World Journal of OtorhinolaryngologyHead and Neck Surgery最新文献

{"title":"Impact of the \"July effect\" in head and neck microvascular reconstruction: A retrospective review.","authors":"Emma De Ravin, Austin C Cao, Ryan M Carey, Zachary Elliott, Marah Sakkal, Allison Slijepcevic, Daniel Petrisor, Farshid Taghizadeh, Jason G Newman, Joseph Curry, Mark K Wax, Steven B Cannady","doi":"10.1002/wjo2.233","DOIUrl":"10.1002/wjo2.233","url":null,"abstract":"<p><strong>Objective: </strong>The \"July effect,\" a theory that the beginning of the academic year has worse operative outcomes and complication rates, remains controversial. We evaluated the \"July effect\" as a risk factor for negative operative outcomes in head and neck microvascular reconstruction.</p><p><strong>Methods: </strong>Multi-institutional retrospective review at three academic tertiary care centers from January 2010 to August 2021. Free flaps were stratified by the academic quarter. Patient factors, operative variables, length of stay (LOS), flap failures, and postoperative complications and adverse events were compared between academic quarters 1 and 4.</p><p><strong>Results: </strong>We identified 2897 free flaps: 749 quarter 1 (Q1), 693 quarter 2 (Q2), 770 quarter 3 (Q3), and 685 quarter 4 (Q4). Overall flap failure rate was 4.9% (<i>n</i> = 143), and the most common postoperative complications were wound infection (12.8%, <i>n</i> = 370) and dehiscence (7.6%, <i>n</i> = 221). There were no significant differences between quarters in overall complication rate, flap failures, partial flap necrosis, wound infection, fistula, or hematoma (<i>p</i> > 0.05). There were also no significant differences in LOS or rates of 30-day readmission or reoperation (<i>p</i> > 0.05). Q1 had significantly more dehiscences (<i>p</i> = 0.04) and longer operative times (<i>p</i> = 0.001) than Q4.</p><p><strong>Conclusion: </strong>Although Q1 surgeries had significantly longer operative times and higher dehiscence rates, we found no other differences in postoperative complications, flap failures, or adverse events by the academic quarter. While a \"July effect\" may exist due to the integration of new trainees into the surgical workflow, this effect does not translate into meaningful differences in overall free flap or patient outcomes.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"433-439"},"PeriodicalIF":1.4,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics and temporal trends of lumbar drain use in minimally invasive resection of pituitary neoplasms.","authors":"Benjamin F Bitner, Sina J Torabi, Ellen M Hong, Eric H Abello, Khodayar Goshtasbi, Frank P K Hsu, Edward C Kuan","doi":"10.1002/wjo2.229","DOIUrl":"10.1002/wjo2.229","url":null,"abstract":"<p><strong>Objectives: </strong>Appropriate scenarios of lumbar drain (LD) use in endonasal skull base surgery is an active area of investigation. However, existing data is limited. The purpose of this study is to evaluate the robustness of the NSQIP database to characterize morbidity and complications associated with LD usage concurrent to minimally invasive resection of pituitary tumors.</p><p><strong>Methods: </strong>A cross-sectional analysis of the American College of Surgeons National Surgical Quality Improvement Program database was used to query patients undergoing transnasal resection of pituitary tumor. Patients were stratified by concurrent perioperative use of LD and outcomes were compared.</p><p><strong>Results: </strong>A total of 1714 patients underwent minimally invasive endonasal (microscopic or endoscopic) pituitary tumor resection, of which LD was concurrently placed in 98 (5.7%) cases. Operative time was significantly longer for patients who had LD placed compared to those without (176.5 min (IQR 114.8-229.5) vs. 137 min [IQR 100-185]), (<i>p</i> < 0.001) with a significantly longer length of stay (5 days [IQR 4-6] vs. 3 days [IQR 2-5]), (<i>p</i> < 0.001). Multivariate regression demonstrated LD placement was an independent predictor of postoperative medical complication (OR 2.41, 95% CI 1.15-5.03, <i>p</i> = 0.020) and unplanned readmission (OR 2.06, 95% CI 1.02-4.16, <i>p</i> = 0.044), but not CSF leak (OR 2.30, 95% CI 0.51-10.26; <i>p</i> = 0.276). Temporal analysis during the study period demonstrated a decrease in LD use from 8% to 5% (<i>R</i> ² = 0.60; <i>p</i> = 0.025).</p><p><strong>Conclusions: </strong>The NSQIP database provides a large patient population for examining LD use in endoscopic pituitary adenoma resection. LD use for minimally invasive pituitary surgery is associated with postoperative medical complications and unplanned readmissions, with no apparent impact on reconstructive outcomes, and there is overall decreasing usage. Clinical judgment should be exercised in selecting appropriate scenarios for use.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"353-359"},"PeriodicalIF":1.