{"title":"A 3-hour time interval may not be sufficient for delayed enhancement magnetic resonance imaging with intravenous gadoteridol injection based on 3d-real IR sequence of the inner ear in Meniere’s disease patient","authors":"Wei Chen, Hanyu Xiao, Yiyin Zhang, Luxi Wang, Bingrong Li, Yan Sha","doi":"10.1080/00016489.2024.2311796","DOIUrl":"https://doi.org/10.1080/00016489.2024.2311796","url":null,"abstract":"Magnetic resonance imaging (MRI) can be applied to visualize endolymphatic hydrops (EH).To explore whether a 3-h time interval was feasible for clinical practice.We prospectively enrolled 15 patien...","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":"40 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139688977","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}
Acta Oto-LaryngologicaPub Date : 2024-02-01Epub Date: 2024-03-04DOI: 10.1080/00016489.2024.2322965
Yufeng Yang, Wenjing Gui, Cong Wu, Xianmin Wu
{"title":"Analysis of the effect of reconstructing the ossicular chain under otoendoscopy with and without a stapes superstructure.","authors":"Yufeng Yang, Wenjing Gui, Cong Wu, Xianmin Wu","doi":"10.1080/00016489.2024.2322965","DOIUrl":"10.1080/00016489.2024.2322965","url":null,"abstract":"<p><strong>Background: </strong>Numerous studies have been conducted on the effect of the stapes superstructure after ossicular chain reconstruction, but the findings are not uniform.</p><p><strong>Objective: </strong>To compare the hearing outcomes of ossicular chain reconstruction with partial ossicular replacement prosthesis (PORP) or total ossicular replacement prosthesis (TORP) under otoendoscopy.</p><p><strong>Materials and methods: </strong>The records of 111 patients diagnosed with chronic suppurative otitis media were retrospectively analyzed. These patients were divided into PORP group (<i>n</i> = 57) and TORP group (<i>n</i> = 54). They were further subdivided into subgroups PORP-a (with a malleus handle) and PORP-b (without a malleus handle), subgroups TORP-a and TORP-b. Pre- and postoperative audiometric results were analyzed.</p><p><strong>Results: </strong>The mean postoperative air conduction hearing thresholds improvement, mean air-bone gap improvement, and the success rate of reconstruction were significantly higher in the PORP group than in the TORP group (<i>p</i> < .05). The mean postoperative air conduction hearing thresholds improvement and the success rate of reconstruction were significantly higher in the PORP-a group than in the TORP-a group (<i>p</i> < .05); and similar results were concluded in comparison of the PORP-b group and the TORP-b group.</p><p><strong>Conclusions and significance: </strong>The stapes superstructure has an important positive effect on the postoperative outcome of endoscopic ossicular chain reconstruction.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"112-117"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020606","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}
Acta Oto-LaryngologicaPub Date : 2024-02-01Epub Date: 2024-03-16DOI: 10.1080/00016489.2024.2327406
Min Ji Kim, So Hee Kang, MinSu Kwon, Young Ho Jung, Seung-Ho Choi, Soon Yuhl Nam, Yoon Se Lee
{"title":"Clinical implication of neck dissection for metastatic lymph nodes originating from non-head and neck regions.","authors":"Min Ji Kim, So Hee Kang, MinSu Kwon, Young Ho Jung, Seung-Ho Choi, Soon Yuhl Nam, Yoon Se Lee","doi":"10.1080/00016489.2024.2327406","DOIUrl":"10.1080/00016489.2024.2327406","url":null,"abstract":"<p><strong>Background: </strong>Cervical lymph node metastasis (CLNM) from remote primary sites is rare in head and neck cancer. The efficacy of neck dissection is still being investigated for therapeutic benefits of local management in oligometastasis from non-head and neck cancer.</p><p><strong>Objectives: </strong>To evaluate the clinical efficacy of neck dissection (ND) in CLNM from distant primary cancers and identify factors contributing to improved survival.</p><p><strong>Materials and methods: </strong>This retrospective case-control study enrolled patients who underwent ND for CLNM from distant primary cancer at Asan Medical Centre between January 2010 and December 2020. We analysed overall survival and association between clinical covariate and survival.</p><p><strong>Results: </strong>The study included 31 (14 males, 17 females) among 114 patients. Ovarian cancer was the most common primary malignancy (32.3%). Patients with fewer than three metastatic lymph nodes, without extranodal extension and with adjuvant therapy after surgery had better survival rates.</p><p><strong>Conclusion and significance: </strong>In patients with CLNM from a distant primary cancer, ND is beneficial as local treatment. And adequate selection of patients for ND is pivotal to improve prognosis.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"153-157"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140139761","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}
