Journal of Otolaryngology - Head & Neck Surgery最新文献

{"title":"Histopathology of Inner Ear Malformations: Potential Prognostic Factors and Their Influence in the Decision-Making Between CI and ABI.","authors":"Levent Sennaroglu, Rafael da Costa Monsanto, Daniel J Lee, Irem Gul Sancak, Michael Mauro Paparella, Sebahattin Cureoglu","doi":"10.1177/19160216251408785","DOIUrl":"10.1177/19160216251408785","url":null,"abstract":"<p><p>ImportanceHistopathological findings are important to guide our decision between cochlear and auditory brainstem implant in inner ear malformations (IEM) with cochlear hypoplasia (CH), incomplete partition (IP), and common cavity.ObjectiveCochlear implantation (CI) has variable outcome in IEM. Histopathology of IEM is evaluated to understand the causes of this variation.DesignEvaluation of human temporal bone specimens with IEM.ParticipantsTwenty temporal bone specimens from 10 donors who had IEMs were evaluated.Main outcome measuresClassification of IEM and analysis of cochlear morphology [inner and outer hair cells, spiral ganglion cells, and cochlear nerve (CN)] to understand the functional outcome of implantation.ResultsAmong the temporal bones with IEMs, 16 were classified as CH, 2 were IPs type II, and 2 had a normal cochlear anatomy, but absent CNs. The CN was hypoplastic in 3 specimens with CH-III. The nerve was lying adjacent to the bony wall, which would be difficult to demonstrate with current magnetic resonance imaging (MRI). The mean percentage of loss of spiral ganglion cells in CH-III among our specimens was 62%. Some specimens showed asymmetric development, which will play a crucial role in the benefit from CI. Two specimens from the same donor with a fully-developed cochlea demonstrated absent CN.ConclusionBetter MRI sequences are needed to demonstrate the hypoplastic CN adjacent to the wall of the internal auditory canal. Audiological examination is of paramount importance to demonstrate the presence of neural connection between the cochlea and the brainstem. In asymmetric developments between 2 sides, more developed side should be chosen for CI. Depending on the findings cochlear or auditory brainstem implants may be chosen for the contralateral findings. If there is only one implant available, the side with the better developed CN should be picked.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216251408785"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12949262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balloon Dilation for Chronic Eustachian Tube Dysfunction Under Local and General Anesthesia: A Systematic Review and Meta-Analysis.","authors":"Usman Khan, You Sung Jon Nam, Colin MacKay, Nael Shoman","doi":"10.1177/19160216251407935","DOIUrl":"10.1177/19160216251407935","url":null,"abstract":"<p><p>BackgroundThere has been a recent increase in the publication of articles evaluating outcomes of balloon dilation of the eustachian tube (BDET) as a treatment for chronic eustachian tube dysfunction (ETD). Our objective was to evaluate the overall efficacy of BDET for treating ETD, with a subgroup analysis of BDET performed under local anesthesia (LA) versus general anesthesia.MethodsPUBMED, EMBASE, and Cochrane databases were searched for English articles from January 2010 to October 2025. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. Only randomized controlled trials and prospective studies evaluating BDET for ETD were included. All articles evaluating BDET performed under LA were assessed.ResultsOur search identified a total of 23 articles after screening (365 articles). Only studies using homogeneous and validated outcome measures were included. A total of 6 studies met criteria for meta-analysis of preoperative and postoperative outcomes of BDET as assessed by the ETD Questionnaire (ETDQ-7). Other reported parameters include LA protocols and surgical complications. Seven studies used LA protocols. A meta-analysis using the random effects model demonstrated a decrease in mean ETDQ-7 scores by 2.03 up to a year following BDET (309 patients, CI -2.59 to -1.47, <i>P</i> < .001). Descriptive statistics were used to analyze studies where BDET was performed under LA due to outcome heterogeneity. The results demonstrate no significant differences in otologic post-BDET outcomes (tympanometry/ETDQ-7 scores), minimal complications, and high patient-reported willingness to choose LA.ConclusionsBDET is effective for treating chronic ETD. BDET performed under LA with careful patient selection and an established LA protocol is safe and comparable to BDET in the operating room.