American Journal of Otolaryngology最新文献

{"title":"Assessment of TISA “Transcutaneous Implant Skin Anomalies” scale for cutaneous complications related to bone conduction hearing implants","authors":"Santiago Hernández ,&nbsp;Juan Camilo Ospina ,&nbsp;Paula Andrea Téllez ,&nbsp;María Teresa Rodríguez-Ruíz ,&nbsp;Elisa Gutiérrez-Gómez ,&nbsp;Laura Arango","doi":"10.1016/j.amjoto.2024.104554","DOIUrl":"10.1016/j.amjoto.2024.104554","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the use of the TISA (Transcutaneous Implant Skin Anomalies) scale by members of the Colombian Association of Otology (ACON) in the evaluation of patients using bone conduction implants.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive observational study was conducted among the members of the Colombian Association of Otology. A voluntary survey was performed, where participants evaluated images of patients with transcutaneous bone conduction implants exhibiting different skin conditions. Additionally, they provided their expert opinions on the scale's face validity.</div></div><div><h3>Results</h3><div>90 % (36/40) of the Colombian Association of Otology members participated in the survey, with 79.4 % (286/380) of correct answers when compared to the initial assessment made by the otologist who captured the pictures. Otologists unanimously agreed that it is easy to apply in follow-up consultations and 77.7 % believed that the scale covered all possible complications.</div></div><div><h3>Conclusion</h3><div>The TISA scale is useful to classify skin complications in patients with transcutaneous bone conduction implants. Its application is both easy and quick, facilitating efficient comparisons in follow-ups or between different otologists.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104554"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852044","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":"Bilateral internal superior laryngeal nerve injections for unexplained chronic cough","authors":"Andrew Jay Bowen ,&nbsp;Ariel Roitman ,&nbsp;Sydney Ring ,&nbsp;David O. Francis ,&nbsp;Ruth J. Davis ,&nbsp;Timothy McCulloch ,&nbsp;Seth H. Dailey","doi":"10.1016/j.amjoto.2024.104568","DOIUrl":"10.1016/j.amjoto.2024.104568","url":null,"abstract":"<div><h3>Objective</h3><div>Internal Superior laryngeal nerve (iSLN) injections with steroids and anesthetic for Unexplained Chronic Cough (UCC) was initially described as a unilateral injection. This study reports the safety profile and patient-reported outcomes of concurrent bilateral iSLN injections for UCC.</div></div><div><h3>Study design</h3><div>Retrospective chart review.</div></div><div><h3>Setting</h3><div>Tertiary center.</div></div><div><h3>Methods</h3><div>A chart review from 2018 to 2023 was performed for patients with UCC who underwent bilateral iSLN injections. Demographics, clinical history, and physical exam findings were recorded, along with any post-injection complications. The primary outcome was patient-reported percent improvement in cough symptoms. Nonparametric statistical analyses were performed to examine whether treatment effectiveness differed based on (a) duration of cough, (b) whether an upper respiratory illness (URI) preceded the start of the cough, (c) had undergone prior speech therapy or (d) neuromodulator treatment for cough, (e) laterality of symptoms, and (f) demonstrated abnormal flexible laryngoscopy/stroboscopy findings.</div></div><div><h3>Results</h3><div>12 UCC patients underwent a median of 2 injections (Interquartile Range (IQR): 1–5.5 injections) for a total of 42 injections). There were no aspiration events and only 3 self-limited minor complications. 75 % of patients reported improvement with at least one of their injections with a median percentage response of 73 % (IQR: 26–89 %) and a reported median duration of response of 2.2 months (IQR: 1.2–3.2 months). Nonparametric testing revealed greater responses to injection in patients with abnormal flexible laryngoscopy/stroboscopic findings with their initial injection (<em>p</em> ≤0.02).</div></div><div><h3>Conclusion</h3><div>Bilateral concurrent iSLN injections are a safe and effective way of treating UCC that may require fewer visits to effectively treat UCC.