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Can immersive olfactory training serve as an alternative treatment for patients with smell dysfunction? 沉浸式嗅觉训练可以作为嗅觉功能障碍患者的替代治疗方法吗?
IF 1.9 4区 医学 Pub Date : 2024-06-11 DOI: 10.1002/lio2.1270
Yun-Ting Chao MD, PhD, Freya Aden, Önder Göktas MD, Friedemann Schmidt MD, Gökhan Göktas MD, Miroslav Jurkov MD, Wolfgang Georgsdorf, Thomas Hummel MD

Objectives

Olfactory training (OT) has emerged as a first-line therapeutic approach to the management of olfactory dysfunction. Conventional OT (COT) involves the systematic home-based exposure to four distinct odors. Previous research has demonstrated that immersive OT (IOT) involving full-body exposure to dozens of distinct odors could also improve overall olfactory function. This study compared IOT and COT in terms of efficacy.

Methods

A total of 60 patients were enrolled and assigned to three groups. The IOT group (n = 25) underwent immersive exposure to 64 odors once daily in a specialized theater. COT participants (n = 17) sniffed four typical odors in a set of four jars twice daily at home. A control group (n = 18) underwent passive observation. Olfactory function was assessed before and after training.

Results

Significant improvements in composite threshold-discrimination-identification (TDI) scores were observed after training in both the IOT (mean difference = 2.5 ± 1.1. p = .030) and COT (mean difference = 4.2 ± 1.3, p = .002) groups. No changes were observed in the control group. A significantly higher proportion of patients in the COT group (41%) presented improvements of clinical importance (TDI ≥5.5) compared to the controls (p = .018). The improvements attained in the IOT group (20%) were less pronounced (p = .38).

Conclusion

While IOT did not exhibit the same efficacy as COT in restoring olfactory function, it still demonstrated promising outcomes. Future efforts to advance olfactory recovery should focus on cross-modal integration.

Level of Evidence

Level 3.

目的:嗅觉训练(OT)已成为治疗嗅觉功能障碍的一线治疗方法。传统的嗅觉训练(COT)包括在家中系统地接触四种不同的气味。之前的研究表明,全身暴露于数十种不同气味的沉浸式嗅觉训练(IOT)也能改善整体嗅觉功能。本研究比较了 IOT 和 COT 的疗效:共招募了 60 名患者,并将其分为三组。IOT 组(n = 25)每天一次在专门的剧场中身临其境地接触 64 种气味。COT组参与者(n = 17)每天两次在家中嗅闻一套四个罐子中的四种典型气味。对照组(n = 18)接受被动观察。对训练前后的嗅觉功能进行评估:结果:训练后,IOT 组(平均差异 = 2.5 ± 1.1,p = .030)和 COT 组(平均差异 = 4.2 ± 1.3,p = .002)的阈值-辨别-识别(TDI)综合评分均有显著提高。对照组未观察到任何变化。与对照组相比,COT 组(41%)患者的临床症状明显改善(TDI ≥5.5)(p = .018)。IOT组(20%)的改善不那么明显(p = .38):结论:虽然 IOT 在恢复嗅觉功能方面的疗效不如 COT,但仍显示出良好的效果。未来促进嗅觉恢复的工作应侧重于跨模态整合:证据等级:3 级。
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引用次数: 0
Impact of COVID-19 on facial plastic surgery volumes: A large database analysis of pre- and post-pandemic trends COVID-19 对面部整形手术量的影响:大流行前后趋势的大型数据库分析。
IF 1.9 4区 医学 Pub Date : 2024-06-11 DOI: 10.1002/lio2.1292
F. Jeffrey Lorenz MD, Andrew J. Rothka BS, Heather K. Schopper MD, Jessyka G. Lighthall MD, FACS

Objective

During the COVID-19 pandemic, elective surgeries faced cancelations due to quarantine measures. The objective of this study was to assess facial plastic and reconstructive surgery (FPRS) volume before, during, and after the height of the pandemic on a national scale.

Methods

The TriNetX Research Network identified 68,101,098 individuals aged 18+ with healthcare interactions from 2017 to 2022. Rates of common FPRS surgeries and procedures were compared during March–August of each year, aligning with the pandemic lockdown.

Results

Compared to immediately before the pandemic in 2019, the 2020 pandemic peak saw an overall surgical volume reduction of −36.8%, with specific surgeries decreasing significantly: rhinoplasty (−28.6%), septoplasty (−34.0%), rhytidectomy (−54.9%), blepharoplasty (−40.7%), brow lift (−43.8%), ectropion/entropion repair (−35.6%), repair of blepharoptosis (−45.6%), correction of lagophthalmos (−29.9%), correction of lid retraction (−36.8%), and lipectomy (−41.8%) (p < .001). The procedural volume also decreased by 28.6%, encompassing reductions in various procedures: botulinum toxin A (−18.7%), facial filler (−40.7%), dermabrasion (−62.3%), chemical peel (−36.6%), and intralesional injection (−33.3%) (p < .001). In contrast to 2020, 2021 witnessed an increase of +75.0% in total surgical and +61.3% procedural volume: rhinoplasty (+81.0%), septoplasty (+74.7%), rhytidectomy (+143.4%), blepharoplasty (+81.7%), brow lift (+64.5%), ectropion/entropion repair (+55.2%), repair of blepharoptosis (+62.7%), correction of lagophthalmos (+39.0%), correction of lid retraction (+73.0%), lipectomy (+121.2%), botulinum toxin A (+52.4%), filler (+59.6%), dermabrasion (+91.8%), chemical peel (+78.8%), and intralesional injection (+67.3%) (p < .001). In 2022, rates of total surgeries (+8.5%) and procedures (+12.8%) surpassed pre-pandemic levels from 2019 (p < .001).

