Ear, nose, & throat journal最新文献

{"title":"Comparison of the Efficacy of Endoscopic Continuous Perfusion Combined With Y-Shaped Incision and Microscopic Retroauricular Incision in the Treatment of Attic Cholesteatoma: A Randomized Prospective Study.","authors":"Qi Yan, Ying Wang, Li Xu, Baoxu Liu, Haiyong Sun, Bin Zhu, Bing Guan","doi":"10.1177/01455613241306964","DOIUrl":"https://doi.org/10.1177/01455613241306964","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to compare the efficacy of continuous perfusion of underwater bone grinding combined with a <i>Y</i>-shaped incision versus a microscopic posterior ear incision in the treatment of attic cholesteatoma. <b>Study Design:</b> Clinical trials were prospective studies from the Northern Jiangsu People's Hospital. <b>Research Object:</b> Adult patients with middle ear cholesteatoma requiring ear surgery agreed to participate between September 2019 and September 2023 (age > 18). The procedure utilized hard otoendoscopy with diameters of 2.7 mm, and angles of 0°, 30°, 45°, and 75°, along with absorbable microstripping ions, attractive knives, and various microinstruments. The preoperative evaluation included high-resolution computerized tomography (CT) of the temporal bone, pure tone audiometry, and hard otoscopy. The main outcome measures included the diagnosis of residual or recurrent disease through clinical examination and/or magnetic resonance imaging consistent with cholesteatoma. Intraoperative operation time, postoperative complications, postoperative pain scores, and preoperative and postoperative hearing test results were recorded. <b>Results:</b> A total of 80 ears were included in the study (79 patients). The mean ages for the experimental and control groups were 46.70 ± 9.86 and 48.53 ± 11.63 years, respectively. All surgeries were performed under general anesthesia. The most common sites of cholesteatoma were the posterior superior tympanic chamber (n = 75, 94%), anterior superior tympanic chamber (n = 42, 53%), posterior middle tympanic chamber (n = 25, 31%), and tympanic antrum (n = 23, 28.7%). Intraoperative ossicular chain reconstruction was performed in 64 cases (86%). The follow-up period ranged from 13 to 48 months, with an average of 30 months. The recurrence rates of cholesteatoma were 5.26% (n ≤ 2) and 11.9% (n ≤ 5) in the experimental and control groups, respectively. <b>Conclusions:</b> Treatment of intramastoid cholesteatoma using otoscopic continuous perfusion underwater bone grinding combined with a Y-shaped incision offers several advantages over the removal of middle ear cholesteatoma via otomicroscopic incision. These advantages include better hearing recovery, shorter operative time, smaller incisions, faster postoperative recovery, less postoperative pain, and reduced surgical bleeding.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241306964"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916703","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":"Hearing Impairment in Oral Submucous Fibrosis: A Systematic Review.","authors":"Chandrasekaran Krithika, Ashwini Deshpande, Chitathoor Sridhar, Kameswari Kondreddy, Amit Byatnal","doi":"10.1177/01455613241311248","DOIUrl":"https://doi.org/10.1177/01455613241311248","url":null,"abstract":"<p><p><b>Background:</b> With serious oral and systemic implications, oral submucous fibrosis (OSMF) is a crippling disorder that is common in some areas, especially among areca nut chewers. A thorough investigation of the relationship between OSMF and hearing impairment is necessary due to the growing evidence that, despite its well-established effects on dental health, there may be a connection. <b>Aim:</b> To investigate the association between OSMF and hearing impairment, particularly the mechanisms behind Eustachian tube dysfunction (ETD) and auditory dysfunction in OSMF patients. <b>Methodology:</b> This systematic review aimed to assess the association between hearing impairment and OSMF using the PICOS framework. A comprehensive search of 1137 articles published between 2015 and 2024 across various databases was conducted, resulting in 18 studies meeting the inclusion criteria. Data on population demographics, audiological assessments, and outcomes were extracted independently by 3 reviewers. The quality of the included studies was evaluated using the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale. Risk of bias assessments was conducted to categorize studies as low, moderate, or high risk. <b>Results:</b> The review identified 18 studies examining the link between OSMF and hearing impairment, revealing a significant correlation between OSMF severity and hearing loss. Patient-reported hearing issues ranged from 27.69% to 76.7%. Conductive hearing loss was prevalent, particularly in advanced OSMF stages. Most studies employed pure tone audiometry and tympanometry, highlighting ETD as a common contributor. Quality assessments indicated that most studies had good methodological rigor, with several rated as very good, underscoring the need for comprehensive evaluations in understanding the audiological implications of OSMF. <b>Conclusion:</b> There is a substantial association between OSMF and hearing loss, particularly through ETD. Multidisciplinary management and early audiological screening are essential for improving outcomes in OSMF patients.