Acta Oto-Laryngologica最新文献

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Assessment of health-related quality of life and olfactory loss in relation to nasal polyp recurrence after endoscopic sinus surgery in patients with chronic rhinosinusitis: a real life-study. 评估慢性鼻窦炎患者内窥镜鼻窦手术后鼻息肉复发与健康相关的生活质量和嗅觉丧失:一项真实生活研究
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-10 DOI: 10.1080/00016489.2025.2564243
Axel Nordström, Marie Svedberg, Michael Ryott, Maria Kumlin, Mattias Jangard
{"title":"Assessment of health-related quality of life and olfactory loss in relation to nasal polyp recurrence after endoscopic sinus surgery in patients with chronic rhinosinusitis: a real life-study.","authors":"Axel Nordström, Marie Svedberg, Michael Ryott, Maria Kumlin, Mattias Jangard","doi":"10.1080/00016489.2025.2564243","DOIUrl":"https://doi.org/10.1080/00016489.2025.2564243","url":null,"abstract":"<p><strong>Background: </strong>Chronic rhinosinusitis with nasal polyps (CRSwNP) impacts the health-related quality of life (HrQoL) and sense of smell. The association between recurrent NPs after surgery and patient-reported outcomes has not been extensively studied.</p><p><strong>Objective: </strong>To investigate whether patients with recurrent NPs can be distinguished from non-recurrent cases based on pre- and postsurgical evaluations of HrQoL, sense of smell, blood eosinophils and fractional exhaled nitric oxide (FeNO).</p><p><strong>Methods: </strong>Thirty-five patients with CRSwNP were recruited pre-surgery and followed up to 12 months post-surgery. HrQoL was assessed with RAND-36 and SNOT-22, olfactory dysfunction with smell test and self-reported.</p><p><strong>Results: </strong>SNOT-22 scores improved 6 months post-surgery but deteriorated 12 months post-surgery with no significant difference related to recurrent NPs. Patients with recurrent NPs had lower smell test scores and more frequent self-reported anosmia or hyposmia as well as higher blood eosinophil counts at pre-surgery. FeNO did not change post-surgery and was not related to NP recurrence.</p><p><strong>Conclusion: </strong>A low smell test result before surgery may serve as an early indicator of recalcitrant NPs, whereas preoperative scores from HrQoL questionnaires may not be a good predictor. We confirm a significant role for blood eosinophils in refractory CRSwNP, while FeNO may not predict rapid NP recurrence.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273351","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
Cognitive function assessment in patients with uncompensated vestibular neuritis. 非代偿性前庭神经炎患者的认知功能评估。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-10 DOI: 10.1080/00016489.2025.2561914
Bahareh Khavarghazalani, Maryam Emadi, Behnoush Kamali, Morteza Hamidi Nahrani, Bita Ghorbani Aghdam
{"title":"Cognitive function assessment in patients with uncompensated vestibular neuritis.","authors":"Bahareh Khavarghazalani, Maryam Emadi, Behnoush Kamali, Morteza Hamidi Nahrani, Bita Ghorbani Aghdam","doi":"10.1080/00016489.2025.2561914","DOIUrl":"https://doi.org/10.1080/00016489.2025.2561914","url":null,"abstract":"<p><strong>Background: </strong>The vestibular system is essential for spatial orientation and is increasingly implicated in higher-order cognitive processes.</p><p><strong>Objective: </strong>To investigate specific cognitive domains affected by unilateral vestibular neuritis (VN).</p><p><strong>Methods: </strong>In a cross-sectional comparative study, 30 patients with uncompensated unilateral VN and 30 age- and sex-matched healthy controls were assessed. Participants completed a cognitive test battery including reaction time tasks, visuospatial memory (Corsi Block-Tapping Test), processing speed and response inhibition (Visual Stroop Task), verbal fluency, working memory (Reverse Digit Span), and attention (Serial 7 Subtraction). Between-group comparisons were conducted using independent t-tests or Mann-Whitney U-tests, with effect sizes calculated using Cohen's d.</p><p><strong>Results: </strong>No significant demographic differences were observed between groups. Patients with VN performed significantly worse on the Corsi Block-Tapping Test (<i>p</i> = 0.004, <i>d</i> = 1.02) and exhibited prolonged reaction times in the choice reaction task and incongruent Stroop condition (<i>p</i> = 0.01, <i>d</i> = 0.8). No significant differences were found in other cognitive domains.</p><p><strong>Conclusion: </strong>Unilateral VN is associated with deficits in visuospatial memory and slowed processing speed. These findings emphasize the vestibular system's role in cognition and support the inclusion of cognitive assessment and rehabilitation in the management of vestibular disorders.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273331","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