Conclusions

FPRS experienced significant pandemic-induced decreases, followed by a notable recovery in subsequent years, with certain surgeries and procedures surpassing pre-pandemic levels.

Level of Evidence

4.

目的:在 COVID-19 大流行期间,择期手术因隔离措施而被取消。本研究的目的是在全国范围内评估大流行之前、期间和之后的面部整形和修复手术(FPRS)量:TriNetX研究网络确定了2017年至2022年期间与医疗保健互动的68,101,098名18岁以上的个人。比较了每年 3 月至 8 月期间常见的 FPRS 手术和程序的比率,这与大流行病封锁的时间一致:与 2019 年大流行前夕相比,2020 年大流行高峰期的总体手术量减少了 -36.8%,其中特定手术量明显减少:鼻成形术(-28.6%)、鼻中隔成形术(-34.0%)、皱襞切除术(-54.9%)、眼睑成形术(-40.7%)、提眉术(-43.8%)、外翻/内翻修复术(-35.6%)、睑外翻修复术(-45.6%)、眼睑下垂矫正术(-29.9%)、睑内翻矫正术(-36.8%)和唇切除术(-41.8%)(P P P P P 结论:FPRS经历了由大流行引起的显著下降,随后几年明显恢复,某些手术和程序超过了大流行前的水平:4.
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引用次数: 0
Outcomes following cochlear implantation with eluting electrodes: A systematic review 使用洗脱电极植入人工耳蜗后的效果:系统回顾
IF 1.9 4区 医学 Pub Date : 2024-06-07 DOI: 10.1002/lio2.1263
Alex Fleet BA, Yasmin Nikookam BSc, Anshul Radotra MBChB, BSc, Shravan Gowrishankar MA, MB BChir, Christopher Metcalfe MBChB, MRCS (ENT), Jameel Muzaffar MSc, FRCS (ORL-HNS), Matthew E. Smith PhD, FRCS (ORL-HNS), Peter Monksfield MSc, FRCS (ORL-HNS), Manohar Bance MSc, FRCS, FRCSC

Objectives

To establish audiological and other outcomes following cochlear implantation in humans and animals with eluting electrodes.

Methods

Systematic review and narrative synthesis. Databases searched (April 2023): MEDLINE, EMBASE, CENTRAL, ClinicalTrials.gov, and Web of Science. Studies reporting outcomes in either humans or animals following cochlear implantation with a drug-eluting electrode were included. No limits were placed on language or year of publication. Risk of bias assessment was performed on all included studies using either the Brazzelli or Systematic Review Centre for Laboratory animal Experimentation (SYRCLE) assessment tools. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement.

Results

Searches identified 146 abstracts and 108 full texts. Of these, 18 studies met the inclusion criteria, reporting outcomes in 523 animals (17 studies) and 24 humans (1 study). Eluting electrodes included dexamethasone (16 studies), aracytine (1 study), nicotinamide adenine dinucleotide (1 study), the growth factors insulin-like growth factor 1 (IGF1) and hepatocyte growth factor (HGF) (1 study), and neurotrophin-3 (1 study). All included studies compare outcomes following implantation with an eluting electrode with a control non-eluting electrode. In the majority of studies, audiological outcomes (e.g., auditory brainstem response threshold) were superior following implantation with an eluting electrode compared with a standard electrode. Most studies which investigated post-implantation impedance reported lower impedance following implantation with an eluting electrode. The influence of eluting electrodes on other reported outcomes (including post-implantation cochlear fibrosis and the survival of hair cells and spiral ganglion neurons) was more varied across the included studies.

Conclusions

Eluting electrodes have shown promise in animal studies in preserving residual hearing following cochlear implantation and in reducing impedance, though data from human studies remain lacking. Further in-human studies will be required to determine the clinical usefulness of drug-eluting cochlear implants as a future treatment for sensorineural hearing loss.

