Journal of Otolaryngology - Head & Neck Surgery最新文献

{"title":"Environmental Impact and Provider Satisfaction Associated with ePrescriptions in Otolaryngology: A Quality Improvement Study.","authors":"Abiram J Chandiramohan, Sarah Zahabi, Leigh Sowerby, Peng You, Jacob Davidson, Celia Dann, Julie E Strychowsky","doi":"10.1177/19160216251328883","DOIUrl":"10.1177/19160216251328883","url":null,"abstract":"<p><p>ImportanceePrescriptions are associated with increased patient satisfaction, decreased provider burden, decreased administrative costs, and a positive impact on planetary health. However, ePrescription uptake by physicians is historically low and acts as a barrier to reaping the benefits therein.ObjectiveWe aimed to attain 20% overall usage of ePrescriptions in the Department of Otolaryngology-Head and Neck Surgery (OHNS) at the London Health Sciences Centre (LHSC) by December 2023 through systematic implementation of change ideas.DesignPre-post intervention design.SettingAmbulatory clinics in OHNS at LHSC, an academic hospital.ParticipantsFourteen staff and 15 resident physicians in OHNS; 38 patients in pediatric otolaryngology clinic.Intervention or ExposureA root-cause analysis identified potential obstacles to ePrescribing. Change ideas, including educational seminars, surveys, quarterly reporting of ePrescription usage, and public encouragement of top ePrescribers in the department, were implemented and tested using Plan-Do-Study-Act cycles.Main Outcome MeasuresPercent ePrescription usage and carbon footprint savings associated with ePrescriptions were measured. Provider and patient satisfaction surveys were conducted as balancing measures to assess for the perception of increased burden on providers.ResultsDuring the pre-intervention and post-intervention phases, a total of 400 and 1000 ePrescriptions were prescribed by the department, respectively. There was a statistically-significant increase in the mean proportion of ePrescriptions used before (mean: 9.7%; sd = 7.6) and after (mean: 40.7%; sd = 6.4) the intervention (<i>p</i> < 0.001), which exceeded the goal. SPC charting suggested special cause variation, signifying a statistically-significant improvement. Additionally, a reduction of 125.9 lbs of CO₂ equivalents was associated with ePrescription use. 66.7% of providers rated overall satisfaction with ePrescriptions at 7/10 or higher, and 76.9% indicated that patients either sometimes, usually, or always opted for ePrescriptions when given the choice.Conclusion and RelevantOur change ideas increased ePrescription usage in an academic OHNS department and were associated with increased planetary health savings and provider satisfaction.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251328883"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730539","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":"Prevalence of a History of Dysphagia Among Pediatric Patients With Avoidant/Restrictive Food Intake Disorder.","authors":"Evana Francis, Margaret Lundberg, Sandeep Yerraguntla, Jamie Klein, Barbara McElhanon, William G Sharp, Nikhila Raol","doi":"10.1177/19160216251338250","DOIUrl":"10.1177/19160216251338250","url":null,"abstract":"","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251338250"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225758","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":"Predictive Factors and Treatment Effects of Neuromodulators in Chronic Refractory Cough.","authors":"Katrina Sandham, Sarah Emmett, Duy Duong Nguyen, Catherine Madill, Daniel Novakovic","doi":"10.1177/19160216251333354","DOIUrl":"10.1177/19160216251333354","url":null,"abstract":"<p><p>ImportanceChronic refractory cough (CRC) has a negative impact on the quality of life of sufferers and is difficult to treat. Although previous studies have documented various treatment methods for CRC, no treatment method has proven fully effective.ObjectiveThis study investigated the treatment efficacy and adverse effects of neuromodulators (NM), Amitriptyline and Gabapentin, in the treatment of CRC, and the factors that predicted outcomes.DesignProspective data review.SettingPrivate otolaryngology clinic.ParticipantsThis study included 103 successive patients (72 female, 31 male) during the period between 2013 and 2023. Mean age of patients was 56.6 years (standard deviation: 13.5; range: 21 to 83).InterventionAll patients received treatment using NM, including Amitriptyline and Gabapentin.Main Outcome MeasuresCough Severity Index (CSI) and the Newcastle Laryngeal Hypersensitivity Questionnaire (NLHQ). The minimal important difference (MID) in CSI was calculated and used as the threshold to determine response to NM treatment.ResultsA MID of 7 or more in CSI was regarded as a response to NM χ₍₁₎² = 4.813; <i>P</i> = .028. Using this criterion, 55.6% responded to NM therapy. Chemical triggers significantly predicted responses to NM [χ₍₁₎² = 4.813; <i>P</i> = .028] while thermal, mechanical, and abnormal throat sensation triggers were not significant predictors of response. Pretreatment CSI was a significant predictor of response to NM [χ₍₁₎² = 5.603; <i>P</i> = .018]. Pretreatment NLHQ, citric acid cough threshold result, and response to superior laryngeal nerve blocks did not predict response to NM. Seventy percent of patients undergoing NM therapy experienced at least one adverse effect.Conclusion and RelevanceThe findings appeared to imply the therapeutic effects of neuromodulators on CRC, especially in patients presenting with chemical triggers. However, the adverse effect was a factor that may impact on application of this treatment method.