首页 > 最新文献

Laryngoscope最新文献

英文 中文
Olfactory Bulb Volume and Function Recovery in Eosinophilic Chronic Rhinosinusitis. 嗜酸性慢性鼻窦炎嗅球体积和功能恢复。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-07 DOI: 10.1002/lary.70415
Keisuke Yamamoto, Masaki Abukawa, Tsuyoshi Okuni, Mitsuhiro Nakanishi, Yuki Sakurai, Naoya Yama, Noriko Ogasawara, Ryuta Kamekura, Kenichi Takano

Objective: To evaluate perioperative changes in olfactory bulb volume (OBV) and olfactory function in patients with eosinophilic chronic rhinosinusitis (ECRS) using 3T magnetic resonance imaging (MRI) with fast imaging employing steady-state acquisition (FIESTA) sequence and to assess their associations.

Methods: This single-center, retrospective observational study included 32 patients with ECRS who underwent functional endoscopic sinus surgery. Olfactory function was assessed pre- and postoperatively using the Alinamin test, T&T olfactometer, Open Essence (OE), Odor Stick Identification Test for Japanese (OSIT-J), Visual Analog Scale (VAS), and Self-Assessment Olfactory Questionnaire (SAOQ). OBV was manually measured from FIESTA images. Logistic regression was used to identify preoperative predictors of OBV change.

Results: Postoperative OE, OSIT-J, VAS, and SAOQ scores improved significantly. Mean OBV increased by 10.3% postoperatively, although not statistically significant (p = 0.095). OBV change correlated with improvements in olfactory identification (OE: r = 0.404, p = 0.022; OSIT-J: r = 0.402, p = 0.022), which should be interpreted as exploratory. Multivariate analysis revealed that longer odor duration on the Alinamin test (≥ 50 s) and higher SAOQ scores predicted smaller OBV increases.

Conclusion: OBV measurement using 3T MRI with FIESTA may provide a structural correlate of olfactory changes in ECRS. The observed correlation between OBV changes and olfactory identification suggests a potential relationship with postoperative functional recovery.

Level of evidence: 4:

目的:应用3T磁共振成像(MRI)技术评价嗜酸性慢性鼻窦炎(ECRS)患者围手术期嗅球体积(OBV)和嗅觉功能的变化,并探讨其相关性。方法:本研究为单中心、回顾性观察性研究,纳入32例行功能性内窥镜鼻窦手术的ECRS患者。术前和术后采用Alinamin试验、T&T嗅觉计、开放香精(OE)、气味棒识别测试(osti - j)、视觉模拟量表(VAS)和嗅觉自我评估问卷(SAOQ)评估嗅觉功能。OBV由FIESTA图像手动测量。采用Logistic回归确定OBV变化的术前预测因素。结果:术后OE、OSIT-J、VAS、SAOQ评分均有明显改善。术后平均OBV增加10.3%,但无统计学意义(p = 0.095)。OBV的改变与嗅觉识别的改善相关(OE: r = 0.404, p = 0.022; OSIT-J: r = 0.402, p = 0.022),这应该被解释为探索性的。多因素分析显示,Alinamin测试的气味持续时间越长(≥50 s), SAOQ分数越高,OBV的增加越小。结论:使用FIESTA的3T MRI OBV测量可以提供ECRS嗅觉变化的结构相关性。观察到的OBV变化与嗅觉识别之间的相关性提示与术后功能恢复的潜在关系。证据等级:4;
{"title":"Olfactory Bulb Volume and Function Recovery in Eosinophilic Chronic Rhinosinusitis.","authors":"Keisuke Yamamoto, Masaki Abukawa, Tsuyoshi Okuni, Mitsuhiro Nakanishi, Yuki Sakurai, Naoya Yama, Noriko Ogasawara, Ryuta Kamekura, Kenichi Takano","doi":"10.1002/lary.70415","DOIUrl":"https://doi.org/10.1002/lary.70415","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate perioperative changes in olfactory bulb volume (OBV) and olfactory function in patients with eosinophilic chronic rhinosinusitis (ECRS) using 3T magnetic resonance imaging (MRI) with fast imaging employing steady-state acquisition (FIESTA) sequence and to assess their associations.</p><p><strong>Methods: </strong>This single-center, retrospective observational study included 32 patients with ECRS who underwent functional endoscopic sinus surgery. Olfactory function was assessed pre- and postoperatively using the Alinamin test, T&T olfactometer, Open Essence (OE), Odor Stick Identification Test for Japanese (OSIT-J), Visual Analog Scale (VAS), and Self-Assessment Olfactory Questionnaire (SAOQ). OBV was manually measured from FIESTA images. Logistic regression was used to identify preoperative predictors of OBV change.</p><p><strong>Results: </strong>Postoperative OE, OSIT-J, VAS, and SAOQ scores improved significantly. Mean OBV increased by 10.3% postoperatively, although not statistically significant (p = 0.095). OBV change correlated with improvements in olfactory identification (OE: r = 0.404, p = 0.022; OSIT-J: r = 0.402, p = 0.022), which should be interpreted as exploratory. Multivariate analysis revealed that longer odor duration on the Alinamin test (≥ 50 s) and higher SAOQ scores predicted smaller OBV increases.</p><p><strong>Conclusion: </strong>OBV measurement using 3T MRI with FIESTA may provide a structural correlate of olfactory changes in ECRS. The observed correlation between OBV changes and olfactory identification suggests a potential relationship with postoperative functional recovery.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Clinical Features and Dental Pathologies in Maxillary Sinus Fungal Balls and Odontogenic Sinusitis. 上颌窦真菌球与牙源性鼻窦炎的临床特征和口腔病理。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-07 DOI: 10.1002/lary.70429
Eunice Im, Lane Donaldson, Avraham Adelman, Nithin D Adappa, Yi-Wei Chen, Nikita Chapurin, Jennifer E Douglas, Glen E D'Souza, Jacob Eide, Maria Espinosa, Chia-Hsiang Fu, Meha G Fox, Rohit Garg, Edward C Kuan, Michael A Kohanski, Marta Kwiatkowska, Kevin Li, Derek H Liu, Tran Bao Locke, Chih-Feng Lin, Chadi Makary, Alice Ottavi, Peter Papagiannopoulos, James N Palmer, Charles C L Tong, Bobby A Tajudeen, Sanjena Venkatesh, Kimberly Wei, Frederick Yoo, Alison J Yu, Jun Jin, Alberto M Saibene, John R Craig

