American Journal of Otolaryngology最新文献

{"title":"Treatment of hyoid bone syndrome with surgical excision: our monocentric experience in the past five years","authors":"Julie Mortier ,&nbsp;Carl Van Laer ,&nbsp;Steven Mariën","doi":"10.1016/j.amjoto.2024.104405","DOIUrl":"10.1016/j.amjoto.2024.104405","url":null,"abstract":"<div><h3>Purpose</h3><p>In 1968, Steinmann described the hyoid bone syndrome as a degenerative and inflammatory insertion tendinosis. It causes unilateral pain in the neck, increased by swallowing and palpation. The treatment is conservative, but when this fails, surgery is an option. Our aim is to assess the post-operative outcome of patients for whom a surgical hyoid bone resection procedure was performed in the University Hospital of Antwerp (UZA).</p></div><div><h3>Methods</h3><p>A retrospective study was performed. Patients were seen at the laryngology clinic in the UZA from 2018 until 2023. They were diagnosed with the hyoid bone syndrome based on anamnesis and clinical examination. Pre-operative imaging was performed to evaluate for anatomical changes and fiberoptic laryngoscopy performed to exclude other causes. Pre- and postoperative VAS pain scores were questioned.</p></div><div><h3>Results</h3><p>Seventeen patients were operated, two of them bilaterally. All patients had pain located to the affected side, and almost half of patients (<em>n</em> = 7) had dysphagia. On imaging, 10 patients had an elongated styloid process and 7 had calcification of the stylohyoid ligament. All patients underwent resection of the greater horn of the hyoid bone, 13 patients underwent resection of the stylohyoid ligament and in 9 patients the superior horn of the thyroid cartilage was removed. Mean pre-operative VAS pain score was 9 (/10) and mean postoperative score was 1.3 (/10).</p></div><div><h3>Conclusion</h3><p>Our preliminary results show a good clinical effect of the surgical excision procedure and offer insight in the hyoid bone syndrome. Follow-up is necessary to assess the long-term results and potential recurrence of symptoms.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104405"},"PeriodicalIF":1.8,"publicationDate":"2024-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838792","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":"Commentary on “Prognostic significance of time trends in treatment of head and neck squamous cell carcinoma”","authors":"Qing Wang ,&nbsp;Zhao Zhao ,&nbsp;Yumei Ge","doi":"10.1016/j.amjoto.2024.104441","DOIUrl":"10.1016/j.amjoto.2024.104441","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104441"},"PeriodicalIF":1.8,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846700","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":"Evaluating AI in patient education: The need for a validated performance assessment tool","authors":"Salvatore Lavalle ,&nbsp;Jerome R. Lechien ,&nbsp;Carlos Chiesa-Estomba ,&nbsp;Federica Maria Parisi ,&nbsp;Antonino Maniaci","doi":"10.1016/j.amjoto.2024.104442","DOIUrl":"10.1016/j.amjoto.2024.104442","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104442"},"PeriodicalIF":1.8,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843767","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":"Commentary on “Impact of time-to-surgery on survival and quality of life in oral cancer”","authors":"Zhiying Zhu ,&nbsp;Yongze Zhu ,&nbsp;Yumei Ge","doi":"10.1016/j.amjoto.2024.104443","DOIUrl":"10.1016/j.amjoto.2024.104443","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104443"},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846415","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":"Features related to temporary tracheotomy in patients undergoing Transoral Robotic Surgery (TORS) for supraglottic squamous cell cancer of the larynx: A systematic review","authors":"Francesco Chiari ,&nbsp;Pierre Guarino ,&nbsp;Giuseppe Di Martino ,&nbsp;Claudio Donadio Caporale ,&nbsp;Livio Presutti ,&nbsp;Gabriele Molteni","doi":"10.1016/j.amjoto.2024.104436","DOIUrl":"10.1016/j.amjoto.2024.104436","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this systematic review is to assess a relation between demographical, clinical and tumoral features and the need for a prophylactic tracheotomy during TORS procedure in patients affected by supraglottic laryngeal cancer.</p></div><div><h3>Methods</h3><p>PRISMA 2020 guidelines were applied in this systematic literature review. A computerized search was performed using the Embase/Pubmed, Scopus and Cochrane database, for articles published from 2007 to December 2023. A statistical univariate analysis including selected papers with low or intermediate risk of bias was performed.</p></div><div><h3>Results</h3><p>Through a study selection process 8 full texts were eligible for statistical univariate analysis. The most relevant factor related to a prophylactic tracheotomy was a contextual bilateral cervical nodes dissection, which increased the need for a tracheotomy of about 3 times. Other factors contribute with a minor impact, such as a patients age &gt;60 years at the time of the diagnosis, a cervical lymph node metastasis and a false vocal fold involvement. Each ones increase by 20–70 % the need for a tracheotomy. However, this rate is decreased by about 60 % by the epiglottis involvement.