OTO Open最新文献

{"title":"A Study of Otolaryngology Residency Match Outcomes from the National Residency Matching Program.","authors":"Akshay Warrier, Rohan Singh, Nikita Jaiswal, Aakash Patel, Evelyne Kalyoussef, Kenneth Yan","doi":"10.1002/oto2.70260","DOIUrl":"10.1002/oto2.70260","url":null,"abstract":"<p><strong>Objective: </strong>To identify trends and evaluate key predictors of matching success in the otolaryngology residency match from 2016 to 2024.</p><p><strong>Study design: </strong>A retrospective cohort study using data from the National Resident Matching Program (NRMP).</p><p><strong>Setting: </strong>National residency match data analysis up to March 2024.</p><p><strong>Methods: </strong>NRMP data from 2016 to 2024 were analyzed to assess trends in otolaryngology programs, positions, and applicants. Competitiveness was evaluated using the applicant-to-position ratio. Predictors of match success-including USMLE Step 2 scores, research productivity, Alpha Omega Alpha (AOA) membership, MD/PhD status, and medical school ranking-were compared between matched and unmatched applicants.</p><p><strong>Results: </strong>From 2016 to 2024, the number of otolaryngology programs rose from 109 to 138, with available positions increasing from 304 to 382. Applicants also increased (370-513), raising the applicant-to-position ratio by 6.9%. Matched applicants had significantly higher Step 2 scores (255.2 vs 247.8, <i>P</i> < .001), more research experiences (13.94 vs 9.62, <i>P</i> < .001), and ranked more programs (13.52 vs 6.68, <i>P</i> < .001). Research output grew at an annual rate of 11.9% (<i>P</i> < .001). AOA membership, MD/PhD status, and attending a top 40 medical school were not significant predictors of matching.</p><p><strong>Conclusion: </strong>Competitiveness in otolaryngology residency has intensified, driven by rising applicant numbers and research output. While Step 2 scores remain a reliable predictor, AOA status and MD/PhD degrees do not appear to influence match success. The increasing emphasis on research may incentivize quantity over quality, highlighting the need for programs to reconsider applicant evaluation metrics.</p><p><strong>Level of evidence: </strong>3.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70260"},"PeriodicalIF":1.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Late Recurrences Beyond Five Years in Salivary Adenoid Cystic Carcinoma: Implications for Long-Term Surveillance.","authors":"Prarthana J Dalal, Sarah M Dermody, Haadi Ali, Colin Brummel, J Chad Brenner, Marisa Buchakjian, Keith A Casper, Steven B Chinn, David Forner, Dena Hasan, Kelly M Malloy, Jonathan McHugh, Michelle Mierzwa, Molly E Heft Neal, Mark E Prince, Jennifer Shah, Andrew G Shuman, Chaz L Stucken, Matthew E Spector, Pratyusha Yalamanchi, Francis P Worden, Paul L Swiecicki","doi":"10.1002/oto2.70259","DOIUrl":"10.1002/oto2.70259","url":null,"abstract":"<p><strong>Objective: </strong>Salivary adenoid cystic carcinoma (ACC) is a rare head and neck malignancy with limited surveillance guidelines. ACC disease patterns are quite variable and unpredictable. Herein, we present an institutional retrospective review of salivary adenoid cystic carcinoma and discuss patterns and predictors of recurrence.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Single Quaternary Care Referral Center.</p><p><strong>Methods: </strong>We analyzed 102 adult patients with salivary gland adenoid cystic carcinoma between 1988 and 2019. Patient and tumor-related characteristics are summarized, and recurrence, survival, and metastatic site data are described.</p><p><strong>Results: </strong>Multivariable analysis showed that greater than 30% solid pathology was independently predictive of recurrence (HR 5.32, CI 2.23-12.66). Advanced stage disease (stages III and IV) was also predictive of recurrence (HR 3.77, CI 1.57-9.03). Nearly one-third of all patients experienced distant recurrence. Among patients experiencing distant recurrence, 29% were diagnosed with distant recurrence more than 5 years post-treatment.</p><p><strong>Conclusion: </strong>These data support long-term surveillance and clinical follow-up for patients with ACC.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70259"},"PeriodicalIF":1.