Li Lijuan, Luo Jiasheng, Yang Yintong, Zhu Guanxia, Huo Meixu, Zhai Songyu, Song Shanghua
{"title":"Prognostic analysis and nomogram prediction model construction of severe full-frequency sudden sensorineural hearing loss.","authors":"Li Lijuan, Luo Jiasheng, Yang Yintong, Zhu Guanxia, Huo Meixu, Zhai Songyu, Song Shanghua","doi":"10.1017/S0022215125102582","DOIUrl":"https://doi.org/10.1017/S0022215125102582","url":null,"abstract":"<p><strong>Objectives: </strong>This stidy aimed to identify factors influencing prognosis in severe full-frequency sudden sensorineural hearing loss and develop an early prognostic tool.</p><p><strong>Methods: </strong>A total of 194 patients with severe full-frequency sudden sensorineural hearing loss were analyzed. Univariate analysis screened variables, followed by multivariate logistic regression to construct a nomogram prediction model. Model performance was evaluated using a receiver operating characteristics curve.</p><p><strong>Results: </strong>Significant differences (<i>p</i> < 0.05) were found between ineffective and effective treatment groups in gender, age, contralateral ear hearing, duration of hearing loss, dizziness/vertigo, hypertension, platelet count and fibrinogen levels (Fib1, Fib2, Fib3). The nomogram model, incorporating these factors, showed good calibration. The receiver operating characteristics curve analysis revealed an area under the curve of 0.880 (95 per cent confidence interval: 0.829-0.931), with sensitivity of 80.7 per cent and specificity of 87.5 per cent.</p><p><strong>Conclusion: </strong>The nomogram model, integrating 11 factors, effectively predicts prognosis in severe full-frequency sudden sensorineural hearing loss.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584146","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":"Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines, Sixth Edition - CORRIGENDUM.","authors":"Jarrod J Homer, Stuart C Winter","doi":"10.1017/S0022215125102491","DOIUrl":"10.1017/S0022215125102491","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1"},"PeriodicalIF":0.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12324936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scapular tip free flap reconstruction of complex midface defects using electromagnetic navigation.","authors":"Jérôme Costisella, Mathieu Belzile, Pierre-Hugues Fortier, Laurent Fradet","doi":"10.1017/S002221512510248X","DOIUrl":"10.1017/S002221512510248X","url":null,"abstract":"<p><strong>Problem: </strong>The virtues of the scapular tip free flap for reconstruction of complex midface oncologic defects have been claimed by many. To obtain optimal functional and aesthetic results, precise positioning of the free flap used for reconstruction is paramount.</p><p><strong>Methods: </strong>Four cases illustrate our approach to midface reconstruction with angular branch-based scapular tip flaps. A standard surgical navigation device was used both to plan bone cuts for the oncologic resection and to optimise the positioning of the flap.</p><p><strong>Results: </strong>Case 1 illustrates the usefulness of navigation for reconstruction of total palato-septectomy defects, using a horizontally positioned flap. Optimal neo-palate height, alignment of the anterior nasal spine and nasal projection were obtained. For cases 2-4, vertical inset of the flap yielded optimal midface projection and orbital floor position.</p><p><strong>Conclusion: </strong>Surgical navigation systems are useful adjuncts for midface reconstruction.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":1.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497355","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":"Bilateral radiation-induced squamous cell carcinoma of the external auditory canal: the effect of immunosuppressive therapy.","authors":"Cole Needham, Jonn Wu, Desmond A Nunez","doi":"10.1017/S0022215125102569","DOIUrl":"10.1017/S0022215125102569","url":null,"abstract":"<p><strong>Background: </strong>Squamous cell carcinoma of the external auditory canal is rare, with bilateral cases even rarer. We report the management of a patient with bilateral external auditory canal squamous cell carcinoma related to radiotherapy and immunosuppression.