首页 > 最新文献

International Archives of Otorhinolaryngology最新文献

英文 中文
Functional Language in Children from a Public Cochlear Implant Program in a Developing Country. 发展中国家公共人工耳蜗植入项目儿童的功能性语言。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-07-01 DOI: 10.1055/s-0044-1785205
Alice Lang Silva, Anderson Claudio Roberto, Maithe Antonello Ramos, Debora Milene Ferreira Alves, Isadora Martins Silva Stumpf, Laura Prolla Lacroix, Letícia Petersen Schmidt Rosito

Introduction  The World Health Organization (WHO) estimates that ∼ 32 million children worldwide are affected by hearing loss (HL). Cochlear implant is the first-line treatment for severe to profound sensorineural HL. It is considered one of the most successful prostheses developed to date. Objective  To evaluate the oral language development of pediatric patients with prelingual deafness implanted in a reference hospital for the treatment of HL in southern Brazil. Methods  We conducted a retrospective cohort study with a review of medical records of patients undergoing cochlear implant surgery between January 2009 and December 2018. Language development was assessed by reviewing consultations with speech therapy professionals from the cochlear implant group. Results  A total of 152 children were included in the study. The mean age at cochlear implant surgery was of 41 months (standard deviation [SD]: ± 15). The patients were divided into six groups considering the type of language most used in their daily lives. We found that 36% of children use oral language as their primary form of communication. In a subanalysis, we observed that patients with developed or developing oral language had undergone cochlear implant surgery earlier than patients using Brazilian Sign Language (Língua Brasileira de Sinais, LIBRAS, in Portuguese) or those without developed language. Conclusion  The cochlear implant is a state-of-the-art technology that enables the re-establishment of the sense of hearing and the development of oral language. However, language development is a complex process known to present a critical period to properly occur. We still see many patients receiving late diagnosis and treatment, which implies a delay and, often, the impossibility of developing oral communication. Level of Evidence  Level 3 (cohort study).

导言 据世界卫生组织(WHO)估计,全球有 3200 万儿童受到听力损失(HL)的影响。人工耳蜗是治疗重度到极重度感音神经性听力损失的一线疗法。它被认为是迄今为止开发的最成功的假体之一。目的 评估在巴西南部一家治疗 HL 的参考医院接受人工耳蜗植入治疗的儿童舌前聋患者的口语发展情况。方法 我们对 2009 年 1 月至 2018 年 12 月期间接受人工耳蜗植入手术的患者病历进行了回顾性队列研究。通过回顾人工耳蜗植入组语言治疗专业人员的咨询,对语言发展进行评估。结果 共有152名儿童被纳入研究。人工耳蜗植入手术时的平均年龄为41个月(标准差 [SD]:±15)。根据患者在日常生活中最常用的语言类型将其分为六组。我们发现,36% 的儿童以口语为主要交流方式。在一项子分析中,我们观察到,与使用巴西手语(Língua Brasileira de Sinais,葡萄牙语为 LIBRAS)或没有发达语言的患者相比,口语发达或正在发展的患者接受人工耳蜗植入手术的时间更早。结论 人工耳蜗是一种最先进的技术,能够重建听觉和发展口语。然而,众所周知,语言发展是一个复杂的过程,需要一个关键时期才能正常进行。我们仍然看到许多患者接受诊断和治疗的时间较晚,这意味着他们的口语交流发展会被推迟,而且往往是不可能的。证据等级 3 级(队列研究)。
{"title":"Functional Language in Children from a Public Cochlear Implant Program in a Developing Country.","authors":"Alice Lang Silva, Anderson Claudio Roberto, Maithe Antonello Ramos, Debora Milene Ferreira Alves, Isadora Martins Silva Stumpf, Laura Prolla Lacroix, Letícia Petersen Schmidt Rosito","doi":"10.1055/s-0044-1785205","DOIUrl":"10.1055/s-0044-1785205","url":null,"abstract":"<p><p><b>Introduction</b>  The World Health Organization (WHO) estimates that ∼ 32 million children worldwide are affected by hearing loss (HL). Cochlear implant is the first-line treatment for severe to profound sensorineural HL. It is considered one of the most successful prostheses developed to date. <b>Objective</b>  To evaluate the oral language development of pediatric patients with prelingual deafness implanted in a reference hospital for the treatment of HL in southern Brazil. <b>Methods</b>  We conducted a retrospective cohort study with a review of medical records of patients undergoing cochlear implant surgery between January 2009 and December 2018. Language development was assessed by reviewing consultations with speech therapy professionals from the cochlear implant group. <b>Results</b>  A total of 152 children were included in the study. The mean age at cochlear implant surgery was of 41 months (standard deviation [SD]: ± 15). The patients were divided into six groups considering the type of language most used in their daily lives. We found that 36% of children use oral language as their primary form of communication. In a subanalysis, we observed that patients with developed or developing oral language had undergone cochlear implant surgery earlier than patients using Brazilian Sign Language (Língua Brasileira de Sinais, LIBRAS, in Portuguese) or those without developed language. <b>Conclusion</b>  The cochlear implant is a state-of-the-art technology that enables the re-establishment of the sense of hearing and the development of oral language. However, language development is a complex process known to present a critical period to properly occur. We still see many patients receiving late diagnosis and treatment, which implies a delay and, often, the impossibility of developing oral communication. <b>Level of Evidence</b>  Level 3 (cohort study).</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11226275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of the Use of Telemedicine by Brazilian Otolaryngologists through an Online Questionnaire. 通过在线问卷对巴西耳鼻喉科医生使用远程医疗的情况进行评估。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1786385
Alexandre Wady Debes Felippu, Thiago Picolli Morsch, Deusdedit Brandão Neto, Eduarda Montenegro Moretti, André Wady Debes Felippu, Filippo Cascio, Richard Louis Voegels

