Otolaryngology- Head and Neck Surgery最新文献

{"title":"Effects of Myroxylon pereirae, Phenytoin, and Clinoptilolite After Pharyngocutaneous Fistula: An Experimental Animal Model.","authors":"Erim Pamuk, Enes Dogan, Olcay Kurtulan, Yeşim Gaye Güler Tezel, A Arzu Yiğit","doi":"10.1002/ohn.1179","DOIUrl":"10.1002/ohn.1179","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to conduct a comparative evaluation of the effects of Myroxylon pereirae (MP), phenytoin, and clinoptilolite on wound healing in an experimental animal model for the treatment of pharyngocutaneous fistula (PCF).</p><p><strong>Study design: </strong>Prospective controlled animal study.</p><p><strong>Setting: </strong>Animal laboratory.</p><p><strong>Methods: </strong>Forty-four male Sprague-Dawley rats were randomly assigned to one of four groups: sham control group, MP group, phenytoin group, and clinoptilolite group. A PCF was created in each rat via surgical intervention, followed by a course of topical treatment administered twice daily for a period of 7 days. The healing of the fistula was evaluated both macroscopically and histopathologically.</p><p><strong>Results: </strong>Macroscopic fistulae developed in 90% of the control group, 18% of the MP group, and 27% of the phenytoin group (P = .005). The phenytoin group had the lowest inflammation scores, which were significantly lower than the clinoptilolite and control groups (P = .006 and P = .001). The MP group had the highest levels of fibroblast proliferation and collagen accumulation (P < .001 and P = .001, respectively). The level of inflammation and amount of fibroblast proliferation, angiogenesis, and collagen accumulation in the clinoptilolite group was lower than in the control group, but none of these differences were significant statistically.</p><p><strong>Conclusion: </strong>MP and phenytoin improved the healing of PCF, particularly by reducing the inflammation and promoting the of fibroblast proliferation and collagen accumulation. Clinoptilolite did not demonstrate a notable advantage in any of these parameters. These findings suggest that MP and phenytoin may serve as potential agents in the management of PCF.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1656-1663"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468662","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":"Comparing Bilateral and Single-Sided Deaf Cochlear Implant Recipients in a Novel Speech-in-Noise and Localization Task.","authors":"Obada Abdulrazzak, Nadine I Ibrahim, Gerilyn Jones, Madison V Epperson, Ilhan Onder, Jackson Graves, Carolyn Kroger, Anahita H Mehta, Renee M Banakis Hartl","doi":"10.1002/ohn.1187","DOIUrl":"10.1002/ohn.1187","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated how individuals who have undergone bilateral cochlear implantations (BiCIs) use compensatory head movements to optimize sound localization and speech-in-noise (SIN) performance compared with single-sided deaf users of cochlear implant (SSDCI) and normal hearing controls.</p><p><strong>Study design: </strong>Nonrandomized, prospective human-subject study.</p><p><strong>Setting: </strong>Tertiary academic medical center.</p><p><strong>Methods: </strong>Subjects were presented with Harvard IEEE sentences at varying signal-to-noise ratios (SNRs) in a darkened, semianechoic chamber. An electromagnetic head-tracking system monitored head movement. Outcomes included head movement patterns, localization accuracy, and SIN performance.</p><p><strong>Results: </strong>BiCI localized targets less accurately with higher SNR-dependent variability than controls, but with greater accuracy than SSDCI. For SIN, SSDCI consistently showed superior performance to the BiCI, with no statistical significance found at any noise condition between SSDCI and controls. Across SNR, BiCI consistently initiated head movements more promptly compared to SSDCI, with controls predictably exhibiting the least delay. All CI recipients exhibited greater absolute displacement overall compared to controls. Although BiCI showed greater displacement compared to SSDCI, their pattern resembled controls, with decreased movement necessary as SNR became more favorable.</p><p><strong>Conclusion: </strong>When comparing performance for localization and SIN across groups, the same impaired group does not perform most poorly at both binaural tasks; although SSDCI users maintain better speech understanding in noise, BiCIs tend to perform better on locating stimuli in space. Preserved acoustic hearing in one ear does not provide a performance advantage across all tasks. The study underscores the intricate interplay of adaptive behaviors in CI users, showcasing successes and challenges in optimizing binaural hearing performance.