Journal of Laryngology and Otology最新文献_第7页

Parathyroid Carcinoma - A Tertiary Centre's Experience Over 15 Years. 甲状旁腺癌 - 一家三级医疗中心 15 年来的经验。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-23 DOI: 10.1017/S0022215124001476

Jeremy Wong, Alfred Addison, Ramez Nassif

引用次数: 0

Evaluation of the management of nasal septal haematoma and abscess - a systematic review. 鼻中隔血肿和脓肿治疗评估--系统回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001610

Richard Jackson, Wei Jia, Ovie Edafe

引用次数: 0

Non-Invasive Treatment of Pterygopalatine Fossa Schwannoma with Gamma Knife Radiosurgery. 用伽玛刀放射外科手术对翼腭窝室管膜瘤进行非侵入性治疗

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001725

Ilayda Kayir, A Haluk Duzkalir, Yavuz Samanci, Selcuk Peker

引用次数: 0

Quality of Life Following Cochlear Implants in Elderly Recipients: A Prospective Cohort Study. 老年人工耳蜗植入者植入人工耳蜗后的生活质量：前瞻性队列研究

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001695

Haisam Shah, Yuning Xue, Hamna Rehman, Glen Watson, Kerry Hitos, Melville da Cruz

引用次数: 0

A matched pair analysis of outcomes after stapler-assisted pharyngeal closure following laryngectomy. 喉切除术后订书机辅助咽部闭合术结果的配对分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001269

Antony Abraham Paulose, Rajiv Charles Michael, Natarajan Ramalingam, Jeyashanth Riju, Mahasampath Gowri S, Lisa Abraham, Jino Johns L, Manu Mathew, Meera Thomas, Aparna Irodi

{"title":"A matched pair analysis of outcomes after stapler-assisted pharyngeal closure following laryngectomy.","authors":"Antony Abraham Paulose, Rajiv Charles Michael, Natarajan Ramalingam, Jeyashanth Riju, Mahasampath Gowri S, Lisa Abraham, Jino Johns L, Manu Mathew, Meera Thomas, Aparna Irodi","doi":"10.1017/S0022215124001269","DOIUrl":"10.1017/S0022215124001269","url":null,"abstract":"Objective: To compare perioperative and oncological outcomes between stapler and manual closure in patients undergoing total laryngectomy for advanced endolaryngeal squamous cell carcinoma.Methods: Patients with advanced endolaryngeal tumours operated between July 2017 and July 2023 were retrospectively dichotomised into stapler closure and manual closure cohorts and compared.Results: Seventy-one patients with a median age of 57 years were included in our study. The median surgical duration was 270 minutes for the manual closure cohort and 245 minutes for the stapler closure cohort. The pharyngo-cutaneous salivary fistula rate was 6 per cent less in the stapler closure cohort. The estimated mean survival was not significantly different 54.5 months (95 per cent, confidence interval 46.3-62.71) in the manual closure cohort versus 28.12 months (95 per cent, confidence interval 23.6-32.63) in the stapler closure cohort (p = 0.79).Conclusion: Stapler closure can be used in endolaryngeal tumours, and it reduces operating time, thus facilitating efficient utilisation of operation time with non-inferior oncological outcomes as compared to traditional manual closure.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467686","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

LONG TERM VESTIBULAR EFFECTS OF BLAST TRAUMA. 爆炸创伤对前庭的长期影响。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001488

F Ceyda Akin Ocal, Bulent Satar, Selim Sermed Erbek

引用次数: 0

Sublingual ranulas, is it time for a new classification? A systematic review and meta-analysis. 舌下溃疡，是时候进行新的分类了吗？系统回顾与荟萃分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001464

Matteo Lazzeroni, Massimo Del Fabbro, Michele Gaffuri, Mark McGurk, Gabriele Alessandro Novarria, Gianluca Martino Tartaglia, Lorenzo Pignataro, Pasquale Capaccio

{"title":"Sublingual ranulas, is it time for a new classification? A systematic review and meta-analysis.","authors":"Matteo Lazzeroni, Massimo Del Fabbro, Michele Gaffuri, Mark McGurk, Gabriele Alessandro Novarria, Gianluca Martino Tartaglia, Lorenzo Pignataro, Pasquale Capaccio","doi":"10.1017/S0022215124001464","DOIUrl":"10.1017/S0022215124001464","url":null,"abstract":"Objectives: Sublingual ranulas present diagnostic and therapeutic challenges due to their heterogenous clinical presentations. This systematic review and meta-analysis aims to synthesise treatment outcomes and proposes a new classification for this condition.Methods: Following PRISMA guidelines, a thorough literature search identified studies on patients with sublingual ranulas receiving medical or surgical treatment. Proportion meta-analysis compared success rates among studies using a random-effects model.Results: Forty-two studies were included, covering 686 endoral ranulas, 429 plunging ranulas, and 16 ranulas extending into the parapharyngeal space. Sublingual sialoadenectomy with or without pseudocyst wall excision showed low heterogeneity and the highest success rates. Consequently, a new classification system is proposed categorising ranulas by intraoral (Type 1), cervical (Type 2) or parapharyngeal space (Type 3) extension.Conclusion: This study confirms the role of sublingual gland resection as standard of care and highlights the need for a revised classification to improve patient outcomes.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467743","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