目的 确定使用洗脱电极对人类和动物进行人工耳蜗植入后的听力和其他结果。 方法 系统综述和叙述性综述。检索数据库(2023 年 4 月):MEDLINE、EMBASE、CENTRAL、ClinicalTrials.gov 和 Web of Science。纳入了报告使用药物洗脱电极植入人工耳蜗后人类或动物结果的研究。语言或发表年份不限。所有纳入的研究均采用布拉泽利或实验动物实验系统综述中心 (SYRCLE) 的评估工具进行偏倚风险评估。综述按照《系统综述和荟萃分析首选报告项目》(PRISMA)2020 声明进行。 结果 通过检索发现了 146 篇摘要和 108 篇全文。其中,18 项研究符合纳入标准,报告了 523 只动物(17 项研究)和 24 名人类(1 项研究)的结果。洗脱电极包括地塞米松(16 项研究)、阿糖胞苷(1 项研究)、烟酰胺腺嘌呤二核苷酸(1 项研究)、生长因子胰岛素样生长因子 1 (IGF1) 和肝细胞生长因子 (HGF) (1 项研究)以及神经营养素-3(1 项研究)。所有纳入的研究都比较了植入洗脱电极与对照非洗脱电极后的结果。在大多数研究中,植入洗脱电极后的听力结果(如听性脑干反应阈值)优于标准电极。大多数调查植入后阻抗的研究报告称,植入洗脱电极后阻抗较低。洗脱电极对其他报告结果的影响(包括植入后耳蜗纤维化以及毛细胞和螺旋神经节神经元的存活率)在纳入的研究中差异较大。 结论 在动物实验中,洗脱电极在保留人工耳蜗植入后的残余听力和降低阻抗方面显示出良好的前景,但仍缺乏人体实验数据。要确定药物洗脱人工耳蜗作为未来感音神经性听力损失治疗方法的临床实用性,还需要进一步的人体研究。
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引用次数: 0
High prevalence of syndromic hearing loss in Mexican children undergoing cochlear implantation 接受人工耳蜗植入手术的墨西哥儿童综合听力损失发病率高
IF 1.9 4区 医学 Pub Date : 2024-06-07 DOI: 10.1002/lio2.1291
Monica Rodriguez-Valero MD, Adrian Pastolero BS, Shelby Redfield MS CGC, Alma Medrano MD, Melania Abreu-Gonzalez MD, Jose Francisco Gallardo-Ollervides MD, Juan Carlos Cisneros Lesser MD, Maria Fernanda Hinojosa Valencia PhD, Dennis Poe MD, PhD, Eliot Shearer MD, PhD

Objective

Studies evaluating genetic sensorineural hearing loss (SNHL) in Hispanic and Latino populations using genomic technologies are lacking. Recent data has shown that Hispanic and Latino children display lower genetic diagnostic rates despite similar prevalence rates of SNHL to their Asian and White counterparts, thus negatively affecting their clinical care. Our objective was to determine the genetic contribution to SNHL in a population of Mexican children undergoing evaluation for cochlear implantation.

Methods

Pediatric patients from Mexico with severe to profound SNHL undergoing evaluation for cochlear implantation were recruited. Exome sequencing (ES) or hearing loss gene panel testing was performed. Variant pathogenicity was established in accordance to criteria established by the American College of Medical Genetics, and variants of interest were clinically confirmed via CLIA certified laboratory.

Results

Genetic evaluation was completed for 30 Mexican children with severe to profound SNHL. A genetic cause was identified for 47% (14) of probands, and 7% (2) probands had an inconclusive result. Of the diagnoses, 10 (71%) were syndromic or likely syndromic, and 4 (29%) were nonsyndromic. Eight probands (80% of all syndromic diagnoses) were diagnosed with a syndromic form of hearing loss that mimics a nonsyndromic clinical presentation at a young age and so could not be suspected based on clinical evaluation alone without genetic testing.

Conclusion

This is the largest study to date to use comprehensive genomic testing for the evaluation of Mexican children with severe to profound SNHL. A significant proportion of children in this cohort were diagnosed with syndromic hearing loss. Future study in a larger cohort of Mexican children with varying degrees of hearing loss is required to improve the efficacy of genetic testing and timely medical intervention within these ethnically diverse populations.

Level of evidence

Level 4 (cohort study).