Acta Oto-LaryngologicaPub Date : 2024-02-01Epub Date: 2024-03-26DOI: 10.1080/00016489.2024.2328720
Tejs Ehlers Klug, Sara Hillerup, André Henrique Dias, Lars Christian Gormsen, Peter Nørgaard Kristensen
{"title":"Incidental [18F]FDG-avid focuses in parotid glands on PET/CT.","authors":"Tejs Ehlers Klug, Sara Hillerup, André Henrique Dias, Lars Christian Gormsen, Peter Nørgaard Kristensen","doi":"10.1080/00016489.2024.2328720","DOIUrl":"10.1080/00016489.2024.2328720","url":null,"abstract":"<p><strong>Background: </strong>The number of unexpected focal [18F]FDG-avid findings (incidentalomas) within the parotid gland (PGI) continues to increase with the expanding use of PET/CT scanning. The prevalence of malignancy in PGIs is uncertain and appropriate management is unsettled.</p><p><strong>Aims: </strong>We aimed to explore the underlying pathologies associated with PGI.</p><p><strong>Materials and methods: </strong>A retrospective review of all patients with parotid gland incidentaloma(s) treated at the Ear-Nose-Throat Department, Aarhus University Hospital, Denmark in the period 2012-2021, was performed.</p><p><strong>Results: </strong>In total, 94 patients with one (<i>n</i> = 86) or two (<i>n</i> = 8) PGI(s) were included. In patients with one PGI, 72 (84%) focuses were benign, two (2%) focuses were malignant (both malignant melanoma metastases), and 12 (14%) focuses were undiagnosed. In patients with two PGIs, all 12 lesions with pathological examinations were benign (4 PGIs were undiagnosed). The median SUV<sub>max</sub> found in benign lesions was higher (12.0) compared to malignant lesions (5.5) (<i>p</i> = .043).</p><p><strong>Conclusions and significance: </strong>The prevalence of malignancy was low (2/94, 2.4%) in PGIs. Based on our findings, PGI in patients without a history of parotid malignancy, who undergo PET/CT scanning for reasons other than head and neck cancer (including malignant melanoma), may be managed similarly to patients with asymptomatic parotid gland tumors.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"147-152"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140287931","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":"High fluence in laser stapedotomy aggravates transient subjective dizziness.","authors":"Yoshie Mizoguchi, Taro Fujikawa, Yoshiyuki Kawashima, Taku Ito, Ken Kitamura, Yoshihiro Noguchi, Masatoki Takahashi, Keiji Honda, Takamori Takeda, Takeshi Tsutsumi","doi":"10.1080/00016489.2024.2329287","DOIUrl":"10.1080/00016489.2024.2329287","url":null,"abstract":"<p><strong>Background: </strong>Laser fenestration in stapedotomy has thermal effect to the vestibule.</p><p><strong>Aims/objectives: </strong>To evaluate the role of energy density (fluence) in the severity of postoperative vestibular symptoms.</p><p><strong>Materials and methods: </strong>The retrospective chart-review study included 84 patients with otosclerosis that underwent primary laser stapedotomy. Surgical outcomes, including nystagmus, and subjective vestibular symptoms during one-month follow-up, were compared between potassium titanyl phosphate (KTP) and CO<sub>2</sub> laser. According to this study and literature, we assessed the relationship between laser parameters and the incidence of persistent vestibular symptoms lasting more than one week after surgery.</p><p><strong>Results: </strong>The KTP and CO<sub>2</sub> laser group included 48 and 36 patients, respectively. Fluence was different between the KTP (637 J/cm<sup>2</sup>) and CO<sub>2</sub> (141 J/cm<sup>2</sup>) laser (<i>p</i> < .001). The KTP group showed gradual decrease in dizziness during one-month observation period, while the CO<sub>2</sub> group exhibited a steep recovery curve in the first postoperative week (9 and 4 d of duration, respectively). The incidence of persistent vestibular symptoms was correlated with both fluence (<i>r</i> = 0.80, <i>p</i> = .01) and spot size (<i>r</i> = -0.74, <i>p</i> = .01).</p><p><strong>Conclusions and significance: </strong>Appropriate setting of parameters with lower fluence is desirable for the efficiency and safety of laser stapedotomy.Abbreviations: ABG: air-bone gap; SD: standard deviation.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"118-122"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304324","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}
Acta Oto-LaryngologicaPub Date : 2024-02-01Epub Date: 2024-03-04DOI: 10.1080/00016489.2024.2324136
Zhengtao Sun, Yi Zhang, Bo Liu, Jinping Duan, Gang Liu, Xinyang Zhou
