Laryngoscope最新文献_第4页

Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea and Comorbid Neuromuscular Disorders.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-15 DOI: 10.1002/lary.32050

Alison Y Choi, Thomas M Kaffenberger, Ryan J Soose, Rachel L Whelan

{"title":"Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea and Comorbid Neuromuscular Disorders.","authors":"Alison Y Choi, Thomas M Kaffenberger, Ryan J Soose, Rachel L Whelan","doi":"10.1002/lary.32050","DOIUrl":"https://doi.org/10.1002/lary.32050","url":null,"abstract":"Hypoglossal nerve stimulation (HGNS) is an effective surgical treatment for many patients with moderate-to-severe obstructive sleep apnea (OSA) who are unable to tolerate continuous positive airway pressure. Patients with neuromuscular disorders (NMD) are particularly vulnerable to more complex sleep-related breathing disorders due to respiratory muscle weakness and the associated risk of hypoventilation. In this study, we present five patients with myasthenia gravis (n = 2), muscular dystrophy, Charcot-Marie-Tooth, and advanced multiple sclerosis who underwent HGNS therapy for OSA. At time of surgery, the mean patient age was 54 ± 18.7 years and mean BMI was 24.6 ± 4.6 kg/m2. Mean device adherence was 8 ± 1.1 h/night at three months and 7.2 ± 1.7 h/night at 12 months. Mean apnea-hypopnea index (AHI) improved significantly from preoperative baseline (34.9 to 8.5, p = 0.03) and 5/6 patients had a postoperative AHI <5. Epworth Sleepiness Scale scores significantly improved postoperatively (13.1-8.5, p = 0.03). Oxygen nadir trended upward (75.5-85.3, p = 0.84). Our limited findings demonstrate that HGNS was a safe and effective treatment for five patients with OSA and comorbid NMD. Prospective studies and larger sample sizes are warranted to support our findings and confirm whether HGNS is a potential therapeutic option for this unique patient population. Laryngoscope, 2025.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426407","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

Hearing Loss and Its Relation to Loneliness and Depression-A Population-Based Cohort Study.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-14 DOI: 10.1002/lary.32060

Julia Döge, Berit Hackenberg, Manfred E Beutel, Daniëlle Otten, Philipp S Wild, Julian Chalabi, Christoph Matthias, Katharina Bahr-Hamm

{"title":"Hearing Loss and Its Relation to Loneliness and Depression-A Population-Based Cohort Study.","authors":"Julia Döge, Berit Hackenberg, Manfred E Beutel, Daniëlle Otten, Philipp S Wild, Julian Chalabi, Christoph Matthias, Katharina Bahr-Hamm","doi":"10.1002/lary.32060","DOIUrl":"https://doi.org/10.1002/lary.32060","url":null,"abstract":"Objectives: Hearing loss is a prevalent factor contributing to reduced quality of life and has been linked to various comorbidities, with potential significant implications for psychosocial and cognitive health. The aim of this study was to give current information about the prevalence of hearing loss, loneliness and depression, and to examine the association between these.Study design: Cohort study.Methods: The Gutenberg Health Study, a large representative cohort study for the general population, was initiated in 2007 at the University Medical Center Mainz, Germany. Hearing loss was assessed using pure-tone audiometry, with severity graduated in percentages according to the World Health Organization (WHO). Loneliness and depressive symptoms were assessed using self-report measures: Loneliness Scale (≥2) for loneliness and the PHQ-9 (≥10) for depressive symptoms.Results: Among 5,948 participants (25-86 years), the prevalence of hearing loss was 38.7%. Loneliness was reported by 9.5% of the participants and the prevalence of significant symptoms of depression was 9.9%. The risk of loneliness was found to be significantly higher in participants with severe to complete hearing loss (OR = 3.92, p = 0.011). In addition, the odds ratio (OR) for depressive symptoms was significantly higher in those with a mild to severe hearing loss compared to those with normal hearing (OR = 1.3; p = 0.025). There was no association with hearing aid use.Conclusion: Hearing loss is associated with both loneliness and depressive symptoms. Longitudinal studies are required to clarify the causal relationships and to further investigate the direct impact of early hearing aid fitting on the progression of loneliness and depression.Level of evidence: 2 Laryngoscope, 2025.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415891","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

