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Effect of pharyngeal wall compliance on passive collapsibility of retropalatal airway in patients with obstructive sleep apnea 咽壁顺应性对阻塞性睡眠呼吸暂停患者腭后气道被动塌陷性的影响
Pub Date : 2024-01-29 DOI: 10.1002/eer3.6
Hongyi Tian, Yanru Li, Na Lin, Jianhong Liao, Yunhan Shi, Dan Kang, Xiu Ding, Hongguang Li, Demin Han

Objective

To evaluate the pharyngeal compliance of patients with obstructive sleep apnea with complete muscle relaxation. And to study the relationship between the pharyngeal wall compliance and the mechanical load of the retropalatal airway.

Methods

The static mechanical load of the retropalatal pharynx was determined by critical closing pressure (Pcrit) of the segment during general anesthesia in 30 patients. The size/dimensions of the pharynx were measured while intraluminal pressure was controlled at 3–20 cmH2O.

Results

A total of 30 participants (age: 37.6 ± 7.6 years, 27 males) were studied. The mean apnea-hypopnea index was 51.6 ± 23.9 events/h. The retropalatal mean Pcrit was 12.68 ± 4.13 cmH2O. There was a significant difference in the length of the obstruction segment (F = 26.028, p < 0.001) among groups with different pharyngeal collapsibility. The correlation between the mechanical load of retropalatal airway and pharyngeal compliance in the level of the hard palate (r = −0.448, p = 0.015) and the uvula level (r = −0.462, p = 0.026) were significant.

Conclusions

Increased retropalatal mechanical loads were related to abnormal passive compliance of the pharyngeal wall. The contribution of each pharyngeal wall to airway collapse was varied.

评估肌肉完全松弛的阻塞性睡眠呼吸暂停患者的咽顺应性,并研究咽壁顺应性与腭后气道机械负荷之间的关系。在对 30 名患者进行全身麻醉的过程中,通过咽段临界闭合压力(Pcrit)确定咽后气道的静态机械负荷。共有 30 名参与者(年龄:37.6 ± 7.6 岁,27 名男性)接受了研究。平均呼吸暂停-低通气指数为 51.6 ± 23.9 事件/小时。腭后平均 Pcrit 为 12.68 ± 4.13 cmH2O。不同咽部塌陷度组间的阻塞段长度存在明显差异(F = 26.028,P < 0.001)。咽后气道机械负荷与硬腭水平(r = -0.448,p = 0.015)和悬雍垂水平(r = -0.462,p = 0.026)的咽顺应性之间存在显著相关性。每种咽壁对气道塌陷的作用各不相同。
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引用次数: 0
A retrospective analysis of 350 cases of parotid gland tumors and the value of ultrasound in the diagnosis of benign and malignant parotid gland tumors 对 350 例腮腺肿瘤的回顾性分析以及超声波在诊断良性和恶性腮腺肿瘤中的价值
Pub Date : 2024-01-16 DOI: 10.1002/eer3.7
Wen Gao, Lifei Feng, Zishi Huang, Duoxuan Chen, Wei Guo, Gaofei Yin, Yang Zhang, Zhigang Huang

Objective

To retrospective analysis of the epidemiological and clinical characteristics of parotid gland tumors, and to explore the value of ultrasound in the differentiation of benign and malignant parotid gland tumors.

Methods

The clinical data of 350 patients with parotid gland tumors in our hospital from 2002 to 2022 were retrospectively analyzed. These patients were examined by ultrasound. The postoperative pathological test results were used as the “gold standard” to verify and analyze the value of color Doppler ultrasound in the differential diagnosis of benign and malignant parotid tumors (PT).

Results

The male-to-female ratio of 350 patients with parotid gland tumors was 1.16:1. The age of patients ranged from 12 to 87 years old. Patients aged 40–65 years accounted for 54.6%, which was the most common age of parotid gland tumors. Among 350 cases, 259 were benign and 91 were malignant. The top three benign PTs were pleomorphic adenoma, Warthin tumor, and basal cell adenoma. The top three malignant tumors were mucoepidermoid carcinoma, acinar cell carcinoma, and adenoid cystic carcinoma. The specificity, sensitivity, accuracy, positive predictive value, and negative predictive value of ultrasonography in the diagnosis of benign and malignant parotid masses were 96.53%, 69.23%, 89.43%, 87.50%, and 87.72%, respectively.

Conclusion

The pathological types of parotid gland tumors are complex and diverse. Ultrasonography has high accuracy in the diagnosis of PT, which can provide important evidence for the differentiation of benign and malignant PT, and then assist in the clinical selection of individualized surgical programs.

