Current Opinion in Otolaryngology & Head and Neck Surgery最新文献_第2页

Management of traumatic auricular avulsion injury - partial and complete. 外伤性耳廓撕脱伤的处理-部分和完全。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1097/MOO.0000000000001054

Allison Goldberg, Rhorie Kerr

{"title":"Management of traumatic auricular avulsion injury - partial and complete.","authors":"Allison Goldberg, Rhorie Kerr","doi":"10.1097/MOO.0000000000001054","DOIUrl":"10.1097/MOO.0000000000001054","url":null,"abstract":"Purpose of review: Auricular avulsion injuries present complex reconstructive challenges due to the intricate three-dimensional (3D) structure and vascular supply of the ear. This review examines traditional and emerging techniques in auricular trauma repair, including microsurgical advancements, digital planning, tissue engineering, and 3D bioprinting, highlighting their impact on reconstructive outcomes.Recent findings: Traditional techniques, such as multilayer closure and microsurgical reattachment, remain foundational in auricular reconstruction. However, recent studies suggest that subtotal amputations with small vascular pedicles may survive without microvascular anastomosis. Microsurgical refinements, including digital planning and customized surgical guides, enhance precision in reconstruction. Tissue engineering innovations, such as 3D bioprinting with biomimetic scaffolds and magnetoresponsive hydrogels, show promise for auricular cartilage regeneration. Additionally, postoperative adjuncts like antipressure alarm systems and bioactive hydrogels seeded with stem cells improve healing and long-term outcomes.Summary: Auricular trauma repair is evolving through a combination of established and innovative techniques. Digital planning, microsurgical advancements, and tissue engineering are shaping a new era of patient-specific reconstruction. Future research should focus on refining these technologies, evaluating long-term efficacy, and addressing economic feasibility to optimize patient outcomes.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"262-265"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129537","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

Hyperbaric oxygen therapy for wounds of the face, head and neck. 高压氧治疗面部、头部及颈部伤口。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-08-01 Epub Date: 2025-05-02 DOI: 10.1097/MOO.0000000000001053

Peter W Kahng, Adeeb Derakhshan, Shekhar K Gadkaree

{"title":"Hyperbaric oxygen therapy for wounds of the face, head and neck.","authors":"Peter W Kahng, Adeeb Derakhshan, Shekhar K Gadkaree","doi":"10.1097/MOO.0000000000001053","DOIUrl":"10.1097/MOO.0000000000001053","url":null,"abstract":"Purpose of review: Wounds within the face, head, and neck region can have devastating aesthetic, functional, and potentially fatal outcomes for patients and often require multimodality treatment. Here we discuss the role of hyperbaric oxygen for a variety of wounds within the head and neck region and the clinically associated outcomes.Recent findings: Hyperbaric oxygen (HBO) treatment can be useful in the management of wounds and infections within the head and neck region. While there are few randomized controlled clinical trials evaluating the effectiveness of HBO therapy, there is a large amount of retrospective literature supporting its adjunctive role in the treatment of radiation associated head and neck wounds, compromised grafts and flaps, and necrotizing soft tissue infections. The most common treatment protocols are typically initiated at 2-2.4 atmosphere absolute (ATA) at 100% oxygen for 90 min for 30 daily sessions, though this varies significantly in the available literature. In the setting of osteoradionecrosis (ORN) and medication-induced osteonecrosis of the jaw (MRONJ), however, emerging treatments such as the Potentiation by Clodronate (PENTOCLO) protocol may provide more effective treatment that HBO therapy.Summary: Hyperbaric oxygen therapy should be considered as an adjuvant therapy for head and neck wounds involving radiated soft tissue, compromised local and free flaps, filler-induced soft tissue necrosis or blindness, and for necrotizing soft tissue infection; however, more randomized controlled trials are needed to better evaluate both their clinical impact as well as better establish treatment protocols, particularly in the setting of ORN and MRONJ.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"222-229"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129489","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

Factors associated with plate fractures in mandibular reconstruction. 下颌骨重建术中钢板骨折的相关因素。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-08-01 Epub Date: 2025-06-05 DOI: 10.1097/MOO.0000000000001065

George A Petrides, Richard J Fox, Ryan Winters

{"title":"Factors associated with plate fractures in mandibular reconstruction.","authors":"George A Petrides, Richard J Fox, Ryan Winters","doi":"10.1097/MOO.0000000000001065","DOIUrl":"10.1097/MOO.0000000000001065","url":null,"abstract":"Purpose of review: Mandibular plate fracture (MPF) is a serious complication of mandibular reconstruction, leading to postoperative morbidity and potential revision surgeries. Recently, there has been an increased utilization of virtual surgical planning (VSP) with patient-specific reconstruction plates to decrease operative time and improve postoperative outcomes. It is critical for surgeons performing mandibular reconstruction to have a comprehensive understanding of the contributing factors and strategies for minimizing the likelihood of MPF.Recent findings: This review examines the patient-related and surgical factors contributing to MPF. The literature highlights that patient-related factors include younger age and degree of occlusion, while surgical factors include lateral mandibular defects, the absence of coronoidectomy, and the use of bridging plates without bony reconstruction. Notably, recent studies suggest a reduction in MPFs with the implementation of VSP and patient-specific reconstruction plates.Summary: This review aims to inform surgeons about patients who are at increased risk of MPF following mandibular reconstruction, emphasizing the need for close monitoring. Furthermore, it underscores the additional benefits of VSP and patient-specific reconstruction plates in improving postoperative outcomes. However, further research is required to assess the long-term efficacy of these reconstruction plates.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"242-248"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259423","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

