Laryngoscope Investigative Otolaryngology最新文献

{"title":"Sudden Sensorineural Hearing Loss in an Immunocompetent Patient With West Nile Encephalitis","authors":"Raj Malhotra,&nbsp;Barrie Schmitt,&nbsp;Ken Tyler,&nbsp;Yuri Agrawal","doi":"10.1002/lio2.70206","DOIUrl":"https://doi.org/10.1002/lio2.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Sudden sensorineural hearing loss (SSNHL) is a frequently encountered condition that is often idiopathic but may be precipitated by infection. Neuroinvasive disease resulting from West Nile virus (WNV) is a rare cause of SSNHL, typically affecting immunocompromised patients and generally associated with minimal hearing recovery. We present a case of an immunocompetent woman who was diagnosed with SSNHL in the setting of a WNV infection and showed significant hearing improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Case report and literature review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A 55-year-old immunocompetent female presented to our Otolaryngology office after several visits to the emergency department for worsening disequilibrium and new onset bilateral hearing loss. An audiogram demonstrated bilateral SNHL. After a thorough inpatient evaluation for hematologic, oncologic, immunologic, and infectious etiologies, CSF and serum IgG and IgM antibodies to WNV were elevated. The patient was managed conservatively and, at follow-up, endorsed significant hearing improvement that was reflected on her repeat audiogram.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>SSNHL in patients with neuroinvasive WNV is extremely rare, with only a small number of previously reported cases. WNV should be considered as a cause of SSNHL in the US, especially during the late summer and fall months. Patients should be counseled on the variable prognosis of the hearing loss, and early discussions regarding cochlear implantation should be pursued for patients without significant recovery of profound hearing loss.</p>\u0000 \u0000 <p><b>Level of Evidence</b>: 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/lio2.70206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144647341","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":"MRI Enhancement Patterns After Resection of Sporadic Vestibular Schwannoma: Comparing Retrosigmoid and Translabyrinthine Approaches","authors":"Olivia La Monte,&nbsp;Joshua Lee,&nbsp;Peter R. Dixon,&nbsp;Omid Moshtaghi,&nbsp;Douglas M. Bennion,&nbsp;Marc Schwartz,&nbsp;Rick Friedman","doi":"10.1002/lio2.70200","DOIUrl":"https://doi.org/10.1002/lio2.70200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>One theoretical disadvantage of the retrosigmoid approach is the inability to visualize tumor at the fundus of the internal auditory canal, potentially leading to a higher risk of residual tumor even when the surgeon reports a gross total resection. We sought to compare MRI enhancement patterns and their persistence following retrosigmoid and translabyrinthine vestibular schwannoma (VS) resection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults aged ≥ 18 years old who underwent translabyrinthine or retrosigmoid approaches for resection of a sporadic vestibular schwannoma (VS) at a single tertiary care institution were eligible for inclusion in this cohort study. Patterns of enhancement on postoperative MRI, when present, were qualitatively described as linear or nodular. Multivariable logistic regression was used to adjust for tumor size and resection extent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After surgeon-reported gross total resection, linear enhancement was present in 24/141 (17.0%) and nodular enhancement in 2/141 (1.4%) cases. Both patterns showed high rates of spontaneous resolution, with 3/24 (12.5%) of linear enhancements persisting on ≥ 2 scans and no nodular enhancements (0/2) persisting. Among patients with less than gross total resection, when present, nodular enhancement was more likely to persist (3/5, 60.0%) than linear enhancement (3/8, 38.0%, <i>p</i> &lt; 0.001). Approach was not associated with odds of nodular enhancement (OR for retrosigmoid vs. translabyrinthine 0.36, 95% Cl 0.05–1.89, <i>p</i> = 0.2). Similarly, surgical approach was not significantly associated with linear enhancement (<i>p</i> = 0.41). Surgeon-reported gross total resection was associated with reduced odds of nodular enhancement for translabyrinthine (OR 0.07, 95% CI 0.00–0.63, <i>p</i> = 0.04) but not retrosigmoid (OR 0.09, 95% CI 0.00–2.76, <i>p</i> = 0.13).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Postoperative enhancement typically resolves after gross total resection, but when present, surgeon-reported resection extent is a key predictor of persistence. However, our findings suggest that in retrosigmoid cases—where limited visualization of the fundus may increase the risk of residual tumor—surgeon reports of gross total resection may be less reliable.