Laryngoscope Investigative Otolaryngology最新文献

{"title":"High-Resolution Pharyngeal Manometry Assessment of Swallowing in Asymptomatic Myotonic Dystrophy","authors":"Rie Asayama,&nbsp;Kaori Tanaka-Nishikubo,&nbsp;Keiko Tanaka,&nbsp;Naohito Hato","doi":"10.1002/lio2.70209","DOIUrl":"https://doi.org/10.1002/lio2.70209","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Myotonic dystrophy (MyD) adversely affects swallowing function from an early stage. However, the swallowing characteristics of patients with MyD, who rarely seek medical attention owing to a lack of subjective symptoms, remain unclear. We aimed to analyze multifaceted swallowing function tests, including high-resolution manometry (HRM), in patients with asymptomatic MyD and evaluate the swallowing pathophysiology in these patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We included patients who underwent HRM and swallowing function tests, including videofluoroscopic swallow study (VFSS), at our hospital. We analyzed the results along with the clinical and demographic profiles of the patients, comparing them to those in a non-MyD control group of patients with mild dysphagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The MyD group demonstrated significantly decreased swallowing motility on VFSS and reduced pharyngeal contraction force at all stages from the pharynx to the upper esophageal sphincter (UES) on HRM. In the non-MyD control group, a weak negative correlation was observed between maximum pharyngeal contraction force and minimum UES pressure during swallowing. Conversely, in the MyD group, the minimum UES pressure remained consistently low, regardless of weak pharyngeal contraction force.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study confirmed that patients with MyD exhibited significant motor disorders of swallowing-related muscles even when unaware of their dysphagia. While constant UES relaxation may help maintain swallowing, particularly for liquids, it hinders patients' ability to recognize their swallowing problems and can lead to sudden choking episodes. Early risk management and intervention are, thus, necessary for patients with MyD, even those unaware of their dysphagia.</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":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705442","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":"Biologic Therapy Relieves Otologic Symptoms and Signs in Patients With Asthma and Chronic Rhinosinusitis With Nasal Polyps","authors":"Anna Suikkila,&nbsp;Annina Lyly,&nbsp;Riitta Saarinen,&nbsp;Marie Lundberg,&nbsp;Lena Hafrén","doi":"10.1002/lio2.70212","DOIUrl":"https://doi.org/10.1002/lio2.70212","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Multiple biologics are available for severe asthma and chronic rhinosinusitis with nasal polyps (CRSwNP). Otologic symptoms are common among these patients, and otitis media (OM) is considered part of the associated eosinophilic multimorbidity. However, few studies describe the effect of biologics on OM. This study aimed to explore whether type 2 anti-inflammatory biologics can also alleviate otologic symptoms and signs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We retrieved patients who were prescribed biologics for CRSwNP from the electronic patient records (EPRs) of a tertiary referral ear, nose, and throat center. We also included patients from two previous studies on otologic manifestations of NSAID-exacerbated respiratory disease (NERD), who were prescribed biologic medication at a skin and allergy center. Patients who were followed up for less than 12 months were excluded. Demographic information and the response to the biologic therapy were collected from EPRs. Regular appointments were at 0, 4–8, and 12 months, and included a physical examination by ear, nose, and throat (ENT) specialist and two validated patient-reported outcome measures (PROMs): the Sino-Nasal Outcome Test-22 (SNOT-22) and the otology-specific Ear Outcome Survey-16 (EOS-16).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All of the 40 patients included had CRSwNP, and 90% had asthma. A total of 17 (42.5%) had clinical otologic signs before starting biologic medication. The main indications for biologic therapy were CRSwNP (70%) and asthma (22.5%). Three patients (7.5%) had both CRSwNP and asthma, but their severe OM symptoms were the main indication for biologic therapy. The SNOT-22 scores were significantly lower at 12 months in all the ear/facial domain questions: ear fullness (<i>Z</i> = −3.434, <i>p</i> &lt; 0.001), dizziness (<i>Z</i> = −3.452, <i>p</i> &lt; 0.001), ear pain (<i>Z</i> = −3.097, <i>p</i> = 0.002), and facial pain/pressure (<i>Z</i> = −3.133, <i>p</i> = 0.002). Similarly, the EOS-16 yielded significantly lower scores (Z = −2.791, <i>p</i> = 0.005). Additionally, the clinical otologic signs improved (<i>Z</i> = −2.994, <i>p</i> = 0.003).