</p><p><strong>Case report: </strong>A 47-year-old woman with a history of radiotherapy 14 years prior and renal transplantation 6 years prior presented with bilateral external auditory canal squamous cell carcinoma. Squamous cell carcinoma was excised with a purely surgical approach. The two operations included a tympanic membrane graft to preserve hearing on the left side. The patient remains disease-free six months post-op. She uses a bone-conduction hearing aid to good effect on the right side and has mild hearing loss on the left. The operative areas have healed well.</p><p><strong>Discussion: </strong>The patient's previous radiotherapy and immunosuppression may have contributed to her bilateral external auditory canal squamous cell carcinoma. Preventative positron emission tomography scans have the potential to identify second malignancies early, allowing more conservative treatment plans.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-3"},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475594","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}
Sanem Can Çolak, Deniz Uğur Cengiz, Tuba Bayındır, Birgül Cumurcu
{"title":"An evaluation of vestibular functions in substance misuse.","authors":"Sanem Can Çolak, Deniz Uğur Cengiz, Tuba Bayındır, Birgül Cumurcu","doi":"10.1017/S0022215125000209","DOIUrl":"10.1017/S0022215125000209","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the vestibular system in substance addicts.</p><p><strong>Methods: </strong>A total of 34 substance addicts were included in the study. A demographic data form, the Dizziness Handicap Inventory, the Addiction Profile Index Screening - Short Form, the Video Head Impulse Test, videonystagmography, and cervical and ocular vestibular evoked myogenic potentials tests were administered in all participants.</p><p><strong>Results: </strong>A statistically significant difference was found between the study group and the control group (<i>p</i> < 0.05) in terms of gaze, saccade, pursuit and optokinetic results in the videonystagmography test; lateral, anterior and posterior semicircular canal gain values in the Video Head Impulse Test; P1 latency, P1-N1 interlatency, P1-N1 amplitude and asymmetry values in the cervical vestibular evoked myogenic potentials test; and N1-P1 interlatency, N1-P1 amplitude and asymmetry values in the ocular vestibular evoked myogenic potentials test (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>As a result of our study, it was observed that the vestibular system was affected in substance addicts.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317084","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}
Edward Balai, Mohammed Hassan Hussain, Karan Jolly, Adnan Darr
{"title":"Accessibility and use of image-guided navigation systems for endoscopic sinus surgery in the UK: a cross-sectional, survey-based study of UK ENT consultants.","authors":"Edward Balai, Mohammed Hassan Hussain, Karan Jolly, Adnan Darr","doi":"10.1017/S0022215125102570","DOIUrl":"10.1017/S0022215125102570","url":null,"abstract":"<p><strong>Objectives: </strong>The American Academy of Otolaryngology endorses using image-guided navigation systems in appropriately selected sinus and skull base cases. This study aimed to understand current practices, accessibility and use of image-guided navigation systems in otolaryngology departments across the UK.</p><p><strong>Methods: </strong>A 13-point survey was distributed to UK otolaryngology consultants, with responses collated between May and December 2023.</p><p><strong>Results: </strong>A total of 154 responses were received. Whilst 28.6 per cent felt it should be mandatory for a department undertaking endoscopic sinus surgery to have image-guided navigation systems, 33.1 per cent reported a lack of access, with financial cost the primary barrier. Half of the respondents reported using image-guided navigation systems for surgery involving the sphenoid sinus and \"full-house\" functional endoscopic sinus surgery. Over three-quarters felt image-guided navigation systems should be utilised for frontal sinus pathology or expanded approaches.</p><p><strong>Conclusion: </strong>Our study highlights variations in access to image-guided navigation systems and a range of practices regarding its use for endoscopic sinus surgery amongst UK otolaryngologists.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317083","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":"Laryngotracheal mold for stenting in pediatric glottic and subglottic stenosis.","authors":"Flavia Varela, Kishore Sandu","doi":"10.1017/S0022215125102533","DOIUrl":"10.1017/S0022215125102533","url":null,"abstract":"<p><strong>Objective: </strong>We report the surgical outcomes and functional results in a pediatric population following the use of the laryngotracheal LT-mold<sup>R</sup> prosthesis to treat complex glottic and subglottic stenosis.