Ear, nose, & throat journal最新文献_第6页

Imatinib-Associated Temporal Bone Osteonecrosis. 伊马替尼相关颞骨骨坏死。

Ear, nose, & throat journal Pub Date : 2025-05-06 DOI: 10.1177/01455613251339759

Yuan Chao, Kai-Chieh Chan

引用次数: 0

Traumatic Temporal Fracture With Parapharyngeal Emphysema: Case Series and Literature Review. 外伤性颞骨骨折伴咽旁肺气肿：病例分析及文献回顾。

Ear, nose, & throat journal Pub Date : 2025-05-04 DOI: 10.1177/01455613251336867

Lana Saleh, Ali H Hasan, Razan M Saleh, Ahmed Saleh, Yasser G Alarimah, Fahad N Altamimi

引用次数: 0

Vestibular-Evoked Myogenic Potential in Otosclerosis: A Systematic Review. 耳硬化症的前庭诱发肌源性电位：系统回顾

Ear, nose, & throat journal Pub Date : 2025-05-01 Epub Date: 2024-09-19 DOI: 10.1177/01455613241278754

Anciya P Pinto, Dhanshree R Gunjawate, Ramiz Malik, Rohit Ravi, Kaushlendra Kumar

{"title":"Vestibular-Evoked Myogenic Potential in Otosclerosis: A Systematic Review.","authors":"Anciya P Pinto, Dhanshree R Gunjawate, Ramiz Malik, Rohit Ravi, Kaushlendra Kumar","doi":"10.1177/01455613241278754","DOIUrl":"10.1177/01455613241278754","url":null,"abstract":"Background: Vestibular symptoms are noted in about 40% of the individuals with otosclerosis. Vestibular-evoked myogenic potential (VEMP) is a short latency potential that assesses the functioning of otolithic organs in the vestibular system. Aim/Objectives: This systematic review explored the VEMP findings in individuals with otosclerosis. Material and Methods: Three databases, PubMed, Scopus, and Cochrane were used to perform a systematic literature review regarding VEMP findings among individuals with otosclerosis. Results: A total of 14 studies that encompasses various VEMP parameters in otosclerosis patients were included. The air-conducted vestibular-evoked myogenic potential (AC-VEMP) often had poor response rates in otosclerosis due to conductive hearing loss. Presence of bone-conducted vestibular-evoked myogenic potential (BC-VEMP) before surgery indicated intact otolithic organs in otosclerosis. Postoperatively, presence of VEMP indicated intact vestibular structures postsurgery, while its absence could indicate vestibular trauma, though other factors like stimulus intensity or efficacy of the fitted piston could influence the results. AC-VEMP responses postsurgery suggested resolution of conductive pathology or absence of lasting effects of otosclerosis. Studies show cVEMP is more affected, indicating saccular dysfunction. Conclusion: Otosclerosis affects VEMP responses, with variations observed between AC- and BC-VEMPs. While AC-VEMP responses may be affected by conductive hearing loss, BC-VEMPs offer insights into inner ear function.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"272-281"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304580","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

Radiofrequency Coblation Inferior Turbinoplasty with Modified UPPP for the Treatment of Obstructive Sleep Apnea-Hypopnea Syndrome. 改良UPPP射频消融下鼻甲成形术治疗阻塞性睡眠呼吸暂停低通气综合征。

Ear, nose, & throat journal Pub Date : 2025-05-01 Epub Date: 2025-01-01 DOI: 10.1177/01455613241307525

