{"title":"The First 60 years of the NHS Illustrated through Nottingham ENT Services.","authors":"Patrick J Bradley, Nicholas S Jones","doi":"10.1017/S0022215126104757","DOIUrl":"https://doi.org/10.1017/S0022215126104757","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-23"},"PeriodicalIF":0.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147729314","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}
Anna Ewelina Kruczynska, Daniele Rimini, Prawin Samraj, Chaitanya Gadepalli
{"title":"Virtual Reality in ENT Medical Education - Pilot study of medical students' perspective.","authors":"Anna Ewelina Kruczynska, Daniele Rimini, Prawin Samraj, Chaitanya Gadepalli","doi":"10.1017/S0022215126104708","DOIUrl":"https://doi.org/10.1017/S0022215126104708","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-11"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698929","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}
{"title":"Perichondrial flap fold versus raising the tympanomeatal flap for repairing large marginal perforation: semi-random control trial.","authors":"Fei Zhou, Shen Wang, Sen Yang","doi":"10.1017/S0022215126104721","DOIUrl":"10.1017/S0022215126104721","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to compare the graft outcomes between endoscopic cartilage inlay myringoplasty with free perichondrial flap fold technique vs. raising the tympanomeatal flap technique for repairing large marginal perforation.</p><p><strong>Methods: </strong>A total of 61 ears with marginal perforation were recruited and allocated to free perichondrial flap fold (<i>n</i> = 31) group and raising the tympanomeatal flap (<i>n</i> = 30) group using semi-random control trial. The graft success rate, hearing gain, operation time, visual analog scale score and post-operative complications were compared between the groups at six months.</p><p><strong>Results: </strong>The mean operation time was 26.4 plus-or-minus 3.1 minutes in the free perichondrial flap fold group and 50.7 plus-or-minus 2.6 minutes in the raising the tympanomeatal flap group (<i>p</i> < 0.001). The graft success rate was 93.5 per cent in the free perichondrial flap fold group and 96.7 per cent in the raising the tympanomeatal flap group (<i>p</i> = 0.977) at post-operative six months.</p><p><strong>Conclusion: </strong>The free perichondrial flap fold technique may achieve similar graft success rate and hearing improvement as raising the tympanomeatal flap technique for repairing large marginal perforations; however, it is simple, time-saving and minimal invasive technique.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673912","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}
Arianna Winchester, Justin Cottrell, Mario Svirsky, Daniel Jethanamest
{"title":"Anticoagulation and antiplatelet therapy in endoscopic ear surgery.","authors":"Arianna Winchester, Justin Cottrell, Mario Svirsky, Daniel Jethanamest","doi":"10.1017/S0022215126104654","DOIUrl":"10.1017/S0022215126104654","url":null,"abstract":"<p><strong>Objectives: </strong>Assess the impact of anticoagulation or antiplatelet medications on endoscopic ear surgery visibility and procedural progress.</p><p><strong>Methods: </strong>A case-control retrospective chart review of patients on anticoagulation/antiplatelet undergoing endoscopic ear surgery from April 2018 to April 2023 was conducted. Surgical videos were blindly rated by two surgeons utilising the Modena Bleeding Scale during clips of key operative steps; scores and outcomes were compared. Equivalence analysis was performed using two one-sided tests with an equivalence range of plus-or-minus 0.4 Modena Bleeding Scale points.</p><p><strong>Results: </strong>Fourteen cases were matched with 28 controls. Cases were more male (85.7 per cent; <i>p</i> < 0.01) and older (median: 54.9 years) than controls (median: 37.8; <i>p</i> < 0.01). Eleven cases (78.6 per cent) were on aspirin 81 mg, two (14.2 per cent) coumadin (4-6 mg) and one (7.1 per cent) aspirin 325 mg. No significant differences in Modena Bleeding Scale, blood loss, complications or outcomes were found.</p><p><strong>Conclusion: </strong>This study revealed no significant difference in intra-operative visibility, progress, complications or outcomes with patients on anticoagulation/antiplatelet. Endoscopic ear surgery may be considered while on anticoagulation/antiplatelet.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673906","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}
R Haye, L K Døsen, M TarAngen, C Gay, M T Egeland, O Shiryaeva
{"title":"Septoplasty: early (first year) and late (fourth year) post-operative results in 604 patients - ERRATUM.","authors":"R Haye, L K Døsen, M TarAngen, C Gay, M T Egeland, O Shiryaeva","doi":"10.1017/S0022215126104563","DOIUrl":"https://doi.org/10.1017/S0022215126104563","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1"},"PeriodicalIF":0.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147673928","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}
{"title":"Hearing Status Amongst Medical Trainees Using Personal Listening Devices - A Concern or an Overlooked Hazard to Hearing Health?","authors":"Siddharth Manoj, Bikram Choudhury, Swathi Krishna, Rashmi Hansdah, Vidhu Sharma, Kapil Soni, Amit Goyal","doi":"10.1017/S0022215126104691","DOIUrl":"https://doi.org/10.1017/S0022215126104691","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-16"},"PeriodicalIF":0.8,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147623303","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}