{"title":"The correlation of hearing prognosis and caloric test results in Meniere's disease: a follow up study.","authors":"Zhengtao Sun, Yi Zhang, Bo Liu, Jinping Duan, Gang Liu, Xinyang Zhou","doi":"10.1080/00016489.2024.2324136","DOIUrl":"10.1080/00016489.2024.2324136","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is important in the diagnosis and treatment of Meniere's disease (MD). However, little is known about the factors associated with hearing changes in MD.</p><p><strong>Aims/objectives: </strong>This study aimed to investigate the correlation between hearing prognosis and caloric test (CT) results in MD.</p><p><strong>Material and methods: </strong>Ninety consecutive patients diagnosed with unilateral definite MD underwent pure tone audiometry (PTA) and CT at initial visits, and were re-tested PTA at the 6-month follow-up.</p><p><strong>Results: </strong>Fifty-three of ninety MD patients (58.89%) had abnormal CT results. The change of PTA (cPTA = initial PTA-last PTA) was negatively correlated with canal paresis (CP) values (overall association <i>p</i> = 0.032 and non-linear association <i>p</i> = 0.413). Multivariate linear model showed that as the CP value changed from 0 to 1, the cPTA decreased by -13.31 dB (95% CI: -24.03, -2.6) (<i>p</i> = 0.016). Stratified analysis found that the association was present in MD patients of Stage 1 and 2 (<i>p</i> < 0.05) but not in patients of Stage 3 and 4 (<i>p</i> > 0.05).</p><p><strong>Conclusions and significance: </strong>Elevated CP values may be linked to worse hearing outcomes in MD, especially in Stage 1 and 2 patients. Conducting a caloric test at the initial consultation may aid in assessing hearing regression in MD.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"100-106"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140020607","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}
Acta Oto-LaryngologicaPub Date : 2024-02-01Epub Date: 2024-03-12DOI: 10.1080/00016489.2024.2318762
Sung-Min Park, Yejun Chun, Byung Yoon Choi
{"title":"Selection of speech processor in cochlear implant patients: experience in a tertiary hospital.","authors":"Sung-Min Park, Yejun Chun, Byung Yoon Choi","doi":"10.1080/00016489.2024.2318762","DOIUrl":"10.1080/00016489.2024.2318762","url":null,"abstract":"<p><strong>Background: </strong>There are two types of speech processors used in CI devices: behind-the-ear (BTE) and off-the-ear (OTE).</p><p><strong>Objectives: </strong>This study aimed to investigate the characteristics of patients and revision cases in relation to the type of speech processors.</p><p><strong>Materials and methods: </strong>A retrospective review of 452 ears that underwent CI was performed.</p><p><strong>Results: </strong>Children with severe inner ear anomalies (91.7%) more frequently preferred BTE speech processors than those without severe inner ear anomalies (<i>p</i> = .000). The magnet strength used in OTE speech processor users was significantly higher than in BTE speech processor users (<i>p</i> = .002). In cochlear implantees who underwent surgery before 12 months of age, the magnet strength in the revision group was greater than in the non-revision group (<i>p</i> = .025).</p><p><strong>Conclusions and significance: </strong>Overall, our findings suggest factors to consider when choosing the type of speech processor and modifying the magnet strength of the implant device. The choice between BTE and OTE speech processors led to different required magnet strengths, contributing to the occurrence of skin flap inflammation.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"91-95"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140100747","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":"Differences in semicircular canal function in the video head impulse test in patients in the chronic stage of sudden sensorineural hearing loss with vertigo and vestibular neuritis.","authors":"Natsuko Nakamichi, Tomoyuki Shiozaki, Masaharu Sakagami, Tadashi Kitahara","doi":"10.1080/00016489.2024.2330680","DOIUrl":"10.1080/00016489.2024.2330680","url":null,"abstract":"<p><strong>Background: </strong>Sudden sensorineural hearing loss with vertigo (SHLV) and vestibular neuritis (VN) can result in prolonged dizziness.</p><p><strong>Objectives: </strong>This study aimed to compare the video head impulse test (vHIT) of patients with SHLV and VN.</p><p><strong>Methods: </strong>Fifteen patients with SHLV and 21 patients with VN who visited the Vertigo/Dizziness Center of our hospital between December 2016 and February 2023 were included. vHIT was performed at the time of admission, and the VOR gain and catch up saccade (CUS) in the three types of semicircular canals (SCCs) were analyzed.