Qiushi Tian, Teng Chu, Mingjie Pang

{"title":"Radiofrequency Coblation Inferior Turbinoplasty with Modified UPPP for the Treatment of Obstructive Sleep Apnea-Hypopnea Syndrome.","authors":"Qiushi Tian, Teng Chu, Mingjie Pang","doi":"10.1177/01455613241307525","DOIUrl":"10.1177/01455613241307525","url":null,"abstract":"Objective: To compare the efficacy of surgical treatment in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) involving a standalone modified uvulopalatopharyngoplasty (mUPPP) and radiofrequency coblation inferior turbinoplasty with mUPPP. Methods: In this study, a retrospective analysis of 79 OSAHS patients with inferior turbinate hypertrophy and oropharyngeal obstruction undergoing surgical treatment was performed. According to the different surgical methods, the patients were divided into 2 groups (Group A and Group B). Group A included 36 patients treated with standalone mUPPP. Group B included 43 patients treated with mUPPP and bilateral radiofrequency coblation inferior turbinoplasty. Polysomnography (PSG), active anterior rhinomanometry, surgical success rate, and surgical complication were used to assess the patients in 2 groups. The successful surgical result was defined as a 50% or greater decrease in the apnea-hypopnea index (AHI) in postoperative PSG. Results: Before surgery, there were no significant differences in age, gender, neck circumference, body mass index, Friedman tongue position grade, tonsil size grade, Epworth sleepiness scale score, total inferior turbinate size grade, total nasal resistance (TNR), AHI and the lowest O2 saturation (LSaO2) between the 2 groups. After 6 months of follow-up visits, AHI, LSaO2, and TNR in Group B showed a significant improvement compared to Group A. The surgical success rate was 76.74% in Group B compared to 52.78% in Group A (P = .025). There was no significant difference in the total surgical complication rate between the 2 groups (13.89% vs 23.26%, P = .290). Conclusion: For OSAHS patients with inferior turbinate hypertrophy and oropharyngeal obstruction, radiofrequency coblation inferior turbinoplasty with mUPPP appears to be a more effective surgical method than mUPPP alone.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"293-300"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916718","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

The Trajectory of Oral Mucositis in Head and Neck Cancer Patients Undergoing Radiotherapy and its Influencing Factors. 接受放疗的头颈部癌症患者口腔黏膜炎的发展轨迹及其影响因素

Ear, nose, & throat journal Pub Date : 2025-05-01 Epub Date: 2024-02-09 DOI: 10.1177/01455613241228211

Meizi Liu, Ran An, Zitong Wu, Leping Dai, Qiaomiao Zeng, Wenfeng Chen

{"title":"The Trajectory of Oral Mucositis in Head and Neck Cancer Patients Undergoing Radiotherapy and its Influencing Factors.","authors":"Meizi Liu, Ran An, Zitong Wu, Leping Dai, Qiaomiao Zeng, Wenfeng Chen","doi":"10.1177/01455613241228211","DOIUrl":"10.1177/01455613241228211","url":null,"abstract":"Background: Oral mucositis (OM) is a common and severe side effect of radiotherapy in head and neck cancer (HNC). The study aimed to investigate the longitudinal changes in OM and its influencing factors in patients with HNC during radiotherapy.Methods: This was a retrospective longitudinal observational study. From July 2022 to March 2023, patients with HNC undergoing radiation therapy were enrolled. OM, oral hygiene, oral infections, oral pain, feeding route, and laboratory indicators were measured at 7 times. The influencing factors of OM were analyzed using generalized estimation equations (GEEs).Results: A total of 160 patients were included in this study. The prevalence of severe OM at T0, T1, T2, T3, T4, T5, and T6 was 0, 0, 2.5%, 9.4%, 26.9%, 24.4%, and 26.9%, respectively. The prevalence of grade 1-2 OM at T0, T1, T2, T3, T4, T5, and T6 was 0, 16.3%, 53.1%, 65.1%, 61.9%, 70.7%, and 71.3%, respectively. Duration of diagnosis, clinical stage, N stage, M stage, surgery, diabetes, radiotherapy dose, oral hygiene, oral infection, oral pain, feeding route, and lymphocyte impacted OM significantly in the GEEs multivariate model.Conclusions: OM occurs in almost all patients with HNC who undergo radiotherapy. Changes in the severity of OM are a dynamic process, with the severity increasing with the cumulative radiotherapy dose. Specialist oral evaluation and oral care are needed to alleviate the severity of OM in HNC patients.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"NP257-NP269"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708823","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

Primary Typical Carcinoid Tumor of the Sphenoid Sinus: Case Report and Literature Review. 原发性典型蝶窦类癌：1例报告及文献复习。

Ear, nose, & throat journal Pub Date : 2025-04-30 DOI: 10.1177/01455613251336890

Zhe-Zheng Wang, Hong-Tao Zhen

引用次数: 0

The Clinical Features of Otitis Media with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis and the Role of Routine Blood Tests in Its Diagnosis. 中耳炎合并抗中性粒细胞细胞质抗体相关血管炎的临床特点及血常规检查在诊断中的作用

