ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses最新文献

{"title":"Trauma-Informed Care for Voice, Airway, and Swallowing Disorders: A Scoping Review.","authors":"Vinciya Pandian, Naomi N S Walter, Amy Freeman-Sanderson, Michael O'Brien, Naveen S Victor, David Goldenberg, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Patients with voice, airway, and swallowing disorders are susceptible to psychological distress, loss of identity, and lack of agency. Trauma-informed care offers a framework for promoting safety, trust, empowerment, and collaboration, yet its relevance to laryngology nursing practice has not been systematically synthesized.</p><p><strong>Objectives: </strong>To map and synthesize existing literature relevant to trauma-informed care in laryngology, with a specific focus on nursing practice across voice, airway, and swallowing care pathways.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines. Searches of PubMed/MEDLINE, CINAHL, PsycINFO, and Scopus identified peer-reviewed English-language publications from January 2021 through December 2025. Reference lists of included studies and key reviews were hand searched to identify highly relevant trauma-informed laryngology publications from 2020. Eligible studies examined laryngology-related populations, reported patient- or caregiver-centered psychosocial or experiential outcomes, and demonstrated conceptual alignment with trauma-informed care principles, even when not explicitly labeled as such. Data were charted descriptively across care contexts, outcome domains, and alignment with the six Substance Abuse and Mental Health Services Administration trauma-informed care principles.</p><p><strong>Results: </strong>Eighteen studies met inclusion criteria. Studies spanned acute, outpatient, and survivorship settings and addressed tracheostomy, laryngectomy, airway disorders, voice disorders, and dysphagia. Across studies, psychological distress, communication impairment, and perceived loss of control consistently co-occurred as an interrelated vulnerability cluster. All studies demonstrated implicit alignment with one or more trauma-informed care principles, most commonly safety and empowerment, voice, and choice. Peer support and cultural, historical, and gender considerations were less frequently addressed. Caregiver burden and identity disruption were prominent yet under-measured domains, particularly in survivorship contexts.</p><p><strong>Conclusions: </strong>The literature on trauma-informed care in laryngology spans multiple domains of otolaryngology, including voice, airway, and swallowing care. However, current evidence is insufficient to determine the efficacy of trauma-informed interventions in this context. Future work should evaluate the implementation and effectiveness of trauma-informed approaches across these areas of laryngologic practice.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"44 1","pages":"15-28"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148267462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Standardizing Tracheostomy Discharge Education Using an Interdisciplinary Hand-off Form: A Quality Improvement Study.","authors":"Ashly Ninan, Lisa M Grubb, Michael J Brenner, Vinciya Pandian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Adults discharged home with a tracheostomy face preventable risks of tube dislodgement, obstruction, infection, and delayed emergency response. Consistent discharge education and interdisciplinary communication can support safe transitions from hospital to home.</p><p><strong>Local problem: </strong>On an adult surgical telemetry unit at an academic medical center, tracheostomy discharge education and documentation were inconsistent across the electronic health record. Variable handoff practices between registered nurses and respiratory therapists contributed to fragmented care.</p><p><strong>Methods: </strong>This quality improvement project used a prospective pretest-posttest design guided by a knowledge translation framework. Registered nurses and respiratory therapists received education on a standardized tracheostomy discharge handoff form. Anonymous electronic surveys assessed perceived understanding of discharge education, interdisciplinary communication, and tool satisfaction at baseline and after 12-weeks. Responses were analyzed using the Wilcoxon signed rank test.</p><p><strong>Intervention: </strong>An interdisciplinary handoff form outlining key tracheostomy education domains was initiated on admission and kept at the bedside. The form supported sequential instruction, demonstration, and return demonstration, with clinician sign-off, and was uploaded to the electronic medical record at discharge.</p><p><strong>Results: </strong>Eighteen nurses and six respiratory therapists completed baseline surveys; nine nurses completed paired surveys. Understanding scores were high at baseline with no significant post-intervention change. Perceived interdisciplinary communication improved, and two-thirds of nurses reported satisfaction with continued use. No respiratory therapists completed post-intervention surveys.</p><p><strong>Conclusions: </strong>A standardized tracheostomy discharge handoff form was feasible to implement and was associated with improved perceived communication and nurse satisfaction. Integration into the electronic medical record and inclusion of patient-reported outcomes warrant further study.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"44 1","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13208546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.","authors":"Vinciya Pandian, Sarah E Hughes, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Otorhinolaryngology-head and neck (ORL-HN) nursing encompasses complex, multisystem care for conditions affecting hearing, olfaction, balance, breathing, sleep, swallowing, communication, appearance, and identity across the lifespan. In 2025, the International Council of Nurses (ICN) updated its definitions of nursing and a nurse to better reflect contemporary practice, emphasizing professional autonomy, cultural safety, health literacy, health equity, environmental stewardship, and interprofessional collaboration. These concepts are highly relevant to ORL-HN nursing, where care is technologically advanced, interdisciplinary, and deeply connected to quality of life.