The Annals of otology, rhinology, and laryngology最新文献

{"title":"Laryngeal Injuries Following General Endotracheal Anesthesia: A Case Series.","authors":"Aurelia Zodl, Toby N Weingarten, Martin J Ryll, Semirra L Bayan, Dale C Ekbom, Juraj Sprung, Tracy E Harrison","doi":"10.1177/00034894261457485","DOIUrl":"10.1177/00034894261457485","url":null,"abstract":"<p><strong>Objective: </strong>Endotracheal intubation can cause laryngeal injury, with clinical presentation ranging from transient hoarseness to persistent vocal cord immobility. This study examines the incidence, clinical features, and outcomes of post-intubation laryngeal injuries following procedures traditionally considered low risk for such complications.</p><p><strong>Methods: </strong>We conducted a retrospective review of adult patients who underwent tracheal intubation for surgical procedures between May 1, 2018, and December 31, 2024, and subsequently presented with postoperative laryngeal injury-related symptoms. Patients who underwent cardiothoracic, thyroid, parathyroid, or anterior cervical spine procedures were excluded. We reviewed patient demographics, airway and intubation characteristics, treatments, and clinical outcomes.</p><p><strong>Results: </strong>Among 267 824 patients undergoing 454 924 general anesthetics, 30 developed postoperative laryngeal injury (6.6/100 000; 95% CI 4.5-9.4) which did not resolve spontaneously and required laryngology evaluation. Of these 22 (67%) had well defined <i>movement abnormalities</i>: unilateral (n = 15) and bilateral vocal cord immobility (n = 1), unilateral hypomobility (n = 4), bilateral hypomobility (n = 1), combined unilateral vocal cord immobility with contralateral hypomobility (n = 1), and 11 (33%) had <i>no movement abnormality</i>. Twenty-one (64%) were intubated via video laryngoscopy. Follow-up was available for 21 patients (70%) with a median [IQR] duration of 12 [9-35] months; 15 (72%) showed partial improvement without complete resolution, while 6 showed no improvement.</p><p><strong>Conclusion: </strong>Laryngeal injury following general anesthesia with tracheal intubation is a uncommon complication. In our series, approximately two-thirds of patients had identifiable injuries, while one-third exhibited no structural abnormality. While 75% of patients demonstrated partial symptomatic improvement, however, complete resolution was not observed in any of the patients who received follow-up in our institution, underscoring the severity of this complication.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"874-879"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267913","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":"Correlation of Patient-Reported Symptoms With Rhinogram Features Beyond Simple Airway Resistance.","authors":"Rhea Darbari Kaul, Raquel Alvarado, Christine Choy, Haiyang Sun, Sidong Liu, Elizabeth Hua, Liam Grouse, Masoud Haghighi, Kate Liang, Emma Zou, Aari Desai, Nicholas J Campion, Cedric Thiel, Ghasem Azemi, Raymond Sacks, Raewyn G Campbell, Larry Kalish, Antonio Di Ieva, Richard J Harvey","doi":"10.1177/00034894261454654","DOIUrl":"10.1177/00034894261454654","url":null,"abstract":"<p><strong>Introduction: </strong>Rhinomanometry, a reference measure for the nasal airway, is often considered a research tool with only weak-to-moderate correlations with patient symptoms. However, like lung spirometry curves offer information beyond forced expiratory volume (FEV), rhinomanometry curves (rhinograms) have characteristics beyond simple nasal resistance at 150 Pascals. This study explored the correlation between rhinogram curve features and patient-reported outcomes (PROMs), when compared with nasal airway resistance.</p><p><strong>Methods: </strong>A diagnostic cross-sectional study was conducted on patients from a rhinology clinic. PROMs collected included ordinal nasal obstruction and visual analogue scale (VAS) of the more obstructed side. Rhinomanometry curves underwent mathematical polynomial fitting to extract 835 features. The primary outcome was correlation using Spearman's rho (ρ) comparing curve-derived features with nasal airway resistance at 150 Pascals. Machine learning was applied to the top 8 correlated features to generate an AI predictive model.</p><p><strong>Results: </strong>About 601 patients (mean age 45 ± 16 years, 45% female) were analysed. Curve-derived features (ρ = 0.305) correlated more than total NAR at 150 Pa (ρ = 0.222) with VAS. Similarly with ordinal nasal obstruction, curve-derived features correlated more (ρ = 0.230) than total NAR at 150 Pa (ρ = 0.112). The best performing AI prediction models achieved correlations of 0.133 (VAS) and 0.117 (nasal obstruction).