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

Echoes of the larynx: harnessing acoustic analysis as a key tool for monitoring laryngeal health in inhalational therapy patients. 喉的回声：利用声学分析作为监测吸入治疗患者喉部健康的关键工具。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102752

Sharad Ashish, Nirmal Coumare V, Pajanivel R, Padmanabhan Karthikeyan

{"title":"Echoes of the larynx: harnessing acoustic analysis as a key tool for monitoring laryngeal health in inhalational therapy patients.","authors":"Sharad Ashish, Nirmal Coumare V, Pajanivel R, Padmanabhan Karthikeyan","doi":"10.1017/S0022215125102752","DOIUrl":"10.1017/S0022215125102752","url":null,"abstract":"Objectives: This study evaluated laryngeal changes and voice quality in patients with obstructive lung disease treated with combination inhalational agents.Methods: A prospective observational study at a tertiary care hospital in southern India included 112 newly diagnosed obstructive lung disease patients. Initial assessments involved history-taking, clinical examination, direct laryngoscopy and voice analysis using PRAAT® software. Parameters such as mean pitch, jitter, shimmer, harmonic-to-noise ratio and maximum phonation time were measured, with follow-ups at 3, 6 and 12 months.Results: Patients had a mean age of 43.05 years. Progressive laryngeal changes, including oedema (5.3 per cent) and hyperaemia (7.1 per cent), were noted by 12 months. Significant increases in shimmer and jitter, along with decreases in harmonic-to-noise ratio and maximum phonation time, indicated deteriorating voice quality (p < 0.001).Conclusion: Long-term inhalational corticosteroid use in obstructive lung disease patients leads to progressive laryngeal changes and voice deterioration, emphasising the need for vocal function monitoring and preventive strategies.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626511","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

Prognostic analysis and nomogram prediction model construction of severe full-frequency sudden sensorineural hearing loss. 重度全频突发性感音神经性听力损失的预后分析及nomogram预测模型构建。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-08 DOI: 10.1017/S0022215125102582

Li Lijuan, Luo Jiasheng, Yang Yintong, Zhu Guanxia, Huo Meixu, Zhai Songyu, Song Shanghua

{"title":"Prognostic analysis and nomogram prediction model construction of severe full-frequency sudden sensorineural hearing loss.","authors":"Li Lijuan, Luo Jiasheng, Yang Yintong, Zhu Guanxia, Huo Meixu, Zhai Songyu, Song Shanghua","doi":"10.1017/S0022215125102582","DOIUrl":"https://doi.org/10.1017/S0022215125102582","url":null,"abstract":"Objectives: This stidy aimed to identify factors influencing prognosis in severe full-frequency sudden sensorineural hearing loss and develop an early prognostic tool.Methods: A total of 194 patients with severe full-frequency sudden sensorineural hearing loss were analyzed. Univariate analysis screened variables, followed by multivariate logistic regression to construct a nomogram prediction model. Model performance was evaluated using a receiver operating characteristics curve.Results: Significant differences (p < 0.05) were found between ineffective and effective treatment groups in gender, age, contralateral ear hearing, duration of hearing loss, dizziness/vertigo, hypertension, platelet count and fibrinogen levels (Fib1, Fib2, Fib3). The nomogram model, incorporating these factors, showed good calibration. The receiver operating characteristics curve analysis revealed an area under the curve of 0.880 (95 per cent confidence interval: 0.829-0.931), with sensitivity of 80.7 per cent and specificity of 87.5 per cent.Conclusion: The nomogram model, integrating 11 factors, effectively predicts prognosis in severe full-frequency sudden sensorineural hearing loss.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584146","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

Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines, Sixth Edition - CORRIGENDUM. 头颈癌：英国国家多学科指南，第六版-勘误表。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-26 DOI: 10.1017/S0022215125102491

