Journal of Laryngology and Otology最新文献_第8页

Association between the Healthy Eating Index 2015 and hearing loss among American adults: National Health and Nutrition Examination Survey. HEI-2015与美国成年人听力损失的关系：国家健康和营养检查调查。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-15 DOI: 10.1017/S0022215125000659

Juan Jiang, WanLei Chi

{"title":"Association between the Healthy Eating Index 2015 and hearing loss among American adults: National Health and Nutrition Examination Survey.","authors":"Juan Jiang, WanLei Chi","doi":"10.1017/S0022215125000659","DOIUrl":"10.1017/S0022215125000659","url":null,"abstract":"Objective: To investigate the association between Healthy Eating Index 2015 scores and hearing loss.Methods: This study used cross-sectional data from individuals aged over 20 years (n = 5171) who participated in the National Health and Nutrition Examination Survey from 1999 to 2012 and from 2015 to 2018. Information was collected on their hearing, Healthy Eating Index 2015 scores, and several other important covariates using multivariate regression analyses.Results: After adjusting for potential confounders, when hearing loss was defined as ≥20 dB, the odds ratios for low-frequency and high-frequency hearing loss were 0.99 (95 per cent confidence interval (CI) = 0.98-0.99, p < 0.001) and 0.99 (95 per cent CI = 0.98-1, p = 0.006), respectively. When hearing loss was defined as >25 dB, the odds ratios for low-frequency hearing loss and speech-frequency band hearing loss were 0.98 (95 per cent CI = 0.98-0.99, p < 0.001) and 0.99 (95 per cent CI = 0.98-1, p = 0.008), respectively.Conclusion: In U.S. adults, the Healthy Eating Index 2015 is associated with hearing loss.","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":"144637259","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

Otolaryngology Residents' Perceptions of Pregnancy and Parental Leave During Training. 耳鼻喉科住院医师在培训期间对怀孕和育儿假的认知。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-15 DOI: 10.1017/S0022215125102594

Amanda Walsh, Jasmine Gulati, Veranca Shah, Isabel Snee, Sarah Rapoport, Kelly Scriven

{"title":"Otolaryngology Residents' Perceptions of Pregnancy and Parental Leave During Training.","authors":"Amanda Walsh, Jasmine Gulati, Veranca Shah, Isabel Snee, Sarah Rapoport, Kelly Scriven","doi":"10.1017/S0022215125102594","DOIUrl":"10.1017/S0022215125102594","url":null,"abstract":"Objective: To evaluate the experiences and perspectives of otolaryngology residents regarding current parental leave (PL) practices, incorporating insights from both male and female trainees to assess institutional policies and support mechanisms.Methods: A 43-item anonymous survey was distributed to 125 ACGME-accredited otolaryngology residency programs, yielding responses from 105 residents (response rate: 29%). Data were analyzed using descriptive statistics and thematic analysis to evaluate perceptions of PL policies, barriers to leave, and postpartum support.Results: Most respondents were female (57%) and married (77%), with an average age of 30 years. Only 26% were aware of the American Board of Otolaryngology's 8-week PL policy. Female residents typically took 4-6 weeks of leave, while male residents took none. Concerns about program strain (29%) and lack of lactation support (60%) were significant barriers. Despite this, most respondents felt supported by co-residents and faculty.Conclusion: Otolaryngology residents reported dissatisfaction with PL policies, inadequate lactation support, and poor awareness of institutional guidelines. Addressing these issues is critical to fostering a supportive environment for residents pursuing parenthood during training.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637261","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 Cardiff TonsillectomEase trainer. 卡迪夫扁桃体切除简易训练器。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102764

Eleanor Wong, Huw Davies, David Owens

引用次数: 0

Cochlear implantation in different stages of otosclerosis: difficulties and outcomes. 耳硬化不同阶段的人工耳蜗植入术：困难与结果。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102715

Ossama Mustafa Mady, Lobna El Fiky, Badr Eldin Mostafa, Mina Fayez Saleeb, Ahmed Abdelmoneim Teaima

{"title":"Cochlear implantation in different stages of otosclerosis: difficulties and outcomes.","authors":"Ossama Mustafa Mady, Lobna El Fiky, Badr Eldin Mostafa, Mina Fayez Saleeb, Ahmed Abdelmoneim Teaima","doi":"10.1017/S0022215125102715","DOIUrl":"10.1017/S0022215125102715","url":null,"abstract":"Objective: This study is to evaluate the results obtained in a group of implanted otosclerotic patients and compare them with a matching group of non- otosclerosis cochlear implant patients.Methods: Pre-operative computed tomographic scans, intra-operative findings, type of electrode used and difficulties of 17 patients with otosclerosis were documented. Post-operative complications, facial nerve stimulation, electrode dislocation and audiological and speech outcomes were documented and the data analysed.Results: Surgical difficulties were directly related to the advanced stage of the disease. No major complications were reported in this cohort. No significant difference was found between both groups one year after surgery; the mean pure tone average was 35 dB ± 4.43, speech reception threshold was 40 ± 4.96 and speech discrimination score was 80 per cent ± 12.55 in the otosclerotic group.Conclusion: Cochlear implantation is a safe and effective management for advanced otosclerosis patients even after stapes surgery.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626510","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