Objectives: While maxillary sinus fungal balls (MSFB) can be associated with odontogenic conditions (MSFBO), MSFBO clinical and dental features have not been compared to odontogenic sinusitis (ODS). This multicenter study aimed to compare characteristics of MSFB, MSFBO, and ODS.

Methods: A multicenter international retrospective cohort study was conducted on adults with MSFBs and ODS who underwent sinus surgery. First in MSFBs, it was determined whether different dental conditions were more likely in FB versus non-FB sides. Second, clinical features and dental pathologies were compared between MSFBO and ODS. For analyses, dental conditions were considered individually and as two groups: infectious pathologies and dental/oral procedures with indwelling metallic materials.

Results: After exclusions, there were 203 MSFBs and 163 ODS. Among MSFBs, 141 were MSFBOs. FB sides were associated with sinus protrusion of root canal treatment (RCT) materials (p = 0.040) and dental implants (p = 0.040). Compared to MSFBO, ODS patients were younger, more likely to have MS purulence (OR = 40.9, p < 0.010), more likely associated with apical periodontitis (OR = 2.59, p = 0.010) and oroantral fistulas (OR = 6.94, p = 0.020), and less likely associated with extruded RCT materials (OR = 0.01, p = 0.010) and protruded midface screws (OR < 0.01, p = 0.010). Comparing purulent MSFBO and ODS, ODS was more associated with infectious dental pathologies (p < 0.009).

Conclusion: Compared to MSFBs, MSFBOs were associated with RCT extrusion and implant protrusion. Compared to MSFBOs, ODS was more likely purulent and associated with infectious dental pathologies. While ODS is often distinct from MSFBO, the two conditions can coexist, and surgeons must determine whether patients have infectious dental pathology requiring treatment with both conditions.

Level of evidence: 4:

