Journal of Laryngology and Otology最新文献_第3页

Is day surgery tonsillectomy safe? A consecutive surgery case-series in an Australian setting. 日间扁桃体切除术安全吗？在澳大利亚设置的连续手术病例系列。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-10 DOI: 10.1017/S0022215125000441

Sophie Dunmall, Eng Hooi Ooi

{"title":"Is day surgery tonsillectomy safe? A consecutive surgery case-series in an Australian setting.","authors":"Sophie Dunmall, Eng Hooi Ooi","doi":"10.1017/S0022215125000441","DOIUrl":"10.1017/S0022215125000441","url":null,"abstract":"Objectives: To assess the outcomes of a protocol-led, same-day discharge for elective tonsillectomy patients.Design: A retrospective case-series of all tonsillectomies performed from January 2018 to May 2023 at a tertiary hospital in Adelaide, Australia. The primary outcome was rate of readmission within 24 hours for same-day surgery compared to hospital-stay tonsillectomy patients. Secondary outcomes included post-tonsillectomy haemorrhage.Results: During the study period, 1658 elective tonsillectomies were performed, with 664 patients (40.0 per cent) discharged the same day following tonsillectomy. The readmission rate within 24 hours was comparable between the two groups: 0.60 per cent for day surgery and 0.64 per cent for those who stayed overnight in hospital (Χ2(1, N = 1600) = 0.009, p = 0.9244). The primary post-tonsillectomy haemorrhage rate for day-surgery patients was 0.3 per cent, with a relative risk of 0.5 (Χ2(1, N = 1658) = 0.751, p = 0.3862).Conclusion: The low readmission and primary post-tonsillectomy haemorrhage rates indicate that a protocol-led, same-day tonsillectomy is safe and feasible to implement in carefully selected patients.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008536","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

Optimal Meatoplasty In Canal Wall Down Tympanomastoidectomy: A Smaart 2 Flap Technique. 鼓室乳突切除术中最佳肉成形术：一种smart 2瓣技术。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-10 DOI: 10.1017/S0022215125000490

Glynis Francis, Mary Kurien, Sithananda Kumar Venkatesan, J Jishana, N Rajarajeswari, T C Vikram Raj Mohanam, V M Lakshanadeve

引用次数: 0

The characteristic of conventional and extended high-frequency audiometry in older adults - a community-based investigation in South China. 老年人常规高频测听和扩展高频测听的特征——华南地区的一项社区调查。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-10 DOI: 10.1017/S0022215125000489

Qiyang Sun, Mengqi Zhao, Xiaomei Sun, Yanfeng Deng, Yuzhi Zhang, Guanxia Xiong, Fanqin Wei

{"title":"The characteristic of conventional and extended high-frequency audiometry in older adults - a community-based investigation in South China.","authors":"Qiyang Sun, Mengqi Zhao, Xiaomei Sun, Yanfeng Deng, Yuzhi Zhang, Guanxia Xiong, Fanqin Wei","doi":"10.1017/S0022215125000489","DOIUrl":"10.1017/S0022215125000489","url":null,"abstract":"Objectives: To define extended high-frequency hearing threshold ranges in normal hearing elderly (aged 55 years and above) and identify associated risk factors for extended high-frequency hearing loss.Methods: Pure-tone thresholds (0.25-16 kHz) and word recognition scores were measured using portable audiometric equipment. Lifestyle and medical histories were collected, and generalised linear models analysed risk factors for extended high-frequency hearing (10-12 kHz).Results: In normal hearing elderly (28 ears, 18 subjects), 95 per cent confidence intervals for 10 and 12 kHz were 34.770-49.301 and 56.976-65.809, respectively. Among 342 ears (200 subjects), hypertension emerged as a leading risk factor for extended high-frequency hearing loss, while lipid-lowering medications showed potential protective effects.Conclusion: Preliminary extended high-frequency hearing thresholds were established, with hypertension identified as a key risk factor and lipid-lowering medications as a potential protective factor.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970397","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

Comparing tonsillectomy vs tonsil biopsy in the diagnosis of palatine tonsil squamous cell carcinoma - a retrospective analysis of subsequent resection margins. 扁桃体切除术与扁桃体活检诊断腭扁桃体鳞状细胞癌的比较——对后续切除边缘的回顾性分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-08 DOI: 10.1017/S0022215125000416

