{"title":"Postoperative Vocal Cord Paralysis After Retrieval of a Fishbone Penetrating the Recurrent Laryngeal Nerve.","authors":"Wen Li, Lijun Fu, Yuqi Wang, Liu Yang, Jian Zou","doi":"10.1177/01455613251329740","DOIUrl":"https://doi.org/10.1177/01455613251329740","url":null,"abstract":"<p><p>A migratory fishbone is not a rare case in otorhinolaryngology clinics in Asia. Deep neck infection is a common complication, and several cases of preoperative vocal cord paralysis have been reported. However, postoperative vocal cord paralysis after the retrieval of a fishbone penetrating the recurrent laryngeal nerve has not been documented. Herein, we present such a case to improve related knowledge and emphasize the importance of preoperative evaluation, the prediction of prognosis, and the risk of postoperative unrecoverable vocal paralysis.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251329740"},"PeriodicalIF":0.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994864","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 the Clinical Utility of Monothermal Caloric Testing in Comparison With the Video Head Impulse Test in Patients With Vestibular Neuritis.","authors":"Gi-Sung Nam, Sung Il Cho","doi":"10.1177/01455613251371483","DOIUrl":"https://doi.org/10.1177/01455613251371483","url":null,"abstract":"<p><strong>Background: </strong>The monothermal caloric test (MCT) is a simplified alternative to the traditional bithermal caloric test for evaluating vestibular function. However, its diagnostic correlation with video head impulse test (vHIT) parameters, particularly in acute vestibular neuritis (VN), has not been thoroughly established.</p><p><strong>Methods: </strong>This retrospective study included 32 patients with acute VN who underwent bithermal caloric testing and vHIT within 5 days of symptom onset. Caloric responses were analyzed to determine unilateral weakness (UW) and monothermal caloric asymmetry (MCA) for warm and cold stimuli, with and without correction for spontaneous nystagmus (SN). The vHIT was performed using head impulse paradigm (HIMP) and suppression HIMP (SHIMP). Gain, gain asymmetry, and the presence of corrective saccades were evaluated. Correlation analyses were performed between caloric parameters and vHIT metrics.</p><p><strong>Results: </strong>Significant asymmetry was observed in the vHIT gain between the ipsilesional and contralesional ears in both the HIMP and the SHIMP (<i>P</i> < .001). Uncorrected warm MCA showed a stronger correlation with vHIT gain asymmetry (HIMP: <i>r</i> = 0.561, <i>P</i> < .001; SHIMP: <i>r</i> = 0.672, <i>P</i> < .001) than UW or SN-adjusted MCA values. Notably, SN correction reduced the correlation strength between MCT and vHIT results, suggesting SN as a clinically-relevant marker of vestibular asymmetry in the acute stage.</p><p><strong>Conclusion: </strong>Warm MCA without SN adjustment demonstrated the strongest correlation with high-frequency vestibulo-ocular reflex deficits measured using the vHIT in patients with acute VN. These findings suggest that the uncorrected MCT may be valuable and practical in assessing vestibular hypofunction, particularly when interpreted alongside the vHIT. The complementary use of the MCT and vHIT may enhance diagnostic accuracy and efficiency in acute vestibular evaluation.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251371483"},"PeriodicalIF":0.7,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983867","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}
Yalda Yazdani, Nicole Kani, Artin S Rastegar, Hamid R Djalilian
{"title":"Massive Cholesteatoma With Facial Nerve, Middle and Posterior Fossa Dehiscence With Neck Extension.","authors":"Yalda Yazdani, Nicole Kani, Artin S Rastegar, Hamid R Djalilian","doi":"10.1177/01455613251364618","DOIUrl":"https://doi.org/10.1177/01455613251364618","url":null,"abstract":"<p><p>Cholesteatomas can grow aggressively within the temporal bone due to the accumulation of keratin. If not treated, they can destroy surrounding structures and, therefore, cause many comorbidities. Surgery is the mainstay of treatment. We present a case of massive cholesteatoma involving the facial nerve (FN) with extension into the neck around the FN. The patient underwent a planned multidisciplinary resection of the cholesteatoma without postoperative morbidity.