Ear, nose, & throat journal最新文献

{"title":"Rethinking How Research Is Measured in the Otolaryngology Match.","authors":"Iniya Thiyagarajan, Kelley M Dodson, Daniel H Coelho","doi":"10.1177/01455613261495644","DOIUrl":"https://doi.org/10.1177/01455613261495644","url":null,"abstract":"<p><p>Research productivity has become an increasingly important factor in Otolaryngology-Head and Neck Surgery (OHNS) residency selection, particularly following the transition of USMLE Step 1 to pass/fail scoring. In response, the Electronic Residency Application Service (ERAS) will introduce a redesigned \"scholarly works\" section beginning in the 2027 application cycle that emphasizes peer-reviewed scholarship, consolidates related research outputs, and highlights meaningful contributions. These changes may encourage greater focus on research quality rather than publication volume and improve opportunities for applicants from less research-intensive institutions. However, persistent competitive pressures may limit their impact, as applicants are likely to continue prioritizing activities most valued during the selection process. Additional measures may be needed to reduce emphasis on research quantity and better align incentives with substantive scholarly achievement. Continued evaluation of application trends will be necessary to determine whether these reforms achieve their intended goals.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261495644"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120665","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":"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":"<p><p><b>Objectives:</b> 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. <b>Methods:</b> 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. <b>Results:</b> 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 (<i>M</i>) = 5.46; SD = 2.83] than patients who failed the procedure (<i>M</i> = 4.36; SD = 2.40; <i>F</i> = 4.06, <i>P</i> = .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. <b>Conclusions:</b> 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.</p>","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}

{"title":"Frenotomy Provides Improved Direct Laryngoscopy Exposure in Select Adult Patients With Ankyloglossia.","authors":"Gustavo A Marino, C Gaelyn Garrett, Alan D Tate","doi":"10.1177/01455613231223355","DOIUrl":"10.1177/01455613231223355","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the effects of lingual frenotomy on adults with restrictive ankyloglossia and difficult direct laryngoscopy exposure. <b>Methods:</b> A case series study was conducted. Restriction of tongue protrusion due to ankyloglossia was identified in 2 patients who had a history of suboptimal true vocal fold (TVF) exposure on direct laryngoscopy for phonomicrosurgery. Inadequate exposure of the vocal folds was achieved on direct laryngoscopy attempts with manual tongue protrusion. Mandibular tori were not present in these patients. An intraoperative lingual frenotomy was performed in both patients. <b>Results:</b> After frenotomy and with manual tongue protrusion, direct laryngoscopy exposure was substantially improved allowing for considerably more visualization of the anterior TVFs. <b>Conclusion:</b> Lingual frenulum procedures with manual tongue protrusion should be considered in select adult patients with restrictive ankyloglossia affecting optimal direct laryngoscopy exposure.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"613-616"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914306","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":"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":"<p><p><b>Objective:</b> Our goal was to detect the risk factors for malignant TI-RADS 3 nodule and to construct a predictive model. <b>Patients and Methods:</b> 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. <b>Results:</b> Binary logistic regression analysis showed that age [odds ratio (OR): 0.926, 95% CI: 0.865-0.992; <i>P</i> = .029), low level of parathyroid hormone (OR: 0.940, 95% CI: 0.890-0.993; <i>P</i> = .027), and preoperative ultrasound features of TI-RADS 3 nodule, such as echogenicity (OR: 8.496, 95% CI: 1.377-52.406; <i>P</i> = .021), echogenic foci (OR: 8.611, 95% CI: 1.484-49.957; <i>P</i> = .016), and maximum tumor diameter (OR: 0.188, 95% CI: 0.040-0.888; <i>P</i> = .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, <i>P</i> < 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. <b>Conclusion:</b> 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.</p>","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}