</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":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144624507","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":"Residency Rewired: An Analysis of Otolaryngology Residency Programs on Websites and Social Media","authors":"Delaney E. S. Clark,&nbsp;Evan S. Pistone,&nbsp;Hannah Luk,&nbsp;Arati Bendapudi,&nbsp;Brian McKinnon","doi":"10.1002/lio2.70193","DOIUrl":"https://doi.org/10.1002/lio2.70193","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate all ACGME-accredited otolaryngology residency programs by reviewing websites and social media to determine if there is a correlation between program ranking and online presence. Findings will identify key considerations for perceived program reputation and areas of improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Study Design</h3>\u0000 \u0000 <p>This study was a cross-sectional analysis of programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>This study took place between April and June 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Four independent reviewers evaluated the program websites using an online tool that assessed each program on both recruitment and education criteria; composite scores were used for the data analysis. A second section of the evaluation tool analyzed the social media presence of the residency programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Programs were grouped based on the latest Doximity program ranking in groups of 25, with Group 1 being the top 25 and Group 5 being the bottom 25 plus unranked programs. Programs in Group 5 had worse website evaluation scores (<i>p</i> &lt; 0.05) as well as social media overall scores (<i>p</i> &lt; 0.05). Additionally, programs in the west had the highest average social media scores (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We conclude that programs with a lower Doximity program ranking typically have a worse online presence, with the recruitment section being the worst score. Most ENT residency program evaluation literature dates to the COVID-19 pandemic; our hope is for this study to bring a new perspective to program leadership and how their online presence might affect applicant perception of the program when they are choosing which ones they may apply to.</p>\u0000 \u0000 <p><b>Level of Evidence:</b> N/A.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144606614","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":"Impact of Single-Side Deafness on Listening Effort: A Prospective Comparative Study","authors":"Wenwen Su,&nbsp;Yuqi Xia,&nbsp;Caifeng Xia,&nbsp;Yue Zhang,&nbsp;Yanmei Zhang,&nbsp;Yuhe Liu","doi":"10.1002/lio2.70185","DOIUrl":"https://doi.org/10.1002/lio2.70185","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Single-sided deafness (SSD) impairs sound source localization and speech recognition in noisy environments, requiring greater listening effort from affected individuals. Using pupillometry, this study aimed to investigate listening effort across two cognitive dimensions: selective attention and working memory in patients with SSD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-six participants were divided into a unilateral deafness (SSD) group and a normal hearing (NH) group. They completed two tests involving word and sentence recognition tasks, with accuracy and pupil diameter changes serving as indicators of listening effort and cognitive resource allocation. The main pupillary indices calculated and analyzed were baseline pupil diameter, peak value, and mean diameter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The results showed that auditory threshold and signal-to-noise ratio (SNR) significantly influenced the accuracy of behavior. Pupillometry results for selective attention revealed a progressive increase in pupil diameter in the SSD group after the alert period of listening, with levels significantly higher than that of the NH group. During working memory tasks, participants with SSD demonstrated an initial increase in pupil diameter, followed by a decline throughout the task, suggesting persistent cognitive strain and potential fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with SSD exert greater listening effort during daily communication. The findings emphasize the importance of personalized rehabilitation strategies targeting speech perception and auditory comfort to enhance communication outcomes and overall well-being for patients with SSD.