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Tinnitus and dementia risk, adjuvant treatments for recurrent respiratory papillomatosis and is frontal sinus pain a useful marker of chronic frontal sinusitis?

Published online by Cambridge University Press:  15 January 2025

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Abstract

Type
Editorial
Copyright
Copyright © The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

In this final issue of the year, a study by Butt et al. sought to determine if a history of tinnitus is associated with an increased risk of dementia.Reference Butt, Wieland, Wang, Lin, Wang and Weng1 This follows previous research studying the association between hearing loss and cognitive decline.Reference Lau, Dimitriadis, Mitchell, Martyn-St-James, Hind and Ray2,Reference Loughrey, Kelly, Kelley, Brennan and Lawlor3 A total of 15 686 patients were included in the study. The authors found that a history of tinnitus was associated with a 168% increased risk of being diagnosed with dementia in those aged 50–65 years. However, this association was not significant in those older than 65 years. Thus, like hearing loss, this study lends support to a possible association between the two conditions.

Also in this month's issue is an up-to-date systematic review focusing on adjuvant treatments for recurrent respiratory papillomatosis. The review includes a useful evidence-based algorithm for the management of such cases (Figure 2 within the article).Reference Balai, Dronkers, Al Yaghchi, Gujral, Sandhu and Iacovidou4

It is a commonly held view that frontal pain may be a symptom of chronic frontal sinusitis. A study by Jashek-Ahmed et al. in this month's issue investigated whether there was a relationship between frontal pain and chronic frontal sinusitis, drawing comparisons with radiological and endoscopic findings, quality of life and disease severity.Reference Jashek-Ahmed, Thaj and Eweiss5 The authors found no correlation between facial pain scores and the extent of frontal sinus disease, either radiologically or severity endoscopically. Their conclusions are consistent with those of previous studies demonstrating that functional endoscopic sinus surgery should not be undertaken on the basis of facial pain alone.6

The Senior Editors would like to take this opportunity to thank all those that have contributed to this year's journal, including all the authors, Assistant Editors, our Managing Editor, reviewers, advisers, production staff, our publishing partners at Cambridge University Press and all other colleagues at The Journal. Finally, we wish all of our readers a happy and successful 2025.

References

Butt, WW, Wieland, DR, Wang, H, Lin, CH, Wang, JJ, Weng, CH. Tinnitus and dementia risk: a nationwide population-based case-control study. J Laryngol Otol 2024;138:1170–5Google Scholar
Lau, K, Dimitriadis, PA, Mitchell, C, Martyn-St-James, M, Hind, D, Ray, J. Age-related hearing loss and mild cognitive impairment: a meta-analysis and systematic review of population-based studies. J Laryngol Otol 2022;136:103–18Google Scholar
Loughrey, DG, Kelly, ME, Kelley, GA, Brennan, S, Lawlor, BA. Association of age-related hearing loss with cognitive function, cognitive impairment, and dementia: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg 2018;144:115–26Google Scholar
Balai, E, Dronkers, EAC, Al Yaghchi, C, Gujral, D, Sandhu, G, Iacovidou, A. Adjuvant treatments for recurrent respiratory papillomatosis: a descriptive review and proposed management guideline in adults. J Laryngol Otol 2024;138:1133–43Google Scholar
Jashek-Ahmed, F, Thaj, J, Eweiss, AZ. Is frontal pain a useful marker of chronic frontal sinusitis? J Laryngol Otol 2024;138:1144–8Google Scholar
Jones NS, Cooney TR. Facial pain and sinonasal surgery. Rhinology 2003;41:193200Google Scholar