Laryngoscope Investigative Otolaryngology最新文献

{"title":"Simultaneous Translabyrinthine Vestibular Schwannoma Removal and Cochlear Implantation: Assessment of Wireless Connection Speech Test","authors":"Michelle Kwon,&nbsp;Guhan Kumarasamy,&nbsp;In Seok Moon","doi":"10.1002/lio2.70197","DOIUrl":"https://doi.org/10.1002/lio2.70197","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Simultaneous vestibular schwannoma (VS) removal via the translabyrinthine approach (TLA) and cochlear implantation (CI) allows for overlapping surgical fields, improving postoperative hearing outcomes, and minimizing complications associated with multiple surgical interventions. However, the effectiveness of this surgical approach remains a topic of debate. To address this, we aim to evaluate surgical outcomes using an objective wireless connection speech test to ensure accurate auditory performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We describe six patients with simultaneous TLA and CI surgery from 2020 to 2024. All patients presented with single-sided deafness or asymmetric hearing loss due to vestibular schwannomas classified as Koos grade I or II, confined to the internal auditory canal. Preoperative and postoperative hearing outcomes were assessed through pure-tone audiometry thresholds, word recognition scores, Visual Analog Scale (VAS), and Abbreviated Profile of Hearing Aid Benefit survey (APHAB). Magnetic resonance imaging (MRI) confirmed that tumors were either completely or nearly completely excised. Postoperative hearing outcomes were also evaluated through Sound Field (unplugging) tests, occlusion plugging tests, and the iPad speech test—a wireless transmission of recorded sound directly to the CI's speech processor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The pure-tone audiometry thresholds and word recognition scores improved from preoperative to postoperative assessments (<i>p</i> = 0.0002 and <i>p</i> = 0.03, respectively). Of the five patients who performed the postoperative iPad speech test, monosyllabic and disyllabic scores were consistently lower than the outcomes from the plugged and unplugged tests. Notably, two patients reported no measurable iPad-based speech recognition despite measurable performance on the plugged test. Additionally, APHAB scores showed significant improvement across all patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Simultaneous TLA and CI emerges as an effective procedure for restoring hearing in patients with small vestibular schwannomas, allowing the recovery of binaural hearing.</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 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681394","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":"Clinical Practice and Outcome of Septoplasty—A Retrospective Study of 11,714 Surgeries in Sweden 2014–2023","authors":"Ola Sunnergren,&nbsp;Cecilia Alexandersson,&nbsp;Anders Broström,&nbsp;Fredrik Eliasson,&nbsp;Mattias Jangard,&nbsp;Ylva Lilja,&nbsp;Amir Pakpour,&nbsp;Kristoffer Sandelin,&nbsp;Cecilia Ahlström-Emanuelsson","doi":"10.1002/lio2.70199","DOIUrl":"https://doi.org/10.1002/lio2.70199","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Although septoplasty is frequently performed in patients with nasal obstruction, studies on clinical practice and real-life outcomes are sparse. This study aimed to describe the clinical practice, characteristics of septoplasty patients, patient-reported outcomes and complications, as well as predictors for a successful outcome in a comprehensive national longitudinal database.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>All patients, &gt; 18 years of age, registered in the Swedish Quality Register for Septoplasty (SQRS) between 2014 and 2023 were included in the study (<i>n</i> = 11,714). A multivariate logistic regression analysis was used to search for predictors of a successful outcome (i.e., no or mild self-reported nasal obstruction).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Clinical practice was influenced by the surgical unit. A successful outcome was reported in 59.9% of the patients. Predictors for a successful outcome were higher age, more recent surgery, unilateral subjective nasal obstruction, no nighttime nasal obstruction, and no smoking. Almost one in four patients reported a chronic complication from surgery after 12 months.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There is an unwarranted diversity in Swedish septoplasty practice, which illustrates a lack of knowledge of best practices. The patient-reported outcome, where only six of 10 patients had no or mild nasal obstruction at follow-up, indicates room for improvement.</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 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666491","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":"Computer-Assisted Planning and Navigation of Osteotomies in Rhinoplasty: An Innovative Technique","authors":"Mathilde Mirallié,&nbsp;Guillaume De Bonnecaze,&nbsp;Benoit Chaput,&nbsp;Thomas Radulesco,&nbsp;Justin Michel,&nbsp;Sébastien Vergez,&nbsp;Benjamin Vairel","doi":"10.1002/lio2.70195","DOIUrl":"https://doi.org/10.1002/lio2.70195","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Rhinoplasty is among the most commonly performed esthetic surgeries globally, with osteotomies playing a critical role in modifying nasal bone structure. The ideal osteotomy procedure aims for precision and minimal complications. Although navigation systems have advanced in various surgical fields, their use in rhinoplasty is still developing. Our primary objective is to assess the feasibility of computer-assisted planning and navigation for osteotomies in primary rhinoplasty, following the IDEAL Phase 2a framework. Secondary objectives are to assess safety and efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Conducted in a tertiary center, this retrospective study involved 20 patients undergoing primary rhinoplasty with planning and navigation assistance. Navigation systems were used to plan and perform lateral, medial, and transverse osteotomies using real-time guidance from a tracked piezoelectric instrument.