目的:目前尚缺乏利用基因组学技术评估西班牙裔和拉丁裔人群遗传性感音神经性听力损失(SNHL)的研究。最近的数据显示,尽管西班牙裔和拉丁裔儿童的感音神经性听力损失发病率与亚裔和白人儿童相似,但他们的遗传诊断率较低,因此对他们的临床治疗产生了负面影响。我们的目标是确定接受人工耳蜗植入评估的墨西哥儿童群体中 SNHL 的遗传因素。 方法 我们招募了正在接受人工耳蜗植入评估的墨西哥重度到极重度SNHL儿童患者。进行外显子组测序(ES)或听力损失基因面板检测。根据美国医学遗传学会(American College of Medical Genetics)制定的标准确定变异的致病性,并通过 CLIA 认证实验室对感兴趣的变异进行临床确认。 结果 对 30 名患有重度到极重度 SNHL 的墨西哥儿童完成了遗传评估。47%(14 名)的病例确定了遗传原因,7%(2 名)的病例结果不确定。在诊断结果中,10 例(71%)为综合征或可能为综合征,4 例(29%)为非综合征。有 8 名受试者(占所有综合征受试者的 80%)被诊断出患有综合征形式的听力损失,这种听力损失在幼年时的临床表现与非综合征相似,因此如果不进行基因检测,仅根据临床评估是无法怀疑这种听力损失的。 结论 这是迄今为止对患有重度至极重度SNHL的墨西哥儿童进行全面基因组检测评估的最大规模研究。队列中相当一部分儿童被诊断为综合听力损失。今后需要对更大范围内患有不同程度听力损失的墨西哥儿童进行研究,以提高基因检测的有效性,并对这些不同种族的人群进行及时的医疗干预。 证据等级 4 级(队列研究)。
{"title":"High prevalence of syndromic hearing loss in Mexican children undergoing cochlear implantation","authors":"Monica Rodriguez-Valero MD,&nbsp;Adrian Pastolero BS,&nbsp;Shelby Redfield MS CGC,&nbsp;Alma Medrano MD,&nbsp;Melania Abreu-Gonzalez MD,&nbsp;Jose Francisco Gallardo-Ollervides MD,&nbsp;Juan Carlos Cisneros Lesser MD,&nbsp;Maria Fernanda Hinojosa Valencia PhD,&nbsp;Dennis Poe MD, PhD,&nbsp;Eliot Shearer MD, PhD","doi":"10.1002/lio2.1291","DOIUrl":"https://doi.org/10.1002/lio2.1291","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Studies evaluating genetic sensorineural hearing loss (SNHL) in Hispanic and Latino populations using genomic technologies are lacking. Recent data has shown that Hispanic and Latino children display lower genetic diagnostic rates despite similar prevalence rates of SNHL to their Asian and White counterparts, thus negatively affecting their clinical care. Our objective was to determine the genetic contribution to SNHL in a population of Mexican children undergoing evaluation for cochlear implantation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Pediatric patients from Mexico with severe to profound SNHL undergoing evaluation for cochlear implantation were recruited. Exome sequencing (ES) or hearing loss gene panel testing was performed. Variant pathogenicity was established in accordance to criteria established by the American College of Medical Genetics, and variants of interest were clinically confirmed via CLIA certified laboratory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Genetic evaluation was completed for 30 Mexican children with severe to profound SNHL. A genetic cause was identified for 47% (14) of probands, and 7% (2) probands had an inconclusive result. Of the diagnoses, 10 (71%) were syndromic or likely syndromic, and 4 (29%) were nonsyndromic. Eight probands (80% of all syndromic diagnoses) were diagnosed with a syndromic form of hearing loss that mimics a nonsyndromic clinical presentation at a young age and so could not be suspected based on clinical evaluation alone without genetic testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This is the largest study to date to use comprehensive genomic testing for the evaluation of Mexican children with severe to profound SNHL. A significant proportion of children in this cohort were diagnosed with syndromic hearing loss. Future study in a larger cohort of Mexican children with varying degrees of hearing loss is required to improve the efficacy of genetic testing and timely medical intervention within these ethnically diverse populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of evidence</h3>\u0000 \u0000 <p>Level 4 (cohort study).</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/lio2.1291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141292634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Variation in aerosol generation by surgical modality during oropharyngeal and laryngeal surgery 口咽和喉部手术中不同手术方式产生气溶胶的差异。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1287
S. P. Sithole FCORL, MBChB, BPHYSIO, W. Kuhn FCORL, MBChB, L. A. Sibiya FCORL, MMED, MBChB, MBA

Objectives

The objectives were to determine the surgical modality with the lowest aerosol and droplets generated by commonly used modalities in oropharyngeal and laryngeal surgery.

Methods

A simulation of oropharyngeal and laryngeal surgery was set up using fresh sheep heads. Four common surgical modalities were utilized: cold steel, electrocautery, coblation, and microdebrider. The resultant aerosol generated was evaluated using two measurement modalities at two key positions in the theater. (1) DustTrak Pro Aerosol Monitor was used to measure the concentration of particles. (2) Fluorescein dye coated on the oropharynx and larynx, and the resultant scatter on paper.

Results

Electrocautery and coblation produced statistically significant increases in the concentration of aerosols (p < .001). Microdebrider and cold steel instrumentation produced the least aerosols. No measurable fluorescein droplets were noted for all four modalities.

Conclusion

Electrocautery and coblation produced higher concentrations of aerosols. Mitigation factors should be considered with instruments with increased aerosolization. These modalities show low droplet-related infection risk.

目的目的是确定口咽和喉部手术常用方式产生的气溶胶和飞沫最少的手术方式:方法:使用新鲜羊头模拟口咽和喉部手术。使用了四种常见的手术方式:冷钢、电灼、钴化和微型除渣器。在手术室的两个关键位置使用两种测量模式对产生的气溶胶进行评估。(1) DustTrak Pro 气溶胶监测器用于测量微粒的浓度。(2) 在口咽和喉部涂上荧光素染料,并将结果散射在纸上:结果:电灼和灼烧会导致气溶胶浓度在统计学上显著增加(p 结论:电灼和灼烧会导致气溶胶浓度在统计学上显著增加:电烧和电凝会产生更高浓度的气溶胶。在使用气溶胶浓度较高的器械时应考虑缓解因素。这些方法的飞沫相关感染风险较低。
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引用次数: 0
Long-term follow-up and prognostic analysis of parotid tumors in children and adolescents 儿童和青少年腮腺肿瘤的长期随访和预后分析。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1275
Lei Liu MM, Yuqing Xiang MM, Chunyan Shui MM, Chao Li MD, Lujing Xiong MM, Jinchuan Hu MM, Hao Ai MM, Yuqiu Zhou MM, Jian Jiang MD, Yongcong Cai MM

Objectives

The objective of this study is to summarize the clinical characteristics, treatment, and prognosis of parotid tumors in children and adolescents.

Methods

Fifty-three children and adolescents diagnosed with parotid gland tumors were included. Survival was evaluated using the Kaplan–Meier method. Log-rank test and multivariate analysis were used to analyze the association between clinical factors and recurrence.

Results

Of the 53 patients, 30 cases were benign and 23 cases were malignant. All patients underwent surgery. Patients with malignant tumors with high-risk factors received radiotherapy or chemotherapy. The median follow-up time was 61 months. Of these, 1 patient with benign tumor and 5 patients with malignant tumors recurred. Of the patients with malignant tumors, 2 developed distant metastases and 2 died. The 5-year overall survival (OS) and 5-year locoregional recurrence-free survival (LRFS) rates for benign tumors were 100.0% and 92.9%, respectively, whereas the 5-year OS and 5-year LRFS rates for malignant tumors were 94.4% and 72.5%, respectively. The log-rank univariate test showed that tumor size >3.5 cm (p = .056), distant metastasis (p = .056), and stage III and IV (p = .032) were associated with recurrence. However, multivariate analysis did not show the above factors to be independent prognostic factors for LRFS.