</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":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70185","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573303","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 State of Exercise-Based Dysphagia Intervention in the Literature: A Scoping Review","authors":"Claire Crossman,&nbsp;Serena Piol,&nbsp;D'manda Price,&nbsp;Kelly Veit,&nbsp;Sonja M. Molfenter","doi":"10.1002/lio2.70180","DOIUrl":"https://doi.org/10.1002/lio2.70180","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Exercise-based interventions for dysphagia are frequently recommended in the clinical setting. We aim to characterize the state of the dysphagia treatment literature to provide a high-level overview on four domains: Study characteristics, patient populations, exercise characteristics, and outcome measures reported. This review acts as an initial step in analyzing the proposed gap between research and clinical practice patterns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search strategy was executed across five databases to capture publications evaluating the impact of exercise-based interventions on swallow function. After removing duplicates, 20,583 abstracts were screened for inclusion, with 505 studies eligible for full-text review. After applying exclusionary criteria, information was extracted from 204 publications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicate that studies are predominantly prospective (88%) and often randomized controlled trials (44%) typically completed in the outpatient setting (59%). Most studies represent homogenous patient groups (88%) with an average age of 64 years. Exercise paradigms average 40 days in length. Forty-six target exercises are reported, with Effortful Swallow being the most common (37%). Forty percent of studies evaluate the efficacy of a single exercise in isolation, followed by a combination approach of 4+ exercises (34%) and 2–3 exercises (26%). Thirty-seven different therapeutic devices are reported. Most (65%) studies use instrumental examinations to evaluate treatment efficacy, with 52 unique methods for analysis reported. Further, over 100 unique clinical outcome measures are reported.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This scoping review highlights many relative strengths in the dysphagia treatment literature (e.g., on parameters related to study design and outcome measures). At the same time, the findings suggest that there is significantly less literature to extrapolate to typical clinical caseloads and practice patterns with respect to patient characteristics, care settings, and exercise characteristics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>I, scoping review of available evidence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70180","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573304","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":"Induced Chronic Rhinosinusitis in Rats Leads to Secondary Changes in Sinonasal Microbiota","authors":"Fernanda Barriga-Chambi,&nbsp;Fabricio Ccami-Bernal,&nbsp;Frank Zela-Coila,&nbsp;Marial Hernandez-Caycho,&nbsp;Claudia Mares-Cuadros,&nbsp;Marcos Salas-Palma,&nbsp;Jorge Ballón-Echegaray,&nbsp;Renato Torres","doi":"10.1002/lio2.70187","DOIUrl":"https://doi.org/10.1002/lio2.70187","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The microbiota may play a role in maintaining and perpetuating inflammation in chronic rhinosinusitis (CRS). This study aimed to induce CRS in rats and evaluate microbiota composition compared to controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Sixteen male Wistar rats were used. Eight rats received intranasal instillations of <i>Aspergillus oryzae</i> protease and ovalbumin three times weekly for 12 weeks (CRS group). The remaining eight received PBS (control group) under the same conditions. At week 13, microbiological samples were surgically collected, and the rats were euthanized. Microbiological cultures for aerobic, anaerobic bacteria and fungi were performed, and colonies were identified using MALDI-TOF MS. Relative abundance was analyzed at the phylum and genus levels, and species richness was assessed using the Chao1 index. Histopathological analysis evaluated mucosal, vascular, and epithelial changes to confirm chronic inflammation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Histopathological changes were more frequent in the CRS group compared to controls, especially mucosal changes (100% vs. 25%; <i>p</i> = 0.01, Chi-square test). Firmicutes were more abundant in CRS rats (60.3% vs. 38.4%), driven by an increase in <i>Staphylococcus</i> (33.6% vs. 77.7%). Species richness was higher in the CRS group (Chao1: 85.0 ± 23.3 [61.7–108.3]) compared to controls (31.3 ± 9.0 [22.2–40.3]; <i>p</i> = 0.004; Mann–Whitney <i>U</i> test).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Chronic inflammation induces significant microbiota changes, with an increase of species richness in the CRS group. These findings suggest microbiota shifts may result from inflammatory environments rather than being the primary cause.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Basic science.