</p><p><strong>Conclusion: </strong>This study offers a novel method for rhinogram analysis with curve-derived features for correlation and predictive modelling. Whilst correlation scores remain weak-moderate with PROMs, they outperform nasal airway resistance. Therefore, rhinograms produced from rhinomanometry may offer more clinical information than a simplistic numerical resistance testing.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"833-841"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148020481","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":"Bioabsorbable Stenting in a Case of Severe Pediatric Posterior Glottic Stenosis.","authors":"Sage Feminella, Alyssa J Snyder, Lara Reichert","doi":"10.1177/00034894261454677","DOIUrl":"10.1177/00034894261454677","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric patients, especially those under 5 years of age, are at increased risk of laryngeal injury and subsequent posterior glottic stenosis (PGS) after prolonged or repeated intubations. Despite various surgical options, optimal management remains unclear, and restenosis is a common complication. Steroid-eluting stents, such as the Propel™, have shown promise in sinus applications but are underreported in airway stenosis and reconstruction.</p><p><strong>Methods: </strong>We present a case of a 2-year-old female with transverse myelitis and neuromuscular respiratory failure with bilateral vocal cord paresis, which led to multiple intubations and subsequent PGS. She ultimately underwent tracheostomy due to recurrent respiratory failure with viral infections and associated failure to thrive. Once stable, preparations for decannulation began. The patient underwent endoscopic division of posterior glottic scar tissue, followed by placement of a Propel™ steroid-eluting stent to the interarytenoid and arytenoid mucosa.</p><p><strong>Results: </strong>At 2-week follow-up, laryngoscopy revealed significant reduction in scar tissue without restenosis, with progressive resolution of granulation tissue and edema. Despite persistent vocal cord paresis, airway patency was maintained. At 3-month follow-up, there was marked improvement of stenosis sufficient to allow tracheostomy capping.</p><p><strong>Conclusion: </strong>This case highlights the off-label use of a steroid-eluting stent as adjunctive therapy in a pediatric patient with PGS. Outcomes demonstrated reduced scar tissue and improved airway patency, allowing progression toward decannulation. Further studies are needed to evaluate the role of steroid-eluting stents in the management of complex laryngeal disorders.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"887-891"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059405","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":"Efficacy and Safety of Finafloxacin Otic Suspension, 0.3% for the Treatment of Acute Otitis Externa: Results from two Phase III Randomized Clinical Studies.","authors":"Ann Edmunds, Christine Bentley, Mark Lückermann, Bernard Voet, Andreas Vente","doi":"10.1177/00034894261453726","DOIUrl":"10.1177/00034894261453726","url":null,"abstract":"<p><strong>Objective: </strong>Evaluation of the clinical efficacy and safety of finafloxacin otic suspension in 2 Phase III clinical trials, in patients 6 months or older, reflective of the populations at risk for acute otitis externa (AOE).</p><p><strong>Methods: </strong>Two identical multicenter, randomized, double-masked, vehicle-controlled prospective Phase III studies in which 1234 patients (≥6 months) with AOE of presumed bacterial origin were randomized at 128 sites in the United States and Canada. Patients received finafloxacin otic suspension or vehicle twice daily for 7 days. The primary efficacy endpoint was the proportion of patients with clinical cure (resolution of tenderness, erythema and edema) on day 11 in the pathogen positive subset of the intention to treat (ITT) population.</p><p><strong>Results: </strong>Patients of the pathogen positive subset of the ITT population treated with finafloxacin had a clinical cure rate of 70.2% on day 11 (test of cure visit, ToC) compared to 36.6% in the vehicle group (<i>P</i> < .0001). A comparable effect was observed in the ITT population (finafloxacin 71% cure vs vehicle 49.8%). Finafloxacin eradicated the most common AOE pathogens with high efficiency: 89% for <i>Staphylococcus aureus</i> and 85.3% for <i>Pseudomonas aeruginosa</i> (39.2% and 26.8% in the vehicle group, respectively). Median time to cessation of ear pain was 3.5 days in the finafloxacin group versus 7.0 days in the vehicle group (<i>P</i> < .0001), and thus markedly shorter than durations reported for other otic therapies. Finafloxacin had a safety profile comparable to that of vehicle. Adverse events-primarily ear pruritus, ear discomfort, and dizziness-occurred at similar rates in both groups.