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Long-Term Outcomes of Orthonasal, Retronasal Olfactory and Gustatory Functions in Patients Undergoing Surgery for Obstructive Sleep Apnea Syndrome. 阻塞性睡眠呼吸暂停综合征手术患者的鼻、后鼻嗅觉和味觉功能的长期预后。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-11-02 DOI: 10.1111/coa.70055
İrem Damla Güver Çalapkulu, Zehra Betul Paksoy, İbrahim Sevim, Süleyman Boynueğri

Objective: This study aimed to evaluate the long-term effects of upper airway surgery on olfactory (orthonasal and retronasal) and gustatory functions in patients with obstructive sleep apnoea syndrome (OSAS). Sensory outcomes were compared between surgically treated patients and newly diagnosed OSAS patients who had not received surgery or Positive Airway Pressure (PAP) therapy. In addition, the influence of surgical technique on investigated parameters was analyzed.

Materials and methods: This prospective study included 49 patients aged 18-75 years with OSAS, divided into a surgical group (n = 25) and a control group (n = 24). The surgical group had undergone at least one of the following procedures more than 1 year prior: anterior palatoplasty, expansion sphincter pharyngoplasty, lateral pharyngoplasty, tongue base coblation, or epiglottopexy. Orthonasal olfaction was assessed using the Connecticut Chemosensory Clinical Research Centre (CCCRC) test; retronasal olfaction using a validated 20-item powder-based test; and gustatory function with taste strips for sweet, salty, sour, and bitter.

Results: There were no significant differences between the surgery and control groups in terms of age, apnoea-hypopnoea index (AHI), retronasal olfactory scores, orthonasal threshold, identification, mean CCCRC scores, or gustatory scores (p = 0.218, 0.912, 0.464, 0.111, 0.952, 0.423, and 0.738, respectively). In contrast, a strong and statistically significant correlation was found between retronasal and mean CCCRC scores (Spearman's r = 0.653, p < 0.001).

Conclusion: Upper airway surgery does not appear to adversely affect long-term olfactory or gustatory function in OSAS patients. The high correlation between orthonasal and retronasal scores supports their combined use in sensory evaluation. These findings suggest that surgery is safe with regard to smell and taste perception.

目的:本研究旨在评价上呼吸道手术对阻塞性睡眠呼吸暂停综合征(OSAS)患者嗅觉(正鼻和后鼻)和味觉功能的长期影响。比较手术治疗患者和未接受手术或气道正压(PAP)治疗的新诊断OSAS患者的感觉结果。此外,还分析了手术技术对研究参数的影响。材料与方法:本前瞻性研究纳入49例18-75岁的OSAS患者,分为手术组(n = 25)和对照组(n = 24)。手术组在1年前至少接受过以下手术之一:前腭成形术、扩张括约肌咽成形术、侧咽成形术、舌底消融或会音固定术。使用康涅狄格化学感觉临床研究中心(CCCRC)测试评估正交鼻嗅觉;使用经过验证的20项粉末测试进行后鼻嗅觉;还有味觉功能,有甜、咸、酸、苦的味觉条。结果:手术组与对照组在年龄、呼吸暂停低通气指数(AHI)、后鼻嗅觉评分、正鼻阈值、鉴别、CCCRC平均评分、味觉评分方面差异均无统计学意义(p分别为0.218、0.912、0.464、0.111、0.952、0.423、0.738)。相比之下,后鼻和平均CCCRC评分之间存在显著的相关性(Spearman’s r = 0.653, p)。结论:上呼吸道手术对OSAS患者的长期嗅觉或味觉功能没有不良影响。正鼻和后鼻评分之间的高度相关性支持它们在感觉评估中的联合使用。这些发现表明手术对于嗅觉和味觉感知是安全的。
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引用次数: 0
Elective Neck Dissection in Advanced Cutaneous Head and Neck Squamous Cell Carcinoma: Systematic Review and Meta-Analysis. 晚期皮肤头颈部鳞状细胞癌的选择性颈部清扫:系统回顾和荟萃分析。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-11-26 DOI: 10.1111/coa.70063
Seraphina Key, Matthew Kwok, Timothy McLean

Objective: The role of elective neck dissection (END) in clinically node negative (cN0) locally advanced cutaneous squamous cell carcinoma (cSCC) of the head and neck on survival outcomes is not well elucidated. To date, there is no systematic review performed on the role of END in cN0 disease for advanced cSCC. This study aims to determine if END affects survival outcomes compared to observation.

