OTO Open最新文献_第9页

O-TO-T Advancement Reconstruction for Partial Glossectomy Defects: A Case Series. O-TO-T推进重建治疗部分睑裂缺损：病例系列。

IF 1.8

OTO Open Pub Date : 2024-12-13 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70015

Kaersti L Rickels, Aryan Shay, James R Gardner, Deanne King, Jumin Sunde, Mauricio Moreno, Emre Vural

引用次数: 0

Enhancing Multilingual Patient Education: ChatGPT's Accuracy and Readability for SSNHL Queries in English and Spanish. 加强多语言患者教育：ChatGPT在英语和西班牙语SSNHL查询中的准确性和可读性。

IF 1.8

OTO Open Pub Date : 2024-12-11 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70048

Emily Ajit-Roger, Alexander Moise, Carolina Peralta, Ostap Orishchak, Sam J Daniel

{"title":"Enhancing Multilingual Patient Education: ChatGPT's Accuracy and Readability for SSNHL Queries in English and Spanish.","authors":"Emily Ajit-Roger, Alexander Moise, Carolina Peralta, Ostap Orishchak, Sam J Daniel","doi":"10.1002/oto2.70048","DOIUrl":"10.1002/oto2.70048","url":null,"abstract":"Objective: This study investigates ChatGPT's accuracy, readability, understandability, and actionability in responding to patient queries on sudden sensorineural hearing loss (SSNHL) in English and Spanish, when compared to Google responses. The objective is to address concerns regarding its proficiency in addressing medical inquiries when presented in a language divergent from its primary programming.Study design: Observational.Setting: Virtual environment.Methods: Using ChatGPT 3.5 and Google, questions from the AAO-HNSF guidelines were presented in English and Spanish. Responses were graded by 2 otolaryngologists proficient in both languages using a 4-point Likert scale and the PEMAT-P tool. To ensure uniform application of the Likert scale, a third independent evaluator reviewed the consistency in grading. Readability was evaluated using 3 different tools specific to each language. IBM SPSS Version 29 was used for statistical analysis using one-way analysis of variance.Results: Across both languages, the responses displayed a native-level language proficiency. Accuracy was comparable between sources and languages. Google's Spanish responses had better readability (effect size 0.35, P < .001), while Google's English responses were more understandable (effect size 0.67, P = .018). ChatGPT's English responses demonstrated the highest level of actionability (60%), though not significantly different when compared to other sources (effect size 0.47, P = .14).Conclusion: ChatGPT offers patients comprehensive and guideline-conforming answers to SSNHL patient medical queries in the 2 most spoken languages in the United States. However, improvements in its readability and understandability are warranted for more accessible patient education.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70048"},"PeriodicalIF":1.8,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142813768","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}

引用次数: 0

A Strange Esophageal Foreign Body: Coil Extrusion After Embolization of a Common Carotid Artery. 奇怪的食管异物：颈总动脉栓塞后线圈挤压。

IF 1.8

OTO Open Pub Date : 2024-12-09 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70035

Shakyl Apithy, Stanley Tetard, Marc Lenfant, Caroline Guigou

引用次数: 0

Factors Associated With Patient Portal Engagement in Otolaryngology. 耳鼻喉科患者门户网站参与度的相关因素。

IF 1.8

OTO Open Pub Date : 2024-11-26 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70050

Jesse K Siegel, Chloe Verducci, Agnes Hurtuk

{"title":"Factors Associated With Patient Portal Engagement in Otolaryngology.","authors":"Jesse K Siegel, Chloe Verducci, Agnes Hurtuk","doi":"10.1002/oto2.70050","DOIUrl":"10.1002/oto2.70050","url":null,"abstract":"Objective: Online patient portals are important tools for patient engagement, and their use has increased particularly since the COVID-19 pandemic and the 21st Century Cures Act. However, prior work across various specialties has demonstrated disparities in patient portal usage with respect to age, gender, race, and insurance status. However, this has not been studied in the field of otolaryngology, and not since the onset of the COVID-19 pandemic.Study design: Retrospective study.Setting: Single tertiary care outpatient otolaryngology practice over a 3-year period (December 2019-December 2022).Methods: We used univariate and multivariate analyses to measure how patient portal use for appointment scheduling varied before and after the COVID-19 pandemic and across demographic groups including gender, race, age, primary language, insurance type, and primary care physician (PCP) status (Loyola vs non-Loyola).Results: From December 2019 to December 2022, 49,462 unique patients scheduled 221,611 otolaryngology clinic visits. Significantly more online scheduling occurred after the onset of the COVID-19 pandemic (10.7% vs 1.9%, P < .01). In multivariate analysis, male gender, age <18 or >65 years, non-English primary language, and outside PCP were all associated with a lower likelihood of online appointment scheduling (P < .01 for each). Patients with Medicare had higher odds of portal use than commercially insured patients when controlling for other demographic variables (P = .034).Conclusion: Patient portal use in otolaryngology has markedly increased over the last 3 years, but utilization varies across demographic groups. This provides an opportunity to improve patient portal content and outreach, and ultimately make portals more accessible to diverse patient populations.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70050"},"PeriodicalIF":1.8,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11589654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731256","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}

