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

An investigation of otosclerotic foci in stapes superstructure and evaluation of results using audiometric data. 镫骨上部结构耳硬化灶的研究及听觉测量结果评价。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-04 DOI: 10.1017/S0022215125102892

Büşra Karakaş, Bülent Satar, F Ceyda Akin Öçal, Ömer Günhan, Egemen Akıncıoğlu, Gülçİn Şİmşek

{"title":"An investigation of otosclerotic foci in stapes superstructure and evaluation of results using audiometric data.","authors":"Büşra Karakaş, Bülent Satar, F Ceyda Akin Öçal, Ömer Günhan, Egemen Akıncıoğlu, Gülçİn Şİmşek","doi":"10.1017/S0022215125102892","DOIUrl":"10.1017/S0022215125102892","url":null,"abstract":"Objectives: To investigate the stapes superstructure removed during surgical procedure under a light microscope, see whether the stapes superstructure was directly or indirectly affected by otosclerosis, and evaluate the results using the audiometric data.Methods: Histologic section of the stapes superstructures of 30 patients operated for otosclerosis were retrospectively analysed.Results: There were no obvious active/inactive otosclerotic foci in the investigated stapes superstructures. Nevertheless, stapes superstructures had certain histopathologic findings that were not normally expected. Patients with otosclerotic alterations (Group 1) and without otosclerotic alterations (Group 2) were compared by pre-operative and post-operative air conduction, bone conduction, and air-bone gap.Conclusion: The stapes superstructure contained degenerative findings similar to osteoarthritis of long bones and histopathologic changes that might be considered significant in terms of otosclerosis. Nevertheless, these changes did not significantly affect pre-operative and post-operative pure tone audiometry data. This is the first study known to us that investigated the stapes superstructure from the otosclerosis perspective, and the cases were assessed in combination with audiometric data.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775643","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

Laryngeal dysplasia: relationship between anterior commissure involvement and progression to invasive cancer. 喉发育不良：前连合受累与浸润性癌进展的关系。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125102521

Ebru Karakaya Gojayev, Zahide Çiler Büyükatalay Yaldız, Gürsel Dursun, Kürşat Gökcan

{"title":"Laryngeal dysplasia: relationship between anterior commissure involvement and progression to invasive cancer.","authors":"Ebru Karakaya Gojayev, Zahide Çiler Büyükatalay Yaldız, Gürsel Dursun, Kürşat Gökcan","doi":"10.1017/S0022215125102521","DOIUrl":"https://doi.org/10.1017/S0022215125102521","url":null,"abstract":"Objectives: Laryngeal dysplasia is a pre-cancerous lesion within the larynx. This study aims to identify factors influencing progression to cancer by analysing long-term follow-up data.Methods: Data from 221 patients diagnosed between 2005 and 2017 were reviewed retrospectively. Patient demographics, treatment strategies and follow-up results were compared.Results: Progression to cancer occurred in 26 patients (11.7 per cent). A significant association was found between cancer progression and initial biopsies obtained from the anterior commissure (34.6 per cent in progressing cases vs. 6.2 per cent in non-progressing; p < 0.001). Carcinoma in situ cases showed a higher progression rate (21.7%) compared to mild dysplasia (3.4 per cent) (p = 0.007). The group with cancer progression also had higher rates of other cancers (15.4 per cent vs. 2.1 per cent; p = 0.008), including lung cancer (11.5 per cent vs. 0 per cent; p = 0.001).Conclusion: The study determined an 11.7 per cent progression rate of laryngeal dysplasia to cancer. Lesions involving the anterior commissure carried an approximately 8.1-fold increased risk of progression.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760335","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

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 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 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":"700-706"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","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

Clinical efficacy of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique for small-to-medium tympanic membrane perforations: a retrospective study. 哑铃形耳膜软骨-软骨膜充气腔技术治疗中小鼓膜穿孔的临床疗效回顾性研究。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125000283

Chao Ji, Fei-Fei Xu

{"title":"Clinical efficacy of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique for small-to-medium tympanic membrane perforations: a retrospective study.","authors":"Chao Ji, Fei-Fei Xu","doi":"10.1017/S0022215125000283","DOIUrl":"10.1017/S0022215125000283","url":null,"abstract":"Objective: To evaluate the efficacy and safety of the dumbbell-shaped tragal cartilage-perichondrium air-filled chamber technique versus the gelatine sponge packing method for small-medium tympanic membrane perforations.Methods: A retrospective analysis of 68 patients (39 air-filled chamber, 29 gelatine sponge) treated between January 2020 and September 2024. Pre- and post-operative assessments included pure tone audiometry, air-bone gap, tympanic membrane healing, and visual analogue scale scores.Results: Healing rates were similar (89.7 per cent vs 93.1 per cent, p = 0.959). At six months, pure tone audiometry and air-bone gap improvements were comparable (p > 0.05). At one month, the air-filled chamber group showed better hearing recovery (pure tone audiometry: 19.71 vs 24.27 dB HL; air-bone gap: 7.28 vs 12.28 dB HL; both p < 0.05) and lower pain scores (1.13 vs 1.59, p = 0.022). Complications and operative times were similar.Conclusion: The air-filled chamber technique is a safe and effective alternative, offering superior early hearing recovery, reduced discomfort, and comparable long-term outcomes to the gelatine sponge method.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"757-763"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764115","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 application of radiomics in vestibular schwannomas. 放射组学在前庭神经鞘瘤中的应用。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125000258

