{"title":"Communication and swallowing outcomes following functional salvage total laryngectomy.","authors":"Jane Dunton, Sally Archer, Ricard Simo","doi":"10.1017/S0022215125103423","DOIUrl":"10.1017/S0022215125103423","url":null,"abstract":"<p><strong>Objectives: </strong>Severe laryngeal dysfunction following (chemo)radiotherapy for head and neck cancer may be managed with functional salvage total laryngectomy (FSTL). We investigated communication and swallowing outcomes following FSTL at our tertiary centre.</p><p><strong>Methods: </strong>All patients treated with FSTL from 2009-2023 were included. Functional Oral Intake Scale score and primary mode of communication were recorded at pre-surgical baseline, point of discharge from inpatient admission, six and 12 months post-surgery.</p><p><strong>Results: </strong>Ten patients were identified. Pre-surgery all patients were nil by mouth due to severe dysphagia, and 70 per cent were communicating verbally. By 12 months post-surgery, 70 per cent were tolerating full oral intake and 40 per cent were using surgical voice restoration as the primary mode of communication.</p><p><strong>Conclusion: </strong>Variability in functional outcome must be explained to patients who are offered surgical management of non-functioning larynx, and further work is needed to identify factors that may influence outcome.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957549","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}
Oscar Guest, Leo Gundle, Liam Hyland, Atia Khan, Christian Grimes, Bhavesh Tailor
{"title":"What makes a high-quality ENT resident doctor induction? A national survey of 380 participants.","authors":"Oscar Guest, Leo Gundle, Liam Hyland, Atia Khan, Christian Grimes, Bhavesh Tailor","doi":"10.1017/S0022215125103459","DOIUrl":"https://doi.org/10.1017/S0022215125103459","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-14"},"PeriodicalIF":0.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957497","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}
Andrew Lotfallah, Alica Torres-Rendon, Lavandan Jegatheeswaran, Basavaiah Natesh
{"title":"Assessing the efficacy of core needle biopsies in the diagnostic workup of thyroid nodules.","authors":"Andrew Lotfallah, Alica Torres-Rendon, Lavandan Jegatheeswaran, Basavaiah Natesh","doi":"10.1017/S0022215125103381","DOIUrl":"https://doi.org/10.1017/S0022215125103381","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-17"},"PeriodicalIF":0.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957505","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}
Holly Jones, Raghad Alshamassi, Sinead Ryan, Louise Bowden, Andrew Moran, Anna E Smyth, Colleen Heffernan
{"title":"Ultra-low dose CT for Suspected Paediatric Foreign Body Aspiration: Comparison with conventional radiograph.","authors":"Holly Jones, Raghad Alshamassi, Sinead Ryan, Louise Bowden, Andrew Moran, Anna E Smyth, Colleen Heffernan","doi":"10.1017/S0022215125103356","DOIUrl":"https://doi.org/10.1017/S0022215125103356","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-13"},"PeriodicalIF":0.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957574","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}
Ben Walters, Sanjay Patel, Valerie Kim, Hussein Walijee
{"title":"Delayed facial nerve palsy following otological surgery: systematic review and narrative synthesis.","authors":"Ben Walters, Sanjay Patel, Valerie Kim, Hussein Walijee","doi":"10.1017/S0022215125103435","DOIUrl":"10.1017/S0022215125103435","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to review the incidence, outcomes and treatment of delayed facial nerve palsy (DFP) following otological surgery.</p><p><strong>Methods: </strong>MEDLINE, Pubmed, Embase and The Cochrane Central Register of Controlled Trials were searched up to 10 May 2024. A systematic review was conducted per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines of studies reporting on DFP following otological surgery. The risk of bias was assessed using the JBI critical appraisal tools.</p><p><strong>Results: </strong>Forty-nine articles were included with 201 instances of DFP following 24,917 operations from 1967 to 2021. The mean day of onset post-operatively was 8.4. 93 per cent of episodes fully recovered, with most cases taking between eight days and one month to recover.</p><p><strong>Conclusion: </strong>Many theories of the pathogenesis of DFP exist. It is rare and has an excellent prognosis following treatment with corticosteroids with or without anti-viral therapy.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-9"},"PeriodicalIF":0.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957541","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":"How I do it: application of endoscopic underwater technique in exoscopic cochlear implantation.","authors":"Sida Huang, Bin Xiong, Yong Cui","doi":"10.1017/S0022215125103010","DOIUrl":"10.1017/S0022215125103010","url":null,"abstract":"<p><strong>Objectives: </strong>To address the challenge of observing the round window niche during exoscopic cochlear implantation, an assisted endoscopic underwater drilling technique was developed.</p><p><strong>Methods: </strong>To improve visibility, we introduced an endoscopic underwater technique after posterior tympanotomy for enhanced visualization of round window area. The procedure transitions between the exoscope and endoscope, with saline irrigation clearing bone dust and blood.</p><p><strong>Results: </strong>Operation times were slight longer, but it offered enhanced safety and ergonomic advantages.