The Journal of Laryngology & Otology最新文献

{"title":"Historia Otorhinolaryngologia: Volumen Primum A Mudry, W Pirsig, J Riddington Young (eds) Wayenborgh Publishing (Kugler Publications), 2022 ISBN 978 9 06299 469 4 pp 398 Price £115.00 €125.00 US$150.00","authors":"E. Fisher","doi":"10.1017/s0022215122000627","DOIUrl":"https://doi.org/10.1017/s0022215122000627","url":null,"abstract":"","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"22 1","pages":"783 - 784"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81588922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Probability of clinically significant hearing recovery following salvage intratympanic steroids for sudden sensorineural hearing loss in the ‘real world’","authors":"L. Q. Li, Alex Bennett","doi":"10.1017/S0022215122001062","DOIUrl":"https://doi.org/10.1017/S0022215122001062","url":null,"abstract":"Abstract Objective This study aimed to determine the probability of hearing recovery in patients with idiopathic sudden sensorineural hearing loss following salvage intratympanic steroids Method A retrospective review of all patients receiving salvage intratympanic steroid injections for idiopathic sudden sensorineural hearing loss was performed (January 2014 to December 2019). Twenty-two patients were identified, of whom 15 met inclusion criteria. Pre- and post-treatment audiograms were compared with the unaffected ear. Hearing recovery was categorised based on American Academy of Otolaryngology Head and Neck Surgery criteria. Results Only 1 patient out of 15 (6.7 per cent) made a partial recovery, and the remainder were non-responders. The median duration of time between symptom onset and first salvage intratympanic steroid treatment was 52 days (range, 14–81 days). No adverse reactions were observed. Conclusion ‘Real world’ patients with idiopathic sudden sensorineural hearing loss present differently to those in the literature. Sudden sensorineural hearing loss should be diagnosed with care and intratympanic steroid injections initiated early if considered appropriate. Patients should make an informed decision on treatment based on prognostic factors and local success rates.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"292 1","pages":"831 - 838"},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83435648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of cholesteatoma in paediatric and adult patients","authors":"M. Kalia, A. Dass, S. Singhal, Namit Gupta","doi":"10.1017/S0022215122001104","DOIUrl":"https://doi.org/10.1017/S0022215122001104","url":null,"abstract":"Abstract Background The aggressiveness of paediatric cholesteatoma has long been a matter of debate. While much of the evidence is substantiated by data from the Western world, it is further limited by the retrospective nature of most studies. Therefore, this paper presents a comparative analysis of various characteristics of cholesteatoma between paediatric and adult populations seen at our centre. Methods A total of 50 patients (25 adults and 25 paediatric) with clinical diagnosis of chronic suppurative otitis media with cholesteatoma underwent canal wall down mastoidectomy over a period of two years. The intra-operative findings were noted and patients were followed up for six months. Results There was more extensive spread and ossicular erosion in paediatric cases. However, complications such as facial canal dehiscence and lateral semicircular canal dehiscence were more common in adults. Conclusion Paediatric cholesteatoma is more aggressive and invasive than adult cholesteatoma, and the clinical behaviour is consistent with findings from other parts of the world.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"95 1","pages":"765 - 768"},"PeriodicalIF":0.0,"publicationDate":"2022-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72865029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative care management of head and neck cancer patients among otolaryngology surgeons: a novel national survey assessing knowledge, decision making, perceived confidence and training in the UK","authors":"A. Lotfallah, S. Al-Hity, J. Limbrick, N. Khan, A. Darr","doi":"10.1017/S0022215122001037","DOIUrl":"https://doi.org/10.1017/S0022215122001037","url":null,"abstract":"Abstract Objective Management of head and neck cancer patients provides unique challenges. Palliation serves to optimise quality-of-life by alleviating suffering and maintaining dignity. Prompt recognition and management of suffering is paramount to achieving this. This study aimed to assess perceived confidence, knowledge and adequacy of palliative training among UK-based