目的:虽然上颌窦真菌球(MSFB)可能与牙源性疾病(MSFBO)有关,但MSFBO的临床和牙科特征尚未与牙源性鼻窦炎(ODS)进行比较。这项多中心研究旨在比较MSFB、MSFBO和ODS的特征。方法:对接受鼻窦手术的成人MSFBs和ODS进行了一项多中心国际回顾性队列研究。首先,在msfb中,确定不同的牙齿状况是否更可能发生在FB与非FB侧。第二,比较两组的临床特征和口腔病理。为了进行分析,牙科疾病被单独考虑并分为两组:感染性病理和牙科/口腔手术与留置金属材料。结果:排除后,MSFBs 203例,ODS 163例。在MSFBs中,有141人是msfbo。FB侧与根管治疗(RCT)材料(p = 0.040)和种植体(p = 0.040)的鼻窦突出有关。与MSFBO相比,ODS患者更年轻,更容易发生MS脓性(OR = 40.9, p)。结论:与MSFBs相比,MSFBOs与RCT挤出和种植体突出相关。与MSFBOs相比,ODS更可能是化脓性的,并与感染性牙齿病变相关。虽然ODS通常与MSFBO不同,但这两种情况可以共存,外科医生必须确定患者是否患有感染性牙齿病理,需要同时治疗这两种情况。证据等级:4;
{"title":"Clinical Features and Dental Pathologies in Maxillary Sinus Fungal Balls and Odontogenic Sinusitis.","authors":"Eunice Im, Lane Donaldson, Avraham Adelman, Nithin D Adappa, Yi-Wei Chen, Nikita Chapurin, Jennifer E Douglas, Glen E D'Souza, Jacob Eide, Maria Espinosa, Chia-Hsiang Fu, Meha G Fox, Rohit Garg, Edward C Kuan, Michael A Kohanski, Marta Kwiatkowska, Kevin Li, Derek H Liu, Tran Bao Locke, Chih-Feng Lin, Chadi Makary, Alice Ottavi, Peter Papagiannopoulos, James N Palmer, Charles C L Tong, Bobby A Tajudeen, Sanjena Venkatesh, Kimberly Wei, Frederick Yoo, Alison J Yu, Jun Jin, Alberto M Saibene, John R Craig","doi":"10.1002/lary.70429","DOIUrl":"https://doi.org/10.1002/lary.70429","url":null,"abstract":"<p><strong>Objectives: </strong>While maxillary sinus fungal balls (MSFB) can be associated with odontogenic conditions (MSFBO), MSFBO clinical and dental features have not been compared to odontogenic sinusitis (ODS). This multicenter study aimed to compare characteristics of MSFB, MSFBO, and ODS.</p><p><strong>Methods: </strong>A multicenter international retrospective cohort study was conducted on adults with MSFBs and ODS who underwent sinus surgery. First in MSFBs, it was determined whether different dental conditions were more likely in FB versus non-FB sides. Second, clinical features and dental pathologies were compared between MSFBO and ODS. For analyses, dental conditions were considered individually and as two groups: infectious pathologies and dental/oral procedures with indwelling metallic materials.</p><p><strong>Results: </strong>After exclusions, there were 203 MSFBs and 163 ODS. Among MSFBs, 141 were MSFBOs. FB sides were associated with sinus protrusion of root canal treatment (RCT) materials (p = 0.040) and dental implants (p = 0.040). Compared to MSFBO, ODS patients were younger, more likely to have MS purulence (OR = 40.9, p < 0.010), more likely associated with apical periodontitis (OR = 2.59, p = 0.010) and oroantral fistulas (OR = 6.94, p = 0.020), and less likely associated with extruded RCT materials (OR = 0.01, p = 0.010) and protruded midface screws (OR < 0.01, p = 0.010). Comparing purulent MSFBO and ODS, ODS was more associated with infectious dental pathologies (p < 0.009).</p><p><strong>Conclusion: </strong>Compared to MSFBs, MSFBOs were associated with RCT extrusion and implant protrusion. Compared to MSFBOs, ODS was more likely purulent and associated with infectious dental pathologies. While ODS is often distinct from MSFBO, the two conditions can coexist, and surgeons must determine whether patients have infectious dental pathology requiring treatment with both conditions.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Transverse Cordotomy With Medial Arytenoidectomy Effectively Treats Bilateral Vocal Fold Immobility. 横向声带切开术联合内侧杓状体切除术治疗双侧声带不动。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70421
Jonathan D West, Jaynelle Gao, Ryan Chung, Michael M Johns, Karla O'Dell

Objective: Transverse cordotomy with medial arytenoidectomy (TCMA) for bilateral vocal fold immobility (BVFI) can optimize a patient's respiratory status and promote tracheostomy decannulation, but has the potential to adversely affect voice and swallow function. We present the largest cohort to date evaluating the procedure's effectiveness and compare functional outcomes by etiology of BVFI.

Methods: Retrospective case series of consecutive patients treated at a tertiary care center from April 2014 to 2024. All patients who underwent TCMA for posterior glottic stenosis (PGS) or bilateral vocal fold paralysis (BVFP) were included. Exclusion criteria were multi-level stenosis and prior airway resection or reconstruction. We assessed rate of decannulation, Voice handicap index (VHI), dyspnea index (DI), eating assessment tool (EAT-10), and cough severity index (CSI) scores and compared outcomes by surgical indication.