Jarrod J Homer, Stuart C Winter

引用次数: 0

Scapular tip free flap reconstruction of complex midface defects using electromagnetic navigation. 电磁导航用于复杂中面缺损的肩胛骨尖端游离皮瓣重建。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-26 DOI: 10.1017/S002221512510248X

Jérôme Costisella, Mathieu Belzile, Pierre-Hugues Fortier, Laurent Fradet

引用次数: 0

Vestibular dysfunction and hearing outcome in idiopathic sudden sensorineural hearing loss. 特发性突发性感音神经性听力损失的前庭功能障碍和听力结局。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-25 DOI: 10.1017/S0022215125000672

Ali Omidvari, Alimohamad Asghari, Mohsen Ahadi, Ahmad Daneshi, Zahra Azad

{"title":"Vestibular dysfunction and hearing outcome in idiopathic sudden sensorineural hearing loss.","authors":"Ali Omidvari, Alimohamad Asghari, Mohsen Ahadi, Ahmad Daneshi, Zahra Azad","doi":"10.1017/S0022215125000672","DOIUrl":"https://doi.org/10.1017/S0022215125000672","url":null,"abstract":"Objective: To describe vestibular dysfunction accompanied by sudden sensorineural hearing loss and explore its potential prognostic role.Methods: A total of 44 Idiopathic Sudden Sensorineural Hearing loss cases were enrolled. Pure tone audiometry (PTA) was performed at the first visit and three months after standard therapy. Patients' improvement and severity of hearing loss were categorised based on Siegel and American Speech and Hearing Association criteria. Their recovery rate and factors affecting recovery were explored.Results: The mean age of the participants was 52.1 years. The caloric and cervical vestibular-evoked myogenic potential test abnormalities were detected in 36.4 and 31.8 per cent of participants. Vertigo was present in 36.4 per cent at the first visit. Based on American Speech and Hearing Association criteria, 16 patients experienced at least 1 grade improvement to a less severe hearing loss status at the follow up. A total of 31.7 per cent of patients demonstrated complete or partial recovery. Vestibular dysfunction was associated with poorer PTA results.Conclusion: Abnormal caloric and cervical vestibular-evoked myogenic potential tests, as well as the presence of vertigo, can indicate more profound inner-ear damage.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484758","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

Beyond frequency: duration, intensity, and quality of life in Ménière's disease. 超越频率：msami病的持续时间、强度和生活质量。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-24 DOI: 10.1017/S0022215125102624

Tomàs Pérez-Carbonell, Miguel Orts-Alborch, Vanesa Pérez-Guilén, Ignacio Pla-Gil, Clara Espina-González, Maria Aragonés-Redó, Jaime Marco-Algarra

{"title":"Beyond frequency: duration, intensity, and quality of life in Ménière's disease.","authors":"Tomàs Pérez-Carbonell, Miguel Orts-Alborch, Vanesa Pérez-Guilén, Ignacio Pla-Gil, Clara Espina-González, Maria Aragonés-Redó, Jaime Marco-Algarra","doi":"10.1017/S0022215125102624","DOIUrl":"10.1017/S0022215125102624","url":null,"abstract":"Objective: To analyse the evolution of the vertigo index and its relationship with perceived disability in unilateral and bilateral Ménière's disease, assessing differences based on disease progression and clinical subtypes.Methods: A longitudinal descriptive study was conducted on unilateral and bilateral Ménière's disease patients, with data collected between 1977 and 2023 from two referral centres. Clinical and functional data were retrospectively reviewed to ensure compliance with updated diagnostic criteria. The vertigo index, integrating episode duration and frequency, quantified vertigo burden. Functional impact was assessed using the six-item American Academy of Otolaryngology Head and Neck Surgery disability scale, categorising patients into mild or moderate/severe disability groups.Results: Bilateral Ménière's disease patients had a higher proportion of moderate/severe episodes (31.4 per cent) than unilateral Ménière's disease patients (11 per cent). In unilateral Ménière's disease patients, disability perception increased after 20 years of disease evolution. The vertigo index declined over time, except in later stages, where episodes were more disabling.Conclusion: These findings underscore the need for long-term follow up, particularly in bilateral Ménière's disease, where greater disability was observed. Disease management should adapt over time, addressing both vertigo burden and psycho-affective consequences.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475593","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

