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Risk Factors for Pharyngocutaneous Fistula Formation: A Study Focused on Pharyngeal Reconstruction Technique. 咽瘘形成的风险因素:以咽部重建技术为重点的研究
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001415
Yagmur Barcan, Yalcin Alimoglu, Gokhan Gurbuz, Omer Uysal
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引用次数: 0
Treatment and Management of Anaplastic Thyroid Carcinoma: Appraisal of Clinical Practice Guidelines. 甲状腺无节细胞癌的治疗和管理:临床实践指南评估》。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001087
Jonathan P Kuriakose, Najm Khan, Neeraj V Suresh, Emma De Ravin, Alvaro Moreira, Karthik Rajasekaran

Objective: To appraise clinical practice guidelines for anaplastic thyroid carcinoma treatment and management using the Appraisal of Guidelines for Research and Evaluation II tool.

Methods: A literature search was performed using MEDLINE/PubMed, Embase, Scopus, Cochrane, and Google Scholar. Four reviewers evaluated clinical practice guidelines utilising Appraisal of Guidelines for Research and Evaluation II, with domain scores requiring a threshold of greater than 60 per cent. Inter-reviewer agreement was evaluated using intraclass correlation coefficients.

Results: Twelve clinical practice guidelines were evaluated after application of inclusion and exclusion criteria. There were two "high-", four "average-", and six "low-" quality clinical practice guidelines. The domains with the highest scores were "clarity of presentation" (69.44 ± 16.75) and "scope and purpose" (68.87 ± 20.88), while "applicability" (7.12 ± 6.17) and "rigor of development" (50.26 ± 20.77) had the lowest scores. Intraclass correlation coefficients showed a high level of inter-reviewer agreement (0.689-0.924; good-excellent).

Conclusion: These results showcased wide variability in quality amongst guidelines for the treatment and management of anaplastic thyroid carcinoma. These findings necessitate greater standardisation among clinical practice guidelines and greater focus on the applicability of recommended practices.

目的:应用《研究与评价指南ⅱ》评价甲状腺间变性癌治疗与管理的临床实践指南。方法:通过MEDLINE/PubMed、Embase、Scopus、Cochrane和谷歌Scholar进行文献检索。四名审稿人使用《研究与评估指南评估II》评估临床实践指南,领域评分要求阈值大于60%。审稿人间的一致性使用类内相关系数进行评估。结果:应用纳入和排除标准对12条临床实践指南进行评价。有两个“高”,四个“一般”和六个“低”质量的临床实践指南。得分最高的是“表述清晰性”(69.44±16.75)和“范围与目的”(68.87±20.88),得分最低的是“适用性”(7.12±6.17)和“开发严谨性”(50.26±20.77)。类内相关系数显示高水平的审稿人间一致性(0.689-0.924;好)。结论:这些结果显示了甲状腺间变性癌治疗和管理指南的质量差异很大。这些发现需要在临床实践指南之间进行更大的标准化,并更加关注推荐做法的适用性。
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引用次数: 0
Changing rates of synchronous upper aerodigestive tract malignancy in head and neck cancer- why are we still using panendoscopy? 头颈癌同步上消化道恶性肿瘤发生率的变化--为什么我们仍在使用泛内镜检查?
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001701
A E Lim, E McKeegan, R B Townsley, J Montgomery
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引用次数: 0
Promoting the Advancement of Otology and Audiology: A History of the Thomas Wickham-Jones (TWJ) Foundation. 促进耳科学和听力学的发展:托马斯-威克姆-琼斯(TWJ)基金会的历史。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001191
Mark Wickham-Jones, Martin Bailey
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引用次数: 0
Congenital hearing loss - Introduction of the R67 large gene panel in England. 先天性听力损失 - 在英格兰引入 R67 大基因面板。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001348
Ahmed Fazili, Hannah Blanchford, Kostas Tsioulos
{"title":"Congenital hearing loss - Introduction of the R67 large gene panel in England.","authors":"Ahmed Fazili, Hannah Blanchford, Kostas Tsioulos","doi":"10.1017/S0022215124001348","DOIUrl":"https://doi.org/10.1017/S0022215124001348","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467693","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
Investigation of vocal cord palsy etiology- timing and relevance of imaging. 声带麻痹病因调查--影像学检查的时机和相关性。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001683
Bahareh Bakhshaie Philipsen, Jacob Mølstrøm, Camilla Slot Mehlum, Gitte Bjørn Hvilsom
{"title":"Investigation of vocal cord palsy etiology- timing and relevance of imaging.","authors":"Bahareh Bakhshaie Philipsen, Jacob Mølstrøm, Camilla Slot Mehlum, Gitte Bjørn Hvilsom","doi":"10.1017/S0022215124001683","DOIUrl":"https://doi.org/10.1017/S0022215124001683","url":null,"abstract":"","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1-25"},"PeriodicalIF":1.1,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467723","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
Sex differences in donor-site morbidity after microvascular free tissue head and neck reconstruction. 头颈部微血管游离组织重建术后捐献部位发病率的性别差异。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-21 DOI: 10.1017/S0022215124001257
Jordan I Teitelbaum, David D Choi, Kattia F Moreno, Meredith E Tabangin, Yash J Patil

Background: The purpose of this study is to investigate whether sex plays a role in donor-site dysfunction after head and neck reconstruction.

Methods: In this retrospective case series, 76 patients were assessed for donor-site morbidity using the Short Form 36, Short Musculoskeletal Function Assessment, disabilities of the arm, shoulder, and hand, and lower-limb core scale. Differences by sex were compared using t-tests. Multivariable linear regression analysis was conducted to adjust for potential confounders.