{"title":"Enhancing wound healing in otorhinolaryngology with autologous platelet concentrates: a systematic review of clinical outcomes.","authors":"Rizki Ekaputra Handoko, Loeki Enggar Fitri, Mirta Hediyati Reksodiputro, Dhelya Widasmara","doi":"10.1017/S0022215126104320","DOIUrl":"10.1017/S0022215126104320","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the clinical efficacy and potential immunomodulatory effects of autologous platelet concentrates in promoting tissue regeneration and enhancing post-operative recovery in otorhinolaryngology.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus and the Cochrane Library was conducted through November 2025, focusing on randomised controlled trials and prospective studies using autologous platelet concentrates in otological, rhinological and laryngological surgery.</p><p><strong>Results: </strong>Twelve studies met the inclusion criteria. Autologous platelet concentrates improved tissue healing, most notably by increasing graft uptake rates in myringoplasty. Recent trials (2024-2025) also reported reduced post-operative pain and mucosal oedema following tonsillectomy and tympanoplasty.</p><p><strong>Conclusion: </strong>Autologous platelet concentrates appear to be effective adjuncts for enhancing regeneration and reducing post-operative morbidity in ear, nose, and throat procedures. These benefits likely involve downregulation of pro-inflammatory cytokines (e.g., interleukin-6) and modulation of matrix metalloproteinases (e.g., matrix metalloproteinase-9). Standardised biomarker-based studies are needed to confirm these mechanisms.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"346-352"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952413","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}
{"title":"Effectiveness of a cognitive behavioural therapy on patients with chronic rhinosinusitis with nasal polyps: a randomised controlled trial.","authors":"Qi Wang, Ran Shi, Yujie Yan, Ping Liu","doi":"10.1017/S0022215126104381","DOIUrl":"10.1017/S0022215126104381","url":null,"abstract":"<p><strong>Objective: </strong>Chronic rhinosinusitis with nasal polyps patients awaiting functional endoscopic sinus surgery have unmet psychological needs. This study evaluated cognitive behavioural therapy's efficacy in relieving their anxiety, depression and sinus symptoms.</p><p><strong>Methods: </strong>A single-centred randomised controlled trial enrolled 144 patients (51 females, 93 males), randomising 72 to six weeks of cognitive behavioural therapy (cognitive restructuring, behavioural activation) and 72 to routine pre-operative education. Outcomes were assessed via Self-rating Anxiety Scale, Self-rating Depression Scale and Sino-Nasal Outcome Test at pre-intervention and 1, 3, 6 and 12 months post-functional endoscopic sinus surgery.</p><p><strong>Results: </strong>Compared with the control group, the cognitive behavioural therapy group had significantly lower scores at all post-functional endoscopic sinus surgery time points (all <i>p</i> < 0.001), with benefits sustained for one year. Efficacy was consistent across most subgroups (ages and disease duration), except the 61- to 70-year-old cognitive behavioural therapy subgroup with late-phase score increases (still lower than controls).</p><p><strong>Conclusion: </strong>Six weeks of structured cognitive behavioural therapy improves chronic rhinosinusitis with nasal polyps patients' pre-operative mental health and sinus symptoms and should be core to their multimodal pre-rehabilitation.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"407-413"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146125297","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}
{"title":"Residual dizziness after successful canalith repositioning: impact on cognitive function and dual-task performance in BPPV patients.","authors":"Tugce Gurel Soylemez, Emre Söylemez, Öznur Yiğit","doi":"10.1017/S0022215125103812","DOIUrl":"10.1017/S0022215125103812","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the impact of residual dizziness after successful canalith repositioning manoeuvre on cognitive functions and dual-task performance in patients with benign paroxysmal positional vertigo (BPPV).</p><p><strong>Methods: </strong>Forty-four patients with posterior canal BPPV were assessed 1 week after successful treatment and divided into 2 groups: with residual dizziness (<i>n</i> = 22) and without residual dizziness (<i>n</i> = 22). Cognitive function was evaluated using the Stroop test and digit span test. Dual-task performance was assessed with a combination of the timed up and go test and the digit span test.</p><p><strong>Results: </strong>Residual dizziness was associated with longer BPPV duration, and higher anxiety and disability levels (<i>p</i> < 0.05). Patients with residual dizziness performed worse on the Stroop test (<i>p</i> < 0.05), while no significant differences were found in digit span or dual-task performance (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>The results highlight a dynamic interplay between cognitive and vestibular systems. Residual dizziness may impair cognitive performance, while baseline cognitive deficits may also increase vulnerability to residual dizziness.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"465-472"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488728","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}
Bugra Simsek, Nuray Bayar Muluk, Yunus Emre Tokyurek, Mikail Inal, Burak Mustafa Tas, Ziya Şencan, Ela Cömert
{"title":"Evaluation of olfactory fossa and Keros classification in patients with unilateral nasal mucosal contact points.","authors":"Bugra Simsek, Nuray Bayar Muluk, Yunus Emre Tokyurek, Mikail Inal, Burak Mustafa Tas, Ziya Şencan, Ela Cömert","doi":"10.1017/S0022215125104088","DOIUrl":"10.1017/S0022215125104088","url":null,"abstract":"<p><strong>Objective: </strong>We evaluated the olfactory fossa and Keros classification in patients with unilateral mucosal contact points in septal deviation.</p><p><strong>Methods: </strong>Paranasal sinus computed tomography images of 60 patients with mucosal contact points on the septum were compared with those of the control group (<i>N</i> = 60). The Keros types, septal deviation angles, mucosal contact point angles, olfactory fossa widths and depths, crista galli lengths, widths and pneumatisations, as well as the presence of anatomical variations, were analysed.</p><p><strong>Results: </strong>The depth of the olfactory fossa contralateral to the mucosal contact point was greater in patients with septal deviation compared to those without (<i>p</i> < 0.05). A significant correlation was found between increased crista galli height and a higher Keros degree on the right side (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>The presence and differences of mucosal contact points should alert surgeons both before and during the surgical procedure, and further studies on this topic are of great importance.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"428-437"},"PeriodicalIF":0.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145743019","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}