Design: Systematic review from inception to 22 June 2025 of three peer-reviewed databases (MEDLINE, Embase, Scopus), two clinical trial registries (Clinicaltrials.gov, ANZCTR) and grey literature (Scopus), for MeSH terms pertaining to 'elective neck dissection', 'cutaneous squamous cell carcinoma' and 'head and neck'. This review was registered prospectively on PROSPERO (CRD42024537410).

Participants: END in patients with cN0 locally advanced head and neck cSCC.

Main outcome measures: Overall survival (OS), disease-specific survival (DSS) and disease-free survival (DFS).

Results: Of 983 unique studies, 119 studies underwent full-text screening. Six studies underwent systematic review and meta-analysis. Of 522 included patients, 197 (37.7%) underwent END and 325 (62.3%) underwent observation. Six studies reported on OS, four studies on DSS and three on DFS. Meta-analysis for OS at 5 years did not provide a conclusion for or against END (log risk-ratio 0.09, 95% CI -0.57 to 0.76). Meta-analysis could not be performed for DSS. The meta-analysed occult cervical nodal rate was 17.34% (95% CI 10.57 to 25.14). Studies were of low to moderate risk of bias.

Conclusion: In locally advanced cSCC, END cannot be conclusively stated to improve OS or DSS.

目的:择期颈部清扫术(END)在临床上淋巴结阴性(cN0)局部晚期头颈部皮肤鳞状细胞癌(cSCC)患者的生存预后中的作用尚不清楚。迄今为止,尚无关于END在晚期cSCC的cN0疾病中的作用的系统综述。本研究旨在确定与观察相比,END是否会影响生存结果。设计:对三个同行评审数据库(MEDLINE、Embase、Scopus)、两个临床试验注册库(Clinicaltrials.gov、ANZCTR)和灰色文献(Scopus)从成立到2025年6月22日进行系统评价,包括与“选择性颈部解剖”、“皮肤鳞状细胞癌”和“头颈部”相关的MeSH术语。本综述在PROSPERO (CRD42024537410)前瞻性注册。参与者:cN0局部晚期头颈部cSCC患者的END。主要结局指标:总生存期(OS)、疾病特异性生存期(DSS)和无病生存期(DFS)。结果:在983项独特研究中,119项研究进行了全文筛选。对6项研究进行了系统回顾和荟萃分析。522例纳入的患者中,197例(37.7%)接受END治疗,325例(62.3%)接受观察。6项OS研究报告,4项DSS研究报告,3项DFS研究报告。5年OS的荟萃分析没有提供支持或反对END的结论(对数风险比0.09,95% CI -0.57至0.76)。不能对DSS进行meta分析。荟萃分析的隐匿性宫颈结率为17.34% (95% CI 10.57 ~ 25.14)。研究偏倚风险为低至中等。结论:在局部晚期cSCC中,END不能决定性地改善OS或DSS。
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引用次数: 0
Polidocanol Sclerotherapy in Hereditary Hemorrhagic Telangiectasia Patients Does Not Seem to Decrease Epistaxis-Related Outpatient and Emergency Visits-A Retrospective View. Polidocanol硬化治疗遗传性出血性毛细血管扩张患者似乎不会减少出血相关的门诊和急诊就诊:回顾性分析
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-11-12 DOI: 10.1111/coa.70059
Elsa-Leea Kotola, Johanna Wikstén, Eeva Castrén
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引用次数: 0
A Systematic Review to Assess Swallowing Disorders in Paediatric Patients With Sleep-Disordered Breathing. 评估儿童睡眠呼吸障碍患者吞咽障碍的系统综述。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-12-01 DOI: 10.1111/coa.70064
Alexander J M Curran, Sarah Ellis, May M C Yaneza

Introduction: Sleep-disordered breathing (SDB) affects up to 5% of children and is associated with multiple systemic complications. Recent concerns over rare but fatal choking incidents in children with untreated obstructive SDB (oSDB) have developed interest in whether swallowing dysfunction is a contributing factor. This systematic review investigates whether there is evidence linking paediatric oSDB with swallowing disorders, excluding children with known neurological or craniofacial comorbidities.