Introduction  The coronavirus disease 2019 (COVID-19) pandemic has prompted a transformation in medical practice, including the adoption of telemedicine in Brazil and globally. Otorhinolaryngology, a field at high risk of viral transmission, has witnessed an increasing use of telemedicine tools. However, the extent and challenges of telemedicine in this field in Brazil are not well understood. In the present study, we applied a questionnaire to Brazilian otorhinolaryngologists during the pandemic to assess telemedicine's advantages and challenges, shedding light on its integration and persistent issues in the field. Objective  To assess the usage profile of telemedicine in the clinical practice of otolaryngology in Brazil. Methods  The present was a cross-sectional observational study with convenience sampling. It was conducted as a web-based questionnaire distributed and advertised to Brazilian otorhinolaryngologists through social media posts on WhatsApp (Meta Platforms, Inc., Menlo Park, CA, USA), Instagram (Meta Platforms, Inc.), Facebook (Meta Platforms, Inc.), as well as direct messaging and email. Results  The sample size was 186 participants. A total of 69% of them had already provided or were currently providing telemedicine services, and 34% considered it a frequent or very frequent form of work at the time of data collection. In total, 90% of the respondents considered the lack of physical examination a problem in otolaryngological teleconsultations, while 64% reported frequently or very frequently resolving patient problems through teleconsultations. Conclusion  Telemedicine emerged in the context of the COVID-19 pandemic as a promising tool for remote patient care. More studies are needed to elucidate its role in the context of limited physical examination.

导言 2019 年冠状病毒病(COVID-19)大流行促使医疗实践发生转变,包括在巴西和全球范围内采用远程医疗。耳鼻喉科是病毒传播的高危领域,其远程医疗工具的使用也在不断增加。然而,人们对远程医疗在巴西该领域的应用程度和面临的挑战还不甚了解。在本研究中,我们对大流行期间的巴西耳鼻喉科医生进行了问卷调查,以评估远程医疗的优势和挑战,从而揭示其在该领域的整合和长期存在的问题。目的 评估远程医疗在巴西耳鼻喉科临床实践中的使用情况。方法 本研究是一项横断面观察性研究,采用便利抽样法。研究以网络问卷的形式进行,通过 WhatsApp(Meta Platforms 公司,美国加利福尼亚州门洛帕克市)、Instagram(Meta Platforms 公司)、Facebook(Meta Platforms 公司)上的社交媒体帖子以及直接信息和电子邮件向巴西耳鼻喉科医生分发和宣传问卷。结果 样本数量为 186 人。其中 69% 的受访者已经提供或正在提供远程医疗服务,34% 的受访者在收集数据时认为这是一种经常或非常频繁的工作形式。总共有 90% 的受访者认为在耳鼻喉科远程会诊中缺乏体格检查是一个问题,而 64% 的受访者表示经常或非常经常通过远程会诊解决病人的问题。结论 在 COVID-19 大流行的背景下,远程医疗作为一种有前途的远程病人护理工具应运而生。需要进行更多的研究,以阐明远程医疗在有限的体格检查中的作用。
{"title":"Assessment of the Use of Telemedicine by Brazilian Otolaryngologists through an Online Questionnaire.","authors":"Alexandre Wady Debes Felippu, Thiago Picolli Morsch, Deusdedit Brandão Neto, Eduarda Montenegro Moretti, André Wady Debes Felippu, Filippo Cascio, Richard Louis Voegels","doi":"10.1055/s-0044-1786385","DOIUrl":"10.1055/s-0044-1786385","url":null,"abstract":"<p><p><b>Introduction</b>  The coronavirus disease 2019 (COVID-19) pandemic has prompted a transformation in medical practice, including the adoption of telemedicine in Brazil and globally. Otorhinolaryngology, a field at high risk of viral transmission, has witnessed an increasing use of telemedicine tools. However, the extent and challenges of telemedicine in this field in Brazil are not well understood. In the present study, we applied a questionnaire to Brazilian otorhinolaryngologists during the pandemic to assess telemedicine's advantages and challenges, shedding light on its integration and persistent issues in the field. <b>Objective</b>  To assess the usage profile of telemedicine in the clinical practice of otolaryngology in Brazil. <b>Methods</b>  The present was a cross-sectional observational study with convenience sampling. It was conducted as a web-based questionnaire distributed and advertised to Brazilian otorhinolaryngologists through social media posts on WhatsApp (Meta Platforms, Inc., Menlo Park, CA, USA), Instagram (Meta Platforms, Inc.), Facebook (Meta Platforms, Inc.), as well as direct messaging and email. <b>Results</b>  The sample size was 186 participants. A total of 69% of them had already provided or were currently providing telemedicine services, and 34% considered it a frequent or very frequent form of work at the time of data collection. In total, 90% of the respondents considered the lack of physical examination a problem in otolaryngological teleconsultations, while 64% reported frequently or very frequently resolving patient problems through teleconsultations. <b>Conclusion</b>  Telemedicine emerged in the context of the COVID-19 pandemic as a promising tool for remote patient care. More studies are needed to elucidate its role in the context of limited physical examination.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatments for Olfactory Dysfunction in COVID-19: A Systematic Review. 治疗 COVID-19 嗅觉功能障碍:系统回顾。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1786046
Esmaeil Mehraeen, Soudabeh Yarmohammadi, Pegah Mirzapour, Seyed Saeed Tamehri Zadeh, Soheil Dehghani, Leila Molaeipour, Ayoob Molla, Elaheh Karimi, Faeze Abbaspour, SeyedAhmad SeyedAlinaghi

