Journal of Laryngology and Otology最新文献_第2页

Frontal sinus stenting in endoscopic sinus surgery: the 10-year Oxford experience - CORRIGENDUM. 额窦支架内窥镜鼻窦手术：10年牛津经验-勘误。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-12-04 DOI: 10.1017/S0022215124001373

F Bandino, A L Pendolino, J Bates, A Qureishi, P Martinez-Devesa

引用次数: 0

Our experience of a speech and language therapist-led swallow disorder clinic. 我们在言语和语言治疗师领导下的吞咽障碍诊所的经验。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1017/S0022215124000859

Joseph Smith, Anita Smith, Karen McInally, Paul Kirkland

{"title":"Our experience of a speech and language therapist-led swallow disorder clinic.","authors":"Joseph Smith, Anita Smith, Karen McInally, Paul Kirkland","doi":"10.1017/S0022215124000859","DOIUrl":"10.1017/S0022215124000859","url":null,"abstract":"Introduction: Dysphagia can lead to morbidity including weight loss and aspiration pneumonia. Effective triage of patients and streamlining of pathways to expedite diagnosis and treatment is therefore imperative.Objectives: The goals of this research were to measure the referral to treatment time for dysphagia patients in a newly established pathway and compare with existing UK national and local referral to treatment times, and to evaluate patient feedback.Methods: Speech and language therapy advanced clinical practitioners were trained in nasendoscopy and assessment of swallow. Referral to treatment times were measured and patient satisfaction questionnaires completed.Results: A decrease in triage to treatment time (from 24 to 6 weeks). Patients reported high understanding of the condition and minimal discomfort during assessments. Radiation exposure was reduced (2 per cent of patients undergoing soluble contrast swallows, previously 100 per cent).Conclusion: The new pathway expedites treatment and achieves high patient satisfaction. It empowers speech and language therapy in efficiently managing low-complexity cases and supports multidisciplinary care for dysphagia patients.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1130-1132"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870540","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

Adjuvant treatments for recurrent respiratory papillomatosis: a descriptive review and proposed management guideline in adults. 复发性呼吸道乳头状瘤病的辅助治疗：描述性综述和成人管理指南建议。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001026

Edward Balai, Emilie Ac Dronkers, Chadwan A Yaghchi, Dorothy Gujral, Guri Sandhu, Aphrodite Iacovidou

{"title":"Adjuvant treatments for recurrent respiratory papillomatosis: a descriptive review and proposed management guideline in adults.","authors":"Edward Balai, Emilie Ac Dronkers, Chadwan A Yaghchi, Dorothy Gujral, Guri Sandhu, Aphrodite Iacovidou","doi":"10.1017/S0022215124001026","DOIUrl":"10.1017/S0022215124001026","url":null,"abstract":"Objective: Recurrent respiratory papillomatosis is a rare disease characterised by growth of papilloma within the respiratory tract. The disease course is variable but can require frequent surgical interventions alongside adjuvant medical treatments. There is no definitive curative treatment or gold-standard guidelines for management. We aimed to evaluate current and potential future adjuvant treatments and propose a management guideline for adult patients.Methods: Relevant articles were identified through searching databases, reference lists and grey literature.Results: Systemic bevacizumab appears to be the most effective adjuvant treatment currently available. However, intralesional cidofovir also achieves a high complete-response rate in adults and the Gardasil vaccine demonstrates preventative and therapeutic value. The INO-3107 DNA vaccine is a promising potential future adjuvant treatment.Conclusions: This review provides a detailed examination of current and potential future adjuvant treatments. Based on the literature, we have developed a management guideline for adult patients with recurrent respiratory papillomatosis.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1133-1143"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467688","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

Tinnitus and dementia risk, adjuvant treatments for recurrent respiratory papillomatosis and is frontal sinus pain a useful marker of chronic frontal sinusitis? 耳鸣和痴呆的风险，复发性呼吸道乳头状瘤病的辅助治疗，额窦疼痛是慢性额窦炎的有用标志吗？

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2025-01-15 DOI: 10.1017/S0022215124002317

Jonathan Fishman, Edward W Fisher

引用次数: 0

Outcomes of the modern management approach for locally advanced (T₃-T₄) laryngeal cancer: a retrospective cohort study. 局部晚期（T3-T4）喉癌现代治疗方法的疗效：一项回顾性队列研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-10-21 DOI: 10.1017/S0022215124001105

Amarkumar Dhirajlal Rajgor, Josh Cowley, Colin Gillespie, Chang Woo Lee, James O'Hara, Muhammad Shahid Iqbal, David Winston Hamilton

{"title":"Outcomes of the modern management approach for locally advanced (T3-T4) laryngeal cancer: a retrospective cohort study.","authors":"Amarkumar Dhirajlal Rajgor, Josh Cowley, Colin Gillespie, Chang Woo Lee, James O'Hara, Muhammad Shahid Iqbal, David Winston Hamilton","doi":"10.1017/S0022215124001105","DOIUrl":"10.1017/S0022215124001105","url":null,"abstract":"Background: Our centre (Freeman Hospital, Newcatle Upon Tyne NHS Trust) has favoured primary surgery over chemoradiotherapy for specific advanced laryngeal cancer patients (e.g. large-volume tumours, airway compromise, significant dysphagia, T4 disease). This study reports the survival outcomes for a modern, high-volume head and neck centre favouring surgical management to determine whether this approach improves survival.Method: Retrospective analysis of patient data over a seven-year period from a tertiary cancer centre.Results: In total, 121 patients were identified with T3 (n = 76) or T4 (n = 45) laryngeal cancer (mean follow up 2.9 years). In the cohort treated with curative intent (n = 104, 86.0 per cent), the 2- and 5-year estimated disease-specific survival rates were 77.9 and 64.1 per cent. chemoradiotherapy had the highest 2-year disease-specific survival (92.5 per cent), followed by surgery with adjuvant therapy (81.8 per cent), radiotherapy alone (75 per cent) and surgery alone (72.4 per cent).Conclusion: For a centre favouring primary surgery for certain advanced laryngeal cancers, the disease-specific survival appears no higher than that found in the published literature. To enhance survival, future research should focus on precision medicine to define treatment pathways in this disease.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1154-1160"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The efficacy and safety of radiofrequency ablation for allergic rhinitis: a systematic review and meta-analysis. 射频消融治疗变应性鼻炎的有效性和安全性：一项系统回顾和荟萃分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-12-04 DOI: 10.1017/S0022215124001178

