Ear, nose, & throat journal最新文献

{"title":"Frailty and Postoperative Outcomes Following Endoscopic Endonasal Skull Base Surgery: A Scoping Review.","authors":"Sofia E Olsson, Ashleigh Halderman, Matthew W Ryan, Bradley F Marple, Sei Y Chung","doi":"10.1177/01455613251371434","DOIUrl":"https://doi.org/10.1177/01455613251371434","url":null,"abstract":"<p><strong>Background: </strong>Increased frailty has been associated with worse outcomes in various surgical specialties. In endoscopic endonasal skull base surgery (EESBS), the relationship between frailty and outcomes has been examined to some degree.</p><p><strong>Objective: </strong>This scoping review aimed to consolidate the current literature, analyzing relationships between frailty and EESBS postoperative outcomes.</p><p><strong>Methods: </strong>A scoping review of frailty in EESBS was conducted on PubMed, Cochrane Library, Ovid Medline, Web of Science, Embase, and Google Scholar. Initial search yielded a total of 408 articles, which were reduced using the PRISMA model. Four studies published between 2020 and 2023 fit the inclusion criteria for this review.</p><p><strong>Results: </strong>A total of 1306 patients were captured with an average age of 54.1 years. All studies discussed modified frailty index-5 (mFI-5). Two studies utilized American Society of Anesthesiologists (ASA) classification, and 3 studies examined Charlson Comorbidity Index (CCI) as additional frailty measures. Higher mFI-5 was significantly associated with prolonged length of stay and readmission. Higher ASA was significantly associated with increased rates of Clavien-Dindo IV complications and permanent postoperative diabetes insipidus. CCI was not associated with any of the postoperative complications studied. Frailty was not strongly associated with worsened surgical complications, endocrine dysfunction, visual outcomes, and quality of life after EESBS.</p><p><strong>Conclusion: </strong>Frailty may serve as a useful tool in anticipating certain postoperative outcomes following EESBS. However, further research is necessary examining frailty specifically within endoscopic endonasal approaches to the skull base, rather than open or microscopic approaches. In addition, future studies need to be consistent in which frailty indices are used, and how frailty data are analyzed for effective conclusions to be made.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251371434"},"PeriodicalIF":0.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076922","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":"Evolution of the Tracheotomy Tube.","authors":"Deeksha Chirra, Glenn Isaacson","doi":"10.1177/01455613251377181","DOIUrl":"https://doi.org/10.1177/01455613251377181","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251377181"},"PeriodicalIF":0.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076944","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":"Erratum to \"Effect of Using N95 and Surgical Masks on Otoacoustic Emission in Cochlear Outer Hair Cells\".","authors":"","doi":"10.1177/01455613251369461","DOIUrl":"https://doi.org/10.1177/01455613251369461","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251369461"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066883","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 History of Rigid Nasopharyngoscopy.","authors":"Andrew Kim, Glenn Isaacson","doi":"10.1177/01455613251376108","DOIUrl":"https://doi.org/10.1177/01455613251376108","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251376108"},"PeriodicalIF":0.7,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071441","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":"Construction and Implementation of Otolaryngology Endoscopic Training Based on Artificial Intelligence.","authors":"Guo Xu, Desheng Jia, Xuansheng Wang, Jing Chen, Hongguang Pan, Zebin Wu","doi":"10.1177/01455613251371794","DOIUrl":"https://doi.org/10.1177/01455613251371794","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of artificial intelligence (AI) in the otolaryngology standardized resident training of endoscopy.</p><p><strong>Methods: </strong>A total of 30 standardized training residents from the Department of Otolaryngology at Shenzhen Children's Hospital were selected from January 2022 to December 2024 and were randomly divided into an experimental group and a control group. They underwent a 1 month endoscopic rotation. The control group received traditional lectures and endoscopic operation training. The experimental group, in addition to the conventional teaching methods, participants can confirm the diagnosis of common pediatric otolaryngology conditions through automatic diagnosis of AI model. The theoretical scores, practical skills assessments, and residents' satisfaction ratings of both groups were compared.