{"title":"Emergency Tracheostomy: Complications, Anesthetic Techniques, and Outcomes.","authors":"Ekanong Sutthipongkiat, Saowapark Chumpathong, Lapatrada Boonmak, Sriwimon Panyamee, Khanittha Vorasanon, Peerachatra Mangmeesri","doi":"10.1177/01455613241238620","DOIUrl":"10.1177/01455613241238620","url":null,"abstract":"<p><p><b>Objectives:</b> Acute upper airway obstruction is a critical medical condition that presents considerable challenges to anesthesiologists. This study aims to provide a formal report on the incidence and outcomes of perioperative complications, as well as the factors that influence unstable intraoperative hemodynamics. <b>Methods:</b> This retrospective study reviewed patients aged 18 years and older who underwent emergency tracheostomy between January 2013 and October 2021. Data on perioperative complications and outcomes within the first 24 hours and 7 days after surgery were subjected to analysis. Descriptive and multivariate analyses were used to examine the results. <b>Results:</b> A total of 253 patients were included in the study. The mean age was 61.5 ± 12.9 years. Malignancy was detected in 78.3% of the patients. General anesthesia was administered to 43.9% of the patients. The incidence of intraoperative complications was 51.8%, with hypotension and hypertension occurring in 30.4% and 22.5% of the cases, respectively. Desaturation and cardiac arrest were observed in 4.7% and 0.8% of the patients, respectively. The mortality rate at 7 days after surgery was 1.6%. Multivariate analysis revealed that monitored anesthesia care [adjusted odds ratio (OR) = 1.80; 95% confidence interval (CI): 1.08-3.00] and hypertensive patients (adjusted OR = 1.70, 95% CI: 1.01-2.86) were associated with unstable intraoperative hemodynamics. <b>Conclusions:</b> Cardiovascular instability represented the majority of the complications observed. Monitoring anesthesia care and hypertension were significant prognostic factors for unstable intraoperative hemodynamics. We recommend extensive communication between ear, nose, and throat surgeons and anesthesiologists to determine the appropriate choice of anesthesia.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"641-647"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140095409","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 Clinical Study on Video Bronchoscopy-guided Coblation for Benign Central Airway Stenosis.","authors":"Haitao Li, Xuezhu Ren, Haizhong Zhang, Shuai Li, Yuzheng He, Tianjie Qi, Zhigang Cai","doi":"10.1177/01455613241235513","DOIUrl":"10.1177/01455613241235513","url":null,"abstract":"<p><p><b>Background:</b> Benign central airway stenosis poses a significant challenge to respiratory and thoracic surgeons due to the high recurrence rate associated with current treatment methods, causing severe breathing difficulties and potentially life-threatening complications. This article aims to investigate the therapeutic efficacy and prospects of using coblation in the management of benign central airway stenosis in adults. Moreover, the pathogenesis of benign central airway stenosis was deeply explored to provide better guidance for future clinical treatments. <b>Materials and Methods:</b> This retrospective study examined patients with benign central airway stenosis who were treated at The Second Hospital of Hebei Medical University from 2017 to 2020. In addition, a comparative analysis of whole-genome sequencing was conducted between the aforementioned patient group and healthy populations to investigate the underlying etiology of this stenotic condition. <b>Results:</b> The present study encompassed 32 patients who underwent 43 treatments in total between 2017 and 2020. All patients exhibited alleviation of airway stenosis and an improvement in clinical symptoms following surgery, without any significant surgical or postoperative complications. Whole-genome analysis revealed significant changes in gene expression in the airway mucosa of patients with benign airway stenosis in comparison to healthy populations. A total of 91 differentially expressed genes were identified, among which 44 upregulated genes displayed characteristics of promoting inflammatory responses. <b>Conclusion:</b> Coblation demonstrates promise as an efficacious treatment modality for adults suffering from benign central airway stenosis, and its widespread application in clinical settings is anticipated. The direct pathogenesis of benign central airway stenosis involves airway lumen narrowing and obstruction resulting from excessive inflammation and proliferative granulation.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP832-NP843"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029806","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":"Thorough release of the lingual frenulum reduces the need for revision frenulotomy.","authors":"Robert Duncheskie, Glenn Isaacson","doi":"10.1177/01455613261495651","DOIUrl":"https://doi.org/10.1177/01455613261495651","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261495651"},"PeriodicalIF":0.