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2nd Edition: The Impact of ENT Diseases in Social Life

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Oral Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 19627

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Special Issue Editors

Dr. Francesco Gazia

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Guest Editor

Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, ME 98122 Messina, Italy
Interests: ENT; audiology; ear surgery
Special Issues, Collections and Topics in MDPI journals

Dr. Bruno Galletti

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Guest Editor

Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, ME 98122 Messina, Italy
Interests: ENT; head and neck; nasal and paranasal surgery

Prof. Dr. Gay-Escoda Cosme

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Guest Editor

Department of Oral and Maxillofacial Surgery, Faculty of Medicine and Health Sciences, University of Barcelona, 08007 Barcelona, Spain
Interests: oral surgery; osas; maxillofacial surgery

Dr. Francesco Ciodaro

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Guest Editor

Division for Otorhinolaryngology, Department of Adult and Development Age Human Pathology “Gaetano Barresi”, University of Messina, 98125 Messina, Italy
Interests: ENT; vestibology

Dr. Rocco Bruno

E-Mail Website
Guest Editor

Department of Adult and Development Age Human Pathology “Gaetano Barresi”, Unit of Otorhinolaryngology, University of Messina, ME 98122 Messina, Italy
Interests: ENT; audiology

Special Issue Information

Dear Colleagues,

Given the success of the past year, I am happy to announce the release of a second edition of the Special Issue "The Impact of ENT Diseases in Social Life".

In this edition, we want to underline how the otorhinolaryngology sector has a significant impact on social life. About 10% of cancers that affect the population annually involve the head and neck region, and each year the guidelines evolve and change.

The emergencies of the otolaryngology sector are among the most common, with numerous increases in hospitalizations in the ENT departments (bleeding, abscesses, dyspnea, etc.). The chosen interventions can significantly improve the patient's quality of life, and can help to avoid future complications.

Given the importance of this medical and surgical branch, I invite you to submit your contributions to this Special Issue (articles, reviews, or case reports), with otorhinolaryngology as the main topic.

Special thanks go to Professor Gay-Escoda, who will help us in the coordination for this Issue as Guest Editor.

Dr. Francesco Gazia
Dr. Bruno Galletti
Prof. Dr. Gay-Escoda Cosme
Dr. Francesco Ciodaro
Dr. Rocco Bruno
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

otolaryngology
ear
nose
audiology
vestibology
head and neck
OSAS
oral surgery

Published Papers (10 papers)

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Research

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10 pages, 988 KiB

Open AccessArticle

Sulcus Vocalis and Benign Vocal Cord Lesions: Is There Any Relationship?

by Carmelo Saraniti, Gaetano Patti and Barbara Verro

Int. J. Environ. Res. Public Health 2023, 20(9), 5654; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20095654 - 26 Apr 2023

Viewed by 1493

Abstract

Background: Sulcus vocalis (SV) is a longitudinal groove in the free edge of the true vocal cord. It may impair phonation with incomplete glottic closure, phonasthenia and hoarseness. This study aims to detect a correlation between benign vocal cord lesions and the incidence of the SV. Methods: A retrospective study was carried out on patients who underwent transoral surgery due to benign vocal fold lesions and were selected according to strict criteria. Patients were divided into a group with sulcus vocalis (Group wSV) and a group without sulcus vocalis (Group w/oSV). The possible correlations between variables were assessed by the Pearson chi-square test (p < 0.05). Results: The study included 232 vocal cord lesions in 229 patients: 62.88% were females whose mean age was 46.61 ± 14.04. The most frequent diseases were polyps (37.94%), nodules (18.53%) and Reinke’s edema (21.12%). Statistically significant relationships were found between age and SV (p-value 0.0005) and between mild dysplasia and SV (p-value 0.03). Conclusions: This study did not detect a cause–effect relationship between SV and benign vocal fold lesions. SV within vocal fold lesions is more common in younger patients, suggesting a congenital nature of SV. In conclusion, in the case of a benign vocal fold lesion, a possible SV should be considered and researched to provide the patient the best healthcare. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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12 pages, 595 KiB

Open AccessArticle

Benign Paroxysmal Positional Vertigo Is Associated with an Increased Risk for Migraine Diagnosis: A Nationwide Population-Based Cohort Study

by I-An Shih, Chung-Y. Hsu, Tsai-Chung Li and Shuu-Jiun Wang

Int. J. Environ. Res. Public Health 2023, 20(4), 3563; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20043563 - 17 Feb 2023

