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

Adopting dorsal preservation rhinoplasty: a UK single-surgeon series of 72 cases. 采用背侧保留鼻整形术：英国单一外科医生72例。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-27 DOI: 10.1017/S0022215126105635

Timothy Biggs

引用次数: 0

Septoplasty with or without turbinoplasty: Outcome after 8 years. 鼻中隔成形术加或不加鼻甲成形术：8年后的结果。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-27 DOI: 10.1017/S0022215126105441

Rolf Haye, Liv Kari Døsen, Caryl Gay, Andrew Henry Reiner

引用次数: 0

Clinical patterns, timing, and indications of surgical tracheostomy in non-laryngeal head and neck cancers: a retrospective tertiary centre experience. 非喉部头颈癌气管切开术的临床模式、时机和适应症：回顾性三级中心经验。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-24 DOI: 10.1017/S0022215126105660

Selçuk Erol, Arzubetül Duran

{"title":"Clinical patterns, timing, and indications of surgical tracheostomy in non-laryngeal head and neck cancers: a retrospective tertiary centre experience.","authors":"Selçuk Erol, Arzubetül Duran","doi":"10.1017/S0022215126105660","DOIUrl":"10.1017/S0022215126105660","url":null,"abstract":"Objectives: This study aimed to evaluate the indications, timing and mechanisms of surgical tracheostomy in non-laryngeal head and neck cancers.Methods: We retrospectively reviewed 29 patients who underwent tracheostomy between January 2020 and July 2022. Data included demographics, tumour site, treatment modality, timing, indications and airway pathology. Timing was classified as pre-treatment, during treatment, early (< 30 days) or late (> 30 days).Results: Nasopharynx was the most common subsite (n = 6; 20.7 per cent) and chemoradiotherapy the predominant treatment (n = 13; 44.8 per cent). Most tracheostomies occurred during or after treatment. At follow-up, 10 patients were decannulated and 19 remained dependent or intubated. Respiratory distress/desaturation was the leading indication (n = 15; 51.8 per cent). Median radiotherapy dose was 66 Gy. Timing reflected mechanism: acute causes occurred earlier, chronic causes later (p < 0.01).Conclusion: Tracheostomy in non-laryngeal head and neck cancer is primarily driven by treatment-related airway changes. A timing- and mechanism-based approach may facilitate earlier risk stratification and reduce emergency airway interventions.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579035","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 Role of Pre-Operative Systemic Corticosteroids in Functional Endoscopic Sinus Surgery: A Systematic Review and Meta-Analysis. 术前全身性皮质类固醇在功能性内窥镜鼻窦手术中的作用：系统回顾和荟萃分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-24 DOI: 10.1017/S0022215126105404

Kujani Wanniarachchi, James Morris, Dhruv Patel, Tareq Omer, Darren Yap

引用次数: 0

Evaluating the Diagnostic Adequacy of Inexpensive In-Ear Cameras in Low Resource Settings. 评估低资源环境下廉价入耳式摄像机的诊断充分性。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-23 DOI: 10.1017/S0022215126105568

Thomas Lane, Daniel Thorne, Matthew Clark, Lufunda Lukama

引用次数: 0

Malignancy rates in surgically managed indeterminate thyroid nodules (Thy3a and Thy3f) in the UK National Health Service: a systematic review. 英国国家卫生服务中心手术治疗的不确定甲状腺结节（Thy3a和Thy3f）的恶性率系统回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-22 DOI: 10.1017/S0022215126105489

Alexandros Poutoglidis, Stavros Savvakis, Kanishka Rao, Theofano Tikka, Georgios Oikonomou, Arun Takhar, Tunde Odutoye, Umair Ashfaq, George Paraskevas, Nikolaos Lazaridis, Nectarios Galanis, Chrysanthos Chrysanthou, Xanthippi Partalidou, Enyi Ofo

{"title":"Malignancy rates in surgically managed indeterminate thyroid nodules (Thy3a and Thy3f) in the UK National Health Service: a systematic review.","authors":"Alexandros Poutoglidis, Stavros Savvakis, Kanishka Rao, Theofano Tikka, Georgios Oikonomou, Arun Takhar, Tunde Odutoye, Umair Ashfaq, George Paraskevas, Nikolaos Lazaridis, Nectarios Galanis, Chrysanthos Chrysanthou, Xanthippi Partalidou, Enyi Ofo","doi":"10.1017/S0022215126105489","DOIUrl":"10.1017/S0022215126105489","url":null,"abstract":"Objectives: Our systematic review assesses the observed cancer rate among surgically treated indeterminate thyroid nodules (Thy3a and Thy3f) to determine if current management remains appropriate.Methods: A systematic search was performed for retrospective and prospective studies published after 2008 from National Health Service (NHS) hospitals. The primary outcome was the thyroid malignancy rate among surgically managed indeterminate nodules. Chi-squared analysis and Quality Assessment of Diagnostic Accuracy Studies 2 were employed for statistical and quality assessment, respectively.Results: Eighteen studies met our inclusion criteria (3,195 cases). The reported malignancy rate was 25.16 per cent for Thy3a and 26.27 per cent for Thy3f cytology in patient underwent diagnostic surgery. However, statistical analysis (p = 0.518) demonstrated no statistically significant difference in these cancer rates.Conclusion: The similar cancer rates between Thy3a and Thy3f nodules observed in our review challenge the current management strategies for these two subcategories. Future prospective studies are needed to validate these findings and address the existing limitations.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549403","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

