Acta Oto-Laryngologica最新文献

Endoscopic endonasal surgery and radiotherapy in skull base chordomas: a 20-year retrospective analysis of long-term outcomes and prognostic factors. 颅底脊索瘤的鼻内窥镜手术和放疗：20年的长期结果和预后因素回顾性分析。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-05-05 DOI: 10.1080/00016489.2026.2659351

Hongbing Li, Pengfei Guan, Huankang Zhang, Jimin Zhang, Ruiyue Liu, Dehui Wang, Weidong Zhao

{"title":"Endoscopic endonasal surgery and radiotherapy in skull base chordomas: a 20-year retrospective analysis of long-term outcomes and prognostic factors.","authors":"Hongbing Li, Pengfei Guan, Huankang Zhang, Jimin Zhang, Ruiyue Liu, Dehui Wang, Weidong Zhao","doi":"10.1080/00016489.2026.2659351","DOIUrl":"https://doi.org/10.1080/00016489.2026.2659351","url":null,"abstract":"Background: For skull base chordomas, two key aspects remain controversial: (1) the necessity of adjuvant RT following gross total resection (GTR) and (2) the comparative long-term efficacy of different RT modalities.Objective: This study aimed to evaluate the effects of endonasal endoscopic surgery, RT, and other variables on progression-free survival (PFS) and overall survival (OS) in patients with skull base chordomas.Method: A retrospective analysis was conducted on 83 patients (2006-2025) treated at the Affiliated Eye Ear Nose and Throat Hospital, Fudan University, to assess the prognosis of skull base chordoma between 2006 and 2025.Results: Between 2006 and 2014, GTR was achieved in 25.8% of patients. Between 2015 and 2022, GTR was achieved in 50.0% of patients. Multivariate Cox regression analysis revealed several independent prognostic factors. For PFS, GTR, the presence of complications, and a tumor volume <25 cm3 were significantly associated with outcome. For OS, the independent predictors included STR, GTR and complications.Conclusions: Surgery remains the primary treatment for skull base chordoma. We therefore recommend pursuing maximal safe resection to achieve GTR whenever feasible. The efficacy of resection is also influenced by the endoscopic endonasal surgery learning curve. Our analysis also revealed tumor volume, and a complicated surgical course as independent prognostic factors. Furthermore, our data may not support the routine use of adjuvant RT following GTR.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832228","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

Evaluating the Impact of Intraoperative Magnetic Resonance Imaging on the Resection of Juvenile Nasopharyngeal AngiofibromaEvaluating the impact of intraoperative MRI on the resection of juvenile nasopharyngeal angiofibroma. 评价术中磁共振成像对青少年鼻咽血管纤维瘤切除术的影响评价术中MRI对青少年鼻咽血管纤维瘤切除术的影响。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-05-04 DOI: 10.1080/00016489.2026.2658629

Mucahit Yalcin, Gokberk Erol, Alperen Sozer, Mehmet Ekrem Zorlu, Emetullah Cindil, Nil Tokgoz, Emrah Celtikci, Muammer Melih Sahin

{"title":"Evaluating the Impact of Intraoperative Magnetic Resonance Imaging on the Resection of Juvenile Nasopharyngeal AngiofibromaEvaluating the impact of intraoperative MRI on the resection of juvenile nasopharyngeal angiofibroma.","authors":"Mucahit Yalcin, Gokberk Erol, Alperen Sozer, Mehmet Ekrem Zorlu, Emetullah Cindil, Nil Tokgoz, Emrah Celtikci, Muammer Melih Sahin","doi":"10.1080/00016489.2026.2658629","DOIUrl":"https://doi.org/10.1080/00016489.2026.2658629","url":null,"abstract":"Background: Complete resection is essential in the management of juvenile nasopharyngeal angiofibroma (JNA), yet residual disease remains a major cause of recurrence, particularly in advanced cases. Intraoperative MRI (IO-MRI) may support intraoperative decision-making, but its clinical utility in JNA surgery remains unclear.Aims/objectives: To evaluate the selective role of intraoperative MRI (IO-MRI) in intraoperative decision-making during endoscopic resection of JNA.Material and methods: Nine patients who underwent endoscopic endonasal resection of JNA with IO-MRI assistance were retrospectively reviewed. IO-MRI findings, intraoperative management changes, and follow-up outcomes were evaluated.Results: IO-MRI detected no residual tumor in seven patients (77.7%). In one case, residual disease identified on IO-MRI prompted additional resection during the same operation. In another case, a residual tumor involving critical neurovascular structures was detected, and further resection was avoided. No recurrence was observed in eight patients during follow-up, and no IO-MRI-related morbidity occurred.Conclusions: IO-MRI may serve as a valuable adjunct in JNA surgery by supporting intraoperative decisions to either continue or safely limit resection. Its use appears most beneficial in anatomically complex or advanced-stage tumors.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-9"},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809535","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