Viewed by 1576

Abstract

Previous studies reported an increased risk of benign paroxysmal positional vertigo (BPPV) in patients with migraine. Hence, we aimed to assess the risk of migraine in patients with BPPV. This cohort study was conducted using the Taiwan National Health Insurance Research Database. The BPPV cohort consisted of patients aged <45 years with a diagnosis of BPPV between 2000 and 2009. An age- and sex-matched comparison group free from a history of BPPV or migraine was selected. All cases were followed up from 1 January 2000 to 31 December 2010 or until death or a diagnosis of migraine. The baseline demographic characteristics in both groups were compared using Student’s t-test and the chi-square test. Cox proportional hazards regression analysis was used to estimate the hazard ratio for migraine in the BPPV cohort compared with the comparison group after adjustment for age, sex, and comorbidities. Notably, 117 of the 1386 participants with BPPV and 146 of the 5544 participants without BPPV developed migraine. After adjustment for age, sex, and comorbidities, BPPV showed an adjusted hazard ratio indicating a 2.96-fold increased risk of migraine (95% confidence interval: 2.30–3.80, p < 0.001). We found that BPPV is associated with an increased risk of a migraine diagnosis. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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12 pages, 673 KiB

Open AccessArticle

Siblings’ Risk of Adenoid Hypertrophy: A Cohort Study in Children

by Aleksander Zwierz, Krzysztof Domagalski, Krystyna Masna and Paweł Burduk

Int. J. Environ. Res. Public Health 2023, 20(4), 2910; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20042910 - 07 Feb 2023

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Abstract

Background: The aim of this study was to compare adenoid size in preschool-age siblings using flexible nasopharyngoscopy examination (FNE) when they reach the same age. The occurrence of adenoid symptoms in these patients was also analyzed. This study was conducted to analyze the adenoid size in siblings when they reach the same age and substantiate a correlation between adenoid hypertrophy (AH) and adenoid symptoms. Methods: We analyzed and reported on the symptoms, ENT examination results, and FNE of 49 pairs of siblings who were examined at the same age. Results: There was a strong association in adenoid size between siblings when they are at a similar age (r = 0.673, p < 0.001). Second-born children whose older sibling had III^o AH (A/C ratio > 65%) had a risk of III^o AH 26 times greater than patients whose older sibling did not have III^o AH (OR = 26.30, 95% CI = 2.82–245.54). Over 90% of snoring children whose siblings had confirmed III^o AH would develop III^o AH by the time they reach the same age. Second-born children in whom snoring occurs and whose older siblings have a III^o AH have about a 46 times higher risk of III^o AH compared to patients who did not meet these two conditions (p < 0.001, OR = 46.67, 95% CI = 8.37–260.30). Conclusions: A significant familial correlation between adenoid size in siblings when they reach the same age was shown. If the older sibling has a confirmed overgrown adenoid (III^o AH) and their younger sibling presents adenoid symptoms, particularly snoring, it is highly probable that they will also have an overgrown adenoid. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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11 pages, 632 KiB

Open AccessArticle

Hearing Problems in Indonesia: Attention to Hypertensive Adults

by Melysa Fitriana and Chyi-Huey Bai

Int. J. Environ. Res. Public Health 2022, 19(15), 9222; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19159222 - 28 Jul 2022

Viewed by 1497

Abstract

Known as a silent disability, hearing loss is one of the major health burdens worldwide. Evidence implies that those suffering from hypertension can experience hearing disturbances. Self-reporting of hearing problems and self-reporting of hypertension may be useful in providing an alarm for detecting hearing problems. However, in the Indonesian population, this matter has not been properly reported. The aim of this study was to explore the prevalence of hearing problems and their relationships with other demographic factors. In total, 28,297 respondents of productive age from the Indonesian Family Life Survey 5th wave were assessed. A questionnaire and physical examination data were included in this survey. Self-reported hearing problems and their predictors were analyzed using univariate and multivariate logistic regressions. Hypertension awareness was a significant predictor of having a hearing problem (odds ratio (OR) [95% confidence interval (CI)], p value: 2.715 [1.948~3.785], <0.001). Having a general check-up was also crucial for detecting hearing problems (2.192 [1.54~3.121], <0.001). There was a significant link between hearing problems and early adults who have isolated systolic hypertension. Hypertension awareness and having a general check-up had predictive value for detecting hearing problems in adults in the age range of 26~35 years. Therefore, public health strategies for hearing loss prevention might target this group by detecting and treating hypertension. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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9 pages, 843 KiB