Results: Forty-five patients were included and the majority had PGS (64%). Seventy six percent of tracheostomy dependent patients were decannulated. Surgical indication did not impact time to decannulation or number of interventions required for decannulation. DI was improved at 1-month post-operation and last clinic visit (p < 0.0001). DI was slightly improved for the PGS cohort at last clinic visit, compared to the BVFP cohort (p = 0.04). There were no differences in VHI, EAT-10, or CSI after surgery compared with baseline, or differences based on BVFI etiology.

Conclusions: TCMA is an effective surgical intervention for BVFI that provides a reliable rate of decannulation and improves respiratory function without compromising voice or swallowing outcomes, regardless of the BVFI etiology.

Level of evidence: 4:

目的:双侧声带不动(BVFI)的横切声带联合内侧翼突切除术(TCMA)可以优化患者的呼吸状态,促进气管造口术脱管,但可能对语音和吞咽功能产生不利影响。我们提出了迄今为止最大的队列,评估了手术的有效性,并通过BVFI的病因比较了功能结果。方法:回顾性分析2014年4月至2024年在某三级保健中心连续治疗的患者。所有因声门后狭窄(PGS)或双侧声带麻痹(BVFP)接受TCMA治疗的患者均被纳入研究。排除标准为多级狭窄和既往气道切除或重建。我们评估了脱管率、语音障碍指数(VHI)、呼吸困难指数(DI)、进食评估工具(ate -10)和咳嗽严重程度指数(CSI)评分,并根据手术指征比较了结果。结果:纳入45例患者,多数为PGS(64%)。76%的气管切开术依赖患者被脱管。手术指征不影响脱管时间或脱管所需的干预次数。结论:无论BVFI的病因如何,TCMA是一种有效的BVFI手术干预,可提供可靠的脱管率,改善呼吸功能,而不影响声音或吞咽结果。证据等级:4;
{"title":"Transverse Cordotomy With Medial Arytenoidectomy Effectively Treats Bilateral Vocal Fold Immobility.","authors":"Jonathan D West, Jaynelle Gao, Ryan Chung, Michael M Johns, Karla O'Dell","doi":"10.1002/lary.70421","DOIUrl":"https://doi.org/10.1002/lary.70421","url":null,"abstract":"<p><strong>Objective: </strong>Transverse cordotomy with medial arytenoidectomy (TCMA) for bilateral vocal fold immobility (BVFI) can optimize a patient's respiratory status and promote tracheostomy decannulation, but has the potential to adversely affect voice and swallow function. We present the largest cohort to date evaluating the procedure's effectiveness and compare functional outcomes by etiology of BVFI.</p><p><strong>Methods: </strong>Retrospective case series of consecutive patients treated at a tertiary care center from April 2014 to 2024. All patients who underwent TCMA for posterior glottic stenosis (PGS) or bilateral vocal fold paralysis (BVFP) were included. Exclusion criteria were multi-level stenosis and prior airway resection or reconstruction. We assessed rate of decannulation, Voice handicap index (VHI), dyspnea index (DI), eating assessment tool (EAT-10), and cough severity index (CSI) scores and compared outcomes by surgical indication.</p><p><strong>Results: </strong>Forty-five patients were included and the majority had PGS (64%). Seventy six percent of tracheostomy dependent patients were decannulated. Surgical indication did not impact time to decannulation or number of interventions required for decannulation. DI was improved at 1-month post-operation and last clinic visit (p < 0.0001). DI was slightly improved for the PGS cohort at last clinic visit, compared to the BVFP cohort (p = 0.04). There were no differences in VHI, EAT-10, or CSI after surgery compared with baseline, or differences based on BVFI etiology.</p><p><strong>Conclusions: </strong>TCMA is an effective surgical intervention for BVFI that provides a reliable rate of decannulation and improves respiratory function without compromising voice or swallowing outcomes, regardless of the BVFI etiology.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Current Evidence of the Effect of Breastfeeding on Ear Molding Outcomes: A Scoping Review. 目前关于母乳喂养对耳廓成型结果影响的证据:一项范围综述。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70413
Harry Chiang, Samuel R Shing, Peggy Su-Genyk, Lilun Li, Kelvin Kwong, Joseph B Vella

Objective: To provide an overview on auricular molding and to investigate whether breastfeeding is associated with greater cartilage malleability or improved perinatal auricular molding outcomes.