</p><p><strong>Results: </strong>Pathologic vHIT results were observed most frequently in the posterior SCC (73%), followed by lateral (53%) and anterior (13%) SCCs in the SHLV group. In contrast, pathologic vHIT results were observed most frequently in the lateral SCC (100%), followed by the anterior (43%) and posterior SCC (24%) SCCs in the VN group. Pathological vHIT results in the lateral and posterior SCC showed significant differences between the two groups, but for anterior SCC, no significant differences were found.</p><p><strong>Conclusions and significance: </strong>Comparison of the two vHIT results revealed differences in the SCC dysfunction patterns. This may be due to the different pathophysiological mechanisms of the two vestibular disorders, which may result in prolonged vertigo.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"123-129"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304323","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":"Expression of AQP-10, -11 and -12 in the rat stria vascularis.","authors":"Rie Ichikawa, Taizo Takeda, Akinobu Kakigi, Hiroaki Ito, Taisuke Kobayashi, Masamitsu Hyodo","doi":"10.1080/00016489.2024.2329286","DOIUrl":"10.1080/00016489.2024.2329286","url":null,"abstract":"<p><strong>Background: </strong>Water homeostasis is essential for inner ear function. Several aquaporins (AQPs), which are water transport proteins in the cell or plasma membrane, have been reported in the lateral wall of the rat inner ear (cochlea). However, the presence of AQP-10, -11 and -12 has not been reported in the rat stria vascularis (SV) to date.</p><p><strong>Aims/objectives: </strong>We have aimed to clarify the expression of AQP-10, -11 and -12 in the cochlea lateral wall.</p><p><strong>Materials and methods: </strong>Using Wistar rats, we examined the expression of AQP-10, -11 and -12 in the cochlea lateral wall using molecular approaches and immunohistochemistry.</p><p><strong>Results: </strong>AQP-11 was molecular biologically expressed, but the expression of AQP-10 and -12 was not observed. Immunohistochemically, AQP-11 was diffusely localized in the basal cells and marginal cells of the rat SV but was not expressed at the apical site of marginal cells with double staining. The expression of AQP-10 and -12 was not observed.</p><p><strong>Conclusions and significance: </strong>Only AQP-11 was expressed in the basal cells and marginal cells, but it was not expressed at the apical site of marginal cells. Based on this study, AQP-11 may not have an important role in water flux between the perilymph and endolymph.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"96-99"},"PeriodicalIF":1.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178985","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":"Clinical significance of posterior expansion of the utricular endolymphatic space.","authors":"Hideyuki Kaida, Tadao Yoshida, Satofumi Sugimoto, Masumi Kobayashi, Shinji Naganawa, Michihiko Sone","doi":"10.1080/00016489.2024.2329783","DOIUrl":"10.1080/00016489.2024.2329783","url":null,"abstract":"<p><strong>Background: </strong>Posterior expansion of the utricular endolymphatic space (ES) is a finding occasionally observed, and often occurs in bilateral ears. The clinical significance of posterior expansion of the utricular ES is not clear.</p><p><strong>Objectives: </strong>To investigate the clinical significance of posterior expansion of the utricular ES detected on magnetic resonance imaging (MRI).</p><p><strong>Materials and methods: </strong>Among 957 patients who underwent contrast-enhanced MRI to investigate the presence of endolymphatic hydrops (EH), clinical findings in cases with posterior expansion of the utricular ES were evaluated and the significance of their existence is considered.</p><p><strong>Results: </strong>Posterior expansion of the utricular ES was detected in 30 ears from 20 cases (7 males, 13 females; mean age 48.7 years). The ears with posterior expansion had a significantly lower incidence of vestibular EH than those without, and this tendency was more prominent in cases in bilateral ears. Some cases with posterior expansion had vestibular symptoms and were diagnosed with Ménière's disease, although EH was not detected in their vestibules.</p><p><strong>Conclusion and significance: </strong>Posterior expansion of the utricular ES was associated with Ménière's disease without vestibular EH. Posterior expansion of the utricular ES might not be associated with the formation of EH but may occur independently.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"107-111"},"PeriodicalIF":1.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140292437","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}