European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery最新文献

{"title":"When details matter: clarifying study design and outcomes in facial nerve trauma research.","authors":"Sanjeev Yadav","doi":"10.1007/s00405-025-09555-x","DOIUrl":"10.1007/s00405-025-09555-x","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4933-4934"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin sensory loss at the chin and lower lip in transoral robotic thyroidectomy: Follow-up of up to two years.","authors":"Ping He, Van Cuong Nguyen, Jin Won Lee, Chang Myeon Song, Yong Bae Ji, Kyung Tae","doi":"10.1007/s00405-025-09536-0","DOIUrl":"10.1007/s00405-025-09536-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the long-term follow-up results of skin sensation alterations at the chin and lower lip in transoral robotic thyroidectomy (TORT).</p><p><strong>Methods: </strong>We prospectively assessed the cutaneous sensation of the face and neck in 128 patients who underwent TORT using the Semmes-Weinstein monofilament test, preoperatively and postoperatively at one week, one month, three months, one year, and two years serially. Using a numerical rating scale, we also evaluated the patient's subjective symptom score of skin sensory disturbance at the chin and lower lip.</p><p><strong>Results: </strong>The mean pressure threshold did not differ pre- and postoperatively in the chin and lower lip innervated by the mental nerve, except in the left side of those one week postoperatively. Seventeen (15.3%) patients at the chin and 8 (7.2%) patients at the lower lip presented with an increased pressure threshold one week after surgery. The mean subjective sensory loss scores at the chin and lower lip increased significantly after surgery and remained until two years after surgery. However, there were no correlations between subjective sensory loss and pressure threshold scores.</p><p><strong>Conclusion: </strong>TORT can be performed without permanent sensory loss at the lower lip and chin if the procedure is performed correctly with proper vestibular incisions.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4835-4845"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Platelet-rich plasma (PRP) therapy to decrease postoperative tonsillectomy pain and bleeding.","authors":"Pannipa Wiriyaamornchai, Alena Santeerapharp","doi":"10.1007/s00405-025-09530-6","DOIUrl":"10.1007/s00405-025-09530-6","url":null,"abstract":"<p><strong>Purpose: </strong>This prospective double-blind randomized controlled trial aimed to assess the benefits of PRP therapy in enhancing wound healing, reducing post-operative bleeding, and alleviating pain in patients undergoing tonsillectomy. By comparing the outcomes of tonsillectomy wounds treated with PRP versus saline.</p><p><strong>Methods: </strong>The study included 30 patients undergoing tonsillectomy, who were randomly assigned to receive PRP injections on one side and saline injections on the other side at the wound base. Pain levels, wound healing characteristics, and surgical complications such as bleeding were assessed for 28 days post-surgery.</p><p><strong>Results: </strong>In this study, there were no cases of post-operative bleeding in the surgical wounds on both sides of all patients. The pain level of the side injected with PRP is statistically significantly lower than the control side from the first day to the 5th day after surgery, there is no statistically significant difference in the pain level between both groups after the 6th day after surgery. The side injected with PRP had significantly faster re-epithelialization on days 7 and 14 post-surgery.</p><p><strong>Conclusion: </strong>This study demonstrates the potential benefits of using PRP in promoting wound healing and reducing pain after tonsillectomy. The findings indicate that PRP injections can be a safe and effective treatment option for patients undergoing tonsillectomy.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4853-4859"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Actinomyces findings in tonsillectomy specimens- comparison between adults and pediatrics populations.","authors":"Yotam Aharon Shiner, Shoham Caplan, Ilana Doweck","doi":"10.1007/s00405-025-09481-y","DOIUrl":"10.1007/s00405-025-09481-y","url":null,"abstract":"<p><strong>Background: </strong>Tonsillectomy is a common surgical procedure primarily performed for obstructive sleep apnea (OSA) and recurrent acute tonsillitis. Actinomyces are gram-positive, anaerobic bacteria commonly found in the oral cavity and known to form part of the human microbiome, occasionally associated with localized infections. While Actinomyces bacterial colonization in tonsils has been previously studied, its correlation with surgical indications and outcomes remains unclear.</p><p><strong>Objectives: </strong>The study aimed to investigate the relationship between Actinomyces colonization in tonsillar specimens and surgical indications, and to examine whether Actinomyces presence influences tonsillectomy outcomes, specifically post-operative hemorrhage and hospital stay.</p><p><strong>Methods: </strong>This retrospective cohort study analyzed electronic medical records from Lady Davis Carmel Medical Centre between 2011 and 2021. The study included 1,333 patients who underwent extra-capsular tonsillectomies. Patient demographics, surgical indications, length of hospital stay, post-surgical complications, and pathological reports were collected and analyzed using IBM SPSS Statistics 28.0.