Indian Journal of Otolaryngology and Head and Neck Surgery最新文献

{"title":"An Unusual Tracheobronchial Foreign Body - A Fractured Tracheostomy Tube.","authors":"Nayana Sarma, Sauradeep Das, Nongthombam Bidyananda Singh, Manu Balakrishnan, Suvamoy Chakraborty","doi":"10.1007/s12070-025-05508-2","DOIUrl":"10.1007/s12070-025-05508-2","url":null,"abstract":"<p><p>Foreign bodies of the airway are a crisis that need immediate intervention. Such crises can also occur from important life-saving surgeries like tracheostomies. Tracheostomy tubes when not properly taken care of or on prolonged usage may lead to damage and dislodgement into the trachea and bronchus. Here we present such a case; where the tracheostomy tube broke and got dislodged into the trachea. An early intervention and removal of the tube was done for the patient. We also present here a protocol for the management of such cases in the future.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2411-2415"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post Neck Dissection Chyle Leak Repair with Omohyoid Flap - A Novel Operative Technique.","authors":"Vidula Mestry, Prathamesh S Pai","doi":"10.1007/s12070-025-05468-7","DOIUrl":"10.1007/s12070-025-05468-7","url":null,"abstract":"<p><p>Chyle leak is a potentially serious complication that can occur after neck dissection. It is characterized by the leakage of milky fluid in the neck area which occurs due to thoracic or lymphatic duct injury. Chyle leak can lead to severe metabolic and wound related complications. Intraoperative identification and prompt repair can prevent further complications. Traditional surgical repair method is ligating or oversewing the duct with surrounding soft tissue, but in cases where extensive level IV neck dissection is performed, alternative techniques are required. This article describes a novel technique of using omohyoid muscle flap for surgical repair of chyle or lymphatic leak after neck dissection. Underlying principle of the method involves employing a vascularized flap of the omohyoid muscle to exert pressure on the duct to compress it against the prevertebral muscles, while also sealing the location of the chyle leak. The muscle is affixed in position by suturing it to the carotid fascia and the fascia of the prevertebral region. This approach expedites the healing process and offers efficient control. This technique can be utilized when conventional approaches prove ineffective or during surgical exploration for continual chyle leaks. Proposed technique facilitates prompt intraoperative control of chyle or lymphatic leakage in the level IV region following neck dissection. Inferiorly based omohyoid flap can be effectively used with the described technique for post neck dissection chyle leak repair without giving additional morbidity and with lesser learning curve for surgeons.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2433-2437"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intranodal Rosai-Dorfman Disease and its Extranodal Recurrence: A Rare Case Review.","authors":"Sucheta Gandhe, Yogesh Pawar, Chaitanya Borde, Ramesh Venkata Yasam, Raj Nagarkar","doi":"10.1007/s12070-025-05509-1","DOIUrl":"10.1007/s12070-025-05509-1","url":null,"abstract":"<p><p>Rosai-Dorfman disease (RDD) is an uncommon histiocytes proliferative disorder. We present a case of a 49-year-old male with an isolated mass detected in his kidney (extranodal site) and later underwent a nephrectomy. A comprehensive systematic investigation and clinicopathological evaluation had played a vital role in determining this condition.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2416-2420"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association among Extended High-Frequency Hearing, Speech Perception in Noise, and Auditory Temporal-Spectral Processing in Adults with Normal Hearing: A Cross-Sectional Study.","authors":"Zahra Jeddi, Afsaneh Doosti, Ali Hajimohammadi, Abdolrahim Asadollahi","doi":"10.1007/s12070-025-05496-3","DOIUrl":"10.1007/s12070-025-05496-3","url":null,"abstract":"<p><p>Speech comprehension relies on temporal and spectral processing, which can be impaired by background noise. Traditional pure-tone audiometry in standard frequencies has limitations in predicting speech understanding under such conditions. Extended High Frequencies (EHFs) contribute to audibility and speech recognition. This study aims to investigate the correlation between EHF hearing, auditory temporal-spectral processing, and speech comprehension in background noise, and to analyze the factors influencing speech perception in noise ability in adults with normal hearing, emphasizing the importance of EHF evaluation in clinical settings. This cross-sectional study included 44 participants with normal auditory function. The participants underwent high-frequency audiometry, the Quick speech-in-noise (SIN) test for SIN comprehension evaluation, the Gap in Noise (GIN) test for temporal resolution assessment, and the Spectral-Temporally Modulated Ripple Test (SMRT) for spectral resolution examination. The study found a significant correlation between mean EHF thresholds and SNR loss in both common (<i>P</i>-value = 0.019) and high-frequency (<i>P</i>-value = 0.033) words lists. However, no significant correlations were observed between mean EHF thresholds and mean GIN thresholds, GIN percentage of correct answers, or SMRT results. Regression analysis revealed that EHF thresholds significantly contribute to predicting SNR loss. Our findings demonstrate a correlation between EHF thresholds and SIN performance but not with spectro-temporal resolution. However, significant associations between spectro-temporal resolution and SIN performance were observed. Combining these assessments may enhance the prediction of SIN difficulties, facilitating targeted rehabilitation strategies.