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216251407935"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12957597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Safety and Efficacy of Robot-Assisted Cochlear Implant Electrode Array Insertion.","authors":"Keshinisuthan Kirubalingam, Lauren Siegel, Kim Zimmerman, Lorne S Parnes, Munir Demir Bajin, Sumit K Agrawal","doi":"10.1177/19160216261439716","DOIUrl":"https://doi.org/10.1177/19160216261439716","url":null,"abstract":"<p><p>ImportanceRobotic-assisted cochlear implantation has the potential to reduce surgical variability, enhance insertion precision, and minimize intracochlear trauma; however, real-world clinical evidence remains limited.ObjectiveTo evaluate the safety, accuracy, and early hearing outcomes of robot-assisted cochlear implant (CI) electrode array insertion using the OTODRIVE^® system.DesignRetrospective cohort study.SettingA tertiary academic CI center.ParticipantsAdult patients who underwent robot-assisted cochlear implantation between the dates of February 2025 and August 2025.Intervention or ExposuresRobot-assisted electrode array insertion with preoperative planning using the OTOPLAN software.Main Outcome MeasuresIntraoperative safety outcomes; audiologic performance, including unaided and aided pure-tone averages (PTAs) and AzBio sentence scores; and imaging-based electrode insertion accuracy, including angular insertion depth (AID) and electrode contact insertion on postoperative cone-beam computed tomography.ResultsThe review identified 39 patients, mean age of 59.5 ± 19.2 years, with 59% male participants. The most common etiology of hearing loss (HL) was idiopathic sudden sensorineural HL. Mean total surgical time was 122.2 ± 49.4 minutes. No intraoperative complications or robotic-related adverse events occurred. Audiologic outcomes demonstrated significant improvement, with a mean preoperative unaided PTA of 92.4 ± 16.7 dB HL, improving to a postoperative aided PTA of 31.6 ± 6.3 dB HL. Mean AzBio sentence recognition scores increased from 18.1% preoperatively to 75.7% postoperatively, representing a 57.6% absolute improvement. Mean cochlear duct length was 34.6 ± 1.6 mm, and the planned versus achieved AIDs were 582.7° ± 35.2° and 569.0° ± 38.9°, respectively. Full insertion was achieved in 89.7% of implanted ears, with no tip fold-overs or electrode malposition identified.ConclusionsRobot-assisted cochlear implantation using the OTODRIVE^® system was safely integrated into clinical practice in this cohort, with reproducible electrode insertion and early postoperative audiologic outcomes.RelevanceThese findings support the feasibility and safety of integrating robotic systems into routine CI surgery.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216261439716"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Utilization of Artificial Intelligence by Pediatric Otolaryngology Surgeons in Professional Practice.","authors":"Maryam Sattar Othman, Kerry Hu, Jacob Davidson, Keshinisuthan Kirubalingam, M Elise Graham, Paula Coyle, Eishaan Kamta Bhargava, Peng You","doi":"10.1177/19160216251411838","DOIUrl":"10.1177/19160216251411838","url":null,"abstract":"<p><p>ImportanceThe role of artificial intelligence (AI) within medicine has increased exponentially over the last decade. However, adoption across medical specialties remains variable, influenced by institutional support, availability of tools, and concerns about accuracy, privacy, and legal liability. Addressing these barriers is necessary to achieving the full clinical capacity of AI.ObjectivesThis study aimed to explore current AI usage patterns among pediatric otolaryngologists and highlight perceived benefits and barriers to adoption.DesignCross-sectional survey design.SettingAll aspects of the present study were conducted remotely, with the survey link being distributed within a private group chat.ParticipantsParticipants were recruited via an international pediatric otolaryngology WhatsApp group chat. Admission is through invitation only.Intervention or ExposuresThe survey sought to characterize a variety of themes regarding AI, including utilization patterns, attitudes, motivational factors and barriers to adoption, and extent of institutional support.Main Outcome MeasuresResponses were evaluated using chi-squared tests and descriptive statistics.ResultsSurvey responses were analyzed from 50 individuals, reflecting a response rate of 15.2%. More than half of survey respondents (60.9%, n = 28/46) use AI in practice, relying on tools like ChatGPT, iScribe, and Gemini to improve workplace efficiency (71.4%, n = 20/28) and address administrative burdens (64.2%, n = 18/28). Despite current adoption of AI, participants identified a lack of institutional guidelines (66.7%, n = 30/45) and support (54.3%, n = 25/47) as major barriers to widespread integration across the subspecialty. No statistically-significant association was found between age and likelihood of AI adoption (<i>P</i> = .095) nor was between geographic region and likelihood of AI adoption (<i>P</i> = .505).ConclusionsPediatric otolaryngologists are interested in and enthusiastic about AI tools. This study highlights prominent institutional and educational gaps, limiting widespread integration.RelevanceThe findings guide future efforts to support AI adoption in pediatric otolaryngology through tailored training, policy, and institutional support.