Oropharyngeal Stenosis After Intracapsular Tonsillectomy and Adenoidectomy With Literature Review.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-14 DOI: 10.1002/lary.32056

Samuel Tschopp, Moritz von Werdt, Sara-Lynn Hool, Roland Giger, Yves Jaquet, Sandra Gunser

引用次数: 0

Office-Based Drainage of a Parapharyngeal Abscess with Surgeon-Performed Transoral Ultrasound.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-14 DOI: 10.1002/lary.32053

Hannes Sjölander, Martin Garset-Zamani, Tobias Todsen

引用次数: 0

Readability and Quality of Microtia Online Information by Large Organizations in English and Spanish.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-14 DOI: 10.1002/lary.32059

Adriana I Báez Berríos, Stefania Goncalves, Enrique Perez

{"title":"Readability and Quality of Microtia Online Information by Large Organizations in English and Spanish.","authors":"Adriana I Báez Berríos, Stefania Goncalves, Enrique Perez","doi":"10.1002/lary.32059","DOIUrl":"https://doi.org/10.1002/lary.32059","url":null,"abstract":"Objective: To evaluate the readability and quality of microtia website health information in both Spanish and English.Methods: The term \"microtia\" was searched using three Internet search engines, and the top 50 English and Spanish websites were short-listed. Readability was evaluated using online tools: the Flesch Reading Ease score for English and the Fernandez-Huerta Formula for Spanish sites. The quality of information was analyzed using the DISCERN quality instrument, and two bilingual neurotologists independently reviewed the websites to assess their quality.Results: Forty-four English and 19 Spanish microtia health information websites were included. English websites were written at a higher reading level (mean = 47.63 SD = 11.86) than Spanish websites (mean = 62.37, SD = 8.92) (p < 0.001). English websites correlated to the reading level of a college student; Spanish websites correlated to the reading level of an 8th-9th grade student. The average DISCERN score was 41.93 (SD = 12.88) for English websites and 32.53 (SD = 11.06) for Spanish websites (p = 0.0054). No correlation was identified between the readability and quality of the examined websites.Conclusion: Both English and Spanish microtia websites exceed the recommended reading levels set by the American Medical Association (6th grade) and National Institutes of Health (8th grade). Additionally, the quality of information, especially on Spanish sites, is low. Given that parents rely on these resources to make treatment decisions, physicians should be aware of the variability in readability and quality of online microtia information across different languages.Level of evidence: N/A Laryngoscope, 2025.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415903","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

Low-Strip Dorsal Preservation Rhinoplasty Opens the Internal Nasal Valve in Tension Nose Deformity.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-13 DOI: 10.1002/lary.32048

Floris V W J van Zijl, Anke W van der Eerden, Melania Stubos, Ronald Booij, Hilco P Theeuwes, Dimitris Rizopoulos, Frank R Datema

{"title":"Low-Strip Dorsal Preservation Rhinoplasty Opens the Internal Nasal Valve in Tension Nose Deformity.","authors":"Floris V W J van Zijl, Anke W van der Eerden, Melania Stubos, Ronald Booij, Hilco P Theeuwes, Dimitris Rizopoulos, Frank R Datema","doi":"10.1002/lary.32048","DOIUrl":"https://doi.org/10.1002/lary.32048","url":null,"abstract":"Background: Dorsal preservation is a recently popularized technique to lower the nasal dorsum without opening the cartilaginous vault. Improved nasal breathing has been reported after lowering an intact dorsum using preservation techniques, suggesting that septal deprojection opens the internal nasal valves. The goal of this study was to evaluate the effect of dorsal preservation on internal nasal valve dimensions in noses with an overprojected cartilaginous septum.Methods: Ten postmortem human specimen heads with a tension nose deformity were imaged using ultra-high-resolution photon-counting detector computed tomography, after which a low-strip let-down technique was performed on each specimen. Following dorsal lowering, scans were repeated and internal nasal valve angle and area of pre- and postoperative scans were measured by three assessors. Differences in pre- and postoperative measurements were assessed using a linear mixed-effects model.Results: A significant increase in both internal nasal valve angle (4.28 degrees, 95% CI: 3.11-5.46) and area (8.86 mm2, 95% CI: 7.11-10.61) was demonstrated after dorsal lowering. Interrater reliability among the three assessors was high, with ICCs ranging from 0.839 to 0.985.Conclusions: This study provides morphological evidence that the internal nasal valve widens after mobilizing the dorsum and lowering the septum, without alterations to the cartilaginous vault itself. Although these results suggest that low-strip dorsal preservation may be effective in treating the functionally impaired tension nose, clinical studies are necessary to substantiate these findings in live tissue.Level of evidence: NA Laryngoscope, 2025.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411399","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