Airway-Attached Cervical Foregut Cysts: Case Report and Scoping Review of the Morphological Spectrum. 气管附着性颈前肠囊肿：病例报告及形态学谱范围回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-22 DOI: 10.1017/S0022215126105490

Mansi Sharma, Ravi Meher, Nita Khurana, Vikram Wadhwa, Swati Tandon, Tanya Kasana

引用次数: 0

Outcomes of a Nurse-Led Head and Neck Cancer Diagnostic Service: A Prospective Pilot Study. 护士领导的头颈癌诊断服务的结果：一项前瞻性试点研究。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-21 DOI: 10.1017/S0022215126105623

Edie Byrne, Richard Oakley, Jean-Pierre Jeannon, Asit Arora, Ying Ki Lee, Ricard Simo, Aleix Rovira

引用次数: 0

Comparative analysis of post-operative adjuvant therapy recommendations in head and neck squamous cell carcinoma: multidisciplinary team versus large language models. 头颈部鳞状细胞癌术后辅助治疗建议的比较分析：多学科团队与大语言模型。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-21 DOI: 10.1017/S0022215126105581

Bhavya Mishra, Sowrabh Kumar Arora, Khyati Bhatia, Harshit Garg

{"title":"Comparative analysis of post-operative adjuvant therapy recommendations in head and neck squamous cell carcinoma: multidisciplinary team versus large language models.","authors":"Bhavya Mishra, Sowrabh Kumar Arora, Khyati Bhatia, Harshit Garg","doi":"10.1017/S0022215126105581","DOIUrl":"10.1017/S0022215126105581","url":null,"abstract":"Objective: This study aimed to evaluate the performance of large language models in post-operative adjuvant treatment decision-making for head and neck squamous cell carcinoma compared with multidisciplinary team recommendations.Methods: In this retrospective observational study, 30 surgically treated head and neck squamous cell carcinoma cases discussed at an institutional multidisciplinary team (January-June 2025) were independently assessed by ChatGPT 5.0, DeepSeek and Perplexity artificial intelligence using standardised pathological summaries. Each model generated a single adjuvant treatment recommendation with rationale. Multidisciplinary team decisions served as the reference standard. The primary endpoint was concordance; secondary endpoints included safety, reasoning quality, guideline adherence and treatment-intensity deviation.Results: ChatGPT achieved the highest concordance with multidisciplinary team recommendations (87 per cent; κ = 0.71), the lowest TID (0.13), optimal safety (100 per cent) and the highest reasoning quality scores.Conclusions: Large language models closely approximated multidisciplinary team recommendations in head and neck squamous cell carcinoma. ChatGPT 5.0 demonstrated the most reliable, safe and guideline-concordant performance, supporting its potential role as an adjunct clinical decision-support tool.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-21"},"PeriodicalIF":1.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536145","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

Octreotide in the management of chyle leaks after head and neck surgery: a systematic review of cohort studies. 奥曲肽在头颈部手术后乳糜漏治疗中的应用：队列研究的系统回顾。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-21 DOI: 10.1017/S002221512610557X

Nimeshi Jayakody, Phillip Brown, Callum Findlay, Nimesh N Patel

{"title":"Octreotide in the management of chyle leaks after head and neck surgery: a systematic review of cohort studies.","authors":"Nimeshi Jayakody, Phillip Brown, Callum Findlay, Nimesh N Patel","doi":"10.1017/S002221512610557X","DOIUrl":"10.1017/S002221512610557X","url":null,"abstract":"Objective: To review the literature to understand the efficacy of octreotide in managing post head and neck surgery chyle leaks.Method: Literature from January 1980 to May 2025 was systematically reviewed using PubMed, Medline, Embase and Cochrane databases. Exclusion criteria involved non-English papers, conference abstracts and case reports with fewer than five cases.Results: Six retrospective case series, totalling 107 patients, met inclusion criteria. Median chyle leak resolution time was 5.5 days (range, 2-24 days), with an in-patient stay of 7 to 11.8 days. Surgery to limit chyle leak was performed on 15.9 per cent of patients (17 of 107 cases) therefore 84.1 per cent were successfully treated with octreotide.Conclusion: This systematic review suggests that octreotide is effective in managing low- and high-output chyle leaks post head and neck surgery and should be considered at day one of diagnosis. The dose recommendation is 100 μg three times a day. Surgery should be reserved for those who do not respond to octreotide and other conservative measures.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536137","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