</p><p><strong>Results: </strong>The theoretical and practical scores of the experimental group were significantly higher than those of the control group (<i>P</i> < .05). Satisfaction rate with training in the experimental group was also significantly higher than that of the control group (<i>P</i> < .05). The experimental group demonstrated significantly-higher satisfaction levels than the control group in learning interest, learning efficiency, self-directed learning ability, endoscopic theoretical knowledge, endoscopic operational skills, and standardized endoscopic diagnostic reporting (<i>P</i> < .05).</p><p><strong>Conclusions: </strong>Compared with traditional teaching methods, AI-assisted endoscopy training system can help improve participant satisfaction and skills. More intelligent otolaryngology training models will be developed in the future.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251371794"},"PeriodicalIF":0.7,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056569","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":"Hearing Impairment Among Medicare Beneficiaries in the United States: Trends, Comorbidities, and Public Health Consequences.","authors":"Samuel Borgemenke, Elizabeth A Beverly","doi":"10.1177/01455613251370503","DOIUrl":"https://doi.org/10.1177/01455613251370503","url":null,"abstract":"<p><strong>Background: </strong>Hearing loss is a significant public health issue in the United States, affecting an estimated 72.9 million people, or 22% of the population. Despite its prevalence and clinical impact, insurance coverage for hearing-related interventions remains inconsistent. Given these factors, particularly in the Medicare population, examining trends in hearing loss, co-occurring conditions, and utilization of audiologic services is essential to understand the burden of hearing impairment and identify gaps in care.</p><p><strong>Objective: </strong>To examine 10-year trends in hearing loss and cochlear implant use, along with access to audiologic services and geographic variation among Medicare beneficiaries.</p><p><strong>Methods: </strong>Data from the Center for Medicare and Medicaid Services were used to plot the mean prevalence of deafness/hearing impairment overtime from 2012 to 2022, calculate the relationship between deafness/hearing impairment and common comorbidities, and determine the total number of audiometry evaluations, hearing aid assessments, hearing aid supplies and accessories, and cochlear implant surgeries for Medicare beneficiaries in the United States.</p><p><strong>Results: </strong>The average prevalence of hearing impairment for Medicare beneficiaries showed a significant increase from 2012 to 2022 (<i>P</i> < .01). The number of cochlear implant surgeries had a significant increase over this period, increasing from 1705 to 2828 procedures (<i>R</i> = .8, <i>P</i> < .01). Most chronic conditions had a statistically-significant relationship with deafness/hearing impairment (<i>P</i> < .001). Hyperlipidemia (<i>R</i> = .3, <i>P</i> < .001), anxiety (<i>R</i> = .2, <i>P</i> < .001), and depression (<i>R</i> = .3, <i>P</i> < .001) had the strongest relationships with deafness and hearing impairment. Urban counties (mean = 6.3%, SD = 1.7) had a statistically-significant higher prevalence of deafness/hearing impairment than rural counties (mean = 4.9%, SD = 1.7, <i>P</i> < .001).</p><p><strong>Conclusion: </strong>The significant increase in hearing impairment from 2012 to 2022 emphasizes the need for expanded screening, treatment, and management strategies for geriatric patients. Addressing hearing impairment among older individuals may improve physical, mental, and spiritual well-being.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251370503"},"PeriodicalIF":0.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024970","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":"Ectopic Tooth Arising from the Nasal Floor.","authors":"Yung-Tsung Cheng, Keng-Ming Chang","doi":"10.1177/01455613251374790","DOIUrl":"https://doi.org/10.1177/01455613251374790","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251374790"},"PeriodicalIF":0.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025011","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":"Impact of Mouth Breathing on Dental Caries in Children and Its High Medical Costs.","authors":"Huiyi Deng, Chenyu Zhao, Qintai Yang, Xuekun Huang","doi":"10.1177/01455613251370571","DOIUrl":"https://doi.org/10.1177/01455613251370571","url":null,"abstract":"<p><strong>Background: </strong>Mouth breathing (MB) is a pediatric public health concern potentially increasing dental caries risk. We investigated risk factors, relationships between clinical characteristics and medical costs, and their effects on caries severity.</p><p><strong>Study design: </strong>Observation study.</p><p><strong>Setting: </strong>Analysis of clinical characteristics, medical costs, and dental caries in MB children.</p><p><strong>Participants: </strong>Eighty-six children with MB secondary to adenoid hypertrophy (AH) and/or tonsillar hypertrophy, recruited from an ENT department (June-August 2023).