Diagnostic Performance of ChatGPT-4o in Analyzing Oral Mucosal Lesions: A Comparative Study with Experts.

this pilot study aimed to evaluate the diagnostic accuracy of ChatGPT-4o in analyzing oral mucosal lesions from clinical images. : a total of 110 clinical images, including 100 pathological lesions and 10 healthy mucosal images, were retrieved from Google Images and analyzed by ChatGPT-4o using a standardized prompt. An expert panel of five clinicians established a reference diagnosis, categorizing lesions as benign or malignant.

Surgeon, Trainee, or GPT? A Blinded Multicentric Study of AI-Augmented Operative Notes.

Objectives: Clear, complete operative documentation is essential for surgical safety, continuity of care, and medico-legal standards. Large language models such as ChatGPT offer promise for automating clinical documentation; however, their performance in operative note generation, particularly in surgical subspecialties, remains underexplored. This study aimed to compare the quality, accuracy, and efficiency of operative notes authored by a surgical resident, attending surgeon, GPT alone, and an attending surgeon using GPT as a writing aid.

Regional Disparities in Head and Neck Cancer Management: A Global Cross-Sectional Survey of the World Federation of ENT Societies.

Objective: To outline global variations in head and neck cancer care practices and resource availability across disparate geographic locations and sites of care.

Methods: We conducted a cross-sectional worldwide survey following STROBE and CHERRIES guidelines in September-December 2024 under the aegis of the World Federation of ENT Societies (IFOS) and Young Otolaryngologists of IFOS (YO-IFOS). The survey was conducted in the form of standardized case vignettes for common clinical scenarios for various head and neck subsites, practice setting characteristics, and resource availability assessment.

Evaluation of Artificial Intelligence Chatbots for Facial Injection Planning: Comparative Performance and Safety Limitations.

Background: To evaluate the performance of artificial intelligence (AI)-powered chatbots in generating treatment plans for facial aesthetic injections, focusing on their accuracy, safety, and clinical applicability.

Methods: A comparative observational study was conducted in an otolaryngology tertiary care department according to STROBE guidelines. Patients seeking facial injections were recruited from July to October 2024.

Gender-Related Discriminations in European Otolaryngology-Head and Neck Surgery: European Report.

BackgroundMicroaggressions are subtle verbal or behavioral insults (intentional or unintentional) that typically convey negative or hostile attitudes towards marginalized groups. We aim to study microaggressions and workplace culture amongst European otolaryngologist -head and neck surgeons (E-OTOHNS). The perception of "differential treatment" based on individual traits was used as a proxy for microaggressions.

HPV Status and Survival Outcomes in Patients 70 Years and Older After Surgery for Oropharyngeal Carcinoma.

Importance: The incidence of HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) arising from the palatine tonsil and base of the tongue (BOT) is increasing among the older population. However, data on the prognostic impact of HPV status in patients 70 years and older who undergo up-front surgical treatment remain limited.

Objective: To evaluate whether HPV status is associated with survival outcomes in patients 70 years or older undergoing surgical treatment for squamous cell carcinoma (SCC) of the tonsil or BOT.

Patient Perceptions of Artificial Intelligence in Otolaryngology-Head and Neck Surgery: An International Study.

Objective: To investigate the demographic determinants of patient perception toward the role of artificial intelligence (AI) in otolaryngology-head and neck surgery care.

Methods: Outpatients consulting in otolaryngology-head and neck surgery departments of 18 hospitals were surveyed about the perception of the role of AI in health care. The results were analyzed according to the age, gender, patient use of technology, and the level of education.

An innovative use of the buccal fat pad in parotidectomy for prevention of facial depression and Frey's syndrome.

The surgical treatment of parotid tumors often leads to complications such as facial depression and Frey's syndrome. Traditional reconstruction techniques, including muscle flaps and dermal-fat grafts, are associated with significant limitations. This technical report explores the innovative use of the buccal fat pad (BFP) as a vascularized graft for restoring facial symmetry and reducing Frey's syndrome risk.

The practice of oral feeding after total laryngectomy by Brazilian head and neck surgeons.

Objective: To evaluate the initiation of oral feeding in patients following TL by a group of Brazilian head and neck surgeons.

Methods: Online survey - 75 responders from Brazil.

Results: 40.

Clinical Findings, Feasibility, and Patient Tolerance of Nasopharyngeal Dx-pH System for Detecting Nasopharyngeal Reflux Disease.

Objective: To investigate the feasibility, patient tolerance, and clinical findings of the Dx-pH system for detecting nasopharyngeal reflux disease (NRD).