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reassessing the Rinne Test: Importance of a Three-Frequency Tuning Fork Evaluation.","authors":"Martin B C da Silva, Rudolfh B Arend, Natan L Lima, Daniel B Zatt, Arthur H da Silva, Elisa C Nauck, Joel Lavinsky, Syriaco A Kotzias","doi":"10.1002/oto2.70261","DOIUrl":"10.1002/oto2.70261","url":null,"abstract":"<p><strong>Objective: </strong>(1) To evaluate the accuracy of the Rinne test in the diagnosis of conductive hearing loss (CHL) at the frequencies of 512, 1024 and 2048 Hz comparing to standard audiometry. (2) To define a possible linear relationship between the frequencies of the tuning forks and the proportional increase in the air-bone gap (ABG).</p><p><strong>Study design: </strong>Retrospective cross-sectional.</p><p><strong>Setting: </strong>Outpatient otology clinic.</p><p><strong>Methods: </strong>One hundred and twenty-one patients diagnosed with otosclerosis in at least 1 ear were evaluated between 1998 and 2019 and underwent the Rinne test with 512, 1024, and 2048 Hz tuning forks followed by an audiometry prior to surgery. Then, the Rinne test results were compared with the ABG found in audiometry.</p><p><strong>Results: </strong>The sensitivity of the Rinne test in the diagnosis of otosclerosis was 97.3%, 91%, and 48% at 512, 1024, and 2048 Hz, respectively. The test showed high specificity at all frequencies (90.7% at 512 Hz, 100% at 1024 Hz, and 100% at 2048 Hz). Logistic regression used to calculate the Rinne transition point revealed that the probability of a negative Rinne test result reached 50% from an ABG of 13.9 dB, 18.7 dB, and 31.3 dB when using 512, 1024, and 2048 Hz, respectively.</p><p><strong>Conclusion: </strong>The Rinne test has a high sensitivity at the frequencies of 512 and 1024 Hz, being an excellent test for otosclerosis screening. At the same time, the use of the 3 tuning fork frequencies is an excellent method for estimating the severity of pure conductive hearing loss.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70261"},"PeriodicalIF":1.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Head and Neck Manifestations in Sarcoidosis: An All of Us Research Program Matched Case-Control Study.","authors":"Peter J Attia, Sree R Chinta, Raj Malhotra, Joseph Celidonio, Andrew R Berman, Kenneth Yan, Rachel Kaye","doi":"10.1002/oto2.70265","DOIUrl":"10.1002/oto2.70265","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the prevalence of head and neck (ENT) symptoms in patients with sarcoidosis.</p><p><strong>Study design: </strong>1:4 matched-case control study.</p><p><strong>Setting: </strong>Patients with and without sarcoidosis who enrolled in the All of Us Research Program and consented to electronic medical record use.</p><p><strong>Methods: </strong>Multivariate logistic regression examined the association between ENT symptoms and sarcoidosis, adjusting for autoimmune status, the Charlson Comorbidity Index score, and smoking status.</p><p><strong>Results: </strong>A total of 2446 patients with sarcoidosis were matched to 9783 controls. Compared to age-, sex-, race-, and ethnicity-matched controls and after adjustment, patients with sarcoidosis are more likely to have a recorded diagnosis of sinonasal symptoms, including chronic rhinitis (adjusted OR: 2.061 (95% CI: 1.779-2.387), <i>P</i> < .001), chronic sinusitis (aOR: 1.735 (1.533-1.964), <i>P</i> < .0001), and epistaxis (aOR: 1.479 (1.214-1.801), <i>P</i> < .0001). Patients with sarcoidosis were more likely to have a recorded diagnosis of swallowing and airway symptoms, including dysphonia (aOR: 1.459 (1.215-1.753), <i>P</i> < .0001) and dysphagia (aOR: 1.488 (1.312-1.688), <i>P</i> < .0001). They were also more likely to have a recorded diagnosis of cranial nerve pathologies (aOR: 1.783 (1.525-2.084), <i>P</i> < .0001) but less likely salivary gland pathologies (aOR: 0.600 (0.436-0.827), <i>P</i> = .0018). Controls were more likely to have a recorded diagnosis of impacted cerumen (aOR: 0.505 (0.405-0.630), <i>P</i> < .001).</p><p><strong>Conclusion: </strong>Patients with sarcoidosis are significantly more likely to be diagnosed with sinonasal symptoms, airway and swallowing symptoms, and cranial nerve pathologies with prevalence rates higher than previously reported. Sarcoidosis of the upper airway is likely underdiagnosed and consequently undertreated, necessitating greater awareness and further exploration of the etiology of upper airway symptoms in patients with sarcoidosis.