Methods: A systematic literature search was conducted across Embase, PubMed, CINAHL, and Cochrane databases (11th November 2024), using PRISMA 2020 guidelines. Studies were included if they involved children with oSDB and reported swallowing assessments. Exclusion criteria included non-English publications, patients with syndromic or craniofacial conditions, and studies lacking primary data. The risk of bias was assessed using ROBINS-I.

Results: Nine studies met the inclusion criteria. Reported prevalence of swallowing dysfunction ranged from 4% to 70%, with evidence of both oral-phase (e.g., atypical deglutition, reduced mastication) and pharyngeal-phase (e.g., choking, prolonged feeding) abnormalities. Outcome measures varied widely, with only two studies employing a validated swallowing tool. Three studies indicated that treatment of oSDB (adenotonsillectomy or myofunctional therapy) may improve swallowing symptoms. The quality of evidence was low, with most studies showing moderate to serious risk of bias.

Conclusion: There is limited, low-quality evidence suggestive that children with oSDB are at increased risk of swallowing dysfunction. However, heterogeneity in definitions, assessment tools, and study design limits the ability to draw firm conclusions. Episodes of severe swallowing-related complications such as fatal aspiration or choking are rare but clinicians should consider swallowing issues in these patients. Further research with standardised, objective assessments is required to understand better the relationship between SDB and swallowing in children. Early evidence indicates that treated oSDB may improve swallow-related symptoms, but more studies are required before official practice recommendations. Overall, this systematic review highlights a possible link between oSDB and swallowing dysfunction emphasising the need for further objective research to guide clinical care for these patients.

睡眠呼吸障碍(SDB)影响高达5%的儿童,并与多种全身并发症相关。最近对未治疗的梗阻性SDB (oSDB)儿童罕见但致命的窒息事件的关注引起了人们对吞咽功能障碍是否是一个促成因素的兴趣。本系统综述调查了是否有证据表明小儿oSDB与吞咽障碍有关,排除了已知有神经或颅面合并症的儿童。方法:采用PRISMA 2020指南,于2024年11月11日在Embase、PubMed、CINAHL和Cochrane数据库中进行系统文献检索。如果研究涉及患有oSDB的儿童并报告了吞咽评估,则纳入研究。排除标准包括非英文出版物,有综合征或颅面疾病的患者,以及缺乏原始资料的研究。使用ROBINS-I评估偏倚风险。结果:9项研究符合纳入标准。据报道,吞咽功能障碍的患病率从4%到70%不等,有口腔期(如非典型吞咽、咀嚼减少)和咽期(如窒息、进食时间延长)异常的证据。结果测量差异很大,只有两项研究使用了经过验证的吞咽工具。三项研究表明,oSDB治疗(腺扁桃体切除术或肌功能治疗)可改善吞咽症状。证据质量较低,大多数研究显示中度至严重的偏倚风险。结论:有限的、低质量的证据提示oSDB患儿吞咽功能障碍的风险增加。然而,定义、评估工具和研究设计的异质性限制了得出确定结论的能力。严重的吞咽相关并发症的发作,如致命的误吸或窒息是罕见的,但临床医生应考虑这些患者的吞咽问题。为了更好地了解SDB与儿童吞咽之间的关系,需要进一步的研究和标准化、客观的评估。早期证据表明,经治疗的oSDB可改善吞咽相关症状,但在正式实践建议之前,还需要更多的研究。总的来说,本系统综述强调了oSDB和吞咽功能障碍之间的可能联系,强调需要进一步的客观研究来指导这些患者的临床护理。
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引用次数: 0
Does Oral Antihistamine Use Reduce the Risk of Salivary Fistula Following Superficial Parotidectomy? A Retrospective Study. 口服抗组胺药能降低腮腺浅表切除术后发生唾液瘘的风险吗?回顾性研究。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-12-12 DOI: 10.1111/coa.70075
Mehmet Korkmaz, Fakih Cihat Eravcı, Malik Afifoğlu, Nursultan Abakır, Mehmet Akif Eryılmaz, Hamdi Arbağ

Objective: This study aimed to evaluate the effect of postoperative oral antihistamine (clemastine) use on the incidence of salivary fistula and sialocele in patients undergoing superficial parotidectomy.