Surface scanning and imaging in craniofacial surgery. 颅面外科的表面扫描与成像。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-08-01 Epub Date: 2025-06-12 DOI: 10.1097/MOO.0000000000001062

Estelle Viaud-Murat, Dhruv Patel, Sherard A Tatum

{"title":"Surface scanning and imaging in craniofacial surgery.","authors":"Estelle Viaud-Murat, Dhruv Patel, Sherard A Tatum","doi":"10.1097/MOO.0000000000001062","DOIUrl":"10.1097/MOO.0000000000001062","url":null,"abstract":"Purpose of review: This review describes recent innovations in craniofacial imaging, focusing on emerging techniques such as 3D photogrammetry, smartphone-based scanning, and artificial intelligence applied to cephalometric assessments in facial plastic and reconstructive surgery.Recent findings: Traditional methods like occipitofrontal circumference and cephalic index remain widely used, but newer, more precise technologies have recently emerged. 3D photogrammetry is a reproducible, safe, and noninvasive alternative, offering detailed cranial modeling using external landmarks. The integration of smartphone technologies has further democratized craniofacial imaging by enabling accurate 3D scans with minimal cost and radiation exposure. Despite variability in certain facial regions, these technologies have shown promising accuracy for clinical use. Furthermore, AI-driven approaches enhance diagnostic precision by generating synthetic data and improving landmark detection in complex cranial morphologies.Summary: Recent technological advances are reshaping craniofacial imaging and optimizing preoperative and postoperative care in facial plastic and reconstructive surgery. 3D imaging and AI applications offer significant improvements over traditional methods and allow for more precise and reliable methods for operative planning and longitudinal assessments. As these tools develop, they are bound to become the new standards for clinical evaluation of craniofacial anomalies.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"266-270"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327796","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

Non-obstructive sleep apnea pediatric sleep disorders: what the otolaryngologist should know. 非阻塞性睡眠呼吸暂停儿童睡眠障碍：耳鼻喉科医生应该知道什么。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-07-03 DOI: 10.1097/MOO.0000000000001066

Rachel L Whelan, Cristina M Baldassari

{"title":"Non-obstructive sleep apnea pediatric sleep disorders: what the otolaryngologist should know.","authors":"Rachel L Whelan, Cristina M Baldassari","doi":"10.1097/MOO.0000000000001066","DOIUrl":"https://doi.org/10.1097/MOO.0000000000001066","url":null,"abstract":"Purpose of review: Sleep complaints are exceedingly common in children and are associated with cognitive and psychosocial impairment. Obstructive sleep apnea (OSA) accounts for only a small percentage of pediatric sleep problems. A comprehensive understanding of nonbreathing-related sleep disorders in pediatric patients is, therefore, needed to adequately assess and treat pediatric patients presenting with sleep concerns.Recent findings: The review below summarizes the most common non-OSA sleep disorders in pediatric patients, focusing on comprehensive evaluation and evidence-based treatment recommendations. We also describe and review the literature on the newest pediatric sleep disorder, restless sleep disorder (RSD).Summary: Pediatric otolaryngologists should be equipped to take a concise yet thorough sleep history, identify features of non-OSA sleep disorders, counsel patients and families regarding key sleep hygiene measures, and appropriately refer patients with suspected non-OSA sleep disorders such as circadian rhythm disorders, parasomnias, and/or narcolepsy for additional sleep medicine evaluation, testing and/or treatment whenever indicated.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555892","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

Advancing laryngology through artificial intelligence: a comprehensive review of implementation frameworks and strategies. 通过人工智能推动喉科学发展：实施框架和战略综合评述。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1097/MOO.0000000000001041

Rachel B Kutler, Linh He, Ross W Green, Anaïs Rameau

{"title":"Advancing laryngology through artificial intelligence: a comprehensive review of implementation frameworks and strategies.","authors":"Rachel B Kutler, Linh He, Ross W Green, Anaïs Rameau","doi":"10.1097/MOO.0000000000001041","DOIUrl":"10.1097/MOO.0000000000001041","url":null,"abstract":"Purpose of review: This review aims to explore the integration of artificial intelligence (AI) in laryngology, with specific focus on the barriers preventing translation from pilot studies into routine clinical practice and strategies for successful implementation.Recent findings: Laryngology has seen an increasing number of pilot and proof-of-concept studies demonstrating AI's ability to enhance diagnostics, treatment planning, and patient outcomes. Despite these advancements, few tools have been successfully adopted in clinical settings. Effective implementation requires the application of established implementation science frameworks early in the design phase. Additional factors required for the successful integration of AI applications include addressing specific clinical needs, fostering diverse and interdisciplinary teams, and ensuring scalability without compromising model performance. Governance, epistemic, and ethical considerations must also be continuously incorporated throughout the project lifecycle to ensure the safe, responsible, and equitable use of AI technologies.Summary: While AI hold significant promise for advancing laryngology, its implementation in clinical practice remains limited. Achieving meaningful integration will require a shift toward practical solutions that prioritize clinicians' and patients' needs, usability, sustainability, and alignment with clinical workflows.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"131-136"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558829","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

