American Journal of Otolaryngology最新文献

{"title":"Telehealth utilization and perceptions among deaf or hard of hearing adults: A cross-sectional analysis of the HINTS6 national dataset","authors":"Andrew W. Liu ,&nbsp;Sara J. Yi ,&nbsp;Divya A. Chari","doi":"10.1016/j.amjoto.2025.104716","DOIUrl":"10.1016/j.amjoto.2025.104716","url":null,"abstract":"<div><h3>Objective</h3><div>Telehealth has emerged as a vital medium for healthcare delivery and has been integrated increasingly in clinic and hospital settings in the post-COVID-19 era. However, accessibility of telehealth for individuals who are deaf or hard of hearing (DHH) remains underexplored. As effective communication is critical to high-quality healthcare, a deeper understanding of how DHH individuals interact with telehealth and identifying specific barriers they face can inform targeted interventions to improve care.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional analysis of the 2022 Health Information National Trends Survey (HINTS 6), a nationally representative dataset. Respondents were stratified by self-identified DHH status. Demographic, internet access, health behavior, and telehealth perception variables were compared between DHH and normal hearing individuals. Statistical analyses were performed using chi-square tests and <em>t</em>-tests.</div></div><div><h3>Results</h3><div>Among 5694 respondents, 521 identified as DHH. Chi-square testing found that DHH patients reported poorer general health (<em>p</em> &lt; 0.01), lower internet use (p &lt; 0.01), and less engagement with online health resources (p &lt; 0.01), with similar rates of telehealth being offered and utilized. However, DHH individuals were less likely to perceive telehealth as convenient (<em>p</em> = 0.04) and more likely to cite difficulty using the platform (<em>p</em> = 0.01). They were also more likely to value the inclusion of others in their telehealth visits (<em>p</em> &lt; 0.01) and report technical issues (p &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>While DHH individuals use telehealth at similar rates to the general population, they face significant barriers related to convenience, usability, and communication. Enhancing platform accessibility and expanding support for these patients can help reduce difficulties and further promote equity in telehealth.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104716"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144678980","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}

{"title":"Cost evaluation in head and neck cancer clinical trials: implications for high-value care","authors":"Rachel G. Collins ,&nbsp;Ina A. Lee ,&nbsp;Daniel R.S. Habib ,&nbsp;Desmond C. Garner ,&nbsp;Douglas B. Johnson ,&nbsp;Priyesh N. Patel ,&nbsp;Michael C. Topf","doi":"10.1016/j.amjoto.2025.104655","DOIUrl":"10.1016/j.amjoto.2025.104655","url":null,"abstract":"<div><h3>Background</h3><div>Clinical trials are crucial in advancing novel therapeutic interventions for head and neck cancer. Given the increased cost of modern healthcare, cost considerations in clinical trials are important yet remain limited.</div></div><div><h3>Methods</h3><div>A search of <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> identified all head and neck cancer studies including cost in the trial description or as a study outcome. Data collected included study type, duration, completion status, enrollment, funding type, cost outcomes, and cost-effectiveness analyses.</div></div><div><h3>Results</h3><div>Among 2290 head and neck cancer-focused clinical trials, only 76 (3.3 %) mentioned cost in any capacity. Among the trials mentioning cost, 53 (70 %) included cost outcomes and 26 (34 %) included cost effectiveness analyses. Cost was reported as a primary outcome in 5 (0.2 %) clinical trials, a secondary outcome in 32 (1.4 %) trials, and an exploratory outcome in 16 (0.7 %) trials. Most trials (87 %) were interventional, and the most common primary interventions were procedures (25 %) or drugs (14 %). The mean enrollment was 206 participants, and mean duration of the trials was 50 months (SD 47). 73 (96 %) studies have not yet reported results.</div></div><div><h3>Conclusion</h3><div>The inclusion of cost in head and neck cancer clinical trials is limited, with &lt;3 % of trials including cost endpoints and &lt; 2 % including cost-effectiveness analyses. The paucity of available study results hinders the assessment of the ultimate impact on patients, insurance companies, and healthcare systems. Given the rising cost pressures in modern healthcare systems, the low prevalence of cost endpoints and cost-effectiveness analyses underscores the need for increased awareness and investment in this domain.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104655"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916552","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}

