Acta Oto-Laryngologica最新文献_第4页

Effects of early test termination in a German matrix speech test in noise in cochlear implant recipients.

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-20 DOI: 10.1080/00016489.2025.2454479

Christoph Schmid, Martin Kompis, Wilhelm Wimmer

{"title":"Effects of early test termination in a German matrix speech test in noise in cochlear implant recipients.","authors":"Christoph Schmid, Martin Kompis, Wilhelm Wimmer","doi":"10.1080/00016489.2025.2454479","DOIUrl":"https://doi.org/10.1080/00016489.2025.2454479","url":null,"abstract":"Background: Speech reception thresholds (SRTs) can be estimated with speech in noise tests using adaptive procedures. Since these tests are time-consuming, it is preferable to use as few trials as possible to identify reliable results.Aims/objectives: To estimate the impact of early test termination in a German matrix speech test in noise (Oldenburger Satztest) on SRT estimation after 20 instead of after 30 sentences and to identify groups of subjects, for who such a tradeoff between measurement time and accuracy might be useful and acceptable.Material and methods: Retrospective analysis of 789 tests from cochlear implant users and from simulated tests in 10000 virtual subjects.Results: Early test termination results in increased estimation errors of the SRT in both real, and simulated listeners. Average test time is reduced from 5.0 to 3.6 min. For estimated SRT's above approximately +2 dB after 20 test sentences, the expected average difference to the result after 30 trials becomes higher than 0.5 dB.Conclusions and significance: If adaptive speech in noise tests are terminated already after 20 sentences, time can be saved, but it should be considered only in listeners with relatively favourable SRT-estimates after 20 trials, preferably below +2 dB.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456542","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

Comparation on vestibular function during the perioperative period in pediatric cochlear implant patients with and without large vestibular aqueduct syndrome.

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-07 DOI: 10.1080/00016489.2024.2447046

Yanhong Li, Bing Liu, Yang Yang, Min Chen, Wei Liu, Ning Ma, Jie Zhang, Xin Ni

{"title":"Comparation on vestibular function during the perioperative period in pediatric cochlear implant patients with and without large vestibular aqueduct syndrome.","authors":"Yanhong Li, Bing Liu, Yang Yang, Min Chen, Wei Liu, Ning Ma, Jie Zhang, Xin Ni","doi":"10.1080/00016489.2024.2447046","DOIUrl":"https://doi.org/10.1080/00016489.2024.2447046","url":null,"abstract":"Backgrounds: It remains unclear whether LVAS pediatric patients experience more severe subjective symptoms after surgery compared to other pediatric patients, whether their objective vestibular function is worse, and the underlying reasons for their poorer subjective experience.Objectives: To compare vestibular function following CI between pediatric pediatric patients with and without LVAS.Materials and methods: The study included 11 patients in the LVAS group(18.42 ± 2.4 month) and 24 patients in the NLVAS group(35.73 ± 11.40 month). A comprehensive assessment of vestibular function was conducted both preoperatively and postoperatively. The assessment included vestibular function tests and evaluation of vestibular-related symptoms. The vestibular function test was conducted using cervical vestibular evoked myogenic potentials (cVEMP).Results: A higher incidence of postoperative dizziness was reported in the LVAS group compared to the NLVAS group (63.63% vs 0.08%, p = 0.001). The LVAS group exhibited a prolonged recovery period for head lifting and sitting compared to the NLVAS group (3.27 ± 0.715 vs 1.42 ± 0.119 days, p = 0.027; 4.09 ± 1.217 vs 1.92 ± 0.219 days, p = 0.022, respectively). The elicitation rate and amplitude of cVEMP in LVAS children showed no significant difference when compared to the NLVAS group preoperatively (p > 0.05). The LVAS group had a more decrease in amplitude 5 days after surgery compared to the NLVAS group (142.09 ± 33.98 vs 81.89 ± 17.13, p = 0.039).Conclusion: Pediatric patients with LVAS are more prone to experiencing dizziness symptoms post- CI surgery. There is an increased fluctuation in amplitude of cVEMP in LVAS pediatric patients.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-6"},"PeriodicalIF":1.2,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143363522","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