<b>Level of Evidence: 3</b>.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251333354"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174155","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":"Awake Versus Asleep Intubation for Mediastinal Goiters: A Systematic Review and Meta-Analysis.","authors":"Lindsay E Booth, Norbert Banyi, Peter Rose, Shamir Karmali, Biljana Jonoska Stojkova, Donald W Anderson, Oleksandr Butskiy","doi":"10.1177/19160216251333352","DOIUrl":"10.1177/19160216251333352","url":null,"abstract":"<p><p>ImportanceMediastinal goiters can complicate anesthetic management, and although awake bronchoscopic intubation is the gold standard, it is resource-intensive and may be unpleasant for patients. In many centers across North America, patients undergoing thyroidectomy for mediastinal goiters are routinely intubated awake.ObjectiveThis study aimed to evaluate the outcomes of intubation in patients selected for awake versus asleep intubation for thyroidectomy of mediastinal goiters.DesignPRISMA 2020 Checklist for systematic reviews was followed. A search was performed in the Medline, Embase, Web of Science, CINAHL, Scopus, and Cochrane databases. Two independent reviewers performed abstract and full-text review. Data were extracted in duplicate. Study quality was assessed using the JBI Critical Appraisal tool. To account for heterogeneity, a 3-level random-effects model was constructed using the Der Simonian and Laird method with an arcsine transformation.Setting and ParticipantsPatients undergoing thyroidectomy for benign mediastinal goiters.Intervention and ExposuresAwake or asleep intubation.Main Outcome(s) and Measure(s)Rate of failed intubations in asleep intubation and proportion of uncomplicated intubations in asleep and awake populations.ResultsTwelve of 490 identified studies, involving 1002 patients, were included. Three cases of failed intubations were found in the asleep intubation group, with an overall incidence of failed intubation of 0.3%. Meta-analysis demonstrated an overall uncomplicated intubation rate of 91% (95% CI 77%-98%, n = 1002). Subgroup analyses showed a 96% success rate (95% CI 73%-100%, n = 60) for awake intubations and 88% (95% CI 69%-98%, n = 942) for asleep intubations. Further refined analyses showed uncomplicated intubation rates of 98% (95% CI 93%-100%, n = 469) for asleep, and 92% (95% CI 78%-99%, n = 48) for awake groups.Conclusions and RelevanceThe risk of failed intubation in patients with mediastinal goiters remains low, and awake intubation may require more attempts than asleep intubation. Further research with standardized definitions of intubation difficulty is needed.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251333352"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187239","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":"Efficiency of Cephalic Vein Only Anastomosis During Radial Forearm Free Flap.","authors":"Dorsa Mousa-Doust, Khanh Linh Tran, Anat Bahat-Dinur, Jamie Jae Young Kwon, Emily C Deane, Donald W Anderson, J Scott Durham, Eitan Prisman","doi":"10.1177/19160216241307547","DOIUrl":"10.1177/19160216241307547","url":null,"abstract":"<p><strong>Importance: </strong>The closure technique for the radial forearm free flap (RFFF), a commonly utilized flap in head and neck reconstruction, remains a debated topic as there are unique advantages and drawbacks to each technique.</p><p><strong>Objective: </strong>The present study aims to report on the outcomes of the closure of the RFFF with the superficial cephalic vein (CV)-only system in terms of venous compromise and flap survival.</p><p><strong>Methods (design, setting, participants, intervention, measures): </strong>A retrospective review of patients who underwent head and neck reconstruction with RFFF between January 2015 and May 2021 at the authors' institution was performed. Cases were categorized as superficial, dual, and deep systems. Multiple population and operative variables were collected for the study group.</p><p><strong>Results: </strong>In total, 221 cases of RFFF were included, of which 169 (76.5%) cases were performed using the CV alone, whereas the remaining 52 (22.5%) cases utilized either the dual or the deep system alone. The operative time in the superficial group was 265 minutes. There were 9 venous complications in the CV group, of which 5 required re-exploration in the operating room and 4 were treated conservatively. All venous-related flap complications were salvaged.</p><p><strong>Conclusion and relevance: </strong>A majority of the RFFF cases could successfully be completed using the CV as the sole venous drainage, with high rates of flap survival, low complications, and low operative time.