Conclusion

Surgery for benign tumors depends on the location and size. Surgery for malignant parotid tumors depends mainly on the stage, grade, pathological type, and recurrence. Prophylactic lymph node dissection is required for high-grade tumors. Radiotherapy or chemotherapy for children needs more research. Both benign and malignant tumors have high survival rates after active treatment.

Level of evidence

Level 2.

研究目的本研究旨在总结儿童和青少年腮腺肿瘤的临床特点、治疗和预后:方法:纳入53名确诊患有腮腺肿瘤的儿童和青少年。采用 Kaplan-Meier 法评估生存率。采用对数秩检验和多变量分析法分析临床因素与复发之间的关系:53例患者中,30例为良性,23例为恶性。所有患者均接受了手术治疗。具有高危因素的恶性肿瘤患者接受了放疗或化疗。中位随访时间为61个月。其中,1 名良性肿瘤患者和 5 名恶性肿瘤患者复发。在恶性肿瘤患者中,2 人出现远处转移,2 人死亡。良性肿瘤患者的5年总生存率(OS)和5年无局部复发生存率(LRFS)分别为100.0%和92.9%,而恶性肿瘤患者的5年OS和5年无局部复发生存率分别为94.4%和72.5%。对数秩单变量检验显示,肿瘤大小>3.5厘米(p = .056)、远处转移(p = .056)、III期和IV期(p = .032)与复发有关。然而,多变量分析并未显示上述因素是LRFS的独立预后因素:结论:良性肿瘤的手术取决于肿瘤的位置和大小。结论:良性肿瘤的手术取决于位置和大小,恶性腮腺肿瘤的手术主要取决于分期、分级、病理类型和复发情况。高级别肿瘤需要进行预防性淋巴结清扫。儿童放疗或化疗需要更多研究。良性和恶性肿瘤在积极治疗后都有很高的生存率:证据等级:2 级。
{"title":"Long-term follow-up and prognostic analysis of parotid tumors in children and adolescents","authors":"Lei Liu MM,&nbsp;Yuqing Xiang MM,&nbsp;Chunyan Shui MM,&nbsp;Chao Li MD,&nbsp;Lujing Xiong MM,&nbsp;Jinchuan Hu MM,&nbsp;Hao Ai MM,&nbsp;Yuqiu Zhou MM,&nbsp;Jian Jiang MD,&nbsp;Yongcong Cai MM","doi":"10.1002/lio2.1275","DOIUrl":"10.1002/lio2.1275","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The objective of this study is to summarize the clinical characteristics, treatment, and prognosis of parotid tumors in children and adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-three children and adolescents diagnosed with parotid gland tumors were included. Survival was evaluated using the Kaplan–Meier method. Log-rank test and multivariate analysis were used to analyze the association between clinical factors and recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 53 patients, 30 cases were benign and 23 cases were malignant. All patients underwent surgery. Patients with malignant tumors with high-risk factors received radiotherapy or chemotherapy. The median follow-up time was 61 months. Of these, 1 patient with benign tumor and 5 patients with malignant tumors recurred. Of the patients with malignant tumors, 2 developed distant metastases and 2 died. The 5-year overall survival (OS) and 5-year locoregional recurrence-free survival (LRFS) rates for benign tumors were 100.0% and 92.9%, respectively, whereas the 5-year OS and 5-year LRFS rates for malignant tumors were 94.4% and 72.5%, respectively. The log-rank univariate test showed that tumor size &gt;3.5 cm (<i>p</i> = .056), distant metastasis (<i>p</i> = .056), and stage III and IV (<i>p</i> = .032) were associated with recurrence. However, multivariate analysis did not show the above factors to be independent prognostic factors for LRFS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Surgery for benign tumors depends on the location and size. Surgery for malignant parotid tumors depends mainly on the stage, grade, pathological type, and recurrence. Prophylactic lymph node dissection is required for high-grade tumors. Radiotherapy or chemotherapy for children needs more research. Both benign and malignant tumors have high survival rates after active treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of evidence</h3>\u0000 \u0000 <p>Level 2.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Long-term outcomes following impedance-controlled radiofrequency ablation for the treatment of chronic rhinitis 阻抗控制射频消融治疗慢性鼻炎后的长期疗效。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1286
Douglas D. Reh MD, Kristopher Lay MD, Greg Davis MD, Marc G. Dubin MD, David M. Yen MD, Ellen M. O'Malley MS, Michael Sillers MD

Objective

To assess long-term safety and effectiveness of a multipoint, impedance-controlled, RF ablation device for treatment of chronic rhinitis through 12-month follow-up.

Methods

A prospective, multicenter study. Bilateral posterior nasal nerve (PNN) ablation was performed on all participants. Assessments at 6-, 9-, and 12-month visits included Visual Analog Scale Nasal Symptom Score (VAS NSS), reflective Total Nasal Symptom Score (rTNSS), mini-Rhinoconjunctivitis Quality of Life Questionnaire (mini RQLQ), and adverse events.

