Journal of Laryngology and Otology最新文献_第5页

Unilateral versus bilateral abscess tonsillectomy. Implications for current surgical practice. 单侧与双侧扁桃体脓肿切除术。对当前外科实践的启示。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105076

Ilias Lazarou, Giorgos Sideris, Dimitrios Palantzas, Petros Vlastarakos

{"title":"Unilateral versus bilateral abscess tonsillectomy. Implications for current surgical practice.","authors":"Ilias Lazarou, Giorgos Sideris, Dimitrios Palantzas, Petros Vlastarakos","doi":"10.1017/S0022215126105076","DOIUrl":"10.1017/S0022215126105076","url":null,"abstract":"Objectives: To compare unilateral vs bilateral hot tonsillectomy in managing peri-tonsillar abscesses.Methods: Literature review in Medline and other database sources, and critical analysis of data.Results: Management options for peri-tonsillar abscesses range from intravenous antibiotics alone or needle aspiration for small collections to incision and drainage or abscess tonsillectomy for larger ones. Regarding the latter, there is no clear consensus in the literature on favouring unilateral over bilateral excision.Conclusion: Conventional wisdom would suggest that operating on acutely inflamed tissue may increase the risk of bleeding due to engorged vessels and tissue friability. The potentially lower rate of post-operative haemorrhage in unilateral abscess tonsillectomy should be weighed against a potentially lower risk of future episodes in bilateral excisions. Furthermore, the improved efficiency of unilateral abscess tonsillectomy in terms of healthcare resource utilisation and operative time should be evaluated in the context of routinely performed interval contralateral tonsillectomies, potentially affecting operating theatre planning.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"927-928"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138095","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 history of necrotising otitis externa: from clinical observation to conceptual recognition. 坏死性外耳炎的历史：从临床观察到概念认识。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105210

Vasiliki Bisbinas, Emma Stapleton

{"title":"The history of necrotising otitis externa: from clinical observation to conceptual recognition.","authors":"Vasiliki Bisbinas, Emma Stapleton","doi":"10.1017/S0022215126105210","DOIUrl":"10.1017/S0022215126105210","url":null,"abstract":"Objectives: Necrotising otitis externa is a severe, potentially life-threatening infection of the external auditory canal and skull base, first formally described by Chandler in 1968. However, historical literature suggests that its clinical features were recognised long before this, without conceptual unification.Methods: A narrative historical review was undertaken using primary and secondary sources, including early otological texts, case reports and modern literature.Results: Descriptions consistent with necrotising otitis externa appear as early as the nineteenth century, with recurrent observations of severe otitis externa, temporal bone involvement and systemic vulnerability. These remained fragmented across diagnostic categories until the mid-twentieth century. Chandler's work represents a transition from clinical observation to conceptual recognition, providing a unifying framework that enabled consistent diagnosis, comparison and subsequent study of the condition.Conclusion: The evolution of necrotising otitis externa reflects a process of progressive recognition, offering insight into ongoing challenges in defining and studying the disease in contemporary clinical practice.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"923-926"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301937","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

Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study. 尼泊尔接受手术的慢性化脓性中耳炎患者的耳鸣负担：一项横断面研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105209

Ruth Capper, Ram Bohara, Govind Bohara, Emma Stapleton

{"title":"Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study.","authors":"Ruth Capper, Ram Bohara, Govind Bohara, Emma Stapleton","doi":"10.1017/S0022215126105209","DOIUrl":"10.1017/S0022215126105209","url":null,"abstract":"Objectives: Tinnitus is a common and potentially distressing symptom associated with chronic ear disease. Its burden in patients with chronic suppurative otitis media in low-resource settings is not well characterised.Methods: A cross-sectional study was conducted during an ear surgery camp in Nepal. One hundred patients with chronic suppurative otitis media completed the validated Nepali Tinnitus Handicap Inventory. Severity was categorised using established grading systems. Associations between sex and severity were assessed using chi-squared analysis.Results: Nepali Tinnitus Handicap Inventory scores ranged from 0 to 94. Overall, 62 per cent of patients reported moderate or worse tinnitus, and 36 per cent reported severe or catastrophic symptoms. Female patients demonstrated a greater burden, with a higher proportion in severe and catastrophic categories. This difference was statistically significant (χ2 = 11.05; df = 4; p = 0.026).Conclusion: Patients undergoing surgery for chronic suppurative otitis media experience a substantial and under-recognised tinnitus burden. Routine assessment may support more comprehensive, patient-centred care.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"868-871"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308406","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

