Otorhinolaryngology

Article Otorhinolaryngology

Examining therapy duration in adults with induced laryngeal obstruction (ILO)

Robert Brinton Fujiki, Amanda Edith Fujiki, Susan L. Thibeault

Summary: This study examined the number of therapy sessions required for patients with EILO/ILO to sufficiently improve their symptoms. The results showed that patients with comorbid behavioral health diagnosis, higher vocal handicap index score, and reduced physical activity due to EILO/ILO symptoms required more therapy sessions. Patients with secondary environmental triggers also required more sessions. Only a small percentage of patients returned for additional therapy sessions after discharge, and they were mostly from affluent neighborhoods.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Fitostimoline® in fibro-endoscopic and trans-nasal trans-speculum septoplasty as a beneficial tool to improve post-surgical outcome: Preliminary results of a case-control study

Pietro De Luca, Ignazio La Mantia, Federico Maria Gioacchini, Massimo Re, Marco Radici, Angelo Camaioni, Arianna Di Stadio

Summary: In this study, the effect of nasal packaging using Fitostimoline (R) gauze on nasal outcomes after septoplasty and FESS surgery was evaluated. The results showed that the use of Fitostimoline (R) gauze improved healing of nasal mucosa and reduced discomfort during tampon removal.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Endoscopic pediatric endonasal retrieval of transorbital projectile: An illustrative multimedia report

Bastien A. Valencia-Sanchez, Sheng Zhou, Jeffrey A. Koempel, Vijay A. Patel

Summary: Air guns, especially BB guns, have become more powerful and faster in recent decades. A large number of pediatric patients in the United States require medical treatment due to injuries caused by air guns. This study describes an effective surgical technique for treating maxillofacial injuries caused by BB gun projectiles in children.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Depression and anxiety in patients with head and neck cancer undergoing free flap reconstruction

Priscilla F. A. Pichardo, Vincent M. Desiato, Ryan N. Hellums, Kenneth W. Altman, Nicholas C. Purdy, Thorsen Haugen

Summary: This study investigated the prevalence and severity of depression and anxiety in patients with head and neck cancer undergoing free-flap reconstruction surgery. The findings showed a high prevalence of depression and anxiety in this cohort, with a significant number of patients remaining undiagnosed. Therefore, it is recommended to screen these patients at initial diagnosis and provide mental health services.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Review Otorhinolaryngology

Intratemporal facial nerve neurofibroma causing facial paralysis in an infant: Case report and review of the literature

Graham Pingree, Cybil Sierra Stingl, Emma West, Austin Wiles, Daniel Coelho, Rajanya Petersson

Summary: This article describes the first reported case of intratemporal neurofibroma in an infant and performs a literature review of all existing cases. It is found that the majority of cases involve multiple segments, with the mastoid segment being the most common. The most common symptoms described include facial paralysis, otalgia, and conductive hearing loss.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Review Otorhinolaryngology

The diagnosis of nontuberculous cervicofacial lymphadenitis: A systematic review

Elias S. Saba, Ghedak Ansari, Jacob Hoerter, Luke Schloegel, Shane Zim

Summary: This systematic review investigates the sensitivity of the various diagnostic methods used in the work-up of pediatric NTMCL. The most sensitive tests for confirmed NTMCL were PPD-A and PPD-S. For suspected NTM lymphadenitis, the most sensitive tests were combined PPD-S + A + K, PCR, and PPD-A.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Differences in presentation, treatment, and outcomes among minority head and neck cancer patient groups in Los Angeles County

Matthew Ern Lin, Carlos X. Castellanos, Neelesh Bagrodia, Jonathan D. West, Niels C. Kokot

Summary: This study aims to understand the differences between Caucasians and minority groups in terms of presentation, management, and outcome in head and neck cancer patients. The retrospective cohort analysis of the Los Angeles County SEER database revealed significant differences in age of diagnosis, sex, socioeconomic status, insurance status, stage at diagnosis, treatment modality, and time to first treatment. The findings suggest the presence of pervasive socioeconomic disparities that impact the diagnosis and management of head and neck cancer.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Efficacy of high dose systemic versus combined (systemic and intratympanic) corticosteroid therapy in idiopathic sudden sensorineural hearing loss: A prospective randomized trial and risk factor analysis

M. Kovacs, J. Uzsaly, G. Bodzai, I. Pap, B. Lippai, T. Dergez, A. Nemeth, I. Gerlinger, I. Szanyi, P. Bako

Summary: The pathophysiology and treatment of idiopathic sudden sensorineural hearing loss (ISSNHL) are still debated. A randomized controlled trial showed no significant differences in hearing improvement between different treatments, but identified clinical factors such as vertigo, cardiovascular comorbidity, and initial hearing loss severity as significant predictors of hearing outcomes.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Comparison of temporalis fascia and cartilage graft over-under myringoplasty for repairing large perforations

Zhengcai Lou, Zihan Lou, Tian Lv, Zhengnong Chen

Summary: This study compared the operation time, graft success, audiometric outcomes, and complications of the over-under technique using temporalis fascia and cartilage grafts for repairing large perforations. The results showed that both techniques had similar graft success rates and hearing outcomes, but the temporalis fascia graft technique prolonged the operation time and increased the risk of re-perforation and graft atelectasis.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Findings on drug-induced sleep endoscopy in infants with laryngomalacia

Adrian Williamson, Erica H. Mcardle, Hussein Jaffal

Summary: This study aims to describe the findings on drug-induced sleep endoscopy (DISE) in infants with laryngomalacia (LM). The results showed that DISE can identify obstruction at the level of the tongue base and complement the assessment of LM severity.