Correction. 修正。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-10 DOI: 10.1080/00016489.2025.2572263
{"title":"Correction.","authors":"","doi":"10.1080/00016489.2025.2572263","DOIUrl":"10.1080/00016489.2025.2572263","url":null,"abstract":"","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1"},"PeriodicalIF":1.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273302","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
Auditory brainstem responses in women: influence of Body Mass Index. 女性听觉脑干反应:体重指数的影响。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-08 DOI: 10.1080/00016489.2025.2568937
Salihe Erdoğan, Şule Çekiç
{"title":"Auditory brainstem responses in women: influence of Body Mass Index.","authors":"Salihe Erdoğan, Şule Çekiç","doi":"10.1080/00016489.2025.2568937","DOIUrl":"https://doi.org/10.1080/00016489.2025.2568937","url":null,"abstract":"<p><strong>Background: </strong>The studies on malnutrition/obesity and hearing argued that there may be a relationship between malnutrition/obesity and hearing loss, although many used behavioral measurements.</p><p><strong>Aims/objectives: </strong>To investigate Auditory Brainstem Responses (ABR) in women by considering Body Mass Index (BMI).</p><p><strong>Material and methods: </strong>A total of 60 females (<i>n</i> = 120 ears) between the ages of 18-40 years participated. All subjects had normal hearing, and they were grouped under three BMI categories (weak, ideal weight and overweight). ABR recorded with Click and CE-Chirp stimuli at 80-60 dB nHL intensity levels. Absolute latencies and inter- peak latencies of waves I, III and V were evaluated. Right-left ears results and the stimulus type (Click or CE-Chirp) were considered.</p><p><strong>Results: </strong>Mainly, wave V absolute latency and I-V inter-peak latency were longest in subjects who were overweight. No interpretable differences were noted between the ears (<i>p</i> > 0.05). Regarding the stimulus type (Click or CE-Chirp), significant differences were observed in all BMI groups (<i>p</i> < 0.05).</p><p><strong>Conclusions and significance: </strong>The ABR, which are affected by many other factors, are also directly related to BMI. The importance of taking BMI into consideration when creating normative data in ABR measurements and/or using ABR in clinics is emphasized. The stimulus type caused significant differences.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243426","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
Pseudoballs as a distinct endotype of sinonasal bioballs. 假球是鼻窦生物球的一种独特的内型。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-08 DOI: 10.1080/00016489.2025.2563036
Hae Won Choi, Sungsin Jo, Taeyang Lee, Junsung Bahn, Jae Kyung Myung, Yangsoon Lee, Mina Rho, Seok Hyun Cho
{"title":"Pseudoballs as a distinct endotype of sinonasal bioballs.","authors":"Hae Won Choi, Sungsin Jo, Taeyang Lee, Junsung Bahn, Jae Kyung Myung, Yangsoon Lee, Mina Rho, Seok Hyun Cho","doi":"10.1080/00016489.2025.2563036","DOIUrl":"https://doi.org/10.1080/00016489.2025.2563036","url":null,"abstract":"<p><strong>Background: </strong>Fungal ball has been known as a noninvasive subtype of chronic rhinosinusitis (CRS). Recently, other endotypes of sinonasal bioballs, which we reported as bacterial balls and mixed balls.</p><p><strong>Objectives: </strong>This study aimed to investigate the pseudoball as a distinct endotype of sinonassal bioballs.</p><p><strong>Methods: </strong>This study included 41 CRS patients with suspected fungal balls who underwent functional endoscopic sinus surgery (FESS) from January 2020 to November 2022. All fungus-like biomaterials were stained with Hematoxylin-Eosin, Gomori-Methenamine-Silver (GMS), and Gram stains. Diagnosis of pseudoballs was made when both GMS and Gram staining were negative. Clinical and computed tomography (CT) findings were compared between fungal balls and pseudoballs.