Ear, nose, & throat journal最新文献

{"title":"Data-Driven Analysis of Short- and Long-Term Outcomes of Simulation, Nasal Hump Reduction, and Rasping in Open Rhinoplasty for Nasal Dorsum Correction.","authors":"Fuat Bulut, Faruk Bulut","doi":"10.1177/01455613251334450","DOIUrl":"10.1177/01455613251334450","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to highlight the significance of performing simulations, nasal hump reduction, and rasping in open-technique rhinoplasty for the nasal dorsum. The research utilizes data science methodologies for a thorough examination of the collected survey data.</p><p><strong>Methods: </strong>A comprehensive survey comprising 29 questions was presented to surgeons participating in the Eastern Trakya ENT Association Training Meetings-I. This survey, specifically designed to investigate the nuances of open and closed rhinoplasty approaches to nasal dorsum intervention, collected responses from 132 physicians. The collected dataset was thoroughly reviewed and analyzed. The responses were not only graphically represented but also transformed into a dataset primed for data science analysis. Significant results were derived using both association rule-mining algorithms from machine learning and basic statistical analysis.</p><p><strong>Results: </strong>The raw data underwent thorough analysis using fundamental statistical methods and association rules within the field of data science. The discerned data patterns revealed significant insights into the behavioral tendencies and approaches adopted by physicians in rhinoplasty. The survey analysis emphasized the widespread acceptance of the open technique for nasal dorsum procedures, even though it may not be the preferred choice for all rhinoplasty cases. A notable 74.6% of rhinoplasty surgeons employing the open technique indicated that the primary long-term challenge during nasal dorsum interventions was irregularity. In addition, among the 132 participating surgeons, 25.8% were found to frequently engage in facial plastic surgery, while 55.4% reported abstaining from simulations. Notably, rhinoplasty surgeons who opted out of simulations, despite exclusively applying the open technique, reported encountering irregularities and requiring more adjustments.</p><p><strong>Conclusion: </strong>Rhinoplasty surgeons who do not use simulations in open nasal dorsum approaches reported facing irregularities and performing more revisions. Furthermore, they noted encountering irregularities in both the short and long term following nasal hump reduction and rasping procedures.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP497-NP509"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047248","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}

{"title":"Laryngopharyngeal Reflux in Otolaryngology-Head and Neck Surgery Clinic: An Epidemiological Survey.","authors":"Yuanyuan Wang, Qixu Liang, Jian Luo, Hongbin Miao, Gang Qin, Yilin Bao","doi":"10.1177/01455613241301601","DOIUrl":"10.1177/01455613241301601","url":null,"abstract":"<p><p><b>Background and Objectives:</b> Laryngopharyngeal reflux disease (LPRD) has been implicated in the etiology of many laryngeal disorders and is also closely related to the occurrence and progression of a variety of throat diseases, including chronic cough, leukoplakia of the larynx, dysphonia, and even laryngeal tumors. LPRD can significantly reduce the quality of life of patients and cause substantial medical and economic burdens to the society. Reflux Symptom Index (RSI), a self-administered 9-item outcomes instrument for laryngopharyngeal reflux (LPR), has been widely used to screen for LPRD, but there is a lack of feasibility studies on the use of RSI for LPRD screening and alternative diagnostic tools in otolaryngology-head and neck surgery (OHNS) clinics. To study the incidence, clinical characteristics, diagnostic status, and influencing factors of LPRD at OHNS clinics, RSI as an alternative diagnostic tool has also been studied. LPRD was defined as RSI > 13. <b>Methods:</b> Systematic collection of data by the RSI questionnaire was used to identify patients in the outpatient clinic suffering from LPRD; in addition, the personal history of participants was collected. Follow-up observation was carried out for 6 months for patients with suspected LPRD (RSI > 13), including whether they were treated with standardized anti-reflux therapy, and the questionnaire based on RSI was completed again after treatment. <b>Results:</b> The LPRD rate was 7.92% (94/1187) in this survey. The proportions of LPRD patients with smoking history (vs no smoking) and alcohol consumption history (vs. no alcohol consumption) were significantly higher (<i>χ</i>² values: 7.025 and 4.562, and <i>P</i> values: .008 and .033; respectively). Smoking significantly increased the risk of LPRD (OR: 2.140, 95% CI: 1.058-4.331, <i>P</i> = .034). Among patients with LPRD positive, the incidence of \"foreign body sensation in the throat\" (symptom 8) score equal to 5 was the highest (19.15%). The severity of \"excess mucus in the throat or postnasal drip\" (symptom 3) contributed mostly to the total RSI score in patients with LPRD (<i>r</i> = .409, <i>P</i> < .001). ROC curve analysis showed that RSI ≥ 14 had a sensitivity of 72.9% and a specificity of 71.4% for the diagnosis of LPRD, with AUC = 0.797 (95% CI: 0.577-0.884, <i>P</i> < .001). <b>Conclusions:</b> The incidence of LPRD was high in patients we examined in OHNS clinics. We recommend that RSI can be used by otolaryngologists as a reliable tool for screening and diagnosing LPRD in OHNS clinics, which is beneficial for clinical practice.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP510-NP517"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142684046","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}