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216251411838"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12783579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical Margin Reduction After Immunotargeted Neoadjuvant Therapy in Locally Advanced Hypopharyngeal Carcinoma: A Preliminary Margin Results from neoCHANCE-1 Trial.","authors":"Dejuan Wang, Jixing Wei, Zheng Jiang, Zhigong Wei, Mailudan Ainiwaer, Pengwei Zhao, Lixiao Fan, Longhao Wang, Leyu Li, Dapeng Lei, Fei Chen, Huijiao Chen, Xingchen Peng, Jun Liu","doi":"10.1177/19160216251415526","DOIUrl":"10.1177/19160216251415526","url":null,"abstract":"<p><p>ImportanceHypopharyngeal squamous cell carcinoma (HPSCC) is an aggressive cancer with poor outcomes. Neoadjuvant therapy (NAT) may allow organ preservation, but determining safe surgical margins after NAT is a critical challenge.ObjectiveTo evaluate the safety of reduced surgical margins after neoadjuvant tislelizumab and afatinib in locally advanced HPSCC by comparing pathological margins to an upfront surgery control group.DesignProspective, single-center pilot cohort study.SettingTertiary referral center in Western China.ParticipantsForty-one patients with locally advanced HPSCC; 32 received NAT (treatment group), and 9 served as an upfront surgery control group.Intervention or ExposuresTreatment group: 2 cycles of neoadjuvant tislelizumab plus 6 weeks of afatinib. Control group: upfront surgery. Both groups underwent resection with a 1.5 cm naked-eye surgical margin.Main Outcome MeasuresPrimary outcomes were minimal peripheral surgical margin (MPSM) and minimal deep surgical margin (MDSM). Secondary outcomes included radiological (RECIST v1.1) and pathological tumor response.ResultsThe NAT group had a 20/32 (62.5%) radiological objective response rate and a 16/32 (50.0%) major pathological response rate [including 9/32 (28.13%) pathological complete response]. The mean MPSM was significantly greater in the treatment group versus control [3.38 mm vs 1.71 mm; 95% Confidence interval (CI): 0.10-3.24; <i>P</i> = .038]. The mean MDSM was also significantly greater in the treatment group versus control (2.09 mm vs 1.04 mm; 95% CI: 0.12-1.97; <i>P</i> = .029).ConclusionsCombined immune-targeted NAT effectively downstages HPSCC. The significantly larger pathological margins observed support that reducing clinical surgical margins after this regimen is generally safe.RelevanceThis NAT regimen may allow for less extensive resections, facilitating laryngeal preservation and improving quality of life without compromising oncologic safety. Larger validation studies are needed.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216251415526"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12833131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146018731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Reference to \"Surgical Outcomes of U-Shaped Incisions Versus Conventional Incisions in Parotidectomy\".","authors":"Pietro De Luca, Angelo Camaioni","doi":"10.1177/19160216261419460","DOIUrl":"10.1177/19160216261419460","url":null,"abstract":"","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216261419460"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12901855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146180732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Physiology to Intervention: Endoscopic Adenoid-to-Choanae Ratio Thresholds for Symptomatic Adenoid Hypertrophy in Preschool Children.","authors":"Aleksander Zwierz, Krystyna Masna, Paweł Burduk, Krzysztof Domagalski","doi":"10.1177/19160216261421112","DOIUrl":"10.1177/19160216261421112","url":null,"abstract":"<p><p>ImportanceAdenoid enlargement in preschool children is commonly cited as a cause of nasal obstruction and sleep-disordered breathing, yet age-related lymphoid development complicates differentiation between physiological growth and clinically significant hypertrophy. Existing endoscopic grading schemes lack consensus on age-specific normative limits and clear management thresholds.ObjectiveThis study aimed to determine endoscopic adenoid-to-choanae (A/C) ratio cut-offs that discriminate symptomatic from asymptomatic preschool children and to propose a practical, management-oriented grading scale.DesignSTROBE.ParticipantsWe