Auris Nasus Larynx最新文献

{"title":"Effect of elderly patients with diabetes mellitus on the prognosis of idiopathic sudden sensorineural hearing loss","authors":"Sung Min Koh,&nbsp;Subi Oh,&nbsp;Bokhyun Song,&nbsp;Yang-Sun Cho,&nbsp;Young Sang Cho","doi":"10.1016/j.anl.2025.04.007","DOIUrl":"10.1016/j.anl.2025.04.007","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the influence of diabetes mellitus (DM) and degree of glycemic control on the treatment outcomes of patients with idiopathic sudden sensorineural hearing loss (ISSNHL).</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the medical records of patients who were diagnosed as ISSNHL between January 2017 and December 2021 at Samsung Medical Center. Patients were divided into three groups by DM and HbA1c result. We compared audiometric outcomes at the time of diagnosis and two weeks and six months after diagnosis according to groups.</div></div><div><h3>Results</h3><div>A total of 317 patients diagnosed with ISSNHL was included in the present study. The mean age was 55.8 (standard deviation 13.7) years. Baseline hearing at the time of diagnosis on the affected side was 41.3 dB, 56.3 dB, and 62.5 dB for the non-DM, well-controlled DM, and poorly-controlled DM groups, respectively. After six months, the total hearing gain for non-DM, well-controlled, and poorly-controlled DM was 6.3 dB, 7.5 dB, and 8.8 dB, respectively. These were not significantly different. However, as the DM group had higher baseline hearing threshold than the non-DM group, the final hearing in the DM group was worse than that of the non-DM group at all frequencies.</div></div><div><h3>Conclusion</h3><div>In ISSNHL, the presence of DM and the level of blood sugar control did not affect the degree of hearing recovery. However, patients with DM had poor initial hearing compared to patients without DM, so their final hearing after recovery also was worse.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 4","pages":"Pages 302-306"},"PeriodicalIF":1.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907998","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}

{"title":"Efficacy and safety of definitive low-dose weekly cisplatin with concurrent radiotherapy for locally advanced head and neck squamous cell carcinoma","authors":"Akihisa Tanaka ,&nbsp;Ari Nishimura ,&nbsp;Shinji Mikami ,&nbsp;Takahiro Kimura ,&nbsp;Kaori Yamaki ,&nbsp;Fumiaki Isohashi ,&nbsp;Hirokazu Uemura ,&nbsp;Tadashi Kitahara","doi":"10.1016/j.anl.2025.04.012","DOIUrl":"10.1016/j.anl.2025.04.012","url":null,"abstract":"<div><h3>Objective</h3><div>Low-dose weekly cisplatin with concurrent radiotherapy (wCRT) is considered a potential alternative to the current standard of high-dose three-weekly cisplatin with concurrent RT (twCRT) for the treatment of locally advanced head and neck squamous cell carcinoma (LA-HNSCC) owing to its reduced toxicity. This study aimed to investigate the efficacy and safety of wCRT for LA-HNSCC treatment.</div></div><div><h3>Methods</h3><div>This retrospective analysis included patients with stage III or IV LA-HNSCC who underwent definitive wCRT as the first-line treatment between January 2007 and December 2021. Patients with distant metastases or p16-positive oropharyngeal cancer or who had undergone induction chemotherapy were excluded.</div></div><div><h3>Results</h3><div>Seventy-eight eligible patients were identified, 32 of whom were aged ≥70 years. The 2- and 5-year overall survival (OS) rates were 81.0% and 63.5%, respectively, with a complete response rate of 89.7%. A cumulative cisplatin dose of ≥200 mg/m² was administered to 88.5% of the patients and found to be a significant prognostic factor for OS in both univariate and multivariate analyses. Acute adverse events were generally manageable, with fewer non-haematological toxicities, likely owing to multidisciplinary supportive care.</div></div><div><h3>Conclusion</h3><div>Although twCRT remains the standard, wCRT appears a viable and less toxic alternative for treating LA-HNSCC.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 4","pages":"Pages 296-301"},"PeriodicalIF":1.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898743","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}

