Komala Abhishek Reddy, Ashish Kumar Gupta, Jonathan Victor
{"title":"Ear arteriovenous malformation: an algorithm for management.","authors":"Komala Abhishek Reddy, Ashish Kumar Gupta, Jonathan Victor","doi":"10.1017/S0022215125103034","DOIUrl":"10.1017/S0022215125103034","url":null,"abstract":"<p><strong>Introduction: </strong>Ear arteriovenous malformation is a complex problem with a lack of data and a clear consensus on its management. This paper aims to develop an algorithm for protocol-based ear arteriovenous malformation management.</p><p><strong>Method: </strong>All patients underwent pre-operative discussions at a multi-disciplinary team meeting to plan excision and pre-operative embolisation.</p><p><strong>Results: </strong>Nineteen patients were included in this study. Following excision, 26.3 per cent of cases had flap cover, 10.5 per cent needed a skin graft, 15.3 per cent had total amputation of the ear, and the rest underwent excision of the arteriovenous malformation with or without cartilage excision and primary closure. Recurrence was observed in 10.5 per cent of cases.</p><p><strong>Conclusion: </strong>Surgical excision is the treatment of choice for ear arteriovenous malformations. Cartilage should be preserved whenever possible. The wound cover should be either a primary closure or a flap cover. A protocol-based guide facilitates decision-making of this complex problem.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731765","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}
Guy Finch, Sanjay Patel, Ben Walters, Matthew Trotter
{"title":"Factors affecting the correlation between high-resolution computed tomography and operative findings in cholesteatoma surgery - a systematic review.","authors":"Guy Finch, Sanjay Patel, Ben Walters, Matthew Trotter","doi":"10.1017/S0022215125102995","DOIUrl":"https://doi.org/10.1017/S0022215125102995","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-25"},"PeriodicalIF":0.8,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144731766","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}
Chang Woo Lee, Tabi Unsworth-White, Roanna Norman, Sebastian Matthew Joseph Powell, Natalija Snovak, Kate J Heathcote, Lachlan Ayres
{"title":"Immediate and long-term efficacy of persistent throat symptoms to gastric inlet patch ablation.","authors":"Chang Woo Lee, Tabi Unsworth-White, Roanna Norman, Sebastian Matthew Joseph Powell, Natalija Snovak, Kate J Heathcote, Lachlan Ayres","doi":"10.1017/S0022215125102855","DOIUrl":"10.1017/S0022215125102855","url":null,"abstract":"<p><strong>Objective: </strong>Efficacy of gastric inlet patch (GIP) ablation using argon plasma coagulation (APC) for patients presenting with persistent throat symptoms was evaluated.</p><p><strong>Methods: </strong>Retrospective observational study from a single university hospital. Consecutive patients who had GIP ablation for persistent throat symptoms between 01/10/2018-31/10/2023 were reviewed and patients who met all of the set inclusion and exclusion criteria were included in this study for analysis.</p><p><strong>Results: </strong>50% (n = 18/36) of patients responded to APC ablation (median follow-up 3 months) with their post-ablation GETS score decreasing by 30-100%. Long-term follow-up results could be obtained from 22 patients (n = 22/36) and 75% (n = 9/12) had their clinical effects maintained (median follow-up 4.5 years; range 2.7-5.8 years).</p><p><strong>Conclusion: </strong>GIP ablation can be a very effective treatment for patients with persistent throat symptoms with its therapeutic effects long-lasting. Future studies should focus on evaluating the optimal patient selection process for GIP ablation for persistent throat symptoms.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698840","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}
Darby Keirns, Beau Hsia, Paula Valeria Guerra-Navarro, Xinxin Wu, Peter Silberstein, James Reed Gardner, Vijay Patel
