Laryngoscope Investigative Otolaryngology最新文献

{"title":"Superior Semicircular Canal Dehiscence Repair With Hydroxyapetite Cement via a Transmastoid Approach","authors":"Hemali Shah,&nbsp;Sen Ninan,&nbsp;Rema Shah,&nbsp;Allison Reeder,&nbsp;John Kveton,&nbsp;Nofrat Schwartz","doi":"10.1002/lio2.70164","DOIUrl":"https://doi.org/10.1002/lio2.70164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study was to assess the efficacy of superior semicircular canal dehiscence (SSCD) repair via a transmastoid approach using hydroxyapatite bone cement capping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective case series was carried out at a tertiary referral center. All patients were ≥ 18-years-old diagnosed with SSCD between 2012 and 2022 and underwent a transmastoid approach implementing hydroxyapatite capping. Dehiscence location and size were assessed by reviewing preoperative CT temporal bone scans and correlated to the success rate of surgical repair. The failure rate (lack of symptom resolution and/or persistent dehiscence on postoperative imaging) and/or need for revision surgery were evaluated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-two patients (25 ears) were included. Mean age was 50.8 years (SD = 9.9 years) with 50.0% female patients (<i>n</i> = 11). The predominant location of SSCD was determined as apical (76.0%, <i>n</i> = 19), followed by anterior limb (12.0%, <i>n</i> = 3) and posterior limb (12.0%, <i>n</i> = 3). Mean dehiscence size was 2.8 mm (SD = 1.4 mm). Median follow-up time after repair was 9.0 months (interquartile range: 2–36 months). Failure rate was 8.0% (<i>n</i> = 2). Both cases demonstrated persistent SSCD on postoperative imaging; one case had a residual apical dehiscence of 1.6 mm persistent at 4 months, and one had a posterior-apical dehiscence of 2.3 mm persistent at 8 months after surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Transmastoid approach for SSCD repair with hydroxyapatite bone cement capping has a relatively low failure and complication rate, alleviating the need for middle fossa approach. To our knowledge, this case series represents the largest for this approach and material combination for SSCD repair, demonstrating that transmastoid repair with bone cement represents a promising approach for effective management of patients with SSCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>4.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language Analysis of Matched and Unmatched Otolaryngology Residency Applicants","authors":"Osama A. Hamdi,&nbsp;Scott D. Hirsch,&nbsp;Taylor L. Jamil,&nbsp;Hani Samarah,&nbsp;Andrew P. Johnson,&nbsp;Cristina Cabrera-Muffly","doi":"10.1002/lio2.70170","DOIUrl":"https://doi.org/10.1002/lio2.70170","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The otolaryngology residency match process is highly competitive. This study evaluated demographic, academic, and linguistic differences in personal statements (PSs) and letters of recommendation (LORs) between matched and unmatched applicants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective quantitative analysis of 2130 residency applicants to one institution during the 2015–2021 match cycles was conducted. Linguistic Inquiry and Word Count 2022 (LIWC2022), a validated software tool, was used to analyze emotional, cognitive, and structural components of written text.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 2130 applicants, 1671 (78.5%) matched. Non-Hispanic White applicants had significantly higher match rates compared to non-white applicants (<i>p</i> = 0.001). Matched applicants demonstrated superior academic performance, including higher USMLE Step 1 scores (247 ± 12.2 vs. 239.2 ± 16.1, <i>p</i> &lt; 0.001), Step 2 CS pass rates (99.2% vs. 95.8%, <i>p</i> &lt; 0.001), and greater research productivity. Linguistic analysis revealed that matched applicants used more analytical (OR = 1.02, <i>p</i> &lt; 0.001), clout (OR = 1.01, <i>p</i> = 0.007), and positive tone (OR = 1.16, <i>p</i> = 0.003) language in PSs. Unmatched applicants used more negative tone (OR = 0.619, <i>p</i> &lt; 0.001) and negative emotion (OR = 0.54, <i>p</i> = 0.001). LORs for matched applicants exhibited less negative tone (OR = 0.35, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Matched applicants displayed stronger academic metrics and cognitive language patterns in PSs, highlighting an emphasis on analytical writing over emotional expression. LOR language differed between groups, revealing linguistic features predictive of matching success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>III.