Journal of Laryngology and Otology最新文献_第9页

A Physiologically Informed Modification Of Drug-Induced Sleep Endoscopy. 药物诱发睡眠内窥镜的生理学改进。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-13 DOI: 10.1017/S0022215126105453

Vik Veer, James Roberts, Chang Woo Lee

引用次数: 0

Operative benefits of embolisation in advanced-stage juvenile nasopharyngeal angiofibroma: a meta-analytic comparison. 晚期青少年鼻咽血管纤维瘤栓塞术的手术益处：荟萃分析比较。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126104885

Aviv Yvonne Segal, Basem Hijazi, Ohad Ronen

{"title":"Operative benefits of embolisation in advanced-stage juvenile nasopharyngeal angiofibroma: a meta-analytic comparison.","authors":"Aviv Yvonne Segal, Basem Hijazi, Ohad Ronen","doi":"10.1017/S0022215126104885","DOIUrl":"10.1017/S0022215126104885","url":null,"abstract":"Objectives: Juvenile nasopharyngeal angiofibroma is a highly vascular benign tumour affecting adolescent males. Our aim was to compare operative outcomes in embolised and non-embolised patients, with emphasis on tumour stage.Methods: A systematic review was conducted using three databases (PubMed, Scopus and Google Scholar) in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.Results: Overall, 17 studies with a total of 524 patients met the inclusion criteria. The meta-analysis showed a significant difference in estimated blood loss between embolised and non-embolised groups (overall effect size -685 ml; p < 0.001). Additionally, embolised patients with advanced stage tumours tended to lose less blood during surgery than non-embolised patients (mean of 1551.9 ml vs. 4051.5 ml; p = 0.065).Conclusion: This systematic review and meta-analysis demonstrate that pre-operative endovascular embolisation provides an operative advantage in patients undergoing juvenile nasopharyngeal angiofibroma surgical resection. A near-significant trend towards greater benefit in higher-stage tumours was observed (p = 0.065), warranting further prospective investigation.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"718-725"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147839017","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

Complete Supernumerary Nostril with Accessory Alar Fistula Reconstructed via Alar Wedge Excision Type 2: A Case Report and Literature Review. 2型鼻翼楔形切除重建完全性多余鼻孔伴副鼻翼瘘1例并文献复习。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126104824

Rizki Ekaputra Handoko, Iriana Maharani, Melody Audria Kurniadi

{"title":"Complete Supernumerary Nostril with Accessory Alar Fistula Reconstructed via Alar Wedge Excision Type 2: A Case Report and Literature Review.","authors":"Rizki Ekaputra Handoko, Iriana Maharani, Melody Audria Kurniadi","doi":"10.1017/S0022215126104824","DOIUrl":"10.1017/S0022215126104824","url":null,"abstract":"Background: Supernumerary nostril with an accessory nasal fistula is an exceptionally rare congenital anomaly with no standardised reconstructive protocol, especially with nasolacrimal involvement.Case report: A nine-year-old boy presented with a complete supernumerary nostril and synchronous accessory nasal fistula at the right alar base, persistent epiphora and prior endoscopic dacryocystorhinostomy. Imaging demonstrated a cystic tract communicating with the nasolacrimal system. Definitive management utilised a modified alar wedge excision type 2, incorporating both orifices into a single reconstructive unit. Three-month follow up demonstrated excellent aesthetic and functional outcomes with minimal scarring.Literature review: A review of 12 previously published cases (2001-2025) revealed heterogeneous, largely non-standardised techniques, often relying on simple excision that may not correct alar asymmetry.Conclusion: Complete tract eradication and restoration of alar symmetry were achieved. Alar wedge excision type 2 offers a reproducible technique for complex supernumerary nostril-accessory nasal fistula anomalies, particularly in Asian patients where tension-free closure minimises hypertrophic scarring.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"803-807"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138324","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 analysis of vestibular function in cochlear implant recipients with enlarged vestibular aqueduct- ERRATUM. 前庭导水管扩大的人工耳蜗受者前庭功能的长期分析-勘误。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126105131

Yanqi Wang, Fan Li, Wan Zhao, Jingwu Sun, Jiaqiang Sun, Ruirui Guan, Yongtao Xiao

引用次数: 0

An intact stapes superstructure independently predicts ossiculoplasty success: analysis of 100 titanium reconstructions. 完整的镫骨上部结构独立预测听骨成形术的成功：100例钛重建的分析。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S002221512610509X

Yinan Zhu, Georgios Kontorinis

{"title":"An intact stapes superstructure independently predicts ossiculoplasty success: analysis of 100 titanium reconstructions.","authors":"Yinan Zhu, Georgios Kontorinis","doi":"10.1017/S002221512610509X","DOIUrl":"10.1017/S002221512610509X","url":null,"abstract":"Objectives: This study aimed to evaluate whether the presence of an intact stapes superstructure is a significant factor in the success of an ossiculoplasty. Secondary factors assessed included presence of cholesteatoma and revision surgery.Methods: A retrospective cohort study in a Scottish tertiary centre analysed audiological outcomes from 100 consecutive adult patients undergoing single-stage ossiculoplasty with titanium prostheses (partial ossicular replacement prosthesis; total ossicular replacement prosthesis). Patient demographics and pre- and post-surgery audiometric data were collected. Bivariate analysis and multivariate linear regression determined independent predictors of post-operative air-bone gap closure.Results: Presence of an intact stapes superstructure significantly improved air-bone gap closure (27.4 dB vs. 21.1 dB; p = 0.048), remaining independently significant in multivariate analysis (β = 9.93; p < 0.001). Larger pre-operative air-bone gap strongly predicted better closure (β = 0.87; p < 0.001). Cholesteatoma and revision status were not independent predictors.Conclusion: Preservation of the stapes superstructure enhances ossiculoplasty outcomes using titanium prosthesis. Patients with larger initial air-bone gaps, especially those with an intact stapes, experience the greatest post-operative improvement.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"739-744"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138398","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