{"title":"Laryngeal mask airway in pediatric tonsillectomy and adenoidectomy: a large cohort analysis","authors":"Travis Peng ,&nbsp;Matthew I. Saleem ,&nbsp;Michelle S. Kars ,&nbsp;Lee P. Smith","doi":"10.1016/j.amjoto.2025.104641","DOIUrl":"10.1016/j.amjoto.2025.104641","url":null,"abstract":"<div><div>Tonsillectomy and/or adenoidectomy are often performed with endotracheal intubation (ETT), however use of laryngeal mask airway (LMA) may offer decreased airway irritation. We investigated the laryngospasm rate and conversion rate of LMA use in a total of 1585 retrospective cases of tonsillectomies and/or adenoidectomies, the largest single center cohort to date. We found a low complication rate of 0.19 % and no significant clinical complications. Our study provides data on the safety and efficacy of LMA use in these surgeries and supports the potential use of LMA in cases without significant blood loss.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104641"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916553","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}

{"title":"Effectiveness of 3D animation tools in patient education on cochlear implantation","authors":"Nienke C. Homans BsC,&nbsp;Jantien L. Vroegop,&nbsp;Robert J. Pauw,&nbsp;Hylke F.E. van der Toom","doi":"10.1016/j.amjoto.2025.104653","DOIUrl":"10.1016/j.amjoto.2025.104653","url":null,"abstract":"<div><h3>Purpose</h3><div>Video animations have emerged as effective tools for patient education across various medical fields. Although evidence is mixed, animations show promise in enhancing comprehension, especially in fields like audiology, where verbal communication can be challenging, and the benefits may be even higher. This study explores whether 3D video animations improve patient education during the cochlear implantation (CI) selection process.</div></div><div><h3>Materials and methods</h3><div>A prospective cohort study was conducted at the Cochlear Implant Center, Erasmus University Medical Center, Rotterdam. Forty-six adult patients were included in the study and divided into two groups: one receiving the standard CI selection process and the other receiving the same process with additional 3D video animations. Participants completed a questionnaire assessing their knowledge, self-assessment of their knowledge, and satisfaction. The group with animations also answered additional questions about their experience with the animations.</div></div><div><h3>Results</h3><div>The group receiving the videos reported significantly higher self-assessment knowledge scores, particularly regarding rehabilitation. However, there were no significant differences in objective knowledge scores between the two groups. Satisfaction with the videos was high, with most participants sharing them with family and friends.</div></div><div><h3>Conclusion</h3><div>3D video animations enhanced patients' self-perceived knowledge, particularly regarding rehabilitation, but did not significantly improve actual knowledge scores. The findings suggest that video animations are a promising tool for patient education in the CI selection process and warrant further investigation with larger sample sizes.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104653"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143911550","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}

{"title":"The impact of socioeconomic status on management of pediatric subglottic stenosis and outcomes.","authors":"Courtney B Shires, Roger Bui, Brooke Bocklud, Karuna Dewan","doi":"10.1016/j.amjoto.2025.104718","DOIUrl":"10.1016/j.amjoto.2025.104718","url":null,"abstract":"<p><strong>Objective: </strong>There is currently a paucity of literature detailing the socioeconomic implications on management and outcomes of pediatric subglottic stenosis. Through this study, we sought to ascertain whether disparities of social determinants of health did have a discernible impact on management of subglottic stenosis through endoscopic versus open procedures and whether there would be a difference in outcomes.</p><p><strong>Study design: </strong>The study is a multi- institutional, academic center, retrospective case series.</p><p><strong>Methods: </strong>The study examines pediatric patients under the age of 18 evaluated by Ochsner-affiliated hospitals through May 2012 to May 2022 with the diagnosis of subglottic stenosis, acquired or congenital, through Epic SlicerDicer search engine. Patients were stratified into low and high socioeconomic status (SES), which served as independent variables, using principal component analysis of several social determinants. We recorded sex, age, ethnicity, and completion of college education. Interventions reviewed included endoscopic treatment, open airway surgery, and presence of tracheostomy. Outcome measurements included decannulation, time to decannulation, and death. Chi squared analysis was performed on dichotomous variables and student t-test was performed for continuous variables.</p><p><strong>Results: </strong>The groups were similar in demographics: sex, age, ethnicity, and proportion with college degree. Cotton Meyer grade was significantly higher in low SES compared to high SES (p = 0.04). Patients of low SES were significantly more likely to die (p < 0.001). Low SES patients were more likely to have an acquired rather than a congenital subglottic stenosis as compared to their high SES counterparts (p = 0.02). Low SES patients were also more likely to undergo endoscopic intervention (p = 0.03). There was no statistically significant difference in tracheostomy status or decannulation success between the two groups.</p><p><strong>Conclusion: </strong>There were statistically significant findings between low and high SES groups. Overall, patients of low SES appeared to have greater severity of subglottic stenosis, with greater number of endoscopic interventions, and greater mortality. This study which collected data from an area with marginalized patients with poor health literacy, demonstrates that sociodemographic factors contribute to disparate intervention and outcomes in pediatric patients with subglottic stenosis.</p>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"104718"},"PeriodicalIF":1.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144803262","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}