Serum calcium relative decline as a predictor of post thyroidectomy hypocalcaemia. 预测甲状腺切除术后低钙血症的血清钙相对下降指标

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-22 DOI: 10.1017/S0022215124001270

Hamed Al Maawali, Yahya Al Badaai

{"title":"Serum calcium relative decline as a predictor of post thyroidectomy hypocalcaemia.","authors":"Hamed Al Maawali, Yahya Al Badaai","doi":"10.1017/S0022215124001270","DOIUrl":"10.1017/S0022215124001270","url":null,"abstract":"Objectives: To assess the value of corrected calcium decline at 6 hours as a predictor of hypocalcaemia post total thyroidectomy by comparing it to the currently widely used intact parathyroid hormone.Methods: A retrospective cohort study of patients who underwent total thyroidectomy from January 2016 to February 2020. Serum intact parathyroid hormone and corrected calcium data pre-operatively and 6 hours post-operatively were obtained. Receiver operating characteristic curves were used to compare corrected calcium decline at 6 hours versus 6 hours for relative intact parathyroid hormone decline as predictors of hypocalcaemia, and the area under the curve for each metric was reported.Results: Patients included in this analysis totalled 209. The receiver operating characteristic analysis suggested that corrected calcium decline at 6 hours has a similar predictive value to 6 hours relative intact parathyroid hormone. The areas under the curves for predicting hypocalcaemia were 0.797 for corrected calcium decline at 6 hours and 0.737 for 6 hours relative intact parathyroid hormone, but the difference (0.06) was not statistically significant.Conclusions: Our results suggest that corrected calcium decline at 6 hours has a similar predictive value to 6 hours relative intact parathyroid hormone and hence has the potential to predict post-operative hypocalcaemia.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467740","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

Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs. 扁桃体切除术中手术器械的合理化：减少温室气体排放和成本的试点研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001129

Justin Jui Yuan Yeo, Keshav Kumar Gupta, Zahir Mughal, Chaitanya Bhatt

{"title":"Rationalising surgical instruments in tonsillectomy: a pilot study to reduce greenhouse gas emissions and costs.","authors":"Justin Jui Yuan Yeo, Keshav Kumar Gupta, Zahir Mughal, Chaitanya Bhatt","doi":"10.1017/S0022215124001129","DOIUrl":"10.1017/S0022215124001129","url":null,"abstract":"Objective: The healthcare industry is estimated to contribute 4.4 per cent of global greenhouse gas emissions. This pilot study aimed to investigate the impact of rationalising surgical instruments in tonsillectomy trays on greenhouse gas emissions and costs.Method: We conducted a prospective observational study over a six-month period. All patients who underwent tonsillectomy were included. The instruments used during the procedure and their frequency of use were counted, with the operating surgeon being unaware of the study.Results: During the 6-month timeframe, 46 tonsillectomies were performed. From the standard tonsillectomy tray containing 38 pieces, 9 pieces were never used. The removal of unused reusable instruments resulted in an estimated total reduction of 594 g of carbon dioxide equivalents and a saving of €9.63 per operation.Conclusion: Rationalising the contents of the surgical instrument tray can have a positive environmental impact by reducing greenhouse gas emissions. There are also pecuniary benefits for the National Health Service because of the potential for cost savings.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467737","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

Adipofascial anterolateral thigh free flap in head and neck reconstruction: a case series. 头颈部重建中的大腿前外侧脂肪筋膜游离皮瓣--一个病例系列。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001385

Joshua M Sorrentino, Ayham Al Afif, William J Magner, S Lynn Sigurdson, Jason M Davies, Robert A Fenstermaker, Moleca Ghannam, Ryan P McSpadden

{"title":"Adipofascial anterolateral thigh free flap in head and neck reconstruction: a case series.","authors":"Joshua M Sorrentino, Ayham Al Afif, William J Magner, S Lynn Sigurdson, Jason M Davies, Robert A Fenstermaker, Moleca Ghannam, Ryan P McSpadden","doi":"10.1017/S0022215124001385","DOIUrl":"10.1017/S0022215124001385","url":null,"abstract":"Background: The adipofascial anterolateral thigh (AF-ALT) free flap represents a versatile technique in head and neck reconstructions, with its applications increasingly broadening. The objective was to detail the novel utilization of the AF-ALT flap in orbital and skull base reconstruction, along with salvage laryngectomy onlay in our case series.Method: We conducted a retrospective analysis at Roswell Park Comprehensive Cancer Center, spanning from July 2019 to June 2023, focusing on patient demographics and reconstructive parameters data.Results: The AF-ALT flap was successfully employed in eight patients (average age 59, body mass index [BMI] 32.0) to repair various defects. Noteworthy outcomes were observed in skull base reconstructions, with no flap failures or major complications over an average 12-month follow-up. Donor sites typically healed well with minimal interventions.Conclusion: Our series is the first to report the AF-ALT flap's efficacy in anterior skull base and orbital reconstructions, demonstrating an additional innovation in complex head and neck surgeries.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467687","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