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2318-2325"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuroendocrine Carcinoma Presenting as Metastasis of Unknown Origin in Cervical Lymph Nodes: An Unwonted Case Report.","authors":"Anmol Kath, Prince Handa, Aparna Ganesan, Nishtha Batra","doi":"10.1007/s12070-025-05425-4","DOIUrl":"10.1007/s12070-025-05425-4","url":null,"abstract":"<p><p>Neuroendocrine carcinomas occurring in cervical lymph nodes are few and far between. Such presentations demand meticulous clinic-radiological workup besides appropriate immunohistochemical evaluation. We present an adequately managed case of cervical lymph nodal metastatic carcinoma with neuroendocrine differentiation.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2387-2390"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Theory and Practice: Advancing Laryngology Training in India.","authors":"Utkarsh Shrivastava, Rakesh Srivastava, Giorgio Peretti, Prashant M Naik","doi":"10.1007/s12070-025-05501-9","DOIUrl":"https://doi.org/10.1007/s12070-025-05501-9","url":null,"abstract":"<p><strong>Aims: </strong>This article explores developing and implementing 3D-printed models in medical simulation labs to improve training in laryngology and upper airway procedures, specifically in India. Traditional methods of endoscopy training face ethical challenges, high costs, and limited access to cadaveric specimens, creating barriers to comprehensive education in airway management.</p><p><strong>Materials and methods: </strong>Introducing affordable, anatomically accurate 3D printed models, such as the NuOssa larynx model and the EnjoyStich Laryngeal Holder System, offers a practical solution. These models simulate anatomical features and pathology, such as vocal fold lesions, enabling trainees to practice diagnostic and interventional procedures on larynx and upper airway. Students can improve their skills without ethical concerns through simulation labs equipped with such models. The models allow repeated practice and provide haptic feedback, making them effective in skill development.</p><p><strong>Result: </strong>While highly effective as training tools, these models cannot totally mimic the living tissue responses. However, advances in material sciences and virtual reality integration may overcome these limitations in the future.</p><p><strong>Conclusion: </strong>The article concludes that adopting 3D printed models in simulation labs is crucial for advancing laryngology training, particularly in resource-limited settings like India, where airway pathology are prevalent and access to specialized training is limited.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2332-2336"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Interventions in Laryngopharyngeal Reflux: An Institutional Experience.","authors":"Sanjay Kumar, Anghusman Dutta, Ran Singh","doi":"10.1007/s12070-025-05493-6","DOIUrl":"10.1007/s12070-025-05493-6","url":null,"abstract":"<p><strong>Introduction: </strong>Laryngopharyngeal reflux (LPR) results from the retrograde flow of gastric contents into the upper aerodigestive tract, causing chronic cough, throat clearing, and dysphonia. Unlike gastroesophageal reflux disease (GERD), LPR lacks typical oesophageal symptoms, complicating diagnosis and treatment. Proton pump inhibitors (PPIs) are commonly prescribed but show inconsistent efficacy. Psychological distress, including anxiety and depression, may contribute to LPR symptom persistence, yet few studies have examined psychosocial interventions in LPR management.</p><p><strong>Methodology: </strong>This prospective, observational cohort study was conducted over two years (January 2022- December 2024) at a tertiary care hospital. A total of 100 LPR patients were assigned to a Standard Treatment Group (pharmacological and dietary therapy) or a Psychosocial Intervention Group (receiving additional Cognitive-Behavioural Therapy (CBT) and Mindfulness-Based Stress Reduction (MBSR)). LPR severity (Reflux Symptom Score [RSS] and Reflux Sign Assessment [RSA]) and psychological distress (GAD-7, PHQ-9, PSS) were assessed at baseline and 3, 6, 12, and 24 months.</p><p><strong>Results: </strong>The Psychosocial Intervention Group showed greater symptom reduction (RSS: 7.8 ± 1.3 vs. 5.2 ± 1.1, <i>p</i> = 0.012; RSA: 5.6 ± 1.0 vs. 3.8 ± 0.9, <i>p</i> = 0.009). Psychological distress scores declined significantly (<i>p</i> < 0.01). The intervention improved treatment response (85% vs. 65%) and quality of life (70% vs. 50%). Regression analysis identified psychological distress as a predictor of treatment resistance, while psychosocial interventions improved likelihood of symptom resolution (OR = 2.54, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Psychosocial distress significantly influences LPR severity and treatment outcomes. Integrating CBT and MBSR with standard therapy enhances symptom relief and quality of life, supporting a multidisciplinary treatment approach.