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pituitary adenoma management and outcomes according to hospital case volume and facility type.","authors":"Khodayar Goshtasbi, Lauren Michelle, Sina J Torabi, Kelsey Roman, Milind Vasudev, Arash Abiri, Ahmed Mohyeldin, Frank P K Hsu, Edward C Kuan","doi":"10.1002/wjo2.230","DOIUrl":"10.1002/wjo2.230","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluates the influence of facility volume and type on the treatment and outcomes of pituitary adenoma (PA).</p><p><strong>Methods: </strong>The 2004-2016 National Cancer Database was queried for patients with PA receiving definitive treatment. Tumor size represented the largest diameter of the primary tumor.</p><p><strong>Results: </strong>A total of 89,863 patients (53.8% female) with a mean age and tumor size of (51.0 ± 18.0) years (Mean ± SD, later the same) and (19.5 ± 13.2) mm, respectively, were included. Patients were managed at 1,241 unique facilities, categorized into 1057 low-volume (treating approximately <10 patients annually), 142 intermediate-volume (treating approximately 10-30 patients annually), and 42 high-volume facilities (treating approximately 31-105 patients annually). Increasing facility volume and academic centers were both associated with higher rates of surgical treatment as well as lower rates of radiotherapy and shorter postoperative length of hospitalization (all <i>p</i> < 0.001). Kaplan-Meier log-rank analysis showed that increasing facility volume and academic centers were both significantly associated with improved overall survival (<i>p</i> < 0.001). On multivariate Cox-regression analysis after adjusting for age, gender, Charlson-Deyo comorbidity index, tumor size, treatment type, and facility type, treatment at intermediate-volume (HR 1.238, 95% CI 1.155-1.329, <i>p</i> < 0.001) and low-volume facilities (HR = 1.413, 95% CI 1.306-1.528, <i>p</i> < 0.001) were independent risk factors of all-cause mortality, while facility type was not independently associated with overall survival.</p><p><strong>Conclusion: </strong>Management and outcomes of PA appear to be dependent on the treatment facility volume, with high-volume facilities, but not necessarily facility type, being associated with improved outcomes overall.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"360-367"},"PeriodicalIF":1.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscope-assisted resection of second branchial cleft fistula via the anterior chest approach.","authors":"Ping Han, Jing-Yi Wang, Fa-Ya Liang, Pei-Liang Lin, Ren-Hui Chen, Xiao-Ming Huang","doi":"10.1002/wjo2.227","DOIUrl":"10.1002/wjo2.227","url":null,"abstract":"<p><strong>Objectives: </strong>Traditional resection of second branchial cleft fistulas (SBCFs) involves a transcervical incision in the neck, which leaves a prominent scar; therefore, endoscope-assisted excision of SBCFs through the anterior chest approach has been proposed. To introduce endoscope-assisted excision of SBCFs via the anterior chest approach and to evaluate its feasibility, validity, safety, and clinical results.</p><p><strong>Methods: </strong>This was a study of four patients with SBCFs who underwent surgical resection with the assistance of endoscopy via the anterior chest approach between May 2012 and May 2018.</p><p><strong>Results: </strong>All procedures were successfully performed with endoscope-assisted surgery via the anterior chest approach. The volume of blood loss ranged from 5 to 10 mL (median 6 ml). The operating time ranged from 45 to 67 min (median 50 min). No patients presented evidence of long-term complications or recurrence during the median follow-up period of 72-144 months (median 99 months). All patients were satisfied with the cosmetic outcomes.</p><p><strong>Conclusions: </strong>Endoscope-assisted resection of SBCFs via the anterior chest approach is feasible, effective, and safe and has better esthetic effects. Therefore, SBCF surgery via the anterior chest approach could be a novel and superior treatment option for patients with SBCFs.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"406-411"},"PeriodicalIF":1.4,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author Guidelines.","authors":"","doi":"10.1002/wjo2.224","DOIUrl":"10.1002/wjo2.224","url":null,"abstract":"","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"10 4","pages":"357-364"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Table of Contents.","authors":"","doi":"10.1002/wjo2.231","DOIUrl":"https://doi.org/10.1002/wjo2.231","url":null,"abstract":"","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"10 4","pages":"i-ii"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11634724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Glass-blowing, brass-playing, and other laryngocele etiologies: Fact or fiction? A systematic literature review.","authors":"Giorgia Pugliese, Leonardo Giudici, Alberto Scotti, Alberto Maccari, Paolo Lozza, Antonino Maniaci, Giorgia Carlotta Pipolo, Giovanni Felisati, Alberto Maria Saibene","doi":"10.1002/wjo2.228","DOIUrl":"10.1002/wjo2.228","url":null,"abstract":"<p><strong>Objective: </strong>Laryngocele is a rare condition, which can be congenital or acquired, characterized by an abnormal dilatation of the laryngeal ventricle filled with air. A correlation between laryngocele formation and increased intralaryngeal pressure has been postulated, as much as a frequent coexistence with laryngeal carcinoma. Despite this, systematic research on its potential etiology is still limited up to date.