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1725-1734"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586671","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":"Exploring the Feasibility of Tele-Audiology in Rural Communities to Reduce Care Disparities for At-Risk Newborns.","authors":"Eliza Broadbent, Maeher Grewal, Zach Hansen, Shi Liang, Shannon Wnek, Stephanie Browning McVicar, Max Sidesinger, Pamella Black, Marissa Diener, Albert H Park","doi":"10.1002/ohn.1171","DOIUrl":"10.1002/ohn.1171","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and feasibility of a Utah Department of Health and Human Services (DHHS) program providing telehealth auditory brainstem response (tele-ABR) testing to rural families in order to reduce disparities in hearing loss (HL) diagnosis.</p><p><strong>Study design: </strong>This was a retrospective analysis of infants born at the Uintah Basin Medical Center from 2006 to 2021 who failed the newborn hearing screen (NBHS) and underwent ABR.</p><p><strong>Setting: </strong>In-person ABRs were conducted at Primary Children's Hospital in Salt Lake City, UT. Tele-ABRs were conducted at the DHSS satellite site in Roosevelt, UT.</p><p><strong>Methods: </strong>Outcomes measured included demographics, age at testing, and distance traveled. t-Tests and χ² tests were used to compare in-person and tele-ABR groups.</p><p><strong>Results: </strong>Of 125 infants who failed the NBHS, 66 (52.8%) underwent tele-ABR. Tele-ABR participants were more likely to be American Indian (P < .05). Distance traveled was lower for the tele-ABR group: 13.1 miles vs. 102.8 miles (P < .001). Age at testing was earlier for the in-person group (35.7 vs 47.2 days, P = .04), but there was no difference in adherence to the Early Hearing Detection and Intervention (EHDI) guideline of testing within 3 months (P = .19).</p><p><strong>Conclusion: </strong>Tele-ABR participants benefited from shorter travel distances compared to in-person participants while still receiving timely diagnosis. Given that the tele-ABR group included more American Indians, this approach may enable evaluation of an underserved population. Tele-ABR is a viable diagnostic tool to reduce barriers to timely testing.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1761-1767"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441679","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":"Long-Term Outcomes of Temporal Bone Aneurysmal Bone Cysts: Ambispective Study With Systematic Review and Pooled Analysis.","authors":"Nidhin Das K, Anant Mehrotra, Amit Keshri, Mohit Sinha, Nazrin Hameed, Kalyan Chidambaram, Mohd Aqib, Awadesh Kumar Jaiswal, Ravisankar Manogaran","doi":"10.1002/ohn.1073","DOIUrl":"10.1002/ohn.1073","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the clinical, radiological, and surgical management of temporal bone aneurysmal bone cysts (ABCs) and identify factors affecting outcomes.</p><p><strong>Study design: </strong>Ambispective study.</p><p><strong>Setting: </strong>A single tertiary care institution.</p><p><strong>Methods: </strong>This study reviewed 6 cases of temporal bone ABCs treated between 2017 and 2024. Patient demographics, clinical presentation, imaging characteristics, surgical details, and outcomes were collected. A systematic review of the literature was conducted, adhering to Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, to compare institutional cases with published data. Statistical analyses were performed to identify predictors of treatment success and recurrence.</p><p><strong>Results: </strong>The cohort had a mean age of 27.5 years. Presenting symptoms included scalp swelling, aural fullness, tinnitus, and hearing impairment. Imaging showed expansile lesions with fluid-fluid levels and bone erosion. All patients underwent gross total excision, with a mean intraoperative blood loss of 230.6 ml. One patient experienced temporary grade III facial palsy, which resolved within 3 months. No recurrences were observed during a mean follow-up of 35 months. A pooled analysis of 45 cases from the literature revealed that swelling in the temporal region was the most common presenting feature, and gross total resection was the most frequently employed treatment. Recurrences were rare and typically associated with subtotal resections or advanced-stage tumors.</p><p><strong>Conclusion: </strong>Surgical excision, particularly gross total resection, is the treatment of choice for temporal bone ABCs, with a low recurrence rate. Stage and extent of resection are critical factors in predicting outcomes. This study enhances understanding of the diagnostic and therapeutic approaches for this rare condition.