Isolated Enlarged Endolymphatic Sac Causing Sensorineural Hearing Loss: A Case Report.

This is the case of a healthy 10-year-old girl presenting to the pediatric otolaryngology clinic for an incidental finding of a 20 mm dilatation within the left posterior fossa on brain computed tomography done for evaluation of left retro-auricular pain. Comprehensive audiometry showed left sensorineural hearing loss at low frequencies. Magnetic resonance imaging revealed a cystic lesion along the posterior aspect of the left temporal bone with normal inner ear anatomy consistent with an enlarged endolymphatic sac anomaly.

Factors Influencing the Delay in Head and Neck Cancer Diagnosis in Lebanon.

Objectives: To evaluate factors affecting the delay in head and neck cancer (HNC) diagnosis in Lebanon.

Methods: Patients with HNC presenting between August 1, 2023, and August 1, 2024, to the American University of Beirut Medical Center (AUBMC) were recruited. A questionnaire was administered to characterize the demographic, socioeconomic, and clinical factors affecting their cancer diagnosis, and their charts were reviewed retrospectively for their cancer demographics and to account for any discrepancies.

Office-Based Blue Laser Versus Coblation Therapy for Inferior Turbinate Hypertrophy: A Pilot Study.

Objective: The aim of this pilot study is to compare the effectiveness of office-based blue laser therapy with coblation therapy in patients with inferior turbinate hypertrophy (ITH).

Study Design: Retrospective chart review.

Setting: Tertiary referral center.

Voice Evaluation of Patients with Chronic Rhinosinusitis and Nasal Polyposis: A Case Series and Review of the Literature.

Introduction: Chronic rhinosinusitis (CRS) is a common disabling condition that affects 5-12% of the general population. The impact of CRS on voice has garnered interest due to the increasing number of individuals relying on their voice professionally. Previous studies have shown inconsistent results due to heterogeneous study groups and varying outcome measures.

Unusual Case of Fishhook Lodged in the Neck: A Case Report and Literature Review.

Fishing constitutes a widely practiced sport considered pleasant and harmless. Yet, there are specific risks associated with fishhook injuries specifically in the neck. To the best of our knowledge, only few articles on fishhook injury in the neck were reported in the literature.

Prevalence of Nasal Obstruction in Patients with Primary Muscle Tension Dysphonia: A Pilot Study.

Introduction: The link between nasal obstruction and muscle tension dysphonia (MTD) has not been previously investigated despite the well-established relationship between respiratory and voice disorders. The aim of this study was to examine the prevalence of nasal obstruction and sinonasal symptoms in patients with primary MTD.

Methods: Patients presenting to the Voice Unit at a tertiary referral center between July 2022 and October 2023 and diagnosed with primary MTD were recruited.

Barriers to Research Faced by High-Income Versus Low- and Middle-Income Country Otolaryngologists and Otolaryngology Residents.

Objective: This study aims to compare research productivity and barriers to research between high-income countries (HICs) and low- and middle-income countries (LMICs) otolaryngologists.

Study Design: Cross-sectional survey.

Setting: International survey.

Risk of Obstructive Sleep Apnea in Patients With Muscle Tension Dysphonia: A Prospective Pilot Study.

Objective: To investigate the risk of obstructive sleep apnea (OSA) in patients with muscle tension dysphonia (MTD) in comparison to subjects with no dysphonia.

Study Design: Prospective cohort study.

Methods: Patients who were diagnosed with MTD at a tertiary referral center between October 2022 and October 2023 were invited to participate in this study, alongside a healthy control group matched by age and gender, with no history of dysphonia.

The impact of music on patient tolerance during office-based laryngeal surgery.

Objective: To investigate the impact of music on patient tolerance during office-based laryngeal surgery (OBLS).

Methods: All patients undergoing OBLS between February 2024 to June 2024 were invited to participate in this study. They were divided into two subgroups, those with music in the background during surgery and those without.

Risk of swallowing disorders in patients with chronic rhinosinusitis and nasal polyposis in comparison to healthy controls: a Survey of 50 cases.

Purpose: To investigate the risk of swallowing disorders and the frequency and intensity of vocal tract symptoms in patients with chronic rhinosinusitis and nasal polyposis (CRSwNP).

Methods: Adult patients diagnosed with CRSwNP presenting to the rhinology clinic of a tertiary referral center between March 2023 and March 2024, were recruited. Patients with acute or recent history of respiratory tract infections, tonsillitis, pharyngitis or otitis, were excluded.

Office-Based Blue Laser Posterior Cordectomy in Patients with Bilateral Vocal Fold Paralysis: A Novel Approach.

Objective: Bilateral vocal fold paralysis can be a disabling condition with an adverse impact on quality of life. Various glottal widening procedures to secure the airway have been described. These include total or partial arytenoidectomy with or without reinnervation, cordotomy, arytenoidopexy, and others.

The Risk of Obstructive Sleep Apnea in Patients with Primary Muscle Tension Dysphonia.

To explore the risk of obstructive sleep apnea (OSA) in patients with primary muscle tension dysphonia (MTD). The medical records of patients diagnosed with primary MTD between November 2021 and March 2023, were reviewed. The risk of having OSA was assessed by looking at the scores of two validated questionnaires, namely the STOP-BANG questionnaire and the Berlin questionnaire.