回顾性分析腮腺肿瘤的流行病学和临床特征,探讨超声波在腮腺肿瘤良恶性鉴别中的价值。这些患者均接受了超声检查。350例腮腺肿瘤患者的男女比例为1.16:1。350名腮腺肿瘤患者的男女比例为1.16:1,患者年龄从12岁到87岁不等。40-65岁的患者占54.6%,是腮腺肿瘤的高发年龄。在350例中,259例为良性,91例为恶性。良性腮腺肿瘤的前三位是多形性腺瘤、Warthin 肿瘤和基底细胞腺瘤。恶性肿瘤的前三名是粘液表皮样癌、尖细胞癌和腺样囊性癌。超声波检查诊断良性和恶性腮腺肿块的特异性、敏感性、准确性、阳性预测值和阴性预测值分别为 96.53%、69.23%、89.43%、87.50% 和 87.72%。腮腺肿瘤病理类型复杂多样,超声诊断准确率较高,可为腮腺肿瘤良恶性鉴别提供重要依据,进而辅助临床选择个体化手术方案。
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引用次数: 0
The next-generation therapies in ophthalmology for blindness worldwide 眼科新一代疗法治疗全球盲症
Pub Date : 2024-01-12 DOI: 10.1002/eer3.4
Jie Xu, Chang-Jun Zhang, Jia-Yi Jiang, Zi-Bing Jin

With the rapid and groundbreaking development in 21st century medicine on a global scale, new possibilities have emerged for addressing eye diseases, that can be blindness, and that conventional pharmaceuticals and surgical interventions have not hitherto been able to adequately treat. Gene enhancement/supplementation, gene editing, and stem cell therapies have now emerged as key subdisciplines. Here we discuss the current state and prospects of regenerative therapy in the field of ophthalmology, with a primary focus on diseases affecting the cornea, retina, and optic nerve. Our review summarizes the latest advances, challenges, and opportunities in these fields, as well as the potential applications and limitations of different strategies. The review also highlights the importance of interdisciplinary and collaborative innovation models for achieving breakthroughs in therapeutic development for sight-loss diseases worldwide.

21 世纪的医学在全球范围内取得了突破性的快速发展,为解决可能导致失明的眼部疾病提供了新的可能性,而传统的药物和手术疗法迄今为止还无法充分治疗这些疾病。基因强化/补充、基因编辑和干细胞疗法现已成为重要的分支学科。在此,我们讨论眼科领域再生疗法的现状和前景,主要关注影响角膜、视网膜和视神经的疾病。我们的综述总结了这些领域的最新进展、挑战和机遇,以及不同策略的潜在应用和局限性。这篇综述还强调了跨学科协作创新模式对于全球失明疾病治疗研发取得突破性进展的重要性。
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引用次数: 0
“Dual-pressure theory” in pathogenesis of glaucomatous optic neuropathy from the Beijing intracranial and intraocular pressure study 从北京颅内压和眼压研究看青光眼性视神经病变发病机制中的 "双压理论"
Pub Date : 2024-01-12 DOI: 10.1002/eer3.3
Ying Cheng, Mayinuer Yusufu, Robert N. Weinreb, Ningli Wang

The mechanical theory of glaucoma indicates that high intraocular pressure (IOP) leads to glaucomatous optic nerve damage. However, nearly half of primary open-angle glaucoma patients with normal intraocular pressure also exhibit progression of what appears to be glaucomatous optic nerve damage. Our earlier prospective study identified for the first time that the relatively low intracranial pressure (ICP) is also an important risk factor for progressive glaucomatous injury of normal-tension glaucoma. When considering the results of studies in nonhuman primates, clinical research, large-scale natural-population studies, and basic laboratory investigations, a new understanding of the pathophysiology of glaucoma, the “Dual-Pressure Theory”, has been proposed. This theory states that “either high IOP or low ICP contributes to increasing the translaminar cribrosa pressure difference; it is the pressure difference rather than the IOP alone that results in the glaucomatous optic neuropathy”. Here, we provide a systematic introduction to Dual-Pressure Theory relating to glaucoma, the form of a research map, an outline of basic laboratory investigations, the main methodology, and research updates.

