American Journal of Otolaryngology最新文献

{"title":"Goodbye Dr. Google, hello Dr. ChatGPT: Advancing a new frontier for ENT medical information online","authors":"Richard J. Lu , Babak Azizzadeh","doi":"10.1016/j.amjoto.2025.104618","DOIUrl":"10.1016/j.amjoto.2025.104618","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104618"},"PeriodicalIF":1.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873807","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":"Impact of ipsilateral false vocal fold resection on swallowing following transoral laser cordectomies — A fibreoptic endoscopic evaluation of swallowing study","authors":"A. Burián ,&nbsp;K. Smatanová ,&nbsp;T. Bocskai ,&nbsp;János Girán ,&nbsp;I. Szanyi","doi":"10.1016/j.amjoto.2025.104622","DOIUrl":"10.1016/j.amjoto.2025.104622","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate early and late impact of false vocal fold removal (vestibulectomy) on swallowing using FEES following type III, IV and V transoral laser cordectomies (TLC).</div></div><div><h3>Material and method</h3><div>Fifteen transorally resectable glottic cancers (10 T1a, 2 T1b, 2 T2, 1 selected T3) necessitating TLC with vestibulectomy were included. All participants underwent TLC in the investigation period. FEES was performed preoperatively and in the early and late postoperative period establishing modified penetration-aspiration scale (mPAS) and pharyngeal residue severity scale (PRSS) to statistically assess possible differences among the investigated timepoints. Laryngeal preservation and local recurrence were also noted.</div></div><div><h3>Results</h3><div>2 type III, 9 type IV, 2 type Va and 2 type Vd cordectomies were performed. Early postoperative mPASs changed significantly compared to preoperative status (<em>p</em> = 0.046). Difference between early and late postoperative mPASs was also significant (<em>p</em> = 0.046). There was no difference between preoperative and late postoperative mPASs (<em>p</em> = 1.0). Regarding pharyngeal residue, significant changes were noted in the early postoperative period compared to preoperative values (<em>p</em> = 0.002). Regarding late postoperative PRSSs, statistically significant decline was found compared to early postoperative scores (<em>p</em> = 0.004). No remarkable difference was found between preoperative and late postoperative PRSSs (<em>p</em> = 0.317). Laryngeal preservation failed in only one case due to recurrence.</div></div><div><h3>Conclusion</h3><div>In our serie, ipsilateral vestibulectomy during TLC did not deteriorate swallowing in the long term neither by increased pharyngeal residue nor by increased aspiration risk. Investigation of cases without co-morbidities may further confirm our observations. Nevertheless, TLC provided excellent laryngeal preservation.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104622"},"PeriodicalIF":1.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873696","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":"Endonasal dome bind with incorporation of a columellar strut reduces Infratip fullness: a quantitative photographic analysis","authors":"Jeewanjot S. Grewal ,&nbsp;Michael Diffley ,&nbsp;Yitzchok Greenberg ,&nbsp;Suma Alzouhayli ,&nbsp;Kylie Springer ,&nbsp;Richard Westreich ,&nbsp;Robert H. Deeb","doi":"10.1016/j.amjoto.2025.104619","DOIUrl":"10.1016/j.amjoto.2025.104619","url":null,"abstract":"<div><h3>Objective</h3><div>To demonstrate the effectiveness of the dome bind suture technique with incorporation of a columellar strut in reducing infratip lobule fullness in closed rhinoplasty by use of quantitative photographic analysis.</div></div><div><h3>Methods</h3><div>A retrospective review of patients who underwent rhinoplasty by two senior authors was carried out. All surgical maneuvers were documented. Photographic analysis was performed quantitatively using Rhinobase software. Results were recorded as ratio of change relative to a stable anatomic reference. This was chosen as the intercanthal distance on frontal view and lateral canthus to lateral commissure distance on lateral view.</div></div><div><h3>Results</h3><div>Sixty-three patients were included who underwent the dome bind suture technique. On frontal view, the ratio of the infratip lobule on post-surgical images versus preintervention was 0.88, which represents a reduction of 12 % (<em>P</em> &lt; 0.01). This was not apparent on lateral view, with a postoperative/preoperative ratio of 1.02 (<em>P</em> = 0.53).