Turkish Archives of Otorhinolaryngology最新文献

{"title":"Burnout and Work Engagement among Otorhinolaryngologists in Türkiye: A Multicenter Cross-Sectional Survey.","authors":"Şeyda Akbal Çufalı, Muhammet Mehdi Güneş, Çağrı Emin Şahin","doi":"10.4274/tao.2026.2026-6-13","DOIUrl":"10.4274/tao.2026.2026-6-13","url":null,"abstract":"<p><strong>Objective: </strong>Burnout and reduced work engagement are recognized occupational concerns among physicians; however, specialty-specific data on otorhinolaryngology (ORL) practice in Türkiye are limited. This multicenter study evaluated burnout and work engagement among otorhinolaryngologists and examined their associations with sociodemographic characteristics and institutional settings.</p><p><strong>Methods: </strong>This cross-sectional online survey included 120 otorhinolaryngologists working in different cities and institutional settings across Türkiye, including tertiary city hospitals, university hospitals, training and research hospitals, state hospitals, and private clinics. Burnout was assessed using the Maslach Burnout Inventory (MBI), comprising the emotional exhaustion (EE), depersonalization (DP), and personal accomplishment (PA) subscales. Work engagement was assessed using the nine-item Utrecht Work Engagement Scale (UWES-9). Multivariable median regression analyses were performed to identify factors independently associated with the study outcomes.</p><p><strong>Results: </strong>Based on the predefined MBI thresholds, 65.8% of participants scored within the high range for EE, and 41.7% scored within the high ranges for both EE and DP. Female participants had higher EE and DP scores than male participants (both p≤0.001). Increasing age was associated with lower DP and higher PA scores. In the unadjusted analyses, physicians working in city hospitals had higher DP scores than those working in university hospitals (p=0.016). In the multivariable median regression analyses, female sex was the only factor independently associated with higher EE (p<0.001) and DP (p=0.034) scores. The total UWES-9 score was negatively correlated with EE and DP and positively correlated with PA (all p<0.001).</p><p><strong>Conclusion: </strong>Burnout-related dimensions, particularly EE and DP, were frequently observed among otorhinolaryngologists in Türkiye. Female sex was independently associated with higher EE and DP scores. These findings highlight the need to monitor occupational well-being among ORL physicians and may inform the development of institution-level initiatives aimed at improving workplace support and organization.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"163-170"},"PeriodicalIF":0.7,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069868","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":"Predisposing Factors for Congenital Hearing Loss: A Comprehensive Systematic Review.","authors":"Taruni Lalchandani, Ashish Chandra Agarwal, Shiva Tiwari","doi":"10.4274/tao.2025.2025-7-7","DOIUrl":"10.4274/tao.2025.2025-7-7","url":null,"abstract":"<p><p>This systematic review aimed to assess and integrate research on risk factors for congenital hearing loss (CHL), emphasizing genetic, infectious, perinatal, environmental, and sociodemographic influences. The review was prospectively registered with PROSPERO (CRD42022372879) and conducted according to PRISMA 2020 and PRISMA-S guidelines. A comprehensive search was performed across PubMed, Embase, Scopus, and Google Scholar using MeSH terms and free-text keywords related to CHL and its risk factors. Observational studies (cohort, case-control, cross-sectional) involving children with CHL and assessing genetic, infectious, perinatal, or environmental exposures were included. Data extraction was done independently by two reviewers, covering study characteristics, diagnostic methods, and measures of association (odds ratio, relative risk). Risk of bias was evaluated using the Newcastle-Ottawa scale for cohort/case-control studies and the Joanna Briggs Institute checklist for cross-sectional studies. Genetic factors such as <i>GJB2</i> mutations, a positive family history, and consanguinity were consistently associated with CHL. Infectious etiologies, particularly congenital cytomegalovirus, were prominent across studies, with TORCH infections also commonly implicated. Perinatal risk factors, including neonatal intensive care unit admission, low birth weight, and hyperbilirubinemia, were frequently reported in affected children. Environmental exposures, especially to ototoxic medications, were noted as significant contributors, often acting synergistically with other risk factors like infections or genetic conditions. Sensorineural hearing loss, predominantly bilateral, emerged as the most common type reported. CHL is a multifactorial condition, with genetic and infectious causes being most prevalent. Targeted screening and preventive strategies addressing these risk domains are crucial for early detection and management.