Materials and methods: A retrospective analysis was conducted on 202 patients who underwent superficial parotidectomy for benign parotid tumours at the Department of Otolaryngology-Head and Neck Surgery, Necmettin Erbakan University, between 2020 and 2024. All patients were prescribed clemastine-containing antihistamines postoperatively; however, they were divided into two groups based on their access to and use of the medication. The development of salivary fistula and sialocele was assessed clinically. Data were analysed using Fisher's exact test, and p < 0.05 was considered statistically significant.

Results: Salivary fistula was observed in 5 of 164 patients (3.0%) in the antihistamine group and in 5 of 38 patients (13.2%) in the non-user group. This difference was statistically significant (p = 0.022). The incidence of sialocele was three (1.8%) in the antihistamine group and two (5.3%) in the non-user group, with no significant difference between the groups (p = 0.237). The most common side effects in patients receiving antihistamines were drowsiness (12.1%), accommodation disorders (9.1%) and other mild anticholinergic symptoms.

Conclusion: Oral antihistamine use following superficial parotidectomy may significantly reduce the incidence of salivary fistula. Most adverse effects were mild and tolerable. These findings suggest a potential benefit of antihistamines in the prevention of postoperative complications.

目的:本研究旨在评价术后口服抗组胺药(clemastine)对腮腺浅表性切除术患者涎瘘和涎腺囊肿发生率的影响。材料与方法:回顾性分析2020 - 2024年在Necmettin Erbakan大学耳鼻喉头颈外科行腮腺良性肿瘤浅表性腮腺切除术的202例患者。所有患者术后均给予含克莱马汀的抗组胺药;然而,根据他们获得和使用药物的情况,他们被分为两组。临床评估两组患者涎瘘及涎腺囊肿的发展情况。结果:抗组胺组164例患者中有5例(3.0%)出现唾液瘘,未使用组38例患者中有5例(13.2%)出现唾液瘘。差异有统计学意义(p = 0.022)。抗组胺组涎腺囊肿发生率为3例(1.8%),非使用组为2例(5.3%),两组间差异无统计学意义(p = 0.237)。服用抗组胺药的患者最常见的副作用是嗜睡(12.1%)、适应障碍(9.1%)和其他轻度抗胆碱能症状。结论:腮腺浅表切除术后口服抗组胺药可显著降低涎瘘的发生率。大多数不良反应是轻微和可耐受的。这些发现提示抗组胺药在预防术后并发症方面的潜在益处。
{"title":"Does Oral Antihistamine Use Reduce the Risk of Salivary Fistula Following Superficial Parotidectomy? A Retrospective Study.","authors":"Mehmet Korkmaz, Fakih Cihat Eravcı, Malik Afifoğlu, Nursultan Abakır, Mehmet Akif Eryılmaz, Hamdi Arbağ","doi":"10.1111/coa.70075","DOIUrl":"10.1111/coa.70075","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of postoperative oral antihistamine (clemastine) use on the incidence of salivary fistula and sialocele in patients undergoing superficial parotidectomy.</p><p><strong>Materials and methods: </strong>A retrospective analysis was conducted on 202 patients who underwent superficial parotidectomy for benign parotid tumours at the Department of Otolaryngology-Head and Neck Surgery, Necmettin Erbakan University, between 2020 and 2024. All patients were prescribed clemastine-containing antihistamines postoperatively; however, they were divided into two groups based on their access to and use of the medication. The development of salivary fistula and sialocele was assessed clinically. Data were analysed using Fisher's exact test, and p < 0.05 was considered statistically significant.</p><p><strong>Results: </strong>Salivary fistula was observed in 5 of 164 patients (3.0%) in the antihistamine group and in 5 of 38 patients (13.2%) in the non-user group. This difference was statistically significant (p = 0.022). The incidence of sialocele was three (1.8%) in the antihistamine group and two (5.3%) in the non-user group, with no significant difference between the groups (p = 0.237). The most common side effects in patients receiving antihistamines were drowsiness (12.1%), accommodation disorders (9.1%) and other mild anticholinergic symptoms.</p><p><strong>Conclusion: </strong>Oral antihistamine use following superficial parotidectomy may significantly reduce the incidence of salivary fistula. Most adverse effects were mild and tolerable. These findings suggest a potential benefit of antihistamines in the prevention of postoperative complications.</p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":"335-340"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145741440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of Platelet-Rich Plasma (PRP) on Post-Surgical Outcomes Following Endoscopic Frontal Sinusotomy: A Randomised Controlled Trial. 富血小板血浆(PRP)对内镜下额窦切开术术后预后的影响:一项随机对照试验。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-03-01 Epub Date: 2025-11-24 DOI: 10.1111/coa.70062
Pattranit Pakpattaraphaiboon, Kawinyarat Jitaroon, Suphakrit Limpornpugdee