</div></div><div><h3>Conclusion</h3><div>We have demonstrated that the endonasal dome bind technique with incorporation of a columellar strut is useful at reducing infratip lobule fullness on frontal view and is a valuable tool in the armamentarium of the rhinoplasty surgeon.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104619"},"PeriodicalIF":1.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859378","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":"Trans-oral robotic surgery in the management of malignant oropharyngeal minor salivary gland tumors: A systematic review","authors":"Gian Marco Pace ,&nbsp;Camilla Zimello ,&nbsp;Andrea Costantino ,&nbsp;Elena Russo ,&nbsp;Antonella Polimeni ,&nbsp;Antonio Greco ,&nbsp;Giannicola Iannella ,&nbsp;Armando De Virgilio","doi":"10.1016/j.amjoto.2025.104616","DOIUrl":"10.1016/j.amjoto.2025.104616","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to evaluate trans-oral robotic surgery (TORS) in the treatment of oropharyngeal minor salivary glands (OPMSG) malignancies.</div></div><div><h3>Methods</h3><div>This study was performed according to the PRISMA statement. A systematic review was performed following a comprehensive electronic search in PubMed, Google Scholar and ScienceDirect databases for studies published until April 21st, 2024.</div></div><div><h3>Results</h3><div>Eleven studies were included in our analysis. A total of 180 patients (males: 44.8 %, <em>n</em> = 78/174) with a median age of 59.6 years (<em>n</em> = 174; IQR 53–72) who underwent OPMSG malignant tumor TORS resection were included. The most common histology was mucoepidermoid carcinoma (<em>n</em> = 76/161, 47.2 %), followed by adenoid cystic carcinoma (<em>n</em> = 42/161, 26.1 %) and polymorphous low-grade adenocarcinoma (n = 17/161, 10.6 %). 87.9 % of OPMSG were classified as T1-T2 (<em>n</em> = 153/174). The median hospitalization time was 4 days (<em>n</em> = 154; IQR 2–6.5). The median initiation of oral diet following surgery occurred on post-operative day 1 (n = 15; IQR 1–4). Post-operative complications, occurring within 30 days from the TORS procedure, presented in 5.8 % of cases (<em>n</em> = 10/172). Negative margins after resection of primary tumor were obtained in 80.4 % of cases (<em>n</em> = 139/173).</div></div><div><h3>Conclusions</h3><div>This systematic review confirms the safety and feasibility of TORS in the treatment of OPMSG malignancies. However, due to the low quality of included studies, further evidence is needed to establish clinical guidelines.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104616"},"PeriodicalIF":1.8,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873698","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 geographical comparison between head & neck cancer incidence and distribution of otolaryngologists","authors":"Henry C. Ideker ,&nbsp;Ahmad Odeh ,&nbsp;Angela Mazul ,&nbsp;Sean T. Massa","doi":"10.1016/j.amjoto.2025.104625","DOIUrl":"10.1016/j.amjoto.2025.104625","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of head and neck cancer (HNC) is increasing, and research is needed to identify and treat populations at higher risk.</div></div><div><h3>Methods</h3><div>The Surveillance, Epidemiology, and End Result (SEER), Area Health Resource File (AHRF), and American Community Survey (ACS) databases were queried for incidence of HNC, provider demographics, and county demographics, respectively. The primary outcome was county-level incidence rate. Multivariate analysis of county variables identified risk factors associated with higher incidence.</div></div><div><h3>Results</h3><div>The geographic incidence of HNC is unequally distributed with higher incidence in counties with older age (3.68 % increase, CI: 3.46–3.89 %), white (1.71 %, CI: 1.08–2.35 %) and black (1.20 %, CI: 0.40–2.00 %) race, and higher percentage of smokers (1.36 %, CI: 1.17–1.55 %). The otolaryngology workforce was inversely related to the county-level incidence. Compared to counties with no Otolaryngologist, those with 11+ had 41.5 % (39.7–43.4 %) lower incidence.