Acta Oto-LaryngologicaPub Date : 2025-04-01Epub Date: 2025-02-13DOI: 10.1080/00016489.2024.2447039
Federica Nizzoli, Elisabetta Losi, Maria Vittoria Bergamini, Marco Bonali, Matteo Alicandri-Ciufelli, Daniele Marchioni, Gian Maria Galeazzi, Luca Pingani, Elena Reggiani
{"title":"Translation, validation, and psychometric evaluation of the Italian version of the facial clinimetric evaluation (FaCE) scale for patients with peripheral facial palsy.","authors":"Federica Nizzoli, Elisabetta Losi, Maria Vittoria Bergamini, Marco Bonali, Matteo Alicandri-Ciufelli, Daniele Marchioni, Gian Maria Galeazzi, Luca Pingani, Elena Reggiani","doi":"10.1080/00016489.2024.2447039","DOIUrl":"10.1080/00016489.2024.2447039","url":null,"abstract":"<p><strong>Background: </strong>In the management of patients with peripheral facial palsy, it is essential to have tools that allow patients to tell what their facial disabilities are.</p><p><strong>Objective: </strong>This study aimed to translate and validate the FaCE scale into Italian (I-FaCE).</p><p><strong>Material and methods: </strong>The FaCE scale was translated into Italian using a three-stage process. The draft was reviewed for comprehensibility by SLTs and revised accordingly. The beta version of I-FaCE was administered to 200 patients. Internal consistency was measured using McDonald's omega, while test-retest reliability was assessed with a fifteen-day interval between administrations. Confirmatory factor analysis (CFA) was performed to evaluate construct validity. Concurrent validity was tested by correlating I-FaCE scores with the House-Brackmann Scale, Sunnybrook Scale, and FDI Scale.</p><p><strong>Results: </strong>The I-FaCE demonstrated excellent internal consistency (McDonald's omega = 0.87) and strong test-retest reliability. CFA indicated a good model fit, with indices such as CFI (0.94), TLI (0.91), RMSEA (0.07), and RMSR (0.06). Concurrent validity showed significant correlations between I-FaCE and other grading systems.</p><p><strong>Conclusion and significance: </strong>I-FaCE is a valid and reliable tool to assess the impact of facial dysfunction on quality of life. Its adoption will facilitate better patient care and enable meaningful comparisons with international data.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"355-361"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405096","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 : 2025-04-01Epub Date: 2025-02-11DOI: 10.1080/00016489.2025.2461652
Patrícia Silva Sousa, João Viana Pinto, Gil Coutinho, Diogo Abreu Pereira, Carla Pinto Moura, Tiago Órfão
{"title":"Are polydioxanone plates combined with temporoparietal fascia the best technique for repair of nasal septal perforation?","authors":"Patrícia Silva Sousa, João Viana Pinto, Gil Coutinho, Diogo Abreu Pereira, Carla Pinto Moura, Tiago Órfão","doi":"10.1080/00016489.2025.2461652","DOIUrl":"10.1080/00016489.2025.2461652","url":null,"abstract":"<p><strong>Background: </strong>The repair of nasal septal perforations is challenging. Interposition of polydioxanone (PDS) plates combined with fascia graft have been described in the literature with high success rates.</p><p><strong>Aims: </strong>This study aims to present a case series on the closure of nasal septal perforation using this technique and to evaluate its outcomes.</p><p><strong>Material and methods: </strong>Retrospective evaluation of patients who underwent surgical repair of nasal septal perforations with interposition fascia graft and PDS plates from 2020 to 2023.</p><p><strong>Results: </strong>Nine patients were evaluated, 66.7% were male and the mean age was 40.7 years. The perforation size ranged from 0.9 to 4.5 cm (largest diameter). All procedures were performed by an open approach and all patients received interposition grafts of PDS plates - eight cases combined with a temporoparietal fascia graft and one combined with a rectus abdominis muscle fascia graft. Eight patients (88.9%) achieved complete closure of the perforation. No other complications were reported.</p><p><strong>Conclusions and significance: </strong>Interposition temporoparietal fascia graft combined with PDS plates could be a highly effective technique, demonstrating good functional and anatomic outcomes with low morbidity at the donor site. This composite can be applied to small and large perforations as surgical success does not appear to be affected by the defect size.