performed a retrospective analysis of 225 preschool children (age 3-7). Standardized history-taking, flexible nasopharyngoscopy, MASNA (Mucus on Adenoid Scale by Nasopharyngoscopy Assessment) mucus scoring, and tympanometry were performed.InterventionChildren were classified as symptomatic (≥2 \"yes\" responses to core symptom items) or asymptomatic (no more than one \"occasionally\" response). Adenoid size was quantified from blinded video review as the A/C ratio.Main Outcome MeasuresReceiver operating characteristic (ROC) analysis identified an optimal A/C threshold for symptomatic status; multivariable logistic regression evaluated independent predictors.ResultsMedian A/C ratio was greater in symptomatic versus asymptomatic children. Symptomatic children also had higher MASNA mucus scores, greater reported rhinorrhea frequency, and less favorable tympanometric profiles. ROC analysis identified an A/C ratio of 60% as the optimal cut-off to discriminate symptomatic from asymptomatic children. An A/C ratio >60% emerged as the sole independent predictor of symptomatic status.ConclusionIn this cohort, the endoscopic A/C ratio strongly discriminated symptomatic from asymptomatic presentations. An A/C threshold of 60% reliably separated predominantly asymptomatic from symptomatic children.RelevanceThese findings, in conjunction with clinical experience and results from our previous studies, form the basis for a proposed three-tier, management-oriented endoscopic scale for preschool patients: Degree I (A/C ≤60%)-within age-appropriate norm; Degree II (A/C 65%-75%)-hypertrophy amenable to conservative management/observation; Degree III (A/C ≥80%)-hypertrophy for which we suggest that surgical intervention ought to be considered.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216261421112"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction of Concha-Type Microtia Using a Crescent Costal Framework and Residual Auricular Cartilage.","authors":"Jinxiu Yang, Shujun Fan, Xinyi Jiang, Leren He","doi":"10.1177/19160216261425225","DOIUrl":"10.1177/19160216261425225","url":null,"abstract":"<p><p>ImportanceThe technique combining a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage is expected to enhance the structural stability and aesthetic outcomes of the reconstructed ear in mild conchal-type microtia.ObjectiveTo present a technique that integrates a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage to reconstruct mild conchal-type microtia, aiming to improve structural stability and aesthetic outcomes.DesignRetrospective study.SettingAuricular Reconstruction Center, Plastic Surgery Hospital, Peking Union Medical College, between January 2023 and January 2024.ParticipantsPatients with grade I or II conchal-type congenital microtia underwent auricular reconstruction using this refined technique. The procedure integrates a crescent-shaped costal framework with residual auricular cartilage to achieve single-stage ear reconstruction.InterventionThe surgery technique combining a crescent-shaped costal framework with the biomechanical properties of residual auricular cartilage was used.Main Outcomes and MeasuresPostoperative outcomes were assessed based on the integrity of auricular subunit structures, bilateral symmetry, scar visibility, complication rates, Ear-Q (Appearance), and patient satisfaction.ResultsThe study included 26 unilateral microtia cases (20 right ears and 6 left ears) with a mean follow-up period of 9.43 ± 3.57 months. According to aesthetic evaluations, 23 patients (88.46%) received 4 points (indicating an excellent aesthetic effect). Patient satisfaction was high, with 24 patients (92.31%) and their families reporting favorable outcomes. The mean Ear-Q (Appearance) score was 62.23 ± 18.68. Aesthetic results were rated as the highest score in 23 cases (88.46%). There were no significant dimensional differences between the reconstructed and unaffected ears, and no significant changes between immediate postoperative and final follow-up measurements.Conclusions and RelevanceThe combination of a crescent-shaped costal framework with residual auricular cartilage offers a reliable, aesthetically-refined, and technically-efficient approach for the repair of mild conchal-type microtia.