ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY

The Prevalence and Related Factors of Hearing Loss Among Adults: A Systematic Review and Meta-Analyses
Tao Y, Zhang H, Wang D and Li W
We aimed to estimate the global prevalence of hearing loss among adults and to explore its associated factors.
Surgery for Obstructive Sleep Apnea in Children With Down Syndrome in an Australian Population
Kim R, Teng A and Soma M
The prevalence of obstructive sleep apnea (OSA) is known to be higher in children with Down syndrome (DS) than the general pediatric population, with lower rates of surgical cure. This study aims to determine the prevalence and predictors of OSA and evaluate the outcomes of surgical intervention for OSA in a cohort of Australian children with DS.
Examining the Utility of Lateral Neck X-Rays in Pediatric Otolaryngology
Marker M, Meyer C, Chinnadurai S, Redmann A and Roby BB
The utility of lateral neck X-rays is unclear in pediatric otolaryngology. Past research showed that lateral neck X-ray did not change treatment decisions for children with suspected foreign body aspiration. This study examines the utility of lateral neck X-ray for patients also receiving otolaryngology consults for any indication.
Disparities in Medication Prescriptions and Post-Tracheostomy Outcomes in Pediatric Patients
Reddy PD, Raman A, Eljamri S, Shaffer A and Padia R
Granulation tissue formation and tracheitis are common pediatric tracheostomy complications. Ciprofloxacin/dexamethasone is frequently prescribed, but the influence of social determinants on this topic is unexplored.
Novel Use of Drug-eluting Stent in Otologic Surgery to Prevent Restenosis
Karasik D, Killeen DE, Anne S and Mowry SE
The primary objective of this case series is to assess the effectiveness of the off-label use of the PROPEL drug-eluting stent, traditionally FDA-approved for sinus surgery, in preventing restenosis following canalplasty in patients with chronic otologic conditions or congenital anomalies. The stent provides both mechanical support to maintain canal patency and localized steroid delivery to reduce inflammation and scarring.
Aerodigestive Approach in Evaluating Pediatric Patients With Recurrent Croup
Chen X, Pereira N, Graw-Panzer K, Ciecierega T and Maresh AM
To evaluate the effectiveness of coordinated endoscopy with otolaryngology, pulmonology, and gastroenterology in diagnosing and managing recurrent croup in pediatric patients.
Outcomes of Cochlear Implantation in Adolescents With Auditory Neuropathy Spectrum Disorder: Scoping Review and Case Report
Kowkuntla S, Cathers P, Chisolm P, Geng X, Jones L and Hoa M
To assess outcomes of CI in adolescent patients with ANSD, a population which has not yet been comprehensively reviewed through a scoping review.
Improved Visualization of Oropharyngeal Tumors Using Simple Maneuvers During Flexible Endoscopy
Rahman AS, Wang VJ, Paderno A, Bedi N, Montalbaron M, Damrose E, Chen MM, Finegersh A, Lee JJ and Holsinger FC
To describe patient positioning maneuvers that optimize visualization of the oropharynx during flexible endoscopy.
Outcome Analysis of Parathyroid Gland Auto-transplantation in Pediatric Patients: A Retrospective Review
Lopez AA, Zhao S, O'Brien KJ, Rohde S and Belcher RH
Parathyroid gland (PG) auto-transplantation is performed to preserve the function of de-vascularized or unintentionally removed PGs, however, little has been published about the technique and outcomes in children. In our study, we aimed to present the results of PG auto-transplantation in children undergoing thyroidectomy or parathyroidectomy at a tertiary single institution. A retrospective review identified 14 patients (<18 years of age) who underwent PG auto-transplantation from January 2000 to December 2022. 57.1% (8/14) had transient postoperative hypocalcemia and 14.3% (2/14) had permanent postoperative hypocalcemia. Eight patients had transient hypoparathyroidism, correlating with the rate of transient hypocalcemia. The most common reimplantation site was the sternocleidomastoid (11/14) and it was significantly associated with normalized calcium levels 6 months after auto-transplantation (p=0.033). Bilateral central neck dissection and surgical indication of cancer had a statistically significant association with transient hypocalcemia (p=0.03 and p=0.005, respectively). Our study provides valuable insights into the outcomes of PG auto-transplantation in pediatric patients, highlighting the potential for successful engraftment and factors associated with hypocalcemia.
Stapler Versus Manual Suturing for Pharyngeal Closure in Total Laryngectomy
Teaima AA, Mostafa BE, Nabil KM and Mady OM
Laryngeal carcinoma is not uncommon worldwide. We conducted this study to comprehensively compare the outcome of stapler versus conventional suturing in total laryngectomy primary or salvage.