{"title":"Timing of Eustachian tube balloon dilation: Impact on resource utilization and cost","authors":"Robert M. Conway,&nbsp;Masanari Kato,&nbsp;Seilesh C. Babu","doi":"10.1016/j.amjoto.2025.104689","DOIUrl":"10.1016/j.amjoto.2025.104689","url":null,"abstract":"<div><h3>Importance</h3><div>Eustachian tube balloon dilation (ETBD) is a novel treatment option for adult patients with ETD, with superior efficacy to medical therapy. However, appropriate timing of performing ETBD hasn't been thoroughly examined.</div></div><div><h3>Objective</h3><div>This study compared healthcare resource utilization among patients with ETD that are treated early with ETBD (i.e., within 3 months of ETD diagnosis) versus those treated later (i.e., 3–12 months of ETD diagnosis).</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Utilizing Optum Clinoformatics Socio-Economic Status (SES) Database.</div></div><div><h3>Participants</h3><div>Patients aged 18 and older who had ETBD procedure between January 2017 to June 2021.</div></div><div><h3>Interventions</h3><div>Patients were classified into two groups based on the treatment timing of their incident diagnosis of ETD: early treated and late treated.</div></div><div><h3>Main outcomes and measures</h3><div>Outcomes including 12-month ETD-related surgical procedure rate, number of office visits, medication use, and total cost were assessed and compared among the study cohorts. Study outcomes were assessed using generalized linear regression.</div></div><div><h3>Results</h3><div>Two hundred seventy-seven patients were identified, with 173 patients in the early ETBD cohort and 104 patients in the late ETBD cohort. Early treated patients had significantly lower ETD-related surgical procedure rates (8.7 % vs. 17.3 %) lower rates (28.9 % vs. 48.1 %) and fewer (0.47 vs. 1.12) ETD-related office visits, and fewer medication claims (2.19 vs. 3.06). The early treated cohort had significantly lower ETD-related costs ($212.15 vs. $551) compared to patients treated later after diagnosis.</div></div><div><h3>Conclusions and relevance</h3><div>Among ETD patients undergoing ETBD, those treated early had significantly lower healthcare resource utilization and cost in comparison to those treated later. These results will hopefully add evidence to promote the early use of ETBD for purposes of patient benefit and decreased costs.</div></div><div><h3>Level of evidence</h3><div>IV</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104689"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296849","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}

{"title":"Exploring surgical outcomes in endoscopic repair of type 1 laryngeal clefts (LC-1) and deep interarytenoid notches (DIN)","authors":"Brooke Swain ,&nbsp;Niketna Vivek ,&nbsp;Oliver Sihua Zhao ,&nbsp;Kalpnaben Patel ,&nbsp;Heidi Chen ,&nbsp;Lyndy Jane Wilcox","doi":"10.1016/j.amjoto.2025.104658","DOIUrl":"10.1016/j.amjoto.2025.104658","url":null,"abstract":"<div><div>The authors conducted a retrospective chart review evaluating the predictors of success for endoscopic repair of type 1 laryngeal clefts (LC-1) or deep interarytenoid notches (DIN). Demographics, birth history, medical comorbidities, surgical details, feeding history, and swallow function were collected (n = 52). Repair success was defined as improvement on videofluoroscopic swallowing study (VFSS) when initially evaluating the procedure's success (n = 36) and patient-reported symptom improvement when assessing predictive factors (n = 48). McNemar or McNemar-Bowker tests evaluated VFSS-assessed symptom improvement. Patients with post-operative symptom documentation were categorized based on predictors in outcome and assessed for post-operative improvement using the Pearson Chi-square test. Postoperatively, 58 % of patients with VFSS-identified aspiration had resolution. Dysphagia severity decreased (p = 0.009) with no severe cases post-repair. Furthermore, pregnancy complications, preterm birth, NICU stay, prior airway and feeding interventions, and syndromes were not significantly correlated with outcomes. However, trends in data suggest that preterm birth and NICU stay are more common in unsuccessful repairs. Overall, operative intervention significantly reduced aspiration and dysphagia severity.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104658"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907988","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}

