Ear, nose, & throat journal最新文献

{"title":"Anterior Vocal Fold Scar.","authors":"Arianne J Abreu, Omar Ramadan, Robert T Sataloff","doi":"10.1177/01455613251323128","DOIUrl":"https://doi.org/10.1177/01455613251323128","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251323128"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506588","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":"Minimally Invasive Surgery for Retropharyngeal Infiltrative Intramuscular Lipoma: Report of a Case Treated Using a Combined Transoral and Transnasal Approach.","authors":"Yoshinobu Kidokoro, Hiroyuki Fukase, Takeshi Kusunoki, Fumihiko Matsumoto","doi":"10.1177/01455613251318520","DOIUrl":"https://doi.org/10.1177/01455613251318520","url":null,"abstract":"<p><p>Retropharyngeal infiltrative intramuscular lipomas are rare, and only 2 cases have been reported. Surgical resection is technically challenging owing to anatomical constraints, with no established optimal approach. Furthermore, the risk of recurrence is high. Herein, we report a novel, minimally invasive, and effective surgical approach for retropharyngeal infiltrative intramuscular lipoma. A 75-year-old woman presented with snoring as the chief complaint. Magnetic resonance imaging revealed a 52 × 38 mm lipoma in the retropharyngeal space with infiltration into the longus capitis muscle. A combined transoral and transnasal approach using existing endoscopic instruments enabled complete tumor resection with enhanced visualization and minimal invasiveness. Postoperative histopathological examination confirmed the diagnosis of infiltrative intramuscular lipoma. One year postoperatively, no recurrence was observed, and the patient will continue long-term follow-up. Infiltrative intramuscular lipomas are associated with a high risk of recurrence, and wide excision of the infiltrated area is required to achieve clear margins. Therefore, a surgical approach that balances complete resection with minimal invasiveness is required. The combined transoral and transnasal approach offers a cost-effective, minimally invasive, and precise method for resecting retropharyngeal infiltrative intramuscular lipomas.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251318520"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506627","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":"Antibiotic Use Can be De-escalated During Transoral Endoscopic Thyroidectomy: A Bacterial Culture-Based Study.","authors":"Bingbing Wu, Xiao Chen, Junwei Huang","doi":"10.1177/01455613251323040","DOIUrl":"https://doi.org/10.1177/01455613251323040","url":null,"abstract":"<p><p><b>Objective:</b> To explore the possibility of reducing the use of antibiotics after transoral endoscopic thyroidectomy vestibular approach (TOETVA). <b>Method:</b> A retrospective study was conducted on patients with thyroid tumors who were diagnosed and underwent surgical treatment at our hospital from 2022 to 2024. Patients diagnosed with T1-stage differentiated thyroid cancer or a benign retrosternal goiter <4 cm with cosmetic needs were included in the current study. Drainage fluid was cultured on the first postoperative day. The differences in infection rates, bacterial culture results, and antibiotic use between patients with clean incisions and those with clean-contaminated incisions were compared. <b>Results:</b> There were no signs of infection in the postoperative drainage fluid or delayed healing due to surgical cavity infection. There was no significant difference in the incidence of postoperative infection or the results of bacterial culture between clean and clean-contaminated incisions or between the groups with and without antibiotic use for clean-contaminated incisions. The proportion of pathogenic bacteria in clean-contaminated incisions was significantly greater than that in clean incisions, while bacteria cultured in clean incisions were mostly common colonizing bacteria. <b>Conclusion:</b> Pathogenic bacteria may indeed exist in the operative cavity of the TOETVA regardless of whether antibiotics are used during the perioperative period. With adequate drainage, the absence of the routine administration of antibiotics or only preventive antibiotics during the perioperative period does not increase the infection rate.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251323040"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506592","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":"Pretreatment and Posttreatment Prospective Evaluation of Smell and Taste Dysfunction in Children With Attention Deficit Hyperactivity Disorder.","authors":"Taylan Bilici, Suleyman Ozdemir, Gonca Gul Çelik","doi":"10.1177/01455613251320456","DOIUrl":"https://doi.org/10.1177/01455613251320456","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated whether attention-deficit hyperactivity disorder (ADHD) has an olfactory dysfunction and, if so, the effect of methylphenidate on this condition.</p><p><strong>Methods: </strong>The \"Sniffin\" Sticks Test and a questionnaire were applied to 50 children with ADHD and 50 healthy children as the control group before and after being treated with methylphenidate.</p><p><strong>Results: </strong>There was a statistical difference between ADHD and control groups in odor sensitivity, odor discrimination skills, and odor identification tests (<i>P</i> < .001). General odor scores decreased in the ADHD group (<i>P</i> < .001). A statistically significant score increase was also observed after treatment (<i>P</i> < .001). There was no statistically significant difference between the groups in the taste questionnaire test.</p><p><strong>Conclusions: </strong>Although the sense of smell test in our study suggests that it may be a biological marker for diagnosing ADHD, treatment efficacy, and follow-up, further studies need to be conducted in more extensive series and with similar equipment.