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104568"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909091","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":"How reliable is artificial intelligence in the diagnosis of cholesteatoma on CT images?","authors":"Avallone Emilio ,&nbsp;Pietro De Luca ,&nbsp;Timm Max ,&nbsp;Siani Agnese ,&nbsp;Viola Pasquale ,&nbsp;Ralli Massimo ,&nbsp;Chiarella Giuseppe ,&nbsp;Ricciardiello Filippo ,&nbsp;Salzano Francesco Antonio ,&nbsp;Scarpa Alfonso","doi":"10.1016/j.amjoto.2024.104519","DOIUrl":"10.1016/j.amjoto.2024.104519","url":null,"abstract":"<div><h3>Purpose</h3><div>This study analysed the main artificial intelligence (AI) models for the diagnosis of cholesteatoma on computed tomography (CT), evaluating their performance and comparing them with each other. The increasing application of AI in radiology requires a systematic comparison of available methodologies.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted, selecting relevant articles from the main databases. The included studies had to fulfil specific criteria regarding methodology, use of AI models for cholesteatoma diagnosis and results in terms of sensitivity and specificity.</div></div><div><h3>Results</h3><div>The meta-analysis included three studies evaluating the MobilenetV2, Densenet201 and Resnet50 AI models. All models demonstrated high levels of sensitivity and specificity in the diagnosis of cholesteatoma at CT. No statistically significant differences were found between the performance of the various models, suggesting a robust common diagnostic capability between the different neural network architectures.</div></div><div><h3>Conclusions</h3><div>AI is making rapid progress in imaging, with recent studies already showing remarkable performance in cholesteatoma diagnosis. The speed of technological development is promising. However, to ensure safe and effective implementation in clinical practice, further studies are needed to validate and standardise these AI models. Future research should focus not only on the diagnostic accuracy, but also on the robustness, reproducibility and clinical integration of these emerging technologies.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104519"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142765518","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":"Cost effectiveness analysis of BRAFV600E testing for low-risk papillary thyroid microcarcinomas","authors":"Idit Tessler ,&nbsp;Moshe Leshno ,&nbsp;Eran E. Alon ,&nbsp;Gilad Feinmesser ,&nbsp;Galit Avior","doi":"10.1016/j.amjoto.2024.104559","DOIUrl":"10.1016/j.amjoto.2024.104559","url":null,"abstract":"<div><h3>Objective</h3><div>Given the good prognosis of low-risk papillary thyroid microcarcinomas (lrPTMCs), accurate risk stratification is valuable to optimize management: active surveillance (AS) vs. hemithyroidectomy (HT). <em>BRAF</em>^{<em>V600E</em>} positive lrPTMC is associated with increased recurrence risk; hence, AS was suggested for mutation-negative lrPTMC. This study aims to evaluate the cost-effectiveness of <em>BRAF</em>^{<em>V600E</em>} testing for lrPTMC.</div></div><div><h3>Study design &amp; setting</h3><div>Decision tree cost-effectiveness analytic model.</div></div><div><h3>Methods</h3><div>We performed a cost-effectiveness analysis of the management strategies for lrPTMCs: AS, HT, and <em>BRAF</em>^{<em>V600E</em>} genetic testing (GT), in which treatment pathways were determined by <em>BRAF</em>^{<em>V600E</em>} status. Data on probabilities and complications were derived from current literature. One- and two-way sensitivity analyses were conducted to ascertain model robustness.</div></div><div><h3>Results</h3><div>Our model found GT as the cost-effective strategy, providing an additional 0.35 QALYs and an additional cost of $902 with an Incremental Cost-effectiveness ratio of $2542 compared to AS. In contrast, surgical intervention showed a lower utility with an increased cost of $381, positioning GT as the preferred strategy. Sensitivity analysis identified age at diagnosis as the most influential factor for cost-effectiveness between AS and GT; younger patients exhibited a lower ICER, indicating greater cost savings per QALY, till up to age 48 years, where AS becomes favorable. GT consistently outperformed QALY gains across varying incidences of <em>BRAF</em>^{<em>V600E</em>} positivity tumors.</div></div><div><h3>Conclusions</h3><div>In conclusion, this study demonstrates the economic and clinical advantages of incorporating <em>BRAF</em>^{<em>V600E</em>} genetic testing in the management of lrPTMCs. Our model supports further real-life studies of <em>BRAF</em>^{<em>V600E</em>} testing for lrPTMCs.