{"title":"Rare Presentation of Monkeypox: Initial Tonsillitis Symptoms Leading to Diagnostic Challenges.","authors":"Chien-Wei Huang, Jyun-Yi Liao, Sheng-Chiao Lin","doi":"10.1177/01455613241260769","DOIUrl":"10.1177/01455613241260769","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"475-477"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263498","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}

{"title":"Hybrid Balloon-Assisted Endoscopic Sinus Surgery for Refractory Chronic Rhinosinusitis in a Pediatric Patient with Cystic Fibrosis: A Case Report.","authors":"Eugene Oh, Oren Saghian, Jason Zar, Beth Osterbauer, Elisabeth H Ference","doi":"10.1177/01455613251361237","DOIUrl":"https://doi.org/10.1177/01455613251361237","url":null,"abstract":"<p><p>The management of refractory chronic rhinosinusitis (CRS) in children with cystic fibrosis (CF) remains a challenge, especially in those who are not candidates for highly effective modulator therapy. These patients often have severe sinus disease that does not improve with medical treatment, requiring surgery as the definitive treatment. We report a case of a 9-year-old female patient with CF and refractory CRS presenting with significant nasal obstruction, postnasal drainage, and frontal headaches that severely impacted her quality of life. A hybrid technique that involved balloon catheter dilation (BCD) along with endoscopic sinus surgery (ESS) allowed the management of complex anatomical problems associated with the severe polyposis, copious purulence, and narrow frontal recesses during the surgery. This improved our ability to visualize the surgical field, minimize blood loss, and better preserve the mucosa, which ultimately led to better surgical and clinical outcomes. Our findings suggest that hybrid BCD-assisted ESS may offer an effective solution to manage severe CRS in pediatric CF patients, particularly for those who have limited therapeutic options.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251361237"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700731","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}

{"title":"Spontaneous Stapediovestibular Dislocation with Congenital Duplication of the Tympanic Segment of the Facial Nerve: A Case Report.","authors":"Wen-Chun Wang, Yuan Cheng Liu, Yu-Fu Chou","doi":"10.1177/01455613251360483","DOIUrl":"https://doi.org/10.1177/01455613251360483","url":null,"abstract":"<p><p>External stapediovestibular dislocations are rare and often traumatic. Congenital facial nerve anomalies, as in this case, make reconstruction of the ossicular chain even more challenging.A 37-year-old woman patient presented progressive bilateral hearing loss and aural fullness for 1 month in May 2024. She had suffered a fall from a height of approximately 4 stories in 2017. The audiometry showed bilateral conductive hearing loss with an air-bone gap greater than 50 dB. A temporal bone computed tomography scan showed suspected stapes detachment and facial nerve anomalies in both ears. Right exploratory tympanotomy revealed external stapediovestibular dislocation with duplication of facial nerve in the tympanic segment. A type V tympanoplasty with piston wire insertion was performed. Audiometry after right ear surgery showed closure of the air-bone gap by 42 dB, without vertigo or facial nerve injury.Surgery aims to prevent facial nerve injury while successful restoring hearing loss. The cause of stapediovestibular dislocation is discussed, along with methods for reconstruction of the ossicular chain.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251360483"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700732","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}

