Ear, nose, & throat journal最新文献_第4页

Salivary Gland Tumors: A 20 Year Review From a Single Community Practice. 唾液腺肿瘤：来自一家社区诊所的 20 年回顾。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-03-06 DOI: 10.1177/01455613241233085

Emily Smith, Christopher Zaro, Jagdish K Dhingra

{"title":"Salivary Gland Tumors: A 20 Year Review From a Single Community Practice.","authors":"Emily Smith, Christopher Zaro, Jagdish K Dhingra","doi":"10.1177/01455613241233085","DOIUrl":"10.1177/01455613241233085","url":null,"abstract":"Objective: Salivary gland tumors are a heterogenous group of lesions with variable pathology and clinical outcomes. Most published data are derived from studies conducted at tertiary care centers. Our study analyzed the experience from a community setting to determine significant differences, if any, in pathological distribution and clinical outcomes compared to the existing literature. Methods: We performed a retrospective analysis of all major salivary gland tumors that presented to a large community practice over a 20 year period. Retrospective chart analysis was performed for demographics, clinical presentation, imaging, cytology, histopathology, and clinical outcome data. Results: Of 806 patients, the parotid gland was the most common site in 683 patients (84.7%), followed by submandibular in 78 (9.7%) and sublingual in 45 (5.6%). A total of 203 patients were managed conservatively with observation without definitive diagnosis or lost to follow-up. A total of 495 patients underwent surgical intervention within the community practice. Twenty-six patients underwent surgical excision at an outside hospital. Eighty-two patients were determined to have a benign diagnosis based on ultrasound-guided fine needle aspiration or excisional biopsy alone. Final histopathology was benign in 505 cases (83.7%), while 98 tumors (16.3%) received a diagnosis of primary or secondary malignancy. For the parotid gland, pleomorphic adenoma (155) and Warthin's tumor (155) were the most common benign diagnoses, while mucoepidermoid carcinoma (13), adenocarcinoma (8), and acinic cell carcinoma (8) were the most common primary malignancies. Conclusions: We found a higher rate of benign tumor pathology compared to the existing literature. While the outcome data on surgical treatment of benign tumors are comparable to the existing literature, the same conclusion cannot be drawn for malignant tumors, given relatively small numbers in our series and likely disparity in the complexity of the surgical cases in tertiary care centers.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"635-640"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140041177","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

Validation of Korean Olfactory Questionnaire for Perioperative Olfactory Assessment in Endoscopic Endonasal Skull Base Surgery. 内窥镜颅底手术围手术期嗅觉评估的韩国嗅觉问卷验证。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-29 DOI: 10.1177/01455613241234818

Young-Chang Sim, Seung Koo Yang, Sun A Han, Young-Hoon Kim, Kihwan Hwang, Jin-Deok Joo, Sung-Woo Cho, Tae-Bin Won, Chae-Seo Rhee, Chae-Yong Kim, Jeong-Whun Kim

{"title":"Validation of Korean Olfactory Questionnaire for Perioperative Olfactory Assessment in Endoscopic Endonasal Skull Base Surgery.","authors":"Young-Chang Sim, Seung Koo Yang, Sun A Han, Young-Hoon Kim, Kihwan Hwang, Jin-Deok Joo, Sung-Woo Cho, Tae-Bin Won, Chae-Seo Rhee, Chae-Yong Kim, Jeong-Whun Kim","doi":"10.1177/01455613241234818","DOIUrl":"10.1177/01455613241234818","url":null,"abstract":"Objective: To analyze changes in olfactory function after endoscopic endonasal skull base surgery and compare performance of the olfactory questionnaire with those of conventional psychophysical tests. Methods: Patients were classified into 5 categories for olfactory function evaluation (normal, mild hyposmia, moderate hyposmia, severe hyposmia, and anosmia) based on a self-assessment. Patients also underwent the butanol threshold test (BTT), Cross-Cultural Smell Identification Test (CCSIT), and 11-item olfactory questionnaire. Subjects with normosmia preoperatively and who were followed up at least 6 months after surgery were analyzed. Receiver operating characteristic curves and confusion matrix analysis were performed for BTT, CCSIT, and olfactory questionnaire to compare their diagnostic abilities. The effects of age, preoperative olfaction, septal flap, tumor pathology, and tumor size on postoperative olfaction were evaluated using multivariate linear regression analysis. Results: Data from 108 patients were analyzed. Postoperative changes in the olfactory questionnaire were significantly associated with changes in the BTT and CCSIT. The area under the curve for postoperative self-olfactory function classification was highest for olfactory questionnaire (0.894), followed by BTT (0.767) and CCSIT (0.688). Patient age at the time of surgery and preoperative BTT score were significantly related to postoperative olfactory outcomes. Conclusion: The olfactory questionnaire correlated well with conventional psychosomatic olfactory function tests. In combination with clinical parameters and preoperative psychosomatic olfactory function tests, the olfactory questionnaire is suitable for assessing subjective olfactory function after endoscopic endonasal skull base surgery.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP823-NP831"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998690","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