Ear, nose, & throat journal Pub Date : 2025-04-29 DOI: 10.1177/01455613251336864

Runqin Yang, Zhuo Xu, Xingchen He, Zhihua Ge, Ying Lin, Dingjun Zha

{"title":"The Clinical Features of Otitis Media with Antineutrophil Cytoplasmic Antibody-Associated Vasculitis and the Role of Routine Blood Tests in Its Diagnosis.","authors":"Runqin Yang, Zhuo Xu, Xingchen He, Zhihua Ge, Ying Lin, Dingjun Zha","doi":"10.1177/01455613251336864","DOIUrl":"https://doi.org/10.1177/01455613251336864","url":null,"abstract":"Background: To study the clinical features of otitis media with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (OMAAV) and its differences with other forms of ANCA-associated vasculitis (non-OMAAV) and to explore whether routine blood tests could be beneficial to diagnosing OMAAV.Methods: A retrospective study was conducted on 18 patients with OMAAV, 15 patients with non-OMAAV, and 23 patients with otitis media with effusion (OME). Basic and clinical information, laboratory data, and treatment outcomes were collected. The differences in the clinical characteristics between OMAAV and non-OMAAV patients were explored. Furthermore, the red cell distribution width (RDW), mean platelet volume (MPV), platelet-to-lymphocyte ratio (PLR), and neutrophil-to-lymphocyte ratio (NLR) were compared between OME and OMAAV patients. The optimal cutoff values for the routine blood indicators were estimated via receiver operating characteristic (ROC) curve analysis.Results: All eighteen OMAAV patients (100%) were initially misdiagnosed. Compared with non-OMAAV patients, involvement of nose, throat, and facial nerve was more common in OMAAV patients, whereas kidney damage was less common. However, neither of these differences was statistically significant. Relapse and disease-related death rates did not differ between the OMAAV and non-OMAAV groups. OMAAV patients presented with a lower MPV but a higher PLR and NLR than OME patients (P < 0.05).Conclusion: OMAAV is often misdiagnosed as OME in elderly patients, but unlike OME, OMAAV is characterized by mixed hearing loss over its course. Low-cost routine blood tests may help otolaryngologists distinguish OMAAV from OME in the early stage. An abnormal middle ear condition with mixed hearing loss and a PLR ≥ 203.3 or NLR ≥ 4.7 may suggest a potential OMAAV diagnosis.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251336864"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047260","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

Risk Factors of Pharyngocutaneous Fistula Following Primary and Salvage Total Laryngectomy. 原发性和补救性全喉切除术后咽皮瘘的危险因素。

Ear, nose, & throat journal Pub Date : 2025-04-25 DOI: 10.1177/01455613251335526

Rania Kharrat, Moncef Sellami, Mariam Ben Ayed, Nesrine Sellami, Ghada Youssfi, Malek Mnejja, Mohamed Amin Chaabouni, Ilhem Charfeddine

{"title":"Risk Factors of Pharyngocutaneous Fistula Following Primary and Salvage Total Laryngectomy.","authors":"Rania Kharrat, Moncef Sellami, Mariam Ben Ayed, Nesrine Sellami, Ghada Youssfi, Malek Mnejja, Mohamed Amin Chaabouni, Ilhem Charfeddine","doi":"10.1177/01455613251335526","DOIUrl":"https://doi.org/10.1177/01455613251335526","url":null,"abstract":"Objectives: Pharyngocutaneous fistula (PCF) is the most frequent complication following total laryngectomy (TL). Its incidence increases in the presence of multiple risk factors related to the patient, the tumor, and the surgical procedure. Our study aimed to determine the incidence of PCF and its risk factors.Methods: We performed a retrospective study including patients who underwent primary TL (PTL) or salvage TL (STL) between 2007 and 2023. We studied the factors that increased the risk of PCF occurrence, thar are related to the patient, the disease, and the received treatment.Results: We included 132 patients with a male-to-female ratio of 32, who received PTL (91%) or STL (9%). The tumor was staged as T4a in 62% of patients. PCF occurred in 17 patients (13%) after a median of 14 days (5-36). PCF was managed conservatively in 13 patients (76%), while a surgical re-suture was required in four patients (24%).In the univariate analysis, preoperative anemia, STL, widened forward TL, wound infection, and preoperative hypoproteinemia were significantly associated with PCF. In the multivariate analysis, preoperative anemia (P = .012), wound infection (P = .049), and STL (P = .005) were risk factors of PCF. At the multivariate analysis, preoperative anemia [P = .012, odds ratio (OR) = 6.9], wound infection (P = .049, OR = 6.5), and STL (P = .005, OR = 18.45) were independent risk factors of PCF.Conclusion: We demonstrated that preoperative anemia, wound infection, and STL were independent risk factors of PCF following TL. Avoiding these circumstances can help prevent PCF occurrence.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251335526"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028228","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

