Ear, nose, & throat journal最新文献

Epithelial-Myoepithelial Carcinoma of the Submandibular Gland Arising from Recurrent Pleomorphic Adenoma: A Rare Case Report.

Ear, nose, & throat journal Pub Date : 2025-03-13 DOI: 10.1177/01455613251327160

Jihene Houas, Taghrid Tlili, Heyfa Belhadj-Miled, Monia Ghammam, Mohamed Abdelkefi

{"title":"Epithelial-Myoepithelial Carcinoma of the Submandibular Gland Arising from Recurrent Pleomorphic Adenoma: A Rare Case Report.","authors":"Jihene Houas, Taghrid Tlili, Heyfa Belhadj-Miled, Monia Ghammam, Mohamed Abdelkefi","doi":"10.1177/01455613251327160","DOIUrl":"https://doi.org/10.1177/01455613251327160","url":null,"abstract":"A 36-year-old male with a history of smoking presented with recurrent right submandibular swelling. Initially diagnosed with pleomorphic adenoma, he underwent total submandibulectomy. After 2 years, he developed a recurrent submandibular mass. Clinical and imaging assessments revealed a 6.2 cm multinodular tumor without invasion of adjacent structures. Surgery under general anesthesia involved tumor resection and lymph node dissection. Pathology confirmed carcinoma ex pleomorphic adenoma, specifically epithelial-myoepithelial carcinoma (EMC). Despite focal necrosis and a tumor size of 10.8 cm, margins were clear, and no lymph node metastasis was detected (pT3N0). Postoperative imaging showed no recurrence or metastasis, and the patient remains disease-free at the 25th month. This case highlights the diagnostic and therapeutic complexities of EMC, a rare malignancy constituting <1% of salivary gland tumors. Multidisciplinary collaboration enabled accurate diagnosis and effective treatment. Early intervention in recurrent pleomorphic adenomas is crucial to mitigate malignant transformation risk. Long-term surveillance is essential due to EMC's potential for late recurrence.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251327160"},"PeriodicalIF":0.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Nasopharyngeal Necrosis After Endoscopic Transnasal Resection and Postoperative Radiotherapy in a Patient with Adenoid Cystic Carcinoma.

Ear, nose, & throat journal Pub Date : 2025-03-13 DOI: 10.1177/01455613251319978

Kuan-Yu Chen, Hsin-Chien Chen

引用次数: 0

Palatal Perforation Due to Nasal Myiasis in a Patient With Atrophic Rhinitis: A Case Report.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251324351

Aayucee Agrawal, Shivam Pandey, Krishnandan Shah, Deepak Paudel

引用次数: 0

Comparison of Myringitis Incidence in Cartilage Myringoplasty With and Without External Ear Canal Packing For the Repair of Chronic Tympanic Membrane Perforations.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251321604

Dong Li, Yanping Li, Yongqing Ding, Yunchao Xin, Hongyan Zhang, Lixin Wu, Yuying Yang, Yantao Lin, Yachao Liu

{"title":"Comparison of Myringitis Incidence in Cartilage Myringoplasty With and Without External Ear Canal Packing For the Repair of Chronic Tympanic Membrane Perforations.","authors":"Dong Li, Yanping Li, Yongqing Ding, Yunchao Xin, Hongyan Zhang, Lixin Wu, Yuying Yang, Yantao Lin, Yachao Liu","doi":"10.1177/01455613251321604","DOIUrl":"https://doi.org/10.1177/01455613251321604","url":null,"abstract":"Objective: We compared the long-term efficacy and incidence of myringitis after cartilage graft underlay myringoplasty for chronic tympanic membrane (TM) perforations with and without external ear canal (EAC) packing. Methods: In total, 129 patients who met the inclusion criteria were allocated to either the EAC packing (packing) group or the no-EAC packing (no-packing) group. All patients underwent endoscopic cartilage graft underlay myringoplasty. Graft success, hearing improvement, and the incidence of myringitis were assessed at 12 months postoperatively. Results: All patients completed the 12 month follow-up period. At 3 months postoperatively, overall graft success rates were 100.0% and 98.4% in the packing and no-packing groups, respectively. At 12 months postoperatively, graft success rates were 96.9% and 93.8% in the packing and no-packing groups, respectively. Both groups demonstrated significant improvements in hearing between preoperative and 6 month postoperative assessments. The mean air-bone gap (ABG) improved by 14.17 ± 3.29 decibels (dB) in the packing group and 13.85 ± 5.46 dB in the no-packing group. At 6th month postoperatively, no significant differences in ABGs were observed between the groups. The incidence of myringitis was significantly higher in the no-packing group than in the packing group. However, the packing group exhibited a significantly-higher incidence of self-reported ear fullness and discomfort than the no-packing group. Conclusion: Although the graft success rate and hearing improvement after cartilage graft underlay myringoplasty with no EAC packing were comparable to those with packing, the no-packing approach was associated with a higher incidence of myringitis. Therefore, we recommend EAC packing after cartilage myringoplasty.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321604"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Computerized Dynamic Posturography-Guided Vestibular Rehabilitation Improves Vestibular Sensory Ratios.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251321978