Data sources: Embase, MEDLINE, and CENTRAL databases.

Methods: Three databases were comprehensively searched for treatment of congenital auricular malformations or deformations with auricular molding. Extracted data included study design, patient demographics and auricular anomalies, interventions and outcomes measures, and references to the effect of estrogen and breastfeeding on cartilage malleability and ear molding.

Results: Out of 1018 unique articles, 67 were included in this review. The articles included a total of 3645 patients and 5384 ears, of which helical rim abnormality (20.6%), lop/lidding/cup ear (20.2%), and prominent ear (11.1%) were the most represented. Of the 67 articles referencing estrogen levels, 49 supported the claim that estrogen increases auricular cartilage malleability. Fifteen articles (22.4%) referenced the effect of breastfeeding on infant circulating estrogen levels and molding outcomes, while 8 (53.3%) of those articles supported the claim. Notably, only 4 primary sources were referenced regarding the effect of breastfeeding among all reviewed literature.

Conclusions: There is insufficient evidence to suggest that breastfeeding leads to increased circulating estrogen levels in infants, increased auricular cartilage malleability, or improved ear molding outcomes. The direct impact of hyaluronic acid on the mechanical properties of auricular cartilage in vivo remains unclear.

目的:提供耳廓成型的概述,并探讨母乳喂养是否与更大的软骨延展性或改善围产期耳廓成型结果有关。数据来源:Embase、MEDLINE和CENTRAL数据库。方法:综合检索3个数据库,检索先天性耳廓畸形或耳廓成型治疗耳廓畸形的文献。提取的数据包括研究设计、患者人口统计学和耳廓异常、干预措施和结果测量,以及雌激素和母乳喂养对软骨延展性和耳廓成型的影响。结果:在1018篇独特的文章中,67篇被纳入本综述。共纳入3645例患者,5384只耳,其中以螺旋型耳缘畸形(20.6%)、垂/盖/杯型耳(20.2%)和突出型耳(11.1%)最为典型。在67篇涉及雌激素水平的文章中,49篇支持雌激素增加耳软骨延展性的说法。15篇(22.4%)文章引用了母乳喂养对婴儿循环雌激素水平和成型结果的影响,而8篇(53.3%)文章支持这一说法。值得注意的是,在所有被回顾的文献中,关于母乳喂养的影响,只引用了4个主要来源。结论:没有足够的证据表明母乳喂养导致婴儿循环雌激素水平增加,耳软骨延展性增加,或改善耳成型结果。透明质酸对耳软骨力学性能的直接影响尚不清楚。
{"title":"Current Evidence of the Effect of Breastfeeding on Ear Molding Outcomes: A Scoping Review.","authors":"Harry Chiang, Samuel R Shing, Peggy Su-Genyk, Lilun Li, Kelvin Kwong, Joseph B Vella","doi":"10.1002/lary.70413","DOIUrl":"https://doi.org/10.1002/lary.70413","url":null,"abstract":"<p><strong>Objective: </strong>To provide an overview on auricular molding and to investigate whether breastfeeding is associated with greater cartilage malleability or improved perinatal auricular molding outcomes.</p><p><strong>Data sources: </strong>Embase, MEDLINE, and CENTRAL databases.</p><p><strong>Methods: </strong>Three databases were comprehensively searched for treatment of congenital auricular malformations or deformations with auricular molding. Extracted data included study design, patient demographics and auricular anomalies, interventions and outcomes measures, and references to the effect of estrogen and breastfeeding on cartilage malleability and ear molding.</p><p><strong>Results: </strong>Out of 1018 unique articles, 67 were included in this review. The articles included a total of 3645 patients and 5384 ears, of which helical rim abnormality (20.6%), lop/lidding/cup ear (20.2%), and prominent ear (11.1%) were the most represented. Of the 67 articles referencing estrogen levels, 49 supported the claim that estrogen increases auricular cartilage malleability. Fifteen articles (22.4%) referenced the effect of breastfeeding on infant circulating estrogen levels and molding outcomes, while 8 (53.3%) of those articles supported the claim. Notably, only 4 primary sources were referenced regarding the effect of breastfeeding among all reviewed literature.</p><p><strong>Conclusions: </strong>There is insufficient evidence to suggest that breastfeeding leads to increased circulating estrogen levels in infants, increased auricular cartilage malleability, or improved ear molding outcomes. The direct impact of hyaluronic acid on the mechanical properties of auricular cartilage in vivo remains unclear.</p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The Subgaleal Pocket Approach for Cochlear Implant Surgery. 盖骨下口袋入路在人工耳蜗手术中的应用。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70406
Nihar Rama, Patrick Wang, Ethan Oliver, Joshua D Sevier, Michael B Gluth, Terence E Imbery
{"title":"The Subgaleal Pocket Approach for Cochlear Implant Surgery.","authors":"Nihar Rama, Patrick Wang, Ethan Oliver, Joshua D Sevier, Michael B Gluth, Terence E Imbery","doi":"10.1002/lary.70406","DOIUrl":"https://doi.org/10.1002/lary.70406","url":null,"abstract":"","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Allergy Evaluation Warranted in Patients With Otitis Media With Effusion? 中耳炎积液患者是否有必要进行过敏评价?
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70392
Sophie G Shay, Jennifer J Shin
{"title":"Is Allergy Evaluation Warranted in Patients With Otitis Media With Effusion?","authors":"Sophie G Shay, Jennifer J Shin","doi":"10.1002/lary.70392","DOIUrl":"https://doi.org/10.1002/lary.70392","url":null,"abstract":"","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
In Response to Longitudinal Analysis of Oral Potentially Malignant Disorder Conversion to Malignancy. 对口腔潜在恶性疾病向恶性转变的纵向分析的回应。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70423
Benjamin Palatnik, Beverly R Wuertz, Frank G Ondrey
{"title":"In Response to Longitudinal Analysis of Oral Potentially Malignant Disorder Conversion to Malignancy.","authors":"Benjamin Palatnik, Beverly R Wuertz, Frank G Ondrey","doi":"10.1002/lary.70423","DOIUrl":"https://doi.org/10.1002/lary.70423","url":null,"abstract":"","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
In Reference to Longitudinal Analysis of Oral Potentially Malignant Disorder Conversion to Malignancy. 关于口腔潜在恶性疾病向恶性转变的纵向分析。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70427
Amol Ramchandra Gadbail, Monal B Yuwanati, Shailesh M Gondivkar, Sachin C Sarode
{"title":"In Reference to Longitudinal Analysis of Oral Potentially Malignant Disorder Conversion to Malignancy.","authors":"Amol Ramchandra Gadbail, Monal B Yuwanati, Shailesh M Gondivkar, Sachin C Sarode","doi":"10.1002/lary.70427","DOIUrl":"https://doi.org/10.1002/lary.70427","url":null,"abstract":"","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
The Automated Vestibular Rehabilitation System: Normative Data From a Machine Vision-Guided Platform. 自动前庭康复系统:来自机器视觉引导平台的规范数据。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70425
Erin Williams, Felipe Echeverri Tribin, Luis Rodriguez Diaz, Valerie Yunis, Devin Kennedy, Blaine Ayotte, Christopher McKenna, Odile Clavier, Michael Hoffer

