• Issue

    Laryngoscope Investigative Otolaryngology: Volume 9, Issue 5

    October 2024

ISSUE INFORMATION

Open Access

Issue Information

  • First Published: 06 September 2024

ORIGINAL RESEARCH

Open Access

Demographic and socioeconomic determinants of missing labs and imaging for otolaryngologic clinical visits

  • First Published: 09 September 2024
Demographic and socioeconomic determinants of missing labs and imaging for otolaryngologic clinical visits

With prior studies noting the notable effects of socioeconomic status and demographic factors on care in specialty clinics, we set out to determine the accessory effect of these factors on patient appointment preparedness in an otolaryngologic clinic. This study specifically examines these factors in regard to patient arrival with appropriate labs and imaging, as these are crucial in lead time and providing appropriate care for the patient. Our study identified follow-up versus initial appointment, zip code, age, sex, and marital status to be significant factors influencing patient preparedness.

Open Access

Prevalence of self-reported voice and swallowing complaints in an outpatient geriatric population

  • First Published: 09 September 2024
Prevalence of self-reported voice and swallowing complaints in an outpatient geriatric population

This article sought to evaluate the prevalence of dysphonia and dysphagia in a non-otolaryngology population seeking care at our geriatrics clinic. The design of this study is retrospective and cross-sectional survey. We used validated questionnaires (EAT-10, VHI-10, and PILL-5) to assess dysphonia, dysphagia and pill-dysphagia in a geriatric treatment seeking population at our academic center.

Open Access

Stimulation conditions leading to electrical vestibular co-stimulation in cochlear implant users

  • First Published: 09 September 2024
Stimulation conditions leading to electrical vestibular co-stimulation in cochlear implant users

The study investigated electrical vestibular co-stimulation by recording of e-cVEMPs and e-oVEMPs to variations of ground path and stimulation electrode as well as modifications of stimulus frequency and number of pulses. The results showed that vestibular co-stimulation occurred in 43% of cases and is more likely in patients with high stimulation levels and for monopolar stimulation of basal electrode contacts. Some patients showed e-VEMP thresholds close to or below the electric hearing threshold level, which implies that vestibular co-stimulation can occur in daily CI use with clinical maps.

Open Access

A MAUDE database analysis on the new generation of active bone conduction hearing implants

  • First Published: 28 September 2024
A MAUDE database analysis on the new generation of active bone conduction hearing implants

The study analyzed adverse events reported to the FDA MAUDE database for patients with novel active bone conduction hearing implants. Data was collected concerning device malfunctions, patient injuries, factors triggering these incidents, and the subsequent actions taken. The findings highlight common complications with new active BCIs, but the authors advise caution in interpretation due to the limitations of the MAUDE database data.

Open Access

Search for medical information for chronic rhinosinusitis through an artificial intelligence ChatBot

  • First Published: 09 September 2024
Search for medical information for chronic rhinosinusitis through an artificial intelligence ChatBot

This study evaluates the capability of ChatGPT—an artificial intelligence chatbot—to provide accurate and readable information on chronic rhinosinusitis, comparing its responses against established medical guidelines. Findings reveal that while responses align generally with the literature; readability analyses the highlight areas of complexity that may challenge the patient understanding. The study underscores ChatGPT's potential in enhancing healthcare communication, emphasizing the need for accuracy, and readability adjustments to cater to diverse educational backgrounds.

Open Access

Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment

  • First Published: 09 September 2024
Acoustic, aerodynamic, and vibrational effects of ventricular folds adduction in an ex vivo experiment

This study aimed to examine the impact of different degrees of ventricular adduction on acoustics, aerodynamics, and vocal fold vibration in an ex vivo experiment.

Open Access

Implementation and impact of a surgical dashboard on pediatric tonsillectomy outcomes: A quality improvement study

  • First Published: 14 September 2024
Implementation and impact of a surgical dashboard on pediatric tonsillectomy outcomes: A quality improvement study

This dynamic tonsillectomy dashboard was fundamental to monitoring outcomes of quality improvement initiatives, collecting and analyzing data for a retrospective cohort study, and identifying areas for improvement within a pediatric otolaryngology department.

Open Access

Primary site surgical resection in cM1 oral cavity squamous cell carcinoma

  • First Published: 14 September 2024
Primary site surgical resection in cM1 oral cavity squamous cell carcinoma

This study aims to investigate primary site surgical resection and overall survival in clinically distantly metastatic oral cavity squamous cell carcinoma. Despite the high rate of positive surgical margins, surgical resection + adjuvant chemoradiotherapy was associated with higher overall survival than chemotherapy alone, chemoradiotherapy, or surgical resection + adjuvant chemotherapy. Definitive local therapy may benefit select patients with clinically distantly metastatic oral cavity squamous cell carcinoma.

Open Access

Revisiting the etiology and clinical characteristics of hemorrhagic polyps of the vocal fold

  • First Published: 20 September 2024
Revisiting the etiology and clinical characteristics of hemorrhagic polyps of the vocal fold

We present one of the largest cohorts of patients (n = 111) managed with hemorrhagic polyps. We revisit the etiology of the condition and explore how this can affect the clinical presentation. In addition, we describe the clinical characteristics, associated laryngostroboscopic findings, and outcomes with different treatments performed.

ORIGINAL RESEARCH

Open Access

As a phenomenon: Ramadan fasting improves olfactory performance

  • First Published: 23 September 2024
As a phenomenon: Ramadan fasting improves olfactory performance

Our study is the second study in the literature examining the relationship between Ramadan fasting and nasal olfactory functions. However, it is the first in the literature with its many features.