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The biologics prescribed for asthma and CRSwNP significantly reduced otologic symptoms and signs. Prospective studies are warranted to explore associated OM as a new target for biologic therapy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687898","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 Oral Health Disparity Among Refugee Children: A Systematic Review","authors":"Nazineen Kandahari,&nbsp;Fareha Moulana Zada,&nbsp;Zainab Farzal","doi":"10.1002/lio2.70194","DOIUrl":"https://doi.org/10.1002/lio2.70194","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We sought to understand oral health problems among refugee children resettled in developed nations and determine best practices for addressing them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review was performed and reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A comprehensive search was performed using the PubMed, CINAHL, and Scopus databases from 1980 through 2024 using Medical Subject Heading terms: “children,” “refugee,” and “oral health,” and a separate search in which “oral health” was replaced with “dental caries.” Interventional, qualitative, and epidemiological studies about children resettled in developed nations were included. Critical study appraisal was done using the Critical Appraisal Skills Program (CASP) tool developed at Oxford University. Final data were synthesized in tables and graphs, depicting the study designs, locations, dates of data collection, sample sizes, sample characteristics, and major findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 30 studies, 25 analyzed oral health in refugee children directly, and six were qualitative studies interviewing parents/caregivers and key informants. Twelve cross-sectional studies included clinical exams, identifying as many as 78% of refugee children with dental caries. Eight studies comparing refugee children to age-and sex-matched children in respective developed countries showed refugee status conferred significantly worse oral health. Two interventional studies demonstrated that parental education improved knowledge but did not improve children's oral health, whereas oral screenings at dedicated refugee health clinics facilitated children receiving referrals and completing treatment. Review data was limited by the lack of standardized or comprehensive measures of oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The refugee pediatric population is at higher risk of oral disease than nonrefugee immigrant and native-born patient populations. Developed nations should address this disparity with community and healthcare partnerships and research, particularly prospective and interventional studies. Otolaryngologists care for the clinical consequences of poor oral health and hygiene and therefore share responsibility in facilitating preventive efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":"10 4","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.70194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144687899","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":"Predictors of Surgical Intervention in Adults With Recurrent Acute Rhinosinusitis","authors":"Obadah Tolaymat,&nbsp;Ruifeng Cui,&nbsp;John Dewey,&nbsp;Hassan H. Ramadan,&nbsp;Chadi A. Makary","doi":"10.1002/lio2.70211","DOIUrl":"https://doi.org/10.1002/lio2.70211","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The need for surgical intervention in patients with recurrent acute rhinosinusitis (RARS) is not well defined. The goal of this study is to understand the different factors that predict receiving surgical intervention in patients with RARS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort study of adult patients presenting with RARS with at least one objective evidence of rhinosinusitis. Patient characteristics and comorbidities were reviewed. The 22-item sinonasal outcome test (SNOT-22) and endoscopy scores were collected at baseline. Surgical intervention consisted of functional endoscopic sinus surgery (FESS) with or without septoplasty.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One hundred and eighteen patients were included, of which 53 patients underwent surgical intervention during a mean follow-up period of 5.4 (±5.3) months. Patients who underwent surgery were significantly younger (30.0 vs. 48.8, <i>p</i> &lt; 0.01), had higher BMI (43.1 vs. 31.9, <i>p</i>&lt; 0.01), higher CT LM scores (5.3 vs. 2.7, <i>p</i> &lt; 0.01), and were more likely to have nasal septal deviation (NSD) (64.2% vs. 41.5%, <i>p</i> = 0.01). Gender, endoscopy scores, SNOT-22 total and domain scores, and rates of other medical comorbidities did not significantly differ by cohort (<i>p</i> &gt; 0.05 for all). On multivariate analysis, age (OR = 0.89, 95% CI: 0.85, 0.94), BMI (1.05, 95% CI: 1.05, 1.18), CT scores (OR = 1.28, 95% CI: 1.10, 1.48), and NSD (3.52, 95% CI: 1.10, 11.28) remained significant predictors for surgical intervention in patients with RARS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>RARS patients who proceed to surgical intervention are younger, have higher BMI, and have higher objective disease burden, including evidence of NSD and higher CT LM scores.</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/lio2.70211","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144681395","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":"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}