{"title":"A Comprehensive Analysis of Socio-economic and Clinical Factors in Head and Neck Cancer Patients Receiving Robotic Surgery.","authors":"Darby Keirns, Beau Hsia, Paula Valeria Guerra-Navarro, Xinxin Wu, Peter Silberstein, James Reed Gardner, Vijay Patel","doi":"10.1017/S0022215125102843","DOIUrl":"10.1017/S0022215125102843","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate socio-economic and clinical disparities in the utilisation of robotic surgery for head and neck cancer.</p><p><strong>Methods: </strong>Using the National Cancer Database (2010-2020), 212 449 surgically treated patients were analysed. Multivariate logistic regression identified predictors of robotic versus non-robotic surgery (<i>p</i> < 0.05).</p><p><strong>Results: </strong>Robotic surgery utilisation increased over time during the study period. The following characteristics positively correlated with the use of robotic surgery: male, aged 41-80 years, White race, insured (with private insurance, Medicaid and Medicare) and treatment at an Academic/Research centre. Metropolitan residency, higher income/education levels, lower comorbidity (Charlson-Deyo score of 0) and Stage I disease were also associated with increased robotic surgery utilisation.</p><p><strong>Conclusion: </strong>Significant socio-economic disparities exist in robotic surgery access, potentially exacerbating outcome inequities. Targeted interventions are needed to improve equity in treatment access and standardise care protocols. Further research should validate trends and address systemic barriers.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698839","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}
{"title":"The Critical Role of Family Efficacy in Postoperative Rehabilitation of Children with Cochlear Implants.","authors":"Tuochen Lv, Jie Wang, Weiyi Wang","doi":"10.1017/S0022215125102818","DOIUrl":"https://doi.org/10.1017/S0022215125102818","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659421","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}
{"title":"Refinement of the single stage delayed helical rim reconstruction with post-auricular bipedicled flap and Cartilage graft.","authors":"Mogdad Alrawi, Sarah Alrawi","doi":"10.1017/S0022215125102776","DOIUrl":"https://doi.org/10.1017/S0022215125102776","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659420","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}
Nidhin Das K, Amit Keshri, Kanika Arora, Nazrin Hameed, Mohd Aqib, Kalyana Sundaram Chithambaram, Mohit Sinha Neeraj Jain, Vivek Singh, Kuntal Kanti Das, Kamlesh Bhaisora, Arun Kumar Srivastava, Anant Mehrotra, Awadesh Kumar Jaiswal, Ravi Sankar Manogaran
{"title":"Validation of a novel jugular bulb classification in otology and lateral skull base surgery: a neuro-otologist's perspective.","authors":"Nidhin Das K, Amit Keshri, Kanika Arora, Nazrin Hameed, Mohd Aqib, Kalyana Sundaram Chithambaram, Mohit Sinha Neeraj Jain, Vivek Singh, Kuntal Kanti Das, Kamlesh Bhaisora, Arun Kumar Srivastava, Anant Mehrotra, Awadesh Kumar Jaiswal, Ravi Sankar Manogaran","doi":"10.1017/S0022215125102739","DOIUrl":"10.1017/S0022215125102739","url":null,"abstract":"<p><strong>Objectives: </strong>The study aim is to validate the utility and implications of the Manjila jugular bulb classification.</p><p><strong>Methods: </strong>A retrospective study of 182 patients who underwent lateral skull base or otologic surgery was conducted. Pre-operative temporal bone computed tomography and magnetic resonance imagery scans were reviewed, and the classification was independently applied by a neuroradiologist and neuro-otologist. Concordance among imaging, intra-operative findings, complications, and functional outcomes was assessed.</p><p><strong>Results: </strong>Substantial agreement was found between imaging and intra-operative findings (Cohen's kappa = 0.78). High-riding jugular bulbs were present in 13.7 per cent of cases, with complications such as venous bleeding (5.5 per cent) and cranial nerve palsy (2.7 per cent). Surgical approaches were altered in 25 per cent of cases. Functional outcomes, including hearing and facial nerve preservation, were not correlated with jugular bulb grades.</p><p><strong>Conclusion: </strong>The classification demonstrated strong concordance with intra-operative findings, emphasising the importance of pre-operative identification for tailored surgical planning.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659422","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}