Which is superior, the University of Pennsylvania Smell Identification Test or the threshold, Discrimination and Identification Test for testing human olfaction? A systematic review. 宾夕法尼亚大学嗅觉识别测试与阈值、辨别和识别测试在测试人类嗅觉方面孰优孰劣？系统综述。

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-05 DOI: 10.1080/00016489.2025.2458170

Magne Bech, Kathrine Kronberg Jakobsen, Ida Schlosshauer Brandt Andersen, Christian Korsgaard Pedersen, Mathias Waldemar Grønlund, Christian von Buchwald

{"title":"Which is superior, the University of Pennsylvania Smell Identification Test or the threshold, Discrimination and Identification Test for testing human olfaction? A systematic review.","authors":"Magne Bech, Kathrine Kronberg Jakobsen, Ida Schlosshauer Brandt Andersen, Christian Korsgaard Pedersen, Mathias Waldemar Grønlund, Christian von Buchwald","doi":"10.1080/00016489.2025.2458170","DOIUrl":"https://doi.org/10.1080/00016489.2025.2458170","url":null,"abstract":"Background: The awareness and prevalence of olfactory dysfunction (OD) has increased significantly in recent years, with the SARS-CoV-2 pandemic being a major catalyzer. Consequently, demands for reliable OD tests have also risen.Aims: This systematic review compares two commonly used tests for olfactory assessment: the University of Pennsylvania Smell Identification Test (UPSIT) and the Threshold, Discrimination, and Identification test (TDI). The correlation between UPSIT, TDI, and the Visual Analogue Scale (VAS) for olfaction is also examined.Material and methods: A systematic search of PubMed and EMBASE identified articles validating UPSIT or TDI and comparing these to self-reported OD via VAS. The outcome of interest was test-retest validity and correlation.Results: The search identified 1536 studies, with nine meeting inclusion criteria. UPSIT showed a 'very strong' test-retest correlation, while TDI showed a 'strong' correlation. One study addressed VAS in relation to UPSIT and five for TDI. Correlation coefficients varied between VAS and TDI/UPSIT.Conclusions and significans: UPSIT and TDI exhibited strong to very strong test-retest reliability. Due to the limited number of studies, a meta-analysis was not feasible, and neither test was found to be superior in reliability. VAS did not correlate significantly with either TDI or UPSIT.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-4"},"PeriodicalIF":1.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187631","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 nasal septum deviation on the sphenoid bone pneumatization: a retrospective computed tomography study.

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-04 DOI: 10.1080/00016489.2025.2455761

Jiajun Tang, Jie Hou, Yanshu Zhang, Xin Dou, Handong Wang, Xianmei Wei, Xinyan Cui, Zhengrong Xu, Chenjie Yu

{"title":"Impact of nasal septum deviation on the sphenoid bone pneumatization: a retrospective computed tomography study.","authors":"Jiajun Tang, Jie Hou, Yanshu Zhang, Xin Dou, Handong Wang, Xianmei Wei, Xinyan Cui, Zhengrong Xu, Chenjie Yu","doi":"10.1080/00016489.2025.2455761","DOIUrl":"https://doi.org/10.1080/00016489.2025.2455761","url":null,"abstract":"Background: Deviated nasal septum (DNS) changes aerodynamic airflow pattern and increases nasal resistance that may affect paranasal sinus pneumatization.Objectives: To explore the relationships among DNS, sphenoid bone pneumatization and surrounding neurovascular structures.Material and methods: The paranasal sinus CT images of DNS patients (n = 100) and patients without DNS (n = 60) between 2020 and 2022 were retrospectively analyzed. Sphenoid bone pneumatization and anterior clinoid processes (ACP) length were measured while surrounding neurovascular structure types were assessed.Results: In the DNS group, the indicators demonstrating sphenoid bone pneumatization were significantly (p < 0.001) greater than that in the control group. There were no statistically significant differences in the indicators demonstrating the positions of vidian canal (VC) and foramen rotundum (FR) between two groups. Regarding proportion of different neurovascular structure grades, the findings were significant (p < 0.05) between two groups. The corrected sphenoid sinus area also correlated with surrounding neurovascular structure types.Conclusions and significance: Severe DNS is significantly related to the sphenoid bone pneumatization and surrounding neurovascular structure. This suggests that clinicians should be aware of the anatomical variation of sphenoid bone pneumatization and the cranial base structures in DNS patients.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-7"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187626","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