</p><p><strong>Methods: </strong>A retrospective observational study in children following open and endoscopic surgical treatment for LT stenosis.</p><p><strong>Results: </strong>Among 46 patients, 91% received LT-mold during an open surgery and 9% had it following an endoscopic procedure. 93% patients were successfully decannulated and 80% needed stent placement for longer than 2 months. Mean time to decannulation was 229 days. Currently, 83% patients have normal breathing, 67% patients have normal voice or mild dysphonia and swallowing outcomes have remained similar in the pre- and post-operative period.</p><p><strong>Conclusion: </strong>The LT-mold provided an adequate airway stenting, enabling decannulation in most patients with advanced grades of laryngotracheal stenosis. Duration of stenting and time to decannulation showed no correlation with the grade of stenosis or patient comorbidities. Functional results were optimal.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-8"},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302296","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":"Recurrent respiratory papillomatosis in children: coblation versus microdebrider.","authors":"G McNally, R Mason, N Bateman","doi":"10.1017/S0022215125102545","DOIUrl":"10.1017/S0022215125102545","url":null,"abstract":"<p><strong>Objectives: </strong>Recurrent respiratory papillomatosis is a benign disease caused by human papillomavirus that often requires frequent surgical intervention. In the UK, microdebridement is the most common technique compared to 3.3 per cent of procedures performed with coblation. This is the first study to compare the efficacy and safety profile of microdebriders versus coblation in children.</p><p><strong>Methods: </strong>Demographic data and surgical outcomes were collected retrospectively for all children with recurrent respiratory papillomatosis over an eight-year period.</p><p><strong>Results: </strong>Seventeen children with recurrent respiratory papillomatosis underwent a total of three hundred operations, including 182 coblation (60.7 per cent) and 113 microdebrider procedures (37.7 per cent). The complication rate was 3.8 per cent for coblation and 7.1 per cent for microdebridement (<i>p</i> = 0.22). There was no significant difference in the time interval between coblation and microdebrider procedures (<i>p</i> = 0.21).</p><p><strong>Conclusion: </strong>In children with recurrent respiratory papillomatosis, this study demonstrated a comparable efficacy and safety profile for surgical intervention with coblation versus the currently favoured microdebrider technique.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302297","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":"Comparison of sound localisation ability in bimodal versus bilateral cochlear implant users.","authors":"Y Long, W Wang, J Liu, Y Liu, S Gong","doi":"10.1017/S0022215125102557","DOIUrl":"10.1017/S0022215125102557","url":null,"abstract":"<p><strong>Objective: </strong>To compare the sound localisation abilities of bimodal cochlear implant and bilateral cochlear implant users.</p><p><strong>Methods: </strong>A horizontal sound source discrimination task was conducted with 44 and 20 bimodal and bilateral cochlear implant users, respectively. Paired and two-sample <i>t</i>-tests were performed for paired and unpaired data, respectively.</p><p><strong>Results: </strong>The root mean square error scores of the bimodal cochlear implant and bilateral cochlear implant users were 75.77 ± 10.49° and 54.39 ± 19.82°, respectively. The bilateral cochlear implant users' root mean square error score was significantly better than that of the bimodal cochlear implant users (<i>t</i> = 5.65, <i>p</i> < 0.001). The root mean square error scores of bimodal cochlear implant users with good and poor low-frequency hearing were 75.45 ± 11.07° and 76.10 ± 10.14°, respectively, with no significant intergroup difference (<i>t</i> = 0.20, <i>p</i> = 0.84).</p><p><strong>Conclusion: </strong>Bilateral cochlear implantation may be more helpful for sound localisation in patients with bilateral sensorineural hearing loss. The better low-frequency hearing threshold of the non-implanted ears did not result in better sound localisation ability in bimodal cochlear implant users.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302295","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}