Otolaryngology- Head and Neck Surgery最新文献

{"title":"Hearing Loss and Negative Social Experiences in the All of Us Research Program.","authors":"Angela Renne, Jenny X Chen","doi":"10.1002/ohn.1176","DOIUrl":"10.1002/ohn.1176","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the impact of demographic characteristics on negative social experiences for individuals with bilateral hearing loss.</p><p><strong>Study design: </strong>A 1:1 matched case-control study.</p><p><strong>Setting: </strong>Participants with and without bilateral hearing loss in the All of Us Research Program database.</p><p><strong>Methods: </strong>Multivariable logistic ordinal regression, controlling for various demographic and health factors, examined the association between hearing loss and self-reports of isolation, discrimination, stress, and poor health care experiences.</p><p><strong>Results: </strong>A total of 9050 participants had bilateral hearing loss. Compared to matched controls, those with hearing loss had greater odds of reporting isolation (odds ratio [OR] 1.15, 95% confidence interval [CI] 1.09-1.21, P < .001), discrimination (OR 1.13, 95% CI 1.07-1.19, P < .001), and stress (OR 1.32, 95% CI 1.25-1.40, P < .001) but not health care experiences. Younger (18-39) and middle-aged adults (40-64) reported higher isolation (OR 2.77, 95% CI 2.41-3.24, P < .001 [18-39]; OR 1.97, 95% CI 1.82-2.15, P < .001 [40-64]), discrimination (OR 4.49, 95% CI 3.51-5.73, P < .001 [18-39]; OR 2.71, 95% CI 2.45-3.00, P < .001 [40-64]), and stress (OR 6.67, 95% CI 5.22-8.53, P < .001 [18-39]; OR 2.38, 95% CI 2.14-2.64, P < .001 [40-64]) compared to those older than 65. Females with hearing loss reported more isolation (OR 1.14, 95% CI 1.05-1.23, P < .01), discrimination (OR 1.50, 95% CI 1.38-1.63, P < .001), and stress (OR 1.86, 95% CI 1.73-1.99, P < .001). Severe hearing loss was associated with worse outcomes. Hearing aids were not protective against negative social experiences.</p><p><strong>Conclusion: </strong>Certain demographic factors were associated with negative social experiences in individuals with bilateral hearing loss. Future interventions should account for these differences.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1640-1648"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493233","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":"Flexed-Neck Flexible Nasolaryngoscopy for Evaluation of the Subglottis and Trachea in Children.","authors":"Jennifer M Siu, Nikolaus E Wolter, Meghan E Tepsich, Alexander M Treble, Samantha Goh, Alex J Osborn, Evan J Propst","doi":"10.1002/ohn.1132","DOIUrl":"10.1002/ohn.1132","url":null,"abstract":"<p><strong>Objective: </strong>Determine if a flexed-neck posture during flexible nasolaryngoscopy (FNL) improves visualization of the subglottis.</p><p><strong>Study design: </strong>Retrospective review of children undergoing FNL in the neutral (FNL) and flexed-neck (FN-FNL) positions.</p><p><strong>Setting: </strong>Tertiary children's hospital.</p><p><strong>Methods: </strong>FNL was performed with each child's head in neutral and flexed-neck positions. Videos in each posture were captured and randomized. The most distal view of the subglottis in each position was evaluated with 4 rating scales: (1) subjective view (SV); of the subglottis and trachea, (2) airway grade (AG); most distal anatomical structure visualized, (3) airway area (AA); percentage of the subglottis visualized; and (4) modified Cormack-Lehane grade.</p><p><strong>Results: </strong>Twenty children had 80 FNL views blindly evaluated by 5 pediatric otolaryngologists. The SV, AG, and AA were all significantly better with the neck flexed compared to a neutral position (7.3 vs 3.0, interquartile range [IQR]: 2.0-6.8, P < .001; 2.3 vs 1.5, IQR: 1.0-2.0, P < .001; 3.4 vs 1.7, IQR: 2.3-3.8, P = .001). There was no difference in the modified Cormack-Lehane grade between positions. Interrater reliability was excellent or strong (0.93-0.94, confidence interval: 0.91-0.93).</p><p><strong>Conclusion: </strong>FN-FNL is a simple maneuver performed in children undergoing FNL that partially improves the subjective visualization of the subglottis.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1735-1740"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142952695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Video Ocular Counter-Roll Test: Validation for Vestibular Dysfunction Diagnosis in Clinical Practice.","authors":"Idit Tessler, Amit Wolfovitz, Nir Abraham Gecel, Tomer Hazan, Nir Livneh, Shibli Alsleibi, Yoav Gimmon","doi":"10.1002/ohn.1164","DOIUrl":"10.1002/ohn.1164","url":null,"abstract":"<p><strong>Objective: </strong>The video ocular counter-roll (vOCR) test is a novel method that uses video-oculography (VOG) goggles to detect vestibular dysfunction, potentially offering a simpler alternative to current vestibular function tests. In this study, we aim to compare the vOCR test with the caloric test for diagnosing vestibular dysfunction and to assess its clinical applicability.</p><p><strong>Study design: </strong>A retrospective cohort study.</p><p><strong>Setting: </strong>A tertiary academic referral center.</p><p><strong>Methods: </strong>This retrospective study included all patients who underwent both vOCR and caloric tests during the same visit between 2021 and 2023. The patients were divided into 3 groups based upon caloric response: unilateral vestibular hypofunction (UVH), bilateral vestibular hypofunction (BVH), and normal. The vOCR test was performed with a 30° head tilt to both sides. Sensitivity, specificity, and area under the curve (AUC) were calculated for vOCR performance. The 2-step approach employed for utilizing the vOCR test included the average vOCR measurement for diagnosing BVH followed by the vOCR asymmetry ratio (AR) to UVH.