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70170","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Granulocyte Colony Stimulating Factor (G-CSF) and Olfactory Function—A Clinical Pilot Study","authors":"C. A. Hintschich,&nbsp;K. Resler,&nbsp;C. Brückner,&nbsp;A. Altundag,&nbsp;K. Trautmann,&nbsp;K. Hölig,&nbsp;F. Kroschinsky,&nbsp;M. Pieniak,&nbsp;T. Hummel","doi":"10.1002/lio2.70143","DOIUrl":"https://doi.org/10.1002/lio2.70143","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Although the olfactory epithelium, including its neuronal cell line, has inherent regenerative potential, therapeutic options remain limited. Promising effects of granulocyte colony stimulating factor (G-CSF) on olfactory regeneration have been observed in both animal and human studies. In this study, we assessed olfaction before and after G-CSF administration in myeloma patients who underwent autologous stem cell transplantation and in allogeneic stem cell donors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 40 subjects were included in this study (10 myeloma patients, 10 allogeneic stem cell donors, 20 controls who did not receive any G-CSF). Olfactory function was psychophysically assessed using the threshold and extended identification domain of the Sniffin' Sticks test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After G-CSF administration, threshold scores were slightly enhanced in both myeloma patients (8.9 ± 3.6 vs. 9.3 ± 3.3) and allogeneic stem cell donors (10.2 ± 3.5 vs. 11.8 ± 2.9). However, this effect was not statistically significant. For olfactory identification, no improvement was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Even though being not statistically significant, the findings of this study align with previous evidence and underline the potential of G-CSF on olfactory regeneration. However, additional studies, including carefully designed animal trials, are required to comprehensively evaluate this promising therapeutic option.</p>\u0000 \u0000 <p><b>Level of Evidence:</b> 2.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70143","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144273237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Masseter Muscle Size in Chronic Parotid Sialadenitis","authors":"Erika M. Stephens,&nbsp;William E. Nesmith,&nbsp;M. Allison Ogden,&nbsp;Jolie L. Chang","doi":"10.1002/lio2.70160","DOIUrl":"https://doi.org/10.1002/lio2.70160","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The relationship between masseter muscle thickness and parotid duct obstruction resulting in recurrent sialadenitis is not well defined. This study aims to evaluate masseter muscle size in patients with chronic sialadenitis of the parotid and compared to patients without parotid sialadenitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data was collected retrospectively from patients with symptomatic chronic sialadenitis of the parotid or submandibular glands. Measurements of the masseter and lateral pterygoid muscles were performed on CT or MRI imaging by two investigators who were blinded to the symptomatic gland location. Masseter thickness in the region of the parotid duct trajectory was measured.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Out of 94 total patients, 45 (48%) had chronic sialadenitis of the parotid gland and 49 (52%) had sialadenitis of the submandibular gland without parotid symptoms. There was a statistically significant difference in masseter thickness between patients with symptomatic parotid versus submandibular sialadenitis (<i>parotid</i>: 15.8 mm; <i>submandibular:</i> 14.5 mm; <i>p</i> &lt; 0.001). Patients with parotid sialolithiasis compared to duct stenosis had no difference in masseter thickness size. Higher BMI, male sex, and parotid gland symptoms were significantly associated with increased masseter thickness. Logistic regression analysis showed that female sex and masseter muscle thickness were both significantly associated with parotid gland sialadenitis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Masseter muscle thickness is significantly larger in patients with symptomatic obstructive parotid sialadenitis. Our findings demonstrate an association between increased masseter size and obstructive parotid sialadenitis that may have implications in disease pathophysiology and considerations for therapeutic paradigms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level 4.