</p><p><strong>Results: </strong>Four endotypes of sinonasal bioballs were identified: fungal balls (56.1%), mixed balls (26.8%), pseudoballs (12.2%), and bacterial balls (4.9%). During FESS, the pseudoballs had heterogeneous gross features with a gel-like or semi-solid consistency and yellow-to-gray colors. Histopathology of the pseudoballs showed a matrix with thick acellular mucous material without any fungi or bacteria. When compared with fungal balls, all pseudoballs cases were immunocompetent (100%) and prone to involvement of the posterior ethmoid sinus (60%, <i>p</i> = 0.01) in CT scans.</p><p><strong>Conclusions: </strong>The pseudoballs were dual-negative in GMS and Gram staining and showed distinct clinical and radiological characteristics as a different endotype.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243362","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
Beyond endoscopy: the ongoing role of frontal osteoplastic flap surgery-a case series and evidence-based analysis. 超越内窥镜:额骨成形术的持续作用-一个病例系列和循证分析。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-08 DOI: 10.1080/00016489.2025.2568143
José Alberto Fernandes, Patrícia Silva Sousa, Ricardo Damaso, Maria João Barros, António Castanheira
{"title":"Beyond endoscopy: the ongoing role of frontal osteoplastic flap surgery-a case series and evidence-based analysis.","authors":"José Alberto Fernandes, Patrícia Silva Sousa, Ricardo Damaso, Maria João Barros, António Castanheira","doi":"10.1080/00016489.2025.2568143","DOIUrl":"https://doi.org/10.1080/00016489.2025.2568143","url":null,"abstract":"<p><strong>Introduction: </strong>Frontal sinus surgery is among the most technically demanding areas in rhinology due to the complex anatomy of the frontal recess and proximity to critical structures such as the orbit and anterior cranial fossa. Although endoscopic sinus surgery (ESS) is the standard for most sinonasal pathologies, the frontal osteoplastic flap (OPF) remains important in select clinical scenarios.</p><p><strong>Objectives: </strong>To evaluate the role of OPF in current rhinologic practice by presenting a retrospective case series and reviewing contemporary literature.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 11 patients who underwent OPF between 2007 and 2019 at a Portuguese center. Surgical data, indications, approaches, and outcomes were reviewed. A literature review was also performed to contextualize findings.</p><p><strong>Results: </strong>The most common indications were frontal sinus osteomas, mucoceles with orbital involvement, and refractory chronic frontal sinusitis. Supraciliary and bicoronal incisions were used, and in some cases, combined with ESS. No major complications occurred, and outcomes were highly satisfactory both functionally and esthetically.</p><p><strong>Conclusion: </strong>Despite advancements in endoscopic techniques, OPF remains a valuable option for anatomically challenging, recurrent, or bone-involving frontal sinus disease. This case series and literature review support its continued role in the comprehensive surgical armamentarium in rhinology.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-9"},"PeriodicalIF":1.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145243404","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
Impact of the cytokine milieu on fibroblasts and their characterization in chronic rhinosinusitis with nasal polyps. 细胞因子环境对慢性鼻窦炎伴鼻息肉成纤维细胞的影响及其特征。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-08 DOI: 10.1080/00016489.2025.2567407
Toshiyuki Matsuyama, Reika Kawabata-Iwakawa, Hideyuki Takahashi, Yuichi Tomidokoro, Masaomi Motegi, Kazuaki Chikamatsu