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>For our first 20 patients, all procedures were completed without reverting to traditional techniques. Throughout the study, performing osteotomies became easier, but the transverse osteotomy remained more challenging than medials and laterals. Between the first and the last patient, the duration of preoperative planning decreased from 38.4 to 20 min. Significant postoperative improvements were observed for FACE-Q, NOSE, and MiRa scale scores. Two cases of blisters related to the subcutaneous use of the piezoelectric instrument were independent of the navigation system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Computer-assisted navigation in nasal osteotomies is feasible, safe, and effective, enhancing surgical precision and patient outcomes. The study's limitations, such as its retrospective nature and small sample size, suggest a need for larger, prospective studies to validate these findings and compare this method with traditional techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level 3.</p>\u0000 \u0000 <p><b>Registration number:</b> RnIPH 2023-105</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647501","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":"The Submental Island Flap for Reconstruction of Maxillectomy Defects in the Elderly","authors":"Sarah C. Nyirjesy,&nbsp;Emilie C. M. de Groot,&nbsp;Jeremy D. Richmon,&nbsp;Daniel G. Deschler","doi":"10.1002/lio2.70196","DOIUrl":"https://doi.org/10.1002/lio2.70196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Describing the use of the submental island flap (SMIF) for reconstruction for maxillectomy defects in elderly patients with regard to surgical and postoperative outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective single-center cohort study included patients &gt; 70 years old (<i>n</i> = 8) with oral cavity cancers, treated between July 2017–December 2024. All underwent partial maxillectomy and SMIF reconstruction. Collected data included patient demographics, tumor characteristics, intraoperative details, time to oral diet initiation, and tracheostomy need. Main outcomes were perioperative and functional outcomes including operative time and oral diet initiation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the eight identified cases: four patients were male and four female, with an average age of 83.0 years (SD 8.6). Primary tumor sites included the retromolar trigone (<i>n</i> = 1), buccal mucosa (<i>n</i> = 3), maxillary alveolus (<i>n</i> = 3), and hard palate (<i>n</i> = 1). Most tumors were stage T3/4 due to bony involvement, with an average size of 3.5 cm in the largest dimension (SD 0.8). Neck dissections were performed in all cases, with one patient having positive lymph nodes. SMIF sizes ranged from 4 × 6 cm to 15 × 8 cm. Average surgical time was 233.5 min (IQR 22.3–244.8) and tracheostomy was not required for any patients. All patients initiated an oral diet postoperatively, with time to oral nutrition ranging from 3 to 7 days (median 6.5 days, IQR 5.3–7).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The SMIF is a useful alternative for reconstructing maxillectomy defects in elderly patients. This series demonstrates early oral intake, avoidance of tracheostomy, and relatively short operative times, making it a promising option for patients ineligible for more complex reconstructive procedures.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>IV</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647498","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":"Changes in Thyroglossal Duct Cyst Case Volume During the COVID-19 Pandemic","authors":"Milan P. Fehrenbach,&nbsp;Lauren R. Masden,&nbsp;Andrew J. Ebelhar,&nbsp;Deanna H. Morris,&nbsp;Lonnie B. Morris,&nbsp;Alyssa J. Smith","doi":"10.1002/lio2.70205","DOIUrl":"https://doi.org/10.1002/lio2.70205","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of this study is to identify trends in thyroglossal duct cyst (TGDC) presentation, management, and clinical characteristics in patients before and after the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective chart review was conducted at a tertiary referral center and community hospital. Patients were identified using TGDC diagnosis and surgical codes and organized into two cohorts: “Pre-COVID” (May 18th, 2016–March 10th, 2020) and “COVID” (March 11th, 2020–December 31st, 2023). Patient demographics, clinical characteristics, and surgical rates and outcomes were obtained.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The case volume of patients presenting with TGDCs did not differ significantly between pre-COVID (<i>n</i> = 121, 52.6%) and COVID (<i>n</i> = 109, 47.4%) periods (<i>p</i> = 0.31). The proportion of pediatric cases increased (35.5% pre-COVID vs. 50.5% COVID, <i>p</i> = 0.03). Patients were more likely to present with an infected neck mass or sequelae of infection, such as fistula, in the COVID cohort (10.7% vs. 22.0%, <i>p</i> = 0.03). The percentage of patients that underwent surgery for their TGDC (62.8% vs. 69.7%, <i>p</i> = 0.33) did not significantly differ.