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70265"},"PeriodicalIF":1.6,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13270404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148272456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laryngopharyngeal Trauma in Grappling Martial Arts: A Mixed-Methods Study.","authors":"Kyle W Singerman, Cole L Bird, SiYung Cho, Hannah L Kavookjian, Shannon M Kraft","doi":"10.1002/oto2.70256","DOIUrl":"10.1002/oto2.70256","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence and cultural attitudes surrounding laryngopharyngeal injuries in Brazilian Jiu-Jitsu (BJJ) and Mixed Martial Arts (MMA) athletes.</p><p><strong>Study design: </strong>Cross-sectional, mixed-methods study.</p><p><strong>Setting: </strong>Community-based survey and interviews of BJJ/MMA practitioners.</p><p><strong>Methods: </strong>BJJ/MMA practitioners were recruited over a 6-week period via social media and targeted email distribution. The 44-item survey collected data on the awareness and prevalence of laryngopharyngeal symptoms and injuries, care-seeking behaviors, and clinical outcomes related to chokeholds. 13 respondents participated in semi-structured interviews to further explore these themes.</p><p><strong>Results: </strong>Of 160 survey respondents, 88% reported laryngopharyngeal symptoms following chokeholds, most commonly sore throat (79%) and odynophagia (66%). Most symptoms resolved within 1 week (68%), though 15% reported permanent voice change. 87% of practitioners continued training while symptomatic, and 78% indicated that permanent voice changes would not deter them from training. 50% of respondents indicated they would not seek care if symptoms lasted fewer than 2 weeks. Only 11% sought medical care (n = 18), of whom nearly half (n = 8) were diagnosed with a hyolaryngeal fracture. Interviews highlighted limited awareness of laryngopharyngeal injury risks and a prevailing \"push through the pain\" cultural ethos.</p><p><strong>Conclusions: </strong>Despite chokeholds being a foundational technique in BJJ/MMA, there is a paucity of data on laryngopharyngeal injury in these sports. Laryngopharyngeal symptoms are common among athletes yet often disregarded, with athletes frequently continuing to train despite symptoms and seldom seeking care. These findings underscore a gap in awareness and highlight the need for further research and education regarding laryngeal safety in combat sports.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70256"},"PeriodicalIF":1.6,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13238923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Music Appreciation in Prelingually Deafened Patients: A Scoping Review.","authors":"V Peyton Pinkus, Lindsey Herberger, Shanta Mazumder, Lindsay Blake, John Dornhoffer, Robert Saadi","doi":"10.1002/oto2.70255","DOIUrl":"10.1002/oto2.70255","url":null,"abstract":"<p><strong>Objective: </strong>Music appreciation by patients with cochlear implants (CI) is affected by multiple factors. Prelingually deafened CI patients have different expectations and experiences with music that impact their music appreciation. This scoping review aims to describe the factors important for music appreciation and strategies for improved music appreciation in prelingually deafened CI recipients.</p><p><strong>Data sources: </strong>PubMed, Embase, and Web of Science.</p><p><strong>Review methods: </strong>PubMed, Embase, and Web of Science were queried for articles related to music appreciation in prelingually deafened CI users. Inclusion criteria were articles describing music appreciation characteristics and strategies for patients with CIs and prelingual hearing loss. The MINORS criteria was utilized to assess the quality of the studies.</p><p><strong>Results: </strong>Of the initial 140 citations screened, 52 articles underwent full-text review, and 32 met inclusion criteria, comprising a total of 599 unilateral and bilateral CI users with prelingual hearing loss. Average age at time of study and implantation were 11.03 and 6.36 years, respectively. Prelingually deafened patients reported increased music appreciation at baseline compared to postlingually deafened patients, but performed worse in melody, instrument, and song identification. Rhythmic music elements are especially important for music appreciation in this population. Additionally, implantation at an earlier age and music training after implantation are associated with improved identification and appreciation of musical elements.</p><p><strong>Conclusions: </strong>Music is experienced and appreciated differently by prelingually deaf CI patients compared to those who have known acoustic listening. Early implantation and music training can significantly help improve identification of complex musical elements and overall music appreciation.