Editorial introductions. 编辑介绍。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-30 DOI: 10.1097/MOO.0000000000001050

引用次数: 0

Rhinology in the developing world - an important yet frequently overlooked theme. 发展中国家的鼻科学——一个重要但经常被忽视的主题。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1097/MOO.0000000000001047

Emma Stapleton

引用次数: 0

Granulomatous disorders of the nose and paranasal sinuses: perspective from low- and middle-income countries. 鼻和鼻窦肉芽肿性疾病：来自低收入和中等收入国家的观点。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-02 DOI: 10.1097/MOO.0000000000001048

Baskaran Ranganathan, Kiran Natarajan, Raghu Nandhan, Amr Abdlehamid

{"title":"Granulomatous disorders of the nose and paranasal sinuses: perspective from low- and middle-income countries.","authors":"Baskaran Ranganathan, Kiran Natarajan, Raghu Nandhan, Amr Abdlehamid","doi":"10.1097/MOO.0000000000001048","DOIUrl":"10.1097/MOO.0000000000001048","url":null,"abstract":"Purpose of review: This is a comprehensive overview of current trends in the prevalence, clinical presentation, diagnostic challenges and management of granulomatous disorders involving the nose and paranasal sinuses in low- and middle-income countries. Emphasis is placed on infective aetiologies contributing to granulomatous diseases and the emerging innovations in the diagnosis and management of these conditions.Recent findings: Granulomatous inflammations represent a distinctive spectrum of conditions arising from infectious, autoimmune, neoplastic, and chemical exposures. The prevalence of these disorders varies globally, with infectious aetiologies being more common in subtropical regions and autoimmune inflammatory conditions predominating in Western countries. Notably, the global burden of certain infectious granulomatous diseases is declining due to improved awareness, socio-economic conditions, and enhanced access to healthcare.However, the incidence of invasive fungal mucormycosis has risen sharply following the COVID-19 pandemic, particularly in the Indian subcontinent. Contributing factors include diabetes mellitus, excessive use of high-dose corticosteroids, and environmental influences. Early diagnosis, along with aggressive surgical debridement and antifungal therapy, remains critical for successful management.Summary: Otolaryngologists must be aware of granulomatous conditions affecting the nose and paranasal sinuses, given their potential to cause significant morbidity if left untreated. Timely diagnosis relies on clinical suspicion supported by blood tests, imaging, and histopathology for effective intervention.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"170-175"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774540","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

Delivering a bespoke education programme and learning framework for the integrated speech & language therapy head and neck cancer service across Cheshire and Merseyside, within the UK. 为英国柴郡和默西塞德郡的综合语言治疗头颈癌服务提供定制的教育计划和学习框架。

IF 1.9 4区医学

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1097/MOO.0000000000001042

Catriona Fleming, H Fiona Robinson

{"title":"Delivering a bespoke education programme and learning framework for the integrated speech & language therapy head and neck cancer service across Cheshire and Merseyside, within the UK.","authors":"Catriona Fleming, H Fiona Robinson","doi":"10.1097/MOO.0000000000001042","DOIUrl":"10.1097/MOO.0000000000001042","url":null,"abstract":"Purpose of review: The Cheshire and Merseyside (C&M) integrated head and neck cancer (HNC) speech and language therapy (SLT) service based in Liverpool in the UK successfully developed and delivered an in house, fast-track education programme for the primary purpose of advancing SLT clinicians from specialist to highly specialist roles to deliver care to the C&M HNC population as part of a novel integrated service. The bespoke curriculum, competency and assessment framework were intensively delivered through a range of workplace-based training.The aim of this review is to share the principles underpinning the developed frameworks.Recent findings: The development of the bespoke SLT HNC education programme and competency framework was informed by Macmillan AHP competencies, the Aspirant Cancer Career Education and Development (ACCEND) programme and with reference to the four pillars of practice as described in the advanced clinical practitioner framework. The C&M framework was centred around evidence based principles of medical education specifically Constructivist Learning theory and included foundation theory teaching, self-directed learning, technical skills mastery, delivered by blended and workplace-based learning events. The assessment framework incorporated peer and clinical supervision, viva and case reviews and workplace-based assessment including Direct Observation of Procedural Skills (DOPS) with entrustable professional activities (EPA).Summary: The education programme was successful in progressing SLT staff within 18 months to achieve appropriate competencies to deliver a new integrated service across C&M. The detailed competency and assessment frameworks developed spans the whole of the HNC patient pathway. Next steps are sharing the success of this work and further development of the learning programme for C&M and other services.","PeriodicalId":55195,"journal":{"name":"Current Opinion in Otolaryngology & Head and Neck Surgery","volume":" ","pages":"149-155"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756072","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