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"324-328"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389791","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":"Transoral 980 nm and 1470 nm dual-wavelength fiber laser combined with flexible endoscopes for porcine anterior commissure resection of vocal cord.","authors":"Xijun Lin, Ping Han, Peiliang Lin, Jingyi Wang, Xiangwei Kong, Xiaoming Huang, Faya Liang","doi":"10.1080/00016489.2025.2467916","DOIUrl":"10.1080/00016489.2025.2467916","url":null,"abstract":"<p><strong>Background: </strong>Early-stage glottic cancer with anterior commissure involvement presents challenges in exposure and treatment, affecting tumor recurrence and surgical outcomes.</p><p><strong>Objective: </strong>This study investigated the feasibility of transoral 980 nm and 1470 nm dual-wavelength fiber laser combined with flexible endoscopes for porcine anterior commissure resection.</p><p><strong>Material and methods: </strong>Five healthy adult pigs were used as experimental subjects. The procedure involved exposing the anterior commissure using a flxible laryngoscope and resecting it using the dual-wavelength laser. The assessment focused on the ease of exposure and resection.</p><p><strong>Results: </strong>In all five presented pigs, the vocal folds' anterior commissure was well exposed. Furthermore, the anterior commissure of the pigs could be smoothly resected, with the resection range reaching the thyroid cartilage plate, and there were no difficulties in resection due to obstruction by the laryngoscope. No intraoperative or postoperative complications occurred.</p><p><strong>Conclusions and significance: </strong>The study demonstrates the feasibility and safety of using a flxible laryngoscope combined with a dual-wavelength laser for porcine anterior commissure resection. This approach offers potential as a method for laser surgery in human laryngeal diseases, particularly glottic laryngeal cancer involving the anterior commissure.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":"145 4","pages":"334-339"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750648","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 : 2025-04-01Epub Date: 2025-02-21DOI: 10.1080/00016489.2025.2467922
Markku Toivonen, Rauno Pääkkönen, Riina Niemensivu, Antti A Aarnisalo, Antti A Mäkitie
{"title":"Acute acoustic traumas caused by large-caliber weapons and explosions among conscripts in the Finnish Defence Forces - a population-based survey.","authors":"Markku Toivonen, Rauno Pääkkönen, Riina Niemensivu, Antti A Aarnisalo, Antti A Mäkitie","doi":"10.1080/00016489.2025.2467922","DOIUrl":"10.1080/00016489.2025.2467922","url":null,"abstract":"<p><strong>Background: </strong>Conscripts have a risk for an acute acoustic trauma (AAT) due to exposure to large-caliber weapons or explosions despite the much tighter safety precautions than those for rifle-caliber weapons.</p><p><strong>Aims: </strong>We aimed to investigate the population-based frequency of AATs after exposure to such noise sources during conscript training in the Finnish Defence Forces (FDF), and to evaluate their possible causes.</p><p><strong>Materials and methods: </strong>We collected all registered AAT incidents from the FDF over the available periods 1997-2003 and 2008-2010.</p><p><strong>Results: </strong>The likelihood of having an AAT from heavy weapon or explosion noise was 0.07%, and the most common noise sources were cannons, bazookas and mortars.</p><p><strong>Conclusions and significance: </strong>There is a constant need to survey, educate and train personnel regarding risks of noise at military exercises to prevent AATs. This study adds to the existing knowledge on the risk of hearing loss resulting from AAT in military settings.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"299-302"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466524","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 : 2025-04-01Epub Date: 2025-02-08DOI: 10.1080/00016489.2025.2460605
Volkan Güngör, Yonca Çoluk, Tümay Bekçi, Orhan Tunç, R Orkun Önder, Devrim Bektaş