{"title":"Retrospective study of lateral pharyngoplasty for the treatment of obstructive sleep apnoea syndrome.","authors":"Shuyun Luo, Haiyao Zheng, Tao Mo, Huicheng Gong, Haoliang Zhang","doi":"10.1016/j.anl.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.anl.2025.04.005","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the efficacy and postoperative reaction of lateral pharyngoplasty combined with Uvulopalatopharyngoplasty in patients with obstructive sleep apnoea syndrome.</p><p><strong>Methods: </strong>A total of 127 obstructive sleep apnoea syndrome patients presenting with pharyngeal ring hypertrophy or lateral pharyngeal wall hypertrophy were included in this study. Among these, 63 patients in the case group underwent pharyngoplasty combined with Uvulopalatopharyngoplasty (UPPP), while 64 patients in the control group underwent UPPP alone. The team collected the objective data from polysomnography (PSG) and subjective patient evaluations and statistically compared preoperatively and six months postoperatively.</p><p><strong>Results: </strong>In both groups, the mean age was 41.22±11.54years old (19-78 years), and the average BMI was 27.21±2.79kg/m2(21.22-34.99kg/m2). After surgery, the Apnea Hypopnea Index (AHI) in the case group decreased from 50.18±21.48 to 22.57±17.34, while the Lowest oxygen saturation (LSaO2) increased from (71.05±13.37) % to (75.98±10.76) %. The success rate was 74,6 % for the case group compared to 40.6 % for the control group. The pharyngeal cavity was significantly enlarged after the operation, with no serious complications reported.</p><p><strong>Conclusions: </strong>In this study, lateral pharyngeal wall hypertrophy was treated by lateral pharyngoplasty concurrently with UPPP to enhance surgical outcomes further and prevent long-term recurrence. Postoperative symptoms were found to be acceptable, with no serious complications reported.</p>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056230","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}

{"title":"Exploratory Study on Factors Associated with Poor Prognosis Despite Positive Stapedial Reflex in Peripheral Facial Nerve Palsy","authors":"Yasuhiro Hamanoue ,&nbsp;Masatsugu Masuda ,&nbsp;Nobuo Saito ,&nbsp;Atsushi Murakami ,&nbsp;Haruka Abe ,&nbsp;Saki Takee ,&nbsp;Genki Makino ,&nbsp;Koichiro Saito","doi":"10.1016/j.anl.2025.04.009","DOIUrl":"10.1016/j.anl.2025.04.009","url":null,"abstract":"<div><h3>Objective</h3><div>The stapedial reflex (SR) is widely used to predict prognosis in patients with viral peripheral facial nerve palsy (VPFNP), including Bell’s palsy, zoster sine herpete (ZSH), and Ramsay Hunt syndrome (Hunt syndrome). While SR positivity is generally associated with cure, it does not guarantee this outcome in all patients. This study aimed to identify predictors of poor prognosis in SR-positive VPFNP patients, focusing on clinical data obtainable during the early stage of the disease.</div></div><div><h3>Methods</h3><div>A retrospective exploratory study was conducted on 230 SR-positive VPFNP patients treated at a tertiary hospital between 2013 and 2022. Prognostic factors included clinical information at the initial visit: pain, the severity of facial palsy assessed using the Yanagihara facial grading system (Y-system), diagnosis (Bell’s palsy/ZSH or Hunt syndrome), clinical presentation (typical or atypical), and the timing of SR testing. Typical presentations were defined as cases with a clear onset date, isolated facial nerve palsy, and no cranial nerve involvement beyond the vestibulocochlear nerve. Atypical cases included unclear onset date, recurrent palsy, or additional cranial and other nerve deficits. Cure was defined as a score of Yanagihara facial grading system (Y-score) ≥ 36 within six months of onset, while non-cure was defined as Y-score &lt; 36. Electroneuronography (ENoG) and systemic comorbidities, such as diabetes mellitus (DM) and white matter lesions (WMLs) detected on MRI, which represent systemic microvascular insufficiency, were also evaluated.</div></div><div><h3>Results</h3><div>Of the 230 patients, 222 (96.5%) achieved cure, while 8 (3.5%) were classified as non-cured. Significant predictors of poor prognosis included pain at the initial visit (odds ratio [OR]: ∞; 95% confidence interval [CI]: 5.21–∞), an initial Y-score ≤ 10 (OR: 8.25; 95% CI: 2.25–29.35), and atypical clinical presentations (OR: 9.83; 95% CI: 1.56–54.44). Importantly, all patients without pain were cured. ENoG score ≤ 10% strongly predicted poor outcomes (OR: 255; 95% CI: 32.51–1548), although ENoG should be conducted seven to ten days after onset for optimal accuracy. The timing of SR testing did not significantly affect prognostic accuracy, and systemic comorbidities, such as DM and WMLs, showed no significant association with prognosis.</div></div><div><h3>Conclusion</h3><div>This study highlights that, despite SR positivity, VPFNP patients with pain, severe palsy (Y-score ≤ 10), or atypical presentations are at higher risk for non-cure. Combining SR results with early-stage clinical indicators based on simple patient evaluation enables accurate prognostic predictions, improving patient counseling and treatment planning.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 4","pages":"Pages 291-295"},"PeriodicalIF":1.6,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882443","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}