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The presentation or surgical rates of patients presenting with TGDC in the pre-COVID vs. COVID periods did not significantly change. However, COVID patients were more likely to present with an infected mass or sequelae of infection, suggesting delays in seeking care until infection occurred or greater infection rates in these cysts. Future studies with larger sample sizes may help clarify trends in TGDC case volume before and after the COVID-19 pandemic, explaining variances in referral and presentation patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level III</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647499","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":"Exploratory Qualitative Analysis of Needs Assessment and Obstacles Faced by Head and Neck Cancer Patients in Central Pennsylvania","authors":"Karen Y. Choi,&nbsp;Kimberly Chan,&nbsp;Erika VanDyke,&nbsp;Lauren J. Van Scoy","doi":"10.1002/lio2.70204","DOIUrl":"https://doi.org/10.1002/lio2.70204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>We sought to identify the needs and obstacles in a rural head and neck cancer (HNC) patient population to address potential gaps in healthcare delivery and resources for this patient population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Thirty-minute semi-structured interviews were conducted with 11 HNC patients. Verbatim transcripts were analyzed using thematic analysis. A conceptual framework adapted from the National Academies of Sciences, Engineering, and Medicine's five healthcare activities was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes emerged highlighting the importance of care coordination between treatment facilities, prioritizing quality of life metrics, and emphasizing patients' desire to be treated close to home.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study identified several important themes that should be prioritized when implementing a successful multidisciplinary HNC center. Patients highly value communication among treatment teams, emphasizing the benefits of the role of a cancer nurse coordinator who can serve as the primary liaison for patients and ensure their needs are addressed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>6.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70204","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647343","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":"Attitudes Towards the HPV Vaccine Among Oropharyngeal Cancer Patients in a Post-COVID World","authors":"Lana Mnajjed,&nbsp;Grace Fassina,&nbsp;Hanxia Li,&nbsp;Rusha J. Patel","doi":"10.1002/lio2.70201","DOIUrl":"https://doi.org/10.1002/lio2.70201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess the relationship between COVID and HPV vaccine hesitancy among oropharyngeal cancer patients and the effects of the pandemic on vaccine hesitancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A 25-question survey was developed to assess patient demographics, background information, and attitudes towards both the HPV and COVID-19 vaccines. The survey was administered in person to patients with a history of p16+ oropharyngeal squamous cell carcinoma (OPSCC). Results were statistically analyzed for significant associations between various factors relating to hesitancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A high school education or higher was significantly associated with patients who would recommend the COVID-19 vaccine to others and trust their health care provider's recommendations about COVID-19 vaccination. Education was only a significant factor with regard to HPV vaccination when patients were asked about vaccination restricting their autonomy. Several significant associations were found between similar attitudes towards both the COVID-19 vaccine and HPV vaccine, including safety, autonomy, concerns about government intervention, and likelihood of vaccine recommendation. No significant association was found between the pandemic and change in views on vaccination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Although the COVID-19 pandemic did not seem to affect many OPSCC patients' views on vaccination one way or another, we did uncover similar trends in vaccine hesitancy between the newer COVID-19 vaccine and older HPV vaccine. Our results indicate that established safety and history of a vaccine are likely very minor players in vaccine hesitancy, and efforts toward vaccine acceptance should be focused on patient background factors, including education and trust.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647505","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":"Comparison of Outcomes Between Primary Laryngotracheal Reconstruction and Partial Cricotracheal Resection in Moderate Grade Pediatric Subglottic Stenosis: A Systematic Review and Meta-Analysis","authors":"Bigyan Raj Gyawali,&nbsp;Heempali Dutta,&nbsp;Anuj Devkota,&nbsp;Nitin Gyawali,&nbsp;Sangit Chhantyal,&nbsp;Amit Kumar Mishra,&nbsp;Sanjeev Kharel,&nbsp;Karthik Balakrishnan,&nbsp;Douglas Sidell","doi":"10.1002/lio2.70203","DOIUrl":"https://doi.org/10.1002/lio2.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This systematic review and meta-analysis compare the outcomes of primary laryngotracheal reconstruction (LTR) and partial cricotracheal resection (PCTR) in managing moderate-grade pediatric subglottic stenosis (severe Grade II and Grade III). While both surgical approaches are widely used, no clear consensus exists on the superior technique.