American Journal of Otolaryngology最新文献

{"title":"Unmet educational needs and expectations among tracheostomy recipients.","authors":"Tyler J Gallagher, Oluwatobiloba Ayo-Ajibola, Michelle Koh, Catherine Julien, Kevin Herrera, Jonathan D West, Niels C Kokot","doi":"10.1016/j.amjoto.2024.104510","DOIUrl":"10.1016/j.amjoto.2024.104510","url":null,"abstract":"<p><strong>Objective: </strong>This study seeks to better understand unmet educational needs and treatment expectations in individuals with a tracheostomy.</p><p><strong>Study design: </strong>Retrospective, cross-sectional survey.</p><p><strong>Methods: </strong>A survey was distributed to individuals who received a tracheostomy at a tertiary care center in the last five years as well as in Facebook support groups for tracheostomy and head and neck cancer patients. The survey focused on tracheostomy education, satisfaction with care, and gaps in treatment plan understanding. Primary outcome was rate of tracheostomy peri-operative experience being on-par with expectations.</p><p><strong>Results: </strong>Among 83 respondents, only report of pre-operative speech (p = 0.024) and swallow (p = 0.019) discussions were associated with peri-operative experience being on-par with expectations. Respondents were more likely to report importance of counseling regarding psychological well-being (p < 0.001) and post-operative social integration/interaction (p < 0.001) than they were to report receiving focused counseling about these topics. Qualitative analysis demonstrated the most frequently missing components of understanding of treatment plans included post-operative care and the post-operative experience (n = 19, 40.4 % each). Reasons for treatment not meeting expectations included lack of communication/education (n = 15, 39.5 %) and experience being worse than expected (n = 8, 21.1 %). Individuals frequently wanted more details of the experience of living with a tracheostomy (n = 25, 42.6 %) and details about tracheostomy care (n = 10, 16.4 %).</p><p><strong>Conclusion: </strong>This study demonstrates significant gaps in informational needs for individuals receiving a tracheostomy, emphasizing the importance of guideline-directed tracheostomy counseling. Specifically, more information is needed regarding expected post-surgical experience, tracheostomy care and maintenance, psychosocial wellbeing, and communication support.</p>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":" ","pages":"104510"},"PeriodicalIF":1.8,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666781","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":"Technique and outcomes of endoscopic supraglottic laryngectomy type IIIa using CO₂ laser.","authors":"Sara Bassani, Erica Zampieri, Gabriele Molteni","doi":"10.1016/j.amjoto.2024.104515","DOIUrl":"10.1016/j.amjoto.2024.104515","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":" ","pages":"104515"},"PeriodicalIF":1.8,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666780","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":"An alternative to neuromodulation for refractory chronic idiopathic cough","authors":"Miles Weinberger","doi":"10.1016/j.amjoto.2024.104505","DOIUrl":"10.1016/j.amjoto.2024.104505","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104505"},"PeriodicalIF":1.8,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387263","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":"Neurogenic cough: A commentary on the step-up approach and therapeutic considerations","authors":"Nader Wehbi ,&nbsp;Austin Lever ,&nbsp;David Ahmadian ,&nbsp;Claire Gleadhill ,&nbsp;Helena T. Yip","doi":"10.1016/j.amjoto.2024.104506","DOIUrl":"10.1016/j.amjoto.2024.104506","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104506"},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357587","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":"A national survey of otolaryngologists' perspectives on uses and barriers to palliative care","authors":"Soraya Fereydooni ,&nbsp;Ashley R. Wang ,&nbsp;Hemali P. Shah ,&nbsp;Avanti Verma","doi":"10.1016/j.amjoto.2024.104507","DOIUrl":"10.1016/j.amjoto.2024.104507","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104507"},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142374979","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 non-robotic surgery for oropharyngeal squamous cell carcinoma","authors":"Giancarlo Tirelli ,&nbsp;Simone Zucchini ,&nbsp;Andrea D'Alessandro ,&nbsp;Jerry Polesel ,&nbsp;Fabiola Giudici ,&nbsp;Alberto Vito Marcuzzo ,&nbsp;Paolo Boscolo-Rizzo ,&nbsp;Nicoletta Gardenal","doi":"10.1016/j.amjoto.2024.104504","DOIUrl":"10.1016/j.amjoto.2024.104504","url":null,"abstract":"<div><h3>Purpose</h3><p>This retrospective cohort study aims to evaluate the clinical, oncological, and functional outcomes of transoral non-robotic surgery for oropharyngeal squamous cell carcinoma (OPSCC).