{"title":"Adaptive changes in human inferior turbinates between humid and dry climates.","authors":"Volkan Güngör, Yonca Çoluk, Tümay Bekçi, Orhan Tunç, R Orkun Önder, Devrim Bektaş","doi":"10.1080/00016489.2025.2460605","DOIUrl":"10.1080/00016489.2025.2460605","url":null,"abstract":"<p><strong>Background: </strong>Currently, there is limited knowledge regarding the effects of climate on the lower turbinate morphology.</p><p><strong>Objectives: </strong>This study evaluated the existence of humidity-related climatically adaptive changes in inferior turbinate.</p><p><strong>Methods: </strong>Previously taken computed tomography images of the paranasal region were evaluated belonging to a total of 100 patients from two different climates (50 patients each from humid climate and from dry climate). The width, length and height of the lower turbinate, the breadth, length and height of the internal nasal passage, height of the inferior airway, breadth of common and inferior meatus were compared.</p><p><strong>Results: </strong>The group from dry climate has narrower internal nasal passage breadth (<i>p</i> = .010) with wider inferior meatus width (<i>p</i> = .031). No dimensional difference in the lower turbinates was observed between the two climatic groups. These two findings indicate a more lateralized turbinates in the humid group as opposed to more centralized turbinates in the dry group.</p><p><strong>Conclusions: </strong>Humidity has an effect as a climatic factor on turbinate positioning in the nasal fossa and contribute to an overall pattern of ecogeographic variation of nose. It may be useful to review surgical interventions to the inferior turbinate in the light of this information.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"319-323"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143373440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The influence of saliva pepsin concentration on subjective severity of seasonal allergic rhinitis.","authors":"Haijing Sui, Zhu Luo, Xuehan Zhang, Junbo Zhang, Zhen Zhen, Ting Ding","doi":"10.1080/00016489.2025.2460610","DOIUrl":"10.1080/00016489.2025.2460610","url":null,"abstract":"<p><strong>Backgrounds: </strong>Some studies believe that there is a correlation between larygopharyngeal reflux disease (LPRD) and allergic rhinitis (AR). Salivary pepsin concentration (SPC) test is a gradually accepted objective examination method for LPRD in recent years.</p><p><strong>Objectives: </strong>To investigate the impact of coexisting LPRD on subjective severity of seasonal AR and the potential role of pepsin.</p><p><strong>Material and methods: </strong>Adult patients with seasonal AR were prospectively enrolled. Subjective severity of AR was assessed using the Total Nasal Symptom Score (TNSS) and visual analog scale (VAS). Potential LPRD was assessed using the Reflux Symptom Index (RSI) and SPC measurements.</p><p><strong>Results: </strong>No significant correlation was found between the RSI value and the TNSS and VAS values (both <i>p</i> > .05). In contrast, the SPC value was found to be significantly associated with both of TNSS and VAS values (<i>p</i> < .05). Among the symptoms included in the TNSS, the SPC value was significantly and positively associated with nasal congestion and runny nose (both <i>p</i> < .05), but not with sneezing and nasal itching (both <i>p</i> > .05).</p><p><strong>Conclusions and significance: </strong>Coexisting LPRD may aggravates seasonal AR symptoms. SPC could be used to examine whether AR patients have combined LPRD and to determine the necessity of anti-reflux treatment.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"329-333"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143389793","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 : 2025-04-01Epub Date: 2025-02-03DOI: 10.1080/00016489.2025.2459343
Hye Ah Joo, Byung Chul Kang, Tae Su Kim, Woo Seok Kang, Hong Ju Park, Jong Woo Chung, Joong Ho Ahn