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1493-1501"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142771158","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":"COVID Effects on Adherence to Joint Committee on Infant Hearing Newborn Screening Recommendations.","authors":"Hengameh K Behzadpour, Jennifer Chappetto, Tracey Ambrose, Irene Sideris, Claire Buxton, Brian K Reilly, Tommie L Robinson, James Mahshie, Diego A Preciado","doi":"10.1002/ohn.1152","DOIUrl":"10.1002/ohn.1152","url":null,"abstract":"<p><strong>Objective: </strong>Despite significant improvements in universal newborn hearing screenings (NBHS), infants are still lost to follow-up (LTF) after failed screening, delaying timely diagnosis and intervention. The challenges during the COVID-19 pandemic and its response likely exacerbated timely adherence to early diagnosis and intervention. This study aimed to assess the LTF rate for infants who did not pass their NBHS within Washington, DC and compare the LFT before and during the pandemic.</p><p><strong>Study design: </strong>Cohort study analyzing variables potentially impacting LTF.</p><p><strong>Setting: </strong>Web-based analysis of DC Oz e-Screener Plus for NBHS reports.</p><p><strong>Methods: </strong>Multivariate and univariate regression analyses were used to identify significant demographic and clinical factors from March 2019 to March 2021.</p><p><strong>Results: </strong>Of the 15,661 born during the period analyzed, 830 (5.3%) infants did not pass their initial hearing screening: 406 (48.9%) infants in the pre-COVID group and 424 (51.1%) infants in the COVID group. Of those infants failing their initial screening, 388 (46.7%) did not pass a follow-up outpatient screening. Of these, 342 (88.1%) had no record of receiving a Diagnostic Auditory Brainstem Response assessment. The overall LTF rate in the pre-COVID group was 90.7% compared to 83% in the COVID group. Multivariate analyses showed that male gender (odds ratio [OR] = 1.3), income <100 K (OR = 1.9), wards 7 and 8 (OR = 1.9), and pre-COVID group (OR = 0.7) were statistically associated with LTF.</p><p><strong>Conclusion: </strong>There are many factors impacting LTF rates and future follow-up when using the protocols recommended by the Joint Committee on Infant Hearing. This study will be the basis for implementing planned improvement strategies for reducing LTF rates.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1756-1760"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067206","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":"Health-State Utility Values in Patients Affected by Flaccid and Non-Flaccid Facial Paralysis.","authors":"Bastien A Valencia-Sanchez, Murray J Bartho, Elise Krippaehne, Jess C Mace, Myriam Loyo","doi":"10.1002/ohn.1163","DOIUrl":"10.1002/ohn.1163","url":null,"abstract":"<p><strong>Objective: </strong>The primary goal of this study was to measure health-state utility values (HUVs) in patients with facial paralysis before and after treatment. A secondary objective was to compare these values with those of other chronic diseases and currently available treatments.</p><p><strong>Study design: </strong>A retrospective chart review.</p><p><strong>Setting: </strong>A tertiary medical center.</p><p><strong>Methods: </strong>Adults with flaccid and non-flaccid facial paralysis were included. Baseline demographics, medical comorbidities, facial paralysis history, treatment details, and disease-specific quality-of-life scores were collected. Utility values were derived using the Short-Form 6D health index at baseline and after treatment.</p><p><strong>Results: </strong>The mean baseline Short-Form 6D utility value for patients with facial paralysis (n = 134) was 0.73 (± 0.14) (95% confidence interval [CI]: 0.71-0.75). Baseline utility values significantly correlated with disease-specific quality of life as measured by the Facial Clinimetric Evaluation Scale (r = 0.400; P < .001), but not with Sunnybrook Facial Grading Scale or Synkinesis Assessment Questionnaire scores. Post-treatment utility values showed a mean improvement of 0.03 (95% CI: -0.01 to 0.08; P = .14) in the overall cohort. The flaccid group showed a greater average improvement compared to the non-flaccid group (0.05 [± 0.17] vs 0.02 [± 0.17]; P = .62).</p><p><strong>Conclusion: </strong>Patients with flaccid and non-flaccid facial paralysis reported HUVs that were significantly lower than the US population norm. Treatment improved utility values in both groups. These findings provide initial data for future cost-effectiveness analyses of surgical and non-surgical treatment options for facial paralysis.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1570-1578"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365495","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":"Evaluating Trends in Medicare Reimbursements Between Male and Female Otolaryngologists From 2013 to 2018.","authors":"Corinne A Pittman, Holly D Shan, Varsha Harish, Sarah K Rapoport","doi":"10.1002/ohn.1157","DOIUrl":"10.1002/ohn.1157","url":null,"abstract":"<p><strong>Objective: </strong>Gender-based pay disparities exist in otolaryngology. Determining whether such patterns have been consistently present could help expose whether, and to what extent, gender-based inequalities exist within our field.