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241311248"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916706","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":"Pituitary Gland Macroadenoma with Associated Hearing Loss.","authors":"Su Cheol Park, Hyeok Tae Kweon, Sein Lee, Cha Dong Yeo","doi":"10.1177/01455613241310738","DOIUrl":"https://doi.org/10.1177/01455613241310738","url":null,"abstract":"<p><p>Pituitary macroadenomas are benign neoplasms that can cause a range of symptoms due to a mass effect on surrounding structures. This case report describes a 51-year-old male presenting with progressive bilateral hearing impairment and significant deterioration in speech discrimination over several years. Examination revealed normal tympanic membranes and no neurological deficits, while pure tone audiometry indicated mild to moderate sensorineural hearing loss. Magnetic resonance imaging identified a 6 × 5.5 × 7 cm pituitary macroadenoma extending into the suprasellar region and invading the sphenoid and right cavernous sinuses. The patient underwent a two-stage surgical intervention followed by gamma knife surgery. Postoperative follow-up showed mild deterioration in hearing with unmeasurable speech discrimination scores. This case underscores the importance of considering pituitary macroadenomas in the differential diagnosis of unexplained hearing loss and highlights the role of comprehensive audiological and imaging evaluations in achieving accurate diagnosis and optimal management.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241310738"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886650","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":"Application of Keystone Design Perforator Island Flap in the Reconstruction of Maxillofacial Defect: A Case Series.","authors":"Dongpo Li, Lin Wang, Yubo Wei, Shuangyi Wang","doi":"10.1177/01455613241308727","DOIUrl":"https://doi.org/10.1177/01455613241308727","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the effect of Keystone Design Perforator Island Flap (KDPIF) in the repair of maxillofacial soft tissue defect. <b>Methods:</b> From June 2021 to June 2023, 16 patients with soft tissue defects caused by resection of maxillofacial tumor repaired by KDPIF were selected. Variants of KDPIF were designed according to the area of the defect, and the incision was parallel to the wrinkle as far as possible in the same facial cosmetic subunit. Postoperative follow-up was 3 months to 1 year. <b>Results:</b> One (6.3%) case of flap had dark red congestion and peripheral epidermal necrosis within 1 week. 1 week later, the skin flap blood flow was recovered, and the wound healed after 3 weeks. The other 15 (93.7%) cases of skin flap survived in the first stage. The postoperative follow-up showed that all flaps had good color and shape. There was no obvious scar contracture, the patient was satisfied with the facial shape and had no obvious facial function disorder. <b>Conclusion:</b> KDPIF is easy to operate, with a short operation time, a high survival rate of flap, and a good aesthetic effect, which is especially suitable for the repair of small and medium-sized maxillofacial soft tissue defects in the elderly.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241308727"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886614","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":"Diagnostic Values of Fine Needle Aspiration Cytology and Frozen Section in Management of Parotid Tumors.","authors":"Utku Mete, Oğuz Basut, Özlem Saraydaroğlu, Uygar Levent Demir, Ömer Afşın Özmen, Fikret Kasapoğlu, Hamdi Hakan Coşkun","doi":"10.1177/01455613241305475","DOIUrl":"https://doi.org/10.1177/01455613241305475","url":null,"abstract":"<p><p><b>Background:</b> This study aims to investigate the diagnostic values of fine needle aspiration cytology (FNAC) and frozen section (FS) in evaluating parotid gland masses subjected to parotidectomy. <b>Methods:</b> A retrospective analysis of data from 274 patients who underwent parotidectomy for parotid gland masses was performed at the Department of Otolaryngology of the University Hospital between 2013 and 2019. We compared the preoperative FNAC and intraoperative FS records with the definitive histopathological diagnoses obtained from the surgical resection specimens. <b>Results:</b> The sensitivity, specificity, accuracy, positive predictive, and negative predictive value of FNAC in reaching the correct diagnosis were 65.1%, 94.1%, 88.7%, 77.1%, and 92.1%, respectively. The FS analysis values were 92.9%, 97.2%, 95.3%, 96.3%, and 94.6%, respectively. Additionally, the true-positive, true-negative, false-positive, and false-negative cases are documented and discussed. <b>Conclusions:</b> Although FNAC is a commonly used, easy, and reliable diagnostic method for parotid tumors, the diagnostic values observed in our study are low. FS analysis appears to be a more robust method. Therefore, we recommend a balanced use of these diagnostic tools, informed by clinical judgment, patient considerations, and available resources, to optimize outcomes in the management of parotid gland tumors.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241305475"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886646","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":"Challenges in ENT Data Collection in Conflict Zones: Insights from Gaza.","authors":"Bilal Irfan, Mohammed Al-Hasan, Abdulwhhab Abu Alamrain, Amro Aljamal, Majdi Al-Khaldi, Hosam Shaikhkhalil, Abdallah Abu Shammala, Abd Al-Karim Sammour, Nour Alshaer, Faten Braika, Mohammed Tabash, Ruba Musallam, Anas Al-Shembari, Rahaf Abudagga, Khalil Elkhalout, Hadeel Obeid, Izzeddin Lulu, Ibrahim Tafesh, Abdullah Ghali","doi":"10.1177/01455613241309785","DOIUrl":"https://doi.org/10.1177/01455613241309785","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241309785"},"PeriodicalIF":0.