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251320456"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485156","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":"Bilateral Carotid Body Paragangliomas With Succinate Dehydrogenase Complex Subunit D Gene Mutation.","authors":"Abdul R Khan, Kelvin Li, Neel D Gupta, Jagan D Gupta, Mohammed M Ansari, Triet M Do, Enrique Palacios","doi":"10.1177/01455613251321222","DOIUrl":"https://doi.org/10.1177/01455613251321222","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321222"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485117","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":"Reply to Symptom Burden and Quality of Life in Long-Term Survivors With Head and Neck Cancer.","authors":"Efsun Somay, Erkan Topkan, Ugur Selek","doi":"10.1177/01455613251323039","DOIUrl":"https://doi.org/10.1177/01455613251323039","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251323039"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485157","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":"Chronic Sinonasal Inflammation as a Comorbidity of Respiratory Epithelial Adenomatoid Hamartoma: A 15-Year Retrospective Observational Study.","authors":"Biserka Vukomanović Đurđević, Ljiljana Jovančević, Aleksandra Ilić, Milica Labus, Bojan Božić, Tamara Zelenović, Nenad Baletić, Aleksandar Perić","doi":"10.1177/01455613251321980","DOIUrl":"https://doi.org/10.1177/01455613251321980","url":null,"abstract":"<p><p><b>Background:</b>Respiratory epithelial adenomatoid hamartoma (REAH) is a benign pseudo-glandular proliferation of the nasal cavity with poorly-understood etiopathogenesis. This study aimed to examine the frequency of comorbidities in patients with REAH and to determine whether comorbidity affects the clinical characteristics of REAH. <b>Methods:</b> A retrospective cohort study included patients with REAH treated at 2 university hospitals over 15 years. Clinical parameters included the side of the nasal cavity, localization and size of the lesion, duration of symptoms, follow-up period, and associated chronic inflammation. <b>Results:</b> Twenty previously-unoperated patients with REAH were included. We found an association of REAH with chronic sinonasal disorders in 70% of cases: in 30% with perennial allergic rhinitis (PAR), in 25% with chronic rhinosinusitis with nasal polyps (CRSwNP), and in 15% of cases with aspirin-exacerbated respiratory disease (AERD). In 87.5% of cases of bilateral REAH, the lesion was associated with NPs, in 80% of patients with CRSwNP as a comorbidity, and in 100% of patients where it was AERD. Symptoms were longer in REAH patients with associated sinonasal inflammation (<i>P</i> < .038). We found a far-greater average volume of REAH in patients with AERD than in cases with PAR, and CRSwNP (<i>P</i> < .001; <i>P</i> < .001, respectively) and a positive correlation between the duration of symptoms and the lesion volume (<i>R</i> = .700; <i>P</i> = .001). The follow-up period was longer in patients with comorbidities (<i>P</i> < .028), and recurrences of REAH were noted only in 2 patients with AERD as a comorbidity. <b>Conclusion:</b> A high degree of association between REAH and chronic sinonasal inflammation was found. Also, the results suggest that inflammation in AERD is the strongest provoking factor for the growth of REAH. A direct correlation was observed between the duration of nasal symptoms and the lesion size.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321980"},"PeriodicalIF":0.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485058","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":"Middle Turbinate Vascular Malformation Associated With Angiofibroma Originating From the Nasal Septum: A Case Report.","authors":"Uglješa Grgurević, Aleksandar Jovanovski, Biserka Vukomanović Đurđević, Jelena Sotirović, Milica Labus, Aleksandar Perić","doi":"10.1177/01455613251321975","DOIUrl":"https://doi.org/10.1177/01455613251321975","url":null,"abstract":"<p><p>According to the latest classification of vascular lesions, cavernous hemangioma is considered a venous or arteriovenous malformation. The literature has not described the association between vascular malformation of the middle turbinate and angiofibroma of the nasal septum. A 26-year-old female patient with profuse left-sided bleeding and nasal obstruction is presented. She was bleeding from a vascular malformation of the left middle turbinate, and from an angiofibroma, attached to the posterior edge of the nasal septum. The patient also had hypoplasia of the left maxillary sinus and a lack of the septum in the sphenoid sinus. Despite the embolization of the supplier, the patient lost 1.5 L of blood. Although necessary, preoperative embolization is frequently insufficient to prevent significant blood loss during the removal of vascular lesions of the nasal cavity. Vascular malformations of the sinonasal region should be considered in cases of frequent and profuse nosebleeds in patients with hypertrophy of the middle turbinate associated with anatomical variations.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321975"},"PeriodicalIF":0.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485155","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":"Embryonal Rhabdomyosarcoma Arising From the Buccal Mucosa in a Child: Imaging Findings.","authors":"Mustafa Yeşilyurt, Cemile Altınkaya","doi":"10.1177/01455613251321598","DOIUrl":"https://doi.org/10.1177/01455613251321598","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251321598"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451251","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":"Endolymphatic Sac Tumor. Post-Radiosurgery Evaluation Using Time-Resolved Imaging of Contrast Kinetics MR Angiography.","authors":"Antonella Blandino, Allegra Romano, Chiara Filippi, Sofia Pizzolante, Andrea Romano, Giulia Moltoni, Edoardo Covelli, Maurizio Barbara, Alessandro Bozzao","doi":"10.1177/01455613241306962","DOIUrl":"https://doi.org/10.1177/01455613241306962","url":null,"abstract":"<p><p>Endolymphatic sac tumor (ELST) is a rare, aggressive hypervascular tumor of the posterior petrous bone. These tumors can manifest independently or in conjunction with Von Hippel-Lindau (VHL) syndrome. Currently, the primary treatment strategy involves complete surgical excision, though the role of radiotherapy remains debated.We are reporting a case of a 35-year-old female patient affected by ELST associated with VHL syndrome, managed solely through stereotactic radiosurgery and monitored by time-resolved imaging of contrast kinetics magnetic resonance sequence.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241306962"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384553","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}