{"title":"Impact of the cytokine milieu on fibroblasts and their characterization in chronic rhinosinusitis with nasal polyps.","authors":"Toshiyuki Matsuyama, Reika Kawabata-Iwakawa, Hideyuki Takahashi, Yuichi Tomidokoro, Masaomi Motegi, Kazuaki Chikamatsu","doi":"10.1080/00016489.2025.2567407","DOIUrl":"https://doi.org/10.1080/00016489.2025.2567407","url":null,"abstract":"<p><strong>Background: </strong>Nasal polyps (NP) contribute to treatment resistance in chronic rhinosinusitis with nasal polyps (CRSwNP); however, the cellular and molecular mechanisms underlying nasal polypogenesis are not completely understood.</p><p><strong>Objectives: </strong>To investigate whether the characteristics of fibroblasts differ under the surrounding tissue environment.</p><p><strong>Material and methods: </strong>Patients with CRSwNP were divided into two groups based on the eosinophil infiltration in the NP; the gene expression levels were evaluated. Fibroblasts established from NP were assessed for functional changes following cytokine stimulation, and RNA sequencing (RNA-seq) was performed.</p><p><strong>Results: </strong><i>IL5</i> and <i>IL13</i> expression was higher, and <i>IFNG</i> and <i>TNF</i> lower, in NP from eosinophilic CRS (ECRS) patients compared to non-ECRS. <i>FOXP3</i> expression was significantly upregulated in ECRS patients. Cytokine-stimulated fibroblasts from both ECRS and non-ECRS showed similar expression of fibroblast-to-myofibroblast transition-related genes and significantly reduced migratory capacity following IL-13 and TNF-α treatment. RNA sequencing revealed six and thirty-five significant activated and inactivated signaling pathways, respectively, in the Diseases Bio Functions analysis.</p><p><strong>Conclusions and significance: </strong>Fibroblasts contribute to nasal polypogenesis irrespective of inflammation type in CRSwNP. Although their behavior is regulated by the immune microenvironment, our findings also highlight fibroblasts as potential therapeutic targets, supporting both endotypic classification and novel treatment strategies.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-9"},"PeriodicalIF":1.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249256","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
An investigation of the effects of various proprioceptive inputs on vestibuloocular reflex and otolith organs. 不同本体感觉输入对前庭反射和耳石器官影响的研究。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-01 Epub Date: 2025-08-31 DOI: 10.1080/00016489.2025.2549087
Deniz Uğur Cengiz, Ercan Karababa, Sanem Can Sarıoğlu, Buşra Mazooğlu, Sümeyye Demirel Birişik, Almıla Avşar, Hatice Kübra Bozkurt, İsmail Demir
{"title":"An investigation of the effects of various proprioceptive inputs on vestibuloocular reflex and otolith organs.","authors":"Deniz Uğur Cengiz, Ercan Karababa, Sanem Can Sarıoğlu, Buşra Mazooğlu, Sümeyye Demirel Birişik, Almıla Avşar, Hatice Kübra Bozkurt, İsmail Demir","doi":"10.1080/00016489.2025.2549087","DOIUrl":"10.1080/00016489.2025.2549087","url":null,"abstract":"<p><strong>Background: </strong>The vestibular system is crucial for balance and gaze stability. Proprioceptive inputs from the musculoskeletal system significantly contribute to vestibular processing, especially under postural challenge.</p><p><strong>Objectives: </strong>To examine how proprioceptive inputs in various body positions affect the vestibulo-ocular reflex (VOR) and otolith organ function.</p><p><strong>Materials and methods: </strong>Thirty healthy adults (18-40 years, no vertiginous symptoms) underwent cervical and ocular vestibular evoked myogenic potentials (c-VEMP, o-VEMP) and video head impulse testing (v-HIT) in four positions: sitting, standing, one-leg standing, and on a balance disk. Primary outcomes included latency, amplitude, and asymmetry for VEMPs; gain and asymmetry for semicircular canals (SCCs) via v-HIT.</p><p><strong>Results: </strong>c-VEMP latencies and amplitudes did not differ significantly across positions; however, amplitude asymmetry was significantly different between sitting and other conditions (<i>p</i> = .041). o-VEMP results remained consistent (<i>p</i> > .05). v-HIT revealed progressively reduced SCC gain from sitting to disk stance, with significant decreases in lateral SCCs (<i>p</i> < .05) and vertical SCCs (<i>p</i> < .001); asymmetry remained stable.</p><p><strong>Conclusions and significance: </strong>Increased proprioceptive demand reduced VOR gain and modified c-VEMP asymmetry, reflecting enhanced vestibulospinal engagement. These outcomes likely arise from multisensory interactions rather than proprioceptive input alone, underscoring integrated sensory contributions to postural control.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"911-920"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938438","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