Objective: This study aimed to evaluate the efficacy of platelet-rich plasma (PRP), a biologic agent that facilitates tissue regeneration and wound healing, in improving postoperative outcomes of frontal sinus ostium (FSO) and need for postoperative intervention.

Materials and methods: A prospective, randomised controlled trial included chronic rhinosinusitis (CRS) patients undergoing bilateral endoscopic frontal sinus surgery. PRP-soaked absorbable hemostat was applied to the frontal sinus ostium on the randomised side, while a plain absorbable hemostat was used on the control side. Endoscopic evaluations were conducted intraoperatively (baseline), and at 30 and 90 days postoperatively to assess the FSO area, FSO patency, inflammatory visual analog scale (VAS) score, presence of polypoid edema, adhesion/scarring grade, and the need for postoperative interventions.

Results: Thirty participants were enrolled and PRP was applied to 30 frontal sinus ostia on randomised side. On 30-day post-ESS PRP significantly improved inflammatory VAS score (p = 0.041), reduced polypoid edema (odds ratio (OR) 0.49; 95% CI: 0.24, 0.98) and adhesion scarring (OR 0.33; 95% CI: 0.15, 0.74), and improved the need of postoperative intervention compared to the control (risk ratio (RR) 0.25; 95% CI: 0.11, 0.58). On 90-day post-ESS, PRP significantly reduced polypoid edema (OR 0.35; 95% CI: 0.17, 0.67), and adhesion scarring (OR 0.20; 95% CI 0.07, 0.52) compared to the control. The FSO area changes and patency grade were not significantly different between groups.

Conclusion: The PRP application following frontal sinusotomy improved the inflammatory VAS score, polypoid edema and adhesion scarring grades, and reduces the need for oral steroid intervention.

目的:探讨富血小板血浆(PRP)作为一种促进组织再生和伤口愈合的生物制剂,在改善额窦口(FSO)术后预后中的作用及术后干预的必要性。材料和方法:一项前瞻性、随机对照试验,包括接受双侧额窦内镜手术的慢性鼻窦炎(CRS)患者。随机侧额窦口应用prp浸泡的可吸收止血剂,对照侧使用普通可吸收止血剂。在术中(基线)、术后30天和90天进行内镜评估,以评估FSO面积、FSO通畅程度、炎症视觉模拟评分(VAS)评分、息肉样水肿的存在、粘连/瘢痕等级以及术后干预的必要性。结果:30名参与者入选,PRP应用于30个随机侧额窦口。ess后30天PRP显著改善炎症VAS评分(p = 0.041),减轻息肉样水肿(优势比(OR) 0.49;95% CI: 0.24, 0.98)和粘附性瘢痕(OR: 0.33; 95% CI: 0.15, 0.74),与对照组相比,术后干预需求的改善(风险比(RR) 0.25;95% ci: 0.11, 0.58)。ess后90天,与对照组相比,PRP显著减少了息肉样水肿(OR 0.35; 95% CI: 0.17, 0.67)和粘连瘢痕(OR 0.20; 95% CI: 0.07, 0.52)。两组间FSO面积变化及通畅程度无显著差异。结论:额窦切开术后应用PRP可改善炎性VAS评分、息肉样水肿和粘连瘢痕等级,减少口服类固醇干预的需要。
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引用次数: 0
A Prospective Cohort Study Investigating the Role of a Screening Smell and Taste Test in Patients Following Head Injury. 一项前瞻性队列研究调查了筛查嗅觉和味觉测试在颅脑损伤患者中的作用。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-01-29 DOI: 10.1111/coa.70090
Elizabeth Mairenn Garden, Gabija Klyvyte, Andreas Espehana, Louis Luke, Amaya Sainz de la Maza Melon, Morgan Hardy, Tharsika Myuran, Allan Clark, Carl Philpott