Objective(s): Vestibular rehabilitation therapy (VRT) is an efficient treatment for dizziness and vertigo, but its accessibility remains limited. This study evaluates the feasibility and performance of a machine vision-based automated alternative-the Automated Vestibular Rehabilitation System (AVRS)-as a more accessible approach to delivering VRT.

Methods: Forty age- and sex-matched adults without balance disorders or recent head injury completed one standard VRT exercise, X1, in seated and standing positions using the AVRS, which tracked real-time head and eye movements. Gain, the ratio of eye to head velocity near the neutral head position, was calculated using median values and interquartile ranges. Test-retest reliability (TRTR) was assessed in a subset of 20 participants using intraclass correlation coefficients (ICCs) with 95% confidence intervals.

Results: All participants successfully completed the AVRS-guided vestibular exercises. The n = 20 person test-retest reliability subset returned after 27 ± 9 days. Mean VOR gain approximated the expected physiologic norms (~-1.0) across sessions irrespective of frequency (Session 1: -0.98 ± 0.04; Session 2: -0.99 ± 0.03). Overall reliability between sessions was moderate (ICC (3, 1): 0.59 [95% CI: 0.37-0.75], p < 0.001).

Conclusion: The AVRS demonstrated moderate reliability and accurate VOR gain measurement in healthy adults, supporting its potential as a scalable, accessible tool for VRT delivery, with normative data to guide therapeutic progression in clinical populations.