</p></div><div><h3>Materials and methods</h3><p>Data from 131 patients with surgically treated OPSCC (2010-2022) were analyzed. Patients who underwent exclusively transoral surgery were included in the study. The surgeries were performed under microscopic or endoscopic guidance and either a CO₂ laser or an ultrasound/radiofrequency scalpel was used as a cutting instrument, depending on the characteristics and location of the tumor. Functional outcomes were assessed in terms of length of hospital stay, tracheostomy rate, duration of feeding tube dependency and complications. Survival outcomes were assessed in terms of overall survival (OS), disease-free survival (DFS) and disease-specific survival (DSS).</p></div><div><h3>Results</h3><p>Of 74 included patients, transoral surgery demonstrated safety with no major complications. Tracheotomy was performed in 51.4 % of cases, and was maintained for a median of 10 days. Complete swallowing recovery was restored in 97.3 % of cases, after a median of 5 days. The median length of hospital stay was 12 days. At 5 years, OS was 68.2 %, PFS was 58.2 % and DSS was 83.6 %.</p></div><div><h3>Conclusion</h3><p>The study confirms the safety and efficacy of a transoral approach for OPSCC. Having the capability to utilize and access a variety of tools provides the opportunity to tailor the technique to the individual patient and specific circumstances.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104504"},"PeriodicalIF":1.8,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238822","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":"Improving readability and comprehension levels of otolaryngology patient education materials using ChatGPT","authors":"Allison D. Oliva,&nbsp;Luke J. Pasick,&nbsp;Michael E. Hoffer,&nbsp;David E. Rosow","doi":"10.1016/j.amjoto.2024.104502","DOIUrl":"10.1016/j.amjoto.2024.104502","url":null,"abstract":"<div><h3>Objective</h3><p>A publicly available large language learning model platform may help determine current readability levels of otolaryngology patient education materials, as well as translate these materials to the recommended 6th-grade and 8th-grade reading levels.</p></div><div><h3>Study design</h3><p>Cross-sectional analysis.</p></div><div><h3>Setting</h3><p>Online using large language learning model, ChatGPT.</p></div><div><h3>Methods</h3><p>The Patient Education pages of the American Laryngological Association (ALA) and American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) websites were accessed. Materials were input into ChatGPT (OpenAI, San Francisco, CA; version 3.5) and Microsoft Word (Microsoft, Redmond, WA; version 16.74). Programs calculated Flesch Reading Ease (FRE) scores, with higher scores indicating easier readability, and Flesch-Kincaid (FK) grade levels, estimating U.S. grade level required to understand text. ChatGPT was prompted to “translate to a 5th-grade reading level” and provide new scores. Scores were compared for statistical differences, as well as differences between ChatGPT and Word gradings.</p></div><div><h3>Results</h3><p>Patient education materials were reviewed and 37 ALA and 72 AAO-HNS topics were translated. Overall FRE scores and FK grades demonstrated significant improvements following translation of materials, as scored by ChatGPT (<em>p</em> &lt; 0.001). Word also scored significant improvements in FRE and FK following translation by ChatGPT for AAO-HNS materials overall (<em>p</em> &lt; 0.001) but not for individual topics or for subspecialty-specific categories. Compared with Word, ChatGPT significantly exaggerated the change in FRE grades and FK scores (<em>p</em> &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Otolaryngology patient education materials were found to be written at higher reading levels than recommended. Artificial intelligence may prove to be a useful resource to simplify content to make it more accessible to patients.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104502"},"PeriodicalIF":1.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142087879","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":"Analysis of head and eye dynamic may explain saccades in dizzy patients with normal VOR gain","authors":"C. Orsini ,&nbsp;A.M. Cedras ,&nbsp;A. Sam Pierre ,&nbsp;J. Dion ,&nbsp;M. Maheu","doi":"10.1016/j.amjoto.2024.104503","DOIUrl":"10.1016/j.amjoto.2024.104503","url":null,"abstract":"<div><h3>Objective</h3><p>Compare the vestibulo-ocular reflex (VOR) gain, compensatory saccades and head and eye coordination during head impulses between patients with dizziness but normal VOR gain and healthy controls.</p></div><div><h3>Methods</h3><p>Video head impulses test (vHIT; ICS impulse, Otometrics, Denmark) was reviewed in 40 participants (20 patients with dizziness; 20 controls). VOR gain, saccades characteristics (frequency of occurrence, amplitude, latency) and time difference between head and eye velocity was compared.</p></div><div><h3>Results</h3><p>No significant difference between groups was observed for VOR gain. However, saccade frequency was greater and time difference between head and eye was prolonged in patients with dizziness. No significant difference was observed for saccade amplitude, nor for saccade latency between groups.</p></div><div><h3>Conclusions</h3><p>The present study highlights that saccades observed in patients with normal VOR gain could reflect a clinical marker for dizziness in patients with normal VOR gain. We propose that theses saccades are caused by a prolonged time delay between head and eye velocity leading to a gaze position error.