In Response to Temporal Trends in and Patient Characteristics Associated With Surgery for Otitis Media.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-13 DOI: 10.1002/lary.32039

Kavita Dedhia, Mitchell Maltenfort, Christopher B Forrest

引用次数: 0

In Reference to "Temporal Trends in and Patient Characteristics Associated with Surgery for Otitis Media".

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-13 DOI: 10.1002/lary.32041

Xinyu Liu, Ying Zhang, Fusen Peng

引用次数: 0

Feasibility of Cricothyroid Muscle Needle Electrode for Monitored Thyroidectomy.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-13 DOI: 10.1002/lary.32051

Wen Liang Joel Lau, Che-Wei Wu, Man Hon Tang, Han Boon Oh, Wei Keat Cheah, Moon Young Oh, Young Jun Chai

{"title":"Feasibility of Cricothyroid Muscle Needle Electrode for Monitored Thyroidectomy.","authors":"Wen Liang Joel Lau, Che-Wei Wu, Man Hon Tang, Han Boon Oh, Wei Keat Cheah, Moon Young Oh, Young Jun Chai","doi":"10.1002/lary.32051","DOIUrl":"https://doi.org/10.1002/lary.32051","url":null,"abstract":"Objectives: Preservation of the recurrent laryngeal nerve (RLN) and external branch of the superior laryngeal nerve (EBSLN) is essential to maintain voice function after thyroidectomy. Intraoperative neuromonitoring (IONM) assists in nerve preservation. This study compares three IONM modalities, endotracheal surface electrode (ETSE), thyroid cartilage needle electrodes (TCNE), and cricothyroid muscle needle electrode (CTNE), in their monitoring of laryngeal muscle electromyographic (EMG) amplitude.Methods: An observational prospective cohort study included 29 patients (21F:8M) undergoing thyroidectomy for Bethesda III-VI nodules or benign nodules >4 cm. EMG amplitudes were recorded via ETSE, TCNE, and CTNE following stimulation of the EBSLN, RLN, and vagus nerve (VN).Results: A total of 105 nerves at risk were assessed, including 35 EBSLNs, 35 VNs, and 35 RLNs. The recorded amplitudes at S1 for the ETSE, TCNE, and CTNE were 45.6 ± 60.7 μV, 403.7 ± 865.4 μV, and 3049.4 ± 2749.8 μV. The CTNE demonstrate significantly higher S1 amplitudes and positive signal rates compared with both the TCNE and ETSE (p < 0.001). For V1, the recorded amplitudes for the ETSE, TCNE, and CTNE were 453.7 ± 406.7 μV, 1363.9 ± 1063.6 μV, and 700 ± 375.1 μV. For R1, the recorded amplitudes for the ETSE, TCNE, and CTNE were 567.1 ± 556 μV, 1544.6 ± 1269.6 μV, and 720.4 ± 363.1 μV. With a threshold of 100 μV to determine positive signal, CTNE detected all EBSLN, VN, and RLN signals, whereas TC missed 13 cases (37.1%) of EBSLN.Conclusion: The CTNE showed a higher positive signal rate than ETSE and TCNE in detection of EBSLN, whereas it showed similar performance with TCNE in detection of VN and RLN. CTNE is a viable option for IONM during thyroidectomy.Level of evidence: 2 Laryngoscope, 2025.","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411387","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

Endolymphatic Duct Blockage and Anatomical Variations Management.

IF 2.2 3区医学

Laryngoscope Pub Date : 2025-02-13 DOI: 10.1002/lary.32047

Stéphane Gargula, Mary Daval, Maria-Pia Tuset, Dario Ebode, Justin Michel, Denis Ayache

引用次数: 0