Clinical Features and prognostic factors in pediatric deep neck infections: a retrospective study. 小儿颈深部感染的临床特征和预后因素：一项回顾性研究。

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-04 DOI: 10.1080/00016489.2025.2458738

Zehra Betül Paksoy, Melih Cayonu, Ali Demir

{"title":"Clinical Features and prognostic factors in pediatric deep neck infections: a retrospective study.","authors":"Zehra Betül Paksoy, Melih Cayonu, Ali Demir","doi":"10.1080/00016489.2025.2458738","DOIUrl":"https://doi.org/10.1080/00016489.2025.2458738","url":null,"abstract":"Background: Pediatric deep neck abscesses (PDNAs) are uncommon but can cause serious complications. Despite advances in diagnostics and antibiotic therapies, effective PDNA management remains challenging, necessitating prompt diagnosis and targeted treatment.Objectives: This study evaluated the clinical characteristics, treatment approaches, and factors affecting hospital stay in pediatric patients with PDNAs. Associations between laboratory markers (hemoglobin, albumin, inflammatory indices) and abscess characteristics with clinical outcomes were analyzed.Methods: A retrospective review of 72 PDNA cases at Ankara Bilkent City Hospital (2019-2024) was performed. Clinical presentation, laboratory findings (hemoglobin, albumin), abscess size, and inflammatory indices (SII, NLR, SIRI) were analyzed.Results: The mean age was 6.69 years, with 51.38% under six. Peritonsillar abscesses were the most common (40.3%), followed by retropharyngeal abscesses. Antibiotic therapy alone was successful in 33.3% of cases, while 66.7% required surgical drainage. Prolonged hospitalization was associated with low hemoglobin (p = .003) and albumin (p = .034), larger abscess size (p = .047), and elevated inflammatory markers (SIRI: p = .007, SII: p = .015).Conclusions and significance: Prognostic factors such as hemoglobin, albumin, and inflammatory indices is essential in PDNA management. Surgical intervention plays a key role in severe cases, emphasizing the need for standardized protocols.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"1-5"},"PeriodicalIF":1.2,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187621","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

Cross-evaluating Epstein-Barr virus, human papilloma virus, human cytomegalovirus and human adenovirus in nasal polyps and turbinate mucosa.

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1080/00016489.2024.2445025

Alexandra Schindele, Anna Holm, Sofie Kraft, Karin Nylander, Annika Allard, Katarina Olofsson

{"title":"Cross-evaluating Epstein-Barr virus, human papilloma virus, human cytomegalovirus and human adenovirus in nasal polyps and turbinate mucosa.","authors":"Alexandra Schindele, Anna Holm, Sofie Kraft, Karin Nylander, Annika Allard, Katarina Olofsson","doi":"10.1080/00016489.2024.2445025","DOIUrl":"https://doi.org/10.1080/00016489.2024.2445025","url":null,"abstract":"Background: Chronic rhinosinusitis with nasal polyps (CRSwNP) is a common disease in which inflammatory responses to exogenic stressors, such as viral infections, has been recognised. The role of viruses in CRSwNP pathogenesis is unclear.Aims/objectives: We aimed to characterise Epstein-Barr virus (EBV), human papillomavirus (HPV), human cytomegalovirus (HCMV), and human adenovirus (HAdV) in nasal polyps and adjacent paired healthy turbinate mucosa.Materials and methods: We used real-time PCR for EBV, HCMV, and HAdV DNA detection, combined PCR/microarrays for HPV detection and genotyping, in samples from 45 patients with CRSwNP. Additionally, we used EBER in situ hybridisation for EBV detection.Results: EBV detection with EBER-ISH was significantly higher in polyps (36%) versus turbinate mucosa (12%). None of the viral comparisons with PCR between polyps and turbinate mucosa for EBV-, HCMV- or HAdV-DNA showed statistically significant differences. All samples were HPV negative.Conclusions and significance: We report higher expression of EBV in nasal polyps (36%) than in adjacent healthy turbinate mucosa (12%), using a valid method; EBER-ISH in 45 patients with CRSwNP. EBV might be a possible stressor that can trigger polypoid inflammation.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":"145 2","pages":"164-167"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373447","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

Identification of Transforming Growth Factor-β1 in the nasal polyp tissue of chronic rhinosinusitis: a comprehensive analysis.