</div></div><div><h3>Conclusion</h3><div>The otolaryngology workforce is not optimally distributed to address geospatial variation in HNC incidence.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104625"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859379","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":"Comparison of cartilage myringoplasty for repairing non-cholesteatomatous chronic perforation with mastoid cavity pneumatization and opacification","authors":"Qinghua Wang ,&nbsp;Ningyu Feng ,&nbsp;Zhengcai Lou","doi":"10.1016/j.amjoto.2025.104621","DOIUrl":"10.1016/j.amjoto.2025.104621","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to compare the graft outcomes of cartilage myringoplasty for the repair of chronic otitis media (COM) with a complete ossicular chain between mastoid cavity pneumatization and opacification.</div></div><div><h3>Materials and methods</h3><div>Chronic perforations with non-cholesteatomatous COM were allocated to either mastoid cavity pneumatization (MCP) group and opacification (MCO) group. All patients underwent endoscopic cartilage underlay myringoplasty alone. The graft success rate, audiometric outcomes, soft tissue opacification change, and complications were evaluated at 12 months after surgery.</div></div><div><h3>Results</h3><div>The postoperative infection was 2.7 % patients in the MCP group and 8.1 % patients in the MCO group (P = 0.607). Overall graft success rates were 91.9 % in the MCP group and 89.2 % in the MCO group (P = 0.691). MCO group exhibited more deterioration in preoperative air conduction (AC) PTAs (P = 0.047) or pre-operative ABG (P = 0.039) compared with MCP group, while there were no significant differences between the groups in postoperative AC PTAs, BC PTAs, or ABGs. Nevertheless, MCO group exhibited better ABG gain compared with MCP group (21.2 ± 6.9 vs 13.8 ± 2.6 dB; P = 0.024). Temporal bone CT at postoperative 12 months revealed no change in opacification in 56.8 % patients and reduced opacification or complete pneumatization in 43.2 % patients in the CMO group. Also, none of the patients developed worsening sensorineural hearing loss or postoperative tinnitus.</div></div><div><h3>Conclusions</h3><div>Myringoplasty alone did not affect the graft success rate in the patients with mastoid cavity pneumatization or opacification, however, in comparison, the patients with mastoid cavity opacification had a worse preoperative hearing but better postoperative hearing recovery. In addition, myringoplasty alone could improve the mastoid cavity opacification.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104621"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854397","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":"Tele-voice therapy. Application of the tele-medicine paradigm to speech therapy for dysphonia: A systematic review","authors":"Leonardo Franz ,&nbsp;Arianna Da Canal ,&nbsp;Giacomo Spinato ,&nbsp;Giovanna Baracca ,&nbsp;Emanuela Lucchini ,&nbsp;Cosimo de Filippis ,&nbsp;Gino Marioni","doi":"10.1016/j.amjoto.2025.104626","DOIUrl":"10.1016/j.amjoto.2025.104626","url":null,"abstract":"<div><h3>Objective</h3><div>Over the last decades, tele-rehabilitation has been gaining popularity in speech and language disorders. To date, studies on tele-speech therapy have been focused mostly on speech and/or communication disorders. However, only a minority of the available investigations delved into voice disorders. The main aim of this review has been to summarize and critically analyze the available evidence on tele-rehabilitation in voice disorders.</div></div><div><h3>Methods</h3><div>A search of the English literature was conducted in PubMed, Scopus and Web of Science.</div><div>Original reports were included investigating the feasibility and efficacy of tele-speech therapy in human patients with dysphonia and reporting pre- and post-treatment outcomes. Studies with no objective outcomes or a small case series (fewer than 10 participants) were ruled out.</div></div><div><h3>Results</h3><div>482 articles were retrieved. After duplicates' removal, and title/abstract screening, 20 potentially relevant articles remained. After subsequent full-text screening, only 6 articles were included.