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216261425225"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13009869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validating the Calgary Simulation Curriculum: A Retrospective Review of Face and Content Validity of a Surgical Simulation Curriculum in Otolaryngology-Head and Neck Surgery.","authors":"Daniel Ghods-Esfahani, Fatemeh Ramazani, Justin Lui","doi":"10.1177/19160216261443996","DOIUrl":"10.1177/19160216261443996","url":null,"abstract":"<p><p>ImportanceSimulation is a useful educational adjunct in surgical training. While a variety of simulation models exist in Otolaryngology-Head and Neck Surgery (OHNS), no multi-session curriculum, encompassing a breadth of educational objectives, has been described or validated.ObjectiveThe objective of this study was to determine the face and content validity of an OHNS simulation curriculum, including preparatory materials, session content, and method of content delivery (cadaveric and high-fidelity mannequin simulation).Study DesignMixed-methods validation study.SettingUniversity of Calgary (UofC) OHNS Residency Program.ParticipantsUofC OHNS residents enrolled in the program from 2022 to 2024.InterventionsRetrospective review of session content and feedback following completion of the Calgary Simulation Curriculum (CSC) by UofC OHNS resident, in addition to curriculum mapping of session objectives to OHNS training objectives, established by the Royal College of Physicians and Surgeons of Canada (RCPSC).Main Outcome MeasuresFace validity was assessed through resident feedback scores on the overall educational value, teaching quality, and quality of preparatory materials of the CSC sessions. Content validity was assessed through the curriculum mapping process of session objectives to the RCPSC training objectives.ResultsCSC is comprised of 5 simulation sessions which include: management of pediatric airway foreign bodies, neck dissection, nasal fractures, sphenopalatine artery ligation, endoscopic sinus surgery, and rhinoplasty. Curricular mapping demonstrated strong face validity of the curriculum as all sessions aligned well with the RCPSC outline competencies. The curriculum also demonstrated overall strong content validity as evidenced by high perceived educational value, quality of teaching, as well as preparatory materials.ConclusionsThe CSC demonstrated both face and content validity and represents a valuable structured simulation-based educational tool for Canadian OHNS programs. This curriculum can be used as a complementary adjunct to surgical postgraduate training as a formative or summative educational tool for trainees.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216261443996"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13133485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Perichondrium Reinforcement and the Use of a Cartilage-Perichondrium Composite Graft Alone in the Repair of Subtotal Perforation: A Semi-Random Study.","authors":"Hong Pan, Shoude Zhang","doi":"10.1177/19160216251407933","DOIUrl":"10.1177/19160216251407933","url":null,"abstract":"<p><p>ObjectiveGraft outcomes and complications were compared in patients who received a cartilage-perichondrium composite graft via perichondrium reinforcement (CPPR) and those treated using only a cartilage-perichondrium composite graft underlay (CPGU) technique, including raising a tympanomeatal flap, in the repair of a subtotal perforation.Materials and MethodsPatients with subtotal perforations were semi-randomly allocated to the CPPR and CPGU groups. The graft success rate, hearing outcomes, operation times, postoperative visual analog scale (VAS) values, and complications were compared for up to 6 months postoperatively.ResultsThe sample consisted of 67 ears from 67 patients. The mean operation time was 33.1 ± 2.8 min in the CPPR group and 56.2 ± 1.8 min in the CPGU group. At 6 months postoperatively, the VAS scores were 1.4 ± 0.9 and 3.7 ± 1.2, and the graft success rates were 97.0% and 88.2% (P = .371), respectively. There were no significant differences in the mean gain in the air-bone gap (16.2 ± 5.3 vs. 14.7 ± 6.2) between the two groups, but hearing improvement was greater in the CPPR group. Ear fullness was reported by 21.2% patients in the CPPR group and 91.2% of patients in the CPGU group. Temporary hypogeusia developed in 3.0% of patients in the CPPR group and 38.2% of those in the CPGU group. Myringitis was seen in 9.1% patients in the CPPR group and 2.9% in the CPGU group.ConclusionIn patients undergoing subtotal perforation repair, the 6-month graft outcome in patients treated with the perichondrium reinforcement technique without raising a tympanomeatal flap and external ear canal packing was similar to that of patients who underwent a flap-raising technique. The advantages of the perichondrium reinforcement technique are that it is simple, time-saving, and minimally invasive, with less ear fullness and better hearing recovery.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"55 ","pages":"19160216251407933"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12816520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145998377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}