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70255"},"PeriodicalIF":1.6,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Racial and Ethnic Disparities in Care for Pediatric Sleep-Disordered Breathing.","authors":"Colleen C McLaughlin, Jesse L Hawke, Emily F Boss, Guy M Brock, Meredith M Lind, Tasleem J Padamsee, Prasanth Pattisapu, Deena J Chisolm, Laura J Chavez","doi":"10.1002/oto2.70246","DOIUrl":"10.1002/oto2.70246","url":null,"abstract":"<p><strong>Objective: </strong>Obstructive sleep disordered breathing is the most common indication for pediatric tonsillectomy in the United States, but there are barriers to specialty care that may contribute to disparities in tonsillectomy use. This study examined the association between race, ethnicity, urban/rural residence, and other factors in access to specialty care for children diagnosed with obstructive sleep disordered breathing.</p><p><strong>Study design: </strong>Retrospective observational cohort study.</p><p><strong>Setting: </strong>Fifteen states participating in the United States Medicaid and Child Health Insurance Programs.</p><p><strong>Methods: </strong>Children ages 2 to 18 years from 2017 to 2018 with a diagnosis of obstructive sleep disordered breathing followed for 1 year to ascertain receipt of polysomnography, otolaryngology specialist visit, and tonsillectomy.</p><p><strong>Results: </strong>This study included 304,415 children with diagnosis of obstructive sleep disordered breathing. Care pathways differed by race and ethnicity; Black non-Hispanic and Hispanic children were more likely to undergo polysomnography, either alone or with other forms of care (adjusted rate ratios and 95% confidence intervals 1.06 [1.04-1.09] and 1.06 [1.04-1.08], respectively). White non-Hispanic children, on the other hand, were more likely to receive otolaryngology care and/or tonsillectomy without polysomnography (Black non-Hispanic: 0.97 [0.95-0.99], Hispanic: 0.93 [0.92-0.95]). Urban children were more likely to undergo polysomnography alone and polysomnography prior to otolaryngology care (Urban: 1.06 [1.03-1.09], relative to rural).</p><p><strong>Conclusion: </strong>Black non-Hispanic, Hispanic, and urban children were more likely to undergo polysomnography and less likely to have tonsillectomy in absence of polysomnography. These differences suggest potential unwarranted variation in diagnostic and surgical care across race/ethnic groups and urban/rural settings.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70246"},"PeriodicalIF":1.6,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Dupilumab Efficacy in Patients With Chronic Rhinosinusitis With Nasal Polyps.","authors":"Shinya Takaishi, Nobuyoshi Otori","doi":"10.1002/oto2.70241","DOIUrl":"10.1002/oto2.70241","url":null,"abstract":"<p><strong>Objective: </strong>Dupilumab is effective in treating patients with intractable chronic rhinosinusitis with nasal polyps (CRSwNP); however, the factors influencing its efficacy remain unclear. Systemic corticosteroids (SCS) are occasionally administered to patients receiving dupilumab; however, concomitant use can obscure the efficacy of dupilumab. The present study aimed to investigate the factors associated with the efficacy of dupilumab, while minimizing the influence of SCS.</p><p><strong>Study design: </strong>Retrospective longitudinal study.</p><p><strong>Setting: </strong>A single academic hospital.</p><p><strong>Methods: </strong>We retrospectively evaluated medical records of 193 patients who started dupilumab for CRSwNP at our institution between March 2020 and July 2023. Patients who were prescribed SCS even once during a specific period were excluded. Finally, 50 patients were enrolled. We assessed correlations between pre-treatment parameters (age, time since last sinus surgery, blood eosinophil count, blood eosinophil proportion, and serum total immunoglobulin E) and endpoints (changes in nasal polyp score, nasal congestion score, and Lund-Mackay computed tomography score [LMK-CTS] from baseline). Additionally, the endpoints were compared between subgroups (male vs female, presence vs absence of asthma, presence vs absence of nonsteroidal anti-inflammatory drug-exacerbated respiratory disease, and three groups classified according to the blood eosinophil proportion).