Correlation between residual dizziness after repositioning of benign paroxysmal positional vertigo and motion sickness: an observational study. 良性阵发性体位性眩晕复位后残留头晕与晕动病的相关性：一项观察性研究。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-05-04 DOI: 10.1080/00016489.2026.2656280

Bingtong Lin, Junlin Fang, Genquan Huang, Xuyou Zhou, Danyang Meng, Juan Qu, Junjie Xu, Baoxiang Wang, Jin Hu

{"title":"Correlation between residual dizziness after repositioning of benign paroxysmal positional vertigo and motion sickness: an observational study.","authors":"Bingtong Lin, Junlin Fang, Genquan Huang, Xuyou Zhou, Danyang Meng, Juan Qu, Junjie Xu, Baoxiang Wang, Jin Hu","doi":"10.1080/00016489.2026.2656280","DOIUrl":"https://doi.org/10.1080/00016489.2026.2656280","url":null,"abstract":"Background: During the onset of benign paroxysmal positional vertigo (BPPV), patients with motion sickness may experience more severe vestibular symptoms, which may affect the occurrence of residual dizziness (RD).Objectives: To study the correlation between RD after BPPV and motion sickness.Materials and methods: According to the history of motion sickness, the clinical characteristics of BPPV combined with motion sickness were analyzed. According to whether there was RD after successful repositioning, the patients were divided into RD group and non-RD group. The differences between the two groups were analyzed first, and then the influencing factors of RD were analyzed.Results: ① The proportion of women, dizziness handicap inventory (DHI) score, Hamilton Anxiety Scale (HAMA) score and incidence of RD in the motion sickness group were higher than those in the non-motion sickness group. ② The age, course of diseases, history of BPPV, history of motion sickness, DHI score and HAMA score in the RD group were higher than those in the non-RD group. ③ History of motion sickness, age, course of disease, history of BPPV, DHI, and HAMA were the influencing factors of RD.Conclusions: Motion sickness is associated with RD, and may serve as a clinical indicator for risk stratification.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809581","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

Surgical injuries and underlying factors in novice's mastoidectomy and posterior tympanotomy training. 新手乳突切除及后鼓室切开术训练之手术损伤及潜在因素。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-30 DOI: 10.1080/00016489.2026.2661770

Jesse Tapiala, Aarno Dietz, Tomi Timonen, Hana Vrzáková, Matti Iso-Mustajärvi

{"title":"Surgical injuries and underlying factors in novice's mastoidectomy and posterior tympanotomy training.","authors":"Jesse Tapiala, Aarno Dietz, Tomi Timonen, Hana Vrzáková, Matti Iso-Mustajärvi","doi":"10.1080/00016489.2026.2661770","DOIUrl":"https://doi.org/10.1080/00016489.2026.2661770","url":null,"abstract":"Background: Achieving surgical expertise requires repetition and continuous practice. As clinical demands increase and opportunities for safe learning decline, enhancing surgical training methods is essential.Purpose: In this study, we investigate what kind of errors beginners make during mastoidectomy and posterior tympanotomy and what factors precede those injuries.Materials and methods: We analyzed video recordings of 30 medical students performing mastoidectomy and posterior tympanotomy on 3D-printed temporal bone models. The participants were trained using either traditional methods or VR. We assessed surgical injuries and their possible underlying causes by analyzing the end result and video recordings.Results: The most common surgical errors were injuries to the posterior ligament of the incus, posterior ear canal wall, and incus body in 64%, 27%, and 13% of the models, respectively. Common factors included insufficient anatomical knowledge, inadequate exposure, poor spatial orientation, and inattention to nearby anatomical features during targeted work.Conclusions and significance: Novice surgeons commonly make errors which differ from previously reported error-rates for experienced surgeons. These data could be useful to better understand what novices are struggling with when developing surgical training methods in the future.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-8"},"PeriodicalIF":1.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759343","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