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104559"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876022","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":"Disparities in completing testing for SARS-CoV-2 prior to otolaryngology procedures","authors":"Amber D. Shaffer,&nbsp;Jennifer L. McCoy ,&nbsp;Joseph E. Dohar","doi":"10.1016/j.amjoto.2024.104543","DOIUrl":"10.1016/j.amjoto.2024.104543","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine what patient characteristics are associated with completing asymptomatic pre-operative testing for SARS-CoV-2.</div></div><div><h3>Methods</h3><div>Charts from consecutive patients undergoing ambulatory surgery in otolaryngology at a tertiary care children's hospital from May 4 until May 26, 2020, were reviewed. If two or more siblings were scheduled, only the first sibling was included. Demographics, surgical details, and results of asymptomatic pre-operative testing for SARS-CoV-2 were collected. Patients who completed pre-operative testing were compared with those who did not using logistic regression or Wilcoxon rank-sum tests, α = 0.05.</div></div><div><h3>Results</h3><div>216 patients were included. 56.5 % were male, and median age at surgery was 2 years (range 4 months–20 years). 88 patients (40.7 %) had pre-operative SARS-CoV-2 RT-PCR testing. 97.7 % of sampling occurred 2–3 days prior to the procedure, and 98.9 % of results were available within 2 days. The virus was not detected in any cases. In multiple logistic regression, undergoing surgery at the main hospital location rather than a satellite location (OR: 3.13, <em>p</em> = 0.003) and greater median household income for zip (OR: 1.18/$10,000, <em>p</em> = 0.042) were associated with completing pre-operative testing. However, race, insurance type, surgeon, patient age, previous no-show appointments, and household composition did not alter the odds of completing pre-operative testing.</div></div><div><h3>Conclusions</h3><div>Families were less likely to complete testing if surgery was being performed at a satellite location or if they lived in an area with lesser median household income. This work draws attention to the impact of socioeconomic factors on access to and compliance with pandemic mitigation measures, with important implications for future public health crises.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104543"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783888","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":"Dual task iTUG to investigate increased fall risk among older adults with bilateral hearing loss","authors":"Maura Cosetti ,&nbsp;Liraz Arie ,&nbsp;Jennifer Kelly ,&nbsp;Jennifer Ren ,&nbsp;Anat V. Lubetzky","doi":"10.1016/j.amjoto.2024.104536","DOIUrl":"10.1016/j.amjoto.2024.104536","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate fall risk among older adults with bilateral sensorineural hearing loss (BHL) by comparing single task (ST) and dual task (DT) performance on the instrumented “Timed Up &amp; Go” test (iTUG). The TUG is a well-validated clinical tool for fall risk; addition of wireless sensors increases the test's sensitivity and allows for subcomponent analysis.</div></div><div><h3>Methods</h3><div>Adults with audiometrically confirmed normal hearing or BHL were prospectively recruited and screened for visual, musculoskeletal, neurologic, or vestibular pathology and Dizziness Handicap Inventory (DHI) &lt; 10. Total and sub-component iTUG data in the ST and DT condition (serial subtraction) was collected.</div></div><div><h3>Results</h3><div>35 adults (50–78 years) were included: 20 (mean 69 years) with BHL and 15 controls (mean age 63 years). Total iTUG duration did not differ between groups in either the ST or DT condition. In sit-to-stand, BHL were significantly slower than controls (<em>p</em> &lt; 0.03) in both ST and DT conditions. In the final subcomponent (stand-to-sit), a significant interaction was observed such that the BHL group were significantly slower with DT compared to the control group.</div></div><div><h3>Conclusions</h3><div>BHL performed slower on sub-component analysis of the iTUG compared with age-matched normal hearing controls. Slower times on the final iTUG phase for BHL may suggest a lower threshold for attentional capacity that may be cumulative. Further investigation into the impact of treatment (including amplification and training) is warranted.