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"105-116"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139221","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":"Bench Pressing Related Traumatic Laryngeal Fracture.","authors":"Muonga Kabaso, Holly Imperiale, Muhammad Shakeel","doi":"10.4274/tao.2026.2025-12-9","DOIUrl":"10.4274/tao.2026.2025-12-9","url":null,"abstract":"<p><p>Laryngeal fracture is a rare but potentially life-threatening injury requiring prompt recognition and management due to the risk of airway compromise. We present the case of a 42-year-old man who presented to a tertiary center with symptoms of dysphonia and neck pain following blunt trauma sustained when a barbell fell on him while bench pressing without assistance. Computed tomography (CT) imaging confirmed a displaced fracture of the thyroid cartilage. He was managed conservatively with corticosteroids and high dependency unit airway monitoring. He recovered well and later resumed weightlifting with appropriate supervision. This case outlines the stages of assessment and management of laryngeal fractures, including airway evaluation, CT imaging and ear nose and throat (ENT) involvement. We discuss the benefit of conservative management in selected cases even when there are significant clinical findings and the importance of public health messaging to prevent such injuries. A high index of suspicion is essential for emergency physicians and ENT specialists when evaluating patients with neck trauma and voice changes.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"126-131"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646794","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":"Olfactory Training for COVID-19-Related Olfactory Dysfunction: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Ebraheem Albazee, Ghezlan Aldawas, Mohammed Alzeeby, Ali H Alebrahim, Athari Alwael","doi":"10.4274/tao.2026.2026-3-27","DOIUrl":"10.4274/tao.2026.2026-3-27","url":null,"abstract":"<p><p>The coronavirus disease-2019 (COVID-19) pandemic has led to a high prevalence of olfactory dysfunction (OD), a debilitating condition that significantly impacts quality of life (QoL). While most patients recover their sense of smell, a substantial number experience persistent COVID-OD. Olfactory training (OT) has emerged as a leading, non-invasive therapeutic strategy. A systematic review and meta-analysis were conducted on evidence retrieved from Web of Science, PubMed, Scopus, CENTRAL, and Embase through June 2025 for randomized controlled trials (RCTs) evaluating OT in patients with COVID-OD. The primary outcome was the change in objective olfactory scores, and the secondary outcome was the change in QoL scores. We used STATA software to pool outcomes using standardized mean differences (SMD) with 95% confidence intervals (CI). Ten RCTs involving 628 patients were included in the analysis. Compared to the control group, OT was associated with a significant improvement in objective olfactory scores [SMD=0.30, 95% CI (0.08, 0.51), p=0.01] and QoL [SMD=-0.40, 95% CI (-0.65, -0.15), p<0.001]. The heterogeneity among studies was low for both outcomes (I²=33.69% and I²=37.47%, respectively). OT significantly improves objective olfactory function and QoL in patients with COVID-OD. Despite these positive findings, the results should be interpreted with caution due to heterogeneity in OT protocols and variability among the included studies. Future large-scale, rigorously designed RCTs with standardized OT protocols are necessary to establish definitive clinical practice guidelines.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"94-104"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273313","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":"Photogrammetric Comparison of Septal Extension Grafts and Columellar Strut Grafts Reinforced with Septocolumellar Sutures.","authors":"Süheyla Kandemir, Lütfiye Nisa Caner, Nuray Bayar Muluk, Burak Mustafa Taş, Ziya Şencan, Ela Cömert","doi":"10.4274/tao.2026.2026-1-18","DOIUrl":"10.4274/tao.2026.2026-1-18","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effects of septal extension (SE) grafts and columellar strut (CS) grafts reinforced with septocolumellar sutures on nasal tip projection, rotation, and patient-reported outcomes in primary rhinoplasty using standardized photogrammetric analysis.</p><p><strong>Methods: </strong>This retrospective cohort study included 60 patients who underwent primary rhinoplasty between 2019 and 2024 (30 SE and 30 CS grafts reinforced with septocolumellar sutures). Nasal tip projection, rotation, and anthropometric parameters were assessed using Rhinobase software. Functional and esthetic outcomes were evaluated using the Nasal Obstruction Symptom Evaluation Questionnaire (NOSE) and Facial Aesthetic Quality of Life Questionnaire (FACE-Q).</p><p><strong>Results: </strong>The mean age was 27.8 years, and 70% of the participants were female. The mean postoperative follow-up was 9.5±2.7 months. Although baseline nasal length and tip projection were lower in the SE group, both techniques produced comparable postoperative improvements in nasal tip projection, rotation, and nasal length. Postoperative FACE-Q and NOSE scores were also similar between groups, despite lower preoperative FACE-Q scores in the SE group (p=0.003).</p><p><strong>Conclusion: </strong>CS grafts reinforced with septocolumellar sutures achieved functional and esthetic outcomes comparable to SE grafts. These findings suggest that septocolumellar suturing may compensate for the structural advantages traditionally attributed to SE grafts in primary rhinoplasty.