Level of evidence: 4:

目的:前庭康复治疗(VRT)是治疗头晕和眩晕的有效方法,但其可及性仍然有限。本研究评估了一种基于机器视觉的自动替代方案——自动前庭康复系统(AVRS)——作为一种更容易获得的提供VRT的方法的可行性和性能。方法:40名年龄和性别匹配的成年人,没有平衡障碍或最近头部受伤,使用AVRS完成了一个标准的VRT练习,X1,坐姿和站立姿势,实时跟踪头部和眼睛的运动。增益,即在中性头部位置附近眼睛与头部速度的比率,使用中位数和四分位数范围计算。使用类内相关系数(ICCs)评估20名参与者子集的重测信度(TRTR),置信区间为95%。结果:所有受试者均成功完成avrs引导下的前庭运动。n = 20人的重测信度子集在27±9天后返回。平均VOR增益接近预期的生理标准(~-1.0),而不考虑频率(会话1:-0.98±0.04;会话2:-0.99±0.03)。两次治疗之间的总体可靠性为中等(ICC (3,1): 0.59 [95% CI: 0.37-0.75], p结论:AVRS在健康成人中表现出中等的可靠性和准确的VOR增益测量,支持其作为可扩展的、可获得的VRT交付工具的潜力,具有指导临床人群治疗进展的规范性数据。证据等级:4;
{"title":"The Automated Vestibular Rehabilitation System: Normative Data From a Machine Vision-Guided Platform.","authors":"Erin Williams, Felipe Echeverri Tribin, Luis Rodriguez Diaz, Valerie Yunis, Devin Kennedy, Blaine Ayotte, Christopher McKenna, Odile Clavier, Michael Hoffer","doi":"10.1002/lary.70425","DOIUrl":"https://doi.org/10.1002/lary.70425","url":null,"abstract":"<p><strong>Objective(s): </strong>Vestibular rehabilitation therapy (VRT) is an efficient treatment for dizziness and vertigo, but its accessibility remains limited. This study evaluates the feasibility and performance of a machine vision-based automated alternative-the Automated Vestibular Rehabilitation System (AVRS)-as a more accessible approach to delivering VRT.</p><p><strong>Methods: </strong>Forty age- and sex-matched adults without balance disorders or recent head injury completed one standard VRT exercise, X1, in seated and standing positions using the AVRS, which tracked real-time head and eye movements. Gain, the ratio of eye to head velocity near the neutral head position, was calculated using median values and interquartile ranges. Test-retest reliability (TRTR) was assessed in a subset of 20 participants using intraclass correlation coefficients (ICCs) with 95% confidence intervals.</p><p><strong>Results: </strong>All participants successfully completed the AVRS-guided vestibular exercises. The n = 20 person test-retest reliability subset returned after 27 ± 9 days. Mean VOR gain approximated the expected physiologic norms (~-1.0) across sessions irrespective of frequency (Session 1: -0.98 ± 0.04; Session 2: -0.99 ± 0.03). Overall reliability between sessions was moderate (ICC (3, 1): 0.59 [95% CI: 0.37-0.75], p < 0.001).</p><p><strong>Conclusion: </strong>The AVRS demonstrated moderate reliability and accurate VOR gain measurement in healthy adults, supporting its potential as a scalable, accessible tool for VRT delivery, with normative data to guide therapeutic progression in clinical populations.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Role of Pediatric Otolaryngologist in Pediatric Tracheostomy Code Blue Cases: A New Safety Initiative. 儿科耳鼻喉科医生在儿科气管切开术蓝色代码病例中的作用:一项新的安全倡议。
IF 2 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-06 DOI: 10.1002/lary.70422
Deepa Shivnani, Miles Jonathan Klimara, M S Shruthi, Dnyanesh Balkrishna Amle, Matthew Ern Lin, Ian Kim, R N Ashwath Ram, Eswaran Venkat Raman, Gnanam Aram, Mallikarjun Ravi Kobal, Olivia E Speed, Maie A St John, Dinesh Chhetri

Objective: A "Code Blue" is a term to activate an alarm for the resuscitation team for a patient who has a cardiopulmonary arrest. The role of a pediatric otolaryngologist in a tracheostomy-related code blue case is not clearly defined. We aim to describe the role of pediatric otolaryngologists in pediatric tracheostomy code blue (PTCB) cases.

Methods: This retrospective study analyzed pediatric code blue cases in a tertiary care hospital from January 2019 to December 2022, before and after the implementation of a standardized PTCB that includes a pediatric otolaryngologist in the resuscitation team. Primary outcome variables included response time and survival-to-discharge of patients.