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251364618"},"PeriodicalIF":0.7,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983558","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 Systematic Review of Intraoperative X-Ray Images in Cochlear Implant.","authors":"Zahra Abbasi, Shahrokh Khoshsirat, Mahdi Khajavi","doi":"10.1177/01455613251366053","DOIUrl":"https://doi.org/10.1177/01455613251366053","url":null,"abstract":"<p><strong>Background and objective: </strong>In many medical centers, intraoperative imaging to determine the precise location of electrodes is part of the routine surgical program. However, the importance of this procedure has not yet been clearly established. This study aims to review the importance of intraoperative imaging in cochlear surgery and management measures.</p><p><strong>Methods: </strong>Keyword searches were conducted in CINAHL, EMBASE, PubMed, and Cochrane databases from 2024. Abstracts and full texts of articles were reviewed by independent evaluators.</p><p><strong>Results: </strong>The initial review identified 267 articles, of which 17 were eligible for inclusion in our study. There were no randomized controlled trials. Intraoperative imaging was performed in 917 cochlear implants. Nineteen implants were unsatisfactory (5.3%), and the management protocol was changed in 18 (94.7%). Sixty-nine cochlear implants underwent computed tomography (CT; 7 studies). CT was unsatisfactory in 2 implants, and the management was changed in both (1000%). Two studies evaluated fluoroscopy in patients undergoing cochlear implant.</p><p><strong>Conclusion: </strong>Intraoperative imaging can be useful in determining electrode placement in cochlear implant surgery. This method is not yet considered routine, but it appears useful in cases where the surgeon is uncertain about electrode placement or in cases of abnormal cochlear anatomy.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251366053"},"PeriodicalIF":0.7,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983913","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":"Preliminary Study of Microplastic in Allergic Rhinitis.","authors":"Junfang Xue, Xuesheng Li, Xiaoxu Lv, Junjie Xue","doi":"10.1177/01455613251374489","DOIUrl":"https://doi.org/10.1177/01455613251374489","url":null,"abstract":"<p><strong>Background: </strong>Microplastics are widespread in nature and have been detected in various human tissues and organs. They are thought to contribute to the occurrence and development of various diseases.</p><p><strong>Objectives: </strong>To explore the relationship between microplastic exposure and allergic rhinitis (AR).</p><p><strong>Materials and methods: </strong>Thirty-three patients with AR and 22 individuals in the control group were included in this study. All the participants completed the total nasal symptom score (TNSS) and nasal irrigation. The nasal irrigation solution was under microplastic analysis.</p><p><strong>Results: </strong>There were no significant differences in age and gender between the AR group and the control group. A statistically significant difference was noted in the TNSS questionnaire scores between the groups (<i>P</i> < .001). The density of microplastics in individuals with AR was significantly higher than that in the control group (9.96 (7.04-12.19); 7.22 ± 2.63; <i>P</i> = .003).</p><p><strong>Conclusions and significance: </strong>The concentration of microplastics in the nasal cavities of patients with AR was significantly higher than that in healthy individuals.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251374489"},"PeriodicalIF":0.7,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983685","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}
Martha Lucía Gutiérrez Pérez, Ryka Vahidi, Nicole Kani, Jack A Shohet, Hamid R Djalilian