Design and technical validation of a low-cost, titanium sheet metal TORP (SM-T) for manufacturing and use in LMICs- ERRATUM. 用于中低收入国家制造和使用的低成本钛板金属TORP （SM-T）的设计和技术验证-勘误。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126105167

Arjan J Knulst, Vivian van Asperen, Nabin Raj Gautam, Robert Geerts, Geert Ten Have, Sophia Hou, Alexandra Neuman, Michael Smith, Jenny Dankelman

引用次数: 0

Clinical utility of self-assembling peptide haemostat (PuraBond®) in ENT surgery: a 600-patient observational registry at University Hospitals Birmingham. 自组装肽止血剂（PuraBond®）在耳鼻喉外科中的临床应用：伯明翰大学医院600名患者的观察登记。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126104988

Asiya Kamber Zaidi, Naomi Tabitha Mohanarajah, Shahzada K Ahmed

{"title":"Clinical utility of self-assembling peptide haemostat (PuraBond®) in ENT surgery: a 600-patient observational registry at University Hospitals Birmingham.","authors":"Asiya Kamber Zaidi, Naomi Tabitha Mohanarajah, Shahzada K Ahmed","doi":"10.1017/S0022215126104988","DOIUrl":"10.1017/S0022215126104988","url":null,"abstract":"Objectives: This study aimed to evaluate the clinical applications, observed haemostatic outcomes of a self-assembling peptide haemostat (PuraBond®) across a range of ENT surgical procedures using a large UK observational registry.Methods: A two-cycle observational study of 600 patients at University Hospitals Birmingham NHS Foundation Trust (September 2019-July 2024). Data collected included patient demographics, comorbidities, anticoagulation status, surgical details, intra-operative haemostatic outcomes and post-operative complications.Results: Intra-operative haemostasis was documented without the need for additional haemostatic intervention in 99.8% of cases (599/600). Immediate haemostasis-related complication rate was 0.2% (1/600). The overall complication rate was 3% per cent, with most complications unrelated to haemostasis or the use of PuraBond. The study limitations include participant heterogeneity, absence of a control group and small subspeciality sample sizes underscoring the need for comparative studies.Conclusion: This registry demonstrates PuraBond's broad applicability in ENT surgery as an adjunct to routine haemostats and provides essential groundwork for designing future comparative trials.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"793-799"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138341","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

Biologic therapies in eosinophilic chronic rhinosinusitis, management of cricoarytenoid rheumatoid arthritis and oropharyngeal cancer survival. 嗜酸性慢性鼻窦炎的生物治疗，环杓类风湿性关节炎的治疗和口咽癌的生存。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 Epub Date: 2026-08-11 DOI: 10.1017/S0022215126105684

Stephen Jones, Ann-Louise McDermott, Jonathan Fishman

引用次数: 0

Bioabsorbable steroid-eluting implants for mucosal graft fixation in Draf III frontal sinus surgery. 草案III额窦手术中用于粘膜移植固定的生物吸收类固醇洗脱植入物。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126104848

Guled M Jama, Faaizah Chishty, Catherine E Rennie, Hesham Saleh, William E Grant

{"title":"Bioabsorbable steroid-eluting implants for mucosal graft fixation in Draf III frontal sinus surgery.","authors":"Guled M Jama, Faaizah Chishty, Catherine E Rennie, Hesham Saleh, William E Grant","doi":"10.1017/S0022215126104848","DOIUrl":"10.1017/S0022215126104848","url":null,"abstract":"Objectives: The modified endoscopic Lothrop (Draf III) procedure requires reliable mucosal coverage of the exposed bone within the frontal neo-ostium to prevent post-operative restenosis. Free mucosal grafts are effective but difficult to secure due to limited access and absent anchoring sites. We describe a novel use of bioabsorbable steroid-eluting implants as a pragmatic approach to achieve mucosal graft fixation.Methods: Following completion of a Draf III frontal sinusotomy, a PROPEL™ implant is deployed over a free mucosal graft within the frontal neo-ostium. Endoscopic assessment is performed at standard post-operative intervals.Results: In our experience, the technique provides mechanical stabilisation and local steroid delivery and is associated with visually satisfactory graft apposition and mucosalisation in the post-operative period.Conclusion: The use of bioabsorbable steroid-eluting implants offers a practical and complementary endoscopic adjunct in patients undergoing Draf III frontal sinus surgery, supporting graft fixation and contributing to improved long-term neo-ostium patency.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"800-802"},"PeriodicalIF":1.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147773981","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 first 60 years of the NHS illustrated through Nottingham ENT Services. 前60年的NHS插图通过诺丁汉耳鼻喉科服务。

IF 1.1 4区医学

Journal of Laryngology and Otology Pub Date : 2026-07-01 DOI: 10.1017/S0022215126104757

Patrick J Bradley, Nicholas Spencer Jones

引用次数: 0