Xi Zhang, Min Yan, Qicheng Deng, Ling Yang

{"title":"The efficacy and safety of radiofrequency ablation for allergic rhinitis: a systematic review and meta-analysis.","authors":"Xi Zhang, Min Yan, Qicheng Deng, Ling Yang","doi":"10.1017/S0022215124001178","DOIUrl":"10.1017/S0022215124001178","url":null,"abstract":"Objective: This systematic review aims to synthesise findings from randomised, controlled trials and assess the efficacy and safety of radiofrequency ablation in treating allergic rhinitis.Methods: A thorough search was conducted across PubMed, the Cochrane Library, Embase, Web of Science, China National Knowledge Infrastructure, WanFang, Chinese Scientific Journal, and Chinese Biomedical Literature databases from their inception until October 2023. The primary outcome measure was the total effective rate, with secondary outcomes including adverse events.Results: This review included 15 randomised, controlled trials involving 1430 patients. The pooled analysis revealed a statistically significant effect on the total effective rate (odds ratio = 3.27, 95 per cent confidence interval = 2.37 to ~4.51). However, no statistical significance was observed in adverse events (odds ratio = 1.18, 95 per cent confidence interval = 0.67 to ~2.08).Conclusions: Based on the analytical results, radiofrequency ablation emerges as an efficacious and safe treatment modality for allergic rhinitis. Given the constraints posed by a limited sample size, it is imperative that forthcoming clinical trials adhere rigorously to the gold standard of randomised, controlled trials for the purpose of corroborating these conclusions.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1120-1129"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769710","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

Deep neck space infections: a UK centre, two-year, retrospective review of 53 cases. 颈深间隙感染：英国一家中心对 53 例病例进行的为期两年的回顾性研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI: 10.1017/S0022215124001117

Alexander Charlton, Raul Simon, Karthika Shanthakunalan, Anthony Simons

{"title":"Deep neck space infections: a UK centre, two-year, retrospective review of 53 cases.","authors":"Alexander Charlton, Raul Simon, Karthika Shanthakunalan, Anthony Simons","doi":"10.1017/S0022215124001117","DOIUrl":"10.1017/S0022215124001117","url":null,"abstract":"Objective: This retrospective study comprehensively assesses clinical characteristics, management, outcomes, and complications of deep neck space infections in adults at a UK ear, nose and throat tertiary centre.Methods: Adult deep neck space infection patients from April 2019 to March 2021 were retrospectively reviewed using health records and picture archiving and communication system data. Demographics, presentation, microbiology, treatment, complications, and outcomes were analysed.Results: Fifty-three patients (mean age: 53.8 years, M:F ratio 1.5:1) were studied. Deep neck space infections were polymicrobial in 29.4 per cent, with Streptococcus milleri group (64.7 per cent) occurring most frequently. Complications occurred in 20.8 per cent, including mediastinitis (13.2 per cent) and Lemierre's syndrome (7.5 per cent). Mortality was 5.7 per cent. Treatment included intensive care admission (32.1 per cent), tracheostomy (15.1 per cent), medical management alone (39.6 per cent), bedside peritonsillar abscess drainage (18.9 per cent), transcervical drainage (28.3 per cent), transoral drainage (13.2 per cent), and hot tonsillectomy (5.7 per cent). Patient age correlated with length of stay.Conclusion: The study highlights deep neck space infection complexity, emphasising tailored management, effective antibiotics, and frequency and severity of complications. Comprehensive understanding of deep neck space infections can improve care and outcomes.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1161-1169"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467716","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

Prevalence and risk factors for dysplasia and malignancy in a large cohort of patients with recurrent respiratory papillomatosis. 一大批反复呼吸道乳头状瘤病患者中发育不良和恶性肿瘤的患病率和风险因素。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-11-15 DOI: 10.1017/S0022215124002172

Bhargavi Chandrasekar, Alexandra Bell, Andrew Kinshuck

引用次数: 0

Squamous cell carcinoma of the posterior pharyngeal wall: A comparative analysis of oropharyngeal origin versus hypopharyngeal origin. 咽后壁鳞状细胞癌：口咽起源与下咽起源的比较分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-11-15 DOI: 10.1017/S002221512400224X

Petr Daniel Kovarik, Jakub Cvek, Rahul Patil, Charles Kelly, Malcolm Jackson, Laura McKenzie, Nick West, Nicholas Willis, Josef Paul Kovarik, Muhammad Shahid Iqbal

引用次数: 0

"COMPARISON OF TRAGAL PERICHONDRIUM WITH CUBISM GRAFT IN ENDOSCOPIC TYMPANOPLASTY IN SMALL TO MEDIUM SIZE TYMPANIC MEMBRANE PERFORATIONS". "在中小型鼓膜穿孔的内窥镜鼓室成形术中，耳廓周软骨与立方体移植物的比较"。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-11-14 DOI: 10.1017/S0022215124002202

Nehal Lal, H C Taneja, Ravi Meher, Raman Sharma

引用次数: 0