{"title":"Gender differences in the management of pediatric orbital cellulitis","authors":"Tyler Wanstreet,&nbsp;Amani Kais,&nbsp;Chadi A. Makary,&nbsp;Ruifeng Cui,&nbsp;Hassan H. Ramadan","doi":"10.1016/j.amjoto.2025.104661","DOIUrl":"10.1016/j.amjoto.2025.104661","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study is to investigate gender differences in the disease severity and management of orbital infections in children hospitalized for treatment.</div></div><div><h3>Methods</h3><div>Retrospective cohort study of all children aged 0 to 18 years who had a confirmed diagnosis of preseptal or postseptal cellulitis and were hospitalized over a 15-year period.</div></div><div><h3>Results</h3><div>The sample consisted of 124 children, 52.4 % male, with mean age of 7.1 years (SD = 4.88, range = 4.9–18) and a relatively equal distribution between preseptal (52.4 %) and postseptal (47.6 %) cellulitis. Although males and females did not differ in rates of preseptal and postseptal cellulitis and Lund-Mackay scores (p &gt; 0.05 for all), males were more likely to undergo surgical management (21.5 % vs 8.5 %; p = 0.049).</div></div><div><h3>Conclusion</h3><div>Additional research is needed to understand why the management of cellulitis differs between male and female pediatric patients and how it may affect treatment outcomes.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104661"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143949068","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}

{"title":"A machine learning approach to predicting postoperative recurrence in pediatric chronic rhinosinusitis: identification of key metabolic biomarkers","authors":"Shenghao Cheng,&nbsp;Sijie Jiang,&nbsp;Shaobing Xie,&nbsp;Benjian Zhang,&nbsp;Hua Zhang,&nbsp;Junyi Zhang,&nbsp;Zhihai Xie,&nbsp;Weihong Jiang","doi":"10.1016/j.amjoto.2025.104676","DOIUrl":"10.1016/j.amjoto.2025.104676","url":null,"abstract":"<div><h3>Background</h3><div>Pediatric chronic rhinosinusitis (CRS) is a common chronic inflammatory disease with a high recurrence rate after surgery. This study aimed to construct and validate a machine learning-based predictive model to predict the risk of postoperative recurrence of pediatric CRS and to identify potential biomarkers.</div></div><div><h3>Methods</h3><div>One hundred and fifteen pediatric patients who underwent functional endoscopic sinus surgery were included. The dataset was divided into training and testing sets (7:3 ratio). Demographic characteristics and laboratory data of were collected and used as features in the predictive models. Eight machine learning algorithms, including Random forest (RF), were applied to construct predictive models. Feature selection was performed, and hyperparameters were optimized using a grid search with 10-fold cross-validation. Model performance was assessed using the area under the receiver operating characteristic curve (AUC) and F1 score.</div></div><div><h3>Results</h3><div>The Random Forest model performed best in predicting the postoperative recurrence of CRS in children, with AUC of 0.830. Feature selection analyses showed that metabolic markers, such as DBIL, Glu, and TBIL, had an important role in predicting CRS recurrence. In the test set, the AUC of the RF model reached 0.864 and an F1 score of 0.9, showing good stability and generalization ability.</div></div><div><h3>Conclusion</h3><div>In this study, we successfully constructed a model to predict the postoperative recurrence of pediatric CRS. The predictive model indicated that key metabolites were significantly associated with disease outcomes, and individualized management of postoperative pediatric CRS.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104676"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069773","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}

{"title":"Mastoid obliteration with bone dust mixed with concentrated growth factor","authors":"Sabri Baki Eren ,&nbsp;Alper Yenigun ,&nbsp;Erol Senturk ,&nbsp;Abdullah Ozdem ,&nbsp;Remzi Dogan ,&nbsp;Orhan Ozturan","doi":"10.1016/j.amjoto.2025.104695","DOIUrl":"10.1016/j.amjoto.2025.104695","url":null,"abstract":"<div><h3>Background</h3><div>Mastoid obliteration is a useful surgical step in the treatment of chronic ear operation. The technique of mastoid obliteration involves filling the cavity with self-tissue and/or osseocartilaginous graft material, following removing the mastoid air cell.</div></div><div><h3>Objective</h3><div>The aim of this study is to show the advantages of mastoid obliteration using a mixture of CGF and bone dust.</div></div><div><h3>Material and method</h3><div>Bone dust was collected with an apparatus from the healthy mastoid cortex. Collected bone dust was mixed with CGF to form a gel. Then, mastoid cavity and epitympanum obliteration were performed.</div></div><div><h3>Results</h3><div>Fifteen patients who underwent canal wall down mastoidectomy for cholesteatoma were included in the study. In all patients, the targeted external ear canal and hearing results were obtained after obliteration.</div></div><div><h3>Conclusion</h3><div>It is an effective surgical technique for creating a natural external ear path after mastoidectomy applied for mastoid obliteration, chronic ear infections and cholesteatoma treatment with CGF. Mastoid obliteration using bone dust mixed with CFG is an effective surgical technique to create a natural and healthy external ear canal.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 5","pages":"Article 104695"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144517111","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}