</p><p><strong>Purpose: </strong>To synthesize and interpret the ICN's 2025 definitions of nursing and a nurse through the lens of ORL-HN nursing practice and to examine their implications for clinical care, education, leadership, and equity across the continuum of care.</p><p><strong>Methods: </strong>A narrative review was conducted drawing on international nursing, otorhinolaryngology, head and neck oncology, airway, hearing, and rehabilitation literature, alongside the ICN's 2025 definition report. Key themes were identified and mapped to ORL-HN nursing roles across acute, perioperative, rehabilitative, survivorship, and community-based settings. Illustrative case scenarios were used to contextualize the application of core ICN principles in specialty practice.</p><p><strong>Results: </strong>The ICN definitions affirm ORL-HN nurses as autonomous, accountable professionals who integrate scientific knowledge, ethical judgment, and culturally responsive communication. Across subspecialty areas, nurses operationalize these principles through airway vigilance, early complication detection, device-based rehabilitation, health literacy-responsive education, caregiver engagement, and coordination of interprofessional care. The framework also highlights nursing leadership in clinical pathways, simulation-based education, telehealth, survivorship programs, and global equity initiatives that reduce preventable harm and enhance person-centered outcomes.</p><p><strong>Conclusions: </strong>The ICN's 2025 definitions provide a timely and unifying framework that aligns closely with the realities of ORL-HN nursing. Applying this framework strengthens professional identity, clarifies nursing contributions within interprofessional teams, and offers guidance for advancing equitable, person-centered care, education, research, and policy in an evolving specialty.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"44 1","pages":"51-65"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13313049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148355219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expanding Access to Hearing Healthcare for Adults: How Interprofessional Collaboration Can Promote Care Equity From Clinics to Communities.","authors":"Sarah E Hughes, Clinton R Brenner, Bryan Facione, Erin J Ross, Carrie L Nieman, Michael M McKee, Devin L McCaslin, Milisa Manojlovich, Margaret I Wallhagen, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Age-related hearing loss (ARHL) is a prevalent yet often overlooked public health challenge that requires interprofessional teamwork and advocacy to implement evidence-based interventions. ARHL impacts quality of life, cognitive function, and social well-being, yet access to hearing care remains limited due partly due to socioeconomic disparities, stigma, and gaps in interprofessional collaboration. This paper explores strategies to expand equitable access to hearing healthcare through interprofessional collaboration, policy advocacy, and community outreach. Nurses, otolaryngologists, audiologists, primary care providers, and public health professionals play keys roles in integrating hearing screenings into routine care, facilitating timely interventions, and addressing disparities. By leveraging electronic health record prompts, social determinants of health screenings, and interdisciplinary teamwork, healthcare systems can improve early detection and intervention for ARHL. Strengthening nurse-physician communication and fostering interprofessional collaboration ensures that hearing loss is recognized and addressed as a critical component of patient-centered care. Beyond conventional clinical settings, community-based initiatives and policy reforms can further enhance access to hearing services. Expanding insurance coverage for hearing aids, advocating for inclusive healthcare policies, and fostering partnerships with local organizations can bridge existing gaps in care. Additionally, educational campaigns aimed at reducing stigma and increasing public awareness are essential for promoting the adoption of hearing interventions. By emphasizing collaborative approaches to hearing health, this article highlights the importance of addressing ARHL as a clinical and public health priority. A coordinated, equity-driven framework can expand access to care and reduce the long-term consequences of untreated hearing loss in aging adults.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 2","pages":"55-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12121046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Related Hearing Loss: Evidence-Based Strategies for Early Detection and Management.","authors":"Sarah E Hughes, Clinton R Brenner, Alwyn T Pandian, Erin J Ross, Carrie L Nieman, Michael M McKee, Devin L McCaslin, David E Tunkel, Milisa Manojlovich, Margaret I Wallhagen, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Age-related hearing loss (ARHL) is common in older adults and has been linked to significant health and social challenges. These challenges include cognitive decline, depression, falls, and overall decreased quality of life. Despite its high prevalence, ARHL remains underdiagnosed and undertreated, partly due to its gradual onset, stigma, and lack of standardized screening and management protocols. This article provides a comprehensive overview of evidence-based strategies for the early detection and management of ARHL, with an emphasis on recent clinical practice guidelines where nurses are instrumental in leading quality improvement efforts. The multifactorial etiology of ARHL, encompassing genetic predispositions, environmental exposures, and physiological aging, is discussed alongside the health and socioeconomic impacts of untreated hearing loss, including cognitive decline and increased healthcare utilization. Routine screening and hearing assessments can be integrated into patient care visits for individuals aged 50 and above to improve early detection and opportunities for hearing loss management. Effective patient education involves individualized, culturally sensitive counseling that addresses the implications of untreated hearing loss and the benefits of early intervention, which can mitigate stigma and encourage proactive management. Assistive technologies such as consumer devices, hearing aids, and cochlear implants play a vital role in promoting hearing health in personalized care plans developed in collaboration with audiologists. Regular monitoring and follow-up are essential to assess adherence, address challenges, and adjust interventions. By adopting these evidence-based strategies, healthcare professionals can improve identification and management of age-related hearing loss, enhancing the overall health and quality of life for the aging population.