Validity and reliability of the Turkish version of the "cochlear implant use questionnaire". 土耳其版“人工耳蜗使用问卷”的效度和信度。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-01 Epub Date: 2025-09-23 DOI: 10.1080/00016489.2025.2563043
Aysenur Aykul Yagcioglu, Betul Cicek Cinar
{"title":"Validity and reliability of the Turkish version of the \"cochlear implant use questionnaire\".","authors":"Aysenur Aykul Yagcioglu, Betul Cicek Cinar","doi":"10.1080/00016489.2025.2563043","DOIUrl":"10.1080/00016489.2025.2563043","url":null,"abstract":"<p><strong>Background: </strong>Daily and regular use of cochlear implant (CI) processors is crucial for adapting to them and achieving optimal benefits. However, some obstacles to using CI processors exist, and it is important to identify these barriers and find solutions.</p><p><strong>Purpose: </strong>This research evaluated the validity and reliability of the Turkish version of the Cochlear Implant Use Questionnaire (CIUQ) related to the barriers to cochlear implant use.</p><p><strong>Methods: </strong>This is a cross-cultural adaptation of the CIUQ questionnaire. One hundred thirty-four adult CI users aged 18-60 participated in the study. This study evaluated the construct validity of the CIUQ using confirmatory factor analysis and the internal consistency reliability using Cronbach's alpha coefficient.</p><p><strong>Results: </strong>In the current study, the Kaiser-Meyer-Olkin coefficient was 0.75. The fit values obtained from the CFA applied to the CIUQ were satisfactory and within acceptable limits. Cronbach's α internal consistency coefficient for subscales ranged from 0.70 to 0.78, and the value was 0.8 for the overall scale.</p><p><strong>Conclusion: </strong>The Turkish adaptation of the CIUQ, which was developed to measure CI usage habits and barriers to daily CI usage, was determined to be a reliable and valid measurement tool for adults using CI.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"949-956"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145129741","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
Diagnostic utility of videofluoroscopic swallowing study in patients presenting with the sensation of food sticking in the throat: a retrospective analysis. 影像透视吞咽研究对有食物卡在喉咙的病人的诊断价值:回顾性分析。
IF 1 4区 医学
Acta Oto-Laryngologica Pub Date : 2025-10-01 Epub Date: 2025-09-26 DOI: 10.1080/00016489.2025.2561920
Mustafa Said Tekin, Fatma Nerse
{"title":"Diagnostic utility of videofluoroscopic swallowing study in patients presenting with the sensation of food sticking in the throat: a retrospective analysis.","authors":"Mustafa Said Tekin, Fatma Nerse","doi":"10.1080/00016489.2025.2561920","DOIUrl":"10.1080/00016489.2025.2561920","url":null,"abstract":"<p><strong>Background: </strong>The sensation of food 'sticking' in the throat is a frequent but diagnostically challenging symptom that often persists despite normal ENT findings. Videofluoroscopic swallowing study (VFSS) enables dynamic evaluation of swallowing physiology and may reveal hidden abnormalities.</p><p><strong>Aims/objectives: </strong>To assess the diagnostic yield of VFSS in patients with throat-related dysphagia, focusing on abnormality type, localisation, and bolus consistency.</p><p><strong>Materials and methods: </strong>This retrospective study included 42 patients with persistent symptoms but normal endoscopic examinations between January 2020 and January 2025. Reflux-related findings were excluded. VFSS was performed with nectar-thick liquids, pudding, and solids. Abnormalities were classified by site and etiology. Concordance between symptom site and VFSS findings was analysed.</p><p><strong>Results: </strong>VFSS detected abnormalities in 74% of patients, predominantly physiological (65%) and within the oesophageal body (55%). Symptom-pathology concordance was low (26%). Solids provided the highest diagnostic yield (50%).</p><p><strong>Conclusions and significance: </strong>VFSS is valuable in unexplained dysphagia with normal ENT findings, particularly when symptoms occur with solids. Including oesophageal evaluation and varied consistencies improves diagnostic precision and guides management.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1004-1011"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147379","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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