Results

Thirty-six participants were enrolled and 35 completed the 12-month follow-up. All 5 VAS NSS items demonstrated statistically significant improvement (p < .0001) over baseline at all 3 time points. The total rTNSS improved from 7.9 ± 1.8 at baseline to 4.3 ± 2.1 at 6-months, 3.8 ± 2.4 at 9-months, and 4.0 ± 2.1 at 12-months (all p < .0001). At 12-months, 91% (31/35) of participants had achieved the minimum clinically important difference (MCID) of a reduction from baseline of ≥1 point and 80% (28/35) of the participants met the responder criteria of ≥30% reduction from baseline. The total mean mini RQLQ was reduced from 3.0 ± 1.0 at baseline to 1.4 ± 0.8 at 6-months, 1.4 ± 1.0 at 9-months, and 1.3 ± 0.8 at 12-months (all p < .0001). At 12-months, 86% (30/35) of participants achieved the MCID of a reduction from baseline of ≥0.4 points for the mini RQLQ. No related serious adverse events occurred during the study.

Conclusions

Impedance-controlled RF ablation of the PNN is safe and resulted in durable, significant improvement in rhinitis symptoms and quality of life through 12-month follow-up.

Trial Registration

The study is registered at www.clinicaltrials.gov with the unique identifier of NCT05324397.

Level of Evidence

4.

目的:评估多点阻抗控制射频消融装置治疗慢性鼻炎的长期安全性和有效性:通过 12 个月的随访,评估多点阻抗控制射频消融设备治疗慢性鼻炎的长期安全性和有效性:方法:前瞻性多中心研究。所有参与者均接受了双侧后鼻神经(PNN)消融术。6个月、9个月和12个月的随访评估包括视觉模拟量表鼻症状评分(VAS NSS)、反映性鼻症状总评分(rTNSS)、迷你鼻结膜炎生活质量问卷(mini RQLQ)和不良事件:共有 36 人参加,其中 35 人完成了为期 12 个月的随访。所有 5 个 VAS NSS 项目在统计学上都有显著改善(p p p p 结论):阻抗控制的射频消融 PNN 是安全的,在 12 个月的随访中,鼻炎症状和生活质量得到了持久、显著的改善:该研究注册于 www.clinicaltrials.gov,唯一标识符为 NCT05324397。证据级别:4:4.
{"title":"Long-term outcomes following impedance-controlled radiofrequency ablation for the treatment of chronic rhinitis","authors":"Douglas D. Reh MD,&nbsp;Kristopher Lay MD,&nbsp;Greg Davis MD,&nbsp;Marc G. Dubin MD,&nbsp;David M. Yen MD,&nbsp;Ellen M. O'Malley MS,&nbsp;Michael Sillers MD","doi":"10.1002/lio2.1286","DOIUrl":"10.1002/lio2.1286","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To assess long-term safety and effectiveness of a multipoint, impedance-controlled, RF ablation device for treatment of chronic rhinitis through 12-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A prospective, multicenter study. Bilateral posterior nasal nerve (PNN) ablation was performed on all participants. Assessments at 6-, 9-, and 12-month visits included Visual Analog Scale Nasal Symptom Score (VAS NSS), reflective Total Nasal Symptom Score (rTNSS), mini-Rhinoconjunctivitis Quality of Life Questionnaire (mini RQLQ), and adverse events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-six participants were enrolled and 35 completed the 12-month follow-up. All 5 VAS NSS items demonstrated statistically significant improvement (<i>p</i> &lt; .0001) over baseline at all 3 time points. The total rTNSS improved from 7.9 ± 1.8 at baseline to 4.3 ± 2.1 at 6-months, 3.8 ± 2.4 at 9-months, and 4.0 ± 2.1 at 12-months (all <i>p</i> &lt; .0001). At 12-months, 91% (31/35) of participants had achieved the minimum clinically important difference (MCID) of a reduction from baseline of ≥1 point and 80% (28/35) of the participants met the responder criteria of ≥30% reduction from baseline. The total mean mini RQLQ was reduced from 3.0 ± 1.0 at baseline to 1.4 ± 0.8 at 6-months, 1.4 ± 1.0 at 9-months, and 1.3 ± 0.8 at 12-months (all <i>p</i> &lt; .0001). At 12-months, 86% (30/35) of participants achieved the MCID of a reduction from baseline of ≥0.4 points for the mini RQLQ. No related serious adverse events occurred during the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Impedance-controlled RF ablation of the PNN is safe and resulted in durable, significant improvement in rhinitis symptoms and quality of life through 12-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The study is registered at www.clinicaltrials.gov with the unique identifier of NCT05324397.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Level of Evidence</h3>\u0000 \u0000 <p>4.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global trends and hotspots on recurrent respiratory papillomatosis: A 20-year bibliometric analysis 复发性呼吸道乳头状瘤病的全球趋势和热点:20 年文献计量分析。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1271
Chao Wang MD, Yufei Pan MD, Huili Huang MD, Kai Liu MD, PhD, Zhenkun Yu MD, PhD

Objectives

Recurrent respiratory papillomatosis (RRP) is the most common benign laryngeal tumor in children. It can cause serious psychological and mental burden on patients since RRP requires repeated surgical treatment. This study aims to delineate the global trends and identify hotspots related to RRP over the past two decades.