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"84-93"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346752","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":"Long-Term Postoperative Swallowing Findings After Carbon Dioxide Laser Transverse Posterior Cordotomy in Bilateral Vocal Fold Paralysis: A Retrospective Cross-sectional FEES Study.","authors":"Emre Demirel, Ozan Çolak, Mustafa Aktaş, Muhammet Buğra Öcal, Özgür Çıtlak, Emel Tahir, Özgür Kemal, Senem Çengel Kurnaz","doi":"10.4274/tao.2026.2026-2-16","DOIUrl":"10.4274/tao.2026.2026-2-16","url":null,"abstract":"<p><strong>Objective: </strong>To describe the frequency and pattern of long-term postoperative swallowing abnormalities detected by flexible endoscopic evaluation of swallowing (FEES) after carbon dioxide (CO₂) laser transverse posterior cordotomy for bilateral vocal fold paralysis (BVFP), and to relate these findings to patient-reported and functional swallowing measures.</p><p><strong>Methods: </strong>This retrospective, single-center cross-sectional study included 17 adults with BVFP who had previously undergone CO₂ laser transverse posterior cordotomy and were evaluated at a single postoperative time point between January and June 2025. Swallowing safety and efficiency were assessed using FEES with boluses representing International Dysphagia Diet Standardisation Initiative levels 0 (thin liquid; dyed water), level 3 (moderately thick; dyed yogurt), and level 7 (regular; cracker). Airway invasion and pharyngeal residue were graded using the Penetration-Aspiration Scale and Yale Pharyngeal Residue Severity Rating Scale. Functional Oral Intake Scale (FOIS), Functional Outcome Swallowing Scale (FOSS), and Eating Assessment Tool-10 scores were also recorded.</p><p><strong>Results: </strong>All participants were female (n=17; mean age 60.9±13.3 years) with a mean postoperative follow-up of 70.6±41.6 months. Penetration was common across consistencies; thin-liquid aspiration occurred in one patient. Vallecular and pyriform sinus residue was observed in a subset of patients. Most maintained full or near-full oral intake (FOIS 7, 76.5%) with mild functional limitation (FOSS 1-2, 94.1%).</p><p><strong>Conclusion: </strong>This descriptive postoperative series contributes objective FEES-based long-term swallowing data after CO₂ laser transverse posterior cordotomy in BVFP. FEES frequently demonstrated penetration and pharyngeal residue despite generally preserved oral intake, but these findings should not be interpreted as a treatment effect because baseline swallowing data were unavailable.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"76-83"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333428","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":"Role of Nasal Nitric Oxide in the Diagnosis of Epithelial Remodeling Types of Nasal Polyps.","authors":"Xu Liang, Hongyang Zhang, Peng Jin, Li Zhao, Xiaoxue Zi, Kena Yu, Li Shi","doi":"10.4274/tao.2026.2025-10-11","DOIUrl":"10.4274/tao.2026.2025-10-11","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to investigate the clinical application value of exhaled nasal nitric oxide (nNO) in the pathological diagnosis and classification of epithelial remodeling in nasal polyps (NP).</p><p><strong>Methods: </strong>The differences between the nNO levels in patients with NP exhibiting different types of epithelial remodeling and the correlations between nNO and clinical data were retrospectively analyzed. The diagnostic value of nNO in NP was evaluated using receiver operating characteristic curves.</p><p><strong>Results: </strong>The levels of nNO in the control group were found to be significantly higher than those in the epithelial hyperplasia, goblet cell hyperplasia, and squamous metaplasia groups (p=0.001, p=0.001, p=0.02). Furthermore, the levels were found to be significantly higher in the squamous metaplasia group than those in the epithelial hyperplasia and goblet cell hyperplasia groups (p=0.025, p=0.018). The percentage and count of eosinophils in peripheral blood in the goblet cell hyperplasia group were significantly higher than in the control group (p=0.001). nNO levels were negatively correlated with the ethmoid-to-maxillary computed tomography score ratio (E/M ratio) and Lund-Mackay score (L-M score) in the epithelial hyperplasia group and the goblet cell hyperplasia group (r=-0.518, p<0.05; r=-0.640, p<0.01; r=-0.421, p<0.01; r=-0.599, p<0.001, respectively). Similarly, a negative correlation was identified between nNO levels and the L-M score in the squamous metaplasia group (r=-0.612, p<0.01). nNO levels exhibited moderate diagnostic value in differentiating non-chronic sinusitis patients from epithelial hyperplasia, goblet cell hyperplasia, and squamous metaplasia [area under the curve (AUC) =0.898, p<0.001; AUC=0.882, p<0.001; AUC=0.720, p=0.025, respectively].</p><p><strong>Conclusion: </strong>nNO has been shown to have significant clinical value in the preliminary pathological diagnosis and prediction of NP lesions with nasal epithelial hyperplasia, goblet cell hyperplasia, and squamous metaplasia.