Bilateral radiation-induced squamous cell carcinoma of the external auditory canal: the effect of immunosuppressive therapy. 双侧放射诱导的外耳道鳞状细胞癌：免疫抑制治疗的效果。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-24 DOI: 10.1017/S0022215125102569

Cole Needham, Jonn Wu, Desmond A Nunez

{"title":"Bilateral radiation-induced squamous cell carcinoma of the external auditory canal: the effect of immunosuppressive therapy.","authors":"Cole Needham, Jonn Wu, Desmond A Nunez","doi":"10.1017/S0022215125102569","DOIUrl":"10.1017/S0022215125102569","url":null,"abstract":"Background: Squamous cell carcinoma of the external auditory canal is rare, with bilateral cases even rarer. We report the management of a patient with bilateral external auditory canal squamous cell carcinoma related to radiotherapy and immunosuppression.Case report: A 47-year-old woman with a history of radiotherapy 14 years prior and renal transplantation 6 years prior presented with bilateral external auditory canal squamous cell carcinoma. Squamous cell carcinoma was excised with a purely surgical approach. The two operations included a tympanic membrane graft to preserve hearing on the left side. The patient remains disease-free six months post-op. She uses a bone-conduction hearing aid to good effect on the right side and has mild hearing loss on the left. The operative areas have healed well.Discussion: The patient's previous radiotherapy and immunosuppression may have contributed to her bilateral external auditory canal squamous cell carcinoma. Preventative positron emission tomography scans have the potential to identify second malignancies early, allowing more conservative treatment plans.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475594","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 saccule and gravity. 糖囊和重力。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-23 DOI: 10.1017/S0022215125102600

Hiroaki Ichijo, Hisako Ichijo

引用次数: 0

A new perspective on primary Sjogren's syndrome: investigation of vestibular and balance functions. 原发性干燥综合征的新视角：前庭和平衡功能的研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-20 DOI: 10.1017/S0022215125000647

Emre Orhan, Serdar Can Güven, Recep Karamert, Zafer Günendi, Bülent Gündüz

{"title":"A new perspective on primary Sjogren's syndrome: investigation of vestibular and balance functions.","authors":"Emre Orhan, Serdar Can Güven, Recep Karamert, Zafer Günendi, Bülent Gündüz","doi":"10.1017/S0022215125000647","DOIUrl":"10.1017/S0022215125000647","url":null,"abstract":"Objectives: Sjogren's syndrome is a chronic inflammatory condition with an autoimmune history that primarily affects women in middle age (male to female ratio is 1:9). This study aims to evaluate the functional balance status of the patients in primary Sjogren's syndrome and to examine their peripheral and central vestibular functions.Methods: A total of 24 patients with primary Sjogren's syndrome and 26 sex-matched controls were included in this study. Gaze, saccade, tracking, optokinetic, video head impulse and sensory organisation tests were performed on the participants.Results: Significant decreases were observed in video head impulse and sensory organisation tests in participants with Sjogren's syndrome compared to controls.Conclusion: This study documented the findings of patients with Sjogren's syndrome from a vestibular and balance perspective. The study's findings have guided relevant professionals in the follow-up of patients with Sjogren's syndrome to improve patients' daily life, balancing performance and quality of life.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333283","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

An Evaluation of Vestibular Functions in Substance Misuse. 药物滥用对前庭功能的影响。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-06-18 DOI: 10.1017/S0022215125000209

Sanem Can Çolak, Deniz Uğur Cengİz, Tuba Bayindir, Birgül Cumurcu

引用次数: 0