Axillary metastases following total laryngectomy: an under-recognised pathway. 全喉切除术后腋窝转移：一个未被充分认识的途径。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126104836

Eyal Yosefof, Ofir Zavdy, Tara Coreanu, Noga Kurman, Hanna Bernstine, Roee Noy, Yotam Shkedy, Amit Ritter

{"title":"Axillary metastases following total laryngectomy: an under-recognised pathway.","authors":"Eyal Yosefof, Ofir Zavdy, Tara Coreanu, Noga Kurman, Hanna Bernstine, Roee Noy, Yotam Shkedy, Amit Ritter","doi":"10.1017/S0022215126104836","DOIUrl":"10.1017/S0022215126104836","url":null,"abstract":"Objectives: Axillary lymph node metastases represent a rare and under-recognised pattern of disease progression in laryngeal squamous cell carcinoma, with limited data regarding their timing and clinical significance.Methods: We retrospectively reviewed all patients treated for advanced-stage laryngeal squamous cell carcinoma at two tertiary medical centres between 2017-2022, identifying cases that subsequently developed axillary lymph node metastases.Results: Five patients (3.6 per cent) developed axillary lymph node metastases, all following total laryngectomy, four after salvage surgery for recurrent disease. Mean interval from surgery to axillary lymph node metastases diagnosis was 9.9 ± 4.2 months. All tumours were moderately to poorly differentiated, and axillary involvement was frequently associated with mediastinal nodal disease. All patients received systemic therapy, including chemotherapy and/or immunotherapy, and three died of disease during follow-up.Conclusion: Axillary lymph node metastases occurred within a relatively narrow time window after total laryngectomy, suggesting a non-random metastatic pattern. Awareness of this pathway is important for post-laryngectomy surveillance and interpretation of follow-up imaging.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"896-902"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148031715","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

Discomfort and intolerance during 24-hour multichannel intraluminal impedance-pH monitoring. 24小时多通道腔内阻抗- ph监测中的不适和不耐受。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105192

Hyun Jee Lee, Seok-Hwan Chung, Seok-Ju Yoo, Soo-Yeon Kim, Jun-Yuel Yoo, Su Il Kim, Young Chan Lee, Young-Gyu Eun

{"title":"Discomfort and intolerance during 24-hour multichannel intraluminal impedance-pH monitoring.","authors":"Hyun Jee Lee, Seok-Hwan Chung, Seok-Ju Yoo, Soo-Yeon Kim, Jun-Yuel Yoo, Su Il Kim, Young Chan Lee, Young-Gyu Eun","doi":"10.1017/S0022215126105192","DOIUrl":"10.1017/S0022215126105192","url":null,"abstract":"Objective: To investigate pain, discomfort, tolerance and complications during 24-hour multichannel intraluminal impedance-pH monitoring.Methods: A prospective observational study at an academic out-patient clinic including 55 patients undergoing 24-hour multichannel intraluminal impedance-pH monitoring. Patient experience was measured using self-reported questionnaires at four time points: pre-insertion, post-insertion, before sleep and post-procedure. Anxiety, pain, discomfort, tolerance and other symptoms were assessed using visual analogue scale (VAS) scores. After treatment, the decision regret scale survey was administered.Results: Anxiety decreased after catheter insertion. Discomfort peaked immediately after insertion and declined over time, while intolerance remained relatively stable. Foreign body sensation showed the highest VAS score. The proportion of participants unwilling to undergo the examination again was high, but patients tended to have a positive perception of 24-hour multichannel intraluminal impedance-pH monitoring after treatment.Conclusion: Although 24-hour multichannel intraluminal impedance-pH monitoring has been reported to be uncomfortable and difficult to tolerate, most patients were satisfied with their decision to undergo the test.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"903-906"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376010","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 long-term recurrence of cholesteatoma following primary surgery: an umbrella review of surgical techniques and patient factors. 评估原发性手术后胆脂瘤的长期复发：手术技术和患者因素的综合回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105234