</p><p><strong>Results: </strong>The study population consisted of 760 (57%) males and 573 (43%) females, with an age range of 0.98 to 67.5 years (mean 9.1 years). Actinomyces was present in 13.2% of specimens from patients with infectious indications compared to 4.5% in patients with obstructive indications (p < 0.001). A statistically significant age difference was observed between patients with (17.78 years) and without (8.55 years) Actinomyces. Multivariate analysis revealed that age was the most significant predictor of Actinomyces presence (OR 1.047, p < 0.0001).</p><p><strong>Conclusions: </strong>The study found a significant correlation between Actinomyces presence, older age, and infectious surgical indications. While Actinomyces colonization did not demonstrate a direct influence on surgical complications, the findings suggest potential clinical relevance that merits further research to elucidate the bacterium's role in tonsillar pathology.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4847-4851"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144500268","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 role of ultra-high frequency ultrasound (UHF-US) in the study of early stages of squamous cell carcinoma of the tongue.","authors":"Gabriele Monarchi, Margherita Gobbo, Luca Guarda Nardini","doi":"10.1007/s00405-025-09484-9","DOIUrl":"10.1007/s00405-025-09484-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the prognostic value of ultra-high frequency ultrasonography (UHF-US) in assessing the depth of invasion (DOI) in early-stage tongue squamous cell carcinoma (OSCC). Given the limitations of traditional imaging techniques such as magnetic resonance (MRI) and computed tomography (CT), UHF-US offers a high-resolution alternative for preoperative DOI estimation.</p><p><strong>Results: </strong>UHF-US demonstrated in literature a high level of accuracy in preoperative DOI measurement, offering improved precision over MRI and CT. The study findings reinforce the clinical importance of DOI as a predictor of nodal metastasis risk and patient outcomes. UHF-US exhibited strong sensitivity and specificity, supporting its role as a valuable tool in guiding surgical decisions.</p><p><strong>Conclusion: </strong>The study confirms the prognostic significance of DOI in early-stage tongue OSCC and highlights UHF-US as a highly accurate imaging modality for preoperative DOI assessment. UHF-US could play a crucial role in surgical decision-making and patient selection for elective neck dissection. Further research will be needed to validate these findings and explore their practical application in the management of as many oral malignant lesions as possible.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4887-4889"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"European Laryngological Society consensus statement on optimal monitoring schedules after treatment for early glottic cancer: a risk-stratification.","authors":"Malgorzata Wierzbicka, Agatha Baidun, Andy Bertolin, Marco Lionello, Giovanni Succo, Berit Verbist, Davide Farina, Martine Hendriksma, Marc Remacle, Ricard Simo, Elisabeth Sjogren, Cesare Piazza","doi":"10.1007/s00405-025-09609-0","DOIUrl":"10.1007/s00405-025-09609-0","url":null,"abstract":"<p><p>Early glottic cancer has an excellent prognosis provided that recurrences are detected in a timely manner. However, current guidelines lack specific recommendations for intervals or interventions during follow-up, and primarily advocate surveillance in the most advanced stages where the benefits are actually the lowest. This consensus statement introduces a risk-stratification-guided follow-up schedule for T1-T2N0 patients, aiming to optimize oncologic and functional outcomes while ensuring early detection of residual or recurrent disease to preserve organ function. Separate protocols are outlined for surgical and non-surgical patients, including endoscopic examination, radiological imaging, and thyroid function screening. Also, the pathway to reach this routine observation phase is described, specifying the criteria and timing of a second-look microlaryngoscopy.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4699-4710"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786417","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":"Longitudinal changes in electrical stapedius reflex thresholds (eSRT) in children with cochlear implants.","authors":"Franz Muigg, Simone Graf, Maria Magdalena Mair, Josef Seebacher, Hazem Salloum, Viktor Weichbold, Joachim Schmutzhard, Philipp Zelger","doi":"10.1007/s00405-025-09532-4","DOIUrl":"10.1007/s00405-025-09532-4","url":null,"abstract":"<p><strong>Study goal: </strong>The electrically evoked stapedius reflex threshold (eSRT) is widely used as an estimate of the maximum comfort level (MCL) in the fitting of cochlear implants (CI). This study investigated the long-term evolution of the eSRT during a ten-year observation period.</p><p><strong>Methods: </strong>Retrospective analysis of fitting map data (charge units [QU] required to evoke the stapedius reflex) obtained from 50 cochlear-implanted ears of 26 children. Time-series statistical methods were employed to examine trends in charge unit (QU) values and their variance, normalized to individual baselines.</p><p><strong>Results: </strong>The QU time series mean increased significantly within the first six months post-implantation and reached a plateau thereafter. Variance in eSRT decreased significantly over the first five years, with three key turning points identified at six months, 18 months, and 4.25 years, indicating significantly diminishing variation with time.</p><p><strong>Discussion: </strong>CI fitting schedules should be coordinated with temporal changes in eSRT variance. Frequent fittings in the first 18 months, followed by annual fittings until four years after implantation, seem advisable. After this period, less frequent fittings may be sufficient.