Picrotoxin for vertigo control in Ménière's disease and other peripheral vestibular disorders: a systematic review. 肉毒杆菌毒素用于控制梅尼埃病和其他外周前庭疾病的眩晕：系统综述。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102727

Stefan Lyutenski, Paul James, Marc Bloching

{"title":"Picrotoxin for vertigo control in Ménière's disease and other peripheral vestibular disorders: a systematic review.","authors":"Stefan Lyutenski, Paul James, Marc Bloching","doi":"10.1017/S0022215125102727","DOIUrl":"10.1017/S0022215125102727","url":null,"abstract":"Objectives: The aim of this study is to systematically review and analyse the literature regarding clinical application of picrotoxin for vertigo caused by peripheral vestibular disorders.Methods: We conducted a search in PubMed/MEDLINE and Google Scholar in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses recommendations. The primary selection included all studies exploring the effect of this phytopharmacological substance on the vestibular system and vertigo. The secondary selection included only reports on its clinical use for treatment of Ménière's disease and other peripheral vestibular disorders.Results: From the 398 identified studies, 18 were included from the primary selection and 6 from the secondary selection. In total, 203 patients received picrotoxin; 85 of them were treated for vertigo with 1-mg picrotoxin suppositories. In this subgroup vertigo was reduced in 74.9 per cent.Conclusion: Picrotoxin is a non-invasive treatment option worth considering, especially in cochlear-implanted patients with recurring disabling vertigo.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626512","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

All change for The Journal: Welcome new members, farewell old colleague and friend. 《华尔街日报》的所有变化：欢迎新成员，告别老同事和朋友。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102740

Jonathan Fishman, Ann-Louise McDermott, Stephen Jones

引用次数: 0

Predictive value of immune-modified Glasgow prognostic score in patients with head and neck squamous cell carcinoma treated with nivolumab. 免疫修饰格拉斯哥预后评分在纳武单抗治疗头颈部鳞状细胞癌患者中的预测价值。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102612

Toshimitsu Ohashi, Nansei Yamada, Kosuke Terazawa, Hirofumi Shibata, Masato Takiwaki, Takanori Wakaoka, Shigeaki Tanahasi, Hiroki Takahashi, Bunya Kuze, Masami Ohnishi, Hiromichi Shirato, Keisuke Mizuta, Takenori Ogawa

{"title":"Predictive value of immune-modified Glasgow prognostic score in patients with head and neck squamous cell carcinoma treated with nivolumab.","authors":"Toshimitsu Ohashi, Nansei Yamada, Kosuke Terazawa, Hirofumi Shibata, Masato Takiwaki, Takanori Wakaoka, Shigeaki Tanahasi, Hiroki Takahashi, Bunya Kuze, Masami Ohnishi, Hiromichi Shirato, Keisuke Mizuta, Takenori Ogawa","doi":"10.1017/S0022215125102612","DOIUrl":"10.1017/S0022215125102612","url":null,"abstract":"Objectives: The immune-modified Glasgow Prognostic Score, encompassing C-reactive protein, serum albumin, and lymphocyte count, is a valuable prognostic tool for head and neck squamous cell carcinoma. We aimed to assess the utility of immune-modified Glasgow Prognostic Score in predicting the treatment response to nivolumab in patients with head and neck squamous cell carcinoma.Methods: Seventy-six patients with head and neck squamous cell carcinoma treated with nivolumab were included in this study. The imGPS was assessed before the initial nivolumab dose and four weeks after immune-modified Glasgow Prognostic Score.Results: Multivariable analysis identified four weeks after immune-modified Glasgow Prognostic Score as an adverse prognostic factor for progression-free and overall survival. The best overall response was significantly associated with four weeks after immune-modified Glasgow Prognostic Score. Remarkably, all patients with four weeks after immune-modified Glasgow Prognostic Score = 3 and 8 (80.0%) of 10 patients with four weeks after immune-modified Glasgow Prognostic Score = 2 experienced progressive disease.Conclusion: The immune-modified Glasgow Prognostic Score proves valuable for predicting prognosis in patients with head and neck squamous cell carcinoma undergoing nivolumab treatment, particularly excelling in identifying individuals unlikely to respond to nivolumab.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626513","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

Bilateral vocal fold paralysis after cardiac surgery managed with anterior-posterior cricoid split. 环状软骨前后裂治疗心脏手术后双侧声带麻痹。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102806