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-29 DOI: 10.1080/00016489.2025.2449709

Iriana Maharani, Loeki Enggar Fitri, Susanthy Djajalaksana, Edi Handoko

{"title":"Identification of Transforming Growth Factor-β1 in the nasal polyp tissue of chronic rhinosinusitis: a comprehensive analysis.","authors":"Iriana Maharani, Loeki Enggar Fitri, Susanthy Djajalaksana, Edi Handoko","doi":"10.1080/00016489.2025.2449709","DOIUrl":"10.1080/00016489.2025.2449709","url":null,"abstract":"Background: Chronic Transforming Growth Factor Beta 1 (TGF-β1) plays a critical role in tissue remodelling and immunological modulation, which may contribute to the severity and recurrence of Chronic Rhinosinusitis with Nasal Polyps (CRSwNP). Despite extensive research on CRSwNP, the exact role and pathological significance of TGF-β1 in CRSwNP remain poorly understood due to inconsistencies in study methodologies and findings.Aims/objectives: To resolve discrepancies in the literature, this systematic review compares the levels of TGF-β1 in CRSwNP tissue to controls and Chronic Rhinosinusitis without Nasal Polyps (CRSsNP).Material and methods: A comprehensive literature search was conducted across databases such as PubMed, ScienceDirect, and Cochrane Library. Studies assessing TGF-β1 levels in the tissue through various methods were systematically reviewed. Data were extracted on TGF-β1 levels, methodological approaches, and clinical correlations.Results: The review indicates that TGF-β1 levels were highly variable in controls, elevated in CRSsNP, and broadly ranged in CRSwNP with generally lower levels compared to CRSsNP, placing controls between CRSwNP and CRSsNP.Conclusions and significance: Elevated TGF-β1 in CRSsNP points to its significant role in fibrosis and tissue remodeling, which could inform targeted therapeutic approaches and improve management strategies for chronic rhinosinusitis.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"168-175"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062342","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

Therapeutic efficacy of canalith reposition maneuver according to the determination method of lesion side in patients with persistent geotropic direction-changing positional nystagmus. 根据病变侧边确定方法的管体复位手法治疗持续性地向性变向体位性眼球震颤的疗效观察。

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-13 DOI: 10.1080/00016489.2024.2449252

Seok Min Hong, Sang Hoon Kim, Jae Yong Byun, Seung Geun Yeo

{"title":"Therapeutic efficacy of canalith reposition maneuver according to the determination method of lesion side in patients with persistent geotropic direction-changing positional nystagmus.","authors":"Seok Min Hong, Sang Hoon Kim, Jae Yong Byun, Seung Geun Yeo","doi":"10.1080/00016489.2024.2449252","DOIUrl":"10.1080/00016489.2024.2449252","url":null,"abstract":"Background: The Canalith Repositioning Maneuver (CRM) is often ineffective for persistent geotropic direction-changing positional nystagmus (DCPN). In these cases, determining the lesion side can be challenging, as the null plane side and the side with stronger nystagmus on the roll test are frequently opposite.Objectives: This study investigates whether the low therapeutic efficacy of CRM in persistent DCPN could be attributed to incorrect determination of the lesion side.Material and methods: This prospective randomized trial involved two groups of patients with persistent geotropic DCPN, categorized based on the method used to determine the lesion side: the null plane side and the side with stronger nystagmus on the head roll test. We assessed the therapeutic efficacy of CRM on the null plane side (null plane group) and the side with stronger nystagmus on the head roll test (stronger nystagmus group).Results: Both groups showed minimal or no immediate therapeutic effect of CRM, with a low short-term effect observed in both as well. No significant differences were found in the immediate and short-term therapeutic effects of CRM between the two groups.Conclusions and significance: The limited therapeutic effect of CRM in persistent geotropic DCPN does not appear to result from incorrect determination of the lesion side.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"140-143"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969231","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

