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Obesity, Weight Loss, and Facial Plastic Surgery. 肥胖、减肥和面部整形手术。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.06.004
Morgan Brown, Ryan Puccia, Hillary Newsome
{"title":"Obesity, Weight Loss, and Facial Plastic Surgery.","authors":"Morgan Brown, Ryan Puccia, Hillary Newsome","doi":"10.1016/j.otc.2026.06.004","DOIUrl":"https://doi.org/10.1016/j.otc.2026.06.004","url":null,"abstract":"<p><p>Obesity is an increasing problem in today's patient population. Obesity creates well-documented physiologic effects on local tissues, including proinflammatory states, impaired microvascular circulation, and changes to the extracellular matrix. These cellular level changes lead to the potential for impaired wound healing. Increased adipose tissue leads to changes in the facial structure with predominantly increased thickness of the superficial fat, and inconsistent findings on deeper fat pad volumes. The rising popularity of injectable weight loss drugs has created new challenges for the facial plastic surgeon.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
The Relationship among Obesity, Intracranial Hypertension, and Cerebrospinal Fluid Leak. 肥胖、颅内高压与脑脊液漏的关系
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.07.001
Gabriella Ojeda-Badillo, James G Naples
{"title":"The Relationship among Obesity, Intracranial Hypertension, and Cerebrospinal Fluid Leak.","authors":"Gabriella Ojeda-Badillo, James G Naples","doi":"10.1016/j.otc.2026.07.001","DOIUrl":"https://doi.org/10.1016/j.otc.2026.07.001","url":null,"abstract":"<p><p>Idiopathic intracranial hypertension (IIH) is a disorder characterized by elevated intracranial pressure without identifiable lesion or secondary cause. Patients can often present with otolaryngologic manifestations of IIH, such as pulsatile tinnitus, aural fullness, and cerebrospinal fluid (CSF) leak. Obesity plays an important role as a risk factor for both IIH and CSF leak as similar pathophysiological processes underly both presentations. Understanding the nuanced presentation of this condition is important for the otolaryngologist who routinely evaluates patients with these symptoms and has implications for management decisions. In this article, we discuss the relationship among obesity, IIH, and CSF leak.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Obesity, Weight Loss, and Perioperative Risk Assessment in Otolaryngology. 耳鼻喉科肥胖、体重减轻和围手术期风险评估。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.07.003
Sunil K Sahai, Vasu Sidagam, Nidhi Singh, Christopher M Whinney
{"title":"Obesity, Weight Loss, and Perioperative Risk Assessment in Otolaryngology.","authors":"Sunil K Sahai, Vasu Sidagam, Nidhi Singh, Christopher M Whinney","doi":"10.1016/j.otc.2026.07.003","DOIUrl":"https://doi.org/10.1016/j.otc.2026.07.003","url":null,"abstract":"<p><p>Obesity is associated with unique and compounding perioperative challenges in otolaryngologic surgery. This review summarizes evidence-based guidance on preoperative risk stratification, airway management, intraoperative anesthetic and ventilatory strategies, and procedure-specific postoperative care for patients with obesity undergoing otolaryngologic surgery, with emphasis on the emerging phenotype of sarcopenic obesity, the shared airway, and individualized monitoring frameworks.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Thyroid Disease in the Era of Obesity and Glucagon-Like-Peptide-1 Agonists. 肥胖和胰高血糖素样肽-1激动剂时代的甲状腺疾病。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.06.002
Orly Coblens, Amber Dunmire, Felix Maldonado-Chapa
{"title":"Thyroid Disease in the Era of Obesity and Glucagon-Like-Peptide-1 Agonists.","authors":"Orly Coblens, Amber Dunmire, Felix Maldonado-Chapa","doi":"10.1016/j.otc.2026.06.002","DOIUrl":"https://doi.org/10.1016/j.otc.2026.06.002","url":null,"abstract":"<p><p>The thyroid gland plays a critical role in regulating metabolism. Dysfunctions in the thyroid gland are closely associated with alterations in body mass index. The relationship between thyroid disease and obesity is complex and bidirectional with hypothyroidism and hyperthyroidism influencing body weight. In the last decade, there has been an increase in the incidence of thyroid cancer as well as the prevalence of obesity. Emerging weight loss therapies and their potential association with thyroid malignancy remains an active area of investigation. Additionally, important perioperative and surgical considerations must be addressed in patients undergoing thyroidectomy.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Lifestyle Interventions and Otolaryngologic Care for Adults with Obesity or Overweight. 成人肥胖或超重的生活方式干预和耳鼻喉科护理。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.05.008
Daniel Suarez, Andres Gorbea Dolagaray, Richard Rosenfeld
{"title":"Lifestyle Interventions and Otolaryngologic Care for Adults with Obesity or Overweight.","authors":"Daniel Suarez, Andres Gorbea Dolagaray, Richard Rosenfeld","doi":"10.1016/j.otc.2026.05.008","DOIUrl":"https://doi.org/10.1016/j.otc.2026.05.008","url":null,"abstract":"<p><p>Obesity is associated with numerous otolaryngologic conditions, including obstructive sleep apnea, chronic rhinosinusitis, otitis media, and laryngopharyngeal reflux disease, through mechanisms involving chronic inflammation, immune dysregulation, mechanical airway compromise, and metabolic dysregulation. This review examines the evidence linking obesity to otolaryngologic disorders and explores lifestyle interventions relevant to otolaryngologic care. While the strongest evidence supports weight loss for obstructive sleep apnea, benefits extend to other conditions. Practical strategies for integrating lifestyle medicine screening, counseling, and referral pathways into otolaryngology practice are discussed.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Complementary, Integrative, and Functional Medicine Approaches to the Obese Patient. 肥胖患者的补充、综合和功能医学方法。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-10-13 DOI: 10.1016/j.otc.2026.07.004
