Ear, nose, & throat journal最新文献

{"title":"Recognizing Odontogenic Maxillary Sinusitis in the ENT Clinic: Four CT Findings That Should Prompt Dental Evaluation.","authors":"Uma Sandeep Mehta, Tyler Pion, Kourosh Parham, Aditya Tadinada","doi":"10.1177/01455613261497899","DOIUrl":"https://doi.org/10.1177/01455613261497899","url":null,"abstract":"<p><p><b>Objective:</b> This retrospective cohort study evaluated the proportion of maxillary sinuses with radiographic findings consistent with an odontogenic contribution among patients with imaging-confirmed acute or chronic maxillary sinusitis presenting to a single academic ENT clinic over one year. Sixty-five CT scans (84 sinuses) underwent multidisciplinary review for prespecified radiographic features. By highlighting imaging findings indicative of dental origin this study aims to improve recognition of possible odontogenic disease and appropriate multidisciplinary evaluation. <b>Methods:</b> Sixty-five patients were evaluated. Inclusion criteria required a visit diagnosis of chronic maxillary sinusitis (ICD10 J32.0) or acute maxillary sinusitis (ICD10 J01.00, J01.01), and a sinus CT within the preceding year. Each scan underwent multidisciplinary review by an oral and maxillofacial radiologist, an otolaryngologist, an otolaryngology resident, and a medical student. Scans were evaluated for maxillary sinus floor mucosal thickening and radiographic features suggestive of an odontogenic contribution, including periapical pathology, oroantral communication, large dental restorations, and widened periodontal ligament (PDL) space. Dental referral recommendations were based on multidisciplinary consensus from CT findings alone. Data were summarized using descriptive statistics. <b>Results:</b> Radiographic findings consistent with an odontogenic contribution were identified in 50/84 (59.52%) affected maxillary sinuses from 40 patients. Among these 50 sinuses, 17 (34%) showed widened PDL space, 15 (30%) showed oroantral communication, 28 (56%) showed periapical pathology, and 9 (18%) showed large dental restorations. There was consensus among the multidisciplinary team that in retrospect, among the 40 patients with OS, 38 required dental referrals. <b>Conclusion:</b> Radiographic findings consistent with an odontogenic contribution indicated a higher single-center cohort prevalence than expected based on population-level prevalence reports. The findings support deliberate review of the maxillary dentition on sinus CT, with this study outlining the key imaging features for odontogenic sinusitis.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261497899"},"PeriodicalIF":0.7,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217741","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":"Is the Malleus Really Dispensable? Comment on \"Ossicular Reconstruction With Various Degrees of Malleus Preservation in Patients With Chronic Otitis Media\".","authors":"Yaşar Özbuğday","doi":"10.1177/01455613261501270","DOIUrl":"https://doi.org/10.1177/01455613261501270","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261501270"},"PeriodicalIF":0.7,"publicationDate":"2026-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217730","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":"Sinonasal Solitary Fibrous Tumor Mimicking a Small Round Cell Neoplasm on Frozen Section.","authors":"Jiamei Fan, Wenjing Gu, Kailiang Li, Yusheng Wang","doi":"10.1177/01455613261496328","DOIUrl":"https://doi.org/10.1177/01455613261496328","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261496328"},"PeriodicalIF":0.7,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171048","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":"Early History of Absorbable Suture in the Head and Neck.","authors":"Michael Nicolette, Glenn Isaacson","doi":"10.1177/01455613261495645","DOIUrl":"https://doi.org/10.1177/01455613261495645","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261495645"},"PeriodicalIF":0.7,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172175","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":"Outcome Composition Must Be Resolved Before Interpreting an Adult Tonsillectomy Airway Risk Model.","authors":"Bilge Kurnaz Kaplan, Fatih Kaplan","doi":"10.1177/01455613261499003","DOIUrl":"https://doi.org/10.1177/01455613261499003","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261499003"},"PeriodicalIF":0.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148786","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":"Petrous Apex Mucocele: A Case Report and Literature Review.","authors":"Dimitar Trifunoski, Jure Urbančič, Tomislav Felbabić, Domen Vozel","doi":"10.1177/01455613261486891","DOIUrl":"https://doi.org/10.1177/01455613261486891","url":null,"abstract":"<p><p>BackgroundA petrous apex mucocele is a rare benign cystic lesion that can present with symptoms due to pressure on surrounding structures, including the internal carotid artery, Meckel's cave and the fifth and sixth cranial nerves, as well as the cavernous sinus region and inner ear.MethodsA 36-year-old male presented with 8 months of diplopia when looking to the right, a right-sided temporoparietal headache, and paresthesia in the right half of his face. An MRI revealed a 26 × 32 × 37 mm lesion in the right petrous