</div></div><div><h3>Conclusion</h3><div>Despite their methodological heterogeneity and small sample size, the available studies seem to support tele-speech therapy as an effective tool for selected dysphonia patients. In particular, remote therapy may be proposed to overcome logistical issues, potentially increasing patients' adherence, especially in case of rehabilitation programs requiring no direct contact or manipulation (e.g. Lee Silverman Voice Treatment for Parkinson's disease). Moreover, hybrid in-person and remote approaches may be proposed as flexible solutions to administer a patient-tailored rehabilitation program, potentially maximizing the benefits of both settings. However, to develop stronger evidence-based practices, large-scale prospective controlled studies are required (preferably in a multi-center setting).</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104626"},"PeriodicalIF":1.8,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859260","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":"Resistance exercise and its impact on allergic rhinitis","authors":"Tao Yu,&nbsp;WenHui Yue,&nbsp;ShuJun Zhang","doi":"10.1016/j.amjoto.2025.104613","DOIUrl":"10.1016/j.amjoto.2025.104613","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of resistance exercise on nasal and eye symptoms, quality of life, and levels of inflammatory markers in patients with allergic rhinitis.</div></div><div><h3>Study design</h3><div>A prospective randomized controlled trial.</div></div><div><h3>Setting</h3><div>Conducted at a single tertiary care center.</div></div><div><h3>Methods</h3><div>A total of 156 patients with allergic rhinitis were randomly divided into a resistance exercise group and a control group for a 6-month intervention. Changes in nasal symptom scores, eye symptom scores, quality of life scores, and serum IL-4, IL-6, and IgE levels were evaluated.</div></div><div><h3>Results</h3><div>The resistance exercise group showed significantly greater improvement in nasal and eye symptoms, quality of life, and reduction in inflammatory markers compared to the control group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Resistance exercise significantly improved symptoms and quality of life in patients with allergic rhinitis, showing promising clinical potential as an important adjunctive treatment.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104613"},"PeriodicalIF":1.8,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783435","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":"Vocal fold lateralization by percutaneous suture in children: A systematic review","authors":"Neemias Santos Carneiro ,&nbsp;José Faibes Lubianca Neto ,&nbsp;Bárbara Salgueiro ,&nbsp;Rita Carolina Pozzer Krumenauer Padoin ,&nbsp;Renata Loss Drummond ,&nbsp;Mateus Campestrini Harger ,&nbsp;Marcelo Neves Lubianca","doi":"10.1016/j.amjoto.2025.104606","DOIUrl":"10.1016/j.amjoto.2025.104606","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Percutaneous vocal fold lateralization (PVFL) consists of external fixation with non-absorbable percutaneous suture of the vocal fold in a lateral position, under direct glottic visualization. The objective, through a systematic review, was to identify, select, evaluate, and synthesize the relevant evidence available to define whether PVFL is effective in avoiding the tracheostomy, as well as whether it is effective in allowing decannulation of children who have already been tracheostomized. Secondarily, vocal quality, complications and reversibility of the procedure were evaluated.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic review was carried out based on the protocols described in the QUORUM/PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The search strategy was carried out in the PubMed, Embase, Scopus, Web of Science, SciELO and VHL databases. The terms searched were a combination of indexed keywords using Boolean terms. Inclusion criteria: Primary studies that documented intervention outcomes in patients with BVFP; Studies including pediatric patients (defined here as &lt;18 years of age); and studies with well documented postoperative follow-up. Exclusion criteria: Duplicate studies or with the same clinical data; articles that exclusively evaluated other surgical interventions, animal studies, reviews, or post-mortem studies; and studies with only patients with unilateral vocal fold