Journal of Laryngology and Otology最新文献_第4页

Sudden hearing loss in enlarged vestibular aqueduct syndrome: a systematic review of treatment and outcomes. 前庭导水管扩大综合征的突发性听力损失：治疗和结果的系统回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105088

Ching Yee Chan, Joshua Nadler, Sheng Yep Brian Yeo, Xue Li Samantha Sim, Joshua Gurberg

{"title":"Sudden hearing loss in enlarged vestibular aqueduct syndrome: a systematic review of treatment and outcomes.","authors":"Ching Yee Chan, Joshua Nadler, Sheng Yep Brian Yeo, Xue Li Samantha Sim, Joshua Gurberg","doi":"10.1017/S0022215126105088","DOIUrl":"10.1017/S0022215126105088","url":null,"abstract":"Objectives: Up to 60 per cent of patients with enlarged vestibular aqueduct syndrome experience sudden hearing loss. This review analyses treatment options and outcomes when sudden hearing loss occurs.Methods: Embase, Ovid MEDLINE and Web of Science databases were the data sources. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and was registered on PROSPERO. The number of patients, episodes, treatments, baseline hearing and change in hearing thresholds after intervention and return to baseline were extracted.Results: The final analysis included 60 episodes of hearing loss from 11 studies, from a search of 1,064 studies. The treatment groups were: 1, no treatment; 2, systemic steroids; 3, salvage hyperbaric oxygen therapy in steroid partial or non-responders. The hearing improvement across the groups was 9.1 per cent, 50 per cent and 89.5 per cent, respectively.Conclusion: Enlarged vestibular aqueduct patients with sudden hearing loss may first be treated with systemic steroids. Salvage hyperbaric oxygen therapy can be considered in steroid non-responders to improve further chances of recovery.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"826-830"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148143685","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

Hearing status amongst medical trainees using personal listening devices: a concern or an overlooked hazard to hearing health? 使用个人助听器的医疗学员的听力状况——听力健康的危害值得关注还是被忽视？

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126104691

Siddharth Manoj, Bikram Choudhury, Swathi Krishna M, Rashmi Hansdah, Vidhu Sharma, Kapil Soni, Amit Goyal

{"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 M, Rashmi Hansdah, Vidhu Sharma, Kapil Soni, Amit Goyal","doi":"10.1017/S0022215126104691","DOIUrl":"10.1017/S0022215126104691","url":null,"abstract":"Objectives: Increased use of personal listening devices such as headphones and earphones can lead to noise-induced hearing loss, especially with prolonged use and high volume. This study aimed to assess hearing status among medical trainees and its relationship with unsafe personal listening device usage.Methods: Cross-sectional study was conducted among 177 medical trainees at a medical college in Western Rajasthan. An online questionnaire assessed personal listening device usage patterns, and hearing status was evaluated.Results: Most preferred in-the-ear personal listening devices (78 per cent) at moderately loud volume (61.6 per cent) for more than 1 hour daily (58.2 per cent). Although 54.2 per cent reported slight hearing loss in at least one ear, no significant association was found between hearing loss and personal listening device type, volume or duration. However, hearing loss was significantly higher in males than females.Conclusion: Contrary to earlier studies, no significant relationship was observed between personal listening device usage patterns and hearing loss, highlighting the need for larger studies using standardised sound exposure assessments.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"872-877"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","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}

引用次数: 0

The effect of hand dominance on results in the Functional Head Impulse Test. 手优势对功能性头部冲动测试结果的影响。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105258

Gülçin Hançer Arslan, Ayşenur Kanık, Aysu Ünlü, Orkun Tahir Aran, Mine Baydan Aran