{"title":"Corrigendum to \"Treatment strategy for intermediate-risk papillary thyroid cancer: Focus on postoperative hypothyroidism following lobectomy\" [Auris Nasus Larynx, Volume 52, Issue 1, February 2025, Pages 66-70].","authors":"Akifumi Kariya, Tomoyasu Tachibana, Asuka Sato, Chieko Furukawa, Yuto Naoi, Yorihisa Orita, Mizuo Ando","doi":"10.1016/j.anl.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.anl.2025.04.001","url":null,"abstract":"","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010678","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}

{"title":"Health-related lifestyle behaviors in patients with vestibular migraine and migraine only: A cross-sectional comparative study.","authors":"Sinan Buran, Birgul Balci, Burcin Aktar, Gülden Akdal","doi":"10.1016/j.anl.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.anl.2025.04.002","url":null,"abstract":"<p><strong>Objective: </strong>There is an increasing interest in lifestyle modification in the disease management of patients with vestibular migraine (VM) and migraine only (MO) without vertiginous complaints. The primary aim of this study was to compare health-related lifestyle factors, including sedentary behavior, sleep quality, mood, and nutrition habits, between patients with VM, MO, and healthy controls (HCs). The secondary aim was to explore the association between health-related lifestyle factors and disability status in VM and MO groups.</p><p><strong>Methods: </strong>This cross-sectional case-control study included 21 patients with VM, 30 patients with MO, and 33 HCs. Vertigo and headache severity caused by migraine-triggering foods with Numeric Rating Scale-NRS, disability status with Migraine Disability Assessment-MIDAS, sedentary behavior with Sedentary Behavior Questionnaire-SBQ, sleep quality with Pittsburgh Sleep Quality Index-PSQI and mood with Hospital Anxiety and Depression Scale-HADS were recorded in 3 groups.</p><p><strong>Results: </strong>While the exercising, smoking, SBQ, PSQI, HADS-anxiety, and HADS-depression were similar for patients with VM and MO, a higher rate of alcohol consumption was found for patients with VM compared to the MO group (p < 0.05). The VM and MO groups demonstrated significant correlations between the headache severity caused by migraine-triggering foods and disability status (p < 0.05).</p><p><strong>Conclusion: </strong>Adapting new lifestyle interventions and dietary counseling should be encouraged to improve the disease management of patients with VM and MO.</p>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007797","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}