</p></div><div><h3>Significance</h3><p>The results support previous findings suggesting additional value of saccades and time delay when interpreting vHIT results. This study goes further by proposing time delay as a possible mechanism to explain increased saccade frequency in dizzy patients with normal VOR gain.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104503"},"PeriodicalIF":1.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122612","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":"Evaluating industry payments to editorial board members of otolaryngology journals","authors":"Zaneta N. Harlianto ,&nbsp;Netanja I. Harlianto","doi":"10.1016/j.amjoto.2024.104501","DOIUrl":"10.1016/j.amjoto.2024.104501","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the extent of payments from medical device and pharmaceutical companies to editorial board members of leading otolaryngology journals.</p></div><div><h3>Methods</h3><p>Editorial board members of the top 10 otolaryngology journals from Google Scholar rankings were identified in this cross-sectional study.</p><p>Payments between 2017 and 2022 were identified via the Open Payments Database from the Centers for Medicare and Medicaid Services. All payment data was adjusted for inflation in 2022 US dollars. Descriptive analyses were performed and journal websites were evaluated for individual editor disclosures.</p></div><div><h3>Results</h3><p>Out of 581 board members, 306 (53 %) received industry payments between 2017 and 2022, median journal percentage 55 % (interquartile range: 26.5 %–73.5 %). A sum of $45.8 million was paid out between 2017 and 2022, comprising $32.0 million in associated research funding, $1.2 million in research payments, $1.4 million in ownership and investment interests, and $11.2 million in general payments. The largest general payments were made out for “services other than consulting and speaking” ($3.9 million), “consulting” ($3.8 million), “travel and lodging” ($0.99 million), “education” ($0.87 million), “royalty or license” ($0.56 million), and “food and beverage” ($0.55 million). Individual editor disclosures were only available for International Forum of Allergy and Rhinology (9 % of all included editors).</p></div><div><h3>Conclusions</h3><p>Industry payments to editors of otolaryngology journals are not uncommon. We highlight the need for improved reporting of individual editor disclosures for transparency to journal readers and for minimizing biased editorial decisions.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104501"},"PeriodicalIF":1.8,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0196070924002874/pdfft?md5=e61f1f0a4bd01be2f44b352a910b5408&pid=1-s2.0-S0196070924002874-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of endoscopic underlay myringoplasty with or without tucking of the attached perichondrium graft when repairing large central dry perforations","authors":"Jian Yang ,&nbsp;Yajian Shen ,&nbsp;Chaowei Zhao,&nbsp;Zhengcai Lou","doi":"10.1016/j.amjoto.2024.104471","DOIUrl":"10.1016/j.amjoto.2024.104471","url":null,"abstract":"<div><h3>Objective</h3><p>To compare the graft success rates and hearing outcomes of underlay myringoplasty with or without perichondrium tucking of the attached perichondrium, graft perforation margins when repairing chronic large central dry perforations.</p></div><div><h3>Study design</h3><p>Randomized controlled trial.</p></div><div><h3>Material and methods</h3><p>Chronic large central dry perforations were prospectively randomized to tucking perichondrium graft underlay (TPGU) and no-tucking perichondrium graft underlay (NTPG) groups. The graft outcomes and complications were compared between the two groups at 12 months postoperatively.</p></div><div><h3>Results</h3><p>In total, 61 patients with large central dry perforations were included. All patients completed 12-month follow-ups. Residual perforations occurred in 0.0 % of the TPGU group and in 12.9 % of the NTPG group (<em>P</em> = 0.129), and re-perforations occurred within 6 months in 0.0 % and 3.2 % of the two groups, respectively (<em>P</em> = 0.987). The graft success rates were 100.0 % (30/30) and 83.9 % (26/31) (<em>P</em> = 0.067). No significant between-group differences were observed in terms of preoperative (<em>P</em> = 0.547) or postoperative (<em>P</em> = 0.612) air bone gaps (ABGs) or mean ABG gains (<em>P</em> = 0.597). No graft-related complications were observed in either group during follow-up. No patients exhibited significant graft blunting or medialization; graft lateralization was noted in one patient of the NTPG group.</p></div><div><h3>Conclusions</h3><p>Endoscopic cartilage with tucking of the attached perichondrium perforation margins during underlay myringoplasty may improve the graft success rate compared to that of the cartilage push-through technique when repairing large central dry perforations; however, the hearing improvements were comparable in the two groups.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104471"},"PeriodicalIF":1.8,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141991236","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}