apex. The lesion's signal characteristics were most consistent with a mucocele. We performed an endoscopic endonasal transclival marsupialization and created a wide drainage opening, which we supported by inserting a stent containing mometasone furoate.ResultsThe postoperative course was marked by transient arterial hypertension, which required antihypertensive treatment. Postoperative imaging studies revealed no intracranial complications and confirmed that the drainage pathway remained patent.ConclusionIn the differential diagnosis of lesions in the medial portion of the petrous apex, a mucocele should be considered. In appropriately selected cases, endoscopic endonasal marsupialization can be an effective option. To maintain postoperative patency of the drainage pathway, an implant containing mometasone furoate may also be used.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261486891"},"PeriodicalIF":0.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149521","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":"Learning Perspectives in the Management of Sigmoid Sinus Diverticulum in the Absence of Pulsatile Tinnitus.","authors":"Mainak Dutta, Arundhati Mukherjee, Mousam Maiti","doi":"10.1177/01455613261480423","DOIUrl":"https://doi.org/10.1177/01455613261480423","url":null,"abstract":"<p><p>Sigmoid sinus diverticulum (SSD) is an aberrant venous dilatation commonly associated with pulsatile tinnitus. However, an SSD without pulsatile tinnitus may be difficult to anticipate. Pre-operative computed tomography should be carefully reviewed for such vascular anomalies, with meticulous anticipation at surgery. SSD may pose a problem in proper visualization of the surgical field, and may put the surgeons in a dilemma on whether drilling can be continued safely. Right judgment, careful and patient drilling, and proper repair of the sinus plate in the event of inadvertent breach are the essential steps for a safe surgery. This clinical illustration describes the learning points in the management of a patient diagnosed with chronic otitis media with mixed hearing loss but without tinnitus, planned for tympanoplasty and cortical mastoidectomy, with an SSD discovered incidentally on imaging and encountered at surgery.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261480423"},"PeriodicalIF":0.7,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149823","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":"Anaplastic Thyroid Carcinoma With Extensive Bilateral Regional Venous Thrombosis.","authors":"Simone Biow, Peter Garcia, Chad W Hall, Jagan Gupta, Neel Gupta, Enrique Palacios","doi":"10.1177/01455613261496705","DOIUrl":"https://doi.org/10.1177/01455613261496705","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261496705"},"PeriodicalIF":0.7,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129546","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":"Evaluation of Otological Disease and Interventions in a Submucous Cleft Palate Cohort: Single Centre Retrospective Study.","authors":"Tim F P Ritzen, Valérie L J Gille, Stan C J van Boxel, Sander M J van Kuijk, Darren I Booi, René R W J van der Hulst, Jan W Brunings, Josine C C Widdershoven, Rutger M Schols","doi":"10.1177/01455613261495629","DOIUrl":"https://doi.org/10.1177/01455613261495629","url":null,"abstract":"<p><p>ObjectiveThis study aims to provide exploratory data on the otological disease burden in submucous cleft palate (SMCP) and evaluate the effect of ventilation tubes and (other otological) surgery on hearing loss.MethodsSMCP patients treated at the Maastricht University Medical Centre (MUMC+) between January 1999 and December 2023, registered in a database of the MUMC+ and MosaKids Children's Hospital, and national registry of the Dutch Association for Cleft Palate and Craniofacial Anomalies (NVSCA), were retrospectively reviewed. Outcome measures include (acute) otitis media with or without effusion (AOM/OME), ventilation tube placement ((non-)concurrent with cleft repair) and hearing loss defined as a High Fletcher Index (HFI)> 30 dB.Results33 SMCP patients were included. Twenty-nine patients had a history of AOM/OME and 27 patients received ventilation tubes. Ventilation tube placement resulted in a significant improvement in hearing, with a decrease in the HFI for the left and right ear (6.6 dB vs 10.6 dB, p<0.001) at the first post-intervention evaluation. Linear mixed-effects models suggest cleft palate repair improves long-term hearing outcomes (>15 years).ConclusionSMCP patients show a high otological disease burden, with combined ventilation tube use and cleft repair showing a potential for long-term improved hearing.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261495629"},"PeriodicalIF":0.7,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129625","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":"Improved Tongue Mobility Does Not Establish Clinical Success After Infant Frenulotomy.","authors":"Ercan Yilmaz, Nezihe Koker Özer, Erdem Topal","doi":"10.1177/01455613261496126","DOIUrl":"https://doi.org/10.1177/01455613261496126","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261496126"},"PeriodicalIF":0.7,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120652","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}