Transnasal Endoscopic Injection of Botulinum Toxin in Patients with Adductor Spasmodic Dysphonia.

Introduction: Adductor Spasmodic Dysphonia (ADSD) is the most common form of spasmodic dysphonia. It encompasses various symptoms affecting voice and speech. The objective of this study is to report the management of patients with ADSD using the transnasal endoscopic approach for laryngeal Botulinum Toxin (Botox) injection.

Algorithm for airway management in benign intra-tracheal lesions.

The authors have conducted a retrospective analysis based on two cases of patients with intra-tracheal pathologies who received treatment from the same surgeon at a tertiary referral center. The effective management of airways in patients with intra-tracheal lesions necessitates close collaboration between surgeons and anesthesiologists. Factors such as the size, location, rigidity of the tumor, and the remaining tracheal lumen space should be carefully considered.

Office-Based Blue Laser Therapy vs Thulium Laser Therapy for Reinke's Edema.

Objective: To compare the treatment outcomes of patients with Reinke's edema (RE) who were treated in-office using the blue laser vs those treated in-office using the thulium laser.

Study Design: Retrospective case-control study.

Methods: The medical records and video recordings of patients who underwent office-based thulium laser therapy for RE between November 2018 and July 2019, and office-based blue laser therapy for RE between November 2023 and March 2024 in a tertiary referral center were reviewed.

Office-based blue laser therapy for inferior turbinate hypertrophy: a pilot study.

Purpose: To investigate the subjective effect of office-based blue laser therapy for inferior turbinate hypertrophy in patients with nasal obstruction.

Methods: Patients with nasal obstruction who underwent office-based blue laser for the inferior turbinate hypertrophy between October 2022 and December 2023 were included in the study. The two outcome measures used to gauge the improvement in nasal obstruction and success of surgery were the Nasal Obstruction Symptom Evaluation (NOSE) scale and the Visual Analogue Scale (VAS).

Intramuscular Lipoma of the Sternocleidomastoid Muscle: A Rare Entity Revisited.

Intramuscular lipomas, typically found in subcutaneous tissue, rarely affect deeper muscular planes, especially those of the head and neck region. The following are 3 cases of intramuscular lipomas involving the sternocleidomastoid muscle. The first 2 patients presented with painless, palpable masses confirmed by diagnostic imaging as well-circumscribed intramuscular lipomas.

Diabetes Insipidus after Endoscopic Endonasal Pituitary Macroadenoma Resection: Correlation of Patient and Surgery-Related Risk Factors.

 This article aims to identify patient- and surgery-related factors that could predict the development of postoperative central diabetes insipidus (DI).  This is a retrospective case-control study conducted at a single-institution tertiary referral center. Patients undergoing endoscopic endonasal skull base surgery for pituitary adenoma between November 2018 and April 2023 were recruited.

Office-Based Steroid Injection for Benign Lesions of the Vocal Folds: Case Series and Review of the Literature.

Objectives: To present the authors' experience on intralesional steroid injection (ILSI) for benign lesions of the vocal folds and a review of the literature.

Study Design: Retrospective chart review.

Methods: The medical records of patients with vocal folds nodules, polyps, Reinke's edema, laryngitis/localized edema, and vocal fold granuloma who underwent ILSI were reviewed.

Laryngeal muscle tension in patients with sinonasal diseases: prevalence and clinical significance.

Objective: To determine the prevalence of laryngeal muscle tension in patients with sinonasal diseases.

Methods: The medical records and video-recordings of patients with a history of sinonasal disease were reviewed to identify one of four muscle tension patterns during phonation. A control group with no history of sinonasal diseases was matched according to age and gender.

The sensitivity of laryngeal findings in predicting high-grade dysplasia in patients with vocal fold leukoplakia undergoing office-based biopsies: A retrospective analysis of 100 cases.

Objective: To investigate the sensitivity of laryngeal findings in predicting high-grade dysplasia/carcinoma in situ (CIS) and squamous cell carcinoma (SCC) in patients with vocal fold leukoplakia.

Methods: A retrospective review of the medical records and video recordings of the laryngeal examination of patients with vocal fold leukoplakia who underwent un-sedated office-based laryngeal biopsy in a tertiary referral center between January 2022 and August 2023 was conducted. Laryngeal findings included the size, surface, projection, and edges of the lesion.

Arytenoid Cartilage Collapse During Inhalation in Awake Patients with Intermediate/High Risk of Obstructive Sleep Apnea: A Retrospective Analysis of Sixty-Four Patients.

Objective: To assess the prevalence of arytenoid cartilage collapse (ACC) during deep inhalation in awake patients with intermediate/high risk of obstructive sleep apnea (OSA).

Study Design: Retrospective case-control study.

Methods: The medical records and video recordings of awake flexible endoscopic examination of patients with history of OSA who presented to the sleep apnea clinic in a tertiary referral medical center between June 2022 and December 2022, were reviewed.

Spontaneous Oropharyngeal Bleeding Caused by Lingual Artery Pseudo-Aneurysm.

Spontaneous oropharyngeal bleeding is an uncommon but serious medical emergency mainly caused by accidental trauma or post-tonsillectomy. In extremely rare cases, it can be attributed to arterial pseudoaneurysm (PA) of head and neck vessels. The authors present the case of a young female patient presenting with recurring spontaneous oropharyngeal bleeding who was found to have a lingual artery PA on angiography.