Ear, nose, & throat journal最新文献

{"title":"Isolated Unilateral Temporalis Muscle Hypertrophy: Comprehensive Literature Review.","authors":"Ruba Mshref, Ahmad Alkheder, Nasser Alia, Rawad Salama, Mariana Naief Sharaf Aldeen, Raouf Salem Seif Eddin","doi":"10.1177/01455613251342858","DOIUrl":"https://doi.org/10.1177/01455613251342858","url":null,"abstract":"<p><p>Isolated unilateral temporalis muscle hypertrophy (IUTMH) is a rare clinical entity, with fewer than 20 cases reported globally. This case report and literature review aimed to expand the understanding of its diagnosis, management, and outcomes. A 44-year-old Arab Asian woman presented with a 12 month history of progressive left temporal swelling and pain during mastication. Clinical examination revealed a firm, non-tender mass. Imaging [computed tomography (CT) and ultrasonography] confirmed isolated left temporalis muscle hypertrophy without neoplastic or inflammatory features. Botulinum toxin type A (Btx A, 25 U) injection led to symptom improvement and partial muscle reduction at 3 month follow-up. A literature review of 16 published cases (including ours) demonstrated a slight female predominance (10/16), variable symptom profiles (painless swelling to masticatory dysfunction), and diverse management strategies. Minimally-invasive Btx A achieved favorable outcomes in 6/16 cases, with lower doses (25 U) showing efficacy comparable with higher doses. Surgical intervention, although effective, was associated with recurrence in 1 case. Diagnostic reliance on imaging (CT/magnetic resonance imaging) and histology (when performed) confirmed hypertrophy without malignancy. While bruxism and stress were implicated in some cases, 7/16 lacked identifiable triggers, suggesting multifactorial etiology. Long-term follow-up data remain limited, underscoring the need for vigilant monitoring. This case reinforces Btx A as a primary therapeutic option and highlights the importance of individualized management in IUTMH. Further research is warranted to elucidate pathogenesis and optimize treatment protocols.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342858"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087068","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":"The Impact of Tympanoplasty on Tinnitus Improvement in Patients With Chronic Otitis Media: A Systematic Review and Meta-Analysis.","authors":"Kuan-Ting Yeh, Bang-Yan Zhang, Ta-Wei Yeh, Kai-Chieh Chan","doi":"10.1177/01455613251342954","DOIUrl":"https://doi.org/10.1177/01455613251342954","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the changes in tinnitus among patients with chronic otitis media (COM) before and after tympanoplasty.</p><p><strong>Methods: </strong>A literature search was conducted using the PubMed, EMBASE, and Web of Science electronic databases. Patients with COM alone and preoperative tinnitus who underwent tympanoplasty (with or without ossiculoplasty) and had their tinnitus outcomes evaluated using the Tinnitus Handicap Inventory (THI), the Visual Analogue Scale (VAS), or self-reported symptom changes were included. Patients with concurrent cholesteatoma or those who underwent mastoidectomy were excluded. Meta-analyses of THI scores and self-reported symptom changes were performed using the random-effects model.</p><p><strong>Results: </strong>Out of the 134 articles identified, 9 studies with 483 patients were included. Ossiculoplasty was performed when necessary in 3 studies. The THI was used in 5 studies, with mean changes in scores ranging from -24.00 to +1.40. Three studies were included in the meta-analysis, which showed a mean difference of -3.93 (95% confidence interval (CI): -8.61 to 0.76; <i>P</i> = .10). The VAS was used in 3 studies, with mean changes in scores ranging from -3.35 to -0.10. Self-reported symptom changes were recorded in 4 studies, involving 231 patients. After surgery, tinnitus disappeared in 77 (33.33%) patients, was alleviated in 96 (41.56%) patients, remained unchanged in 45 (19.48%) patients, and deteriorated in 13 (5.63%) patients. In the meta-analysis, the weighted proportions were 42.63% (95% CI: 20.43%-66.52%), 41.17% (95% CI: 27.26%-55.85%), 13.28% (95% CI: 4.36%-26.06%), and 3.86% (95% CI: 0.70%-9.41%), respectively.</p><p><strong>Conclusion: </strong>Although the majority of patients with COM and concurrent tinnitus experienced a reduction in tinnitus severity following tympanoplasty, the meta-analysis did not demonstrate a significant improvement in THI scores. Further multicenter prospective studies are needed to identify the prognostic factors, given the high heterogeneity in patient characteristics and operative methods across the current studies.