{"title":"A trend of otologic diseases during the coronavirus disease 2019 pandemic period.","authors":"Hye Ah Joo, Byung Chul Kang, Tae Su Kim, Woo Seok Kang, Hong Ju Park, Jong Woo Chung, Joong Ho Ahn","doi":"10.1080/00016489.2025.2459343","DOIUrl":"10.1080/00016489.2025.2459343","url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) changed the practice of medicine, and various anti-contagion restrictions were implemented worldwide.</p><p><strong>Objectives: </strong>This study aimed to evaluate the annual trend in the incidence of otologic diseases during the COVID-19 pandemic and determine the influence of social restrictions on these diseases.</p><p><strong>Materials and methods: </strong>We retrospectively reviewed the number of patients treated for otologic diseases, particularly those associated with infectious pathophysiology, and the total number of patients in the otolaryngology departments at three tertiary referral centers in South Korea.</p><p><strong>Results: </strong>The number of patients who underwent ventilation tube insertion due to persistent otitis media with effusion (OME) significantly decreased (raw number: -37.1%, incidence: -2.04‰) after the onset of the COVID-19 pandemic. However, a sharp increase was observed in 2023 (raw number: +42.9%, incidence: +1.63‰) when the pandemic officially ended. The number of patients newly diagnosed with sudden sensorineural hearing loss (SSNHL) gradually increased during the pandemic period.</p><p><strong>Conclusions and significance: </strong>Restrictive measures to control COVID-19 spread positively influenced the reduction in the incidence of OME. Whether COVID-19 is a direct risk factor for SSNHL remains uncertain, but the potential impact of the virus itself or the COVID-19 vaccine on the auditory system appears to exist.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"277-282"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143077868","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 : 2025-04-01Epub Date: 2025-02-10DOI: 10.1080/00016489.2025.2461653
Linda Nissi, Teemu Huusko, Johannes Routila, Samuli Vaittinen, Ilmo Leivo, Heikki Irjala, Sami Ventelä
{"title":"Added value of HPV-DNA <i>in situ</i> hybridization as an adjunct to p16 Immunohistochemistry in oropharyngeal squamous cell carcinoma.","authors":"Linda Nissi, Teemu Huusko, Johannes Routila, Samuli Vaittinen, Ilmo Leivo, Heikki Irjala, Sami Ventelä","doi":"10.1080/00016489.2025.2461653","DOIUrl":"10.1080/00016489.2025.2461653","url":null,"abstract":"<p><strong>Background: </strong>Current guidelines recommend p16 immunohistochemistry (IHC) for testing human papillomavirus (HPV) in oropharyngeal squamous cell carcinoma (OPSCC). The need for additional HPV-DNA testing is debated.</p><p><strong>Aims/objectives: </strong>We evaluated the prognostic value of HPV-DNA <i>in situ</i> hybridization (ISH) as an adjunct to p16.</p><p><strong>Material and methods: </strong>A population-based cohort of 1,033 head and neck squamous cell carcinoma patients was used, to identify 124 OPSCC patients treated with a curative intent.</p><p><strong>Results: </strong>Of the p16-positive patients, 17.9% did not show evidence for presence of HPV-DNA in ISH. Both p16 and HPV-DNA ISH were significant prognostic factors for overall survival (OS), disease-specific survival (DSS) and disease-free survival (DFS) when used independently. When combining information from p16 IHC and HPV-DNA ISH, survival of the p16+/ISH- discordant patients was intermediate compared to the p16+/ISH+ and p16-/ISH- groups. In the discordant group, smoking was a strong prognostic determinator, with non-smokers having an outstanding prognosis.</p><p><strong>Conclusions and significance: </strong>Both p16 IHC and HPV-DNA ISH perform well as separate prognostic biomarkers for OS, DSS, and DFS on a population level. However, a discordant group does exist. Limiting HPV-DNA testing for p16-positive patients who smoke by the time of diagnosis may be a cost-efficient and justified solution.</p>","PeriodicalId":6880,"journal":{"name":"Acta Oto-Laryngologica","volume":" ","pages":"340-347"},"PeriodicalIF":1.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381382","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":"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":"<p><strong>Background: </strong>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.</p><p><strong>Aims/objectives: </strong>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.</p><p><strong>Material and methods: </strong>Retrospective analysis of 789 tests from cochlear implant users and from simulated tests in 10000 virtual subjects.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions and significance: </strong>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.</p>","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}