青光眼的机械理论认为,高眼压会导致青光眼性视神经损伤。然而,近一半眼压正常的原发性开角型青光眼患者也会出现青光眼性视神经损伤。我们早期的前瞻性研究首次发现,相对较低的颅内压(ICP)也是正常眼压青光眼进行性青光眼损伤的重要危险因素。综合非人灵长类动物研究、临床研究、大规模自然人群研究和实验室基础研究的结果,人们对青光眼的病理生理学提出了一种新的认识,即 "双压理论"。该理论认为,"高眼压或低眼压都会导致眼底嵴压力差增大;导致青光眼性视神经病变的是压力差而非眼压本身"。在此,我们系统地介绍了与青光眼有关的双压理论、研究地图的形式、基本实验室调查概要、主要方法和研究更新。
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引用次数: 0
IL-4/IL-13 pathway in nasal type 2 inflammation: The central role and targeted therapy 鼻腔 2 型炎症中的 IL-4/IL-13 通路:核心作用和靶向治疗
Pub Date : 2024-01-12 DOI: 10.1002/eer3.5
Zhiqiu Zhu, Chaoran Zhao, Ming Wang

Type 2 dominant inflammation in nasal mucosa is the key underlying pathophysiological mechanism of allergic rhinitis (AR) and most presentations of chronic rhinosinusitis with nasal polyps (CRSwNP). Interleukin-4 (IL-4) and IL-13 share common receptor subunits and signaling molecules, which lead to various pathological changes in different cells, playing key roles in the pathogenesis of nasal type 2 inflammation. Numerous clinical trials have shown that biologics targeting key molecules of the IL-4/IL-13 pathway, especially IL-4 receptor alpha, can treat CRSwNP and AR with high efficacy, and are generally well tolerated. Several biologics have been approved for the treatment of difficult-to-control CRSwNP, while others also show promising results. Here, we review the IL-4/IL-13 pathway, its role in nasal type 2 inflammation, and current targeted therapies related to the IL-4/IL-13 pathway, with a focus on AR and CRSwNP.

鼻腔粘膜的2型优势炎症是过敏性鼻炎(AR)和大多数慢性鼻炎伴鼻息肉(CRSwNP)的重要基本病理生理机制。白细胞介素-4(IL-4)和 IL-13 具有共同的受体亚基和信号分子,可导致不同细胞发生各种病理变化,在鼻腔 2 型炎症的发病机制中起着关键作用。大量临床试验表明,靶向 IL-4/IL-13 通路关键分子(尤其是 IL-4 受体α)的生物制剂可以高效治疗 CRSwNP 和 AR,而且耐受性普遍良好。有几种生物制剂已被批准用于治疗难以控制的CRSwNP,其他生物制剂也显示出良好的疗效。在此,我们回顾了IL-4/IL-13通路、其在鼻腔2型炎症中的作用以及目前与IL-4/IL-13通路相关的靶向疗法,重点关注AR和CRSwNP。
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引用次数: 0
Research progress of corneal endothelial cell regeneration and replacement 角膜内皮细胞再生和替代的研究进展
Pub Date : 2024-01-06 DOI: 10.1002/eer3.2
Zongyi Li, Haoyun Duan, Qingjun Zhou

Corneal endothelial cells (CECs) are crucial for the maintenance of corneal transparency and normal visual function. Corneal endothelial dysfunction can lead to corneal edema, opacity, and even blindness. Due to the limited proliferative capacity of human CECs and the global shortage of donor cornea, corneal endothelial regeneration and replacement always represent the most challenge in the basic research and clinical treatment of corneal diseases. Although there is a potential existence of corneal endothelial progenitor cells, the efficiency of Descemet stripping without endothelial keratoplasty remains controversial. In recent years, significant advancements have been made in the field of cultured endothelial cell regeneration and artificial material replacement. Here, we reviewed the current research and clinical progress of corneal endothelial cell regeneration and replacement, including the in vitro cultivation of primary human CECs, in vitro differentiation of stem cell-derived CECs, tissue-engineered corneal endothelium, and fabrication of artificial corneal endothelium. We also discussed the remaining questions regarding innovating clinical preventive and therapeutic strategies for corneal endothelial dysfunction.