Can switching stimulus polarity identify Meniere's disease? A preliminary investigation on ABR. 刺激极性转换能识别梅尼埃氏病吗？ABR的初步调查。

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-15 DOI: 10.1080/00016489.2024.2447564

Kristi Kaveri Dutta, Anjana Rajesh, C S Vanaja

{"title":"Can switching stimulus polarity identify Meniere's disease? A preliminary investigation on ABR.","authors":"Kristi Kaveri Dutta, Anjana Rajesh, C S Vanaja","doi":"10.1080/00016489.2024.2447564","DOIUrl":"10.1080/00016489.2024.2447564","url":null,"abstract":"Background: Meniere's disease (MD) affects 0.2% to 0.5% of the global population, with regional variations. Standard diagnostic methods, including the glycerol test and EcochG, show variable sensitivity and specificity, highlighting the need for more reliable diagnostic approaches.Objective: This study aims to investigate latency differences in wave V of the Auditory Brainstem Response (ABR) by comparing waveforms for rarefaction and condensation clicks to identify MD.Materials and methods: The study analyzed latency differences in wave V of the ABR using condensation and rarefaction clicks in 15 ears diagnosed with MD. The control groups included 10 ears with sensorineural hearing loss (SNHL) [non-MD ears] and 20 ears with normal hearing sensitivity.Results: MD patients exhibited a significant wave V latency shift between rarefaction and condensation stimuli, suggesting altered cochlear dynamics due to endolymphatic hydrops. No such shift was observed in normal hearing or SNHL ears. Patients with definite MD showed a greater latency difference than those with probable MD, possibly reflecting varying endolymphatic pressure.Discussion: These findings suggest that ABR testing with opposite polarity stimuli could serve as an adjunctive diagnostic tool for MD, particularly in differentiating the severity of the condition but further research is needed to validate these preliminary.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"156-163"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982472","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

Transoral robotic surgery in otolaryngology practice: a single institutional experience. 经口机器人手术在耳鼻喉科的实践：一个单一的机构经验。

IF 1.2 4区医学

Acta Oto-Laryngologica Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1080/00016489.2025.2451092

Oguz Kuscu, Enes Dogan, Erim Pamuk

{"title":"Transoral robotic surgery in otolaryngology practice: a single institutional experience.","authors":"Oguz Kuscu, Enes Dogan, Erim Pamuk","doi":"10.1080/00016489.2025.2451092","DOIUrl":"10.1080/00016489.2025.2451092","url":null,"abstract":"Background: Transoral robotic surgery (TORS) has emerged as a minimally invasive technique for managing head and neck pathologies, offering reduced morbidity and improved surgical precision. Despite its growing popularity, institutional experiences with TORS remain limited.Objectives: This study aimed to evaluate the outcomes of TORS for oncological and obstructive sleep apnoea syndrome (OSAS) cases, focusing on efficacy, safety and complications.Materials and methods: A retrospective analysis was conducted on 61 patients who underwent TORS at a single institution between 2018 and 2024. Demographic, surgical and postoperative data were collected, including histopathological findings, complications and hospitalization duration. Statistical analyses were performed using SPSS software (SPSS, Chicago, IL, USA), with significance set at p < .05.Results: Of the 61 patients, 67.2% were male, with a mean age of 57.25 years. TORS was performed for oncological purposes in 72.1% of cases and OSAS in 27.9%. The most common surgical procedure was base-of-tongue resection (42.6%). Postoperative bleeding occurred in 11.4% of cases, all oncological, with two mortalities due to haemorrhage. Hospital readmission within 30 days occurred in 13.1% of patients. OSAS cases demonstrated shorter hospital stays and lower complication rates than oncological cases.Conclusions: TORS is a safe and effective technique for both oncological and OSAS cases, offering significant benefits in reducing morbidity. However, complications, particularly bleeding in oncological cases, remain a challenge, highlighting the need for careful patient selection and perioperative management.","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"181-185"},"PeriodicalIF":1.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998220","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