Endoscopic-assisted versus conventional closed septorhinoplasty: a comparative study of functional, aesthetic, and postoperative outcomes. 内镜辅助与常规闭合性鼻中隔成形术：功能、美学和术后结果的比较研究。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-29 DOI: 10.1080/00016489.2026.2661098

Saad Elzayat, Youssef Zaki, Ahmed Samy Abdel-Hamid

{"title":"Endoscopic-assisted versus conventional closed septorhinoplasty: a comparative study of functional, aesthetic, and postoperative outcomes.","authors":"Saad Elzayat, Youssef Zaki, Ahmed Samy Abdel-Hamid","doi":"10.1080/00016489.2026.2661098","DOIUrl":"https://doi.org/10.1080/00016489.2026.2661098","url":null,"abstract":"Background: Nasal septal deviation is a common cause of nasal obstruction, and septorhinoplasty addresses both functional and aesthetic concerns. The role of endoscopic assistance in closed septorhinoplasty remains incompletely characterized.Objectives: To compare conventional closed and endoscopic-assisted septorhinoplasty regarding functional and aesthetic outcomes, postoperative morbidity, and operative time.Materials and methods: This prospective, randomized, single-blinded clinical trial included 50 patients randomized to conventional closed (group A) or endoscopic-assisted septorhinoplasty (group B). Outcomes included Nasal Obstruction Symptom Evaluation (NOSE) scores, FACE-Q Rhinoplasty Module, operative time, and postoperative morbidity (edema, ecchymosis, pain).Results: Operative time was longer in group B (116.68 ± 7.02 vs. 90.96 ± 7.07 min; p < 0.001). Group B showed significantly greater NOSE score improvement at 1 and 6 months (p < 0.001). Aesthetic satisfaction was higher in group B at 1 month (p < 0.001) but comparable at 6 months. Postoperative edema, ecchymosis, and day-7 pain scores were significantly lower in group B (p < 0.05).Conclusions and significance: Endoscopic-assisted septorhinoplasty offers superior early functional outcomes and reduced postoperative morbidity despite longer operative time, with comparable long-term aesthetic results. These findings support endoscopic assistance as a valuable adjunct for enhancing surgical precision and early recovery in septorhinoplasty.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-11"},"PeriodicalIF":1.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759259","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 effect of tumor budding index on clinical parameters in early-stage oral cavity cancers. 肿瘤出芽指数对早期口腔癌临床参数的影响。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-24 DOI: 10.1080/00016489.2026.2658632

Felat Toprak, Ayça Arslan, Bayram Barış Büyük, Emine Benzer, Nazan Bozdoğan

{"title":"The effect of tumor budding index on clinical parameters in early-stage oral cavity cancers.","authors":"Felat Toprak, Ayça Arslan, Bayram Barış Büyük, Emine Benzer, Nazan Bozdoğan","doi":"10.1080/00016489.2026.2658632","DOIUrl":"https://doi.org/10.1080/00016489.2026.2658632","url":null,"abstract":"Background: Tumor budding is an established prognostic marker in colorectal cancer however, it is not routinely incorporated into risk assessment in oral cavity squamous cell carcinoma.Aims: To evaluate the impact of tumor budding on survival outcomes and lymph node metastasis in patients with oral cavity cancer undergoing surgical treatment.Material and methods: Between January 1, 2010 and January 1, 2021, 87 patients diagnosed with oral cavity cancer and who underwent surgery at our clinic were included in the study. Clinically T1-2 was observed in 60 patients (69%), T3-4 in 27 patients (31%), and neck dissection was not performed in 8 patients with T1N0M0 due to comorbidities.Results: The most common site was the tongue in 61 cases (70.1%), followed by the buccal mucosa in 15 cases (17.2%). The median follow-up period was 46.5 months (0.3-160.9). Tumor budding was identified as an independent predictor of overall survival, disease-free survival, and lymph node metastasis in early-stage oral cavity squamous cell carcinoma.Conclusion: The presence of budding was associated with an increased risk of lymph node metastasis and shorter overall and disease-free survival.Significance: Routine assessment of tumor budding may contribute to postoperative risk classification and follow-up planning, beyond staging parameters.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-6"},"PeriodicalIF":1.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759311","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

Refusal of surgery in patients with laryngeal or hypopharyngeal squamous cell carcinoma. 喉部或下咽鳞状细胞癌患者拒绝手术。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-20 DOI: 10.1080/00016489.2026.2653173