角膜内皮细胞(CECs)是维持角膜透明度和正常视觉功能的关键。角膜内皮功能障碍可导致角膜水肿、混浊,甚至失明。由于人类角膜内皮细胞的增殖能力有限以及全球供体角膜的短缺,角膜内皮的再生和替代一直是角膜疾病基础研究和临床治疗的最大挑战。虽然角膜内皮祖细胞可能存在,但在不进行内皮角膜移植的情况下进行 Descemet 剥脱术的效率仍存在争议。近年来,培养内皮细胞再生和人工材料替代领域取得了重大进展。在此,我们回顾了角膜内皮细胞再生和替代的当前研究和临床进展,包括原代人类角膜内皮细胞的体外培养、干细胞衍生角膜内皮细胞的体外分化、组织工程角膜内皮以及人造角膜内皮的制造。我们还讨论了有关创新角膜内皮功能障碍临床预防和治疗策略的其余问题。
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引用次数: 0
A new journal for broad sensory medicine 广义感官医学的新期刊
Pub Date : 2024-01-04 DOI: 10.1002/eer3.1
Zi-Bing Jin, Luo Zhang

As the inaugural editors of Eye and ENT Research, a new academic journal in the field of sensory medicine, we are deeply honored to share our vision and commitment with our esteemed readers and contributors at this important juncture. The collaborative efforts of Beijing Tongren Hospital with the Higher Education Press have enabled us to present this landmark inaugural issue to our extensive readership. Beijing Tongren Hospital's profound clinical experience and research achievements in ophthalmology and otolaryngology, and especially its national key disciplinary status not just in those fields but also in allergology and traditional Chinese ophthalmology, have made a significant contribution to medical research in China and globally.

We find ourselves in an era of remarkable growth in China's scientific research investment and output. Since 1981, China's investment in scientific research has increased by an astounding factor of 400, with a 3.5-fold increase in just the past decade, far surpassing the growth rates of Western nations. This surge in investment not only signifies China's rise on the global scientific stage but also heralds its future dominance in technological innovations. Research is international and open, and Chinese researchers are increasingly prominent in key scientific areas. Their prolific output in high-quality, original academic papers, producing over 1000 highly cited papers annually, not only showcases their capabilities but also opens new avenues for global scientific research collaboration. Similarly, the leadership of our researchers in critical fields like ophthalmology and otolaryngology is becoming increasingly evident. We encourage domestic researchers to publish their work in international journals, not only to highlight their achievements but also to enhance the international impact of our academic publications. We are also committed to creating a robust and open platform to attract the latest and best research from around the world.

The mission of Eye and ENT Research is to gather and present the wisdom and experience of researchers and practitioners in the fields of ophthalmology and otolaryngology, to foster scientific development in these areas, and to reflect the latest research achievements globally, especially from the Asia-Pacific region. By sharing the latest research findings, innovative methodologies, and clinical practices, we are dedicated to guiding scientific advancement in these fields to new heights.

We look forward to Eye and ENT Research becoming an essential platform for ophthalmology and otolaryngology researchers, clinicians, and related experts to exchange ideas and share the latest research findings. We firmly believe that through collective wisdom and collaboration, we can contribute insights and strengths to global medical research, advancing the science of human health.

作为《眼科与耳鼻喉科研究》这一感官医学领域新学术期刊的创刊编辑,我们深感荣幸能在这一重要时刻与我们尊敬的读者和投稿人分享我们的愿景和承诺。在北京同仁医院和高等教育出版社的共同努力下,我们向广大读者推出了这一具有里程碑意义的创刊号。北京同仁医院在眼科和耳鼻咽喉科方面拥有深厚的临床经验和研究成果,尤其是在眼科和耳鼻咽喉科以及变态反应科和中医眼科方面的国家重点学科地位,为中国乃至全球的医学研究做出了重要贡献。自 1981 年以来,中国的科研投入增长了惊人的 400 倍,仅在过去十年间就增长了 3.5 倍,远远超过了西方国家的增长速度。投资的激增不仅标志着中国在全球科学舞台上的崛起,也预示着中国未来在技术创新领域的主导地位。研究是国际化和开放的,中国研究人员在关键科学领域的地位日益突出。他们发表了大量高质量的原创学术论文,每年产生 1000 多篇高被引论文,这不仅展示了他们的能力,也为全球科研合作开辟了新途径。同样,我国研究人员在眼科和耳鼻喉科等关键领域的领先地位也日益明显。我们鼓励国内研究人员在国际期刊上发表论文,这不仅是为了彰显他们的成就,也是为了提高我们学术出版物的国际影响力。眼科与耳鼻喉科研究》的使命是汇聚和展示眼科与耳鼻喉科领域研究人员和从业人员的智慧和经验,促进这些领域的科学发展,并反映全球尤其是亚太地区的最新研究成果。我们期待《眼科与耳鼻喉科研究》成为眼科与耳鼻喉科研究人员、临床医生和相关专家交流思想和分享最新研究成果的重要平台。我们坚信,通过集体智慧与合作,我们可以为全球医学研究贡献见解和力量,推动人类健康科学的发展。
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引用次数: 0
期刊
Eye & ENT Research
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