</p><p><strong>Study design: </strong>Retrospective, cross-sectional analysis of publicly available Centers for Medicare and Medicaid Services (CMS) data for otolaryngologists from 2013 to 2018.</p><p><strong>Setting: </strong>A database study.</p><p><strong>Methods: </strong>CMS databases were used to evaluate whether gender differences exist within clinical productivity and reimbursement patterns among otolaryngologists over time, and if so, what those trends have been. Outcomes included the number of unique billing codes and charges submitted per physician (clinical productivity) and physician reimbursements. Results were controlled for geography, levels of clinical productivity, and gender.</p><p><strong>Results: </strong>Male otolaryngologists consistently submitted more charges for reimbursement (median [interquartile range, IQR], 291,539 [154,380-503,932] vs 196,029 [94,849-337,224]) and a greater number of unique billing codes (median [IQR], 52.0 [34.0-72.0] vs 41.0 [27.0-59.0]) than female otolaryngologists. Male otolaryngologists received greater reimbursements than female otolaryngologists (median [IQR], $114,390 [$61,732-$184,209] vs $72,679 [$34,855-$122,473]). Contrast ratios of estimated marginal means for reimbursements between male and female otolaryngologists demonstrated that 75% to 81% (P < .0001) of the estimated payment for physician services were received by male otolaryngologists.</p><p><strong>Conclusion: </strong>There appears to be a consistent, general trend that the female gender is associated with decreased clinical productivity and lower CMS payments among otolaryngologists. These disparities persist even among highly productive female otolaryngologists. To better address gender pay disparities within otolaryngology, billing patterns among female otolaryngologists should be more closely assessed to help optimize reimbursement patterns for equivalent services provided by male otolaryngologists.</p><p><strong>Level of evidence: </strong>Level IV.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1625-1632"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399606","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":"Hearing Preservation Techniques in Pediatric Cochlear Implantation: A Systematic Review and Meta-Analysis.","authors":"Ory Madgar, Amber D Shaffer, Daniel Gerges, Dennis J Kitsko, David H Chi","doi":"10.1002/ohn.1180","DOIUrl":"10.1002/ohn.1180","url":null,"abstract":"<p><strong>Objective: </strong>Preserving residual hearing following cochlear implantation (CI) improves outcomes and allows patients to use electrical and acoustic stimulation. Hearing preservation and minimizing intracochlear trauma during implantation have become key areas of research and device development in recent years. This meta-analysis evaluated whether patient characteristics or surgical methodology impact hearing preservation postpediatric CI.</p><p><strong>Data sources: </strong>A systematic search was performed in PubMed, Web of Science, Cochrane Library, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature.</p><p><strong>Review methods: </strong>Per Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, the databases were searched for English studies published before August 2024. Search terms were \"hearing preservation,\" \"cochlear implant,\" \"audiometry,\" and \"pediatric\" and their synonyms. The main outcome was the percentage of ears with hearing preservation after CI. Patient, audiological, device, and surgical technique characteristics were extracted. The impact of these factors on hearing preservation was evaluated.</p><p><strong>Results: </strong>Twenty-four studies were included, with a total of 567 patients. Males comprised 50% of patients (95% confidence interval [CI]: 45%-55%). Mean patient age was 9.68 years (95% CI: 8.27-11.09 years). Mean pure tone averages (PTAs) before and after CI were 60.48 dB (95% CI: 48.81-72.14 dB) and 70.95 dB (95% CI: 56.75-85.15 dB), respectively. Hearing preservation was reported in 78% of ears (95% CI: 71%-85%), with high heterogeneity between studies (I² = 79.96%). Gender, surgical approach, electrode array, topical corticosteroids, and initial PTA were not significantly associated with hearing preservation.</p><p><strong>Conclusions: </strong>Hearing preservation following pediatric CI occurred in 78% of ears. In this meta-analysis, no patient characteristic or surgical technique was significantly associated with hearing preservation.