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 2","pages":"26-39"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating Clarity Amid the Operating Room Clamor: A Mixed Methods Analysis of Noise-Related Barriers and Facilitators to Effective Communication.","authors":"Sarah E Hughes, Milisa Manojlovich, Clare E Jacobson, Devin L McCaslin, Michael M McKee, Dhruv Jain, Andrew S Bolze, Isabel J Hsu, Candice Stegink, Rishindra M Reddy, Kyle H Sheetz, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>The operating room is one of the noisiest healthcare environments, creating critical challenges for patient safety, team efficiency, and surgical outcomes. Operating room nurses, essential for patient care and team coordination, face unique risks from noise exposure and impaired communication, yet their challenges remain underexplored.</p><p><strong>Objective: </strong>To assess hearing challenges and communication barriers in operating room teams from nurses' perspectives, with implications for patient safety and interventions.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Methods: </strong>An electronic survey was distributed to operating room personnel, examining hearing difficulties, communication barriers, and current solutions using multiple-choice, Likert-scale, and open-ended formats. Quantitative and qualitative data were analyzed via descriptive statistics and summative thematic analysis.</p><p><strong>Results: </strong>Among 225 participants, 51 were nurses (23%), with 25% reporting hearing loss, 63% no hearing loss, and 12% uncertain. All nurses with baseline hearing loss reported auditory challenges in the operating room, while half without hearing loss reported frequent struggles during surgery (p<.0021). Nurses with > 5 years' operating room exposure had over 5-fold risk of hearing loss (95% confidence interval: 1.3-21.2; p=0.028). Noise from suction devices, alarms, and music hindered communication. Self-accommodations included asking for repetition (62%) and modifying the environment (32%). Nearly all respondents (96%) emphasized improving communication, supporting ambient noise reduction, technology, or behavioral interventions like closed-loop communication.</p><p><strong>Conclusions: </strong>Operating room nurses, central to surgical safety and team efficiency, are disproportionately impacted by noise-related communication challenges. Their dual role positions them to lead the implementation of targeted noise mitigation and communication strategies, driving critical improvements in the surgical environment.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 2","pages":"15-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approaching Social Determinants of Health in Otolaryngology - Head Neck Surgery: Linking Needs to Resources to Promote Health Equity.","authors":"Prasanth Pattisapu, Naomi B Gizaw, Lily Wu, Erin M Khang, Valerie McNeal, Kathy Herman, Kerrigan Coleman, Emily F Boss, Michael J Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Social determinants of health influence patient outcomes across all otolaryngology specialties, necessitating collaborative efforts among healthcare teams to promote health equity. Health disparities permeate healthcare, creating inequities related to race, ethnicity, socioeconomic status, environment, access to healthcare, education, gender, and sexual orientation. These disparities impact the diagnosis, management, and outcomes of conditions such as chronic otitis media, obstructive sleep apnea, sinusitis and allergies, hearing and balance disorders, head and neck cancer, and laryngeal or airway-related conditions such as subglottic stenosis, tracheostomy, and other laryngotracheal disorders. Recent updates in Centers for Medicare and Medicaid support capturing data on social determinants of health, which is the first step in linking patients to needed services and resources. Addressing these factors requires interprofessional collaboration involving nurses, providers, social workers, and other professionals, such as pharmacists, surgery schedulers, and community health workers. A holistic approach to otolaryngology considers social and economic factors alongside medical care, leading to positive outcomes in real-world settings, such as early hearing detection in underserved communities and nurse-led programs addressing sinusitis related to poor housing conditions. Other goals include improving digital health literacy, offering financial services, and identifying unmet needs. Ongoing research and the development of targeted educational programs are essential for reducing health disparities and improving care delivery in otolaryngology.