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70160","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing the Landscape of Otolaryngology Trained Hypoglossal Nerve Stimulator Surgeons","authors":"Emily Clementi,&nbsp;Jack Dowd,&nbsp;Amir Hakimi,&nbsp;Sami Alahmadi,&nbsp;Mark Russo,&nbsp;Maria V. Suurna,&nbsp;Michael Hoa,&nbsp;Sarah K. Rapoport","doi":"10.1002/lio2.70174","DOIUrl":"https://doi.org/10.1002/lio2.70174","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Hypoglossal nerve stimulator (HNS) implantation has become increasingly common to treat obstructive sleep apnea (OSA) among patients unable to tolerate positive pressure therapy. Given the novelty of this surgery, there is variability in the training backgrounds of implanting surgeons. The objective of this study is to characterize the surgical training backgrounds and geographic locations of implanting surgeons in the United States.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A list of physicians certified to perform HNS implantations as of March 2024, their geographic location, and fellowship training background was provided by Inspire Medical Systems along with the total number of HNS devices implanted from 2019 to 2022. General demographic information and surgeon practice type (academic versus non-academic) were recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1345 implanting physicians were identified. A total of 210 (16%) providers were not otolaryngologists and therefore excluded. Among those included, 1058 (93%) had an MD degree, 948 (84%) were male, 248 (22%) were in academic practice, and 325 (29%) were fellowship trained. The most common subspecialty training backgrounds included head and neck surgical oncology (39%), facial plastic and reconstructive surgery (15%), and sleep surgery (12%). Wyoming (1.2) and the District of Columbia (0.88) had the highest density of HNS surgeons per 100,000 persons, while Hawaii (0.07) and New Mexico (0.09) had the lowest density.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There is wide variability of HNS-implanting otolaryngologists in the United States. Most surgeons are general otolaryngologists in private practice. Given the increased demand for HNS implantation compared to other treatments for OSA, there may be an expanding role for sleep surgery training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>N/A</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neural Responsiveness to Electrical Stimulation in Children With Common Cavity Deformity","authors":"Xiuhua Chao,&nbsp;Jinye Li,&nbsp;Jianfen Luo,&nbsp;Xianqi Liu,&nbsp;Zhaomin Fan,&nbsp;Haibo Wang,&nbsp;Lei Xu","doi":"10.1002/lio2.70176","DOIUrl":"https://doi.org/10.1002/lio2.70176","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To investigate neural responsiveness to electrical stimulation in children with common cavity deformity (CCD) after cochlear implantation (CI), compare these responses to those in children with normal cochlea, and analyze the influence of cavity volume and electrode position on these responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a case–control study. Participant included nine children with CCD and 11 children with normal cochlea. For each participant, electrically evoked compound action potentials (ECAPs) were measured, and input/output (I/O) functions were analyzed. The volume of the CCD, electrode to the fundus of the internal auditory canal (E-IAC) distance, and inner wall (E-IW) distance were measured on preoperative and postoperative imaging for children with CCD. Linear mixed-effects models (LMM) explored group differences and the influences of volume, E-IAC distance, and E-IW distance on ECAP responses for children with CCD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children with CCD exhibited significantly higher ECAP thresholds and lower amplitudes than those with normal cochlea. The E-IAC distance has a significant influence on the ECAP threshold and maximum amplitude (<i>p</i>_<i>s</i> &lt; 0.05), but no significant effect on the I/O function slopes (<i>p</i> &gt; 0.05). Neither cavity volume nor E-IW distance had a significant effect on ECAP responses (<i>p</i>_<i>s</i> &gt; 0.05). Most children in the CCD group achieved open-set speech perception, but their word and sentence recognition rates were significantly lower than those in the Control group (<i>p</i>_<i>s</i> &lt; 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings demonstrated that there were a certain number of residual CNs in children with CCD; however, these nerves exhibited poorer responsiveness to electrical stimulation compared to children with a normal cochlea. Electrodes placed closer to the IAC fundus elicited stronger ECAP responses for children with CCD, which emphasized the importance of surgical strategies that minimize the distance between electrode contacts and residual cochlear nerve structures.