{"title":"The effect of hand dominance on results in the Functional Head Impulse Test.","authors":"Gülçin Hançer Arslan, Ayşenur Kanık, Aysu Ünlü, Orkun Tahir Aran, Mine Baydan Aran","doi":"10.1017/S0022215126105258","DOIUrl":"10.1017/S0022215126105258","url":null,"abstract":"Objective: The vestibulo-ocular reflex is essential for maintaining visual stability during head movements. Individual neurophysiological characteristics, such as hand dominance, may influence vestibular responses through hemispheric lateralisation. This study aimed to investigate the effect of hand dominance on functional vestibulo-ocular reflex performance using the Functional Head Impulse Test.Methods: Fifty-eight healthy volunteers were classified as right- or left-handed using the Edinburgh Handedness Inventory. Functional Head Impulse Test reading scores were obtained during passive rightward and leftward head impulses at acceleration levels of 4000, 5000 and 6000°/s2.Results: No significant differences were observed between right- and left-handed individuals during rightward head movements. In contrast, during leftward head movements, right-handed individuals demonstrated significantly higher Functional Head Impulse Test scores at 4000 and 6000°/s2, as well as higher total reading scores.Conclusion: Hand dominance influences functional vestibulo-ocular performance, particularly during leftward head impulses. Considering hand dominance in the interpretation of Functional Head Impulse Test results may enhance the accuracy and individualisation of vestibular assessments.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"884-890"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376002","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

Steriwave® a non-antibiotic nasal photodisinfection strategy reduces infection burden in endoscopic skull base surgery. Steriwave®一种非抗生素鼻光消毒策略，可减少内镜下颅底手术的感染负担。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105179

Paul Nix, Nick Phillips, Atul Tyagi, Asim Sheikh

{"title":"Steriwave® a non-antibiotic nasal photodisinfection strategy reduces infection burden in endoscopic skull base surgery.","authors":"Paul Nix, Nick Phillips, Atul Tyagi, Asim Sheikh","doi":"10.1017/S0022215126105179","DOIUrl":"10.1017/S0022215126105179","url":null,"abstract":"Background: Surgical site infection is a major cause of morbidity. Standard pre-operative nasal decolonisation depends on patient-led, multiday topical antibiotics, which suffer from poor adherence and contribute to antimicrobial resistance. Clinician-delivered nasal photodisinfection offers an immediate, non-antibiotic alternative.Methods: A single-centre before-and-after service evaluation compared surgical site infection outcomes before and after implementation of a pre-operative nasal photodisinfection protocol in adults undergoing endoscopic anterior skull base surgery. The primary outcome was 30-day surgical site infection; secondary outcomes were post-operative meningitis and excess bed-stay.Results: Two hundred patients were included (105 standard; 95 photodisinfection). Surgical site infection occurred in 15 patients (14.6 per cent) with standard care versus 3 (3.2 per cent) after photodisinfection, an absolute risk reduction of 11.4 per cent (95 per cent CI 3.7-19.1; p = 0.0059). Meningitis occurred in five standard-care patients and none after photodisinfection. Compliance was 100 per cent, with no adverse events.Conclusion: Photodisinfection was associated with substantially reduced surgical site infection.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"907-911"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301991","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

Superior semi-circular canal dehiscence syndrome: quantifying the effectiveness of treatment from the patient's perspective - ERRATUM. 上半规管开裂综合征：从患者角度量化治疗效果-勘误。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126104551

N Mehta, E Arram, M J Rouhani, L Dimitrov, H K Ubhi, S Khalil, S Saeed

引用次数: 0

Cochlear implantation without general anaesthesia: a resource-efficient surgical pathway. 无全身麻醉人工耳蜗植入术：一种资源高效的手术途径。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S002221512610543X

Holly Mould, Emma Stapleton

{"title":"Cochlear implantation without general anaesthesia: a resource-efficient surgical pathway.","authors":"Holly Mould, Emma Stapleton","doi":"10.1017/S002221512610543X","DOIUrl":"10.1017/S002221512610543X","url":null,"abstract":"Objectives: This study aimed to compare the environmental and financial impact of cochlear implantation performed with and without general anaesthesia.Methods: Two cochlear implant procedures performed on the same day by the same surgical and anaesthetic teams were prospectively evaluated: one under total intravenous anaesthesia with bispectral index monitoring, and one under local anaesthesia with propofol sedation. Anaesthetic drugs, consumables, equipment, electricity use and procedural duration were recorded. Financial costs were estimated using procurement data and national formularies. Carbon dioxide equivalent emissions were calculated using published conversion factors.Results: Local anaesthesia was associated with lower cost (£59 vs. £179) and lower carbon footprint (2.85 vs. 5.28 kg carbon dioxide equivalent). Procedural duration was similar between pathways (71 vs. 74 minutes).Conclusion: Cochlear implantation without general anaesthesia may reduce environmental and financial cost without prolonging procedural duration. Anaesthetic pathway selection represents a modifiable determinant of resource use in otological practice.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"916-917"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412010","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