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104536"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811561","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":"Nocturnal mouth-taping and social media: A scoping review of the evidence","authors":"Sarah K. Fangmeyer,&nbsp;Christopher D. Badger,&nbsp;Punam G. Thakkar","doi":"10.1016/j.amjoto.2024.104545","DOIUrl":"10.1016/j.amjoto.2024.104545","url":null,"abstract":"<div><h3>Objective</h3><div>Across social media, nocturnal mouth-taping has been credited with benefits from increased energy and immunity to improved dental health. This scoping review summarizes the literature on mouth-taping and prominent social media claims pertaining to this practice.</div><div>Data Sources.</div><div>PubMed and Embase were searched using terms related to nocturnal mouth-taping. A search of TikTok was performed using the term “mouth taping.”</div><div>Review Methods.</div><div>Studies yielded by this literature search were reviewed for relevance and excluded if they did not assess mouth-taping during sleep. Study characteristics were extracted for analysis. TikTok videos discussing mouth-taping during sleep were evaluated, and videos lacking spoken or written words were excluded. The first fifty videos meeting inclusion and exclusion criteria were reviewed for claims regarding mouth-taping and presenter type.</div></div><div><h3>Results</h3><div>One hundred and seventy-seven unique studies were identified; nine met inclusion and exclusion criteria. Two studies found significant improvements in obstructive sleep apnea (OSA) metrics, one with mouth-taping alone and one with mouth-taping plus a mandibular advancement device. A study of non-OSA patients reported improved snoring with mouth-taping combined with other measures. A study of mouth-taping in asthma found no benefit. However, one study found that mouth-taping effectively reduced mouth leak during bilevel ventilation. The most common proposed advantages of mouth-taping on TikTok were improved sleep and oral health.</div></div><div><h3>Conclusion</h3><div>This is the first comprehensive literature review on mouth-taping. The literature on this subject is markedly heterogeneous, and there is little consensus on mouth-taping's benefits. Few TikTok claims regarding the practice have been evaluated. However, some research indicates that mouth-taping may be advantageous in OSA, snoring, and bilevel ventilation. Additional high-quality research is necessary to elucidate the role and efficacy of this practice.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104545"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142811567","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":"A non-local dual-stream fusion network for laryngoscope recognition","authors":"Ran Wei ,&nbsp;Yan Liang ,&nbsp;Lei Geng ,&nbsp;Wei Wang ,&nbsp;Mei Wei","doi":"10.1016/j.amjoto.2024.104565","DOIUrl":"10.1016/j.amjoto.2024.104565","url":null,"abstract":"<div><h3>Purpose</h3><div>To use deep learning technology to design and implement a model that can automatically classify laryngoscope images and assist doctors in diagnosing laryngeal diseases.</div></div><div><h3>Materials and methods</h3><div>The experiment was based on 3057 images (normal, glottic cancer, granuloma, Reinke's Edema, vocal cord cyst, leukoplakia, nodules and polyps) from the dataset Laryngoscope8. A classification model based on deep neural networks was developed and tested. Model performance was verified by a variety of evaluation measures, including accuracy, recall, specificity, F1-Score and area under the receiver operating characteristic curve. In addition, the Grad-Cam technology was used to visualize the feature map of the model to improve the interpretation of the network.</div></div><div><h3>Results</h3><div>The model has high classification accuracy and robustness, and can accurately classify various types of laryngoscope images. In the test set of independent individuals, the overall accuracy reaches 86.51 %, and the average area under curve value is 0.954. The performance of the model is significantly better than other existing algorithms.</div></div><div><h3>Conclusion</h3><div>This paper proposes a deep learning based automatic classification model for laryngoscope images. By integrating the output features of deep neural network ResNet and Transformer, eight laryngeal diseases can be accurately classified. This indicates that the proposed method can be effectively applied to the study of laryngeal diseases.