{"title":"Cervical Sympathetic Chain Schwannoma in the Parapharyngeal Space: A Rare Case and Literature Review.","authors":"Alaa Senjab, Omar Al Ayoubi, Grace Tannous, Ahmad Al-Bitar, Arige Alassaf","doi":"10.1177/01455613251361249","DOIUrl":"https://doi.org/10.1177/01455613251361249","url":null,"abstract":"<p><strong>Introduction: </strong>Schwannomas are rare, typically benign tumors arising from Schwann cells. Parapharyngeal space tumors account for only about 0.5% of all head and neck neoplasms, with schwannomas representing ~31% of these. Among these, schwannomas originating from the cervical sympathetic chain (CSC) are particularly rare but clinically important. These tumors grow slowly and often present with vague symptoms such as mild dysphagia, which delays diagnosis. Imaging techniques such as computed tomography (CT) and magnetic resonance imaging aid evaluation. This report presents a rare CSC schwannoma case and reviews 54 others to highlight diagnostic and clinical features.</p><p><strong>Case presentation: </strong>A 44-year-old Arab female presented with a 4-month history of mild dysphagia and right-sided throat discomfort. Physical examination revealed a smooth, non-tender submucosal bulge along the right lateral pharyngeal wall. Contrast-enhanced CT demonstrated a well-circumscribed, homogeneously enhancing mass in the right paravertebral space, displacing the carotid sheath-radiologically consistent with a schwannoma. The tumor was excised via a transcervical approach and found intraoperatively to originate from the CSC. Histopathology confirmed a benign schwannoma. Postoperatively, the patient developed first-bite syndrome (FBS), managed conservatively with gradual symptom improvement. At 6-month follow-up, she remained asymptomatic with no evidence of recurrence.</p><p><strong>Conclusion: </strong>Parapharyngeal schwannomas are rare neurogenic tumors that often present with vague symptoms, delaying diagnosis. CSC schwannomas, though uncommon, carry a high risk of postoperative complications such as FBS and Horner's syndrome. Accurate imaging, early recognition, and multidisciplinary planning are essential for safe surgical resection and optimal patient outcomes. This case, alongside our literature review, emphasizes the importance of correlating tumor origin with clinical behavior and postoperative sequelae.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251361249"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700730","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}

{"title":"The Hidden Effects of Vaping: A Study on Nasal Mucociliary Clearance.","authors":"Ahmet Koder, Yağmur Topçakar","doi":"10.1177/01455613251362043","DOIUrl":"https://doi.org/10.1177/01455613251362043","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of e-cigarette use on nasal mucociliary clearance (NMC) by comparing e-cigarette users, traditional cigarette smokers, and nonsmokers. Although numerous studies have investigated the impact of cigarettes and other tobacco products on mucociliary clearance, research specifically focusing on e-cigarettes is limited.</p><p><strong>Methods: </strong>The study included 120 healthy participants, comprising 40 electronic cigarette users, 40 cigarette users, and 40 nonsmokers. NMC was evaluated using the saccharin test. Participants were asked to retain a saccharin particle on the inferior turbinate, and the time taken for the participant to perceive the sweet taste was recorded as the NMC time. The results were compared and analyzed statistically using the Statistical Package for the Social Sciences (SPSS).</p><p><strong>Results: </strong>The mean NMC time for e-cigarette users was 14.08 ± 5.99, which was significantly longer than that of nonsmokers, who had a mean NMC time of 10.80 ± 5.28 (<i>P</i> = .027), indicating impaired mucociliary clearance. The NMC time for cigarette smokers was 13.13 ± 6.97, which was also significantly prolonged compared to nonsmokers. No statistically significant difference was found between the groups regarding mean age.</p><p><strong>Conclusion: </strong>This study demonstrates that electronic cigarette use is associated with impairment of NMC, similar to conventional cigarette smoking. The findings suggest that e-cigarette use may have detrimental effects on the respiratory defense mechanism, potentially increasing the risk of respiratory infections and other pulmonary complications.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251362043"},"PeriodicalIF":0.0,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700733","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}