</p><p><strong>Conclusion: </strong>This technique enhances clarity for safe manipulation of the round window area, improving cochlear implantation outcomes by optimizing surgical precision and reducing complications.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":0.8,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799364","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":"Have we made any undergraduate medical education improvements since coronavirus disease 2019? A systematic review of ENT teaching.","authors":"Timothy Davies, Thomas Hampton","doi":"10.1017/S002221512510296X","DOIUrl":"10.1017/S002221512510296X","url":null,"abstract":"<p><strong>Objectives: </strong>Otolaryngology/ear, nose and throat conditions are common in clinical practice, yet undergraduate exposure in UK medical schools remains limited. The coronavirus disease 2019 pandemic created opportunities to innovate medical education. This review explores the scope of advance in otolaryngology undergraduate education following the coronavirus disease 2019 pandemic.</p><p><strong>Methods: </strong>A search of MEDLINE, Embase, Cochrane, and Education Resources Information Center databases was conducted. Studies that met inclusion criteria were subject to risk-of-bias assessment and narrative analysis.</p><p><strong>Results: </strong>Interventions such as mixed reality, cadaveric teaching, and anatomical models improved short-term performance and student satisfaction. Surveys limited advancement in clinical exposure to otolaryngology/ear, nose and throat, when compared to pre-coronavirus-disease literature.</p><p><strong>Conclusion: </strong>Despite the potential for reform following the pandemic, there has been no significant advancement in the provision of undergraduate medical education in the post-coronavirus-disease era. Standardisation of undergraduate education is needed to mirror recent changes to assessment in undergraduate education in the UK.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799363","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":"Measuring the cochlea: comparison between otoplan and curved multiplanar reconstruction and literature review.","authors":"Sushovit Sharma Luitel, Manu Malhotra, Madhu Priya, Abhishek Bhardwaj, Sailaja Timmaraju, Pankaj Sharma, Shriya Bhattarai, Shreya Mishra","doi":"10.1017/S0022215125102934","DOIUrl":"10.1017/S0022215125102934","url":null,"abstract":"<p><strong>Objectives: </strong>To compare two high-resolution computerised tomography based pre-surgical planning software in measuring the cochlear dimensions, which can aid in designing/choosing customised cochlear implant electrodes.</p><p><strong>Methods: </strong>A cross-sectional-observational study was conducted in a tertiary care centre using high-resolution computerised tomography-supported software Otoplan and curved multi-planar reconstruction to find cochlear duct length's maximum and minimum width/diameter and height in 110 ears (55 subjects). Measurements and the time taken by both techniques were compared.</p><p><strong>Results: </strong>There were no significant differences in the measurements taken with the two software; however, the time taken for analysis was significantly higher for curved multi-planar reconstruction than with Otoplan.</p><p><strong>Conclusion: </strong>The steep learning curve, the need for an expert radiologist and the difficulty of use are factors that significantly limit the use of curved multi-planar reconstruction. Otoplan requires less time and can be operated even by someone with less expertise in measuring cochlear dimensions for pre-surgical planning and research.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144789361","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}
Niall James McInerney, Gerard P Sexton, Adam Roche, Martin Donnelly, Liam Skinner
{"title":"Development of an undergraduate otorhinolaryngology simulation education and human factors module: its impact on students' attitudes and perceptions.","authors":"Niall James McInerney, Gerard P Sexton, Adam Roche, Martin Donnelly, Liam Skinner","doi":"10.1017/S0022215125103009","DOIUrl":"10.1017/S0022215125103009","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the impact of a two-week otolaryngology rotation incorporating entrustable professional activities, human factors and simulation on medical students' knowledge, perceptions and career aspirations.</p><p><strong>Methods: </strong>The curriculum included six small-group sessions on compassion, communication, resilience, teamwork and professionalism, and three simulations: suturing, flexible nasendoscopy and grommet insertion. These were delivered alongside standard teaching. Pre- and post-rotation questionnaires assessed otolaryngology knowledge, career interest, surgical confidence and attitudes toward simulation and human factors.</p><p><strong>Results: </strong>While students' interest in surgical careers remained unchanged, they reported improved comfort with otolaryngology knowledge, operating theatre environments and recognition of non-technical skills. Perceptions of simulation and essential surgeon qualities significantly improved.</p><p><strong>Conclusion: </strong>Integrating entrustable professional activities, human factors education and simulation into short surgical rotations enhances both technical and non-technical skills. This approach may help address challenges in attracting students to surgery by enriching their educational experience and building confidence.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-4"},"PeriodicalIF":0.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784545","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}