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342954"},"PeriodicalIF":0.0,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144087050","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":"Markus Hajek-Champion of FESS-Circa 1900.","authors":"Heli Majeethia, Glenn Isaacson","doi":"10.1177/01455613251342167","DOIUrl":"https://doi.org/10.1177/01455613251342167","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342167"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082940","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 Case of Cricoid Cartilage Calcification Was Misdiagnosed as an Esophageal Foreign Body.","authors":"Changsheng Lv, Qingyong Chen, Dezhong Sun, Xueqing Cheng, Huaiqing Lv","doi":"10.1177/01455613251342154","DOIUrl":"https://doi.org/10.1177/01455613251342154","url":null,"abstract":"<p><p>This article presents the case of a 37-year-old female patient who was admitted to the hospital with a sore throat after accidentally ingesting a chicken bone. Multiple computed tomography scans revealed a striated hyperdense shadow along the posterior pharyngeal wall, which was initially misdiagnosed as an esophageal foreign body. However, subsequent endoscopic evaluations failed to identify any foreign object. After further imaging studies and multidisciplinary consultation, the final diagnosis was physiologic calcification of the posterior lamina of the cricoid cartilage. This case highlights the importance of distinguishing between laryngeal cartilage calcification and esophageal foreign bodies on imaging to avoid unnecessary interventions.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342154"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082911","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 Maxillary Sinusitis Secondary to a Retained Wooden Foreign Body: A Case Report.","authors":"Chenyang Xu, Jieyu Hu, Xiaowen Liu, Xuehai Xu, Suyang Wang","doi":"10.1177/01455613251339927","DOIUrl":"https://doi.org/10.1177/01455613251339927","url":null,"abstract":"<p><strong>Background: </strong>Retained wooden foreign bodies in the maxillary sinus, particularly with prolonged latency, pose significant diagnostic, and therapeutic challenges due to their low radiodensity and resemblance to fungal infections on imaging. This case highlights the role of electromagnetic navigation-guided endoscopic sinus surgery (ENG-ESS) in managing complex long-latency foreign bodies.</p><p><strong>Case presentation: </strong>A 31-year-old man presented with recurrent right infraorbital abscesses and facial swelling for over a year and was initially misdiagnosed with fungal sinusitis. Conventional treatments, including multiple abscess drainage and endoscopic sinus fenestration, failed to resolve the symptoms. Imaging revealed a high-density maxillary sinus shadow, which was later identified as a 4.5 cm wooden fragment retained for 5 years post-trauma. The initial endoscopic removal of a smaller fragment provided transient relief. ENG-ESS subsequently localized and removed the residual migratory fragment extending to the orbital wall, leading to complete resolution of the infection.</p><p><strong>Conclusion: </strong>This case underscores the diagnostic pitfalls of wooden foreign bodies and advocates for integrating trauma history with advanced imaging. ENG-ESS demonstrated superior precision in navigating complex anatomy and reducing the risk and complications of residual foreign bodies. We propose a trauma history dynamic imaging-navigation surgery framework for long-latency refractory cases.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251339927"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082938","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":"Left Recurrent Laryngeal Nerve Vocal Fold Paralysis in Pediatric Patient Secondary to Mediastinal Histoplasmosis Infection.","authors":"Jacob Dylan Johnson, Bronson C Wessinger, Derek B Allison, Caitlin E Fiorillo","doi":"10.1177/01455613251342157","DOIUrl":"https://doi.org/10.1177/01455613251342157","url":null,"abstract":"<p><p><i>Histoplasma capsulatum</i> is a dimorphic soil-based fungus endemic to the Ohio and Mississippi River valleys and southeastern United States. An extremely rare presentation is the involvement of the mediastinum leading to vocal fold paralysis, with only 2 reported cases in the literature. This report presents the youngest patient to whom this pathology has been described and the third overall patient. In this case report, we present a 15-year-old boy with vocal fold paralysis secondary to left recurrent laryngeal nerve paralysis in the setting of confirmed histoplasmosis infection. On further workup, he was noted to have mediastinum lymphadenopathy on computed tomography (CT) chest. Pathology of the biopsy indicated granulomatous inflammation without the evidence of malignancy, prompting fungal serology testing resulting in a positive histoplasma antibody result. The patient received appropriate treatment, yet the dysphonia persisted. On flexible laryngoscopy, he was noted to have left vocal fold paralysis. After 2 years of ongoing paralysis, the decision was made to proceed with recurrent laryngeal nerve innervation for long-term benefits. After nerve innervation and fat laryngoplasty, the patient has had significant improvement in dysphonia and voice parameters.