Open AccessArticle

Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

by Salvatore Martellucci, Andrea Stolfa, Andrea Castellucci, Giulio Pagliuca, Veronica Clemenzi, Valentina Terenzi, Pasquale Malara, Giuseppe Attanasio, Francesco Gazia and Andrea Gallo

Int. J. Environ. Res. Public Health 2022, 19(1), 490; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19010490 - 03 Jan 2022

Cited by 5 | Viewed by 3066

Abstract

Objective: Residual dizziness is a disorder of unknown pathophysiology, which may occur after repositioning procedures for benign paroxysmal positional vertigo. This study evaluates the relationship between regular daily physical activity and the development of residual dizziness after treatment for benign paroxysmal positional vertigo. Study Design: Prospective observational cohort study. Setting: Academic university hospital. Methods: Seventy-one patients admitted with benign paroxysmal positional vertigo involving the posterior semicircular canal were managed with Epley’s procedure. Three days after successful treatment, the patients underwent a telephone interview to investigate vertigo relapse. If the patients no longer complained of vertigo, they were asked about symptoms consistent with residual dizziness. Subsequently, they were asked about the recovery of physical activities they regularly performed prior to the onset of vertigo. Results: Sixty-nine patients (age: 57.79 ± 15.05) were enrolled: five (7.24%) reported vertigo relapse whereas twenty-one of sixty-four non-relapsed patients (32.81%) reported residual dizziness. A significant difference in the incidence of residual dizziness was observed considering the patients’ age (p = 0.0003). Of the non-relapsed patients, 46 (71.88%) recovered their regular dynamic daily activities after treatment and 9 (19.57%) reported residual dizziness, while 12 of the 18 patients (66.67%) who did not resume daily activity reported residual symptoms (p = 0.0003). A logistic regression analysis showed a significant association between daily activity resumption and lack of residual dizziness (OR: 14.01, 95% CI limits 3.14–62.47; p = 0.001). Conclusions: Regardless of age, the resumption of regular daily physical activities is associated with a lack of residual dizziness. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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10 pages, 897 KiB

Open AccessArticle

Association between Temporomandibular Joint Disorder and Weight Changes: A Longitudinal Follow-Up Study Using a National Health Screening Cohort

by So Young Kim, Dae Myoung Yoo, Soo-Hwan Byun, Chanyang Min, Ji Hee Kim, Mi Jung Kwon, Joo-Hee Kim and Hyo Geun Choi

Int. J. Environ. Res. Public Health 2021, 18(22), 11793; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph182211793 - 10 Nov 2021

Cited by 4 | Viewed by 1891

Abstract

This study aimed to investigate BMI changes following a temporomandibular joint disorder (TMJD) diagnosis. The Korean National Health Insurance Service-Health Screening Cohort from 2002 to 2015 was used. In Study I, 1808 patients with TMJD (TMJD I) were matched with 7232 participants in comparison group I. The change in BMI was compared between the TMJD I and comparison I groups for 1 year. In study II, 1621 patients with TMJD (TMJD II) were matched with 6484 participants in comparison group II participants. The change in BMI was compared between the TMJD II and comparison II groups for 2 years. In Study I, the BMI change was not associated with TMJD. In Study II, the BMI change was associated with TMJD in the interaction of the linear mixed model (p = 0.003). The estimated value (EV) of the linear mixed model was −0.082. The interaction was significant in women < 60 years old, women ≥ 60 years old, and the obese I category. TMJD was not associated with BMI changes after 1–2 years in the overall population. In women and obese patients, TMJD was associated with a decrease in BMI after 2 years. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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11 pages, 604 KiB

Open AccessArticle

Increased Risk of Neurodegenerative Dementia after Benign Paroxysmal Positional Vertigo

by So Young Kim, Dae Myoung Yoo, Chanyang Min and Hyo Geun Choi

Int. J. Environ. Res. Public Health 2021, 18(19), 10553; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph181910553 - 08 Oct 2021

Cited by 5 | Viewed by 2291

Abstract

The aim of the present study was to estimate the risk of dementia in patients with benign paroxysmal positional vertigo (BPPV), using a population cohort. Data from the Korean National Health Insurance Service-National Sample Cohort for the population ≥60 years of age from 2002 to 2013 were collected. A total of 11,432 individuals with dementia were matched for age, sex, income, region of residence, hypertension, diabetes, and dyslipidemia with 45,728 individuals comprising the control group. The crude (simple) and adjusted odds ratios (ORs) of dementia in BPPV patients were analyzed using non-conditional logistic regression analyses. Subgroup analyses were conducted according to age and sex. A history of BPPV characterized 5.3% (609/11,432) of the dementia group and 2.6% (1,194/45,728) of the control group (p < 0.001). The adjusted OR of dementia for BPPV was 1.14 (95% CI = 1.03–1.26, p = 0.009). In subgroup analyses according to age and sex, males had higher ORs of dementia for BPPV. BPPV increases the risk of dementia in the 60 years of age or older population. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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Review