paralysis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Among the patients under study, 80 cases, underwent the surgical technique under study, 41 of these (51.25 %) are male. The average age of patients undergoing the procedures ranged from 4 days to 10 years of age. Most patients already had preoperative comorbidities, generally cardiothoracic and laryngeal, followed by neurological causes. In 31 % of patients, only a high-flow nasal catheter was required and in 3 patients, transient orotracheal intubation was required. At the mean follow-up of 30 months [SD:24], around 20 of the 80 (25.6 %) patients presented some degree of dysphonia. However, there was no standardization of scales. Approximately 11 % of patients had some postoperative complication, with reintubation due to glottic edema being the most prevalent. There was only 1 death. Preoperatively, 38 % of patients with BVFP were tracheostomized. After the procedure, only 13 % of them still needed to continue with the tracheostomy during the postoperative period. However, 13 % of patients needed to remain with a tracheostomy. Among the tracheostomy patients, only 3 of them achieved return of vocal fold mobility. Among all patients, vocal fold mobility returned in 35 % of patients, with a total of 10 % of patients postoperatively. However, there were studies that did not report mobility due to the short follow-up. During follow-up, 6 patients required revision procedures to relocate lateralization suture or even due to skin abscess. Granu","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104606"},"PeriodicalIF":1.8,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636424","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":"Expansion sphincter pharyngoplasty with cartilage implant in uvulopalatal flap for treatment of obstructive sleep apnea","authors":"Fereshte Shenavayi ,&nbsp;Shayan Dasdar ,&nbsp;Hamed Amirifard ,&nbsp;Reza Erfanian ,&nbsp;Arezu Najafi ,&nbsp;Nika Kianfar ,&nbsp;Amin Amali ,&nbsp;Shohre Ghasemi ,&nbsp;Reihaneh Heidari","doi":"10.1016/j.amjoto.2025.104608","DOIUrl":"10.1016/j.amjoto.2025.104608","url":null,"abstract":"<div><h3>Background</h3><div>Uvulopalatopharyngoplasty and its modifications, including expansion sphincter pharyngoplasty, are the most common surgical interventions for obstructive sleep apnea.</div></div><div><h3>Objective</h3><div>To introduce a novel surgery technique in which expansion sphincter pharyngoplasty was performed accompanied by inserting a cartilage implant into the palate.</div></div><div><h3>Methods</h3><div>Adult patients required septoplasty and pharyngoplasty were selected. In intervention group, expansion sphincter pharyngoplasty was performed with the insertion of a cartilage implant, obtained from their septum into the uvulopalatal flap site. In control group, similar procedures were performed except for cartilage insertion. Surgery outcome was assessed at the 3rd and 6th month post-operation by STOP-Bang Questionnaire (SBQ), Epworth Sleepiness Scale (ESS), and snoring level.</div></div><div><h3>Results</h3><div>Thirty-one individuals with a mean age of 36.9 ± 9.0 years, consisting of 27 (87.1 %) men, were recruited. At follow-ups sessions of intervention group (<em>n</em> = 16), the SBQ decreased from 3.94 ± 1.39 to 2.33 ± 1.11 and 1.80 ± 1.21 (<em>p</em> &lt; 0.001), ESS decreased from 10.31 ± 5.52 to 5.20 ± 2.83 and 3.33 ± 1.76 (p &lt; 0.001), and snoring level decreased from 2 to 1 and 1 (<em>p</em> &lt; 0.001). In control group (<em>n</em> = 15), the SBQ decreased from 4.23 ± 0.60 to 2.38 ± 0.96 and 2.08 ± 1.11 (<em>p</em> &lt; 0.001), ESS decreased from 13.08 ± 5.88 to 7.69 ± 4.27 and 5.69 ± 4.05 (p &lt; 0.001), and snoring level decreased from 3 to 2 and 1 (p &lt; 0.001). Between group comparison indicated that ESS was marginal at the second follow-up (<em>p</em> = 0.051), and the snoring level was significantly different at first (<em>p</em> = 0.019) and second (<em>p</em> = 0.031) follow-ups.</div></div><div><h3>Conclusion</h3><div>Performing expansion sphincter pharyngoplasty with a cartilage implant in selected individuals improved surgery outcome.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104608"},"PeriodicalIF":1.8,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629301","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}