Eytan A David, Navid Shahnaz, Isabel Wiseman, Yael David, Chris L Cochrane

{"title":"Computerized Dynamic Posturography-Guided Vestibular Rehabilitation Improves Vestibular Sensory Ratios.","authors":"Eytan A David, Navid Shahnaz, Isabel Wiseman, Yael David, Chris L Cochrane","doi":"10.1177/01455613251321978","DOIUrl":"https://doi.org/10.1177/01455613251321978","url":null,"abstract":"Background: Vestibular deficits are common and debilitating, and many patients struggle with dynamic balance, even after treatment with standard rehabilitation techniques. Objective: The objective of this study was to measure changes in computerized dynamic posturography sensory ratio information after computerized vestibular retraining therapy (CVRT). Methods: This prospective, single-group, interventional study enrolled adult participants with stable, unilateral vestibular deficits. Sensory ratios were obtained from sensory organization test scores before and after 12 twice-weekly sessions of CVRT. Results: Prior to CVRT, sensory organization test ratios indicated significant difficulty maintaining equilibrium on the moving, sway-referenced platform. After CVRT, the visual ratio (VIS) increased by 0.12 (-0.09 to 0.30; P = .0498), the vestibular ration (VEST) increased by 0.10 (-0.060 to 0.25; P = .0122), and the dynamic stability ration (DSR) increased by 0.15 (0.03 to 0.24; P = .0012). The somatosensory and visual preference ratios changed negligibly. Participants with mild disability [Dizziness Handicap Inventory (DHI) ≤30] showed no change while participants with moderate-to-severe disability (DHI >30) had significant improvements in VIS, VEST, and DSR. Conclusions: CVRT was associated with changes in VIS and VEST sensory ratios and improved postural control under conditions that favor use of vestibular information, consistent with increased weighting of vestibular information over vision (Clinicaltrials.gov registration NCT04875013; April 27, 2021).","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321978"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143618064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fungal Necrotizing Otitis Externa: Clinical and Therapeutic Features.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251325964

Wadii Thabet, Mehdi Hasnaoui, Yasmine Sghaier, Asma Ben Mabrouk, Mohamed Masmoudi, Khelifa Mighri