{"title":"Prediction model of ipsilateral level II lymph node metastasis in papillary thyroid carcinoma","authors":"Koji Ushiro,&nbsp;Ryo Asato,&nbsp;Ryosuke Yamashita,&nbsp;Hiroki Ishida,&nbsp;Chisato Chikugo,&nbsp;Yukiko Ito,&nbsp;Jun Tsuji","doi":"10.1016/j.anl.2025.04.011","DOIUrl":"10.1016/j.anl.2025.04.011","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to develop a predictive model for ipsilateral level II lymph node metastasis (LNM) in patients with papillary thyroid carcinoma (PTC) using machine learning techniques. The necessity of level II dissection in lateral neck dissection (LND) remains debated, and accurate prediction of metastasis at this level could help refine surgical decision-making and minimize unnecessary dissection.</div></div><div><h3>Methods</h3><div>A retrospective review of 138 patients with PTC who underwent initial LND with curative intent was performed. Preoperative patient background and imaging findings were analysed to identify factors associated with ipsilateral level II LNM. Decision trees (DT), random forests (RF) and support vector machines (SVM) were trained using a 70:30 data split and 10-fold cross-validation. Model performance was assessed using area under the receiver operating characteristic curve (AUC) and Brier score.</div></div><div><h3>Results</h3><div>Ipsilateral level II LNM was present in 55 patients (39.9 %); the DT model identified significant predictors: level II LNM ≥15 mm, multiple level III lymph nodes suspicious for metastases preoperatively (LNSM), superior pole extension, level III/IV LNSM &lt;18 mm (AUC: 0.831, Brier score: 0.140). RF and SVM showed improved predictive performance (RF: AUC 0.901, Brier score 0.124; SVM: AUC 0.929, Brier score 0.110). Features of high importance in RF and SVM were similar to those in DT.</div></div><div><h3>Conclusions</h3><div>This study highlights the potential of machine learning-based models in predicting ipsilateral level II LNM in PTC patients and contributes to a more personalized approach to LND. The findings support the selective omission of ipsilateral level II dissection in carefully evaluated cases, which may reduce surgical morbidity without compromising oncologic outcomes.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 3","pages":"Pages 279-287"},"PeriodicalIF":1.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007864","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}

{"title":"The efficacy of early voice therapy in patients with vocal fold paralysis after thyroidectomy","authors":"Geun-Jeon Kim ,&nbsp;Oh-Hyeong Lee ,&nbsp;Sang-Yeon Kim ,&nbsp;Ja Seong Bae ,&nbsp;Kwangsoon Kim ,&nbsp;Jeong Soo Kim ,&nbsp;Yeon-Shin Hwang ,&nbsp;Mi-Ran Shim ,&nbsp;Dong-Il Sun","doi":"10.1016/j.anl.2025.04.008","DOIUrl":"10.1016/j.anl.2025.04.008","url":null,"abstract":"<div><h3>Objective</h3><div>The therapeutic effects of voice therapy, including relaxation exercises, semi-occluded vocal tract training, and vocal function strengthening exercises, have been studied in patients with vocal fold paralysis following thyroid surgery. However, optimal timing for initiating voice therapy remains unclear. This study aims to evaluate the effects and patient satisfaction associated with early voice therapy initiated within one month post-thyroidectomy in patients with unilateral vocal fold paralysis.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on 63 patients diagnosed with unilateral vocal fold paralysis after thyroidectomy. Thirty-two patients received early voice therapy within one month post-surgery (average of 3.5 sessions), while 31 patients did not receive any therapy. Comprehensive voice assessments, including laryngeal videostroboscopy, auditory-perceptual, acoustic, and aerodynamic evaluations, were performed preoperatively and at 2 weeks, 2 months, 6 months and 1 year post-surgery. Subjective voice satisfaction was assessed using the Thyroidectomy-related Voice and Symptom Questionnaire.</div></div><div><h3>Results</h3><div>Preoperative analyses revealed a no significant differences between the two groups in most of the key voice outcomes, including the TVSQ.Voice therapy led to significant improvements in high pitch range (p=0.021), maximum phonation time (MPT) (p=0.006), and perceptual voice quality, and a reduction in throat discomfort. Furthermore, this group demonstrated a faster recovery to preoperative voice levels, in contrast to the non-therapy group, which experienced slower and incomplete recovery.</div></div><div><h3>Conclusions</h3><div>Early voice therapy following thyroidectomy is effective in enhancing vocal outcomes for patients with unilateral vocal fold paralysis, facilitating faster recovery and improved long-term voice function through enhanced glottic closure and pitch control.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 3","pages":"Pages 263-271"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043280","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}