Edi Handoko, Rizki Ekaputra Handoko, Ahmad Dian Wahyudi

{"title":"Evaluating long-term recurrence of cholesteatoma following primary surgery: an umbrella review of surgical techniques and patient factors.","authors":"Edi Handoko, Rizki Ekaputra Handoko, Ahmad Dian Wahyudi","doi":"10.1017/S0022215126105234","DOIUrl":"10.1017/S0022215126105234","url":null,"abstract":"Objectives: This study aimed to synthesise existing systematic reviews to determine the true long-term recurrence rate of cholesteatoma following primary surgery and to evaluate the comparative effectiveness of surgical approaches (canal wall up vs canal wall down ) and adjunctive procedures on disease recidivism.Methods: A systematic search of PubMed, Scopus and OpenAlex identified 23 studies (predominantly systematic reviews and meta-analyses) encompassing 12,819 patients with an equal to or greater than 12 months' follow-up and clearly defined recurrence, evaluating canal wall up, canal wall down, mastoid obliteration and endoscopic assistance.Results: Recurrence increased from 7 per cent at 12 months to 39 per cent at 15 years. Canal wall down showed lower recurrence than canal wall up. Mastoid obliteration (odds ratio, 0.33-0.45) and endoscopic techniques (risk ratio, 0.48-0.68) reduced recidivism and residual disease. Age and staged surgery increased risk, whereas planned second-look surgery was protective.Conclusion: Cholesteatoma recurrence is strongly time-dependent. Combining appropriate surgical techniques with mastoid obliteration, endoscopic assistance and long-term surveillance improves long-term disease control.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"845-851"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308401","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

Advances and outcomes in head and neck surgery - ERRATUM. 头颈外科的进展和结果-勘误。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105295

Stephen Jones, Ann-Louise McDermott, Jonathan Fishman

引用次数: 0

Virtual reality in ENT medical education - pilot study of medical students' perspective. 耳鼻喉科医学教育中的虚拟现实——医学生视角的初步研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126104708

Anna Ewelina Kruczynska, Daniele Rimini, Prawin Samraj, Chaitanya Gadepalli

{"title":"Virtual reality in ENT medical education - pilot study of medical students' perspective.","authors":"Anna Ewelina Kruczynska, Daniele Rimini, Prawin Samraj, Chaitanya Gadepalli","doi":"10.1017/S0022215126104708","DOIUrl":"10.1017/S0022215126104708","url":null,"abstract":"Objectives.: There is increasing demand for high-quality anatomy teaching for medical undergraduates. This study investigates medical students' perspectives on using virtual reality to learn laryngeal anatomy.Methods.: Thirty-six Year 4 university teaching hospital medical students participated in a virtual reality laryngeal anatomy learning experience (Oculus Quest 2® headsets). Students interacted with a VR model and completed a confidential feedback survey assessing their virtual reality exposure, learning environment, perceived usefulness and willingness to use virtual reality in future training.Results.: A total of 75 per cent of students had minimal prior virtual reality exposure. Despite this, 69.5 per cent agreed that virtual reality helped them learn the anatomy better than traditional lectures; 76.1 per cent believed virtual reality enhanced their learning; and 80 per cent expressed willingness to use virtual reality in their training. High satisfaction was reported regarding the learning environment, with 97.2 per cent feeling comfortable and engaged.Conclusions.: Virtual reality is a useful adjunct to laryngeal anatomy education, providing an interactive, engaging and resource-efficient adjunct to traditional methods.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"912-915"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698929","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