Methods: Patients with idiopathic and chronic nasal complaints were recruited from the European Reflux Clinic between July 2022 and July 2024. Patients underwent 24-hour nasal Dx-pH system for detecting NRD.

Therapeutic management of traumatic facial palsy: a systematic review.

Purpose: Trauma is a common cause of facial nerve palsy, accounting for 3% of all cases. While many facial palsies resolve with medical treatment, some require surgical intervention. This systematic review aimed to determine the best therapeutic strategy for traumatic facial palsy.

Laryngopharyngeal reflux and psychological distress: a vicious cycle worth investigating.

Objectives: To investigate the correlation between laryngopharyngeal reflux (LPR) and psychological distress in a sample of adult Italian patients.

Methods: LPR was assessed using the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), and 24-hour impedance-pH monitoring. Psychological distress was evaluated with the following clinical tools: the Hospital Anxiety and Depression Scale (HADS), the Hamilton Anxiety Rating Scale (HAM-A), the Hamilton Depression Rating Scale (HAM-D), the Impact of Event Scale-Revised (IES-R), the Insomnia Severity Index (ISI), and the Perceived Stress Scale-10 (PSS-10).

Liquid Biopsy in HPV-Associated Head and Neck Cancer: A Comprehensive Review.

Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer globally, with HPV-positive cases emerging as a distinct subtype with unique clinical and molecular characteristics. Current diagnostic methods, including tissue biopsy and imaging, face limitations in terms of invasiveness, static disease assessment, and difficulty in distinguishing recurrence from treatment-related changes. This review aimed to assess the potential of liquid biopsy as a minimally invasive tool for the diagnosis, treatment monitoring, and surveillance of HPV-associated HNSCC.

Accuracy of ChatGPT-4o in Text and Video Analysis of Laryngeal Malignant and Premalignant Diseases.

Introduction: Chatbot Generative Pretrained Transformer (ChatGPT), a multimodal generative AI, has been studied for potential applications in healthcare, including otolaryngology-head and neck surgery. In this study, authors investigates the consistency of ChatGPT-4o in analyzing clinical fiberoptic videos of suspected laryngeal malignancies compared to expert clinicians.

Methods: This experimental study involved twenty patients with primary laryngeal disease consulting at a tertiary academic center.

Sialodochoplasty with ductal size reduction for Stensen's megaduct.

Background: Stensen's megaduct secondary to distal stenosis presents recurrent swelling and requires surgical management when minimally invasive approaches fail.

Method: We described a novel technique, based in the use of a combined sialodochoplasty, incorporating duct size reduction with hemoclips.

Conclusion: This approach could be considered an effective technique that resolves symptoms, minimizes recurrence, and preserves gland function improving the cosmetic results.

ChatGPT 4.0 and algor in generating concept maps: an observational study.

Background: To evaluate the performance of two AI systems, ChatGPT 4.0 and Algor, in generating concept maps from validated otolaryngology clinical practice guidelines.

Methods: Concept maps were generated by ChatGPT 4.

Practical considerations for choosing transoral laser microsurgery versus transoral robotic surgery for supraglottic laryngeal cancers.

Purpose Of Review: To review the pros and cons of treating supraglottic laryngeal cancer with transoral laser microsurgery (TOLM) or transoral robotic surgery (TORS).

Recent Findings: The use of TORS is limited by the cost and the availability of the robots despite a faster learning curve than TOLM. The laryngeal exposure difficulty, the use of long instruments, and the restricted view of the surgical field consist of the primary limitations of TOLM, which are addressed in TORS technology through a 30° view of surgical fields, and the 180° amplitude of the instruments.

Association between Helicobacter pylori, reflux and chronic rhinosinusitis: a systematic review.

Background: The prevalence, role, and clinical relevance of Helicobacter Pylori (HP) in sinonasal tissues of patients with chronic rhinosinusitis remain unclear.

Objective: To investigate the prevalence and clinical relevance of Helicobacter Pylori (HP) in chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) and without nasal polyps (CRSSNP).

Methods: Three investigators conducted a PubMed, Scopus, and Cochrane Library systematic review of the prevalence and clinical relevance of HP infection in CRS patients through the PRISMA framework.

Enhancing AI Chatbot Responses in Health Care: The SMART Prompt Structure in Head and Neck Surgery.

Objective: This study aims to evaluate the impact of prompt construction on the quality of artificial intelligence (AI) chatbot responses in the context of head and neck surgery.

Study Design: Observational and evaluative study.

Setting: An international collaboration involving 16 researchers from 11 European centers specializing in head and neck surgery.