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104565"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891416","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":"Safety of open airway reconstruction in high-risk post-COVID patients: A case-matched control study","authors":"Benjamin van der Woerd ,&nbsp;Ryan S. Ziltzer ,&nbsp;Anna Mathew ,&nbsp;Karla O'Dell","doi":"10.1016/j.amjoto.2024.104540","DOIUrl":"10.1016/j.amjoto.2024.104540","url":null,"abstract":"<div><h3>Objectives</h3><div>COVID-19 pneumonia patients may have high rates of intubation and reduced pulmonary function once recovered. Poor pulmonary function is a relative contraindication to open airway reconstruction, post-COVID patients may extrapolate as high-risk for open airway reconstruction. This presents challenges in airway stenosis management of post-COVID pneumonia patients. This study reports the safety and outcomes of open airway reconstruction in carefully selected post-COVID patients.</div></div><div><h3>Methods</h3><div>A retrospective case-matched control study of six post-COVID tracheal stenosis cases treated with tracheal resection and six matched controls. Controls were matched based on age, length of stenosis, and comorbidities. Primary outcomes are peri-operative safety events and need for future airway interventions.</div></div><div><h3>Results</h3><div>Post-COVID cases and non-COVID controls were closely matched on age, length of stenosis, and comorbidities (<em>p</em> &gt; 0.05). Duration of follow-up was not significantly different (<em>p</em> = 0.1894). No patients required reintubation, tracheostomy, ICU admission, or ventilator placement in the peri-operative period. There was one allergic reaction to antibiotics in a case and one aspiration pneumonia in a control. One case required in-office steroid injection and injection augmentation post-operatively, but no patients from either group required future operative airway intervention during the follow-up period.</div></div><div><h3>Conclusion</h3><div>Post-COVID tracheal stenosis cases had comparably excellent outcomes with matched controls after open tracheal construction, with few peri-operative safety events and minimal need for future interventions. These data indicate open airway reconstruction is a safe and effective option for the treatment of tracheal stenosis in carefully selected post-COVID patients.</div></div><div><h3>Level of evidence</h3><div>4</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104540"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142798701","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":"The added value of narrow band imaging in Sinonasal tumour resection and surveillance: Our experience","authors":"Yazan Kanaan ,&nbsp;Ra'ed Al-Ashqar ,&nbsp;Hisham Khalil ,&nbsp;Konstantinos Geronatsios ,&nbsp;Marios Stavrakas","doi":"10.1016/j.amjoto.2024.104534","DOIUrl":"10.1016/j.amjoto.2024.104534","url":null,"abstract":"<div><h3>Background &amp; purpose</h3><div>Narrow Band Imaging (NBI), developed by Olympus Medical Systems, has played a role in diagnosing digestive tract lesions and cancers, diagnosing and characterizing bladder cancers during cystoscopy and in the diagnosis and management of Head and Neck cancers. We aim to explore the potential use of NBI in the diagnosis, management, and follow-up of sinonasal tumours.</div></div><div><h3>Methods</h3><div>We present a series of cases treated at our institution, where NBI played a crucial role in the diagnosis, surgical management, intraoperative decision-making, and follow-up. The cases include a patient with sinonasal lymphoma, 2 patients with sinonosal malignant melanoma and a patient with olfactory neuroblastoma.</div></div><div><h3>Results</h3><div>In our experience, NBI proved beneficial not only in detecting otherwise unseen nasal lesions but also in targeted biopsies and intraoperative planning, on some occasions altering the course of treatment. NBI may also be a simple, inexpensive surveillance method for detecting sinonasal tumours recurrence after excision.</div></div><div><h3>Conclusion</h3><div>While there are limitations to its use, there is potential for NBI to be of significant use in rhinology practice, reducing morbidity and tumour recurrence rates and streamlining the diagnostic and surveillance process.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 1","pages":"Article 104534"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142798703","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}