</p></div><div><h3>Conclusions</h3><p>The prophylactic tracheotomy is considered a temporary protection strategy to achieve a valid recovery after TORS procedure. However, there are no guidelines regarding its routinely use. Only 25 % of patients undergone tracheotomy during TORS to treat supraglottic laryngeal cancer. These preliminary results may add more significant evidence regarding the use of tracheotomy during the TORS procedure, in order possibly to help the surgeon decide preoperatively whether to perform it or not.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104436"},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787057","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 “mini-extended” nasoseptal flap for reconstruction of sella to planum skull base defects","authors":"Ryan A. Rimmer ,&nbsp;R. Peter Manes ,&nbsp;S. Bulent Omay","doi":"10.1016/j.amjoto.2024.104437","DOIUrl":"10.1016/j.amjoto.2024.104437","url":null,"abstract":"","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104437"},"PeriodicalIF":1.8,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851214","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":"Healthcare utilization in patients with head and neck lymphatic malformations with the introduction of sirolimus","authors":"Shweta P. Kitchloo ,&nbsp;Amber D. Shaffer ,&nbsp;Andrew McCormick ,&nbsp;Meghan McCormick ,&nbsp;Michael Bykowski ,&nbsp;Reema Padia","doi":"10.1016/j.amjoto.2024.104422","DOIUrl":"10.1016/j.amjoto.2024.104422","url":null,"abstract":"<div><h3>Objectives</h3><p>Historically, head and neck lymphatic malformations (HNLM) have been managed through surgical and interventional procedures. Sirolimus was introduced in 2016 and has aided in symptomatic control of HNLM. The study objective was to assess healthcare utilization with the introduction of sirolimus for HNLM.</p></div><div><h3>Methods</h3><p>An observational cohort study of LM patients treated between 2008 and 2022 at a tertiary care children's hospital was performed. 588 charts were reviewed; patients with isolated, non-syndromic HNLM and at least 2 years of follow-up were included (<em>n</em> = 45). Data included sirolimus use, complications, presence of tracheostomy and/or gastrostomy-tube, and number and costs of HNLM-related sclerotherapies, procedures, hospitalizations, and emergency room visits. For patients who received sirolimus, encounters two years prior to and after sirolimus initiation were recorded. For the non-sirolimus group, encounters two years after the initial clinic visit for HNLM were recorded. Statistical analysis was used to compare the groups.</p></div><div><h3>Results</h3><p>Median age at first clinic visit was 1.8 years (range 2 days–41 years). Tracheostomy was present in 43 % of sirolimus patients compared with 3 % of the non-sirolimus group (OR: 24.0, 95%CI: 1.55–1490, <em>p</em> = 0.02). Patients on sirolimus experienced significantly fewer sclerotherapy visits (z = 2.08, <em>p</em> = 0.03) compared to the non-sirolimus group. Minimal sirolimus-related side effects were reported. Total HNLM-related costs were significantly less in the sirolimus group during treatment (median $448.13, range $0–$7041.28) compared with before treatment (median $17,069.24, range $1999.16–$211,848.50, z = 2.20, <em>p</em> = 0.03). Median costs associated with sclerotherapy were less for the sirolimus groups during treatment compared with the non-sirolimus group (z = 1.97, <em>p</em> = 0.04). In the sirolimus group, costs associated with HNLM-related hospitalizations were significantly less during sirolimus treatment compared with before (z = 2.20, <em>p</em> = 0.03).</p></div><div><h3>Conclusion</h3><p>Sirolimus has improved the clinical course for HNLM patients by decreasing number of procedures and healthcare costs, with limited side effects. Larger cohorts matching type of HNLM and age are needed to assess healthcare utilization benefits of sirolimus.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 6","pages":"Article 104422"},"PeriodicalIF":1.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0196070924002084/pdfft?md5=e610ce8da9fc4c32e1ca4adae16382da&pid=1-s2.0-S0196070924002084-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849610","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}

{"title":"Assessing national trends in indications for pediatric total thyroidectomy","authors":"Christopher Puchi ,&nbsp;Mehul V. Raval ,&nbsp;Yao Tian ,&nbsp;Jami Josefson ,&nbsp;Jill Samis ,&nbsp;Douglas R. Johnston ,&nbsp;John Maddalozzo ,&nbsp;Jeffrey Rastatter ,&nbsp;Inbal Hazkani","doi":"10.1016/j.amjoto.2024.104440","DOIUrl":"10.1016/j.amjoto.2024.104440","url":null,"abstract":"<div><h3>Purpose</h3><p>The most common indications for total thyroidectomy (TT) in children are malignancy and thyrotoxicosis due to Graves' disease (GD). However, the incidence of patients with GD among patients undergoing TT is unknown. This study aims to examine trends in pediatric TT.</p></div><div><h3>Materials and methods</h3><p>The US Agency for Health Research and Quality Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) was queried to identify patients who underwent TT between 1997 and 2019. Weighted national estimates were obtained. Statistical analysis was completed using univariate logistic regression and one-sided Mann-Kendall Test.