Christopher Heining, James Constable, Oliver Dale

引用次数: 0

Smoking attitudes in patients referred to a city-wide urgent ENT head and neck cancer service: an exploratory study looking at current smokers. 在城市范围内紧急耳鼻喉科头颈癌服务的患者吸烟态度：一项针对当前吸烟者的探索性研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-08 DOI: 10.1017/S0022215125000131

Ehsan E Salim, Alison Lim, Jenny Montgomery

{"title":"Smoking attitudes in patients referred to a city-wide urgent ENT head and neck cancer service: an exploratory study looking at current smokers.","authors":"Ehsan E Salim, Alison Lim, Jenny Montgomery","doi":"10.1017/S0022215125000131","DOIUrl":"10.1017/S0022215125000131","url":null,"abstract":"Objective: Smoking is a risk factor for head and neck cancer. Referral for suspected head and neck cancer can be an opportunity for reassessing smoking behaviour. This study examined attitudes towards smoking in patients referred urgently with suspected head and neck cancer.Method: A total of 98 smokers were referred urgently for suspected head and neck cancer. Patients completed the Fagerstrom Test for Nicotine Dependence and the Perceived Risk and Benefits Questionnaire.Results: In the Fagerstrom Test for Nicotine Dependence, higher education background (education beyond secondary or high school level) had a lower dependence score (p = 0.02) and men were more likely to have higher dependence scores (p = 0.02). In the Perceived Risk and Benefits Questionnaire, women scored higher for concerns regarding the negative effects of smoking cessation (p = 0.01) and the perceived health benefits of smoking cessation were greater in those with higher education (p = 0.03).Conclusion: Men are more nicotine dependent. Women are concerned about perceived side effects of smoking cessation. Patients with a higher education background are more receptive to cessation interventions and should be identified early.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803411","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

Local anaesthetic Eustachian tube balloon dilatation: a prospective case-series analysis of 31 patients. 局部麻醉咽鼓管球囊扩张：31例前瞻性病例系列分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-07 DOI: 10.1017/S0022215125000465

Edward Balai, Elizabeth Bullock, Talisa Ross, Mark Ferguson

{"title":"Local anaesthetic Eustachian tube balloon dilatation: a prospective case-series analysis of 31 patients.","authors":"Edward Balai, Elizabeth Bullock, Talisa Ross, Mark Ferguson","doi":"10.1017/S0022215125000465","DOIUrl":"10.1017/S0022215125000465","url":null,"abstract":"Objectives: Eustachian tube balloon dilatation performed for obstructive Eustachian tube dysfunction can lead to improvements in symptoms and a reduction in Eustachian Tube Dysfunction Questionnaire-7 scores. While historically performed under general anaesthetic, studies have demonstrated that Eustachian tube balloon dilatation can be performed under local anaesthetic with equivalent efficacy. We describe our local anaesthetic protocol used to perform Eustachian tube balloon dilatation in the out-patient setting and report outcomes from our case series.Methods: Prospective analysis of all patients undergoing Eustachian tube balloon dilatation between October 2019 and July 2024.Results: Thirty-one patients underwent 40 dilatations under local anaesthetic. All were well tolerated, with no adverse events. There was a statistically significant decrease in the average total Eustachian Tube Dilatation Questionnaire-7 score of -6.75 points (p = 0.0029) at short-term follow-up and of -7.58 points (p = 0.034) at long-term follow-up.Conclusion: Our study provides further evidence that Eustachian tube balloon dilatation for obstructive Eustachian tube dysfunction can improve Eustachian Tube Dilatation Questionnaire-7 scores, and can be performed successfully under local anaesthetic in the out-patient setting.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795680","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

A systematic review of SARS-CoV-2 associated sudden onset sensorineural hearing loss. 与 SARS-CoV-2 相关的突发性感音神经性听力损失的系统回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-04 DOI: 10.1017/S002221512500026X

Maisie Fouweather, Benjamin Talks, Nicholas Dawe, Michael Mather

{"title":"A systematic review of SARS-CoV-2 associated sudden onset sensorineural hearing loss.","authors":"Maisie Fouweather, Benjamin Talks, Nicholas Dawe, Michael Mather","doi":"10.1017/S002221512500026X","DOIUrl":"10.1017/S002221512500026X","url":null,"abstract":"Objectives: Sudden onset sensorineural hearing loss has been associated with infection by severe acute respiratory syndrome coronavirus-2. However, little is known regarding how this differs from sudden onset sensorineural hearing loss of other aetiologies. This systematic review summarises existing literature on severe acute respiratory syndrome coronavirus-2 associated sudden onset sensorineural hearing loss treatment and outcomes.Methods: A literature search using Ovid was performed for studies which evaluated treatments and outcomes of patients with sudden onset sensorineural hearing loss associated with severe acute respiratory syndrome coronavirus-2 infection.Results: A total of 99 studies were identified, from which 14 studies were selected for inclusion - collectively including 154 patients. Nine of these studies were single participant case reports and five were larger case series. Corticosteroid treatment varied between studies in terms of administration route, dose, and duration. Only 63/154 patients in this review achieved complete resolution of their symptoms following steroid treatment.Conclusion: Oral, intravenous, and intratympanic steroids demonstrate a good safety profile. However, the majority of patients are left with unresolved hearing loss.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780126","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