Open Access

Outcomes of heliox use in children with respiratory compromise: A 10-year single institution experience

  • First Published: 26 September 2024
Outcomes of heliox use in children with respiratory compromise: A 10-year single institution experience

Heliox has been used as temporizing agent for children with upper airway obstruction despite lack of consensus. Our retrospective single-institution experience suggests that heliox may be used as a temporizing agent in children with upper airway obstruction. The effectiveness of heliox use for more than 47 h in children, especially if other comorbidities are present, should be reconsidered.

Open Access

Histological characterization of rat vocal fold across different postnatal periods

  • First Published: 28 September 2024
Histological characterization of rat vocal fold across different postnatal periods

The study aimed to evaluate vocal fold histological characterization of the different postnatal periods rat, especially aged. Rat vocal folds structural and physiological changes parallel that in previous human studies.

Open Access

Kids are not just small adults: An attempt to validate pediatric tablet-based digits in noise testing

  • First Published: 28 September 2024
Kids are not just small adults: An attempt to validate pediatric tablet-based digits in noise testing

To investigate whether conductive hearing loss can be differentiated from sensorineural hearing loss in children ages 3–18 using a diotic and antiphasic digits-in-noise tablet-based test using existing adult cut-off criteria.

Open Access

Outpatient management of pediatric epistaxis: A cost analysis and clinical model

  • First Published: 08 October 2024
Outpatient management of pediatric epistaxis: A cost analysis and clinical model

Pediatric epistaxis is a common, often non-operative condition seen by Otolaryngologists that is associated with a direct healthcare burden. We survey our own clinical management algorithm and describe a clinical model that can optimize care coordination with primary care and advanced practice providers while, lower healthcare costs, and improve patient care.

Open Access

Current approaches to facial nerve schwannoma surgery

  • First Published: 08 October 2024
Current approaches to facial nerve schwannoma surgery

Facial nerve schwannomas (FNSs) are exceedingly rare benign tumors. This study aims to report on a series of excised FNSs, providing clinical information and details on their surgical management, including novel approaches.

Open Access

Immunocytochemistry assessment of vocal fold regeneration after cell-based implant in rabbits

  • First Published: 09 October 2024
Immunocytochemistry assessment of vocal fold regeneration after cell-based implant in rabbits

Cell-based outer vocal fold replacement (COVR) using human adipose-derived stem cells (ASC) in fibrin was investigated in rabbits. Immunocytochemistry revealed that implanted human ASC persist in rabbit vocal folds, with some expressing CD31, an endothelial marker, whereas smooth muscle actin (SMA), a marker of myofibroblast phenotype, was present in all sections regardless of treatment and was not identified in hASC.

Open Access

Perilymphatic enhancement and endolymphatic hydrops: MRI findings and clinical associations

  • First Published: 12 October 2024
Perilymphatic enhancement and endolymphatic hydrops: MRI findings and clinical associations

The relationship between the signal intensity ratio (SIR) of PE and hearing changes (A) and vertigo attacks (B) within 6 months in patients with MD is shown. SIR was significantly higher in the group experiencing changes within 6 months compared with the group that did not experience change.

REVIEW

Open Access

The pathophysiology of dysphagia post-lung transplant: A systematic review

  • First Published: 18 October 2024
The pathophysiology of dysphagia post-lung transplant: A systematic review

One major consequence of lung transplantation is the development of oropharyngeal dysphagia. This systematic review aims to appraise and synthesize the available evidence using instrumental assessments to outline the characteristics of post-lung transplant dysphagia.

ORIGINAL RESEARCH

Open Access

Impact of implementing stricter criteria for blood transfusion in patients with head and neck cancer undergoing free tissue transfer

  • First Published: 18 October 2024
Impact of implementing stricter criteria for blood transfusion in patients with head and neck cancer undergoing free tissue transfer

In this retrospective cohort study that included 346 HNC patients undergoing free tissue transfer, stricter transfusion criteria with threshold hematocrit of 21% was associated with a statistically significant improvement of OS, RFS, and complication rates with no negative impact on free flap survival. The increased tendency to transfuse free flap patients in order to maintain a threshold hematocrit may have a detrimental impact on survival and wound infections.

Open Access

3D reconstruction of vocal fold dynamics with laser high-speed videoendoscopy in children

  • First Published: 23 October 2024
3D reconstruction of vocal fold dynamics with laser high-speed videoendoscopy in children

This is the first study to evaluate vocal fold motion in 3D in children using custom developed laser endoscopy. The study illustrates the importance of evaluating the vertical motion in children. The findings also underscore the need to explore the 3D dynamics of the closing phase to distinguish vibratory motion between children and adults and emphasize the significance of studying posterior motion in children with vocal nodules during the opening phase.

Open Access

Surgical resection and overall survival in cT4b sinonasal non-squamous cell carcinoma

  • First Published: 23 October 2024
Surgical resection and overall survival in cT4b sinonasal non-squamous cell carcinoma

Our study investigates the survival benefit of surgical resection in cT4b sinonasal non-squamous cell carcinoma (SCC). Surgical resection + additional therapy was associated with higher overall survival than definitive radiotherapy/chemoradiotherapy in cT4b sinonasal non-SCC. Surgical resection may benefit select patients with cT4b sinonasal non-SCC.

Open Access

Aspergillus otitis externa: A retrospective study of predisposing factors, treatment, and complications

  • First Published: 25 October 2024

Aspergillus otitis externa may lead to a wide range of frequent and rare complications, including tympanic membrane perforations, otitis media, mastoiditis, permanent hearing loss, and cranial nerve palsies. Aspergillus niger causes most otitis media and tympanic membrane perforations, whereas A. flavus, A. fumigatus, and immunocompromising states are predispoding factors for mastoiditis. Careful local treatment is efficient in most cases but surgery and systemic antifungals are needed in profound infections.