Evidence map›Paper›PMID 40590109›Full record

ReviewClinical and experimental otorhinolaryngology2025

Applications and Future Perspectives of Large Language Models in Otolaryngology-Head and Neck Surgery: A Comprehensive Survey.

Junyong Ahn, Bong Gyun Kang, Munyoung Chang, Sungroh Yoon

Abstract readReview
In one paragraph

Review in Clinical and experimental otorhinolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. "MELMA" in otolaryngology: Medical evaluation of large language model answers. Clinician-rated scoring (MELMA-Q) and web-based auditing (MELMA-W) novel tools for AI assessment.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  2. Review
  3. Evaluating the efficacy and readability of advanced large language models in responding to patients' frequently asked questions about chronic rhinosinusitis: a comparative analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  4. Guideline-based benchmarking of large language models in otorhinolaryngology using 250 real-world cases.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Junyong AhnInterdisciplinary Program in Artificial Intelligence, Seoul National University, Seoul, Korea.
Bong Gyun KangInterdisciplinary Program in Artificial Intelligence, Seoul National University, Seoul, Korea.
Munyoung ChangEducation and Research Program for Future ICT Pioneers, Department of Electrical and Computer Engineering, Seoul National University, Seoul, Korea.
Sungroh YoonInterdisciplinary Program in Artificial Intelligence, Seoul National University, Seoul, Korea.

Funding

Institute of Information and Communications Technology Planning and Evaluation IITP-2025-RS-2024-00397085Institute of Information and Communications Technology Planning and Evaluation RS-2021- II211343Korea Health Industry Development InstituteMinistry of Health and WelfareMinistry of Science and ICT 2022R1A3B1077720National Research Foundation of KoreaSeoul National University
6 · The paper itself

Abstract

Since the release of ChatGPT, large language models (LLMs) have rapidly expanded into professional domains, including medicine. These models, trained on extensive text corpora, including the medical literature, have demonstrated remarkable capabilities in tasks such as clinical decision support, research assistance, and education. This review focuses on LLM applications in otolaryngology-head and neck surgery (Ear, Nose, and Throat [ENT]). We analyzed 25 studies published between January 2022 and March 2025 in ENT journals ranked in the top 25% (Q1) according to the 2023 Journal Citation Reports. Furthermore, we categorized these studies by use case and systematically examined the models, datasets, and evaluation methods employed. Despite increasing adoption of LLMs in the ENT field, several challenges remain, including limited model diversity, inconsistent evaluation standards, and ongoing issues with accuracy and fairness. We also contextualized LLM research trends within the broader medical domain. Five key areas were identified for advancing clinical-grade LLMs: robust evaluation frameworks, external source-based generation, multimodal integration, agent-based reasoning, and model explainability. Our findings provide ENT clinicians and researchers with a practical foundation for understanding, evaluating, and implementing LLMs or their advanced successors (e.g., large multimodal models, agents) in clinical and research settings.

Indexed as

Head and Neck SurgeryLarge Language ModelsOtolaryngologyRetrieval-Augmented Generation

Identifiers

PMID40590109
PMCPMC12588054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.