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05493-6.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2309-2317"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hyoid Bone Syndrome.","authors":"B H Shrikrishna, Vasim Ismail Patel, P R Meghana, G Deepa","doi":"10.1007/s12070-025-05470-z","DOIUrl":"10.1007/s12070-025-05470-z","url":null,"abstract":"<p><p>Hyoid Bone Syndrome (HBS) is a rare condition causing neck pain and throat discomfort during swallowing. A 16-year-old female with a year of painful swallowing was diagnosed with HBS after imaging confirmed bilateral elongation of the hyoid bone's greater cornua. Surgical excision relieved symptoms, highlighting the importance of thorough evaluation and early intervention.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2395-2397"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The\"symbiotic\"regulation approach in bimodal hearing adults.","authors":"Marco Carner, Luca Bianconi, Luca Sacchetto, Valerio Arietti, Riccardo Nocini, Maria Sofia Salvetta, Giuditta Maulu, Alessandro Diodati, Luca Turchet","doi":"10.1007/s12070-025-05449-w","DOIUrl":"10.1007/s12070-025-05449-w","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with bimodal auditory stimulation represent an expanding group of cochlear implant users in many countries. The hearing results reported in the literature for subjects with bimodal hearing are controversial and often only evaluate hearing aids that are simply synchronized with their cochlear implant (\"synchronized\" regulation) and sometimes even adapted independently of the cochlear implant (\"classic\" regulation). This study aims to verify that the innovative \"symbiotic'' regulation of the cochlear implant with an integrated hearing aid and dedicated fitting formula allows to achieve adequate rehabilitative hearing levels.</p><p><strong>Material and methods: </strong>Thirty adult patients (12 females and 18 males; age range: 18-69 years) with bimodal hearing have been enrolled in a one-year study and divided into three groups of ten subjects for each of the regulation modes (\"classic\", \"synchronized\" and \"symbiotic\") applied to fit the cochlear implant and the hearing aid. Statistical analysis of the demographic characteristics and hearing outcomes observed in the three groups was conducted using the R statistical software.</p><p><strong>Results: </strong>For all subjects, the use of the \"symbiotic\" regulation approach with a dedicated bimodal regulation formula and integrated hearing aid allowed significantly better hearing performances (p < 0.05) compared to those obtained to either the \"classic\" or the \"synchronized\" regulations.</p><p><strong>Conclusion: </strong>The \"symbiotic\" bimodal fitting formula provides significant hearing benefits compared to \"classic\" and \"synchronized\" regulation and it proves to be the ideal adjustment and coupling modality between a cochlear implant and a contralateral integrated hearing aid in bimodal listeners.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2239-2246"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Various Preoperative and Intraoperative Parameters on Longterm Surgical Outcomes in Pediatric Chronic Otitis Media.","authors":"Tejaswi Mishra, Lokesh Kumar Penubarthi, Sivaraman Ganesan, Arun Alexander, Kalaiarasi Raja, Koshika Kaushal","doi":"10.1007/s12070-025-05530-4","DOIUrl":"10.1007/s12070-025-05530-4","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to evaluate the effects of various preoperative and intraoperative parameters on surgical success and postoperative hearing improvement in pediatric COM cases.</p><p><strong>Materials and methods: </strong>A prospective study was conducted over three years in a tertiary care teaching hospital in South India, enrolling 50 pediatric patients (<14 years) undergoing surgical management for COM. Preoperative assessments included otomicroscopy, high-resolution computed tomography (HRCT) of the temporal bone, and audiometric evaluations. Patients underwent surgical management, and intraoperative findings, including ossicular erosion, middle ear mucosal status, and MERI (Middle Ear Risk Index) scores, were recorded. Postoperative outcomes were assessed at six months to one year, focusing on graft uptake, dry ear achievement, and audiometric improvement.</p><p><strong>Results: </strong>The study included 50 patients with a median age of 11.5 years. Surgical success (dry ear) was achieved in 84% of cases, with 48% showing hearing improvement. Key factors associated with better hearing outcomes included the presence of adenoidal hypertrophy requiring preoperative adenoidectomy (p = 0.045), healthy middle ear mucosa (p = 0.036), and less extensive disease. Children undergoing CWU mastoidectomy had significantly better hearing outcomes (p = 0.023) compared to those undergoing CWD procedures.</p><p><strong>Conclusions: </strong>This study highlights that while surgical success in pediatric COM is generally high, factors such as adenoidal hypertrophy, middle ear mucosal health, and disease extent significantly impact long-term hearing outcomes. Early management with appropriate surgical intervention, particularly in limited disease cases, yields favorable results in achieving dry ear and hearing improvement.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2375-2383"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}