{"title":"Evaluation of reading, cognitive and auditory processing skills of university educated cochlear implant users","authors":"Yeter Saçlı ,&nbsp;Ayşe Ayça Çiprut ,&nbsp;Abdullah Çağlar Batman","doi":"10.1016/j.anl.2025.04.010","DOIUrl":"10.1016/j.anl.2025.04.010","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of study was to compare the reading, cognitive and auditory processing skills of university educated cochlear implant (CI) users and normal hearing individuals with similar levels of education and to examine the relationship between these skills. A secondary aim was to examine the relationship between the demographic information of CI users and the skills that were assessed in the study.</div></div><div><h3>Methods</h3><div>This study included 30 normal hearing individuals and 30 CI users who were matched for age, gender and cortical maturation. The reading speed of the participants was determined by using a text from the Informal Reading Inventory. Additionally, the Phonemic Verbal Fluency (PVF) Test, Auditory Verbal Learning Test (AVLT), P300, Frequency Pattern Test (FPT), and Gaps-in-Noise (GIN) tests were performed.</div></div><div><h3>Results</h3><div>Reading speed, PVF, FPT and GIN tests were significantly better in normal hearing individuals. However, AVLT and P300 results were not significantly different between the groups. Significant correlations were identified between the skills assessed in both groups. Furthermore, significant correlations were identified between the age at start of auditory (re)habilitation and reading speed in CI users.</div></div><div><h3>Conclusions</h3><div>Although university educated CI users have worse reading speed and auditory processing skills than their normal hearing peers, their learning and memory performance is similar. In addition, there may be different factors affecting these skills in both groups.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 3","pages":"Pages 272-278"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045812","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}

{"title":"Comparison of surgical outcomes between anterograde and retrograde approaches for partial superficial parotidectomy in pleomorphic adenoma: A new surgical technique of the retrograde approach guided by the zygomatic branch","authors":"Akihito Tarui ,&nbsp;Ryusuke Hori ,&nbsp;Tsuyoshi Kojima ,&nbsp;Yusuke Okanoue ,&nbsp;Atsushi Taguchi ,&nbsp;Shuya Otsuki ,&nbsp;Hideaki Okuyama ,&nbsp;Harukazu Hiraumi","doi":"10.1016/j.anl.2025.04.004","DOIUrl":"10.1016/j.anl.2025.04.004","url":null,"abstract":"<div><h3>Objective</h3><div>Partial superficial parotidectomy is commonly performed for pleomorphic adenoma of the parotid gland. The Blair incision, frequently used for superficial parotidectomy, provides wide surgical exposure but leaves a visible periauricular scar misaligned with facial skin cleavage lines. To enhance esthetics and reduce invasiveness, we use the anterograde approach (AA) with a postauricular incision or the retrograde approach (RA) guided by either the zygomatic branch (ZB) with preauricular incisions or the marginal mandibular branch (MB) with an arc-shaped neck incision, depending on tumor location. Notably, the RA guided by the ZB with preauricular incision is a novel technique. This study presents a new RA technique and defines indications for AA and RA.</div></div><div><h3>Methods</h3><div>The approach varied depending on tumor location. If the tumor was located in the tail or anterior border of the parotid gland, we selected the RA guided by the marginal MB using an arc-shaped neck incision or the RA guided by the ZB using a preauricular incision within the sideburns, respectively. For other cases, AA using a postauricular incision was selected regardless of the tumor size.</div></div><div><h3>Results</h3><div>Among 241 patients, AA was performed in 195 and RA in 46 patients; MB- and ZB-guided RA were performed in 20 and 26 patients, respectively. The mean operation times for AA and RA were 94.6 and 64.0 min, respectively. The mean operation times for MB- and ZB-guided RA were 77.1 and 53.8 min, respectively. The operation time was significantly shorter in RA than in AA; ZB-guided RA had the shortest operation time in the three groups. The mean bleeding volumes were 43.8 and 11.4 mL in AA and RA cases, respectively. The mean bleeding volumes of MB- and ZB-guided RA were 17.6 and 6.8 mL, respectively. The bleeding volume was significantly less in RA than in AA; ZB-guided RA had the least bleeding volume in the three groups. Complication rates were low, and postoperative incision scars along the postauricular and neck cleavage lines or on sideburns were cosmetically satisfactory.</div></div><div><h3>Conclusion</h3><div>In the present study, we reported a novel surgical technique for RA guided by the ZB. The surgical results and postoperative aesthetic outcomes were favorable, supporting the appropriateness of our surgical indications for AA and RA and the utility of RA guided by ZB with a preauricular incision.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"52 3","pages":"Pages 258-262"},"PeriodicalIF":1.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852232","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}