Laryngoscope最新文献_第4页

Cochlear Implantation in Pediatric Cochlear Nerve Deficiency: A Systematic Review and Meta-Analysis. 人工耳蜗植入治疗小儿耳蜗神经缺陷：系统回顾与元分析》。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-09 DOI: 10.1002/lary.31888

Susmita Chennareddy, Kalena H Liu, Maria A Mavrommatis, Derek D Kao, Aparna Govindan, Zachary G Schwam, Maura K Cosetti

{"title":"Cochlear Implantation in Pediatric Cochlear Nerve Deficiency: A Systematic Review and Meta-Analysis.","authors":"Susmita Chennareddy, Kalena H Liu, Maria A Mavrommatis, Derek D Kao, Aparna Govindan, Zachary G Schwam, Maura K Cosetti","doi":"10.1002/lary.31888","DOIUrl":"https://doi.org/10.1002/lary.31888","url":null,"abstract":"Objective: Cochlear nerve deficiency (CND) is commonly implicated in moderate-to-profound pediatric sensorineural hearing loss (SNHL). Although cochlear implantation (CI) was previously contraindicated in CND patients, recent studies have demonstrated the potential for auditory response to CI in a subset of CND patients, though clinical outcomes remain variable. This study aims to evaluate pre- and postoperative speech and auditory outcomes of CI in pediatric patients with bilateral SNHL and radiographically confirmed CND.Data sources: Embase and Ovid MEDLINE.Review methods: A systematic review was conducted to identify studies reporting pre- and postoperative outcomes of children with CND confirmed by magnetic resonance imaging who underwent CI. A random-effects model was used to account for within- and between-study variance in speech and auditory outcomes.Results: After abstract screening of 818 distinct articles, 16 studies were selected for final inclusion, consisting of 248 patients with cochlear nerve hypoplasia or aplasia who underwent CI. Various speech perception and language development tests were investigated across studies (Speech Intelligibility Rating, Speech Perception Category, Speech Awareness Thresholds, Meaningful Auditory Integration Scale, Meaningful Use of Speech Scale, Categories of Auditory Performance, and Auditory Level). Pooled outcomes demonstrated improvement in speech perception after CI in pediatric patients with CND (SMD 2.18, 95% CI 1.68-2.69).Conclusion: Indications for CI are expanding as research demonstrates benefit in populations previously thought inappropriate. Our study demonstrates global postoperative improvement in speech and auditory outcomes in children with bilateral SNHL and CND after CI.Level of evidence: NA Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hypoglossal Nerve Stimulation Outcomes in Pediatric Trisomy 21 Patients with Overweight or Obesity. 对体重超重或肥胖的 21 三体综合征小儿患者进行舌下神经刺激的结果。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-09 DOI: 10.1002/lary.31832

Jeffrey C Mecham, Hannah Gibbs, Trenton House, Patrick Scheffler

{"title":"Hypoglossal Nerve Stimulation Outcomes in Pediatric Trisomy 21 Patients with Overweight or Obesity.","authors":"Jeffrey C Mecham, Hannah Gibbs, Trenton House, Patrick Scheffler","doi":"10.1002/lary.31832","DOIUrl":"https://doi.org/10.1002/lary.31832","url":null,"abstract":"Objectives: To assess the impact of body mass index (BMI) on hypoglossal nerve stimulator (HNS) implantation outcomes in pediatric patients with Down syndrome (DS). We compare outcomes of HNS implantation when comparing children based on overweight or obese status.Methods: Retrospective cohort study of patients at a single tertiary pediatric hospital who underwent HNS implantation between 2022 and 2024. Patients with DS under 21 years of age at time of implantation were included. One child with Wolf-Hirschhorn syndrome was also included. The main outcome measured was reduction in apnea-hypopnea index (AHI).Results: Twenty patients were implanted with HNS during the study period. Eleven patients were implanted with a BMI considered overweight and 8 patients with a BMI considered obese. No significant correlation was found between BMI percentile and AHI reduction (r = 0.06, p = 0.8). No significant differences were found between obese and non-obese groups for preoperative AHI, postoperative AHI, or AHI reduction. Both groups responded favorably to HNS therapy with AHI reduction of 83.8% in obese patients and 81.9% in non-obese patients.Conclusion: We demonstrate no difference in postoperative AHI outcomes when comparing patients with obesity defined as BMI >95th percentile compared to those without.Level of evidence: 3 Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparing Intraoperative and In-Office Steroid Injections for Management of Subglottic Stenosis. 比较术中和诊室内类固醇注射治疗声门下狭窄。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-09 DOI: 10.1002/lary.31903