引用次数: 0

Impact of Language Barriers and Age on English Hearing Test App Accuracy for Polish Users. 语言障碍和年龄对波兰用户英语听力测试应用程序准确性的影响。

IF 1.8

OTO Open Pub Date : 2024-11-19 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70047

Małgorzata Pastucha, Elżbieta Gos, Henryk Skarżyński, W Wiktor Jedrzejczak

{"title":"Impact of Language Barriers and Age on English Hearing Test App Accuracy for Polish Users.","authors":"Małgorzata Pastucha, Elżbieta Gos, Henryk Skarżyński, W Wiktor Jedrzejczak","doi":"10.1002/oto2.70047","DOIUrl":"10.1002/oto2.70047","url":null,"abstract":"Objective: The development of health applications (apps) includes those for testing hearing, although most of them are available only in English. This study investigates whether poor English language proficiency creates a barrier for Polish users in the accuracy of such an app in measuring self-determined hearing thresholds.Study design: The study compared hearing thresholds measured by an English-language app and a professionally conducted reference test, with attention to participants' English proficiency and age.Setting: The English-language app \"Hearing test, Audiogram,\" was used to determine hearing thresholds. A reference test was performed by an audiologist using specialized equipment.Methods: Participants were 87 nonnative English language speakers aged 16 to 88. They were divided into 3 groups based on their proficiency in English: no knowledge (Group 1), basic (Group 2), and advanced (Group 3). The mean differences between hearing thresholds determined using the app and the reference tests were measured for each group.Results: The accuracy of the results varied according to the level of English proficiency. A statistically significant difference was found between Group 1 (no knowledge) and Group 3 (advanced), with mean differences of 13.6, 9.3, and 6.7 dB for Groups 1, 2, and 3, respectively, meaning that discrepancies were larger in the less proficient groups. However, when participant age was considered, language proficiency was less important and was no longer a significant factor.Conclusion: This study revealed that English language proficiency does affect the accuracy of mobile app-based hearing tests, but age of the user is also important.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70047"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676349","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}

引用次数: 0

Effects of Music on Pain and Anxiety During Otolaryngology Surgery: A Systematic Review and Meta-analysis. 音乐对耳鼻喉科手术过程中疼痛和焦虑的影响：系统回顾与元分析》。

IF 1.8

OTO Open Pub Date : 2024-11-19 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70041

Kenny Do, Eric Kawana, Kurtis Young, Harry H Ching, Jo-Lawrence Bigcas

{"title":"Effects of Music on Pain and Anxiety During Otolaryngology Surgery: A Systematic Review and Meta-analysis.","authors":"Kenny Do, Eric Kawana, Kurtis Young, Harry H Ching, Jo-Lawrence Bigcas","doi":"10.1002/oto2.70041","DOIUrl":"10.1002/oto2.70041","url":null,"abstract":"Objective: Patients undergoing surgery commonly experience anxiety during their procedure which can negatively affect surgical outcomes. Music therapy has emerged as a promising noninvasive approach to reducing anxiety particularly in patients undergoing otolaryngology procedures.The objective of this study is to evaluate the effectiveness of music therapy on anxiety and pain during these procedures.Data sources: PubMed and Embase.Review methods: A systematic search was conducted using the PRISMA approach to retrieve articles published between 1980 and March 2024. The search terms were applied to PubMed and Embase databases. The search term yielded a total of 669 articles on PubMed and 1027 articles on Embase, 5 of which met the inclusion criteria.Results: Five studies consisting of 4 randomized controlled trials and one case-control studies were included in our study, resulting in a total of 381 patients undergoing various otolaryngology procedures. Music therapy was found to reduce preoperative, perioperative, and postoperative anxiety and pain levels compared to control groups. Furthermore, patients who received music therapy experienced improvements in physiological parameters such as heart rate and blood pressure, indicating a positive impact on stress.Conclusion: Music therapy offers a potentially cost-effective and noninvasive method of reducing anxiety and pain in otolaryngological surgery patients. Our study indicates that music therapy can serve as a valuable addition to traditional pharmacological approaches in managing surgery-related anxiety and pain. However, more research is needed to standardize music therapy protocols and compare its effect in comparison to other nonpharmacologic and pharmacologic modalities to optimize care for patients.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70041"},"PeriodicalIF":1.8,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676323","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}