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70187","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573445","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 Nationwide Review of Pediatric Total Thyroidectomy and Lobectomy Outcomes","authors":"Zina Jawadi,&nbsp;Laith Mukdad,&nbsp;Josef Madrigal,&nbsp;Alisha West,&nbsp;Maie St. John","doi":"10.1002/lio2.70191","DOIUrl":"https://doi.org/10.1002/lio2.70191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Pediatric thyroid cancer (PTC) exhibits unique differences in pathophysiology, clinical presentation, and outcomes compared to adult thyroid cancer. In 2015, the American Thyroid Association released inaugural recommendations for pediatric thyroid nodules and cancer management. Significant increases in thyroid lobectomy for PTC have since been reported. This study represents the largest nationwide analysis comparing characteristics and clinical outcomes in pediatric total thyroidectomy (TT) and thyroid lobectomy (TL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cross-sectional analysis of the Nationwide Readmissions Database (NRD) from 2010 to 2019 was performed. The study population included pediatric (&lt; 18 years) patients undergoing TT and TL. Thyroidectomy procedures were classified using ICD-9-CM and ICD-10-PCS procedure codes, which do not distinguish between initial (primary) lobectomy and completion thyroidectomy. Due to coding limitations, the TL group includes both initial and completion lobectomies. Data were analyzed in September 2022. Primary outcomes included complication rates, hospitalization length of stay (LOS), costs, and 30-day readmission rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>3793 patients were included. 72.4% underwent TT, and 27.6% had TL. Median age was 15; 78% were female. Surgical indications included thyroid cancer (43%), toxic thyroid disease (28%), benign disease (24%), and MEN 2A/B (4%). Risk of postoperative hypocalcemia was significantly increased in TT (25%) compared to TL (11%) (<i>p</i> &lt; 0.001). LOS was significantly increased in TT (2 days) compared to TL (1) (<i>p</i> &lt; 0.001). Median total costs were higher in TT ($12,900) than in TL ($9700) (<i>p</i> &lt; 0.001). Thirty-day non-elective readmission rate was 2% for TT and 0% for TL (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study represents the largest nationwide analysis comparing pediatric total thyroidectomy and lobectomy to date, revealing TL's association with reduced postoperative hypocalcemia, LOS, cost, and readmission risk. As pediatric thyroid management patterns continue to change, this study provides critical information to guide management and decision-making, improving patient outcomes.</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 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573444","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":"Longitudinal Evaluation of Listening Effort and Speech Perception in Noise in CROS and BiCROS Hearing Aid Users With Single-Sided Deafness","authors":"Samet Kılıç,&nbsp;Deniz Tuz,&nbsp;Emre Gürses","doi":"10.1002/lio2.70166","DOIUrl":"https://doi.org/10.1002/lio2.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this study is to longitudinally investigate the effects of using CROS/BiCROS hearing aids on the listening effort and speech perception in noise skills of individuals with single-sided deafness (SSD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Nineteen people with SSD who were going to use CROS/BiCROS hearing aids for the first time participated in the study. Participants were evaluated before they started using hearing aids and after 1 week, 3, and 6 months after they started using them. In every session, a dual-task paradigm was applied to measure listening effort, and the Turkish Matrix Test (TM) was applied to measure speech understanding performance in noise. The dual-task paradigm was evaluated at three different individual signal-to-noise ratios (SNR) determined according to the subjects' TM performance. Repeated measures ANOVA tests were used to evaluate whether the participants' dual-task paradigm and TM performances differed according to sessions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant difference was observed between both the dual-task paradigm and TM scores according to measurement time (<i>p</i> &lt; 0.001). In pairwise comparisons with Bonferroni corrections, it was observed that there was a significant difference between all periods (<i>p</i> &lt; 0.001). While the dual-task paradigm reaction times obtained in all three difficult listening conditions were highest before using the device, they were lowest at the sixth-month evaluation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the first study to longitudinally examine how CROS/BiCROS hearing aid use affects both speech-in-noise ability and listening effort. As a result of this study, it was seen that the use of CROS/BiCROS increased speech understanding performance in noise and reduced listening effort after starting to use them. Furthermore, as the use of the device continued, it was observed that speech performance in noise increased and listening effort decreased over time.