Fatemeh Ramazani, J Douglas Bosch, Derrick R Randall

{"title":"Comparing Intraoperative and In-Office Steroid Injections for Management of Subglottic Stenosis.","authors":"Fatemeh Ramazani, J Douglas Bosch, Derrick R Randall","doi":"10.1002/lary.31903","DOIUrl":"https://doi.org/10.1002/lary.31903","url":null,"abstract":"Introduction: Intralesional corticosteroid injection for management of subglottic stenosis (SGS) is thought to improve patients' surgery free interval (SFI). The objective of this study was to determine the difference in SFI between idiopathic SGS (iSGS) patients treated with endoscopic dilation alone, dilation with a single intraoperative intralesional corticosteroid injection, or dilation with intraoperative steroid injection followed by serial in-office serial intralesional steroid injection (SILSI) procedures.Methods: Retrospective review of patients with iSGS from 1/1/2012 to 12/1/2023. The SFI was calculated as the time between surgical interventions and independent samples median test was used to compare the difference in SFIs between treatment groups.Results: This study identified 305 procedures, involving 104 patients. Fifty-five procedures involved endoscopic dilation alone (median SFI = 658, IQR: 595 days), 102 involved one injection of steroids intraoperatively (median SFI = 395, IQR: 296 days), 27 involved endoscopic dilation (ED) followed by a single postoperative ILSI (median SFI = 533, IQR: 351), and 15 involved postoperative SILSI (median SFI = 585, IQR: 338 days). Comparing SFI between groups found mean SFI was significantly longer among patients managed with only ED compared with a single intraoperative steroid injection (p = 0.001). Patients who were initially managed with ED and an intraoperative steroid injection has a statistically significant decrease in SFI (p = 0.032) when transitioned to management with ED and intraoperative steroid injection followed by a single ILSI postoperatively.Conclusion: Patients who received a single intraoperative steroid injection experienced shorter SFI when compared with those managed with dilation alone. SILSI did not result in a significant increase of SFI within this population.Level of evidence: 3 Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Programming Algorithm for Optimizing Hypoglossal Nerve Stimulator Respiratory Entrainment. 优化舌下神经刺激器呼吸协调的编程算法

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-08 DOI: 10.1002/lary.31905

David T Kent, Holly A Budnick, Katherine K Green, Phillip Huyett, Amy E Schell, Maria V Suurna

引用次数: 0

Prospective Assessment of Safety, Tolerance, and Perceptions of Awake Airway and Esophageal Dilation. 前瞻性评估清醒气道和食管扩张的安全性、耐受性和感知。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-08 DOI: 10.1002/lary.31853

VyVy N Young, Danielle M Gillard, Brandon Truong, James J Lappin, Claire E Perrin, Steven D Stockton, Clark A Rosen, Yue Ma

{"title":"Prospective Assessment of Safety, Tolerance, and Perceptions of Awake Airway and Esophageal Dilation.","authors":"VyVy N Young, Danielle M Gillard, Brandon Truong, James J Lappin, Claire E Perrin, Steven D Stockton, Clark A Rosen, Yue Ma","doi":"10.1002/lary.31853","DOIUrl":"https://doi.org/10.1002/lary.31853","url":null,"abstract":"Objective: An increasing number of laryngeal and esophageal procedures are being performed as \"awake\" procedures (non-general anesthesia), with some under local anesthesia, including in clinic. While high tolerance and safety profiles have been reported for various laryngeal procedures, few studies directly assess tolerability of awake dilation procedures of the upper esophagus (UE) and laryngotracheal airway (LTA).Study design: Prospective, open-label.Methods: Prospectively collected patient and physician surveys from a tertiary laryngology center recorded patient tolerance, safety, and perceptions of awake UE and LTA balloon dilation.Results: Fifty-six awake procedures were performed on 41 patients, including 46 UE and 20 LTA dilations. All procedures were successfully completed. Overall pain was mild (3.5 ± 2.4/10, ranging 0 = no pain to10 = worst pain) and the dilation itself was reportedly the most painful portion (4.1 ± 2.9/10). Patient satisfaction with the procedure was high (7.0 ± 2.2/10, ranging 0 = worst to 10 = best experience). Most patients would undergo the procedure again (73.6%) and would recommend the procedure to others (89.3%). Patient-reported tolerance was similar immediately postoperatively and at follow-up. LTA and UE dilation patients reported similar levels of tolerance.Conclusions: Awake upper esophageal balloon dilation is a safe, well-tolerated procedure with high completion and patient satisfaction rates. Similarly, early experience with awake laryngotracheal airway balloon dilation suggests comparable favorability, although careful consideration of patient selection and procedural implementation is strongly recommended to optimize and protect patient safety.Level of evidence: 3 Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is Topical Tranexamic Acid Effective in Treating Epistaxis? 外用氨甲环酸治疗鼻衄有效吗？