Microbiological findings in persistent otologic infections in a community otolaryngology clinic: a retrospective case series. 社区耳鼻喉科门诊持续耳科感染的微生物学发现：回顾性病例系列。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S002221512610526X

Chang Hyeon Lee, Jeong-Ih Shin, Min-Kyoung Shin, Seung-Chan Yang

{"title":"Microbiological findings in persistent otologic infections in a community otolaryngology clinic: a retrospective case series.","authors":"Chang Hyeon Lee, Jeong-Ih Shin, Min-Kyoung Shin, Seung-Chan Yang","doi":"10.1017/S002221512610526X","DOIUrl":"10.1017/S002221512610526X","url":null,"abstract":"Objectives: Persistent otologic infections are common, yet microbiological data from primary care clinics remain limited. This study characterised culture findings in patients with persistent otologic symptoms.Methods: We conducted a retrospective case series at a primary care clinic in South Korea. Ear discharge cultures were reviewed in patients with symptoms lasting longer than one month and prior exposure to ototopical and/or systemic antibiotics.Results: Twenty-seven specimens from 24 patients were analysed. Otitis externa accounted for 92.6 per cent of cases. Staphylococcus aureus was the most common isolate, including methicillin-susceptible (48.1 per cent) and methicillin-resistant strains (11.1 per cent), with frequent fluoroquinolone non-susceptibility. Pseudomonas aeruginosa was identified in 14.8 per cent of specimens. Bacterial-fungal co-isolation occurred in 48.1 per cent, most commonly involving Candida species. Culture findings led to treatment modification in 29.6 per cent of specimens.Conclusion: Selective ear discharge cultures may help guide management in primary care patients with persistent symptoms and prior antimicrobial exposure.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"891-895"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301988","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

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 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S002221512510426X

Adan Chew

引用次数: 0

Audiological Outcomes in 465 Primary Myringoplasties: Reporting Pitfalls and Lessons Learned. 465例原发性耳膜成形术的听力学结果：报告缺陷和经验教训。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105180

Resul Arjin Öksüz, Simon E Thurnheer, Rong Yu, Gunther Pabst, Christoph Schlegel, Thomas Linder

引用次数: 0

BIA400 versus Ponto Wide: a long-term retrospective analysis of implant stability, tolerability and survival in bone conduction devices. BIA400与Ponto Wide：骨传导装置种植体稳定性、耐受性和存活率的长期回顾性分析

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105027

Florine de Haan, Jeroen Peters, Pauline van Kempen, Ruben Strijbos, Steven Bom

{"title":"BIA400 versus Ponto Wide: a long-term retrospective analysis of implant stability, tolerability and survival in bone conduction devices.","authors":"Florine de Haan, Jeroen Peters, Pauline van Kempen, Ruben Strijbos, Steven Bom","doi":"10.1017/S0022215126105027","DOIUrl":"10.1017/S0022215126105027","url":null,"abstract":"Objective: The purpose of this single-centre retrospective study was to determine the long-term outcomes of the BIA400 and Ponto Wide, in terms of implant stability, soft tissue reactions, skin thickening and implant loss.Methods: Adults who had the BIA400 or Ponto Wide implanted between January 2013 and December 2023 and had at least two follow-up appointments were included, leading to a cohort of 93 BIA400 and 114 Ponto Wide implants.Results: Significantly more soft tissue reactions with a Holgers Scale score of 1 or greater (p = 0.003), adverse soft tissue reactions of Holgers Scale score of 2 or greater (p = 0.018), skin thickening (p < 0.001) and skin thickening requiring treatment (p ≤ 0.001) occurred in the BIA400 group. No difference in implant stability was found. One BIA400 implant (1.1 per cent) and three Ponto Wide implants (2.7 per cent) were lost.Conclusion: Both implants have excellent implant stability and similar implant survival rates. The Ponto Wide has favourable outcomes in terms of (adverse) soft tissue reaction and skin thickening (requiring treatment).","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"859-867"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217794","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