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144573446","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":"Effects of Essential Oils in the Treatment of Acute Rhinosinusitis: A Systematic Review","authors":"Christina M. Matl,&nbsp;Wooyoung Jang,&nbsp;Jordan R. Salley,&nbsp;Callie L. Fort,&nbsp;Joshua C. Demke,&nbsp;Phat Tran,&nbsp;James C. Wang","doi":"10.1002/lio2.70189","DOIUrl":"https://doi.org/10.1002/lio2.70189","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Basic science studies have shown that essential oils have antibacterial and anti-inflammatory effects in the nasal mucosa. However, clinical studies examining the effect of essential oils on patient outcomes are limited. The aim of this systematic review is to evaluate the patient outcomes following treatment of acute rhinosinusitis with essential oils.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Ovid, Cochrane, and Embase computerized searches were performed to include results published up to December 2023. Two independent reviewers (C.M.M. and W.J.) conducted data extraction following a predetermined protocol, with any discrepancies reviewed by the senior author (J.C.W.).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Five RCTs investigated the treatment of rhinosinusitis with essential oils in capsule form. Essential oils included in the studies were Cineole, Myrtol (ELOM-080), Sinupret (BNO 1016), and Tavipec. Significant improvements in rhinological symptoms were seen in Cinole compared to placebo, Cinole compared to an herbal compound similar in composition to Sinupret, Tavipec compared to placebo, and ELOM-080 compared to placebo. Outcome measures included nasal obstruction, nasal drainage, facial pressure, headache, fatigue, and fever. Little difference in patient-reported rhinological symptom improvement was seen in ELOM-080 compared to BNO 1016 using a 5-point Likert Scale. Minimal adverse effects were observed in patients treated with essential oils with the most common adverse effect being mild gastrointestinal upset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients using essential oils reported improvement in acute rhinosinusitis symptoms in all studies reviewed, despite differences in methodology and outcome measures. These improvements were statistically significant in all the studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>Level 1 based on “The Oxford 2011 Levels of Evidence”.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 3","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482040","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":"Trends and Practices in Tonsil Surgery—A National Survey for Otorhinolaryngologists","authors":"Tapani Uusitalo,&nbsp;Anniina Sakki,&nbsp;Aleksi Laajala,&nbsp;Jussi Jero,&nbsp;Johanna Nokso-Koivisto,&nbsp;Jaakko Piitulainen","doi":"10.1002/lio2.70178","DOIUrl":"https://doi.org/10.1002/lio2.70178","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To study the changes in tonsil surgery practice over a 10-year period and to survey opinions about its current use and future practice among Finnish otorhinolaryngologists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey was distributed between January and March of 2021 to otorhinolaryngologists in Finland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Altogether, 203 surveys were available for the analysis. Partial tonsil surgery has become the main surgical method, based on 75% of responders, for tonsillar hypertrophy in children over a 10-year period. A similar change did not exist in adults and for infectious indications, but the attitudes support change. The most common surgical technique was monopolar electrocautery and cold-steel dissection for extracapsular tonsillectomy and monopolar electrocautery and coblation for tonsillotomy. In choosing the method for tonsil surgery, the most important factors were the efficiency of symptom relief, familiarity, and avoidance of complications. In surgical practice, influencing a surgeon's choice the most was their residency experience, colleagues, and personal experience. A rather high percentage of opioid prescription (23%) after partial tonsil surgery was noted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Here, in children, we report a paradigm shift toward partial tonsil surgery occurring within 10 years in the treatment of tonsillar hypertrophy. We also show that opinions support that this change may be used for adults and for infectious indications. A wide variety in tonsil surgery instruments ranging from newer techniques (e.g., coblation) to cold steel existed. Local practice strongly influenced the surgeon's choice.</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":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70178","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482038","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}