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873668","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":"Nasal Septum Deviation Presenting as Lateral Positional Obstructive Sleep Apnea.","authors":"Chou-Han Lin","doi":"10.1177/01455613241308750","DOIUrl":"https://doi.org/10.1177/01455613241308750","url":null,"abstract":"","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241308750"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840622","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":"Surgical Management of Preauricular Sinus: A Histopathological Analysis.","authors":"Qilin Huang, Guixiang Xiao, Xia Wu, Huamao Cheng","doi":"10.1177/01455613241308678","DOIUrl":"https://doi.org/10.1177/01455613241308678","url":null,"abstract":"<p><p><b>Background:</b> Consensus on removing a part of the helical cartilage during preauricular sinus surgery is lacking. A thorough understanding of the histopathological characteristics can improve surgical decisions. <b>Methods:</b> We reviewed the histopathological characteristics of preauricular sinuses in 54 patients who underwent surgery between October 2020 and October 2021. <b>Results:</b> The mean distance between the squamous tract and excised auricular cartilage was 0.38 mm. The maximum tract diameter in primary and recurrent cases was 0.52 cm (range, 0.1-2.8 cm) and 0.42 cm (0.1-1.1 cm), respectively. Mild and severe infections were more frequent in the primary group, whereas moderate infections were more frequent in the recurrent groups. Myofibroblast proliferation was more frequent in recurrent cases than in primary cases. However, cysts, granulation tissue, multinucleated giant cells were more frequent in the primary group. <b>Conclusion:</b> We recommend removal of a small portion of the ascending helix cartilage during preauricular sinus surgery to prevent recurrence. Alternatively, the squamous tract should be carefully dissected from the cartilage to ensure complete sinus excision.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241308678"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831447","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":"Assessing the Quality of Social Media Content Regarding Facial Paralysis and Reanimation.","authors":"Kevin Ngo, Lacy S Brame, Aniruddha C Parikh, Mark M Mims","doi":"10.1177/01455613241307886","DOIUrl":"https://doi.org/10.1177/01455613241307886","url":null,"abstract":"<p><p><b>Introduction:</b> Patients frequently use social media to direct their health care. However, the quality of social media posts regarding facial paralysis and reanimation is unclear. <b>Objective:</b> To assess the quality of facial reanimation posts on social media. <b>Methods:</b> Ten key search terms were used to search YouTube and Facebook. The top 10 posts for each search term were graded using a variety of parameters including the Global Quality Score (GQS), Modified DISCERN, Journal of the American Medical Association Criteria, and a novel Social Media Quality Score (SMQS) which was created by the authors. <b>Results:</b> There was a significant difference in SMQS (<i>P</i> = .035) and GQS (<i>P</i> = .01) between YouTube and Facebook Videos. For YouTube videos, there was a significant difference in SMQS scores (<i>P</i> = .003) between various search terms. For Facebook videos, there was a significant difference in both SMQS (<i>P</i> < .0001) and Modified DISCERN (<i>P</i> = .036) scores. The majority of videos evaluated were of moderate or low quality. <b>Conclusion:</b> Higher quality posts regarding facial reanimation are needed on social media. As health care providers, we must provide patients with appropriate resources to find high-quality posts, and when posting content, we must carefully curate the \"key words\" so that patients can easily find high-quality content.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307886"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831442","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":"Effect of Epidermos Barrier Cream on Postoperative Parotidectomy Incision Scar.","authors":"Ozan Gökdoğan, Ömer Faruk Guzel, Fulden Cantaş Turkiş, Mahmut Demirtaş, Sabri Köseoğlu, Harun Üçüncü","doi":"10.1177/01455613241307883","DOIUrl":"https://doi.org/10.1177/01455613241307883","url":null,"abstract":"<p><p><b>Introduction:</b> The modified Blair incision is commonly used for superficial and deep lobe lesions of the parotid gland. The most common complication of the parotidectomy procedure is the postoperative surgical scar. Epidermos barrier cream is a type of cream that helps in wound healing by covering the wound. <b>Objective:</b> The purpose of this study was to evaluate the effect of epidermos barrier cream on postoperative incision scars. <b>Methods:</b> Forty-six patients scheduled for surgery due to benign parotid masses were included in the study. Patients were called for a follow-up appointment to remove sutures 1 week after standard surgical intervention. In the study group, epidermos cream was used on the wound site until complete healing was achieved after suture removal, while wound healing in the control group was monitored without any medication. The patients were evaluated in the first, second, and fourth postoperative weeks using a wound site assessment questionnaire and surgical wound assessment for wound healing evaluation. <b>Results:</b> There were no statistically-significant differences between the groups in the evaluation results in the first week. On examination of the data in the second week, a difference was only observed in terms of the presence of hyperemia at the edges of the wound between the groups (<i>P</i> = .005), with no statistically-significant differences found in any other assessment tools. In the 4-week wound healing evaluation, a statistically-significant difference was observed in favor of the study group both in the patient's evaluation of the wound site (<i>P</i> < .001) and in the surgeon's evaluation of the wound site (<i>P</i> = .029). <b>Conclusion:</b> Epidermos cream was found to significantly improve postoperative scar healing in parotidectomy incisions considered challenging in terms of healing. Epidermos barrier cream was found to be beneficial for wound healing in wound sites.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307883"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831444","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}