ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY

Beyond the Maxillary Sinus: A Proposed Classification of Chronic Sinus Atelectasis
Puri A, Straughan AJ, Klingele CK and Godse NR
Chronic maxillary atelectasis (CMA) describes the loss of maxillary sinus volume and has been well-described in the literature under many different names, creating inconsistency in reporting. A recent proposal has standardized the nomenclature but does not include disease of other paranasal sinuses.
Inferior Turbinate Reduction Using Bipolar Cautery: Technique and Outcomes in Pediatric Patients
Ali AH, Riley C and Digoy GP
To evaluate extended outcomes up to 6 years following bipolar-cautery inferior turbinate reduction (ITR) in a large pediatric cohort.
Pediatric Benign Nasal Triton Tumor: Its Diagnosis and Treatment
Berlucchi M, Comincini I, Redaelli de Zinis LO, Ghini I and Bondioni MP
Benign triton tumor (BTT) is a rare, benign peripheral nerve tumor typically affecting young children. While most found in the brachial plexus or sciatic nerve, BTT can occur in other various locations, including cranial nerves.
The Effects of Sutured Scroll Reconstruction Versus Sutureless Scroll Reconstruction in Rhinoplasty on Aesthetic and Functional Outcomes: A Randomized Controlled Trial
Goljanian Tabrizi A, Ghazizadeh M, Hooshmandnia S, Faghih Habibi A and Aghsaghloo V
With the growing popularity of rhinoplasty, techniques for enhancing functional and aesthetic outcomes are evolving. This study aims to compare 2 methods in rhinoplasty-sutured scroll reconstruction versus no scroll repair-focusing on their effects on nasal breathing, aesthetic results, and patient satisfaction.
Third Window Phenomenon in Advanced Otosclerosis: The Critical Role of Preoperative CT Imaging
Hwang J, Shimunov D and Isildak H
To describe a case of advanced otosclerosis complicated by third window phenomenon and emphasize the importance of preoperative CT imaging in advanced or revision otosclerosis, not only for assessing ossicular status and superior semicircular canal dehiscence (SSCD) but also for detecting abnormal otic capsule demineralization that may contribute to third window pathology.
Preliminary Analysis to Quantify Sinonasal Airspace Changes in Chronic Rhinosinusitis
Hodges KZ, Wright J, Kim MH and Frank-Ito DO
Chronic rhinosinusitis (CRS), marked by nasal mucosal inflammation, is a common condition often assessed via computed tomography (CT). However, the extent of airway opacification due to CRS-related inflammation remains incompletely quantified relative to healthy sinonasal anatomy. This preliminary study aims to quantify nasal and paranasal sinus volumes in CRS subjects, offering insights into the impact of inflammation on sinonasal airspace volumes.
Parotid Massage Facilitated by Straightening Stensen's Duct
Molotkova E, Maley J and Hoffman H
Obstructive sialadenitis may be associated with acute angulation at the masseteric bend of Stensen's duct previously reported to be associated with masseter enlargement. We report the case of a 44-year-old male who presented with intermittent left parotid pain and swelling without identifiable etiology on ultrasound and computed tomography imaging but with sialography notable for an acute masseteric bend in Stensen's duct. Fluoroscopic imaging on removal of the sialogram catheter demonstrated straightening of the masseteric bend, prompting patient education toward similar straightening of the duct with anterior traction to the cheek to facilitate parotid massage. Interval evaluations up to 4 months later identified a consistent response to this maneuver to prevent the previously experienced episodes of salivary gland swelling and pain. This maneuver, termed the "Molotkova Maneuver" offers an adjunct to standard parotid massage as a conservative management strategy to improve parotid drainage for select patients.
Managing a Complex Foreign Body: A Case Report of a Fork in the Upper Esophagus
Canick J, Connors J and April M
Foreign bodies in the aerodigestive tract pose a clinical challenge that must be addressed both swiftly and judiciously. Characteristics specific to both individual patients and to individual types of foreign bodies must be taken into consideration when planning for foreign body removal.
Otitis Media and Ventilation Tube Insertion and Quality of Life in a Rural Population in Denmark: Data From the LOFUS Cohort
Søborg T, Kørvel-Hanquist A and Homøe P
Otitis media (OM) is among the most common infections in childhood. Approximately 60% of all children will experience 1 or more episodes of OM before the age of 7 years, and 26% of children in Denmark are treated with ventilation tube insertion (VTI) before the age of 7 years. Previous studies investigating the effects of VTI on quality of life (QoL) for children and caregivers from urban areas have yielded conflicting results. Here, we investigate how OM and VTI affect the QoL in children and their families in a rural area of Denmark.
Early Outcomes of Cochlear Implantation for Pediatric COVID-19 Related Single Sided Deafness: Case Series and Literature Review
Arya P, Brooks KA, Cross A, Alfonso KP and Govil N
Sudden sensorineural hearing loss (SSNHL) is a rare manifestation of COVID-19. Cochlear implantation (CI) has been reported for definitive management of COVID-19 related single sided deafness (SSD) in adults. We present the first cases of pediatric CI for presumed COVID-19 related SSD.
Comorbidities and Airway Prosthesis Dependence in Bilateral Vocal Fold Immobility
McKenzie C, Mandybur I, Walker K, Zhou A, Howell R and Friedman AD
Bilateral vocal fold immobility (BVFI) results from posterior glottic stenosis (PGS) or bilateral vocal fold paralysis (BVFP). In the context of prolonged intubation, PGS often presents with additional airway stenosis (PGS). There is a paucity of literature comparing isolated PGS (iPGS), PGS, and isolated BVFP (iBVFP). The objective of this study is to analyze demographics, airway prosthesis (AP) dependence, and risk factors for failed decannulation within these cohorts.