otolaryngologists. Method Eight multiple-choice questions developed by five palliative care consultants via the Delphi method were distributed over five weeks. Knowledge, perceived confidence and palliative exposure among middle-grade and consultant otolaryngologists were assessed, alongside training deficits. Results Overall, 145 responses were collated from middle-grade (n = 88, 60.7 per cent) and consultant (n = 57, 39.3 per cent) otolaryngologists. The mean knowledge score was 5 out of 10, with 22.1 per cent (n = 32) stating confidence in palliative management. The overwhelming majority (n = 129, 88.9 per cent) advocated further training. Conclusion A broad understanding of palliative care, alongside appropriate specialist involvement, is key in meeting the clinical needs of palliative patients. Curriculum integration of educational modalities such as simulation and online training may optimise palliative care.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"14 1","pages":"799 - 808"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81855902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JLO volume 136 issue 5 Cover and Front matter","authors":"","doi":"10.1017/s0022215122000998","DOIUrl":"https://doi.org/10.1017/s0022215122000998","url":null,"abstract":"","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"21 1","pages":"f1 - f3"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81650207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Necrotising otitis externa, turbinate surgery, tonsillotomy, and care of octogenarian head and neck cancer patients","authors":"E. Fisher, J. Fishman","doi":"10.1017/S0022215122000962","DOIUrl":"https://doi.org/10.1017/S0022215122000962","url":null,"abstract":"Necrotising (‘malignant’) otitis externa has been the topic of many articles published in The Journal of Laryngology & Otology, with recent years seeing more publications as the incidence of necrotising otitis externa increases. An article in this month’s issue from Leicester, UK, looks retrospectively at prognosis and the application of a scoring system to help predict outcomes. In one year of study, 26 patients were seen, with a 19 per cent mortality at one year. A high score using the Charlson Comorbidity Index predicted a poor prognosis at one year. This scoring system uses inherent patient factors rather than the usual disease severity related assessments, so might help raise vigilance in patients who could otherwise be seen as relatively low risk based on disease status alone. Eweiss and colleagues from Essex, UK, found that the incidence of necrotising otitis externa in their geographical area had increased dramatically in recent years, with cases sometimes and surprisingly involving immunocompetent patients. Inferior turbinate surgery has been a topic of articles in The Journal since the early days of the twentieth century, when The Journal had a slightly different name. Since then, traditional radical surgery has been superseded by more conservative techniques (or avoidance altogether, using medical therapy, if possible), and a wide variety of resection methods have been tried, including laser, cryotherapy and various partial resection techniques. Arguments continue, with avoidance of bleeding or ‘empty nose syndrome’ usually playing a part in discussions. This issue of The Journal has a paper from Israel, which has a very high throughput of isolated turbinate surgery cases (1035 cases in just under two years), and compares bleeding rates from three conservative turbinate surgery techniques: traditional partial turbinectomy, submucosal turbinate resection, and endoscopic turbinoplasty using a micro-debrider. All techniques involved bayonet bipolar forceps for the electrocautery of potential bleeding vessels. The bleeding rate was lowest in the endoscopic turbinoplasty group (3 per cent), but the other techniques had similar bleeding rates (8.4 per cent and 10.7 per cent). Tonsillectomy (with or without adenoidectomy) has been the mainstay of surgical treatment of paediatric obstructive sleep apnoea for many years. Recent years have seen a rise in intracapsular tonsillectomy or tonsillotomy procedures, with lower bleeding rates than traditional surgery and usually faster recovery periods, which are great advantages for children who may often be lower in weight compared to the average candidate for tonsillectomy for recurrent infections. Many studies have shown quality of life and cost benefits from tonsil surgery in children and adolescents. This issue includes a paper from Helsinki, which examines quality of life and the healthcare costs as outcome measures