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216241307547"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143408856","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":"Ninety-Day Emergency Department Rebound Following Adult Tonsillectomy: A Retrospective Cohort Study.","authors":"Kalpesh Hathi, Gizelle Francis, JoAnne Douglas, Evan Nemeth, Paul Hong","doi":"10.1177/19160216251333350","DOIUrl":"10.1177/19160216251333350","url":null,"abstract":"<p><p>ImportancePost-tonsillectomy complications often present in emergency departments (EDs). Reducing postoperative ED visits is one strategy to relieve the strain on healthcare systems and patients.ObjectiveTo assess the rate and reason for ED visits within 90-days post-discharge from adult tonsillectomy.DesignRetrospective cohort study.SettingNova Scotia, Canada.ParticipantsAll adult patients (≥16 years old) with a Nova Scotia Healthcare card who underwent a tonsillectomy in Nova Scotia, Central Zone from April 1, 2016 to March 31, 2022, and had an ED visit anywhere in Nova Scotia from April 1, 2016 to June 30, 2022, to allow a 90-days post-discharge window.MethodsRetrospective chart review utilizing administrative datasets for province-wide ED visits within 90-days post-discharge from an adult tonsillectomy. The patients' first ED visit postoperation was analyzed.ResultsOverall, 356 adult patients underwent tonsillectomy, of which 129 (36.2%) presented to the ED within 90 days. Of these, 99 were related to the tonsillectomy, resulting in a surgery-specific ED rebound rate of 27.8%. Most surgical ED visits (84/99, 84.8%) occurred within 7 days, most commonly for bleeding (47/99, 47.5%) and pain (36/99, 36.4%). Of the surgical visits, 26/99 (26.3%) were admitted, with 22/26 (84.6%) for bleeding. Of the surgical visits not related to bleeding, 48/52 (92.3%) were discharged home or left without being seen, which suggests 48/99 (48.5%) surgical ED visits may be preventable.ConclusionThe ED rebound rate for visits related to the tonsillectomy was 27.8% in our population. Given the potentially severe consequences of post-tonsillectomy bleeding, a high ED visit rate may be necessary. However, optimization of postoperative pain control along with greater access to urgent outpatient otolaryngology and primary care resources may reduce the burden of ED visits. This data adds to recent literature suggesting a higher rate of healthcare usage post-adult tonsillectomy.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251333350"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12078963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030986","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":"The Effect of Cochlear Implant Electrode Array Type on Hearing Preservation.","authors":"Matthew Zimmermann, Cathy Sucher","doi":"10.1177/19160216251316217","DOIUrl":"10.1177/19160216251316217","url":null,"abstract":"<p><p>ObjectiveTo compare hearing preservation outcomes between lateral wall and perimodiolar electrode arrays for cochlear implant patients.Study DesignRetrospective cohort study.SettingA large Western Australian cochlear implant clinicMethodsA total of 311 adult cochlear implant recipients (321 ears) implanted between 2017 and 2022 were included. Of these, 174 presented with postlingual hearing loss and preoperative functional low-frequency hearing. The change in low-frequency pure-tone average was assessed as the difference between preoperative to 3-, 6-, and 12-months postoperative measurements. Data were analyzed through linear mixed-effects modeling and one-way ANOVA.ResultsPreoperative low-frequency, pure-tone average was higher for those implanted with perimodiolar compared with lateral wall electrodes (<i>P</i> < .05). The linear mixed-effects model revealed that change in low-frequency pure-tone average at all postoperative timepoints was similar between lateral wall and perimodiolar electrodes (<i>P</i> > .05).ConclusionThere were similar changes in residual postoperative hearing between all electrode types when controlling for preoperative low-frequency hearing and age implanted. These data suggest that newer, thinner perimodiolar and lateral wall electrodes could be considered for individuals with greater levels of preoperative low-frequency hearing.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251316217"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692477","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":"Posterior Graft Laryngotracheal Reconstruction for Bilateral Vocal Cord Paralysis in a Resource-Limited Setting: Building a Replicable Airway Reconstruction Program in Eldoret, Kenya.","authors":"André Isaac, Owen Menach, Gerald Rotich, Amy Callaghan, Daniela M Isaac, Josh Wiedermann, Paula Holinski, Natalie Anton, Evan Propst, Henry Ngoitsi","doi":"10.1177/19160216251345468","DOIUrl":"10.1177/19160216251345468","url":null,"abstract":"<p><p>ImportanceBilateral vocal cord paralysis is a challenging problem to manage in adults, and a known complication of thyroid surgery which is more common in resource-limited settings. Posterior graft laryngotracheal reconstruction is a management option that has not been studied in this