Laser Ablation of an Isolated External Auditory Canal Skin Wedge
Lakpa KL, Eyassu DG and Wiedermann JP
External ear malformations represent a spectrum of congenital anomalies that may involve the external auditory canal (EAC), tympanic membrane (TM), or associated structures. A rare anomaly, the EAC skin wedge, results from incomplete canalization during embryologic development. This report presents the clinical presentation, diagnostic evaluation, and surgical management of this condition.
Transoral Robotic Posterior Glottic Scar Lysis and Partial Arytenoidectomy: Report of a Novel Application of TORS for Benign Glottic Surgery
Panuganti BA and Jeyarajan H
Transoral robotic surgery (TORS) for benign glottic conditions is scarcely represented in the literature. We aimed in this study to report on the technical feasibility of an explicitly transoral robotic approach for a patient with posterior glottic stenosis, and to highlight extant limitations in exposure and robotic instrumentation of the glottis.
Key Decision-Making Factors in Pediatric Microtia Repair
Guhan M, Anand G and Liu YC
Functional Septorhinoplasty in Unilateral and Bilateral Nasal Obstruction: A Comparison of Patient-Reported Outcomes
Randall NR, Barrett DM, Frank-Ito DO, Ji KSY, Hoang T, Wang TD and Loyo M
Functional septorhinoplasty is an effective treatment for nasal airway obstruction. Little distinction exists between bilaterally and unilaterally obstructed patients in literature. Our study evaluates outcomes in patients with unilateral nasal airway obstruction compared to those with bilateral nasal airway obstruction as measured by nasal obstruction symptom evaluation scores following functional septorhinoplasty.
Serum Soluble Fibrinogen-Like Protein 2 Estimates Increased T-Helper 2 Cytokine, Elevated Disease Severity, and Unfavorable Outcomes in Allergic Rhinitis Patients
Qian X, Li D, Zhang Y, Su T and Shi S
Soluble fibrinogen-like protein 2 (sFGL2) may be involved in the pathology and progression of allergic rhinitis (AR) through regulating T-helper (Th)2 cell response. This study aimed to explore the ability of sFGL2 to estimate outcomes in AR patients.
Use of Social Media to Source Medical Information Among Parents of Pediatric Otolaryngology Clinic Patients: A Survey Study
Sharma A, Goshtasbi K and Bhatt J
The reach and impact of social media as it pertains to medical information among the parents and guardians of pediatric otolaryngology patients is unknown. This survey-based study investigates the use of social media as a source of medical knowledge in this population.
Demand for Increased Financial Support to Families of Privately Insured Pediatric Hearing Aid Users
Iqbal IS, Ostrowski T, Mouzakes J and Levi JR
The ability to hear is germane in fostering communiation skills in children and plays a crucial role in their overall wellbeing. Unfortunately, hearing impairment is one of the most common developmental discrepancies in children.
Are We Missing Obstructive Sleep Apnea in Patients With Non-traumatic Subglottic Stenosis?
Lackey TG, Allen A, McCabe N, Clary M, Green KK and Fink DS
To investigate the association between subglottic stenosis (SGS) and obstructive sleep apnea (OSA).
Supracricoid Partial Laryngectomy Versus Radiation Therapy for cT3N0M0 Glottic SCC: Outcomes in Candidates for Total Laryngectomy Responding Well to Induction Chemotherapy
Laccourreye O, Corbisiero MF, Garcia D, Mirghani H and Giraud P
To evaluate whether supracricoid partial laryngectomy (SCPL) may be a viable alternative to radiation therapy (RT) for patients with glottic cT3N0M0 squamous cell carcinoma (SCC) who are surgical candidates for total laryngectomy (TL) and respond well to platinum-based induction chemotherapy.
Endoscopic Screening for Laryngotracheal Complications in Children Following Prolonged Mechanical Ventilation Maintained Through Endotracheal Intubation: A Cross-Sectional Pilot Project
Dutta M, Jana D, Mukherjee D, Panja T, Shukla AK, Daga D, Yadav KK, Mondal S and Bandyopadhyay SN
An endoscopic screening program following successful weaning from prolonged mechanical ventilation maintained through endotracheal tube (ET; ) may be justified to assess the upper (laryngotracheal) airway in children who may not always be symptomatic for intubation-related complications.
Recurrent Inflammatory Reaction to Laryngeal Hyaluronic Acid Injection
Kreuser H, Fletcher KC and Davis RJ
Vocal fold injection augmentation with hyaluronic acid (HA) fillers is a common treatment for glottic insufficiency. While generally well-tolerated, rare inflammatory reactions can occur in 3% to 5% of patients. All reported reactions resolved after corticosteroid treatment, and no cases of recurrent inflammatory reaction with airway obstruction following steroid treatment have been reported. This case report describes a unique case of recurrent inflammatory reactions following laryngeal HA injection and management with hyaluronidase injection to prevent further reactions.