Results: The most common reason for code activation was reduced oxygen saturation. The leading cause for the otolaryngology consultation was tube blockage. Tracheostomy tube change was the most common intervention performed. The mean time of otolaryngology arrival was significantly decreased from 14.0 min pre-implementation to 4.0 min post-implementation (p < 0.001). While including all 48 PTCB events, pediatric otolaryngologist involvement was significantly associated with higher survival-to-discharge (94.4% vs. 66.7%, p = 0.028). While comparing post-PTCB protocol implementation versus pre-implementation, mortality declined from 23.8% to 3.7% with increased discharge rates, although this did not reach statistical significance (p = 0.073).

Conclusion: Inclusion of a pediatric otolaryngologist in the resuscitation team reduces time-to-arrival of the pediatric otolaryngologist to the code blue activation site. Reduced time to pediatric otolaryngologist arrival and completion of interventions by pediatric otolaryngologist are associated with reduced mortality in PTCB events.

Level of evidence: 3:

目的:“蓝色代码”是一个术语,用于为心肺骤停患者的复苏团队激活警报。儿科耳鼻喉科医生在气管切开术相关的蓝色代码病例中的作用尚未明确定义。我们的目的是描述儿科耳鼻喉科医生在儿科气管切开术蓝色代码(PTCB)病例中的作用。方法:本回顾性研究分析了某三级医院2019年1月至2022年12月实施标准化PTCB前后的儿科蓝色代码病例,该标准化PTCB包括复苏团队中的儿科耳鼻喉科医生。主要结局变量包括患者的反应时间和生存至出院。结果:编码激活最常见的原因是血氧饱和度降低。耳鼻喉科就诊的主要原因是耳鼻喉管堵塞。气管造口换管是最常见的干预措施。耳鼻喉科到达的平均时间从实施前的14.0分钟显著减少到实施后的4.0分钟(p结论:在复苏小组中加入一名儿科耳鼻喉科医生减少了儿科耳鼻喉科医生到达蓝色激活点的时间。缩短到儿科耳鼻喉科医生的到达时间和完成儿科耳鼻喉科医生的干预与降低PTCB事件的死亡率有关。证据等级:3;
{"title":"Role of Pediatric Otolaryngologist in Pediatric Tracheostomy Code Blue Cases: A New Safety Initiative.","authors":"Deepa Shivnani, Miles Jonathan Klimara, M S Shruthi, Dnyanesh Balkrishna Amle, Matthew Ern Lin, Ian Kim, R N Ashwath Ram, Eswaran Venkat Raman, Gnanam Aram, Mallikarjun Ravi Kobal, Olivia E Speed, Maie A St John, Dinesh Chhetri","doi":"10.1002/lary.70422","DOIUrl":"https://doi.org/10.1002/lary.70422","url":null,"abstract":"<p><strong>Objective: </strong>A \"Code Blue\" is a term to activate an alarm for the resuscitation team for a patient who has a cardiopulmonary arrest. The role of a pediatric otolaryngologist in a tracheostomy-related code blue case is not clearly defined. We aim to describe the role of pediatric otolaryngologists in pediatric tracheostomy code blue (PTCB) cases.</p><p><strong>Methods: </strong>This retrospective study analyzed pediatric code blue cases in a tertiary care hospital from January 2019 to December 2022, before and after the implementation of a standardized PTCB that includes a pediatric otolaryngologist in the resuscitation team. Primary outcome variables included response time and survival-to-discharge of patients.</p><p><strong>Results: </strong>The most common reason for code activation was reduced oxygen saturation. The leading cause for the otolaryngology consultation was tube blockage. Tracheostomy tube change was the most common intervention performed. The mean time of otolaryngology arrival was significantly decreased from 14.0 min pre-implementation to 4.0 min post-implementation (p < 0.001). While including all 48 PTCB events, pediatric otolaryngologist involvement was significantly associated with higher survival-to-discharge (94.4% vs. 66.7%, p = 0.028). While comparing post-PTCB protocol implementation versus pre-implementation, mortality declined from 23.8% to 3.7% with increased discharge rates, although this did not reach statistical significance (p = 0.073).</p><p><strong>Conclusion: </strong>Inclusion of a pediatric otolaryngologist in the resuscitation team reduces time-to-arrival of the pediatric otolaryngologist to the code blue activation site. Reduced time to pediatric otolaryngologist arrival and completion of interventions by pediatric otolaryngologist are associated with reduced mortality in PTCB events.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":49921,"journal":{"name":"Laryngoscope","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146127353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
期刊
Laryngoscope
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1