John Dewey, Adrian Williamson, Hussein Jaffal

{"title":"Bilateral vocal fold paralysis after cardiac surgery managed with anterior-posterior cricoid split.","authors":"John Dewey, Adrian Williamson, Hussein Jaffal","doi":"10.1017/S0022215125102806","DOIUrl":"10.1017/S0022215125102806","url":null,"abstract":"Objectives: We present the case of a patient with bilateral vocal fold paralysis following extensive surgical repair of congenital cardiac abnormalities and the management of the subsequent airway compromise with primary endoscopic anterior-posterior cricoid split.Methods: Review of our management of a patient with bilateral vocal fold paralysis using anterior-posterior cricoid split and literature search of alternative management options for patients with bilateral vocal fold paralysis.Results: Our newborn patient developed stridor and respiratory failure following surgery for multiple cardiac malformations. Flexible fiberoptic laryngoscopy revealed bilateral vocal fold paralysis, and the patient was intubated for airway protection. We addressed the bilateral vocal fold paralysis with primary endoscopic anterior-posterior cricoid split to avoid tracheostomy, successfully extubating to room air 13 days later. The patient regained nearly total function of both folds and, at two-year follow-up, was asymptomatic from an airway, voice, sleep and swallowing perspective.Conclusions: APCS was effective in managing bilateral vocal fold paralysis-associated respiratory failure and avoiding tracheostomy, with long-term follow-up demonstrating symptom resolution and bilateral recovery of laryngeal mobility.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626509","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

Retrospective review of 33 cases of paediatric retropharyngeal and parapharyngeal infections and a proposed algorithm for managing future cases. 33例小儿咽后和咽旁感染的回顾性分析及一种处理未来病例的建议算法。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102703

Michael Fitzsimons, Seamus Boyle, Michael Colreavy, Siobhan Hoare, Stephen Kieran, Eimear Phelan, Patrick Sheehan, Natalija Snovak, Colleen Heffernan

{"title":"Retrospective review of 33 cases of paediatric retropharyngeal and parapharyngeal infections and a proposed algorithm for managing future cases.","authors":"Michael Fitzsimons, Seamus Boyle, Michael Colreavy, Siobhan Hoare, Stephen Kieran, Eimear Phelan, Patrick Sheehan, Natalija Snovak, Colleen Heffernan","doi":"10.1017/S0022215125102703","DOIUrl":"10.1017/S0022215125102703","url":null,"abstract":"Objective: Retropharyngeal and parapharyngeal infections can be managed surgically or conservatively. A trial of medical treatment before considering computed tomography (CT) imaging may be appropriate.Methods: This is a retrospective review of patients with retropharyngeal and parapharyngeal infections between October 2022 and April 2023. Descriptive and statistical analysis compared surgically and conservatively managed patients.Results: There were 33 patients (median age 58 months). CT imaging was acquired for 30 of 33 patients (90.9 per cent) and 25 had a CT scan within 24 hours of presentation. Fourteen patients (42.4 per cent) were managed surgically. The mean duration of antibiotics for surgically and conservatively managed patients was not significantly different (19.9 vs 21.4 days, p = 0.73). Larger lesions were observed on the CT scans of surgically treated patients (22.8 vs 15.6 mm, p = 0.01).Conclusion: Management of paediatric retropharyngeal and parapharyngeal infections can be surgical or conservative. We propose a management algorithm that allows an initial trial of intravenous antibiotics before CT imaging for selected patients.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626514","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

Echoes of the larynx: harnessing acoustic analysis as a key tool for monitoring laryngeal health in inhalational therapy patients. 喉的回声：利用声学分析作为监测吸入治疗患者喉部健康的关键工具。

IF 0.8 4区医学

Journal of Laryngology and Otology Pub Date : 2025-07-14 DOI: 10.1017/S0022215125102752

Sharad Ashish, Nirmal Coumare V, Pajanivel R, Padmanabhan Karthikeyan

{"title":"Echoes of the larynx: harnessing acoustic analysis as a key tool for monitoring laryngeal health in inhalational therapy patients.","authors":"Sharad Ashish, Nirmal Coumare V, Pajanivel R, Padmanabhan Karthikeyan","doi":"10.1017/S0022215125102752","DOIUrl":"10.1017/S0022215125102752","url":null,"abstract":"Objectives: This study evaluated laryngeal changes and voice quality in patients with obstructive lung disease treated with combination inhalational agents.Methods: A prospective observational study at a tertiary care hospital in southern India included 112 newly diagnosed obstructive lung disease patients. Initial assessments involved history-taking, clinical examination, direct laryngoscopy and voice analysis using PRAAT® software. Parameters such as mean pitch, jitter, shimmer, harmonic-to-noise ratio and maximum phonation time were measured, with follow-ups at 3, 6 and 12 months.Results: Patients had a mean age of 43.05 years. Progressive laryngeal changes, including oedema (5.3 per cent) and hyperaemia (7.1 per cent), were noted by 12 months. Significant increases in shimmer and jitter, along with decreases in harmonic-to-noise ratio and maximum phonation time, indicated deteriorating voice quality (p < 0.001).Conclusion: Long-term inhalational corticosteroid use in obstructive lung disease patients leads to progressive laryngeal changes and voice deterioration, emphasising the need for vocal function monitoring and preventive strategies.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626511","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