Terrenjit Gill, David Hamilton, Amarkumar Rajgor

{"title":"The application of radiomics in vestibular schwannomas.","authors":"Terrenjit Gill, David Hamilton, Amarkumar Rajgor","doi":"10.1017/S0022215125000258","DOIUrl":"10.1017/S0022215125000258","url":null,"abstract":"Objectives: Radiomics refers to converting medical images into high-quality quantitative data. This review examines applications of radiomics in vestibular schwannomas and future considerations for translation into clinical practice.Methods: The review was pre-registered on Prospero (ID: CRD42024579319). A comprehensive systematic review-informed search of the Ovid Medline, Embase and Global Health online databases was undertaken using the keywords 'acoustic neuroma' or 'vestibular schwannoma' or 'cerebellopontine angle tumour' or 'cerebellopontine tumour' or 'head and neck cancer' were combined with 'radiomic' or 'signature' or 'machine learning' or 'artificial intelligence'.Results: The studies (n = 6) were categorised into two groups: radiomics for pre-operative decision-making (n = 1) and radiomics for treatment outcomes (n = 5). Radiomic features were significantly associated with clinical outcomes. Radiomics-based predictive models were superior to expert vision.Conclusion: Radiomics has potential for improving multiple aspects of vestibular schwannoma care, but lack of studies inhibited firm conclusions. Prospective studies are required to progress this field.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"647-654"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12377973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Elective paediatric functional endoscopic sinus surgery: a tertiary centre experience. 选择性儿科功能性内窥镜鼻窦手术：三级中心经验。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125102922

Timothy Davies, Matthew Zammit, Heather Todd, Ravi Sharma, Grace Khong

{"title":"Elective paediatric functional endoscopic sinus surgery: a tertiary centre experience.","authors":"Timothy Davies, Matthew Zammit, Heather Todd, Ravi Sharma, Grace Khong","doi":"10.1017/S0022215125102922","DOIUrl":"10.1017/S0022215125102922","url":null,"abstract":"Objectives: To evaluate the indications, outcomes, and recurrence rates of elective paediatric functional endoscopic sinus surgery at a tertiary centre, and to highlight the continued importance of multidisciplinary management.Methods: A retrospective review included 65 patients (age range 5-17 years) undergoing elective paediatric functional endoscopic sinus surgery from January 2017 to December 2024. Data on demographics, surgical details, additional procedures, and revision rates were collected. Logistic regression identified predictors of revision.Results: Chronic rhinosinusitis was the most common indication (45/65), with 62 per cent requiring polypectomy and 84 per cent undergoing middle meatal antrostomy. Fifteen percent had cystic fibrosis; cystic fibrosis status significantly predicted revision (odds ratio 8.5, p = 0.007). A multidisciplinary approach was crucial for the 20 per cent needing additional procedures. No major complications were reported.Conclusion: Paediatric functional endoscopic sinus surgery is safe and effective for paediatric sinonasal disease, particularly where balloon sinuplasty is insufficient for polyposis. Multicentre collaborations will help refine selection criteria and enhance long-term outcomes.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760334","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

Navigating the challenges of misplaced electrode array in cochlear implant surgery: causes, consequences and solutions. 在人工耳蜗手术中定位电极阵列的挑战：原因，后果和解决方案。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125000222

Mohnish Grover, Tanmaya Kataria, Sunil Samdani, Gaurav Gupta, Raghav Mehta, Mukesh Dagur

引用次数: 0

Motor and sensory complications following neck dissection: a prospective telephone-interview study. 颈部解剖后的运动和感觉并发症：一项前瞻性电话访谈研究。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 DOI: 10.1017/S0022215125000234

Matthew Conley, James Brooks, Dare Oladokun, Rebecca Dawson, James Moor

{"title":"Motor and sensory complications following neck dissection: a prospective telephone-interview study.","authors":"Matthew Conley, James Brooks, Dare Oladokun, Rebecca Dawson, James Moor","doi":"10.1017/S0022215125000234","DOIUrl":"10.1017/S0022215125000234","url":null,"abstract":"Objectives: To clarify incidence, progression and effect on quality of life of shoulder/neck disability, oral asymmetry, neuropathic pain and numbness following neck dissection.Methods: This prospective telephone-interview study delivered the Neck Dissection Impairment Index, Neuropathic Pain Questionnaire, House-Brackmann Scale and questions assessing numbness to patients before and three times after neck dissection.Results: Mean Neck Dissection Impairment Index (6.43 vs 22.17; p = 0.004) and Neuropathic Pain Questionnaire scores (0.76 vs 2.30; p = 0.004), proportions of patients with oral asymmetry (3 per cent vs 33.3 per cent; p = 0.016), ear (5.9 per cent vs 46.7 per cent; p = 0.002), jaw (5.9 per cent vs 53.3 per cent; p < 0.001) and neck numbness (5.9 per cent vs 53.3 per cent; p < 0.001) each increased significantly from pre-operation versus 12 weeks after. Neuropathic pain diagnoses did not reach significance. No outcome returned to baseline and progression of each was illustrated over time.Conclusion: The findings demonstrated that these complications are common and persist throughout short-term recovery. Screening to identify and manage complications could improve post-operative care.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"663-670"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719779","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 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 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":"752-756"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","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

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 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-08-01 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":"723-729"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","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