{"title":"Fungal Necrotizing Otitis Externa: Clinical and Therapeutic Features.","authors":"Wadii Thabet, Mehdi Hasnaoui, Yasmine Sghaier, Asma Ben Mabrouk, Mohamed Masmoudi, Khelifa Mighri","doi":"10.1177/01455613251325964","DOIUrl":"https://doi.org/10.1177/01455613251325964","url":null,"abstract":"Objectives: To describe the clinical and therapeutic features of fungal necrotizing otitis externa (NOE) as well as to identify the predictive factors of complications. Materials and Methods: This retrospective and monocentric study included 15 cases of fungal NOE treated in our ENT department between 2006 and 2024. Clinical, biological, microbiological, and imaging data were collected and evaluated. Results: We included 15 patients diagnosed with fungal NOE based on positive microbiological cultures. The mean age was 67.6 years. All patients had diabetes. Otalgia was the most common symptom. Complications were noted in 80% of the cases. Facial nerve palsy occurred in 5 cases (33.3%). Computed tomography imaging revealed extension to the temporomandibular joint (46.7%), middle ear involvement (60%), vascular thrombosis (26.6%), intracranial extension (13.3%), and soft tissue complications (33.3%). The identified fungi were Candida spp. (26.7%) and Aspergillus spp. (73.3%). All patients received antifungal treatment. The mean total duration (intravenous + oral) of antifungal treatment was 2 months. Clinical improvement was observed in all cases, without recurrence cases after a median follow-up of 6 months. Older age and delay before consultation were significantly associated with soft tissue extension. Immunodeficiency and delay before consultation were significantly correlated with vascular thrombosis. Conclusions: Fungal NOE is a rare but serious condition that requires prompt diagnosis and treatment. Early identification and appropriate antifungal treatment are crucial to prevent complications and achieve favorable outcomes.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251325964"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interobserver Variability Regarding Adequacy of Oropharyngeal Exposure for Transoral Robotic Surgery May Necessitate Staging Endoscopy: Evaluating TORS Exposure.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251319156

Colleen Schinderle, Kevin J Carlson, Reem Sharaf Alddin, Jeffery J Houlton, Matthew J Bak, Daniel W Karakla, Jonathan R Mark

引用次数: 0

RE: Real-World Survival Impact and Utilization of Adjuvant Radiation in Advanced Laryngeal Cancer.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251323059

Yuanli Xia

引用次数: 0

Persistent Vocal Fold Hemorrhagic Polyp.

Ear, nose, & throat journal Pub Date : 2025-03-12 DOI: 10.1177/01455613251318510

Quang Pham, Zoë Thijs, Robert T Sataloff

引用次数: 0

Lemierre's Syndrome With Cavernous Sinus Thrombosis: A Life-Threatening Complication of Peritonsillar Abscess.

Ear, nose, & throat journal Pub Date : 2025-03-10 DOI: 10.1177/01455613251324341

Sana Ferchichi, Ghada Kharrat, Becem Trabelsi, Zahra Jouini, Siwar Sbaihi, Chiraz Halwani

{"title":"Lemierre's Syndrome With Cavernous Sinus Thrombosis: A Life-Threatening Complication of Peritonsillar Abscess.","authors":"Sana Ferchichi, Ghada Kharrat, Becem Trabelsi, Zahra Jouini, Siwar Sbaihi, Chiraz Halwani","doi":"10.1177/01455613251324341","DOIUrl":"https://doi.org/10.1177/01455613251324341","url":null,"abstract":"Introduction: Lemierre's syndrome is a rare and life-threatening form of septic thrombophlebitis that can complicate head and neck infections. In most cases, septic thrombophlebitis affects the internal jugular vein. Its extension into the cerebral venous sinus is extremely rare, especially in the cavernous sinus. Herein, we report a rare and fatal case of peritonsillar phlegmon complicated by extensive cervicofacial fasciitis, with both internal jugular vein and cavernous sinus thrombophlebitis. Observation: It was a 72-year-old patient with a history of type II diabetes and chronic renal failure. He presented with painful right swelling of the neck and face, fever, and dyspnea. Physical examination revealed a conscious patient with right inflammatory cervicofacial swelling, trismus, and para-pharyngeal bulging. Contrast-enhanced computed tomography revealed extensive right cervicofacial fasciitis, thrombosis of the ipsilateral internal jugular vein and transversal sinus. He received intravenous antibiotic therapy, surgical drainage, and monitoring in the intensive care unit with mechanical ventilation. However, evolution was pejorative. He presented a right cavernous sinus thrombosis, then septic shock and died 4 days after admission. Conclusion: Oropharyngeal infections must be properly and promptly managed, as they carry the risk of leading to severe, potentially life-threatening complications, such as Lemierre's syndrome. Lemierre's syndrome prognosis is particularly worsened by the extension to intracranial sinuses. A rapid diagnosis remains the best guarantee for optimizing patient management.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251324341"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0