</p>\u0000 \u0000 <p><b>Level of Evidence:</b> 3</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70176","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Topical Nigella sativa Oil for Oral Wound Healing in Rats","authors":"Alper Tabaru,&nbsp;Sedat Rüzgar","doi":"10.1002/lio2.70153","DOIUrl":"https://doi.org/10.1002/lio2.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to examine the effect of topical <i>Nigella sativa</i> oil (NSO) on intraoral wound healing in rats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>Forty-eight female Wistar albino rats (2.5–3 months old) were assigned to two groups (<i>n</i> = 24 each): A control group receiving no treatment and an NSO group receiving a topical application of 1 cc NSO. A standardized circular full-thickness wound (3 mm in diameter) was created on the mucoperiosteum of the hard palate. The animals were sacrificed on postoperative Days 3, 7, 14, and 20 to assess wound area macroscopically, wound diameter histologically, and immunohistochemically for anti–transforming growth factor-β (anti–TGF-β) and anti-vascular growth factor (anti–VGF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No significant differences were observed between groups on days 3 and 20 (<i>p</i> &gt; 0.05). On Days 7 and 14, however, the NSO group exhibited significantly smaller wound areas and wound diameters (<i>p</i> &lt; 0.05). Immunohistochemical staining showed lower TGF-β expression on Days 7 and 14 in the NSO group compared to control (<i>p</i> &lt; 0.05), whereas VGF staining did not differ significantly (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Topical NSO accelerated the healing of intraoral wounds, particularly by enhancing re-epithelialization between postoperative days 7 and 14. This effect appears to be mediated through TGF-β modulation and NSO's known anti-inflammatory, antimicrobial, and antioxidant actions. Topical NSO may thus be considered as an adjunct to conventional wound management in the oral cavity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>NA.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144206355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Evaluation of Three Different Attachment Methods for a Video Laryngoscope in a Surgical Setting","authors":"Linus L. Kienle,&nbsp;Leon R. Schild,&nbsp;Andreas M. Seitz,&nbsp;Viola D. Hahn,&nbsp;Jens Greve,&nbsp;Thomas K. Hoffmann,&nbsp;Patrick J. Schuler,&nbsp;Felix Boehm","doi":"10.1002/lio2.70172","DOIUrl":"https://doi.org/10.1002/lio2.70172","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The prerequisite for transoral microsurgery of laryngeal lesions is an uninterrupted line of sight to the operative field. Patients with cervical stiffness or anatomical variations that prevent adequate laryngeal exposure are typically unsuitable for this procedure. In such cases, a curved video laryngoscope may facilitate improved access to the larynx. However, conventional suspension laryngoscopy setups are incompatible with standard video laryngoscopes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study evaluates three attachment methods for integrating a curved video laryngoscope into a surgical setup, focusing on their resistance to external forces.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study assessed three different attachment methods (3D-printed clamp vs. metal bracket vs. articulated stand) for a video laryngoscope in a surgical setup. External forces, both lateral and rotational (torque), were applied and continuously measured until laryngeal visualization was compromised by displacement of the video laryngoscope.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The metal bracket demonstrated significantly (<i>p</i> &lt; 0.001) higher resistance to lateral forces (median 184.49 N, 95% CI [181.59–189.61 N]) compared to the articulated stand (median 88.16 N, 95% CI [76.73–88.98 N]) and the 3D-printed clamp (median 55.59 N, 95% CI [54.74–57.58 N]). The articulated stand exhibited significantly (<i>p</i> &lt; 0.005) greater torque resistance (median 9.57 N m, 95% CI [5.65–9.87 N m]) compared to the metal bracket (median 1.58 N m, 95% CI [1.57–2.13 N m]) and the 3D-printed clamp (median 2.46 N m, 95% CI [2.24–2.79 N m]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, the articulated stand outperformed the other attachment methods, displaying robust resistance to lateral forces and superior rotational stability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level 4.