</p><p><strong>Conclusions: </strong>Finafloxacin otic suspension was statistically superior to vehicle in clinical cures, pathogen eradication, and median time to ear pain resolution. It also demonstrated high efficacy against the primary AOE pathogens, <i>S. aureus</i> and <i>P. aeruginosa</i>, including fluoroquinolone-resistant pathogens. Finafloxacin was well-tolerated with a safety profile equivalent to vehicle.Clinical trial registry name:ClinicalTrials.gov; <b>URL:</b> https://clinicaltrials.gov/Identifier:NCT01535599 and NCT01535560.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"865-873"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148059366","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":"Analysis of Long-Term and Short-Term Efficacy of Different Types of Tympanosclerosis Surgery Under Total Otoendoscopy.","authors":"Wenjing Gui, Yufeng Yang, Shiying Du, Cong Wu, Xianmin Wu","doi":"10.1177/00034894261453994","DOIUrl":"10.1177/00034894261453994","url":null,"abstract":"<p><strong>Objective: </strong>To explore the surgical effect for patients with different types of tympanosclerosis under total otoendoscopy.</p><p><strong>Materials and methods: </strong>A retrospective analysis was performed on the clinical data of 86 patients who were diagnosed with tympanosclerosis and underwent total endoscopic ear surgery. According to the Wielinga classification, the patients were categorized into type II group (n = 34) and type IV group (n = 52). Hearing outcomes were recorded and analyzed at the preoperative, short-term postoperative (≤6 months), and long-term postoperative (≥1 year) periods.</p><p><strong>Results: </strong>Significant differences in average air-bone gap (ABG) were observed among preoperative, short-term, and long-term postoperative periods in type II and IV tympanosclerosis. No difference was found between type II and IV in short-term ABG, whereas a significant difference appeared in long-term outcomes (<i>P</i> < .05). The duration of illness was strongly correlated with tympanosclerosis type and preoperative ABG.</p><p><strong>Conclusion: </strong>The short-term surgical benefits of type II and type IV are similar, while the long-term hearing recovery of type II is better. The bone conduction recovery of type IV is better. The longer the disease course, the more severe the hearing loss.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"827-832"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148008559","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":"Clinical and Voice Outcome Differences in Vocal Cord Cysts with and Without Sulcus Vocalis: Insights From a Tertiary Center in Saudi Arabia.","authors":"Manal Bukhari","doi":"10.1177/00034894261456466","DOIUrl":"10.1177/00034894261456466","url":null,"abstract":"<p><strong>Background: </strong>Vocal cord cysts are common benign lesions causing dysphonia, while sulcus vocalis, a groove on the vocal fold, can coexist with cysts and complicate treatment. This study compares clinical characteristics and voice outcomes in patients with vocal cord cysts, with and without sulcus vocalis.</p><p><strong>Methods: </strong>This retrospective study was conducted at King Abdulaziz University Hospital, Riyadh, Saudi Arabia, from 2012 to 2023. Patients with vocal cord cysts who underwent microlaryngeal surgery were included. Sulcus vocalis was suspected preoperatively using videostroboscopic examination and confirmed intraoperatively during microlaryngoscopy with visual inspection and palpation. They were divided into 2 groups: with and without coexisting sulcus vocalis. Voice outcomes were assessed using pre- and postoperative Voice Handicap Index-10 (VHI-10) scores.</p><p><strong>Results: </strong>A total of 54 patients with vocal cord cysts were included, with 31 (57.4%) having coexisting sulcus vocalis and 23 (42.6%) without. Patients with sulcus vocalis were significantly older (median age 30 vs 22 years, <i>P</i> = .008) and had lower smoking rates (6.45% vs 52.17%, <i>P</i> < .001). They also exhibited worse voice outcomes, with higher preoperative (30 vs 22, <i>P</i> = .002) and postoperative VHI-10 scores (20 vs 10, <i>P</i> < .001) and smaller median VHI-10 improvements (8 vs 12 points, <i>P</i> = .047). Mucosal bridges were more common in the sulcus group (19.35% vs 0%, <i>P</i> = .032), but no significant differences in cyst type (epidermoid or mucus retention), recurrence rates, or follow-up duration were observed between the 2 groups.