomy.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145911893","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

N3 Nodal Disease as a Dominant Prognostic Determinant in Head and Neck Squamous Cell Carcinoma. N3淋巴结疾病是头颈部鳞状细胞癌的主要预后决定因素。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-05 DOI: 10.1017/S0022215125104222

Jiayi Chen

引用次数: 0

Gastric inlet patch ablation: advancing toward precision medicine's era of "treating the right patient": the "pro-intestinal microenvironment hub" hypothesis based on functional activity. 胃入口点消融：迈向精准医学的“对症下药”时代——基于功能活性的“亲肠微环境枢纽”假说

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-05 DOI: 10.1017/S0022215125104210

Zongyao Liu, Ruifang Hu, Lijuan Fan

引用次数: 0

Sailing Osler's Sea: Improving Undergraduate ENT Education. 扬帆奥斯勒之海：改善本科耳鼻喉科教育。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2026-01-05 DOI: 10.1017/S002221512510426X

Adan Chew

引用次数: 0

Nutritional Management in Patients with Chyle Leak following Head and Neck Surgery: A Systematic Review. 头颈部手术后乳糜漏患者的营养管理：一项系统综述。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-12-18 DOI: 10.1017/S0022215125103964

Nimeshi Jayakody, Phillip Brown, Callum Findlay, Nimesh N Patel

{"title":"Nutritional Management in Patients with Chyle Leak following Head and Neck Surgery: A Systematic Review.","authors":"Nimeshi Jayakody, Phillip Brown, Callum Findlay, Nimesh N Patel","doi":"10.1017/S0022215125103964","DOIUrl":"10.1017/S0022215125103964","url":null,"abstract":"Objective: We aim to investigate nutritional management of chyle leaks by a systematic review of the published literature.Methods: We searched the following databases (Medline, Embase, Cochrane) for literature incorporating nutritional aspects in chyle leak management. We excluded non-English papers, paediatric studies, conference papers, and studies without nutritional intervention.Results: Among 260 patients (out of 26,270), 81.5.% (n=212/260) achieved chyle leak resolution with nutritional management, while 18.5% (n=48/260) required surgery. Median resolution duration with nutritional management was 8.7 days (range: 4.3 to 22.2), compared to surgical treatment's median of 32 days (range: 18 to 40).Conclusion: We recommend use of nutritional management in all patients with chyle leaks. There is no evidence supporting one diet over the other however clinically we suggest starting with medium-chain triglyceride/non-/low-fat diets and moving onto total parenteral nutrition, unless medically indicated otherwise.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-10"},"PeriodicalIF":0.8,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145774805","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

Difficult round window access during cochlear implantation: a simple prediction method utilising pre-operative CT imaging. 人工耳蜗植入过程中难以进入圆窗——一种利用术前CT成像的简单预测方法。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-12-05 DOI: 10.1017/S0022215125103939

Jun Wei Sia, Dhana Senthil Kumar, Jia Hui Ng, Heng Wai Yuen

{"title":"Difficult round window access during cochlear implantation: a simple prediction method utilising pre-operative CT imaging.","authors":"Jun Wei Sia, Dhana Senthil Kumar, Jia Hui Ng, Heng Wai Yuen","doi":"10.1017/S0022215125103939","DOIUrl":"10.1017/S0022215125103939","url":null,"abstract":"Objective: Difficulty visualising the round window is occasionally encountered during cochlear implant surgery. This paper presents a novel method for predicting difficult round window accessibility using pre-operative computed tomography (CT) imaging.Methods: This is a retrospective multicentre study of all cochlear implantation surgical procedures conducted in two Singaporean tertiary hospitals between 2018 and 2021. Pre-operative CT temporal bone scans were reviewed and two lines were drawn on a single axial cut. Where both lines intersect medially, difficult round window visualisation is predicted. Computed tomography predictions were compared with intra-operative findings, and statistical analysis was performed.Results: In 9 of 89 cases (10.1 per cent) difficult round window access was noted intra-operatively and 8 cases (88.9 per cent) were correctly predicted by the novel method (p < 0.001; sensitivity, 89 per cent; specificity, 100 per cent).Conclusion: This study describes a simple, effective method to predict difficult round window access on axial CT temporal bone images, without reconstructed images or complex calculations.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145678065","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

Impact of sleep quality on effectiveness of repositioning therapy for patients with posterior canal benign paroxysmal positional vertigo. 睡眠质量对后管良性阵发性位置性眩晕患者复位治疗效果的影响。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-12-01 DOI: 10.1017/S0022215125102971

Wenting Wang, Rui Han, Sai Zhang, Shuangmei Yan, Ting Zhang, Yongci Hao, Dong Li, Shaona Liu, Peifan Xie, Chuangwei Wang, Xu Yang, Ping Gu

{"title":"Impact of sleep quality on effectiveness of repositioning therapy for patients with posterior canal benign paroxysmal positional vertigo.","authors":"Wenting Wang, Rui Han, Sai Zhang, Shuangmei Yan, Ting Zhang, Yongci Hao, Dong Li, Shaona Liu, Peifan Xie, Chuangwei Wang, Xu Yang, Ping Gu","doi":"10.1017/S0022215125102971","DOIUrl":"10.1017/S0022215125102971","url":null,"abstract":"Objective: This study aimed to explore clinical characteristics and treatment efficacy in patients with posterior canal benign paroxysmal positional vertigo and different sleep qualities.Methods: Patients with posterior canal benign paroxysmal positional vertigo were divided into high and low sleep quality groups based on Pittsburgh Sleep Quality Index scores.Results: No significant baseline differences existed between low (n = 53) and high (n = 39) sleep quality groups. However, the proportion of cupulolithiasis was higher in the low sleep quality group (60.38 per cent vs. 35.90 per cent; p < 0.05). Additionally, the low sleep quality group had a longer median duration of upbeat nystagmus during the Dix-Hallpike test (63.50 seconds vs. 26.80 seconds; p < 0.05) and a lower cured rate in initial repositioning (9.43 per cent vs. 56.41 per cent) compared to high sleep quality group. Repositioning therapy significantly improved depressive and anxiety symptoms in all patients with posterior canal benign paroxysmal positional vertigo, with a more pronounced improvement in depressive symptoms in the low sleep quality group.Conclusion: Poor sleep quality is associated with higher cupulolithiasis prevalence and treatment resistance, with residual symptoms mainly affecting social functioning.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1181-1189"},"PeriodicalIF":0.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029955","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