for tonsillotomy surgery in children aged 5–11 years, followed for 12 months, and","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"70 1","pages":"377 - 378"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86264113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"JLO volume 136 issue 5 Cover and Back matter","authors":"","doi":"10.1017/s0022215122001001","DOIUrl":"https://doi.org/10.1017/s0022215122001001","url":null,"abstract":"","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"130 1","pages":"b1 - b2"},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82528741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Idiopathic subglottic stenosis – a familial association and review of practice","authors":"J. Hintze, C. Fitzgerald, I. O'Riordan, E. Keane, J. Kinsella, C. Timon","doi":"10.1017/S0022215122001049","DOIUrl":"https://doi.org/10.1017/S0022215122001049","url":null,"abstract":"Abstract Objective Idiopathic subglottic stenosis describes subglottic stenosis where no inflammatory, traumatic, iatrogenic or other causative aetiology can be identified. The present study aimed to outline our institution's experience of patients diagnosed with idiopathic subglottic stenosis and describe a very rarely reported familial association. Methods A retrospective review was conducted of prospectively maintained medical records from 2011 to 2020. Patient clinical, radiological and intra-operative data were reviewed to assess for defined endpoints. Results Ten patients with idiopathic subglottic stenosis were identified in this series. One familial pairing was identified, with two sisters presenting with the condition. Successful treatment with carbon dioxide laser and dilatation was achieved in most cases. Conclusion Idiopathic subglottic stenosis represents a rare, clinically challenging pathology. Management with endoscopic laser and balloon dilatation is an effective treatment. This paper highlights a very rare familial association, and describes our experience in treating idiopathic subglottic stenosis.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"18 1","pages":"1275 - 1277"},"PeriodicalIF":0.0,"publicationDate":"2022-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77727233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Drug-Induced Sleep Endoscopy: Diagnostic and Therapeutic Applications N de Vries, O Piccin, O M Vanderveken, C Vicini (eds) Thieme, 2020 ISBN 978 3 13240 346 8 pp 148 Price £89.00 €99.99","authors":"L. Flood","doi":"10.1017/s0022215122000895","DOIUrl":"https://doi.org/10.1017/s0022215122000895","url":null,"abstract":"","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"30 1","pages":"885 - 885"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79190783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective analysis of the risk of neoplasia associated with unilateral maxillary sinus opacification on computed tomography","authors":"Z. Mughal, Karanvir Daffu, Rachael Adeoti, Ramanathan Swaminathan, Scott Henney","doi":"10.1017/S0022215122000470","DOIUrl":"https://doi.org/10.1017/S0022215122000470","url":null,"abstract":"Abstract Background Unilateral maxillary sinus opacification on computed tomography may reflect an inflammatory or neoplastic process. The neoplasia risk is not clear in the literature. Methods In this retrospective study, computed tomography sinus scans performed over 12 months were screened for unilateral maxillary sinus opacification, and the rates of inflammatory and neoplastic diagnoses were calculated. Results Of 641 computed tomography sinus scans, the rate of unilateral maxillary sinus opacification was 9 per cent. Fifty-two cases were analysed. The risk of neoplasia was 2 per cent (inverted papilloma, n = 1). No cases of unilateral maxillary sinus opacification represented malignancy, but one case of lymphoma had an incidental finding of unilateral maxillary sinus opacification on the contralateral side. Patients with an antrochoanal polyp (n = 3), fungal disease (n = 1), inverted papilloma and lymphoma all had a unilateral nasal mass. Conclusion Our neoplasia rate of 2 per cent was lower than previously reported. A unilateral mass was predictive of pathology that required operative management. Clinical findings, rather than simple findings of opacification on computed tomography, should drive the decision to perform biopsy.","PeriodicalId":22757,"journal":{"name":"The Journal of Laryngology & Otology","volume":"93 1","pages":"1259 - 1264"},"PeriodicalIF":0.0,"publicationDate":"2022-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79026952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}