Results: Females observed significantly greater disability for the SF-36 mental component summary score with a mean of 45.9 (standard deviation 10.5) compared to males, with a mean of 51.8 (standard deviation 10.2), p = 0.02. Sex is significantly related to SF-36 mental component summary score after controlling for neuropsychiatric disease and tracheostomy status.

Conclusion: Females reported significantly worse mental component scores compared to males undergoing free flap reconstruction of the head and neck.

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引用次数: 0
Management of supraglottic stenosis using interarytenoid Z-plasty: how I do it. 使用喉间 Z 形成形术治疗声门上狭窄:我是怎么做的
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-01 Epub Date: 2024-05-06 DOI: 10.1017/S0022215124000926
Hussein Jaffal, Parker Tumlin, Erica McArdle

Background: Supraglottoplasty is the primary surgical treatment of congenital laryngomalacia. Supraglottic stenosis is a rare complication of supraglottoplasty that is difficult to manage.

Methods: This study presents a new endoscopic mucosa-sparing Z-plasty double transposition flap technique that was used to manage supraglottic stenosis following supraglottoplasty for severe congenital laryngomalacia in an eight-month-old infant.

Results: At 10 months post-operatively, the patient remained asymptomatic and flexible laryngoscopy showed adequate supraglottic patency.

Conclusion: Endoscopic interarytenoid Z-plasty is a safe and effective technique in the management of paediatric supraglottic stenosis.

背景:声门上成形术是治疗先天性喉发育不全的主要手术方法。声门上狭窄是声门上成形术的一种罕见并发症,很难处理:本研究介绍了一种新的内镜下粘膜保全 Z-plasty 双转位皮瓣技术,该技术用于处理一名 8 个月大婴儿因重度先天性喉肌无力而进行声门上成形术后出现的声门上狭窄:结果:术后 10 个月,患者仍无症状,柔性喉镜检查显示声门上通畅:结论:内镜下喉间Z成形术是治疗小儿声门上狭窄的一种安全有效的技术。
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引用次数: 0
Absolute voice rest following phonomicrosurgery, quality of life in vestibular schwannoma patients and cocaine use in sinonasal surgery. 咽喉外科手术后的绝对静音、前庭分裂瘤患者的生活质量以及鼻窦手术中可卡因的使用。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-01 Epub Date: 2024-11-22 DOI: 10.1017/S0022215124002238
Jonathan Fishman, Edward W Fisher
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引用次数: 0
Otoendoscopy as a better preoperative predictor than pure tone audiometry for ossicular erosion in mucosal chronic otitis media. 与 PTA 相比,腹腔镜检查能更好地预测粘膜 COM 的骨质侵蚀情况。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-10-01 Epub Date: 2024-05-01 DOI: 10.1017/S002221512400080X
Abhishek Bhardwaj, Kartikesh Gupta, Suji Ps, Manu Malhotra, Madhu Priya, Saurabh Varshney, Rachit Sood, Arpana Singh

Objective: To compare the diagnostic accuracy of angled otoendoscopy with pure tone audiometry in predicting ossicular discontinuity in patients of mucosal chronic otitis media.

Methods: Ninety-four patients were included in this prospective study. A 2.7-mm 30° otoendoscope was used to examine ossicular status preoperatively. Hearing thresholds were recorded by pure tone audiometry. Intraoperative ossicular status was recorded as the gold standard. Otoendoscopic findings were recorded as per the criteria has been devised by the authors of this manuscript.

Results: Otoendoscopy was conclusive in 56 (59.6 per cent) patients, with 100 per cent sensitivity, 95.56 per cent specificity, 84.62 per cent positive predictive value, and 100 per cent negative predictive value in the conclusive group. Overall (in 94 patients), diagnostic test values of otoendoscopy were 73.33 per cent sensitivity, 97.47 per cent specificity, 84.62 per cent positive predictive value, and 95.06 per cent negative predictive value. As per the ROC curve, air-bone gap > 38.12dB had the optimal diagnostic test values, with 73 per cent sensitivity, 72 per cent specificity, 33.3 per cent positive predictive value, and 93.4 per cent negative predictive value.

Conclusion: Angled otoendoscopy has better diagnostic accuracy (93.6 per cent) than pure tone audiometry (72.3 per cent; p < 0.001) for preoperative ossicular discontinuity prediction in patients of mucosal chronic otitis media.

目的比较角度耳内镜检查和纯音测听在预测粘膜慢性中耳炎患者听骨不连续性方面的诊断准确性:这项前瞻性研究共纳入了 94 名患者。方法:这项前瞻性研究共纳入 94 名患者。术前使用 2.7 毫米 30° 耳道镜检查听骨状况。通过纯音测听记录听阈。术中听小骨状态记录作为金标准。根据本手稿作者制定的标准记录耳内镜检查结果:56例(59.6%)患者的耳内镜检查结果为确诊,确诊组的敏感性为100%,特异性为95.56%,阳性预测值为84.62%,阴性预测值为100%。总体而言(94 名患者),腹腔镜检查的诊断测试值为:敏感性 73.33%,特异性 97.47%,阳性预测值 84.62%,阴性预测值 95.06%。根据 ROC 曲线,气骨间隙 > 38.12dB 的诊断测试值最佳,敏感性为 73%,特异性为 72%,阳性预测值为 33.3%,阴性预测值为 93.4%:结论:在对粘膜慢性中耳炎患者进行术前听骨不连续预测时,角度耳内镜检查的诊断准确率(93.6%)高于纯音测听(72.3%;P < 0.001)。
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引用次数: 0
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Journal of Laryngology and Otology
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