{"title":"Re: Martínez-Herrera et al Titled \"Quality of Life and Functionality of Head and Neck Cancer Patients Are Diminished as a Function of Sarcopenia and Obesity\".","authors":"Efsun Somay, Erkan Topkan, Ugur Selek","doi":"10.1177/01455613251360122","DOIUrl":"https://doi.org/10.1177/01455613251360122","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251360122"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692818","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}

{"title":"Diagnostic and Therapeutic Challenges in Limited GPA With Nasal Synechiae: A Case Report and Literature Review.","authors":"Abdullah S AlDughaither, Abdulmohsin S Aldossari, Ali M Alsudays, Sultan Mogren Almogairen, Surayie H Al Dousary","doi":"10.1177/01455613251358076","DOIUrl":"https://doi.org/10.1177/01455613251358076","url":null,"abstract":"<p><strong>Background: </strong>Usually linked with anti-neutrophil cytoplasmic antibodies (ANCA), granulomatosis with polyangiitis (GPA) is an uncommon systemic necrotizing vasculitis. Although GPA sometimes shows multiorgan involvement, the confined phenotype-mostly affecting the upper respiratory tract-can provide major diagnostic and therapeutic difficulties. Though nonsystemic, limited GPA might resemble chronic rhinosinusitis and is at risk for progression or consequences.</p><p><strong>Case: </strong>Following COVID-19 immunization and past COVID-19 infection, we describe a case of a 23 year-old girl presenting with persistent nasal obstruction, headache, severe facial pain, crustation, nose bleeding, and anosmia for 1.5 years. Examination revealed bilateral nasal ulceration and crusting; evaluation also indicated mucosal thickening and positive c-ANCA with high proteinase 3 titers. Without granulomatous characteristics, histopathology revealed persistent inflammation and inflammatory nasal polyps. The patient was first managed with methotrexate; therapy was upgraded to rituximab (RTX) due to ongoing symptoms. After RTX induction, the patient achieved clinical remission, with resolution of nasal symptoms and normalization of inflammatory markers. She stayed in remission at the follow-up.</p><p><strong>Conclusion: </strong>This case highlights the diagnostic complexity and therapeutic challenges associated with limited GPA, particularly when ear, nose, and throat symptoms predominate without systemic involvement. Key to reaching remission is early rheumatologic referral, interdisciplinary treatment, and rapid escalation to biologic therapy. RTX is a good and well-tolerated choice in refractory restricted GPA; yet more studies are warranted.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251358076"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692817","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}

{"title":"Retropharyngeal Ectopic Papillary Thyroid Carcinoma Coexisting with Orthotopic Goiter: A Rare Case Report.","authors":"Xiaxia Li, Guokang Fan, Zhewei Lou","doi":"10.1177/01455613251359427","DOIUrl":"https://doi.org/10.1177/01455613251359427","url":null,"abstract":"<p><strong>Objective: </strong>Ectopic thyroid carcinoma is rare. We present an exceptionally rare case of primary retropharyngeal ectopic papillary thyroid carcinoma (PTC) coexisting with an orthotopic thyroid goiter, aiming to enhance clinical awareness of this condition and to emphasize the importance of comprehensive management of both the ectopic lesion and the orthotopic thyroid.</p><p><strong>Methods: </strong>Case report and literature review.</p><p><strong>Results: </strong>A 29-year-old male with a 3-year history of pharyngeal foreign body sensation underwent laryngoscopy and noncontrast CT/MRI, revealing a 2.0 × 3.5 cm left retropharyngeal mass. The mass was confirmed as papillary carcinoma via transoral excision. Postoperative contrast-enhanced CT identified metastatic-level VI lymphadenopathy, prompting total thyroidectomy with central neck dissection. Histopathology verified ectopic PTC with central node metastasis (1/20 nodes). Orthotopic thyroid exhibited nodular goiter without malignancy. No recurrence was observed during 36 months of follow-up.</p><p><strong>Conclusions: </strong>This case highlights retropharyngeal ectopic PTC's diagnostic complexity in a patient with orthotopic thyroid gland. Management of ectopic thyroid carcinoma may be guided by thyroid carcinoma guidelines, given its rarity. Total thyroidectomy is recommended to exclude concurrent thyroid malignancy and enable thyroglobulin-based surveillance.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251359427"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692819","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}