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4861-4865"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423240/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565548","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":"Abdominal visceral fat and laryngopharyngeal reflux in patients with obstructive sleep apnea.","authors":"Nuo Luo, Guan-Jiang Huang, Biao-Qing Lu","doi":"10.1007/s00405-025-09519-1","DOIUrl":"10.1007/s00405-025-09519-1","url":null,"abstract":"","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4931-4932"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive modeling for score translation among patient-reported outcome measures in chronic rhinosinusitis with nasal polyps: a cross-sectional study.","authors":"J M García-Fernández, M S Sánchez-Torices, M A Feliz-Fernández, R Lomas-Vega, M A Montilla-Ibáñez","doi":"10.1007/s00405-025-09446-1","DOIUrl":"10.1007/s00405-025-09446-1","url":null,"abstract":"<p><strong>Background: </strong>Patient-reported outcome (PRO) questionnaires are essential tools for evaluating symptom burden and quality of life in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). Instruments such as NOSE, SNOT-22, CRS-PRO, and NPQ are commonly used; however, the capability to translate scores between these instruments remains largely unexplored, limiting cross-study comparisons and continuity in patient care.</p><p><strong>Objective: </strong>To develop and validate predictive models quantifying relationships between widely utilized PRO questionnaires in CRSwNP and to assess their practical implications for clinical management and integration into research.</p><p><strong>Methods: </strong>In this observational cross-sectional study, 200 patients with CRSwNP completed the NOSE, SNOT-22, CRS-PRO, and NPQ questionnaires. Pairwise predictive models were constructed using linear and Random Forest regression methods. Model performance was evaluated through metrics such as R² and mean squared error (MSE). Model validity was ensured using the Durbin-Watson, Breusch-Pagan, Shapiro-Wilk, and variance inflation factor (VIF) tests. Clinical subgroup analyses based on variables such as asthma and prior nasal surgery were also conducted.</p><p><strong>Results: </strong>Strong correlations among questionnaires were observed (r=0.61-0.87). Linear regression models demonstrated high predictive accuracy, notably for SNOT-22 predicting NPQ (R²=0.76), NPQ predicting CRS-PRO (R²=0.76), and CRS-PRO predicting SNOT-22 (R²=0.74). Random Forest models showed minor performance enhancements (ΔR²≤0.03). Subgroup analyses indicated increased predictive precision in patients with asthma or previous nasal surgery. These predictive models enable clinicians to interpret scores across different instruments confidently, optimizing patient management decisions, particularly in monitoring treatment responses and longitudinal follow-ups.</p><p><strong>Results: </strong>Predictive modeling among PRO questionnaires in CRSwNP is both feasible and clinically impactful. These models facilitate the translation of scores between instruments, thus enhancing clinical decision-making, streamlining patient assessments, and supporting data harmonization in multicentric and longitudinal studies. Future research should pursue external and longitudinal validations to ensure broader applicability and reliability of these predictive tools.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4653-4659"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328391","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":"Detection of maxillary sinus pathologies using deep learning algorithms.","authors":"Ceren Aktuna Belgin, Aida Kurbanova, Seçil Aksoy, Nurullah Akkaya, Kaan Orhan","doi":"10.1007/s00405-025-09451-4","DOIUrl":"10.1007/s00405-025-09451-4","url":null,"abstract":"<p><strong>Purpose: </strong>Deep learning, a subset of machine learning, is widely utilized in medical applications. Identifying maxillary sinus pathologies before surgical interventions is crucial for ensuring successful treatment outcomes. Cone beam computed tomography (CBCT) is commonly employed for maxillary sinus evaluations due to its high resolution and lower radiation exposure. This study aims to assess the accuracy of artificial intelligence (AI) algorithms in detecting maxillary sinus pathologies from CBCT scans.</p><p><strong>Methods: </strong>A dataset comprising 1000 maxillary sinuses (MS) from 500 patients was analyzed using CBCT. Sinuses were categorized based on the presence or absence of pathology, followed by segmentation of the maxillary sinus. Manual segmentation masks were generated using the semiautomatic software ITK-SNAP, which served as a reference for comparison. A convolutional neural network (CNN)-based machine learning model was then implemented to automatically segment maxillary sinus pathologies from CBCT images. To evaluate segmentation accuracy, metrics such as the Dice similarity coefficient (DSC) and intersection over union (IoU) were utilized by comparing AI-generated results with human-generated segmentations.</p><p><strong>Results: </strong>The automated segmentation model achieved a Dice score of 0.923, a recall of 0.979, an IoU of 0.887, an F1 score of 0.970, and a precision of 0.963.</p><p><strong>Conclusion: </strong>This study successfully developed an AI-driven approach for segmenting maxillary sinus pathologies in CBCT images. The findings highlight the potential of this method for rapid and accurate clinical assessment of maxillary sinus conditions using CBCT imaging.</p>","PeriodicalId":520614,"journal":{"name":"European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery","volume":" ","pages":"4727-4734"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144113016","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}