Care and Treatment of Ear, Nose, and Throat

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 30 September 2025 | Viewed by 2376

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Department of Otolaryngology, Centre of Postgraduate Medical Education, Marymoncka 99/103, 01-813 Warsaw, Poland
Interests: otolaryngology
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Special Issue Information

Dear Colleagues,

Otolaryngology deals with disorders of the ears, nose, paranasal sinuses, pharynx, larynx, salivary glands, and oral cavity, as well as hearing and balance problems, sleep disorders, and allergies.

This Special Issue is dedicated to otolaryngologists, head and neck surgeons, audiologists, and phoniatrists, as well as radiologists, pathomorphologists, and facio-maxillofacial surgeons dealing with disorders of the head and neck. Our goal is to present the latest discoveries in the diagnosis and treatment of ENT diseases. We aim to expand our existing degree of knowledge with new discoveries and an open discussion on topics that have not yet been sufficiently studied.

We welcome the submission of original research papers and up-to-date systematic reviews or meta-analyses and reports focused on new technological developments.

Sincerely

Prof. Dr. Karolina Dżaman
Guest Editor

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Keywords

  • otolaryngology
  • ear
  • nose
  • throat
  • head
  • neck

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Published Papers (2 papers)

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Research

15 pages, 1061 KiB  
Article
The Role of Eustachian Tube Dysfunction in Recurrent Chronic Otitis Media: A Cross-Sectional Study of Anatomical and Functional Variations
by Sarah Alshehri and Abdullah Musleh
Healthcare 2025, 13(1), 77; https://doi.org/10.3390/healthcare13010077 - 3 Jan 2025
Viewed by 1183
Abstract
Background/Objectives: Recurrent chronic otitis media (rCOM) is a major cause of hearing impairment, often linked to Eustachian tube (ET) dysfunction. Anatomical abnormalities, such as ET narrowing and obstructions, and functional impairments, including poor pressure regulation, play significant roles in rCOM recurrence. This [...] Read more.
Background/Objectives: Recurrent chronic otitis media (rCOM) is a major cause of hearing impairment, often linked to Eustachian tube (ET) dysfunction. Anatomical abnormalities, such as ET narrowing and obstructions, and functional impairments, including poor pressure regulation, play significant roles in rCOM recurrence. This study aimed to (1) identify anatomical variations of the ET in patients with rCOM using high-resolution imaging; (2) evaluate ET functional status using tympanometry, tubomanometry, and ET function tests; and (3) assess the correlation between anatomical variations and functional impairments in predicting rCOM recurrence. Methods: A cross-sectional study was conducted on 212 patients with rCOM and 212 controls. High-resolution CT and MRI were used to assess ET anatomy, while functional status was evaluated using tympanometry, tubomanometry, and Valsalva maneuver tests. Statistical analyses, including t-tests, Pearson correlation, and Cox proportional hazards models, were applied to examine the relationship between anatomical and functional impairments and rCOM recurrence. Results: Significant anatomical differences were observed in the rCOM group, including ET narrowing (24.53% vs. 11.32%, p = 0.014) and curvature (32.08% vs. 14.15%, p < 0.001). Functional impairments were also more prominent in rCOM patients, with higher ET opening pressure (120.56 ± 14.34 dPa vs. 85.78 ± 12.98 dPa, p < 0.001) and lower Valsalva maneuver success rates (62.32% vs. 89.56%, p < 0.001). Cox regression indicated that anatomical and functional impairments significantly predicted faster recurrence (HR for tympanometry peak pressure = 1.56, p < 0.001). Conclusions: The ETs anatomical and functional impairments are significant predictors of rCOM recurrence. A combined assessment of these factors can improve diagnostic accuracy and guide more targeted interventions to prevent recurrence. Full article
(This article belongs to the Special Issue Care and Treatment of Ear, Nose, and Throat)
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12 pages, 1645 KiB  
Article
Impact of Hearing Loss Severity on Hearing Aid Benefit Among Adult Users
by Marlena Ziemska-Gorczyca, Karolina Dżaman and Ireneusz Kantor
Healthcare 2024, 12(23), 2450; https://doi.org/10.3390/healthcare12232450 - 5 Dec 2024
Viewed by 867
Abstract
Background: Hearing loss (HL) among older adults is a major global health concern. Hearing aids (HAs) offer an effective solution to manage HL and enhance the quality of life. However, the adoption and the consistent use of HAs remain low, making non-use a [...] Read more.
Background: Hearing loss (HL) among older adults is a major global health concern. Hearing aids (HAs) offer an effective solution to manage HL and enhance the quality of life. However, the adoption and the consistent use of HAs remain low, making non-use a significant barrier to successful audiological rehabilitation. The aim of the study was to assess the benefit of HAs among patients with different degrees of HL and to determine the profiles of patients who have the least benefit from HAs. Methods: the HA benefits were assessed by using the Abbreviated Profile of Hearing Aid Benefit (APHAB) questionnaire. Participants were assigned to the study groups based on the pure-tone audiometry. This paper presents the results obtained by using HAs in various listening environments among 167 patients. Results: The majority of individuals benefited from HAs in a noisy environment while a reverberant environment provided the lowest benefit. It was observed that the degree of HL had a statistically significant impact on the benefits of HAs in terms of the communication ease, the reverberation, the background noise, and the global score. A moderately positive correlation was observed between the unaided APHAB and the HL degree. The subjects’ APHAB scores ranged from the 50th to the 65th percentile. Additionally, women had a significantly better improvement than men. Conclusions: HAs improved communication in everyday life situations among 91.6% of HA users. The degree of HL influences APHAB scores. Patients with a severe degree of HL achieved the greatest APHAB scores while male patients with mild HL received the lowest benefits of HAs. Both HL and the age, gender, and HA type are factors that also play important roles. The APHAB questionnaire is a reliable screening test for patients with hearing difficulties. Full article
(This article belongs to the Special Issue Care and Treatment of Ear, Nose, and Throat)
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