引用次数: 0

Epidemiology of Barbell Weightlifting-Related Head and Neck Injuries in the United States: A 10-Year Analysis of National Injury Data. 美国杠铃举重相关头颈部损伤的流行病学：全国伤害数据十年分析》。

IF 1.8

OTO Open Pub Date : 2024-11-18 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70049

Shiven Sharma, Luke Reardon, Li-Xing Man, Marita S Teng, Michele M Carr

{"title":"Epidemiology of Barbell Weightlifting-Related Head and Neck Injuries in the United States: A 10-Year Analysis of National Injury Data.","authors":"Shiven Sharma, Luke Reardon, Li-Xing Man, Marita S Teng, Michele M Carr","doi":"10.1002/oto2.70049","DOIUrl":"10.1002/oto2.70049","url":null,"abstract":"Objective: Our primary objective was to identify and describe trends in head and neck injuries incurred while participating in barbell weightlifting.Study design: Cross-sectional analysis.Setting: National database.Methods: We used data from the National Electronic Injury Surveillance System (NEISS) from 2014 to 2023. Population characteristics of barbell-related injuries (NEISS Code 3265), including age and sex distributions, were recorded. We further analyzed the distribution of injury anatomic locations, injury types, fracture locations, and patient dispositions. To identify statistical significance, nonparametric tests were performed.Results: Between 2014 and 2023, 3105 cases of barbell-related head and neck injuries were identified, predominantly in males (n = 2227, 71.7%) with a mean age of 27.7 years (SD: 11.9 years). The majority of patients (n = 2193, 74.5%) were treated and released, while 71 patients (2.3%) required hospital admission. The most affected body part was the head (n = 1,368, 44.1%), followed by the neck (n = 993, 32%), the face (n = 614, 19.8%), the mouth (n = 108, 3.5%), and the ear (n = 22, 0.7%). The most common location of injury was a recreational or sports facility (n = 1143; 36.8%), with other significant locations being the home (n = 542; 17.5%), and unspecified locations (n = 1065; 34.3%). Lacerations were the most common injury type (n = 682; 32.4%). Moreover, lacerations were more significantly associated with barbell weightlifting at home (P < .001) than in a recreational or sports facility.Conclusion: This study demonstrates that a substantial number of barbell-related injuries occur above the shoulder. This knowledge can inform the development of safety measures, including potential reforms in rules, regulations, and protective equipment.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70049"},"PeriodicalIF":1.8,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676324","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}

引用次数: 0

Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco-Free Nicotine Pouch Consumers. 烟草之外：弥补无烟尼古丁袋消费者社会历史记录的空白。

IF 1.8

OTO Open Pub Date : 2024-11-12 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70034

Taylor J Stack, Morgan N McCain, Ezer H Benaim, Theresa A Dickerson, Ibtisam Mohammad, Brent A Senior, Adam J Kimple, Christine DeMason

{"title":"Beyond Tobacco: Bridging Gaps in Social History Records for Tobacco-Free Nicotine Pouch Consumers.","authors":"Taylor J Stack, Morgan N McCain, Ezer H Benaim, Theresa A Dickerson, Ibtisam Mohammad, Brent A Senior, Adam J Kimple, Christine DeMason","doi":"10.1002/oto2.70034","DOIUrl":"https://doi.org/10.1002/oto2.70034","url":null,"abstract":"Objective: Nicotine-containing products have historically been tobacco derivatives like cigarettes, cigars, and dip. Recently, tobacco-free nicotine (TFN) products have been marketed as a healthy alternative. TFN pouches are small, discreet, flavored pouches containing nicotine designed to be placed between the gum and lip. This product does not fit a conventional tobacco category, leading to inaccurate reporting. This study aims to investigate discrepancies in physician documentation of TFN pouches.Methods: A retrospective chart review was conducted on TFN users.Setting: Single Health Care System.Methods: Statistical analyses assessed TFN documentation concordance between social history templates and physician notes.Results: There were 150 patients who used TFN and 841 patients who vaped. Concordance was higher for vape documentation than TFN pouch documentation (55.9%, 470/841 vs 25.3%, 38/150; P < .001). Of those who used TFN, 60% (90/150) were classified as \"Smokeless Tobacco Users\" in the social history; however, 35 were inaccurately classified as chew, and 17 did not specify TFN use. Only 38 specified TFN use; only 25% (38/150) of records demonstrated concordance.Conclusion: Only 25% of records were concordant with physician notes, highlighting the need for a designated place for TFN use within social history templates. Nicotine use history is crucial in the setting of microvascular reconstruction and cosmetic surgeries. Thus, accurate reporting is crucial for future research on the long-term effects of TFN. This study's findings underscore a deficit in current social history templates and the need to recognize TFN pouches as distinct entities.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70034"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11555441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142625331","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}