Ablation of excess mucosa around aryepiglottic folds during drug-induced sleep endoscopy to treat obstructive sleep apnoea: a case report. 在药物诱导睡眠内窥镜检查中消融杓会厌皱襞周围多余的粘膜以治疗阻塞性睡眠呼吸暂停--病例报告。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-04 DOI: 10.1017/S0022215125000428

Mohamedbaqir Rassan, Kimberly D'Mello, David Roshan, Christopher Low, Justin Imrie

{"title":"Ablation of excess mucosa around aryepiglottic folds during drug-induced sleep endoscopy to treat obstructive sleep apnoea: a case report.","authors":"Mohamedbaqir Rassan, Kimberly D'Mello, David Roshan, Christopher Low, Justin Imrie","doi":"10.1017/S0022215125000428","DOIUrl":"10.1017/S0022215125000428","url":null,"abstract":"Objective: Redundant supraglottic and laryngeal mucosa associated with obstructive sleep apnoea is a rare pathology with limited representation in the literature. This article presents the novel case of a 40-year-old male patient with obstructive sleep apnoea for whom previous conservative treatments proved ineffective.Methods: Drug-induced sleep endoscopy identified excess mucosa around the aryepiglottic folds leading to laryngeal inlet occlusion during inspiration and resulting in apnoeic episodes.Results: Following drug-induced sleep endoscopy, targeted ablation of the redundant mucosa was performed, leading to improvements in their obstructive sleep apnoea and subjective quality of life. This case represents the first report with videographic evidence of drug-induced sleep endoscopy used both for pre-treatment phenotyping and post-treatment assessment of this condition.Conclusion: Although the pathophysiological mechanisms linking redundant supraglottic mucosa to obstructive sleep apnoea remain poorly understood, drug-induced sleep endoscopy has proven to be a valuable diagnostic tool. The authors advocate for routine airway examination extending to the larynx to identify patients with this condition.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780128","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

Percutaneous bone-anchored hearing rehabilitation in adults: the Nottingham experience over a five-year period. 成人经皮骨锚定听力康复-诺丁汉5年的经验。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-04 DOI: 10.1017/S002221512500043X

Tony Hao, Ali Ijaz, Wai Sum Cho, Anand Kasbekar

{"title":"Percutaneous bone-anchored hearing rehabilitation in adults: the Nottingham experience over a five-year period.","authors":"Tony Hao, Ali Ijaz, Wai Sum Cho, Anand Kasbekar","doi":"10.1017/S002221512500043X","DOIUrl":"10.1017/S002221512500043X","url":null,"abstract":"Objective: Bone-conduction hearing devices provide good hearing outcomes for conductive/mixed hearing losses. Complications post-insertion can lead to additional procedures. Identifying factors that may increase likelihood of developing complications can mitigate risk and inform patients.Method: A retrospective cohort analysis of 166 adults receiving bone-anchored hearing aid connect operations from 2016-2021 was performed assessing complication rate and contributing factors causing revision procedures.Results: Twenty-nine per cent of patients had post-operative complications. In total, 17.5 per cent needed additional procedures. Skin overgrowth/infection, granulation and traumatic extrusion were most common reasons. No difference was found in complication rate between different surgical techniques, surgeon grade or general versus local anaesthetic. More complications were observed in decreasing age, male gender and severity of skin reaction.Conclusion: Revision procedure and complication rates are similar to those reported in published literature. Patient characteristics are important in identifying those likely to develop complications. Non-patient factors did not seem to affect complication rate.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780136","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

Evaluating Tracheostomy Techniques in Severe COVID-19: Open vs. Percutaneous Approaches. 评估严重 COVID-19 的气管切开技术：开放式方法与经皮方法。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-04-04 DOI: 10.1017/S0022215125000477

Dean Kennedy, Nicholas Y K Chong, Michelle T Wiegn, Jonathan M Carnino, Jessica R Levi

引用次数: 0