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic literature search was conducted across PubMed, Embase, and Scopus following PRISMA guidelines. Studies reporting outcomes of LTR and PCTR in pediatric patients (&lt; 18 years) with severe Grade II (&gt; 60%) or Grade III subglottic stenosis were included. The primary outcome was successful extubation or decannulation. Statistical analysis, including pooled prevalence estimates and heterogeneity assessment, was performed using STATA software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 24 studies were included, comprising 193 patients in the LTR group and 88 in the PCTR group. Successful decannulation was achieved in 83.93% of LTR cases and 96.59% of PCTR cases. However, the difference was not statistically significant (<i>p</i> = 0.47). Failed decannulation in both groups was associated with factors such as neurological disorders, severe airway scarring, and coexisting airway anomalies. PCTR demonstrated slightly better functional outcomes in voice and swallowing, whereas LTR was associated with a higher risk of restenosis and revision surgeries.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both LTR and PCTR are viable options for moderate-grade pediatric subglottic stenosis, with comparable decannulation success rates. PCTR may offer advantages in functional outcomes, but further research with standardized reporting is necessary to establish an optimal surgical approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>II</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647506","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":"Disability, Quality of Life and Hearing Function in Patients With Untreated Otosclerosis","authors":"Ylva Dahlin Redfors,&nbsp;Andreas Björsne,&nbsp;Caterina Finizia","doi":"10.1002/lio2.70198","DOIUrl":"https://doi.org/10.1002/lio2.70198","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to assess the presentation of otosclerosis in subjects with newly developed hearing loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was part of a prospective study that included subjects with newly diagnosed otosclerosis with the intention to undergo treatment. For comparison, statistical data from the Public Health Agency of Sweden and Statistics Sweden (SCB) were used. The subjects answered questionnaires covering demographic data, the Short Form SF 36 (SF-36), the Glasgow Hearing Aid Benefit Profile (GHABP) and the Hospital Anxiety and Depression Scale (HADS). Pure tone and speech audiometry were performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred and fifty-eight subjects were included, of whom 62% were women. The mean age was 45.8 years, and women were significantly younger than men were (<i>p</i> value 0.001). Tinnitus was reported by 72%, which was significantly greater than that reported by the general population. The study population had a high level of health-related quality of life. Hearing disability was most often displayed in more challenging listening situations, such as engaging in conversations with several people. The mean hearing level was of moderate severity (mean PTA₄ AC 48 dB HL), with unilateral hearing loss in most cases (bilateral hearing loss; female 32% and male 25%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The otosclerosis cohort had a high level of quality of life despite experiencing hearing disability, especially in challenging listening situations, and a high level of tinnitus when seeking help.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>3</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70198","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647342","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":"Obstacles to Obtain Care Among Sexual and Gender Minorities With Chronic Rhinosinusitis","authors":"Faizaan I. Khan,&nbsp;Najm S. Khan,&nbsp;Heli Majeethia,&nbsp;Jihwan Park,&nbsp;Roshan Dongre,&nbsp;Franklin Wu,&nbsp;Ella Brissett,&nbsp;Masayoshi Takashima,&nbsp;Omar G. Ahmed","doi":"10.1002/lio2.70202","DOIUrl":"https://doi.org/10.1002/lio2.70202","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>This study aims to compare the prevalence of cost and non-cost barriers to healthcare access among sexual and gender minority (SGM) patients and non-SGM patients with chronic rhinosinusitis (CRS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The All of Us Research Program was queried for CRS patients, defined as having at least two diagnoses of chronic sinusitis (ICD10: J32.x). Patients were categorized based on questions regarding gender identity, biological sex, and self-descriptions. The primary outcome was cost and non-cost barriers. Multivariable logistic regression was used to examine SGM status and experiencing barriers to care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>7708 patients with CRS were included; 595 were SGM and 7113 were non-SGM. SGM patients were significantly more likely to delay primary care (AOR: 1.51, 95% CI: 1.09–2.11), specialist care (AOR: 1.54, 95% CI: 1.18–2.00), mental healthcare (AOR: 1.70, 95% CI: 1.29–2.24), and filling prescription medication (AOR: 1.31, 95% CI: 1.03–1.66). Regarding non-cost barriers, SGM patients were significantly more likely to delay care because of transportation problems (AOR: 1.84, 95% CI: 1.39–2.42), their provider having a different background (AOR: 1.48, 95% CI: 1.14–1.90) and due to a lack of respect by their providers (AOR: 1.42, 95% CI: 1.16–1.73).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SGM patients with CRS report multiple cost and non-cost barriers. While differences between CRS and non-CRS groups were modest, rhinologists and other healthcare practitioners treating SGM patients with CRS should be mindful of these disparities to address these barriers at a patient and system level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level III, 2025.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647500","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}