Ear, nose, & throat journal最新文献_第6页

Rare Migrated Fishbone Foreign Body in the Nasopharynx. 鼻咽部罕见的鱼骨异物迁移。

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Ear, nose, & throat journal Pub Date : 2026-10-01 DOI: 10.1177/01455613261496323

Changqing Wang, Min Wang

{"title":"Rare Migrated Fishbone Foreign Body in the Nasopharynx.","authors":"Changqing Wang, Min Wang","doi":"10.1177/01455613261496323","DOIUrl":"https://doi.org/10.1177/01455613261496323","url":null,"abstract":"Although impaction of the pharyngoesophageal fishbone represents a common otolaryngological emergency, migration of an ingested fish bone into the nasopharynx is an extremely rare clinical occurrence. We present a 57-year-old woman who developed acute odynophagia one hour after fish ingestion, accompanied by a single choking episode, in the absence of nausea or vomiting. The oropharyngeal examination at the bedside failed to identify any foreign body. Given the patient's refusal to computed tomography (CT), she was discharged for outpatient surveillance. Twenty-four hours later, she returned with persistent refractory pharyngeal pain. Repeated pharyngeal endoscopy revealed neither foreign material nor mucosal injury. Multiplanar coronal CT reconstruction identified a 2.63 cm linear hyperattenuating bone fragment within the nasopharyngeal cavity. After topical nasal decongestion, flexible fiberoptic nasopharyngoscopy confirmed a partially embedded migrated fish bone, which was successfully retrieved endoscopically using alligator grasping forceps. Odynophagia resolved immediately after extraction and the patient remained asymptomatic throughout the 2 week follow-up. For patients with persistent pharyngeal pain and high clinical suspicion of retained foreign bodies despite negative physical examination and endoscopic findings, CT should be considered the first-line cross-sectional modality to prevent missed.diagnoses and life-threatening cervicofacial septic complications.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613261496323"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120649","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

Pathogenic Potential of Turicella otitidis and Staphylococcus auricularis: A Case Report. 耳形土菌和耳廓葡萄球菌的致病性：病例报告。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-22 DOI: 10.1177/01455613241230245

Madeline M Marker, Janet S Choi, Tina C Huang

{"title":"Pathogenic Potential of Turicella otitidis and Staphylococcus auricularis: A Case Report.","authors":"Madeline M Marker, Janet S Choi, Tina C Huang","doi":"10.1177/01455613241230245","DOIUrl":"10.1177/01455613241230245","url":null,"abstract":"Objective: Turicella otitidis and Staphylococcus auricularis have been considered normal aural flora. Their significance in active infection is controversial. We examined a series of patients presenting with acute and chronic otitis media whose ear canal culture isolated T. otitidis and S. auricularis and explored possible pathogenicity, associated factors, and outcomes. Methods: This is a retrospective chart review of patients who presented to a tertiary center outpatient clinic between 2017 and 2022 with otologic microscopic examination of active infection and ear canal culture isolating T. otitidis or S. auricularis only. Clinical course was collected including history, microscopic otoscopy findings, interventions given, outcomes, and sensitivity results. Results: A total of 13 patients (10 with T. otitidis and 3 with S. auricularis) were included. Majority of the patients had a history of otologic surgery (92%) and tympanic membrane perforation (62%). All were treated with combinations of antibiotic otic drops (ie, fluoroquinolone, sulfa, or aminoglycoside based) ± oral antibiotics (ie, penicillin or trimethoprim/sulfamethoxazole). Otorrhea resolved among majority of patients. Otorrhea and mucosalization returned or continued among 4 patients. Sensitivity results demonstrated that 2 of 3 strains of T. otitidis were resistant to clindamycin. There was no resistance against S. auricularis for tested antibiotics. Conclusions: Our findings suggest the potential pathogenicity of T. otitidis and S. auricularis, especially among patients with prior ear surgery and tympanic membrane perforation. Violation of the epithelial barrier from surgery or trauma may contribute to their pathogenicity. Future study is warranted to elucidate pathogenicity of normal aural flora and its mechanisms.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP772-NP779"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139934713","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

Factors Affecting Visual-Only Speech Recognition in Individuals With Cochlear Implants. 影响人工耳蜗植入者仅凭视觉识别语音的因素

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-25 DOI: 10.1177/01455613241234821

Zhikai Zhang, Chaogang Wei, Keli Cao, Yuhe Liu

{"title":"Factors Affecting Visual-Only Speech Recognition in Individuals With Cochlear Implants.","authors":"Zhikai Zhang, Chaogang Wei, Keli Cao, Yuhe Liu","doi":"10.1177/01455613241234821","DOIUrl":"10.1177/01455613241234821","url":null,"abstract":"Objectives: Several reports have underlined the benefits of speechreading (visual-only speech recognition) on speech recognition in individuals with hearing loss after cochlear implantation (CI). However, the factors that would affect the ability of speechreading are unclear. The aim of the present study is to assess the factors that affect speechreading abilities in CI users. Methods: A total of 104 participants were enrolled in this retrospective study. They viewed silent videos of sentences being spoken by a model and were tasked with repeating what they thought had been said. They were tested under audio-only and visual-only conditions. Factors (such as the age, the age of CI; <3 years old vs 3-8 years old; male vs female, etc) believed to affect speechreading abilities were analyzed. Results: The age range of the participants is 8 to 34 years. CI users showed significantly different speechreading abilities among themselves. The authors found that age and hearing loss at 3 to 8 years of age were positively related to superior speechreading recognition scores. Conclusions: CI users followed a more complex method of perceptual compensation. Those who have suffered hearing loss between 3 and 8 years of age are more sensitive to developing an advantage in speech recognition by using speechreading. Older age positively affects speechreading abilities; thus, the more experience CI has, the greater speechreading ability they may exhibit.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP780-NP788"},"PeriodicalIF":0.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975085","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

Huge Plunging Ranula Extending Into Multiple Spaces. 巨大的垂吊式栅栏延伸至多个空间。

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-27 DOI: 10.1177/01455613241236052

Satomi Sugiyama, Toshinori Iwai, Shuhei Minamiyama, Kenji Mitsudo

引用次数: 0

Application of Biologic Graft in Nasal Septal Perforation Repair. 生物移植物在鼻中隔穿孔修复术中的应用

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-02-25 DOI: 10.1177/01455613241233748

Jianjun Jing, Liang Li, Yongxiang Wu, Liang Zheng, Longfang Zhang, Haihong Li, Hui Wang

引用次数: 0

Mastoidectomy Before the Mastoid Drill. 乳突钻孔前的乳突切除术

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Ear, nose, & throat journal Pub Date : 2026-10-01 Epub Date: 2024-05-17 DOI: 10.1177/01455613241256427

Megan A Noonan, Glenn Isaacson

引用次数: 0

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