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1539-1547"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573591","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":"Characterization of Optokinetic Nystagmus in Healthy Participants With a Novel Oculography Device.","authors":"Mitali Sakharkar, Parth K Jalihal, Kimberly Ramirez, Faisal Karmali, Richard F Lewis, Divya A Chari","doi":"10.1002/ohn.1148","DOIUrl":"10.1002/ohn.1148","url":null,"abstract":"<p><strong>Objective: </strong>To develop a proof-of-concept smart-phone-based eye-tracking algorithm to assess non-pathologic optokinetic (OKN) nystagmus in healthy participants. Current videonystagmography (VNG) is typically restricted to in-office use, and advances in portable vestibular diagnostics would yield immense public health benefits.</p><p><strong>Study design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Tertiary academic medical center.</p><p><strong>Methods: </strong>Healthy participants (n = 39) without dizziness or vertigo were recruited. A smart-phone attached to a custom head stabilization device illuminated by a white LED circuit was used to record nystagmus induced with a 30 frames per second OKN stimulus over a 60-second period. A centroid tracking algorithm was created to detect slow-phase velocity (SPV) of horizontal nystagmus in a diverse subject cohort in a variety of lighting conditions. Nystagmus recordings were compared to those obtained with a standard VNG system.</p><p><strong>Results: </strong>Non-pathologic nystagmus from an OKN stimulus was measured across multiple lighting conditions, with high signal-to-noise ratios (SNR) and mean SPV 22.13 ± 5.26°/s. Nystagmus SPV was not significantly different between the device and standard VNG system (t = -0.5, P = .6). Lighting conditions produced SNRs of 57.30 (ideal), 50.59 (backlit), 51.33 (side-lit), 49.28 (dark), 54.52 (outdoor lighting).</p><p><strong>Conclusion: </strong>We demonstrate the feasibility of a novel portable oculography system in the detection of non-pathologic nystagmus in healthy subjects. Future applications of this system include: (1) to obtain real-time measurements of nystagmus during an acute vertigo attack; (2) to test patients unable or unwilling to present to a specialized vestibular laboratory; (3) to efficiently repeat testing overtime; (4) to improve accessibility of vestibular testing.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1692-1702"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059549","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":"Trilayer Temporalis Fascia Interposition Graft for Nasal Septal Perforation Repair: A Continued Experience.","authors":"Derek J Vos, Kristen A Echanique, Amit Nag, Stephen Hadford, Peter Ciolek, Dane J Genther","doi":"10.1002/ohn.1183","DOIUrl":"10.1002/ohn.1183","url":null,"abstract":"<p><strong>Objective: </strong>The repair of nasal septal perforation (NSP) is complex, with a variety of described techniques and reported outcomes. At our institution, we commonly perform NSP repair using a trilayer graft of thin polydioxanone (PDS) plate wrapped on both sides with temporalis fascia without intranasal flaps. We aim to report our continued experience with this technique.</p><p><strong>Study design: </strong>Retrospective chart review.</p><p><strong>Setting: </strong>Single institution.</p><p><strong>Methods: </strong>Retrospective chart review of patients undergoing repair of NSP using a trilayer temporalis fascial interposition grafting technique at our institution from 9/1/2018 to 10/31/2023.</p><p><strong>Results: </strong>Fifty-six patients (mean age 45 years, 58.9% female) were included in this study. The suspected cause of NSP was primarily iatrogenic (n = 26, 45.6%); however, a large number of patients did not have a definitive etiology of NSP (n = 18, 32.1%). The most commonly reported symptoms pre-operatively included nasal obstruction/congestion (n = 51, 91.1%) and nasal crusting (n = 31, 55.4%). NSPs were most frequently anterior in location (n = 46, 82.1%) and medium in size (1-2 cm) (n = 31, 55.4%), followed by small (<1 cm) (n = 17, 30.4%). All patients within this study experienced improvement in their pre-existing symptoms associated with NSP, with complete resolution of prior symptoms occurring in the majority of patients (n = 44, 78.6%). A minority of patients in this cohort experienced postoperative complications (n = 8, 14.3%). One patient (1.8%) demonstrated persistent perforation following repair. The median length of follow-up in this study was 257 days (range 65-1724).</p><p><strong>Conclusion: </strong>The trilayer temporalis fascial interposition graft is an effective and reliable tool for the repair of NSP.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1601-1607"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586475","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}