Background: Head trauma is a major cause of chemosensory deficit, with olfactory loss occurring in approximately 22% of cases. Following head injury, olfactory and gustatory loss are often unassessed; patients are often unaware of the problem, thus presenting late to specialist clinics.

Primary aim: To determine the role of screening olfactory and gustatory testing in patients following head trauma.

Methods: This prospective cohort study, conducted at three secondary hospitals, included patients with head injury aged ≥ 18 years, with capacity to consent within 30 days of injury. Patients with previous head injury requiring admission or with pre-existing olfactory/gustatory loss were excluded. Participants underwent screening chemosensory assessment using Burghart Sniffin' Sticks and Taste Strips. If significant loss was identified, patients were referred to Smell & Taste clinic to be seen within 3 months of injury for extended testing.

Results: A total of 121 participants took part in the study (65 male, 56 female); 71% experienced olfactory dysfunction and 62% gustatory dysfunction post head injury. There was no statistically significant association between gender and olfactory/gustatory dysfunction (p > 0.05). Older participants experienced a higher prevalence of olfactory and gustatory dysfunction. Seven participants progressed to a follow-up consultation in the Smell & Taste Clinic, all of whom had persistent olfactory dysfunction.

Conclusion: Our study highlights that a significant proportion of mild head injuries result in olfactory/gustatory dysfunction, thus reinforcing the use of psychophysical testing in this patient cohort. Improvements should be made to ensure they receive suitable follow-up in a Smell & Taste clinic.

背景:头部创伤是化学感觉缺陷的主要原因,大约22%的病例发生嗅觉丧失。在头部受伤后,嗅觉和味觉的丧失往往没有得到评估;患者往往没有意识到这个问题,因此到专科诊所就诊很晚。主要目的:探讨嗅觉和味觉检测在颅脑外伤患者中的筛查作用。方法:该前瞻性队列研究在三家二级医院进行,纳入年龄≥18岁且在受伤后30天内有同意能力的头部损伤患者。既往有头部损伤需要入院或既往有嗅觉/味觉丧失的患者被排除在外。参与者使用伯格哈特嗅探棒和味觉条进行了化学感觉筛选评估。如果发现明显的损失,患者被转介到嗅觉和味觉诊所,在受伤后3个月内进行进一步的测试。结果:共有121名参与者参与研究(男性65人,女性56人);71%的人在头部损伤后出现嗅觉功能障碍,62%的人出现味觉功能障碍。性别与嗅觉/味觉功能障碍之间无统计学意义(p < 0.05)。年龄较大的参与者嗅觉和味觉功能障碍的患病率更高。七名参与者在嗅觉和味觉诊所进行了后续咨询,他们都有持续的嗅觉功能障碍。结论:我们的研究强调了相当比例的轻度头部损伤导致嗅觉/味觉功能障碍,因此加强了在该患者队列中使用心理物理测试。应作出改进,以确保他们在嗅觉和味觉诊所接受适当的随访。
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引用次数: 0
A Cross-Sectional Study Exploring Patient Experiences, Unmet Needs and Desired Support in Those With Olfactory Dysfunction. 一项探讨嗅觉功能障碍患者经历、未满足需求和期望支持的横断面研究。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-01-29 DOI: 10.1111/coa.70091
William Ansley, Gabija Klyvyte, Mehmet Ergisi, Natalia Glibbery, Lois Camp, Prajakta Choudari, Mohammed Jawad, Tharsika Myuran, Nikki Garner, Jane Vennik, Lorenzo Stafford, Felix Naughton, Duncan Boak, Carl Philpott

Objectives: Smell and taste disorders (SATDs) are frequently overlooked despite growing prevalence. They profoundly impact quality of life. Effective therapies for SATDs remain scarce. This survey aimed to assess patient views surrounding the support available at the time of onset of SATDs, and what further support is needed.