</p><p><strong>Measurements: </strong>MB diagnosis via validated criteria; dental caries assessment; questionnaire on demographics, medical history, body mass index, Paediatric Yorkhill Malnutrition Score, perinatal factors, feeding practices, oral hygiene, parental education, and costs.</p><p><strong>Results: </strong>Caries prevalence was 40.7% (35/86). Caries correlated significantly with longer MB duration (<i>P</i> = .013), higher total IgE (<i>P</i> = .004), and delayed toothbrushing initiation (<i>P</i> = .001). AH severity (assessed by Pharyngeal Airway Space, <i>P</i> = .013; choanal obstruction grade, <i>P</i> = .006) correlated with caries. Non-caries children showed higher breastfeeding rates (<i>P</i> = .026). Multivariate analysis identified formula feeding (odds ratio (OR) = 10.099, <i>P</i> = .026), longer disease duration (OR = 1.495, <i>P</i> = .035), and delayed oral hygiene initiation (OR = 2.171, <i>P</i> = .025) as independent caries predictors. Medical costs positively correlated with maternal education (<i>r</i> = 0.280, <i>P</i> = .009), AH grade (<i>r</i> = 0.345, <i>P</i> = .001), disease duration (<i>r</i> = 0.383, <i>P</i> < .001), and prematurity (<i>r</i> = 0.457, <i>P</i> < .0001), with maternal education exerting the strongest cost influence. Delayed toothbrushing (<i>r</i> = 0.213) and formula feeding (<i>r</i> = 0.219) positively correlated with higher decayed, missing, filled teeth/decayed, missing, or filled surfaces (affected surfaces) indices.</p><p><strong>Conclusion: </strong>MB-associated caries is highly prevalent and costly. Multiple modifiable risk factors contribute to its occurrence in children.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251370571"},"PeriodicalIF":0.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145025001","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":"Epithelioid Hemangioendothelioma at the Junction of the Internal Jugular and Subclavian Vein: A Case Report.","authors":"Zishan Mahmood, Aamr Hasanjee, Jan Bian, Henry Tran, Joshua Gierman, Nilesh Vasan","doi":"10.1177/01455613251374490","DOIUrl":"https://doi.org/10.1177/01455613251374490","url":null,"abstract":"<p><p>Epithelioid hemangioendothelioma (EHE) is an exceptionally rare vascular tumor with an incidence of <1/million people/year. This case report describes a patient who initially presented with progressive left-sided neck swelling and dysphagia and was found to have EHE at the confluence of the left subclavian and internal jugular veins. Diagnosis was confirmed with a core needle biopsy after an initial inconclusive fine-needle aspiration. Surgical management included direct laryngoscopy, left selective neck dissection (levels 2-4), left internal jugular vein sacrifice, and vascular reconstruction with a saphenous vein graft, followed by adjuvant radiation therapy due to positive margins. Early recognition of EHE in complex anatomical locations is essential and requires a multidisciplinary approach for optimal diagnosis and treatment.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251374490"},"PeriodicalIF":0.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006990","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":"A Sinonasal Paranasal Mesenchymal Tumor Associated With Tumor-Induced Osteomalacia: A Case Report and Literature Review.","authors":"Hongping Gong, Fangyu Shi, Hongyu Deng, Zongke Zhou, Junming Xian, Yan Huang, Qin Wang, Yuhan Li, Bo Yuan","doi":"10.1177/01455613251371415","DOIUrl":"https://doi.org/10.1177/01455613251371415","url":null,"abstract":"<p><strong>Introduction: </strong>Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome that is characterized by hypophosphatemia resulting from the leakage of renal phosphate. Due to its diverse and nonspecific clinical manifestations, the diagnosis is often delayed.</p><p><strong>Case report: </strong>We present the rare case of a 33-year-old man with TIO who was presented with chronic bilateral hip joint pain and was initially misdiagnosed with osteonecrosis of the femoral head. He suffered from gradually increasing pain and weakness, culminating in walking only with the aid of crutches and severe limitation in daily activities. He was admitted to our hospital for a planned total hip arthroplasty. ⁶⁸Ga-DOTA-TATE positron emission tomography/computed tomography and pathology results confirmed a paranasal mesenchymal tumor. The patient was eventually diagnosed with TIO. The tumor removal led to a complete reversal of this patient's health condition, restoring his ability to walk, and no signs of recurrence after the follow-up of 1 year.</p><p><strong>Conclusion: </strong>TIO due to a tumor of the nasal cavities and paranasal sinuses is very rare. Because of high rates of misdiagnosis and delayed diagnosis, nasal endoscopy can also be commended as a screening method for osteoporosis and hypophosphatemia in young people.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251371415"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994871","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}