</p><p><strong>Results: </strong>Statistically, neither significant differences between the subgroups nor significant correlations between the parameters and the endpoints were observed, except for a correlation between the blood eosinophil proportion and the changes in LMK-CTS (<i>r</i> = 0.47, <i>P</i> = .037 [n = 21]).</p><p><strong>Conclusion: </strong>Although a higher baseline peripheral blood eosinophil percentage may be associated with smaller changes in LMK-CTS, our findings need further investigation.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70241"},"PeriodicalIF":1.6,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Closed Incision Negative Pressure Therapy for the Recipient Site in Head and Neck Reconstruction.","authors":"Haruyuki Hirayama, Katsuhiro Ishida, Hiroki Kodama, Doruk Orgun, Masaki Nukami, Masato Nagaoka, Taisuke Akutsu, Soichiro Fukuzato, Takeshi Miyawaki","doi":"10.1002/oto2.70249","DOIUrl":"10.1002/oto2.70249","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the benefits of recipient site of closed incision negative pressure therapy (ciNPT) on postoperative complications in head and neck reconstruction.</p><p><strong>Study design: </strong>A single-center retrospective observational study was conducted on patients who underwent head and neck reconstruction for both benign and malignant disease using pedicled or free tissue transfers between November 2023 and September 2024.</p><p><strong>Setting: </strong>A tertiary care institution.</p><p><strong>Methods: </strong>Patients were divided into ciNPT and non-ciNPT groups. 30-day postoperative complication rates, including skin necrosis, surgical site infection (SSI), hematoma, lymphorrhea, anastomotic leakage, and flap vascular compromise, were compared between groups.</p><p><strong>Results: </strong>44 patients (median age: 68.0, female: 38.6%) were included in the analyses (21 ciNPT, 23 non-ciNPT). The ciNPT group had a higher median intraoperative blood loss (510 vs 175 mL; <i>P</i> = .004) and higher rates of intra/postoperative blood transfusion (5 vs 0; <i>P </i>= .019). A total of 39 patients underwent free tissue transfer, comprising 17 in the ciNPT group (81.0%) and 22 in the non-ciNPT group (95.7%). Clavien-Dindo grade IIIa complications occurred in 19.0% of ciNPT and 21.7% of non-ciNPT cases (<i>P</i> = 1.000), while grade IIIb complications occurred in 19.0% and 13.0%, respectively (<i>P</i> = .693). Overall, no significant differences were found between groups across complication categories.</p><p><p>Although overall complication rates were comparable between the 2 groups, this study emphasizes practical techniques for the clinical application of ciNPT in complex reconstruction cases. Larger, prospective, multi-center studies are warranted to validate its benefits and optimize clinical use.</p><p><strong>Level of evidence: </strong>Ⅲ.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70249"},"PeriodicalIF":1.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13240250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acoustic Vibrational Therapy for the Treatment of Pediatric Rhinitis.","authors":"Ashoke R Khanwalkar, Alan Greene, Yifei Ma, Paramesh Gopi, Vivek Mohan, Bryant Lin, Peter H Hwang","doi":"10.1002/oto2.70247","DOIUrl":"10.1002/oto2.70247","url":null,"abstract":"<p><p>Acoustic resonance therapy (ART), in which individually calibrated acoustic vibratory energy is delivered to the sinonasal cavities, has been shown to be safe and efficacious to reduce symptoms in adults with allergic and/or nonallergic rhinitis. This prospective, nonrandomized, single-center feasibility study evaluated potential use in pediatric patients age 12 to 21 with a nasal congestion sub-score of ≥2 out of 3 on the Total Nasal Symptom Score (TNSS). Nasal congestion sub-score at baseline was compared with an average of the daily score obtained over 2 weeks on treatment. 31 subjects enrolled. Nasal congestion sub-score changed by -0.76 (95% CI [-0.97, -0.54], <i>P</i> < .0001) for an average reduction of 35.2%, while aggregate TNSS changed by -2.74 (95% CI [-3.41, -2.06], <i>P</i> < .0001) for an average reduction of 40.5%. All other TNSS subcomponents demonstrated statistically significant improvements compared with their respective baseline. ART warrants further investigation as a nonpharmacologic option for treatment of pediatric chronic rhinitis.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"10 2","pages":"e70247"},"PeriodicalIF":1.6,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13239804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148199616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}