Comparing Transoral Robotic Surgery and Hypoglossal Nerve Stimulation Using Mean Disease Alleviation in OSA
Mandloi S, DeKloe J, Kaki P, Shah R, Estephan LE, Naimi B, Boon MS and Huntley CT
The majority of the current literature assessing OSA utilizes change in AHI as the outcome measure. Clinical effectiveness of therapy is influenced by treatment adherence. Mean disease alleviation (MDA) was designed to determine the effectiveness of treatment as a function of both treatment efficacy and adherence. Our study compares outcomes in OSA patients treated with transoral robotic surgery (TORS) with lingual tonsillectomy and hypoglossal nerve stimulation (HGNS) using MDA.
Risk Factors for the Initial Misdiagnosis of Spontaneous Cerebrospinal Fluid Rhinorrhea
Liu MY, Lopez EM, Weitzel EK, Lally J, Tantiwongkosi B and Chen PG
Spontaneous cerebrospinal fluid (CSF) rhinorrhea is commonly misdiagnosed due to overlapping symptomatology with other sinonasal diseases, thus leading to delay in diagnosis and increased risk of meningitis. The objective of this study was to examine the risk factors for the initial misdiagnosis of spontaneous CSF rhinorrhea.
Clinician Attitudes and Knowledge of Pediatric Sleep-Disordered Breathing
Jungbauer WN, Barengo JH, Nietert PJ, Ford ME and Pecha PP
The goals of this study are to assess primary care provider (PCP) knowledge of and attitudes toward pediatric obstructive sleep apnea (OSA), and to identify variations in practice patterns.
Impact of Graft Material and Surgical Technique on Frequency-specific Audiometric Outcomes Following Tympanoplasty
Hallak D, Macielak RJ, Zhang L, Cueva RA, Dodson EE, Adunka OF and Ren Y
Investigate frequency-specific audiometric outcomes following tympanoplasty without ossiculoplasty using different grafting materials and techniques.
Outcomes of Open Osteophytectomy in Dysphagia Related to Cervical Osteophytes: A Systematic Review
Malhotra R, Khan H, Celidonio J, Kumar K, Suresh R and Yan K
This study investigates the efficacy of open osteophytectomy in patients with dysphagia associated with cervical osteophytes, stratified by C-spine level and presence of diffuse idiopathic skeletal hyperostosis (DISH).
Long-Term Risk of Revision Surgery Following Balloon Sinuplasty Versus Endoscopic Sinus Surgery
Parikh MJ, Franco A and Hur K
We aimed to compare revision surgery risk and postoperative healthcare utilization between patients with chronic rhinosinusitis (CRS) who undergo balloon sinuplasty (BSP) versus endoscopic sinus surgery (ESS).
Evaluation of Electrophysiological and Histopathological Effects of Hydroxyapatite and Glass Ionomer Bone Cement on Facial Nerve: An Animal Study
Yazir M, Imre A, Oncel S, Tanyeri Toker G, Sarıkcıoglu L, Kurus M, Cakalagaoglu F and Erbas O
To investigate whether otologic bone cements-hydroxyapatite (HAC) and glass ionomer cement (GIC)-cause facial nerve damage by evaluating their electrophysiological and histopathological effects in a rat model.
Observation of Laryngeal Postures via High-Speed Videoendoscopy in Adductor Laryngeal Dystonia
Marks KL, Vojtech J, Díaz Cádiz ME, Toles LE, Feaster TF, Wrede A, Baranwal M, Haubrich A, Ito M, Li S, Little B, Lonergan S, Phan F, Siracusano G, Estrada A, Rojas JM, Buckley DP, Sauder CL, Keltz A, Lerner M, Mallur P, Grillone G, Noordzij P, Tracy LF, Mau T and Stepp CE
Adductor laryngeal dystonia (AdLD) is a neurological disorder characterized by spasms of the laryngeal muscles during speech, resulting in acoustic discontinuities. High-speed videoendoscopy (HSV) has been used to capture supraglottic compression and visual obstructions of the vocal folds during sustained phonation in speakers with AdLD. The purpose of this study was to investigate the co-occurrence of these laryngeal postures via HSV and acoustic discontinuities in speakers with and without AdLD during connected speech.
Using Surgical Navigation to Capture Objective Metrics During Endoscopic Sinus Surgery: A Proof-of-Concept Study
Fearington FW, Jabbour C, Pinheiro Neto CD and Stokken JK
Evaluation of otolaryngology resident technical performance has historically relied on subjective perioperative feedback. Despite various assessment tools attempting to provide consistent surgical skill evaluations, current methods remain inherently subjective.
Multiple Drug-Induced Sleep Endoscopy in Pediatric Obstructive Sleep Apnea: Obstruction Patterns and Outcomes
Habib DRS, Arida-Moody L, Patro A, Wu J, Davis S, Zhao S, Patel K, Wootten CT and Whigham AS
Residual obstructive sleep apnea (OSA) following adenotonsillectomy (AT) is common in children with obesity. Drug-induced sleep endoscopy (DISE) identifies upper airway obstruction and guides surgery. A gap remains in evaluating multiple DISE-directed treatments. This study evaluates multiple DISE-directed procedure outcomes, obstruction patterns, and BMI in pediatric patients.