Primary angiosarcoma of the nasal septum: a rare case report and literature review. 鼻中隔原发性血管肉瘤1例报告及文献复习。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126104678

Yun Jin Kang, Min Su Kim, Youn Sun Park, Jin-Hee Cho

{"title":"Primary angiosarcoma of the nasal septum: a rare case report and literature review.","authors":"Yun Jin Kang, Min Su Kim, Youn Sun Park, Jin-Hee Cho","doi":"10.1017/S0022215126104678","DOIUrl":"10.1017/S0022215126104678","url":null,"abstract":"Objectives: Angiosarcoma is a rare malignant vascular tumour. Its occurrence in the nasal cavity is uncommon, and septal cases are particularly rare. Because symptoms are often non-specific, nasal septal angiosarcoma may initially mimic benign vascular lesion and delay diagnosis.Methods: We report a 46-year-old woman with recurrent epistaxis and nasal obstruction. Nasal endoscopy and excisional biopsy were performed, with histopathology and immunohistochemistry.Results: Endoscopy revealed a 1.0 × 0.5 cm mass on the anterior septum. The lesion appeared completely excised on gross inspection; however, histopathology demonstrated infiltrative margins with residual tumour at the resection edges. Microscopy showed irregular vascular channels, pleomorphic endothelial cells, high mitotic activity and focal necrosis. Immunohistochemistry confirmed endothelial differentiation. No cartilage invasion was identified on histology.Conclusion: This case highlights the diagnostic challenge of nasal septal angiosarcoma and the emphasises the importance of early biopsy, histopathological confirmation and multidisciplinary management.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"918-922"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148031726","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 safety of selective COX-2 inhibitors in tonsillectomy patients: a systematic review. 选择性COX-2抑制剂在扁桃体切除术患者中的安全性：一项系统综述。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-08-01 DOI: 10.1017/S0022215126105039

Sophie Dunmall, Lucylynn Lizarondo, Romy Jia, Eng Hooi Ooi

{"title":"The safety of selective COX-2 inhibitors in tonsillectomy patients: a systematic review.","authors":"Sophie Dunmall, Lucylynn Lizarondo, Romy Jia, Eng Hooi Ooi","doi":"10.1017/S0022215126105039","DOIUrl":"10.1017/S0022215126105039","url":null,"abstract":"Objectives: This study aimed to determine the safety of selective cyclooxygenase 2 inhibitors in tonsillectomy patients.Methods: A systematic review of the literature was undertaken in August 2024 (updated March 2025) using Joanna Briggs Institute systematic review and critical appraisal methodology. Study outcomes were bleeding incidence, analgesic efficacy and adverse effects. Eligible comparators were non-cyclooxygenase-2-selective non-steroidal anti-inflammatory drugs or placebo.Results: Fifteen studies were included for meta-analysis, 14 of which were randomised control trials. The studies were overall of good quality. There was no increased risk of bleeding with selective cyclooxygenase 2 inhibitors (odds ratio = 1.27; 95 per cent confidence interval: 0.51 to 3.16; p = 0.61). They were more effective than placebo in providing analgesia (odds ratio = -1.22; 95 per cent confidence interval, -2.12 to -0.33; Z = 2.67; p = 0.007; I2 = 84 per cent).Conclusion: Selective cyclooxygenase 2 inhibitors do not cause an increase in bleeding risk for tonsillectomy patients. There is insufficient evidence to compare their safety and efficacy to non-selective non-steroidal anti-inflammatory drugs such as ibuprofen.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"831-844"},"PeriodicalIF":1.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217895","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