population or setting.ObjectiveTo report the surgical outcomes of posterior graft laryngotracheal reconstruction for bilateral vocal cord paralysis in a resource-limited setting, and to evaluate the efficacy of a hybrid system for teaching this technique in Kenya.DesignRetrospective cohort study.SettingTertiary public referral hospital, Eldoret, KenyaParticipantsAdults >18 years with tracheostomy dependence secondary to bilateral vocal cord paralysis after thyroid surgery or other iatrogenesis. The hybrid training program included Kenyan surgeons and surgical trainees.Intervention or ExposuresPosterior graft laryngotracheal reconstruction and hybrid training system included didactic lectures, simulation-based training, case discussion and planning, and live cases.Main Outcomes MeasuresOne-year airway outcomes measured by achievement of tracheostomy decannulation, and self-reported surgeon knowledge and skill acquisition.ResultsTen patients met criteria and were included in the analysis, with mean age 42 years (range 30-62 years) and had been tracheostomy dependent for an average of 6 years (range 1-12 years). Seven (70%) had open reconstruction, and 3 (30%) had endoscopic reconstruction. All were decannulated and remained tracheostomy-free at 1 year. Three surgeons and 7 trainees participated in the hybrid teaching methods. All reported increased comfort in laryngotracheal reconstruction, with all 3 surgeons reporting comfort performing the surgeries independently.ConclusionPosterior graft laryngotracheal reconstruction shows promise as a potential method of treating bilateral vocal cord paralysis and achieving decannulation in a resource-limited setting.RelevanceThe methods reported in this study lend themselves to replication and expansion to other similar settings. The authors plan to replicate this work in other centers in East Africa.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251345468"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317159","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":"Convolutional Neural Network for Classification of Oropharynx Cancer with Video Nasopharyngolaryngoscopy.","authors":"Ryan Gifford, Abigail Reid, Sachin R Jhawar, Kyle VanKoevering, Samantha Krening","doi":"10.1177/19160216251326590","DOIUrl":"10.1177/19160216251326590","url":null,"abstract":"","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251326590"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657336","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-Office Balloon Dilation for Idiopathic Subglottic Stenosis: A Pilot Study.","authors":"Catherine F Roy, Antonia Lagos-Villaseca, José A Correa, Jennifer A Silver, Eli Layous, Anne V Gonzalez, Jonathan Young, Karen M Kost","doi":"10.1177/19160216251314764","DOIUrl":"10.1177/19160216251314764","url":null,"abstract":"<p><p>ImportanceIdiopathic subglottic stenosis is a debilitating and recurrent disease, often requiring reintervention. Balloon dilation is a well-recognized, minimally invasive treatment to alleviate symptoms, and is typically performed in the operating room. In-office balloon dilation in the awake patient has rarely been reported, and may obviate the need for general anesthesia in this patient population.ObjectiveThis study aims to detail the safety and efficacy of in-office balloon dilation for mild to moderate subglottic stenosis.DesignMixed-methods study.SettingSingle tertiary-care institution in Montreal, Canada.Participants and InterventionAll adult patients with Cotton-Myer Grade I-II idiopathic subglottic stenosis undergoing in-office balloon dilation between June 1, 2022 and August 1, 2023 were prospectively recruited.Main Outcome MeasuresPre- and post-procedure validated dyspnea and voice scales, airway diameter and spirometry values were obtained. Patient- and physician-reported adverse events were thoroughly documented.ResultsEleven patients underwent in-office balloon dilation during the study period (F:M 10:1, mean age 55.8 years). The median Dyspnea Index and voice handicap index-10 scores both significantly decreased following the procedure. In-office balloon dilation improved airway patency, with an estimated median of 40% to 10% stenosis (median difference -25%, 95% CI (-45, -15), <i>P</i> = .003). The normalized peak expiratory flow percentage significantly increased from a median of 62% to 99% (median difference 27%, 95% CI (19, 40), <i>P</i> = .004). The median time to regular activities was one day. Six patients having previously undergone the procedure under general anesthesia indicated a preference for in-office dilation. There were no severe adverse events.Conclusion and RelevanceIn-office balloon dilation is a safe and effective option for the management of mild-moderate idiopathic subglottic stenosis, with demonstrated improvement in both patient-reported outcomes and objective measures.</p>","PeriodicalId":16615,"journal":{"name":"Journal of Otolaryngology - Head & Neck Surgery","volume":"54 ","pages":"19160216251314764"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11960178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753084","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}