</p><p><strong>Methods: </strong>We carried out a systematic an electronic search on the MEDLINE, Embase, Web of Science, Cochrane Library, Scopus, and ClinicalTrials.gov databases for all articles related to laryngocele or laryngopyocele. The authors performed a PRISMA-compliant systematic review across multiple databases including all studies published until February 7, 2023, focusing on laryngocele etiology. Case reports and articles in languages other than English were excluded. The authors recorded etiology, age of patients, male-to-female ratio, history of smoking, symptoms, management, and overall follow-up.</p><p><strong>Results: </strong>The majority of publications related to laryngocele are case reports and case series. We found a total of 10 articles correctly reporting etiologies, the majority of which included only a limited number of patients. Most case series explored the association of laryngocele and laryngeal cancer. Other reported etiologies were wind instruments' playing, cricohyoidoepiglottopexy's execution, amyloidosis, and chronic constipation. Some cases of congenital laryngocele were also reported.</p><p><strong>Conclusions: </strong>Actual knowledge concerning laryngocele etiology appears-based on literature studies-inferential at best. The association between laryngocele and laryngeal cancer is, on the other hand, well-established and must be taken into account when evaluating patients with this condition. Wider and prospective data collections should allow further insight into this condition and its pathogenesis.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"468-476"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of endoscopic and external approaches for frontal sinus lesions.","authors":"Moataz D Abouammo, Hossam S Elsherif, Medhat M H Mansour, Magdy E Saafan, Ricardo L Carrau, Mahmoud F Abdelaziz","doi":"10.1002/wjo2.225","DOIUrl":"10.1002/wjo2.225","url":null,"abstract":"<p><strong>Objectives: </strong>The use of endoscopic approaches has revolutionized the management of frontal sinus (FS) lesions. However, external approaches still play a significant role in select conditions. Various factors determine the decision to utilize endoscopic or external approaches such as the lesion location, extension, and patient's characteristics. The study aims to define certain FS indices for accurate selection of the most suitable approach for each patient.</p><p><strong>Methods: </strong>A descriptive study was performed, based on endoscopic and external cadaveric dissections. Quantitative analyses including horizontal, anteroposterior diameters, and exposure area were performed for each approach using the navigation system. Patients with various FS lesions were included and their data were collected and evaluated.</p><p><strong>Results: </strong>Fifteen cadavers were analyzed. The average anteroposterior diameter on the midsagittal plane was 12.3 mm, distance from the midline to the lateralmost point was 21.8 mm on the right and 23.1 mm on the left side. The exposure area on the right side for Draf Ⅱa, and Draf Ⅱb were 64.6, 115.0 mm² while on the left side were 67.0, 125.0 mm². For Draf Ⅲ, the exposure area was 377.0 mm². A total of 41 patients were included in the clinical correlation.</p><p><strong>Conclusions: </strong>FS with a narrow anteroposterior diameter and longer horizontal diameter are difficult to access endoscopically, especially for lesions affecting the lateral recess of the sinus, and may require a combination with an external approach. FS approaches can be selected according to the sinus morphology of each patient, the surgeon's preferences, institutional resources, and the lesion's nature and extension.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"375-384"},"PeriodicalIF":1.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends and complications in functional endoscopic sinus surgery and balloon sinuplasty: A TriNetX database analysis.","authors":"Benjamin F Bitner, Sina J Torabi, Theodore V Nguyen, Jonathan C Pang, Edward C Kuan","doi":"10.1002/wjo2.222","DOIUrl":"10.1002/wjo2.222","url":null,"abstract":"<p><strong>Objectives: </strong>Balloon sinuplasty (BSP) and functional endoscopic sinus surgery (FESS) have undergone changes in utilization over time. This study investigates national trends in BSP and FESS and postoperative outcomes over the last decade as well as the impact of Corona Virus Disease 2019 (COVID-19) on these trends.