Ossicular Reconstruction With Various Degrees of Malleus Preservation in Patients With Chronic Otitis Media. 慢性中耳炎患者不同程度保留耳郭的听骨重建术

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-27 DOI: 10.1177/01455613241230843

Lian-Jie Lin, Bo-Cheng Chen, Chih-Ying Chen, Peir-Rong Chen, Yu-Fu Chou

{"title":"Ossicular Reconstruction With Various Degrees of Malleus Preservation in Patients With Chronic Otitis Media.","authors":"Lian-Jie Lin, Bo-Cheng Chen, Chih-Ying Chen, Peir-Rong Chen, Yu-Fu Chou","doi":"10.1177/01455613241230843","DOIUrl":"10.1177/01455613241230843","url":null,"abstract":"Objective: We examined the relationship between factors of middle ear conditions and the outcome of ossiculoplasty in chronic otitis media (COM) by measuring the improvement in the air-bone gap (ABG) and air conduction threshold (TAC). Methods: This retrospective study analyzed 76 patients (77 ears) who underwent ossiculoplasty from among 520 COM patients who underwent tympanoplasty based on the maximum preservation of the original ossicles. The reconstructed ossicular chain was performed by preserving or utilizing the remaining malleus in all cases with the presence of the malleus manubrium. Patients with eardrum adhesion, cholesteatoma, and cholesterol granuloma were defined as having a compromised middle ear condition (Group A), and those without as having an uncompromised middle ear condition (Group B). In each group, pure-tone audiometry was performed preoperatively and postoperatively, and improvements in the ABG and TAC were compared. The effects of the types of tympanoplasty and the method of ossiculoplasty (columella versus incus interposition) on postoperative ABG and TAC were also compared. Results: The postoperative ABG improvement in Group B was significantly higher than that in Group A [β = 7.31, 95% confidence interval (CI) = 1.93-12.69, P < .05]. Type III minor columella tympanoplasty yielded significantly better results than type III major and type Vb tympanoplasty (β = 11.42, 95% CI = 5.16-17.68, P < .01). There were no significant differences in the postoperative ABG or TAC between the reconstruction groups with and without preservation of malleus. Conclusions: Our results indicate that complex cases compromised by adhesions, cholesteatoma, and cholesterol granuloma have worse outcomes regarding hearing improvement and success rates, while those with intact stapes suprastructure have better outcomes. Malleus was maximally preserved in the patients of this study; however, this showed no significant prognostic benefit in hearing.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"623-628"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975088","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

A Comprehensive Study on Sudden Deafness for Analyzing Their Clinical Characteristics and Prognostic Factors. 全面研究突发性耳聋，分析其临床特征和预后因素。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-03-10 DOI: 10.1177/01455613241232796

Kaiwei Yao, Muhammad Asad Iqbal, Nida Fatima Moazzam, Wei Qian

{"title":"A Comprehensive Study on Sudden Deafness for Analyzing Their Clinical Characteristics and Prognostic Factors.","authors":"Kaiwei Yao, Muhammad Asad Iqbal, Nida Fatima Moazzam, Wei Qian","doi":"10.1177/01455613241232796","DOIUrl":"10.1177/01455613241232796","url":null,"abstract":"Background: To study the factors associated with the prognosis of patients with sudden deafness to facilitate clinical treatment and improve efficacy. Methods: A total of 414 patients with sudden deafness treated in Zhenjiang First People's Hospital from January 2020 to December 2022 were chosen. Relevant data were gathered and the effectiveness of treatment was assessed by comparing hearing test results before and after hospital admission and divided into effective and ineffective groups, and the effectiveness of each factor was analyzed using univariate analysis, Spearman's correlation analysis, and multifactor logistic regression. Results: The 2 groups had significant differences in age, presence of tinnitus, degree of hearing loss, and triglyceride levels. Spearman's rank correlation analysis showed a negative correlation between hearing threshold of at least 81 dB at 250 to 8000 Hz, the low-density lipoprotein (LDL), triglyceride levels, and the prognosis (r < 0, P < .001). A positive correlation exists between high-density lipoprotein levels and prognosis (r > 0, P < .001). Receiver operating characteristic curve showed LDL level, age, and time since disease onset appears to be highly predictive. Multivariable logistic regression analysis showed that age >47 years, LDL >2.93 mmol/L, and time to presentation >10 days after disease onset are at higher risk for poor prognosis. Conclusion: Factors that influence the prognosis of patients with sudden deafness include age, tinnitus symptoms, high LDL levels, and the type of hearing curve. Early intervention and targeted treatment should be given to high-risk patients to improve the outcome of sudden deafness in clinical practice.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP805-NP812"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095407","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

Large Paraganglioma of the Larynx-Surgical Resection With Laryngeal Framework Preservation. 喉大副神经节瘤--保留喉框架的手术切除术

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-03-27 DOI: 10.1177/01455613241241961

Jelena Sotirović, Nenad Baletić, Aleksandar Dimić, Biserka Vukomanović Đurđević, Milanko Milojević, Ognjen Čukić, Aleksandar Perić

引用次数: 0

Cognitive Improvement After Cochlear Implantation: Test Performance or Modified Cognitive Trajectory? 人工耳蜗植入后的认知改善：测试表现还是认知轨迹的改变？