</p><p><strong>Conclusion: </strong>Sulcus vocalis worsens voice outcomes in patients with vocal cord cysts, highlighting the need for comprehensive preoperative evaluation. Future research should explore combined surgical treatments for both conditions.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"858-864"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102377","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":"Uncommon Hearing Instability Disorders: A Scoping Review.","authors":"Jeremiah Olabosipo, Christina Zhu, Julia Telischi, Sean Andrew Aston, Hui Cheng, Michael Hoa","doi":"10.1177/00034894261470539","DOIUrl":"10.1177/00034894261470539","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this scoping review is to identify and categorize uncommon disorders of hearing instability, enabling a better understanding of their clinical presentations and treatments.</p><p><strong>Methods: </strong>The framework for the review was developed using the PRISMA-ScR. Literature was pulled from Medline, Web of Science, Embase, and Cochrane Central and screened independently by 3 reviewers with an extended inclusion and exclusion criteria. Once included, data extraction included etiological category of the disease, hearing loss type (sudden, fluctuating, or both), associated symptoms, comorbidities, treatments administered, and hearing recovery outcomes.</p><p><strong>Results: </strong>A total of 334 studies were included after screening, and data from 2247 patients was extracted. The most common etiologies per study were infectious (30.2%, n = 101 studies), neoplastic (29.6%, n = 99 studies), and vascular (28.1%, n = 94 studies). Average age across cases was 45.9 years (range: 0-90). Among patients, 89.8% exhibited sudden hearing loss, while 8.18% experienced fluctuating hearing loss. Neoplastic-related hearing instability had the highest number of total patients (n = 1101 patients), predominantly involving vestibular schwannomas (n = 582 patients) while infectious diseases had the second highest number of patients (n = 493 patients), with COVID-19 as the most reported infection (n = 146 patients). Causes identified without a known association with hearing loss in other literature include acute or chronic myeloid leukemia (n = 24), metastatic tumor disease (n = 10), or infective endocarditis (n = 3).</p><p><strong>Conclusion: </strong>Hearing instability can arise from a variety of uncommon causes. Increased awareness of these conditions may help clinicians initiate appropriate treatment sooner, potentially improving patient outcomes.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"880-886"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521861","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":"Evaluation Of the Expression Levels Of SerpinB3/B4/B10, Interleukin-17 As Biomarkers For Chronic Rhinosinusitis With Nasal Polyps.","authors":"Hossam Adel Hussein, Mona S Habieb, Ahmad M Hamdan","doi":"10.1177/00034894261454763","DOIUrl":"10.1177/00034894261454763","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the serum expression of SerpinB3/B4/B10 and serum level of interleukin-17 as biomarkers for chronic rhinosinusitis with nasal polyps.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 70 patients with CRSwNP and 70 age and gender matched healthy controls. The study patients were assessed using an Arabic version of the Sinonasal Outcome Test 22 score (SNOT-22), an otorhinolaryngology examination, and computed tomography of the nose and paranasal sinuses with grading of the findings using the Lund-Mackay staging system. The patients were divided into 2 subgroups: primary (n = 46) and recurrent (n = 24). Laboratory assessment included an assessment of the serum level of interleukin-17 (IL-17) and the expression of SerpinB3, SerpinB4, and SerpinB10.</p><p><strong>Results: </strong>The values of IL-17, SerpinB3, SerpinB4, and SerpinB10 were higher in the patient group compared with the control group and in the recurrence subgroup compared with the primary subgroup, with statistically significant differences. All 3 serpins had significant potential as biomarkers for CRSwNP and for differentiating primary from recurrent subtypes, with a <i>p</i> value < .001 for the sensitivity and specificity of all markers. There was a significant positive correlation between the serum expression of each of the serpin markers and the serum levels of IL-17, SNOT 22, and Lund-Mackay score (<i>P</i> < .001 for all).