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342157"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082939","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":"Max Brödel-Father of Head and Neck Surgery Illustration.","authors":"Nicolas Egan, Glenn Isaacson","doi":"10.1177/01455613251342159","DOIUrl":"https://doi.org/10.1177/01455613251342159","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251342159"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000763","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 Case of Mature Cystic Teratoma of the Floor of Mouth With Cleft Palate in Newborn.","authors":"Cuimei Zhang, Yuelin Qin, Fang Wang, Xuecai Yang, Junwei Wang","doi":"10.1177/01455613251341154","DOIUrl":"https://doi.org/10.1177/01455613251341154","url":null,"abstract":"<p><p>Dermoid cysts, also known as mature cystic teratomas (MCTs), are congenital tumors that originate from all 3 germ layers. While commonly found in the ovary or testis, they are rare occurrences in the floor of the mouth. This case report describes a rare case of neonatal cleft palate with MCT of the floor of the mouth. The report provides a comprehensive analysis of the clinical manifestations, imaging characteristics, pathological findings, and surgical management strategies employed in this rare case to enhance clinicians' knowledge regarding uncommon tumors in the head and neck of newborns. Through the discussion of this case, the importance of preoperative evaluation, rapid intraoperative diagnosis, and long-term postoperative follow-up is further emphasized.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251341154"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060964","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 Rare Case of Cervical Subcutaneous Emphysema Following Swimming.","authors":"Jonathan Abou Chaar, Ibana Carapiperis, Rita Maria Jalkh, Randa Al Barazi","doi":"10.1177/01455613251325116","DOIUrl":"https://doi.org/10.1177/01455613251325116","url":null,"abstract":"<p><p>Subcutaneous cervical emphysema refers to the presence of air or gas trapped beneath the skin in the neck or cervical region. It typically occurs when air is introduced into the tissues due to trauma, infection, or medical procedures that disrupt the respiratory tract. Diagnosis is based on clinical presentation in addition to chest and neck radiographic examinations. Subcutaneous cervical emphysema resulting from swimming is extremely rare, and patients may be asymptomatic or present with crepitus, neck swelling, and dysphonia. In severe cases, life-threatening complications can occur, such as airway compromise or tension pneumothorax. The authors of this manuscript report a rare case of a 9-year-old female, previously healthy, who presented with subcutaneous cervical emphysema following a swimming training session. This patient was followed up for 1 month with conservative management and experienced self-resolution of her symptoms. Early diagnosis, monitoring, and initiation of treatment are highly recommended to prevent any long-term or life-threatening complications.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251325116"},"PeriodicalIF":0.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995141","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":"Where There is Smoke: An Updated Review of Environmental Contributions to Chronic Rhinosinusitis.","authors":"Christopher J Hill","doi":"10.1177/01455613251337885","DOIUrl":"https://doi.org/10.1177/01455613251337885","url":null,"abstract":"<p><strong>Purpose: </strong>The pathogenesis of chronic rhinosinusitis (CRS) is thought to include a complex interaction between environmental exposures and host immune responses that generates a self-perpetuating inflammatory process. As molecular pathways continue to be explored, the impact of environmental exposures on CRS pathogenesis and exacerbation must not be overlooked. This review will explore the association between environmental exposures and CRS, specifically focusing on tobacco smoke, occupational inhalational exposures, air pollution, particulate matter, and wildfire smoke.</p><p><strong>Major findings: </strong>Tobacco smoke is associated with increased prevalence of CRS symptoms and formal diagnosis with worse surgical outcomes observed in both adults and children exposed to tobacco smoke. Numerous occupational exposures have been associated with increased sinonasal symptoms, though exposures and disease definitions are often poorly characterized. Pollution and microparticle exposure has been associated with an increased likelihood of CRS diagnosis, as well as increased need for surgery. Last, while wildfire smoke has been attributed to increased hospital and emergency room visits for respiratory-related complaints, no primary research has yet been performed regarding CRS and wildfire smoke, though in-vitro studies support an association.</p><p><strong>Conclusions: </strong>Population-based studies bolstered by in-vitro mechanistic data support an association between numerous environmental exposures and the onset and severity of CRS.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251337885"},"PeriodicalIF":0.0,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038731","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}