Priya Krishna
{"title":"Complementary, Integrative, and Functional Medicine Approaches to the Obese Patient.","authors":"Priya Krishna","doi":"10.1016/j.otc.2026.07.004","DOIUrl":"https://doi.org/10.1016/j.otc.2026.07.004","url":null,"abstract":"<p><p>Complementary and integrative medicine are important strategies for the management of obesity. This article discusses types of diets and their impact on weight loss. It will also delve into mind-body strategies, Traditional Chinese Medicine, and Ayurveda. This article also explores the importance of gut health and use of probiotics as well as briefly discuss pharmaceutical and surgical treatments for obesity and current evidence supporting the use of these modalities.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Bariatric Surgery, Medical Weight Loss, and the Upper Aerodigestive Tract. 减肥手术，医学减肥和上呼吸道消化道。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-09-29 DOI: 10.1016/j.otc.2026.08.001
Sarah Samreen, Mattew M Hutter
{"title":"Bariatric Surgery, Medical Weight Loss, and the Upper Aerodigestive Tract.","authors":"Sarah Samreen, Mattew M Hutter","doi":"10.1016/j.otc.2026.08.001","DOIUrl":"https://doi.org/10.1016/j.otc.2026.08.001","url":null,"abstract":"<p><p>Obesity and intentional weight loss increasingly influence otolaryngologic disease through mechanical, metabolic, inflammatory, gastrointestinal, and regional soft-tissue effects. This review examines how bariatric surgery and contemporary medical weight-loss therapies affect the upper aerodigestive tract. Evidence is strongest for obstructive sleep apnea, in which substantial weight reduction improves disease severity but does not ensure remission. Emerging data suggest potential benefits for chronic rhinosinusitis and selected voice outcomes, alongside risks such as procedure-specific reflux, chronic cough, delayed gastric emptying, nutritional complications, and patulous Eustachian tube dysfunction. Otolaryngologists should incorporate the weight-loss method, magnitude, rate, and durability into evaluation, counseling, and perioperative planning.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Audiologic Assessment of Tinnitus: Integrating Contemporary Clinical Practice and International Guideline Recommendations. 耳鸣的听力学评估：整合当代临床实践和国际指南建议。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-09-29 DOI: 10.1016/j.otc.2026.08.005
Grant Donald Searchfield, Leslie Susan Searchfield, Dunja Vajsakovic
{"title":"Audiologic Assessment of Tinnitus: Integrating Contemporary Clinical Practice and International Guideline Recommendations.","authors":"Grant Donald Searchfield, Leslie Susan Searchfield, Dunja Vajsakovic","doi":"10.1016/j.otc.2026.08.005","DOIUrl":"https://doi.org/10.1016/j.otc.2026.08.005","url":null,"abstract":"<p><p>Audiologic assessment of tinnitus has evolved from a predominantly psychoacoustic evaluation to a comprehensive, patient-centered process that integrates auditory, emotional, cognitive, functional, and quality-of-life factors. Contemporary international guidelines emphasize a detailed case history, a comprehensive hearing assessment, the use of validated outcome measures such as the Tinnitus Functional Index, and screening for hyperacusis, psychological distress, sleep disturbance, and other comorbidities. While psychoacoustic measures are valuable for characterizing tinnitus and planning treatment, they are not reliable indicators of tinnitus severity. Effective assessment should identify therapeutic targets, support appropriate referrals, and provide the foundation for personalized, evidence-based tinnitus management.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Head and Neck Cancer Care in Patients with Obesity: Practical Considerations from Diagnosis to Adjuvant Therapy. 肥胖患者头颈癌的护理：从诊断到辅助治疗的实际考虑。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-09-29 DOI: 10.1016/j.otc.2026.08.003
D Alexander Cronkite, Emma De Ravin, David M Cognetti
{"title":"Head and Neck Cancer Care in Patients with Obesity: Practical Considerations from Diagnosis to Adjuvant Therapy.","authors":"D Alexander Cronkite, Emma De Ravin, David M Cognetti","doi":"10.1016/j.otc.2026.08.003","DOIUrl":"https://doi.org/10.1016/j.otc.2026.08.003","url":null,"abstract":"<p><p>Obesity is increasingly common among patients evaluated for head and neck cancer and can complicate care even if it does not change core oncologic principles. This review follows the patient with obesity from initial referral through diagnostic evaluation, imaging, operative planning, wound management, and adjuvant therapy. Emphasis is placed on avoiding diagnostic anchoring, recognizing limitations of physical examination, using ultrasound and cross-sectional imaging efficiently, anticipating operative pitfalls, and preventing delays to postoperative radiation and/or systemic therapy. The goal is care delivered with greater anticipation, precision, and coordination for this growing and highly relevant population.</p>","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Weight and the Otolaryngologist. 体重和耳鼻喉科医生。
IF 1.9 4区 医学
Otolaryngologic Clinics of North America Pub Date : 2026-09-15 DOI: 10.1016/j.otc.2026.08.004
Sujana S Chandrasekhar
{"title":"Weight and the Otolaryngologist.","authors":"Sujana S Chandrasekhar","doi":"10.1016/j.otc.2026.08.004","DOIUrl":"https://doi.org/10.1016/j.otc.2026.08.004","url":null,"abstract":"","PeriodicalId":54657,"journal":{"name":"Otolaryngologic Clinics of North America","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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