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-07 DOI: 10.1002/lary.31900

Kelti M Munroe, Leigh J Sowerby, Christopher J Chin

引用次数: 0

Neighborhood Socioeconomic Disadvantage Increases Risk of Severe Acute Respiratory Syndrome Coronavirus 2-Mediated Otologic Dysfunction. 邻里社会经济劣势会增加严重急性呼吸系统综合征冠状病毒 2 导致耳功能障碍的风险。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-07 DOI: 10.1002/lary.31889

Víctor de Cos, Kendyl Naugle, Omer Baker, Elida Kocharian, Omid Moshtaghi, Peter R Dixon, Akihiro Matsuoka, Jeffrey P Harris

{"title":"Neighborhood Socioeconomic Disadvantage Increases Risk of Severe Acute Respiratory Syndrome Coronavirus 2-Mediated Otologic Dysfunction.","authors":"Víctor de Cos, Kendyl Naugle, Omer Baker, Elida Kocharian, Omid Moshtaghi, Peter R Dixon, Akihiro Matsuoka, Jeffrey P Harris","doi":"10.1002/lary.31889","DOIUrl":"https://doi.org/10.1002/lary.31889","url":null,"abstract":"Objectives: We aim to use the Area Deprivation Index (ADI) to investigate the correlations between neighborhood socioeconomic disadvantage (NSD), SARS-CoV-2 vaccination rates, infection severity, and subsequent audiovestibular symptoms.Methods: In this retrospective cohort study, surveys were administered to participants ≥18 years of age who received a SARS-CoV-2 vaccination and/or tested positive for SARS-CoV-2 infection between January 2020 and September 2022. ADI scores were calculated for each patient to quantify NSD. Statistical analyses were performed to compare demographic and clinical characteristics between ADI quintiles.Results: Of 2415 participants, the majority were female (62.8%) and White (87%), with a mean age of 60.8 years. Individuals in ADI Quintile 5 were less likely to receive second booster doses than those in Quintile 1 (58% vs. 71%, p < 0.0001). Among those infected with SARS-CoV-2, those in ADI Quintile 5 were 2.5 times more likely to be hospitalized (relative risk = 2.46, 95% confidence interval [1.03, 5.88]) than those in Quintile 1. Symptoms more likely to be experienced by participants in ADI Quintile 5 than those in Quintile 1 immediately following SARS-CoV-2 infection included headaches (28% vs. 21%, p = 0.02), aural fullness (14% vs. 6%, p < 0.0001), change of hearing (8% vs. 4%, p = 0.01), dizziness (15% vs. 8%, p < 0.01), and otalgia (8% vs. 4%, p < 0.01).Conclusions: Individuals experiencing greater NSD were found to have lower SARS-CoV-2 vaccine booster rates, higher rates of postinfection hospitalization, and increased rates of certain otologic and neurotologic symptoms following infection.Level of evidence: III Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review. 英语水平有限的成人耳鼻喉科患者的差异：系统回顾。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-07 DOI: 10.1002/lary.31871

Tatiana Ferraro, Colin Villarin, Christian Jung, Sanjena Venkatesh, Tiffany Peng-Hwa