</p><p><strong>Results: </strong>In total, 134 patients were included in the study, with 14 (10.5%) diagnosed with bilateral vestibular hypofunction (BVH), 44 (32.8%) with unilateral vestibular hypofunction (UVH), and 76 (56.7%) exhibiting normal vestibular function based on caloric testing. A vOCR cutoff value of 3.2° demonstrated sensitivity and specificity of 92.5% and 85.7%, respectively, for detecting BVH (AUC 95.1%, P < .001). An AR of 0.12 showed sensitivity and specificity of 97.7% and 63.2%, respectively, for detecting UVH (AUC 79.2%, P < .001). vOCR measurements differed significantly across all 3 groups (P < .001). In the UVH group, the vOCR angles were consistently smaller on the hypofunction side, suggesting laterality.</p><p><strong>Conclusion: </strong>vOCR diagnoses vestibular dysfunction with high sensitivity and specificity compared to the caloric test. Incorporating vOCR into the vestibular testing battery could enhance diagnostic efficiency and patient comfort.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1703-1710"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399608","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":"Mapping the Mentorship Landscape in Otolaryngology-Head and Neck Surgery Training Programs: A Cross-Canadian Survey.","authors":"Tanya Chen, Jennifer A Silver, Hadi Seikaly, Lily H P Nguyen, Yvonne Chan","doi":"10.1002/ohn.1166","DOIUrl":"10.1002/ohn.1166","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the current landscape of mentorship within Canadian Otolaryngology-Head and Neck Surgery (OHNS) programs by investigating the experiences and perspectives of OHNS trainees and program directors (PDs).</p><p><strong>Study design: </strong>A cross-sectional survey study.</p><p><strong>Methods: </strong>Anonymized online questionnaires were sent to all residents and PDs of the 13 accredited OHNS residency programs across Canada. The questionnaires collected qualitative and quantitative information about the type of mentorship (formal vs informal) programs implemented, as well as individuals' experiences and opinions on mentorship.</p><p><strong>Results: </strong>Of residents, 57.1% (92/161) completed the survey, whereas 84.6% (11/13) of PDs completed the survey. Of residents, 45.7% (42/92) participated in formal mentorship programs and 72.8% (67/92) participated in informal mentorship programs. The PDs perceived the importance of formal mentorship at 3.0/5. Residents reported greater satisfaction with informal mentorship relationships compared to formal mentorship (4.4/5 vs 3.7/5, P < .01) due to a more organic initiation of relationship and a better personality match. The main areas for improvement of current mentorship programs included the availability of mentors, networking opportunities, and protected time for encounters.</p><p><strong>Conclusion: </strong>Surgical residents found informal mentorship to be more beneficial than formal mentorship. However, residency programs should provide more guidance and structure to optimize hybrid mentorship opportunities and mentor selection/availability. Mentorship training or development resources for attending physicians and feedback opportunities are essential for efficient relationships.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1617-1624"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493173","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":"Return to Vocal Performance After Vocal Fold Hemorrhage.","authors":"Christine M Clark, Yeo Eun Kim, Rachel Coleman, Paul J Christos, Lucian Sulica","doi":"10.1002/ohn.1181","DOIUrl":"10.1002/ohn.1181","url":null,"abstract":"<p><strong>Objective: </strong>Although vocal fold hemorrhage (VFH) is a common injury among vocal performers, no evidence exists to guide safe return to performance (RTP). This study assesses VFH recurrence following RTP.</p><p><strong>Study design: </strong>Retrospective cohort.</p><p><strong>Setting: </strong>Academic institution.</p><p><strong>Methods: </strong>Adult vocal performers with clearly documented dates of VFH and of RTP were retrospectively studied. Clinicodemographics, interventions, and recurrence of VFH within 30 days of RTP were noted. Cohorts with and without recurrence were compared.</p><p><strong>Results: </strong>Thirty-two patients (median age: 36 years, 49% female, 76% musical theater performers) with 33 unique occurrences of VFH were included. Most hemorrhages (31; 94%) were unilateral. Twelve patients (36%) had varices, all of which were ipsilateral to the hemorrhage. Overall, median time from initial VFH to RTP was 12.0 days (range 3-29). Two patients (6%) had a recurrence within 30 days of RTP. Median time to RTP was 10 days for those with recurrence and 12 days for those without recurrence (P = .6398). There were no differences in age (37 vs 34 years; P = .8206), sex (0 vs 16 [49%] female; P = .4848), extent of hemorrhage (P = .1728), or presence of associated varices (1 [50%] vs 11 [35.5%]; P > .9999) between groups.</p><p><strong>Conclusion: </strong>Rate of VFH recurrence following RTP at a median of 12 days after initial injury was 6%, regardless of age, sex, hemorrhage extent, or associated varices. Although the interval between VFH and RTP was shorter in patients with recurrence, this was not statistically significant. These findings guide counseling and set expectations among vocal performers faced with VFH.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1676-1681"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516534","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":"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}