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144197510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to “Assessment of Chronic Rhinosinusitis With Nasal Polyps: Development of the Nasal Polyp Patient Assessment Scoring Sheet Tool”","authors":"","doi":"10.1002/lio2.70137","DOIUrl":"https://doi.org/10.1002/lio2.70137","url":null,"abstract":"<p>Reference 20 — National Comparative Audit of Surgery for Nasal Polyposis and Rhinosinusitis, Royal College of Surgeons of England. SINO-NASAL OUTCOME TEST (SNOT-22). https://bpb-us-w2.wpmucdn.com/sites.wustl.edu/dist/1/3538/files/2022/06/English_United-States_S22_2019-12-24_Review-Only.pdf. Accessed February 28, 2025.</p><p>A disclaimer stating “<i>All rights reserved. Copyright 2006. Washington University in St. Louis, Missouri</i>.” has been added to the SNOT-22 tool to ensure compliance with the copyright clause of Washington University.</p><p>Link: https://otolaryngologyoutcomesresearch.wustl.edu/research/clinical-research/sinusitus/sino-nasal-outcome-tests-snot/.</p><p>Reference 20 — National Comparative Audit of Surgery for Nasal Polyposis and Rhinosinusitis, Royal College of Surgeons of England. SINO-NASAL OUTCOME TEST (SNOT-22). https://bpb-us-w2.wpmucdn.com/sites.wustl.edu/dist/1/3538/files/2022/06/English_United-States_S22_2019-12-24_Review-Only.pdf. Accessed February 28, 2025.</p><p>Reference 21 (previously 20 and updated to 21) — Toma S, Hopkins C. Stratification of SNOT-22 scores into mild, moderate or severe and relationship with other subjective instruments. <i>Rhinology</i>. 2016;54(2):129–133. doi:10.4193/Rhino15.072.</p><p>We apologize for these errors.</p>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Otolaryngology Workforce Projections in the United States, 2021–2036","authors":"Lorik Berisha,&nbsp;Aman M. Patel,&nbsp;Alan Nguyen,&nbsp;Roshan V. Patel,&nbsp;Sapan M. Patel,&nbsp;Hassaam S. Choudhry,&nbsp;Rohini Bahethi,&nbsp;David W. Wassef,&nbsp;Paul T. Cowan,&nbsp;Ghayoour S. Mir,&nbsp;Andrey Filimonov","doi":"10.1002/lio2.70142","DOIUrl":"https://doi.org/10.1002/lio2.70142","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To analyze projections of otolaryngology workforce supply and demand in the U.S. from 2021 to 2036.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Otolaryngology workforce projection data from the Bureau of Health Workforce (BHW), Health Resources and Services Administration's (HRSA) Health Workforce Simulation Model (HWSM), and National Center for Health Workforce Analysis (NCHWA) were collected and analyzed to project supply versus demand from 2021 to 2036. The adequacy of the projected otolaryngology workforce, measured as the supply–demand ratio, was the main outcome measurement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In 2021, it was assumed that the supply of otolaryngologists matched the demand. From 2021 to 2036, the total otolaryngologist supply is projected to decrease from 11,800 full-time equivalents (FTEs) to 11,620 FTEs, a 1.5% decline, while total demand is projected to increase by 1050 FTEs (8.9% increase) to 12,850 FTEs. This projects a growing shortfall of 1230 FTEs, resulting in 90.4% workforce adequacy. The projected adequacy is geographically disparate, with 98% workforce adequacy in metropolitan areas versus 35.1% in nonmetropolitan areas by 2036. By this date, otolaryngology is projected to have the third highest rate of workforce adequacy (90.4%) among eight surgical specialties studied.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Though the HRSA's HWSM predicts a minor shortfall in the otolaryngology workforce supply compared to demand by 2036, the impact on workforce adequacy is significant. Regional variations and scenario outcomes underscore the need for continued research to update these forecasts, which carry important implications for physicians, patients, and policymakers in addressing workforce disparities and ensuring equitable access to otolaryngologic care across the nation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>4.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}