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Comparing recurrence between cautery techniques in pediatric epistaxis

Austin D. Schafer, Megan Mcnutt, Amy Fulmer, Tran Bourgeois, Charles A. Elmaraghy

Summary: This study compared the risk of recurrent epistaxis in children treated with silver nitrate or electrocautery. The findings showed that patients treated with silver nitrate had significantly higher risk of recurrence compared to those treated with electrocautery.

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Transoral robotic supraglottic laryngectomy: Long-term functional and oncologic outcomes

Togay Muderris, Ergun Sevil, Fatih Gul

Summary: This study investigated the long-term functional and oncologic outcomes of transoral robotic supraglottic laryngectomy (TORS-SGL). The results showed that TORS-SGL has excellent functional results for T1, T2, and selected T3 supraglottic tumors, and provides acceptable long-term oncologic results compared to alternative treatment modalities.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Clinical characteristics and prognosis of laryngeal tuberculosis combined with respiratory tuberculosis

Mengdie Gao, Liyu Cheng, Qingcui Wang, Qingwen Yang, Xiaoyi Wang, Yanru Li, Rong Hu, Wen Xu

Summary: This study investigates the clinical characteristics, diagnosis, and prognosis of patients with laryngeal tuberculosis (LTB) combined with respiratory tuberculosis. The study found that LTB commonly affects middle-aged men and presents with symptoms such as hoarseness, abnormal sensation of pharyngeal, and pharyngalgia. The lesions mainly involve multiple subregions, primarily the glottis, and can also involve the pharynx. Half of the patients were complicated with pulmonary tuberculosis (PTB), and chest CT was superior to X-ray in detecting pulmonary lesions. Most patients showed significant improvement in symptoms and morphology of the pharyngeal and laryngeal mucosa after regular anti-tuberculosis treatment.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Upper airway and tracheostomy management in patients with COVID-19: A long-term acute care hospital (LTACH)

Alvin Nguyen, Barbara Rajski, Vicki Furey, Lisa Duffner, Bryce Young, Inna A. Husain

Summary: This study retrospectively examined the tracheostomy and ventilation management of COVID-19 patients in a long-term acute care hospital. It found no association between abnormal laryngeal findings and successful decannulation, and highlighted the importance of speech language pathologists and otolaryngologists in the care of these patients.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Noise-induced hearing loss in the contralateral ear during otologic and neurotologic surgeries

Meghan M. Hiss, Vivian F. Kaul, William J. Riggs, Mehak Chawla, Vikas Munjal, Varun V. Varadarajan, Oliver F. Adunka

Summary: The purpose of this study was to evaluate the impact of various otologic/neurotologic surgeries on the non-surgical ear. The results suggest that the risk of hearing loss in the non-surgical ear during different surgeries appears to be minimal when measured via routine clinical tests.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Improvement of the aerobic performance in endurance athletes presenting nasal valve compromise with the application of an internal nasal dilator

Konstantinos Valsamidis, Athanasia Printza, Nikolaos Valsamidis, Jannis Constantinidis, Stefanos Triaridis

Summary: This study investigated the effects of an internal nasal dilator on nasal airflow and cardio-respiratory capacity in adult endurance athletes. The results showed that the internal nasal dilator improved nasal patency and aerobic performance in athletes with nasal obstruction symptoms.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Multiple skull base defects in the setting of spontaneous cerebrospinal fluid rhinorrhea; a dual institution view

Peter Filip, Evan A. Patel, Sarah Khalife, Ali M. Baird, Calista Dominy, Krishna Joshi, Rui Feng, Stephan Munich, Milena Stosic, Aimee J. Szewka, Raj Shrivastava, Satish Govindaraj, Peter Papagiannopoulos, Pete S. Batra, Bobby A. Tajudeen

Summary: This study found that patients with multiple skull base defects and cerebrospinal fluid leaks are at a higher risk for developing CSF leaks. Secondary skull base defects are common in patients with spontaneous CSF rhinorrhea, and more prevalent in patients with recurrence.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Correction Otorhinolaryngology

Seasonal variations, acute rhinosinusitis and orbital infections in children (vol 44, 103918, 2023)

Amani Kais, Rafka Chaiban, Chadi A. Makary, Hassan H. Ramadan

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Chemosensory function recovery in COVID-19 patients: A cross-sectional study

Aria Nawab, Aura Acosta, Corinna G. Levine, Michael E. Hoffer, Roy Casiano, Xue Zhong Liu

Summary: This study aims to determine whether COVID-19-recovered patients perform similarly to their pre-COVID baseline in smell and taste tests. The results suggest that patients who have recovered from COVID-19 regain sensory ability similar to their pre-COVID state, but further research is needed to confirm these findings.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)

Article Otorhinolaryngology

Impact of comorbidities on immediate post-operative complications in oral cavity free flap patients

Wenda Ye, Kevin S. Guo, Jean-Nicolas Gallant, Madelyn N. Stevens, Vivian L. Weiss, Gabriel A. Bendfeldt, Michael T. O'Brien, Eben L. Rosenthal, James L. Netterville, Kyle Mannion, Alexander J. Langerman, Robert J. Sinard, Michael C. Topf, Sarah L. Rohde

Summary: This study aimed to investigate the relationship between comorbidities and immediate post-operative complications in patients undergoing oral cavity composite resection (OCCR) with free flap (FF) reconstruction. A retrospective analysis was conducted on patients who underwent OCCR with FF reconstruction between 1999 and 2020. The results showed that patients without comorbidities were less likely to develop post-operative complications, while atrial fibrillation and cerebrovascular disease were associated with increased odds of any complication. Pre-existing vascular disease was also linked to an increased risk of pneumonia.

AMERICAN JOURNAL OF OTOLARYNGOLOGY (2024)