Nasopharyngeal Adenoid Cystic Carcinoma With Extension Into the Internal Auditory Canal: A Case Report. 鼻咽腺样囊性癌扩展至内耳道1例。

Ear, nose, & throat journal Pub Date : 2025-04-25 DOI: 10.1177/01455613251336901

Taimur Khalid, Emily S Sagalow, Nathan Lloyd, Jo-Lawrence Martinez Bigcas, Javi Hartenstine, Matthew Ng

{"title":"Nasopharyngeal Adenoid Cystic Carcinoma With Extension Into the Internal Auditory Canal: A Case Report.","authors":"Taimur Khalid, Emily S Sagalow, Nathan Lloyd, Jo-Lawrence Martinez Bigcas, Javi Hartenstine, Matthew Ng","doi":"10.1177/01455613251336901","DOIUrl":"https://doi.org/10.1177/01455613251336901","url":null,"abstract":"Adenoid cystic carcinoma (ACC) is a malignancy most commonly found in the major salivary glands. It can, however, arise from minor salivary glands throughout the upper aerodigestive tract. It is typically slow-growing and asymptomatic, though presentation varies with tumor location, pattern of infiltration, and degree of perineural invasion. ACC is characterized as an aggressive malignancy due to high rates of local recurrence and distant metastasis, with the lungs, bone, and liver commonly implicated. ACC spreading to the internal auditory canal (IAC) is highly unusual and has not been reported. We present the case of a 40 year-old male with no significant past medical history, found to have nasopharyngeal ACC that spread to the IAC resulting in multiple cranial neuropathies. The challenging location and complex path of spread along the skull base presented a significant barrier to surgery, though after completion of definitive radiation therapy, the patient experienced substantial reductions in mass effect and symptomatic relief. This report offers additional insight into the patterns of spread for ACC, emphasizing the importance of recognizing the IAC as a potential site of involvement. Early identification may significantly expedite management and prevent serious morbidities.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251336901"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055556","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

Extranasopharyngeal Angiofibroma in the Tongue: A Case Report With Literature Review. 舌部咽外血管纤维瘤1例并文献复习。

Ear, nose, & throat journal Pub Date : 2025-04-25 DOI: 10.1177/01455613251336869

Ahmad Alkheder, Abdulmajeed Yousfan

{"title":"Extranasopharyngeal Angiofibroma in the Tongue: A Case Report With Literature Review.","authors":"Ahmad Alkheder, Abdulmajeed Yousfan","doi":"10.1177/01455613251336869","DOIUrl":"https://doi.org/10.1177/01455613251336869","url":null,"abstract":"Angiofibroma is a rare, benign vascular tumor traditionally associated with the nasopharynx of adolescent males. In contrast, extranasopharyngeal angiofibromas (ENAs) exhibit a wider demographic distribution and may arise in diverse anatomical sites. We report a case involving a 45 year-old woman presenting with a 4 month history of a mass located on the lateral border of the anterior tongue. Complete excision under local anesthesia was performed. Histopathological analysis demonstrated a proliferation of irregular vascular channels lined by benign endothelial cells, set within a fibrovascular stroma, findings consistent with angiofibroma, and devoid of malignant features. Given that lingual involvement is exceptionally rare, this represents only the second documented case of tongue angiofibroma. The diagnostic challenge is compounded by its overlapping clinical and histological characteristics with other vascular lesions. Surgical removal proved curative, with no evidence of recurrence after 1 year of follow-up. This case underscores the importance of thorough clinicopathological correlation in establishing an accurate diagnosis and expands the recognized spectrum of ENA, reminding clinicians to include this entity in the differential diagnosis of oral soft tissue masses. Our findings significantly enhance clinical awareness and management.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251336869"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032162","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