</p><p><strong>Conclusion: </strong>The biomarkers studied had significantly higher values in CRSwNP patients, especially the recurrent subgroup. SerpinB3/B4/B10 had significant sensitivity and specificity as biomarkers for CRSwNP, predicting the likelihood of postoperative polyp recurrence, and showing a positive correlation with disease severity.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"850-857"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148039240","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":"Determining the Impact of Race and Ethnicity on Diagnosis and Management of Vestibular Schwannoma.","authors":"Aneesh A Patel, Jessica R Levi, Peter C Weber","doi":"10.1177/00034894261453716","DOIUrl":"10.1177/00034894261453716","url":null,"abstract":"<p><strong>Objective: </strong>While prior literature has demonstrated that patients of lower socioeconomic groups may have larger tumors on presentation and poorer outcomes, there is limited literature on the impact of race and ethnicity on management of vestibular schwannoma (VS). The objective of this study was to determine whether race and ethnicity impacted treatment choice and postoperative management of VS.</p><p><strong>Methods: </strong>Retrospective review of patients diagnosed with VS (ICD9 225.1, ICD10 D33.3, and ICD 10 H93.3) who presented to a tertiary care center between January 1, 2018 and October 31, 2023 was completed (IRB H-45412). Primary outcomes, including treatment choice, time to treatment, and postoperative management, were compared among different racial and ethnic groups.</p><p><strong>Results: </strong>Of the 78 patients diagnosed with VS, 46 (59.0%) patients were observed with serial imaging, 12 (15.4%) underwent radiation, and 14 (18.0%) pursued surgery initially. Treatment choice (<i>P</i> = .3917), time to treatment (<i>P</i> = .3310), and loss to follow up (<i>P</i> = .0579) were not significantly different between different races/ethnicities. In patients who pursued surgery, the duration of admission (<i>P</i> = .9300), need for rehabilitation (<i>P</i> = .6271), postoperative facial nerve paresis (<i>P</i> = .8233), and hospital readmission (<i>P</i> = .5680) did not differ significantly. The proportion of patients who qualified for hearing rehabilitation did not differ significantly (<i>P</i> = .3545). However, a significantly higher proportion of White patients chose to pursue hearing rehabilitation compared to the other groups ( <i>P</i> = .0096).</p><p><strong>Conclusion: </strong>Race and ethnicity did not significantly impact choice of treatment, management patterns, or postoperative course for patients with VS.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"821-826"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147966929","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":"Unusual Retrieval of an Ingested Metallic Foreign Body Using a Magnetic Bridle During Microlaryngoscopy: A Case Report.","authors":"Conlon Eoin, Boyle Seamus, O'Farrell Emma, Khoo Guan","doi":"10.1177/00034894261467541","DOIUrl":"10.1177/00034894261467541","url":null,"abstract":"<p><strong>Background: </strong>Ingested metallic foreign bodies in the aerodigestive tract often require prompt endoscopic or surgical retrieval, but visualization failures despite radiographic confirmation pose diagnostic and therapeutic challenges. This report describes a novel use of a magnetic-tipped bridle to localize and retrieve an unusual sieve-derived metal fragment during microlaryngoscopy.</p><p><strong>Case presentation: </strong>A 45-year-old female presented after accidentally swallowing a small piece of metal from a kitchen sieve. Plain X-ray confirmed a 2 cm linear radiopaque foreign body in the upper aerodigestive tract. Flexible nasendoscopy and initial microlaryngoscopy failed to visualize it. During microlaryngoscopy under general anesthesia, a bridle nasogastric tube with distal magnet was advanced trans orally; magnetic attraction to the laryngeal sidewall enabled precise localization and atraumatic retrieval without complications. The patient was discharged the next day with no sequelae.</p><p><strong>Conclusions: </strong>Magnetic bridle-assisted microlaryngoscopy offers a safe, innovative adjunct for radiopaque metallic foreign bodies occult to direct visualization, avoiding rigid endoscopy or open surgery. This technique repurposes standard NG securement tools effectively in ENT practice.</p>","PeriodicalId":520787,"journal":{"name":"The Annals of otology, rhinology, and laryngology","volume":" ","pages":"892-894"},"PeriodicalIF":0.0,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148475659","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}