</p><p><strong>Methods: </strong>The TriNetX database was queried for patients undergoing either FESS or BSP from 1/1/2011 to 5/4/2024. Data were collected on patient demographics, diagnoses, and postoperative outcomes.</p><p><strong>Results: </strong>A total of 1738 patients underwent BSP and 90,311 underwent FESS. A greater proportion of FESS patients had diabetes (<i>p</i> = 0.001), hypertension (<i>p</i> < 0.001), and chronic pulmonary disease, <i>p</i> = 0.001) compared to BSP whereas a similar proportion of patients for both cohorts had a history of ischemic heart disease (<i>p</i> = 0.73). Body mass index was higher for patients undergoing FESS (28.6 ± 6.5) compared to BSP (28.1 ± 6.578; <i>p</i> = 0.02). Overall postoperative complications were similar between BSP and FESS (odds ratio [OR] = 0.80, 95% confidence interval [CI] = 0.58-1.09) with similar rates of epistaxis (OR = 0.77, 95% CI = 0.53-1.12) and cerebrospinal fluid (CSF) leak (OR = 0.14, 95% CI = 0.01-2.25). Overall revision rate was higher for FESS (OR = 0.34, 95% CI = 0.21-0.57). Thirty-day readmission (OR = 0.44, 95% CI = 0.29-0.66) and Emergency Department visits (OR = 0.51, 95% CI = 0.28-0.92) were less common in patients who received BSP. Surgical volume consistently increased over time for both cohorts but at a more rapid pace for BSP (425.64%) compared to FESS (274.19%) and a dramatic decrease in volume by 44.85% and 22.28%, respectively, at the onset of COVID-19.</p><p><strong>Conclusion: </strong>Overall, BSP and FESS surgical volume have steadily increased over time with a drastic reduction following the COVID-19 pandemic. BSP and FESS carry different complication profiles emphasizing the importance of patient selection and preoperative counseling.</p><p><strong>Level of evidence: </strong>Level 4.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"368-374"},"PeriodicalIF":1.4,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academic productivity and industry trends of fellowship-trained U.S. academic rhinologists.","authors":"Michael J Warn, Daniella Chan, Theodore V Nguyen, Sina J Torabi, Benjamin F Bitner, Edward C Kuan","doi":"10.1002/wjo2.226","DOIUrl":"10.1002/wjo2.226","url":null,"abstract":"<p><strong>Background: </strong>Academic productivity is believed to be correlated with years of experience and departmental rank, yet there is a paucity of granular academic data between rhinology faculty regarding departmental rank and industry engagement, and how these relate to experience.</p><p><strong>Objective: </strong>To examine the interrelationships between experience, department rank and reputation, funding, industry engagement, and academic output of rhinology faculty.</p><p><strong>Methods: </strong>Demographics, academic metrics (publications, citations, h-index, National Institutes of Health [NIH] funding), program rankings, and industry compensation for academic U.S. rhinologists through June 2022 were collected and compared between academic rank and years of experience.</p><p><strong>Results: </strong>A cohort of 278 rhinologists were included. Full professors had greater academic metrics (all <i>p</i> < 0.001) and industry compensation (all <i>p</i> < 0.05) than associate professors, assistant professors, and private practice rhinologists. Full professors were also more likely to receive NIH funding than other groups (<i>p</i> < 0.001). Years of experience and industry compensation positively correlated with each other and with academic metrics (all <i>p</i> < 0.001) with significant jumps between the 5th-9th and 10th-14th years of practice (<i>p</i> < 0.001). However, early career (≤8 years) rhinologists published more articles per year than later career (>8 years) rhinologists (<i>p</i> < 0.001). Rhinologists at Doximity top 10 and 25 residency programs by reputation and research output and top 50 U.S. News and World Report departments had significantly greater academic metrics and NIH funding compared to those who were not (<i>p</i> < 0.001). Top 10 and 25 reputations was associated with increased industry compensation (<i>p</i> = 0.024).</p><p><strong>Conclusions: </strong>Although early career rhinologists published more frequently, ascending professorial rank, years of experience, and affiliation with top-ranked departments were associated with total academic productivity. Industry engagement was linked to reputation and years of experience.</p>","PeriodicalId":32097,"journal":{"name":"World Journal of OtorhinolaryngologyHead and Neck Surgery","volume":"11 3","pages":"340-348"},"PeriodicalIF":1.4,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041670","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}