{"title":"Disparities in Adult Otolaryngology Patients with Limited English Proficiency: A Systematic Review.","authors":"Tatiana Ferraro, Colin Villarin, Christian Jung, Sanjena Venkatesh, Tiffany Peng-Hwa","doi":"10.1002/lary.31871","DOIUrl":"https://doi.org/10.1002/lary.31871","url":null,"abstract":"Objective: Limited English proficiency (LEP) has become increasingly recognized as an independent predictor of adverse health outcomes in the United States. We aim to examine trends and summarize current insights into LEP-related disparities in adult otolaryngology.Data sources: Web of Science, PubMed, and Scopus.Methods: A systematic review of US-based, peer-reviewed literature evaluating outcomes in adult otolaryngology across primary language or varying levels of English proficiency; results were analyzed for study design, subspecialty, cohort demographics, and outcomes; findings were further assessed with the Kilbourne conceptual framework for health care disparities.Results: An initial search yielded 3886 articles. After removal of duplicates, 2906 articles were screened and 31 studies were included after full-text analysis. Head and Neck Oncology (25.8%) and Otology (16.1%) were the most highly represented subspecialty topics. Patients with LEP represented an average of 21.71% (Range 2.21% - 51%) of the study populations. Definitions of LEP were variable. Furthermore, studies specifying patient-reported LEP status reported significant findings more often than those using electronic health record-derived data (p < 0.01). Under the Kilbourne framework, all studies were \"detecting\" (N = 21, 67.7%) and \"understanding\" (N = 10, 32.3%) disparities. In outcomes-focused studies, patients with LEP presented with a higher burden of oncologic disease, more severe hearing loss, and disparities in treatment access/implementation.Conclusion: Patients with LEP are adversely impacted across various otolaryngology subspecialties. Defining these inequities is vital to provide more targeted and comprehensive care for patients with LEP.Level of evidence: NA Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Utilization of Artificial Intelligence in the Creation of Patient Information on Laryngology Topics. 利用人工智能创建喉科专题患者信息。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-06 DOI: 10.1002/lary.31891

Quynh-Lam Tran, Pauline P Huynh, Bryan Le, Nancy Jiang

{"title":"Utilization of Artificial Intelligence in the Creation of Patient Information on Laryngology Topics.","authors":"Quynh-Lam Tran, Pauline P Huynh, Bryan Le, Nancy Jiang","doi":"10.1002/lary.31891","DOIUrl":"https://doi.org/10.1002/lary.31891","url":null,"abstract":"Objective: To evaluate and compare the readability and quality of patient information generated by Chat-Generative Pre-Trained Transformer-3.5 (ChatGPT) and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) using validated instruments including Flesch-Kincaid Grade Level (FKGL), Flesch Reading Ease, DISCERN, and Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P).Methods: ENTHealth.org and ChatGPT-3.5 were queried for patient information on laryngology topics. ChatGPT-3.5 was queried twice for a given topic to evaluate for reliability. This generated three de-identified text documents for each topic: one from AAO-HNS and two from ChatGPT (ChatGPT Output 1, ChatGPT Output 2). Grade level and reading ease were compared between the three sources using a one-way analysis of variance and Tukey's post hoc test. Independent t-tests were used to compare DISCERN and PEMAT understandability and actionability scores between AAO-HNS and ChatGPT Output 1.Results: Material generated from ChatGPT Output 1 and ChatGPT Output 2 were at least two reading grade levels higher than that of material from AAO-HNS (p < 0.001). Regarding reading ease, ChatGPT Output 1 and ChatGPT Output 2 documents had significantly lower mean scores compared to AAO-HNS (p < 0.001). Moreover, ChatGPT Output 1 material on vocal cord paralysis had a lower PEMAT-P understandability compared to that of AAO-HNS material (p > 0.05).Conclusion: Patient information on the ENTHealth.org website for select laryngology topics was, on average, of a lower grade level and higher reading ease compared to that produced by ChatGPT, but interestingly with largely no difference in the quality of information provided.Level of evidence: NA Laryngoscope, 2024.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscope-assisted transoral procedure of accessory parotid gland tumor resection. 内窥镜辅助经口腮腺附属肿瘤切除术。

IF 2.2 3区医学

Laryngoscope Pub Date : 2024-11-06 DOI: 10.1002/lary.31887

Jia-Lu He, Xue-Er Zhou, Chang Cao, He-Yi Tang, Bao-Lin Jia, Yong-Tao Dong, Yan Sun, Gui-Quan Zhu

引用次数: 0