{"title":"Management of Incus Dislocation From Attempted Foreign Body Removal With Alligator Forceps.","authors":"Martha Lucía Gutiérrez Pérez, Ryka Vahidi, Nicole Kani, Jack A Shohet, Hamid R Djalilian","doi":"10.1177/01455613251367139","DOIUrl":"https://doi.org/10.1177/01455613251367139","url":null,"abstract":"<p><p>Middle ear trauma from foreign body (FB) impaction or its removal can lead to tympanic membrane (TM) perforations and ossicular chain disruption. We present a case of a 29 year-old male who developed acute right-sided hearing loss, aural fullness, and tinnitus after an attempt at removing a cotton-tipped applicator (Q-tip) impaction in the ear canal. Physical examination revealed a dislocated incus protruding through the TM, and audiometry confirmed moderate conductive hearing loss. The patient underwent tympanoplasty with ossicular chain reconstruction with incus interposition, which resulted in significant hearing improvement and resolution of tinnitus. This case highlights the importance of proper diagnosis and intervention in trauma-related ossicular dislocation.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251367139"},"PeriodicalIF":0.7,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983457","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":"Transfacial Removal of a Retained Crossbow Arrow to the Head: A Multidisciplinary Approach.","authors":"Hector A Perez, Melanie Walker, Rocco Ferrandino, Brittany Barber, Aria Jafari","doi":"10.1177/01455613251371432","DOIUrl":"https://doi.org/10.1177/01455613251371432","url":null,"abstract":"<p><p>We present a case of a 49 year-old male who suffered from a homicide attempt with a crossbow arrow, resulting in a retained foreign body through his mandible, pterygoids, nasopharynx, and parotid gland. The patient was being managed conservatively with antibiotics to manage symptoms of recurrent infections prior to transfer to our center. The patient developed worsening congestion, foul drainage from the arrow exit wound, as well as developing worsening facial pain. The Head and Neck Oncology, Rhinology, as well as the Neurointerventional radiology services collaborated in a case for the subsequent safe removal of the crossbow arrow. The patient recovered well 3 months post-operatively with improvement in his pain and nasal symptoms.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251371432"},"PeriodicalIF":0.7,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983683","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":"Incorporating Nasal Cytology Into Therapeutic Algorithms for CRSwNP: A Call for Precision Medicine.","authors":"Matteo Gelardi","doi":"10.1177/01455613251374468","DOIUrl":"https://doi.org/10.1177/01455613251374468","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251374468"},"PeriodicalIF":0.7,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983877","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}
Ting Zhou, Kuanliang Tuo, Yunxia He, Jingjing Li, Minli Yang
{"title":"Effect of Skin Temperature Management in Winter on the Complications of Expander and Skin Expansion Efficiency in Ear Reconstruction.","authors":"Ting Zhou, Kuanliang Tuo, Yunxia He, Jingjing Li, Minli Yang","doi":"10.1177/01455613251363099","DOIUrl":"https://doi.org/10.1177/01455613251363099","url":null,"abstract":"<p><strong>Objective: </strong>To explore the effect of home skin temperature management in winter on the complications of expander and skin expansion efficiency in ear reconstruction patients.</p><p><strong>Methods: </strong>A total of 58 patients were involved and divided into control group and experimental group according to the different postoperative nursing methods. The control group was given routine nursing, and the experimental group received additional home hot compress guidance. At the end of expansion, complications, Visual Analog Scale (VAS) score, expansion time, and satisfaction score were used to evaluate the effect of the intervention.</p><p><strong>Results: </strong>Compared with the control group, the experimental group had a significantly-lower wound-related complications rate (7.14% vs 28.57%), lower VAS score (2.68 ± 1.19 vs 4.32 ± 1.02), and shorter expansion time (82.36 ± 8.69 vs 89.79 ± 9.87 days). Patient satisfaction was significantly higher in the experimental group (92.86% vs 67.86%), <i>P</i> < .05.</p><p><strong>Conclusions: </strong>During skin soft tissue expansion, home skin temperature management through hot compress can effectively reduce the incidence of complications, improve the expansion efficiency, reduce the pain of patients, and ultimately improve the overall satisfaction of patients.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251363099"},"PeriodicalIF":0.7,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983864","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}