Yoshihito Kubo, Ichiro Tojima, Kai Yamazaki, Kento Kawakita, Tatsuji Nishiguchi, Tomoyuki Sudo, Koji Matsumoto, Shigehiro Owaki, Yukinori Takenaka

{"title":"Refusal of surgery in patients with laryngeal or hypopharyngeal squamous cell carcinoma.","authors":"Yoshihito Kubo, Ichiro Tojima, Kai Yamazaki, Kento Kawakita, Tatsuji Nishiguchi, Tomoyuki Sudo, Koji Matsumoto, Shigehiro Owaki, Yukinori Takenaka","doi":"10.1080/00016489.2026.2653173","DOIUrl":"https://doi.org/10.1080/00016489.2026.2653173","url":null,"abstract":"Background: Patients with laryngeal and hypopharyngeal cancers may refuse recommended surgery owing to concerns about voice loss.Objectives: To investigate the factors associated with surgery refusal and the survival outcomes of patients who refused surgery.Patients and methods: We obtained data from 24,340 surgery and 1500 refusal cases using the Surveillance, Epidemiology, and End Results database. Overall survival (OS) rates were estimated using the Kaplan-Meier method. Odds ratios for surgery refusal and hazard ratios (HRs) for death were calculated using logistic regression and Cox proportional hazard models.Results: Older age, year of diagnosis, advanced disease and marital status were associated with surgery refusal. The five-year OS rate was significantly lower in the refusal group than in the surgery group (27.3% vs. 55.8%, respectively) (p < 0.001). Within the refusal group, patients who refused both surgery and radiation therapy (RT) had a five-year survival rate of 8.9%, whereas those who refused surgery but received RT showed a five-year OS rate of 36.3%. Administration of RT and chemotherapy were independent prognostic factors for OS (HR 0.41 (95%CI 0.35-0.48) and 0.80 (95%CI 0.69-0.91), respectively).Conclusions: Although non-surgical treatment remains an alternative option, surgery refusal is associated with poor prognosis.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721420","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

"When patients see what the surgeon sees": 3D imaging creates new understanding in preoperative counseling for endoscopic sinus surgery. “当病人看到外科医生所看到的”：3D成像为内窥镜鼻窦手术的术前咨询提供了新的认识。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-20 DOI: 10.1080/00016489.2026.2656278

Jonas Kornmann, Philipp Lorenz, Paul Bonik, Annette Affolter, Lena Huber, Lena Zaubitzer, Nicole Rotter, Claudia Scherl

{"title":"\"When patients see what the surgeon sees\": 3D imaging creates new understanding in preoperative counseling for endoscopic sinus surgery.","authors":"Jonas Kornmann, Philipp Lorenz, Paul Bonik, Annette Affolter, Lena Huber, Lena Zaubitzer, Nicole Rotter, Claudia Scherl","doi":"10.1080/00016489.2026.2656278","DOIUrl":"https://doi.org/10.1080/00016489.2026.2656278","url":null,"abstract":"Background: In functional endoscopic sinus surgery, the intricate anatomy and the use of minimally invasive endoscopic techniques may hinder comprehensive patient understanding in the informed consent process.Aims/objectives: Evaluation of the impact of personalized 3D CT computed tomography (CT) imaging supplementing informed consent in sinus surgery.Material and methods: In this prospective randomized study, patients scheduled for paranasal sinus surgery were allocated to standard informed consent using two-dimensional (2D) CT imaging or to counseling supplemented with individualized three-dimensional (3D) CT reconstructions. All patients received a questionnaire prior- and postsurgery to assess disease comprehension, perception of risks and benefits, and satisfaction with the informed consent process.Results: Twenty-two patients were included, with equal distribution between groups. The 3D group demonstrated significantly greater understanding of expected recovery and recurrence (p = 0.03) and improved knowledge transfer (p = 0.04). Postoperatively, the 3D group reported significantly higher understanding scores (4.50 vs. 2.73). The composite outcome-encompassing disease understanding, surgical comprehension, and overall satisfaction-was superior in the 3D group (16.00 vs. 11.64; p < 0.01).Conclusions and significance: Patient-specific 3D CT reconstructions may enhance informed consent in sinus surgery, improving comprehension, shared decision-making, and satisfaction with preoperative counseling.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-9"},"PeriodicalIF":1.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721424","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