Methods

We systematically gathered research findings on RRP from 2004 to 2023, utilizing the Web of Science as our data source. Subsequently, we performed a comprehensive bibliometric analysis of the literature using Vosviewer, CiteSpace, and Bibliometrics online analysis platform.

Results

A total of 839 publications were finally identified on RRP from 2004 to 2023. The United States has the largest number of publications (392), accounting for 46.7%. The Capital Medical University is the most productive organization (24), followed by the Centers for Disease Control and Prevention (18). The most productive journal was the Laryngoscope, with 86 publicatios. Comparatively, Vaccine is the most cited journal (2297). Craig S. Derkay ranked highest among all authors in publication (16). Burst detection shows onset, adjuvant therapy, management, juvenile-onset RRP, systemic bevacizumab, avastin, human papillomavirus vaccine are recent keywords of great interest to researchers.

Conclusion

Research on RRP has progressed significantly over the past two decades, especially in terms of therapeutic strategies. We strongly believe that this article will provide new research directions for other researchers and may contribute to future breakthroughs in the field.

目的:复发性呼吸道乳头状瘤病(RRP)是儿童最常见的喉良性肿瘤:复发性呼吸道乳头状瘤病(RRP)是儿童最常见的喉部良性肿瘤。由于复发性呼吸道乳头状瘤病需要反复进行手术治疗,因此会给患者造成严重的心理和精神负担。本研究旨在描述过去二十年来与RRP相关的全球趋势并确定相关热点:我们利用 Web of Science 作为数据源,系统地收集了 2004 年至 2023 年有关 RRP 的研究成果。随后,我们利用 Vosviewer、CiteSpace 和 Bibliometrics 在线分析平台对文献进行了全面的文献计量分析:结果:从 2004 年到 2023 年,最终共发现了 839 篇关于 RRP 的出版物。美国的论文数量最多(392篇),占46.7%。发表论文最多的机构是首都医科大学(24 篇),其次是美国疾病控制和预防中心(18 篇)。发表论文最多的期刊是《喉镜》,共发表 86 篇论文。相比之下,《疫苗》是被引用次数最多的期刊(2297 次)。Craig S. Derkay 在所有作者中发表论文最多(16 篇)。突发性检测显示发病、辅助治疗、管理、青少年发病的 RRP、全身用贝伐单抗、阿瓦斯汀、人乳头瘤病毒疫苗是近期研究人员非常感兴趣的关键词:结论:在过去的二十年里,RRP 研究取得了长足的进步,尤其是在治疗策略方面。我们坚信,本文将为其他研究人员提供新的研究方向,并为该领域未来的突破做出贡献。
{"title":"Global trends and hotspots on recurrent respiratory papillomatosis: A 20-year bibliometric analysis","authors":"Chao Wang MD,&nbsp;Yufei Pan MD,&nbsp;Huili Huang MD,&nbsp;Kai Liu MD, PhD,&nbsp;Zhenkun Yu MD, PhD","doi":"10.1002/lio2.1271","DOIUrl":"10.1002/lio2.1271","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Recurrent respiratory papillomatosis (RRP) is the most common benign laryngeal tumor in children. It can cause serious psychological and mental burden on patients since RRP requires repeated surgical treatment. This study aims to delineate the global trends and identify hotspots related to RRP over the past two decades.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We systematically gathered research findings on RRP from 2004 to 2023, utilizing the Web of Science as our data source. Subsequently, we performed a comprehensive bibliometric analysis of the literature using Vosviewer, CiteSpace, and Bibliometrics online analysis platform.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 839 publications were finally identified on RRP from 2004 to 2023. The United States has the largest number of publications (392), accounting for 46.7%. The Capital Medical University is the most productive organization (24), followed by the Centers for Disease Control and Prevention (18). The most productive journal was the <i>Laryngoscope</i>, with 86 publicatios. Comparatively, <i>Vaccine</i> is the most cited journal (2297). Craig S. Derkay ranked highest among all authors in publication (16). Burst detection shows onset, adjuvant therapy, management, juvenile-onset RRP, systemic bevacizumab, avastin, human papillomavirus vaccine are recent keywords of great interest to researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Research on RRP has progressed significantly over the past two decades, especially in terms of therapeutic strategies. We strongly believe that this article will provide new research directions for other researchers and may contribute to future breakthroughs in the field.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48529,"journal":{"name":"Laryngoscope Investigative Otolaryngology","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to be a good reviewer: A step-by-step guide for approaching peer review of a scientific manuscript 如何成为一名优秀的审稿人:科学手稿同行评审分步指南》。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1266
Ahmad R. Sedaghat MD, PhD, Manuel Bernal-Sprekelsen MD, PhD, Wytske J. Fokkens MD, PhD, Timothy L. Smith MD, MPH, Michael G. Stewart MD, MPH, Romaine F. Johnson MD, MPH

Objectives

The peer review process is critical to maintaining quality, reliability, novelty, and innovation in the scientific literature. However, the teaching of scientific peer review is rarely a component of formal scientific or clinical training, and even the most experienced peer reviewers express interest in continuing education. The objective of this review article is to summarize the collective perspectives of experienced journal editors about how to be a good reviewer in a step-by-step guide that can serve as a resource for the performance of peer review of a scientific manuscript.

Methods

This is a narrative review.

Results

A review of the history and an overview of the modern-day peer review process are provided with attention to the role played by the reviewer, including important reasons for involvement in scientific peer review. The general components of a scientific peer review are described, and a model for how to structure a peer review report is provided. These concepts are also summarized in a reviewer checklist that can be used in real-time to develop and double-check one's reviewer report before submitting it.