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Ear, nose, & throat journal Pub Date : 2026-10-01 DOI: 10.1177/01455613261494725

Luigi Falchetta, Mario Carucci, Alfonso Scarpa

引用次数: 0

Rethinking How Research Is Measured in the Otolaryngology Match. 重新思考耳鼻喉科比赛中如何测量研究。

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Ear, nose, & throat journal Pub Date : 2026-10-01 DOI: 10.1177/01455613261495644

Iniya Thiyagarajan, Kelley M Dodson, Daniel H Coelho

引用次数: 0

Predictors of Success of Adenoidectomy in the Treatment of Pediatric Chronic Rhinosinusitis. 预测腺样体切除术治疗小儿慢性鼻炎的成功率。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-24 DOI: 10.1177/01455613241232879

Amani Kais, Norman Orabi, Ruifeng Cui, Hassan H Ramadan

{"title":"Predictors of Success of Adenoidectomy in the Treatment of Pediatric Chronic Rhinosinusitis.","authors":"Amani Kais, Norman Orabi, Ruifeng Cui, Hassan H Ramadan","doi":"10.1177/01455613241232879","DOIUrl":"10.1177/01455613241232879","url":null,"abstract":"Objectives: There is consensus for adenoidectomy as treatment of chronic rhinosinusitis (CRS) in children younger than 6 years but less consensus for those aged 6 years and older. The present clinical research study investigated predictors of adenoidectomy success for pediatric CRS. Methods: A retrospective chart review was conducted for 107 children who presented to an otolaryngology clinic and had an adenoidectomy for CRS after failure of maximal medical therapy. Results: The majority of sample was male (N = 63; 58.9%) with mean age of 4.88 (SD = 2.54) and mean Lund-Mackay score of 7.76 (SD = 3.87). Patients who had success with adenoidectomy were older on average [mean (M) = 5.46; SD = 2.83] than patients who failed the procedure (M = 4.36; SD = 2.40; F = 4.06, P = .047). This equated to 67.9% of children aged 6 years and older and 39.2% of children younger than 6 years succeeding with the surgery. Conclusions: Adenoidectomy is a good first-line surgery for children aged 12 years and younger, especially in the 6 to 12 years group which had a high rate of success with 68% experiencing remission of symptoms after surgery.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"629-634"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941392","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

Frenotomy Provides Improved Direct Laryngoscopy Exposure in Select Adult Patients With Ankyloglossia. 韧带切开术改善了部分成人强直性舌炎患者的直接喉镜暴露。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-21 DOI: 10.1177/01455613231223355

Gustavo A Marino, C Gaelyn Garrett, Alan D Tate

引用次数: 0

Risk Factors and Prediction Models for Postoperative Pathologically Malignant TI-RADS 3 Thyroid Nodules. 术后病理恶性 TI-RADS 3 甲状腺结节的风险因素和预测模型。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-21 DOI: 10.1177/01455613241228078

Bin Peng, Shaofeng Zhang, Fei Du

{"title":"Risk Factors and Prediction Models for Postoperative Pathologically Malignant TI-RADS 3 Thyroid Nodules.","authors":"Bin Peng, Shaofeng Zhang, Fei Du","doi":"10.1177/01455613241228078","DOIUrl":"10.1177/01455613241228078","url":null,"abstract":"Objective: Our goal was to detect the risk factors for malignant TI-RADS 3 nodule and to construct a predictive model. Patients and Methods: All 199 patients with TI-RADS 3 nodule underwent first-time thyroid surgery from January 2018 to September 2021. Univariate analysis identified potential risk covariates and then incorporated these covariates into multivariate logistic regression to determine the risk factors for malignant TI-RADS 3 nodule and construct a predictive model. Results: Binary logistic regression analysis showed that age [odds ratio (OR): 0.926, 95% CI: 0.865-0.992; P = .029), low level of parathyroid hormone (OR: 0.940, 95% CI: 0.890-0.993; P = .027), and preoperative ultrasound features of TI-RADS 3 nodule, such as echogenicity (OR: 8.496, 95% CI: 1.377-52.406; P = .021), echogenic foci (OR: 8.611, 95% CI: 1.484-49.957; P = .016), and maximum tumor diameter (OR: 0.188, 95% CI: 0.040-0.888; P = .035) were independent risk factors for malignant TI-RADS 3 nodule. Based on these independent risk factors, a logistic regression model was established. The area under curve of the prediction model for TI-RADS 3 thyroid cancer was 0.921 (95% CI: 0.856-0.986, P < 0.001). The maximum Youden index was 0.698. The cut-off value, sensitivity, and specificity were 0.074, 84.6%, and 85.2%, respectively. Conclusion: Young age, iso/hypo/very hypo echo, echogenic foci, nodule diameter <30 mm, and low level of PTH are independent risk factors for TI-RADS 3 thyroid carcinomas. This prediction model has a high sensitivity and specificity. A prediction model value of more than 0.074 implies that the TI-RADS 3 nodule has undergone a malignant transformation, and fine needle aspiration is recommended in these cases.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP798-NP804"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914307","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