</p></div><div><h3>Results</h3><p>An estimated 4803 pediatric patients underwent TT within the study years. GD was the indication in 25 % of cases. Mann-Kendall testing showed a trend toward an increasing proportion of TT for GD without reaching statistical significance (z = 1.3609, S = 12, <em>p</em> = 0.0688). Statistically significant univariate associations were found among those who underwent thyroidectomy for GD compared to other indications, as they were more likely to be female (β = 0.286, 95 % CI [0.058, 0.514], <em>p</em> <em>=</em> 0.014), Black, or Hispanic (β = 1.392 [1.064, 1.721], <em>p</em> &lt; 0.001; and β = 0.562 [0.311, 0.814], p &lt; 0.001, respectively). Additionally, they were less likely to have private insurance (β = −0.308 [−1.076, −0.753], <em>p</em> <em>=</em> 0.002) and more likely to live in a ZIP code associated with a median household income below the 50th percentile (β = 0.190 [0.012, 0.369], <em>p</em> = 0.036). The associations with the female sex, Black race, and Hispanic race persisted in multivariate analysis.</p></div><div><h3>Conclusion</h3><p>GD appears to be an increasingly prevalent indication for TT. Patient characteristics differ from those who undergo TT for other diagnoses.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104440"},"PeriodicalIF":1.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141764823","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":"Review of retropharyngeal and parapharyngeal nodal metastasis of papillary thyroid carcinoma","authors":"Lauren K. Dietz ,&nbsp;Mac Kenzie J. Reece ,&nbsp;Sameep Kadakia","doi":"10.1016/j.amjoto.2024.104438","DOIUrl":"10.1016/j.amjoto.2024.104438","url":null,"abstract":"<div><h3>Background</h3><p>Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer. In rare instances, PTC has metastasized to the retropharyngeal and parapharyngeal nodes. This is hypothesized to occur due to an aberrant lymphatic channel or via retrograde lymphatic flow following previous neck dissection. Methods: A literature search was conducted with keywords “parapharyngeal,” “retropharyngeal,” and “papillary thyroid carcinoma.” Results: 46 articles were identified for a total of 135 cases. The most common presenting symptom was lymphadenopathy followed by pharyngeal mass and dyspnea. 38.03 % of patients were asymptomatic. Of cases including initial treatment history, 94.44 % had a history of neck dissection. The transcervical approach was the most utilized to resect the tumors, although in recent years trans-oral robotic surgery (TORS) has also been used.</p></div><div><h3>Conclusion</h3><p>PTC metastatic to the retropharyngeal and parapharyngeal nodes is a rare occurrence that can be difficult to diagnose due its indolent nature.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104438"},"PeriodicalIF":1.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851307","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":"Learning disabilities in children with hearing loss: A systematic review","authors":"Daniel Savegnago ,&nbsp;Leonardo Franz ,&nbsp;Marco Gubernale ,&nbsp;Chiara Gallo ,&nbsp;Cosimo de Filippis ,&nbsp;Gino Marioni ,&nbsp;Elisabetta Genovese","doi":"10.1016/j.amjoto.2024.104439","DOIUrl":"10.1016/j.amjoto.2024.104439","url":null,"abstract":"<div><h3>Purpose</h3><p>The main aim of this systematic review was to investigate the possible association between hearing loss [and/or history of otitis media with effusion (OME)] and learning difficulties in children. Secondary aims were to: (i) investigate if deaf and hard of hearing (DHH) children with learning difficulties might show different clinical and neuropsychological features compared with those with other neurodevelopmental disorders; (ii) identify possible predictors of learning difficulty in DHH children.</p></div><div><h3>Methods</h3><p>A review was conducted of the scientific literature reported by Pubmed, Cochrane and Scopus databases. The following inclusion criteria were used: (i) studies published after 2000; (ii) studies conducted considering subjects with age &lt; 18 years; (iii) studies considering patients who showed both learning difficulties and hearing loss and/or episodes of OME; (iv) articles written in English. The exclusion criteria were: (i) presence in the studied cohort of any other proven comorbidities, other than hearing loss and/or OME; (ii) non-original studies.</p></div><div><h3>Results</h3><p>A total of 924 studies were identified. Four were reviewed after applying the above criteria<strong>.</strong> From their analysis it emerged that: (i) children with hearing loss who had undergone a diagnostic and rehabilitation program before 6 months of age had better levels of <em>K readiness</em> and language and literacy skills compared to those who had undergone it after 6 months; (ii) higher frequency of episodes of OME and the presence of a conductive hearing loss during the period of language acquisition was associated to lower scores in reading skills; (iii) reading difficulties found in subjects with hearing loss had similar characteristics to those with language difficulties.</p></div><div><h3>Conclusions</h3><p>There is a dearth of information about this topic. Further investigations are therefore necessary on children of various ages with hearing loss to disclose learning difficulties in reading and writing abilities using current diagnostic tools.</p></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"45 5","pages":"Article 104439"},"PeriodicalIF":1.8,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0196070924002254/pdfft?md5=81cfe1c594e0f3b042e370de1c652474&pid=1-s2.0-S0196070924002254-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141787058","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}