引用次数: 0

Clinical and Histological Differences Between Choanal Polyps in Children and Adults: A 15-Year Retrospective Study. 儿童和成人蝶窦息肉的临床和组织学差异：一项为期 15 年的回顾性研究

IF 1.8

OTO Open Pub Date : 2024-11-10 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70004

Aleksandar Perić, Nikola Lazović, Jelena Sotirović, Gabriela Kopacheva Barsova, Biserka Vukomanović Đurđević

{"title":"Clinical and Histological Differences Between Choanal Polyps in Children and Adults: A 15-Year Retrospective Study.","authors":"Aleksandar Perić, Nikola Lazović, Jelena Sotirović, Gabriela Kopacheva Barsova, Biserka Vukomanović Đurđević","doi":"10.1002/oto2.70004","DOIUrl":"https://doi.org/10.1002/oto2.70004","url":null,"abstract":"Choanal polyps (CPs) are benign, inflammatory, solitary lesions extending toward the junction between the nasal cavity/paranasal sinus and the nasopharynx through the choana. This study aimed to evaluate the clinical and histological characteristics of CPs in children compared to adult patients. Characteristics of patients (demography, main complaints, side, localization, surgical approach, histological characteristics, accompanying chronic rhinosinusitis [CRS], association with allergic rhinitis [AR] and aspirin sensitivity, postoperative follow-up period, recurrence rates) were retrospectively reviewed. The patients were classified into children (<18 years) and adults (≥18 years). Our results suggest some clinical and histological specificities of CPs in children compared to adults. Epistaxis, oropharyngeal extension, association with AR and ipsilateral CRS, and angiomatous histological subtype of CPs are more frequent in the pediatric population. Also, the level of eosinophil infiltration of polyp tissue and recurrence rates are higher in pediatrics than in adult population.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70004"},"PeriodicalIF":1.8,"publicationDate":"2024-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11551064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142636088","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}

引用次数: 0

Resolving Tongue Entrapment: A Comprehensive Review with Case Report. 解决舌根卡压：全面回顾与病例报告。

IF 1.8

OTO Open Pub Date : 2024-11-07 eCollection Date: 2024-10-01 DOI: 10.1002/oto2.70044

Alisha R Pershad, Daniel Gorelik, Diego Preciado, Habib G Zalzal

{"title":"Resolving Tongue Entrapment: A Comprehensive Review with Case Report.","authors":"Alisha R Pershad, Daniel Gorelik, Diego Preciado, Habib G Zalzal","doi":"10.1002/oto2.70044","DOIUrl":"https://doi.org/10.1002/oto2.70044","url":null,"abstract":"Objective: To report a case of oral tongue entrapment due to a metal water bottle and review clinical considerations for managing this rare pathology.Study design: Case report and literature review.Setting: Tertiary care hospital.Methods: A 6-year-old female presented with her tongue trapped in a threaded aluminum water bottle. Upon admission, her tongue was edematous and actively bleeding, though she was spontaneously breathing. A systematic review was then performed to document similar case studies found in the literature.Results: Emergency removal of the foreign body was performed in the operating room using drill cutting burrs and metal shears. The bottle was successfully removed with minimal injury to the oral tongue. The patient required nasal intubation for seven days to allow the tongue edema to subside. Subsequent literature review identified 14 similar cases, with the vast majority occurring with similar brand of aluminum water bottle.Conclusion: The increasing use of reusable bottles may lead to a higher incidence of tongue entrapment cases. Awareness of this complication and appropriate management strategies are crucial to prevent severe outcomes in pediatric patients.","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 4","pages":"e70044"},"PeriodicalIF":1.8,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142605200","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}

引用次数: 0