Design and setting: This was a cross-sectional study consisting of an online survey circulated via the UK charity SmellTaste (known as Fifth Sense until a rebrand in May 2025), exploring features and impacts of SATDs, and opinions surrounding support available, and any further support felt to be necessary by those formally diagnosed or self-identifying with SATDs.

Main outcomes: Survey questions were grouped largely into the domains of demographics, features of olfactory issues, impact of disorder, and support network.

Results: A total of 410 participants completed the questionnaire, with the majority being women. When asked how olfactory dysfunction made participants feel, common responses included: 'sad', 'devastated', 'angry', 'anxious', 'depressed', 'isolated' and 'grief'. Family was reported as the greatest source of support when diagnosed with SATDs (partner/spouse, 36.4%; other family member, 15.1%) followed closely by SmellTaste (34%). Only 2.5% reported General Practitioners as their greatest source of support, with many participants reporting that primary care providers could not provide adequate help, leaving them to seek advice elsewhere (support groups, family, friends and self-investigation). Further support, covering medical, psychological and social interventions, was considered important.

Conclusion: Given the complexity of issues experienced and the lack of formal support available for people with SATDs, there is a clear need for an intervention addressing unmet support needs.

目的:尽管越来越普遍,但嗅觉和味觉障碍(SATDs)经常被忽视。它们深刻地影响着生活质量。有效的sads治疗方法仍然很少。本调查旨在评估患者对SATDs发病时可用支持的看法,以及需要哪些进一步支持。设计和环境:这是一项横断面研究,包括通过英国慈善机构SmellTaste(在2025年5月更名之前称为第五感)进行的在线调查,探索satd的特征和影响,以及有关支持的意见,以及正式诊断或自认为患有satd的人认为必要的任何进一步支持。主要结果:调查问题主要分为人口统计学、嗅觉问题的特征、障碍的影响和支持网络。结果:共有410名参与者完成了问卷,其中以女性居多。当被问及嗅觉功能障碍给参与者带来的感受时,常见的回答包括:“悲伤”、“崩溃”、“愤怒”、“焦虑”、“沮丧”、“孤立”和“悲伤”。据报道,当被诊断患有性发展障碍时,家庭是最大的支持来源(伴侣/配偶,36.4%;其他家庭成员,15.1%),其次是嗅觉(34%)。只有2.5%的人报告全科医生是他们最大的支持来源,许多参与者报告初级保健提供者无法提供足够的帮助,使他们从别处寻求建议(支持团体、家人、朋友和自我调查)。与会者认为,包括医疗、心理和社会干预在内的进一步支持很重要。结论:考虑到经历的问题的复杂性和对性行为障碍患者缺乏正式支持,显然需要采取干预措施来解决未满足的支持需求。
{"title":"A Cross-Sectional Study Exploring Patient Experiences, Unmet Needs and Desired Support in Those With Olfactory Dysfunction.","authors":"William Ansley, Gabija Klyvyte, Mehmet Ergisi, Natalia Glibbery, Lois Camp, Prajakta Choudari, Mohammed Jawad, Tharsika Myuran, Nikki Garner, Jane Vennik, Lorenzo Stafford, Felix Naughton, Duncan Boak, Carl Philpott","doi":"10.1111/coa.70091","DOIUrl":"https://doi.org/10.1111/coa.70091","url":null,"abstract":"<p><strong>Objectives: </strong>Smell and taste disorders (SATDs) are frequently overlooked despite growing prevalence. They profoundly impact quality of life. Effective therapies for SATDs remain scarce. This survey aimed to assess patient views surrounding the support available at the time of onset of SATDs, and what further support is needed.</p><p><strong>Design and setting: </strong>This was a cross-sectional study consisting of an online survey circulated via the UK charity SmellTaste (known as Fifth Sense until a rebrand in May 2025), exploring features and impacts of SATDs, and opinions surrounding support available, and any further support felt to be necessary by those formally diagnosed or self-identifying with SATDs.</p><p><strong>Main outcomes: </strong>Survey questions were grouped largely into the domains of demographics, features of olfactory issues, impact of disorder, and support network.</p><p><strong>Results: </strong>A total of 410 participants completed the questionnaire, with the majority being women. When asked how olfactory dysfunction made participants feel, common responses included: 'sad', 'devastated', 'angry', 'anxious', 'depressed', 'isolated' and 'grief'. Family was reported as the greatest source of support when diagnosed with SATDs (partner/spouse, 36.4%; other family member, 15.1%) followed closely by SmellTaste (34%). Only 2.5% reported General Practitioners as their greatest source of support, with many participants reporting that primary care providers could not provide adequate help, leaving them to seek advice elsewhere (support groups, family, friends and self-investigation). Further support, covering medical, psychological and social interventions, was considered important.</p><p><strong>Conclusion: </strong>Given the complexity of issues experienced and the lack of formal support available for people with SATDs, there is a clear need for an intervention addressing unmet support needs.</p>","PeriodicalId":10431,"journal":{"name":"Clinical Otolaryngology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Mastoid Head Bandage Really Required in Patients Undergoing Middle Ear Surgery? A Randomised Control Trial. 中耳手术患者真的需要乳突头绷带吗?一项随机对照试验。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-01-27 DOI: 10.1111/coa.70092
Muhammad Hammad Deewani, Muhammad Wasif Siddiqui, Hassan Danish, Muhammad Ozair Awan, Muhammad Sohail Awan, Ainulakbar Mughal, Abdul Basit Vardag, Hamdan Pasha, Haissan Iftikhar