Endoscopic myringoplasty of chronic suppurative otitis media: comparison in patients with dry ears to ones with wet ears. 慢性化脓性中耳炎的内窥镜鼓膜成形术：干耳与湿耳患者的比较。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-19 DOI: 10.1080/00016489.2026.2659356

Rui Yang, Hui Li, Maoli Duan, Ling Lu

{"title":"Endoscopic myringoplasty of chronic suppurative otitis media: comparison in patients with dry ears to ones with wet ears.","authors":"Rui Yang, Hui Li, Maoli Duan, Ling Lu","doi":"10.1080/00016489.2026.2659356","DOIUrl":"https://doi.org/10.1080/00016489.2026.2659356","url":null,"abstract":"Background: Chronic suppurative otitis media (CSOM) is characterized by recurrent otorrhea and tympanic membrane perforation. The selection of surgical technique and suitable time for myringoplasty remain variable and unclear.Objectives: This study aimed to compare the feasibility and effectiveness of the CSOM patients with dry and wet ears using endoscopic inlay and underlay myringoplasty.Methods: Sixty-four patients with CSOM who underwent endoscopic underlay or inlay myringoplasty were studied retrospectively. Cartilage-perichondrium grafts were used to repair tympanic membrane perforations. Pure-tone audiometry was performed at pre- and post-operation assessing hearing outcomes.Results: Successful closure of performed tympanic membrane with operations was achieved in all patients. Hearing improvement was observed in both the dry ear group and the wet ear group, with no statistically significant difference between the two groups (p > 0.05). Furthermore, there was no statistically significant difference in hearing improvement in the two groups by inlay and underlay technique. However, the operative time in wet ear group was statistically significant shorter in inlay myringoplasty group than in the underlay myringoplasty group (p < 0.001).Conclusions: The closure rates of tympanic membrane perforation and post-operative hearing improvement were not affected in the wet ears. Endoscopic inlay myringoplasty might be a suitable option for patients with wet ears, offering shorter operative times, minimal trauma to middle ear structures.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2026-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721361","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

Bimodal stimulation in cochlear implant users: matrix test speech-in-noise performance and audiological characteristics. 人工耳蜗使用者的双峰刺激：矩阵测试语音噪声表现和听力学特征。

IF 1 4区医学

Acta Oto-Laryngologica Pub Date : 2026-04-16 DOI: 10.1080/00016489.2026.2627631

Edoardo Covelli, Chiara Filippi, Sofia Pizzolante, Elisabetta Tromboni, Haitham Elfarargy, Piero Giuseppe Meliante

{"title":"Bimodal stimulation in cochlear implant users: matrix test speech-in-noise performance and audiological characteristics.","authors":"Edoardo Covelli, Chiara Filippi, Sofia Pizzolante, Elisabetta Tromboni, Haitham Elfarargy, Piero Giuseppe Meliante","doi":"10.1080/00016489.2026.2627631","DOIUrl":"https://doi.org/10.1080/00016489.2026.2627631","url":null,"abstract":"Background: Unilateral cochlear implant (CI) recipients with contralateral moderate-to-profound hearing loss may either adopt a contralateral hearing aid (HA) or rely on CI-only listening. Bimodal stimulation (BS), combining electric and acoustic input, has been shown to improve speech perception in noise; however, some patients decline contralateral amplification despite residual hearing.Aims/objectives: This study aimed to characterize the audiological profiles of CI recipients who refuse contralateral HA use and to compare their speech-in-noise performance with that of BS users using the Italian Matrix Sentence Test.Material and methods: Unilateral CI users with contralateral moderate-to-profound sensorineural hearing loss were enrolled and divided into BS users and CI-only users. Pure-tone audiometry (PTA), word recognition score (WRS), and speech-in-noise performance were assessed. BS users were tested in both CI-only and CI+HA conditions.Results: PTA and WRS in quiet did not differ significantly between groups (p = 0.12, p = 0.14, respectively). Within the BS group, speech-in-noise performance improved significantly with CI+HA compared with CI-only listening (p = 0.008). CI-only users showed slightly better residual contralateral hearing.Conclusion: BS provides a significant within-subject benefit for speech perception in noise. Significance: Refusal of contralateral amplification may reflect an experience-driven perception of limited benefit, highlighting the importance of individualized counselling and outcome-based hearing device selection.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687751","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