Laryngoscope最新文献_第9页

Is the Risk of Clinically Significant Hemorrhage Following Tonsillectomy Greater in Adults Than Children? 成人扁桃体切除术后临床显著出血的风险大于儿童吗？

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-09 DOI: 10.1002/lary.70120

Tristan Tham, Uchechukwu C Megwalu

引用次数: 0

Free Gracilis Muscle Transfer in the Nerve-Depleted Patient: Reconsidering the Deep Temporal Nerve. 神经衰竭患者的游离股薄肌转移：重新考虑颞深神经。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-09 DOI: 10.1002/lary.70123

Tyler M Rist, Christopher Blake Sullivan, Virginia Drake, Matthew Q Miller

引用次数: 0

Considerations for Cervical Rhytidectomy in Patients With Hypoglossal Nerve Stimulation Devices. 应用舌下神经刺激装置行颈部除皱术的注意事项。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-09 DOI: 10.1002/lary.70115

Sarah P Rosen, Hannah Buckingham, Kelli Blackwell, Hudson Frey, Edward D Buckingham

引用次数: 0

What Is the Role of Immunotherapy in Patients With Cutaneous Squamous Cell Carcinoma? 免疫治疗在皮肤鳞状细胞癌患者中的作用是什么？

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-08 DOI: 10.1002/lary.70118

Shaum Sridharan, Kevin J Contrera, Seungwon Kim, Matthew E Spector, Jessica H Maxwell

引用次数: 0

MRSA Necrotizing Fasciitis of the Neck and Chest in a 3-Month-Old Infant. 一个3个月大婴儿的颈部和胸部MRSA坏死性筋膜炎。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-08 DOI: 10.1002/lary.70114

Richard J Lu, Alexander Homer, Mark Lee, Avneet Randhawa, Vikash K Modi, Aviram Mizrachi

引用次数: 0

Comparative Outcomes of Flap Maturation Versus Conventional Pediatric Tracheotomy Techniques. 皮瓣成熟与常规儿科气管切开术的比较结果。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-08 DOI: 10.1002/lary.70090

Alexandra F Corbin, Nick Sahlollbey, Gaayathri Varavenkataraman, Hardeep S Tiwana, Kaitlyn A VanBockern, Erin M Gawel, Ellen Piccillo, Michele M Carr

{"title":"Comparative Outcomes of Flap Maturation Versus Conventional Pediatric Tracheotomy Techniques.","authors":"Alexandra F Corbin, Nick Sahlollbey, Gaayathri Varavenkataraman, Hardeep S Tiwana, Kaitlyn A VanBockern, Erin M Gawel, Ellen Piccillo, Michele M Carr","doi":"10.1002/lary.70090","DOIUrl":"https://doi.org/10.1002/lary.70090","url":null,"abstract":"Objective: To compare postoperative outcomes of flap maturation (FMT) and conventional tracheotomy techniques in pediatric patients.Methods: A retrospective cohort study was performed using data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric database (2020-2021). Pediatric patients ≤ 18 years who underwent FMT (CPT 31610) or conventional tracheotomy (CPT 31600, 31,601) were included. Primary outcomes were 30-day reoperation, surgical site infection, pneumonia, seizures, mortality, unplanned reintubation, readmission, and length of stay.Results: Among 2353 patients (mean age 2.9 years, 95% CI 2.7-3.1), 381 (16.2%) underwent FMT and 1972 (83.8%) underwent conventional tracheotomy. An FMT was associated with lower odds of 30-day reoperation (0.5% vs. 3.3%, p = 0.003; adjusted OR = 0.17, 95% CI 0.1-0.6, p = 0.005). Rates of surgical site infection, pneumonia, and seizures did not differ significantly between groups after adjustment. No differences were observed in mortality, reintubation, readmission, or length of stay.Conclusion: FMT is independently associated with lower reoperation rates without increased postoperative complications. FMT may be a favorable tracheotomy option for select patients and warrants consideration during surgical decision-making to optimize outcomes.Level of evidence: 3: ","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016512","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

Mediators of Racial Disparities in Head and Neck Cancer Survival. 头颈癌生存中种族差异的中介因素。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-05 DOI: 10.1002/lary.70107