Background: Middle ear surgery is a common procedure addressing various pathologies. Postoperative head bandaging has traditionally been used to provide support and prevent complications. However, its necessity remains controversial, with limited empirical evidence supporting its routine use.

Objective: This randomised controlled trial (RCT) evaluated the necessity of head bandaging in middle ear surgery by comparing postoperative complications between a mastoid head bandage and a simple gauze dressing.

Methods: Eighty patients scheduled for middle ear surgery were randomly assigned to two groups: the Pressure Bandage group, where a crepe bandage was wrapped around the head, and the No Pressure Bandage group, where a gauze dressing was secured with Mefix tape. All surgeries were performed by a single otolaryngologist using standardised techniques, with the surgeon blinded to the dressing type. Postoperative complications, including hematoma, erythema, skin abrasion and wound infection, were recorded and compared.

Results: The mastoid bandage group had a significantly higher incidence of forehead skin abrasions (6/40 vs. 0/40, p = 0.026). No significant differences were observed in hematoma or seroma formation, as neither group developed these complications.

Conclusion: Routine mastoid head bandaging does not appear necessary, as it does not reduce postoperative complications and may increase patient discomfort due to skin abrasions. Larger studies with longer follow-ups are recommended to strengthen these findings and guide clinical practice.

背景:中耳手术是一种常见的治疗多种病理的手术。术后头部包扎传统上用于提供支持和预防并发症。然而,它的必要性仍然存在争议,有限的经验证据支持其常规使用。目的:本随机对照试验(RCT)通过比较乳突头包扎与简单纱布包扎的术后并发症,评价中耳手术中头部包扎的必要性。方法:80例中耳手术患者随机分为两组:加压绷带组,在头部包裹皱褶绷带;无加压绷带组,用Mefix胶带固定纱布敷料。所有手术均由一名耳鼻喉科医生使用标准化技术进行,外科医生对敷料类型不知情。记录并比较术后血肿、红斑、皮肤擦伤、伤口感染等并发症。结果:乳突绷带组前额皮肤擦伤发生率明显高于对照组(6/40 vs. 0/40, p = 0.026)。两组在血肿或血肿形成方面没有显著差异,因为两组都没有出现这些并发症。结论:常规的乳突头包扎是不必要的,因为它不能减少术后并发症,并可能增加患者因皮肤擦伤而产生的不适。建议进行更大规模的研究和更长时间的随访,以加强这些发现并指导临床实践。
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引用次数: 0
Non-Traumatic Subglottic Stenosis in Adults: Changing the Course of Disease. 成人非外伤性声门下狭窄:改变病程。
IF 1.5 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2026-01-20 DOI: 10.1111/coa.70089
Smadar Cohen Atsmoni, Christopher J Webb, Janice Harper, Christine Burton, Andrew Kinshuck
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引用次数: 0
期刊
Clinical Otolaryngology
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