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076914","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":"Heterogeneous Cost Patterns of Episodic Recurrent Vestibular Vertigo in the Medicare Population: A Case-Control Economic Evaluation.","authors":"David Kayekjian, Sami I Nassar, Kit N Simpson, Jada M Johnson, Habib G Rizk","doi":"10.1177/01455613261493773","DOIUrl":"https://doi.org/10.1177/01455613261493773","url":null,"abstract":"<p><p>ObjectiveTo evaluate Medicare costs and healthcare usage with total annual payments comprising hospital, outpatient and prescription costs, neuroimaging, and vestibular and audiometric testing for benign paroxysmal vertigo (BPPV), Ménière's Disease (MD), and Vestibular Migraine (VM).MethodsA case-control economic evaluation was conducted using 2018 MarketScan Medicare Database claims. Cohorts included BPPV, MD, and VM Medicare patients matched to controls without dizziness diagnoses by age, sex, state, and Charlson Comorbidity Index. Twelve-month direct medical costs were analyzed.Results6049 BPPV patients compared to 6049 controls, 1665 MD patients compared to 3307 controls, and 227 VM patients compared to 451 controls were included. Mean age was similar across groups and ranged from 72.3 <math><mrow><mo>±</mo></mrow></math> 6.3 (VM) to 74.4<math><mrow><mo>±</mo></mrow></math> 7.2 (BPPV), with most patients being female, especially among VM patients (n=171; 75.3%). Most patients and controls (51.9% BPPV, 61.1% MD, 58.6% VM) had no comorbidities (CCI score = 0). Inpatient visits were only significantly higher in VM Medicare patients compared to controls (30.0% vs 11.5%; <i>p</i><0.0001). Total adjusted payments were 20% lower for BPPV and MD patients (p<0.0001), but 31% higher for VM (<i>p</i>=0.0025) patients compared to controls, amounting to an incremental increase in cost of $6036 per person per year. Inpatient and outpatient neuroimaging was more common among all vestibular disorder groups compared to controls. Healthcare costs of the vertigo disorders were twice as high in Medicare populations compared to non-Medicare counterparts.ConclusionHeterogenous Medicare cost patterns were found among the three most common episodic vertigo causes that deviate from the expected pattern in younger counterparts. Medicare VM patients had higher costs than non-VM counterparts while BPPV and MD patients had lower costs with respective controls. Better hands-on education regarding vestibular disorders for \"frontline\" medical personnel may improve underdiagnosis or misdiagnosis and reduce excessive investigations, creating opportunities for economic burden reduction.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261493773"},"PeriodicalIF":0.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077159","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":"Therapeutic Patterns and Outcomes of Clinically Non-surgically Managed Stage III-IVB Laryngeal Cancer in Patients Aged ≥65 years.","authors":"Yingying Yao, Wangyan Zhong, Huiping Zhu, Xizhi Wu","doi":"10.1177/01455613261492902","DOIUrl":"https://doi.org/10.1177/01455613261492902","url":null,"abstract":"<p><p>ObjectivesThis retrospective study aimed to investigate therapeutic patterns and survival outcomes among elderly patients with stage III-IVB clinically non-surgically managed locally advanced laryngeal cancer treated with radiotherapy (RT) alone or RT plus concurrent chemotherapy (CT).MethodsA retrospective analysis was conducted using data from the Surveillance, Epidemiology, and End Results (SEER) database. Atotal of 882 patients aged ≥65 years with stage III-IVB clinically non-surgically managed laryngeal squamous cell cancer (LSCC) diagnosed between 2010 and 2015 were identified. Kaplan-Meier survival analysis and log-rank tests were performed to compare outcomes between patients receiving RT alone (n=220) and those receiving RT plus CT (n=662).ResultsThe estimated 3-year overall survival (OS) and cancer-specific survival (CSS) rates were 50% and 58.7%, respectively. Univariate analyses identified age, clinical stage, N stage, and treatment modality as significant predictors of OS and CSS. Multivariate analyses demonstrated that treatment modality and age were independently associated with OS, whereas treatment modality, N stage, age, and T stage were independent predictors of CSS. Subgroup analyses revealed that patients with T3 or N2 disease achieved superior OS and CSS after treatment with RT plus CT.ConclusionRT plus CT was associated with improved survival outcomes in elderly LSCC patients with clinically non-surgically managed LSCC. Furthermore, this combination therapy provided significant survival benefits, particularly among patients with T3 or N2 disease.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261492902"},"PeriodicalIF":0.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077210","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":"Unreported Tube Extrusion Status Limits Long-Term Safety Conclusions for Topical Phenol in Children.","authors":"Turan Yıldız, Ercan Yılmaz","doi":"10.1177/01455613261495650","DOIUrl":"https://doi.org/10.1177/01455613261495650","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261495650"},"PeriodicalIF":0.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076910","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}