{"title":"Results of 1470 nanometre diode laser assisted stapedotomy.","authors":"Ulrica Thunberg","doi":"10.1017/S002221512510279X","DOIUrl":"10.1017/S002221512510279X","url":null,"abstract":"<p><strong>Objectives: </strong>Few studies have investigated stapedotomy using 1470 nm diode laser, and the present article contributes with clinical experience.</p><p><strong>Methods: </strong>A retrospective analysis was conducted to investigate hearing performance of 22 patients undergoing 1470 nm diode laser-assisted primary stapedotomy.</p><p><strong>Results: </strong>In 8/22 cases, accidental breaches to the inner ear by the laser and in 14/22 cases the stapedotomy was performed as planned only by drill. Air-bone gap and loss of sensorineural hearing were low and with no significant differences for groups at follow-up. No patients with breaches by laser reported new or worse tinnitus.</p><p><strong>Conclusion: </strong>Accidental breaches in the stapes footplate using this diode laser did not appear to equate with inner ear damage within this limited cohort. Hearing outcomes were not significantly affected. These findings should be interpreted with caution. Further studies evaluating this laser wavelength in stapedotomy is required.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649696","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}
Clare Perkins, Matthew Steward, Matthew Allen, Madeleine Sian Dale, Oliver McLaren
{"title":"Factors affecting the confidence of surgical trainees: a systematic review and thematic analysis.","authors":"Clare Perkins, Matthew Steward, Matthew Allen, Madeleine Sian Dale, Oliver McLaren","doi":"10.1017/S0022215125102788","DOIUrl":"10.1017/S0022215125102788","url":null,"abstract":"<p><strong>Objectives: </strong>Confidence among surgeons is required for complex decision-making and surgical ability. However, surgical trainees' confidence is decreasing. This systematic review aims to explore factors that affect the confidence of surgical trainees.</p><p><strong>Methods: </strong>A systematic review was performed following the PRISMA guidelines. Pubmed®, Embase™, Scopus, ClinicalTrials.gov and grey literature were searched for primary research on factors affecting surgical trainee confidence.</p><p><strong>Results: </strong>Eleven studies were included. Key factors positively impacting trainee confidence were receiving regular positive feedback, working with a supportive trainer and having a calm working environment and effective team dynamic. The main factors negatively impacting trainee confidence were experiencing undermining behaviour from trainers and stressful, time-pressured environments. Female gender was also associated with reduced confidence. Greater confidence was associated with higher perceived performance.</p><p><strong>Conclusion: </strong>This work assimilates the factors impacting surgical trainees' confidence, which could guide training programmes to improve trainee self-confidence and therefore patient care.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144642784","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}
Noha Ahmed El-Kholy, Mohammed Abdelbadie Salem, Mohamed Rashad Ghonim, Javier Gavilán
{"title":"Endoscopic tenotomy in Ménière's disease: is it effective?","authors":"Noha Ahmed El-Kholy, Mohammed Abdelbadie Salem, Mohamed Rashad Ghonim, Javier Gavilán","doi":"10.1017/S0022215125102697","DOIUrl":"10.1017/S0022215125102697","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to report our experience with endoscopic tenotomy in treatment of Ménière's disease as its reported role in literature is still controversial.</p><p><strong>Methods: </strong>Patients diagnosed with unilateral definite Ménière's disease and underwent endoscopic tenotomy of middle-ear muscles in our tertiary care centre were retrospectively evaluated. Pure tone average, frequency of vertiginous attacks, functional level, tinnitus scale and Dizziness Handicap Inventory were compared pre-operatively and post-operatively.</p><p><strong>Results: </strong>Twenty-eight cases were included in the study with an average age of 50.78 ± 12.16 years. At the 2-year follow-up period, 16 cases (57.14 per cent) achieved complete control of vertigo, 5 cases (17.85 per cent) had substantial vertigo control, and 3 cases (10.71 per cent) had limited control. Significant improvement in Dizziness Handicap Inventory and functional level also was found post-operatively.</p><p><strong>Conclusion: </strong>Endoscopic tenotomy for Ménière's disease is easy and simple with no serious complications, but its relatively low results of absolute vertigo control limit its consideration as a definitive treatment.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637260","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}