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11 pages, 752 KiB

Open AccessReview

Oncological Outcomes of Primary vs. Salvage OPHL Type II: A Systematic Review

by Carmelo Saraniti, Barbara Verro, Francesco Ciodaro and Francesco Galletti

Int. J. Environ. Res. Public Health 2022, 19(3), 1837; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph19031837 - 06 Feb 2022

Cited by 2 | Viewed by 2695

Abstract

Background: Open partial horizontal laryngectomy type II (OPHL type II) has two main aims: oncological radicality and laryngeal preservation. The aim of this review is to define and emphasize the oncological efficacy of OPHL type II, both as primary and salvage surgery, by analyzing the latest literature. Methods: The research was carried out on Pubmed, Scopus and Web of Science databases, by using strict keywords. Oncological outcomes were evaluated by the following parameters: overall survival, disease-specific survival, disease-free survival, local control, laryngeal preservation, local recurrence. Results: The review included 19 articles divided into three groups: (1) primary OPHL type II, (2) salvage OPHL type II, (3) adjuvant radiotherapy after primary OPHL type II. The articles showed excellent results as far as oncological radicality and organ preservation. Conclusions: This review demonstrated that OPHL type II is useful to obtain oncological radicality both as primary surgery and salvage surgery. Nevertheless, the only criterion that determined the positive outcome and efficacy of this technique is the strict selection of patient and tumor. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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Other

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15 pages, 716 KiB

Open AccessOpinion

Healthcare Professionals and Noise-Generating Tools: Challenging Assumptions about Hearing Loss Risk

by Giuseppe Alberti, Daniele Portelli and Cosimo Galletti

Int. J. Environ. Res. Public Health 2023, 20(15), 6520; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph20156520 - 04 Aug 2023

Cited by 1 | Viewed by 1440

Abstract

Hearing loss is a significant global health concern, affecting billions of people and leading to various physical, mental, and social consequences. This paper focuses on the risk of noise-induced hearing loss (NIHL) among specific healthcare professionals, especially ear surgeons, orthopaedic surgeons, dentists, and dental hygienists, who frequently use noisy instruments in their professions. While studies on these professionals’ noise exposure levels are limited, certain conditions and factors could pose a risk to their hearing. Measures such as engineering and administrative controls, regular audiometric testing, and the use of hearing protection devices are crucial in preventing NIHL. Early detection and intervention are also vital to mitigate further damage. This paper proposes the results of a modified screening protocol, including questionnaires, audiometry, and additional diagnostic tests to identify and address potential hearing disorders. Specific healthcare professionals should remain aware of the risks, prioritize hearing protection, and undergo regular monitoring to safeguard their long-term auditory well-being. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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5 pages, 2163 KiB

Open AccessViewpoint

Use of Irrigation Device for Duct Dilatation during Sialendoscopy

by Giulio Pagliuca, Veronica Clemenzi, Andrea Stolfa, Salvatore Martellucci, Antonio Greco, Marco de Vincentiis and Andrea Gallo

Int. J. Environ. Res. Public Health 2022, 19(22), 14830; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph192214830 - 11 Nov 2022

Viewed by 1161

Abstract

Background: Continuous irrigation of the duct with isotonic saline is one of the fundamental stages of a successful sialendoscopic procedure. It allows for an adequate luminal distension for the removal of debris and mucous plugs and for the conservative treatment of strictures. This procedure, which commonly involves the use of a medical syringe, can be laborious, and it is often necessary to interrupt irrigation during surgery due to the high resistance to saline. Setting: Academic university hospital. Method: We propose the use of an irrigation device which consists of a high-pressure syringe barrel, an ergonomic piston handle, and a gauge used to monitor the inflation and deflation of balloon catheters. The system allows for a simple and safe dilation, ensuring good visualization of the salivary duct lumen during sialendoscopy. Conclusions: The irrigation system described can be widely used to perform a diagnostic or interventional sialendoscopy more effectively than with a typical manual irrigation procedure. Full article

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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