Uchechukwu C Megwalu, Yifei Ma, Vasu Divi, Lu Tian

{"title":"Mediators of Racial Disparities in Head and Neck Cancer Survival.","authors":"Uchechukwu C Megwalu, Yifei Ma, Vasu Divi, Lu Tian","doi":"10.1002/lary.70107","DOIUrl":"https://doi.org/10.1002/lary.70107","url":null,"abstract":"Objective: To evaluate and quantify the mediation effects of neighborhood socioeconomic status (SES), insurance status, and quality of care on racial disparities in HNC survival.Methods: Retrospective cohort study of data from the California Cancer Registry dataset linked with discharge records and hospital characteristics from the California Department of Health Care Access and Information. The study cohort included adult patients with HNC diagnosed between January 1, 2010, and December 31, 2019. Mediators included insurance status, SES, hospital quality, and National Comprehensive Cancer Network (NCCN) guideline-compliant care.Results: Black patients (HR 1.14, 95% CI 1.05-1.24) had worse OS compared with White patients after adjusting for demographic, clinical, and treatment factors. SES accounted for 49.0% (95% CI 13.1%-84.8%) of the disparity. Health insurance (commercial: 21.9% (95% CI 12.3%-38.4%), Medicaid: 19.7% (95% CI 10.1%-45.4%)), hospital quality (high-quality: 5.1% (95% CI 2.1%-9.3%), low-quality: 4.9% (95% CI 1.2%-9.8%)), and guideline-compliant care (10.9% (95% CI 3.2%-23.6%)) also mediated the disparity. Asian/Pacific Islander patients (HR 1.26, 95% CI 1.10-1.43) had worse DSS. Health insurance had a small mediation effect (commercial: 3.0% (95% CI 1.0%-6.6%), Medicaid: 5.1% (95% CI 2.1%-8.9%)), while SES, hospital quality, and guideline-compliant care did not.Conclusions: SES, insurance status, and quality of care mediate racial disparities in HNC survival. These findings suggest that health system and policy interventions targeting SES, insurance reform, and quality of care may lead to reductions in HNC disparities.Level of evidence: 3: ","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001816","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

Factors Directing Treatment Decision-Making in the Management of Glottic Insufficiency. 指导声门不全治疗决策的因素。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-05 DOI: 10.1002/lary.70108

Desi Gutierrez, Jacob R Wright, Matthew R Hoffman, C Blake Simpson, Lauren Timmons Sund, Marina Gurmendi, Edie R Hapner

{"title":"Factors Directing Treatment Decision-Making in the Management of Glottic Insufficiency.","authors":"Desi Gutierrez, Jacob R Wright, Matthew R Hoffman, C Blake Simpson, Lauren Timmons Sund, Marina Gurmendi, Edie R Hapner","doi":"10.1002/lary.70108","DOIUrl":"https://doi.org/10.1002/lary.70108","url":null,"abstract":"Objectives: To examine factors that direct decisions in the treatment of glottic insufficiency and propose a paradigm that may assist in treatment decision-making in glottic insufficiency.Methods: A retrospective chart review was completed of 73 patients with vocal fold atrophy, presbyphonia, or vocal fold motion impairment, including diagnosis, Voice Handicap Index-10 (VHI-10), Voice Problem Impact Scales (VPIS), Glottal Function Index (GFI), Eating Assessment Tool-10 (EAT-10), Consensus Auditory Perceptual Analysis of Voice (CAPE-V), glottal gap size, stimulability, treatment decisions, and outcomes. Univariate and multivariate logistic regression analyses were performed to identify which variables predicted initial treatment recommendation. Mann-Whitney U analysis and Wilcoxon signed-rank tests were used to analyze outcomes.Results: Stimulability (Wald = 27.593; p < 0.001), diagnosis (Wald = 26.496; p < 0.001), CAPE-V score (Wald = 14.875; p < 0.001), glottal gap size (Wald = 12.045; p < 0.001), and VHI-10 score (Wald = 10.384; p = 0.001) were the significant predictors of treatment decision. A decision-making paradigm with these significant variables is proposed, based on the multivariate logistic regression. Utilizing this paradigm, most patients reported improvement from their first-line treatment (86%, n = 51/59) and some reported symptom resolution (24%, n = 14/59). Patients who completed first-line treatment demonstrated significant improvement in VHI-10, GFI, and VPIS scores.Conclusion: This study provides preliminary insights into factors that impact treatment decision-making in the management of glottic insufficiency. The proposed paradigm based on these factors yielded preliminary positive outcomes. Future investigations will continue to work toward an effective, standardized decision-making model in the management of glottal insufficiency.Level of evidence: 4: ","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001810","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 Cost and Inpatient Burden of Mandible Fracture Management: A 14-Year Analysis. 下颌骨骨折治疗的费用和住院负担：14年分析。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-05 DOI: 10.1002/lary.70110

Rachel E Weitzman, Karena Zhao, Alex T Cheng, Anthony P Sclafani

引用次数: 0

In Reference to Cost and Inpatient Burden of Mandible Fracture Management: A 14-Year Analysis. 下颌骨骨折治疗的费用和住院病人负担：14年分析。

IF 2 3区医学

Laryngoscope Pub Date : 2025-09-05 DOI: 10.1002/lary.70112

Pouria Farahani, Ali Sedighi, Nima Masoudi

引用次数: 0