Conclusions

Peer review is a critically important service for maintaining quality in the scientific literature. Peer review of a scientific manuscript and the associated reviewer's report should assess specific details related to the accuracy, validity, novelty, and interpretation of a study's results. We hope that this article will serve as a resource and guide for reviewers of all levels of experience in the performance of peer review of a scientific manuscript.

目标:同行评审过程对于保持科学文献的质量、可靠性、新颖性和创新性至关重要。然而,科学同行评审教学很少成为正规科学或临床培训的一部分,即使是最有经验的同行评审员也表示有兴趣接受继续教育。这篇综述文章的目的是总结有经验的期刊编辑关于如何成为一名优秀审稿人的集体观点,提供一份循序渐进的指南,作为对科学手稿进行同行评审的资源:这是一篇叙述性综述:结果:回顾了同行评议的历史,概述了现代同行评议的流程,关注了审稿人所扮演的角色,包括参与科学同行评议的重要原因。介绍了科学同行评议的一般组成部分,并提供了如何撰写同行评议报告的模式。这些概念还概括在一份审稿人核对表中,可用于在提交审稿报告之前实时编制和反复检查审稿报告:同行评审是保持科学文献质量的一项极其重要的服务。对科学手稿和相关审稿人报告的同行评审应评估与研究结果的准确性、有效性、新颖性和解释相关的具体细节。我们希望这篇文章能为不同水平的审稿人在对科学手稿进行同行评审时提供资源和指导。
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引用次数: 0
Laryngeal chondromas: Current knowledge and future directions 喉软骨瘤:当前知识和未来方向。
IF 1.9 4区 医学 Pub Date : 2024-06-04 DOI: 10.1002/lio2.1265
Estephania Candelo MD, MSc, Anyull D. Bohorquez Caballero MD, Jorge A. Abello-Vaamonde MD, Ana Maria Sanz MD, Roberta Lozano Gonzalez MD, Cynthia Chelf MLS, AHIP, Abigail M. Williams BSc, Amy L. Rutt DO, FACS

Objective

Cartilaginous tumors of the larynx are rare, representing less than 1% of all laryngeal tumors. Chondromas are benign mesenchymal tumors characterized by a slow-paced growth, primarily originated in the cricoid cartilage, followed by the thyroid, arytenoid, and epiglottic cartilages. This scoping review aims to understand the extent of evidence on the epidemiology, clinical characteristics, morbidity, and recurrence of the laryngeal chondroma (LC).

Data sources

MEDLINE (Ovid), Embase (Elsevier), Web of Science (Clarivate), Cochrane Central Register of Controlled Trials and Systematic Reviews, Lilacs, Scopus, and Google Scholar databases.

Review methods

The scoping review was conducted from 1816 to 2023, for observational studies describing LC. Titles and abstracts were screened for relevance, followed by an evaluation of the full text for eligibility. The data were collected from the qualifying articles, and a narrative summary of the outcomes was prepared.

Results

One hundred and nineteen studies met the inclusion criteria. Ninety-four case reports, 22 case series, and 3 cohorts. Two hundred and four participants with a diagnosis of LC were described. Male:female ratio was 2.8:1. The most common localization was the cricoid (113; 47.08%), followed by the thyroid (45; 18.75%), and the arytenoid cartilage (27; 11.25%). Dyspnea (78.85%) and hoarseness (74.28%) were the most reported symptoms. The recurrence rate was 11.25%, and complications were uncommon following the resection.

Conclusion

This scoping review found a low-frequency rate over all the cartilaginous laryngeal tumors. Most patients were treated with resection, with a low rate of malignancy conversion. This population has low attributable mortality, morbidity, and recurrence according to the current literature.

目的:喉软骨瘤非常罕见,在所有喉肿瘤中所占比例不到1%。软骨瘤是一种良性间质肿瘤,其特点是生长缓慢,主要起源于环状软骨,其次是甲状软骨、杓状软骨和会厌软骨。本范围综述旨在了解有关喉软骨瘤(LC)的流行病学、临床特征、发病率和复发率的证据范围:MEDLINE (Ovid)、Embase (Elsevier)、Web of Science (Clarivate)、Cochrane Central Register of Controlled Trials and Systematic Reviews、Lilacs、Scopus 和 Google Scholar 数据库:从 1816 年到 2023 年,对描述 LC 的观察性研究进行了范围界定审查。首先对标题和摘要进行相关性筛选,然后对全文进行资格评估。从符合条件的文章中收集数据,并编写结果叙述性摘要:结果:119 项研究符合纳入标准。其中包括 94 篇病例报告、22 篇系列病例和 3 篇队列研究。共描述了 24 名确诊为 LC 的参与者。男女比例为 2.8:1。最常见的位置是环状软骨(113;47.08%),其次是甲状腺(45;18.75%)和杓状软骨(27;11.25%)。报告最多的症状是呼吸困难(78.85%)和声音嘶哑(74.28%)。复发率为 11.25%,切除术后并发症并不常见:此次范围审查发现,所有喉软骨肿瘤的发病率都很低。大多数患者都接受了切除治疗,恶性转化率较低。根据目前的文献,这类患者的死亡率、发病率和复发率都很低。
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引用次数: 0
期刊
Laryngoscope Investigative Otolaryngology
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