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"69-75"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692991","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":"Decade-Long Progression of Localized Amyloidosis from the Larynx to the Nasal Cavity-A Case Report.","authors":"Uğur Kamiloğlu, Sinem Erakın Ay, Ayça Tan, Uzdan Uz, Görkem Eskiizmir","doi":"10.4274/tao.2026.2025-9-12","DOIUrl":"10.4274/tao.2026.2025-9-12","url":null,"abstract":"<p><p>Localized amyloidosis of the upper aerodigestive tract is an uncommon and benign condition characterized by extracellular amyloid deposition. While the larynx is the most frequently involved site, progressive, multifocal mucosal involvement remains exceedingly rare. We report the case of a 58-year-old male initially diagnosed with localized laryngeal amyloidosis confirmed via Congo red staining. The initial laryngeal lesions were excised using conservative endoscopic surgery to both confirm the diagnosis and alleviate symptoms. However, no additional treatment was recommended by the rheumatology department since the patient's further evaluations did not indicate a diagnosis of systemic amyloidosis. Over an 11-year follow-up period, sequential progression to the nasopharynx was observed after five years and to the nasal cavity after 11 years. The patient remained free of systemic involvement throughout, confirmed by comprehensive evaluations including serum and urine immunofixation, renal and hepatic panels, and 24-hour urine analysis. Symptomatic relief was achieved with a series of conservative surgical interventions addressing airway and auditory symptoms. The patient remains under active surveillance. This case highlights a rare, progressive pattern of localized amyloidosis involving contiguous mucosal sites in the upper aerodigestive tract. It underscores the importance of long-term follow-up, systematic evaluation to exclude systemic disease, and the efficacy of conservative surgical management. To our knowledge, this is the first reported case of progressive, segmental spread of localized amyloidosis involving the larynx, the nasopharynx, and the nasal cavity over more than a decade.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"132-136"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147595361","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":"Evaluation of Extended Indications for Cochlear Implantation Beyond Conventional Criteria.","authors":"Mehmet Murat Günay, Sibel Alicura Tokgöz, İlker Akyıldız, Serap Er, Dilara Söylemez, Murad Mutlu, Muharrem Dağlı","doi":"10.4274/tao.2026.2025-11-17","DOIUrl":"10.4274/tao.2026.2025-11-17","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the indications for cochlear implant (CI) that extend beyond the current criteria of the Health Implementation Communiqué (HIC) of the Turkish Social Security Institution.</p><p><strong>Methods: </strong>A retrospective review was performed on 27 patients who underwent CI, even though they did not meet the HIC criteria. All cases were approved by the Scientific Advisory Board on Auditory Implants of the Ministry of Health. Demographic, clinical, and audiological data, including pre- and post-operative pure-tone averages (PTA) and speech discrimination scores (SDS), were analyzed.</p><p><strong>Results: </strong>The cohort included 15 females and 12 males, with a median age of 17 years. Etiologies comprised congenital hearing loss (n=14), idiopathic sudden sensorineural hearing loss (n=3), post-meningitic hearing loss (n=2), Menière's disease (n=1), and other acquired causes. Exclusion from the HIC criteria was mainly due to age restrictions for bilateral CI, audiological thresholds outside defined limits, single-sided deafness, SDS above 30%, or a gap of more than four years between chronological and language age. Audiological outcomes from 22 patients revealed a median PTA with the CI alone of 35 dB hearing level and a median SDS of 58%, with significant improvement compared to baseline (p<0.001). While most patients demonstrated substantial benefit, 14.8% (cases 6, 17, 21, 25) exhibited poor performance (SDS <30%). Case analyses underscored the impact of etiology and duration of auditory deprivation on outcomes.</p><p><strong>Conclusion: </strong>CI beyond conventional reimbursement criteria can provide meaningful functional gains. Individualized, evidence-based, multidisciplinary evaluation supports broader access to hearing rehabilitation and is consistent with global trends in personalized auditory care.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"60-68"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693011","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":"Otorrhagia in Chronic Otitis Media: An Unexpected Presentation of Internal Carotid Artery Rupture.","authors":"Alina Martín Fernandes, Guilherme Marques Rios, Filipa Armada Ferreira, Daniela Ribeiro, Miguel Quintas-Neves, Miguel Sá Breda","doi":"10.4274/tao.2026.2025-12-10","DOIUrl":"10.4274/tao.2026.2025-12-10","url":null,"abstract":"<p><p>Internal carotid artery rupture in the middle ear is very rare and can be life-threatening. We report the case of a 78-year-old male with a history of chronic otitis media who presented with spontaneous, high-volume otorrhagia. Computed tomography imaging revealed a dissection of the petrous segment of the internal carotid artery with an associated pseudoaneurysm. As the rupture of the pseudoaneurysm was considered the cause of otorrhagia, endovascular stenting was performed. After hospital admission for monitoring and antibiotic treatment, the patient underwent subtotal petrosectomy, with no further episodes of hemorrhage.</p>","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":" ","pages":"122-125"},"PeriodicalIF":0.7,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13315652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148200584","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}