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 1","pages":"26-35"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Educational Equity for Children with Hearing Loss: Celebrating the 50^th Anniversary of the Individuals with Disability Education Act (IDEA).","authors":"Clinton R Brenner, Alwyn T Pandian, Sarah E Hughes, Casey J Stach, Ellen S Thomas, Anita F Vereb, Terence K Pleasant, Erin M Khang, Kris Estheimer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Individuals with Disabilities Education Act has been pivotal in securing necessary accommodations, specialized instruction, and assistive technologies, thereby promoting educational equity. Despite these advances, children with hearing differences continue to face significant barriers in early identification, intervention, and inclusion, necessitating the continuous advocacy and involvement of interdisciplinary professionals in educational and healthcare settings. Nurses are instrumental in bridging healthcare and education, facilitating early detection of hearing differences through newborn screenings and routine school assessments. They have a role in coordinating medical and educational services and advocating for individualized accommodations that enhance learning experiences. However, inconsistent screening policies and lack of awareness among parents, educators, and pediatricians about early indicators of hearing differences persist represent barriers to timely intervention. This article also explores the broader social determinants affecting access to resources and interventions for children with hearing differences, such as socioeconomic disparities and insurance coverage. It advocates for stronger policies and resources to address these inequities and calls for an expanded role of nurses in promoting comprehensive educational access. As IDEA continues to evolve, there is an ongoing need for innovative approaches, including the integration of advanced technologies and interdisciplinary collaboration, to ensure that all children with hearing differences can achieve their full academic potential and quality of life.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 2","pages":"40-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12123701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144200973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Effective Feeding Methods for Nutritional Management in Head and Neck Cancer Patients Post-Surgery: A Systematic Review.","authors":"Naomi N S Walter, Dinesh S Kumar, Thejesh Ramanandham, Ida S Priyadarshini, Naveen S Victor, Sheela Durai, Vinitha Ravindran, Vinciya Pandian","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>This systematic review evaluates the effectiveness of feeding interventions-early oral feeding, nasogastric tube feeding, and gastrostomy tube feeding-in supporting postoperative recovery in head and neck cancer patients. The primary objective is to identify the most effective feeding strategy based on outcomes such as wound dehiscence, infections, aspiration, pharyngo-cutaneous fistula, flap necrosis, and length of hospital stay.</p><p><strong>Methods: </strong>Studies were selected based on specific inclusion criteria, focusing on head and neck cancer patients receiving alternate feeding methods post-surgery. Databases searched included PubMed, CINAHL, Embase, Cochrane, Web of Science, and Scopus, with the last search conducted on April 10, 2023. Risk of bias was assessed using the Cochrane Risk of Bias tools (RoB-2 for randomized studies and ROBINS-I for non-randomized studies). Data were synthesized and results presented in structured tables, comparing clinical outcomes across feeding methods.</p><p><strong>Results: </strong>Ten studies involving 623 participants met the inclusion criteria. Early oral feeding was associated with reduced hospital stay and comparable or lower rates of complications, such as wound dehiscence and infections, relative to nasogastric and gastrostomy feeding. Among studies comparing early oral and nasogastric feeding, early oral feeding showed a potential advantage in recovery time, although gastrostomy feeding presented mixed outcomes with occasional higher infection rates.</p><p><strong>Discussion: </strong>This review highlights the benefits of early oral feeding in enhancing recovery and minimizing complications. Limitations include heterogeneity in study designs, small sample sizes, and variability in outcome definitions, which may affect the robustness of these findings.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"43 1","pages":"13-25"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12752812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145879540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Ramsay Hunt to Parotid Cancer: A Case Report.","authors":"Meredith H Cummings, Kai-Lin You, Marci L Nilsen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Diagnosis of head and neck malignancies remains challenging given the complexity and heterogeneity of the organs and involved anatomical features. Additionally, the presenting symptoms of head and neck cancer may often be vague, mimicking symptoms of less serious illnesses. The following case highlights these challenges. The patient presented to his primary care physician with right facial paralysis involving difficulty closing his eye, as well as intermittent right ear pain. The patient was referred to neurology for a workup to diagnose Lyme Disease or Ramsay Hunt Auricularis. The patient was initially diagnosed with and treated for Ramsay Hunt Auricularis. Despite the treatment, the patient suffered two falls from a loss of consciousness. The cardiologist consulted in the emergency department noted no cardiac etiology. Ultimately, a Computerized Tomography scan and additional imaging revealed a parotid lesion, and the patient was diagnosed with salivary gland carcinoma. The tumor was encircling the internal carotid artery and was subsequently deemed inoperable. No distant metastases were noted. The patient was treated with concurrent chemoradiation using carboplatin and paclitaxel, and leuprolide for androgen receptor-positive cancer. The patient completed this treatment and continues leuprolide every three months. His most recent Positron Emission Tomography scan revealed no evidence of residual disease or recurrent/metastatic disease. The patient still experiences significant long-term treatment effects, such as lymphedema, trismus, and peripheral neuropathy, for which he undergoes rehabilitation services. This unique case is a prime example of the complicated diagnosis and treatment trajectories for patients with head and neck cancer. Frequent follow-up and long-term multidisciplinary care are essential to manage symptoms associated with treatment for all individuals with head and neck cancers.</p>","PeriodicalId":79417,"journal":{"name":"ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses","volume":"42 2","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}