Introduction  Olfactory dysfunction (OD) has emerged as a notable symptom among coronavirus disease 2019 (COVID-19) patients, with its prevalence varying among different populations. Recognizing the need to provide therapeutic solutions for these individuals, the present study seeks to comprehensively review the current evidence on potential underlying mechanisms and treatment modalities to manage OD in COVID-19 patients. Objective  To review the recent evidence on treatments for OD in COVID-19. From the beginning of the study until August 2nd, 2023, we conducted a systematic search on four electronic databases, PubMed, Scopus, Embase, and Web of Science, to find relevant publications. Data Synthesis  In the present study, 37 articles were selected for data extraction and included in the final review. The total number of patients was of 3,560 (2,098 female and 1,462 male subjects). The predominant disorders reported were hyposmia, anosmia, and parosmia. In most of the studies, the pre and postintervention assessments were the same, except for one study, in which the pre-intervention assessment of the disorder was through the SST, Sniffin' Sticks Test (SST), and the post-intervention assessment was through the Visual Analog Scale (VAS) and the 22-item Sinonasal Outcome Test (SNOT-22). The findings suggest olfactory training (OT), ivermectin, palmitoylethanolamide, luteolin, and systemic corticosteroids, in combination with topical corticosteroids, are potential therapies for COVID-19 patients with olfactory impairment. Conclusion  Although the review suggested several medications for OD treatment, further research must delve into the specific impact of OT, a non-pharmacological modality, regarding the mitigation of OD. By continuing to investigate and refine these therapeutic approaches, we can better support COVID-19 patients and improve their quality of life while navigating the challenges posed by OD.

引言 嗅觉功能障碍(OD)已成为冠状病毒病 2019(COVID-19)患者的一个显著症状,其发病率因人群而异。本研究认识到为这些患者提供治疗方案的必要性,旨在全面回顾有关潜在潜在机制和治疗方法的现有证据,以控制 COVID-19 患者的嗅觉障碍。目的 回顾 COVID-19 患者 OD 治疗的最新证据。从研究开始到 2023 年 8 月 2 日,我们在 PubMed、Scopus、Embase 和 Web of Science 四个电子数据库中进行了系统检索,以查找相关出版物。数据综述 本研究共选取了 37 篇文章进行数据提取,并纳入最终综述。患者总数为 3,560 人(其中女性 2,098 人,男性 1,462 人)。报告的主要病症是嗅觉减退、嗅觉缺失和嗅觉减退。在大多数研究中,干预前和干预后的评估是相同的,只有一项研究例外,其中干预前的失调评估是通过嗅棒测试(SST)进行的,干预后的评估是通过视觉模拟量表(VAS)和 22 项鼻窦结果测试(SNOT-22)进行的。研究结果表明,嗅觉训练 (OT)、伊维菌素、棕榈酰乙醇酰胺、木犀草素和全身性皮质类固醇与局部皮质类固醇相结合,是治疗 COVID-19 患者嗅觉障碍的潜在疗法。结论 虽然综述提出了几种治疗嗅觉障碍的药物,但进一步的研究必须深入探讨 OT 这种非药物疗法对缓解嗅觉障碍的具体影响。通过继续研究和改进这些治疗方法,我们可以更好地支持 COVID-19 患者,在应对 OD 带来的挑战的同时提高他们的生活质量。
{"title":"Treatments for Olfactory Dysfunction in COVID-19: A Systematic Review.","authors":"Esmaeil Mehraeen, Soudabeh Yarmohammadi, Pegah Mirzapour, Seyed Saeed Tamehri Zadeh, Soheil Dehghani, Leila Molaeipour, Ayoob Molla, Elaheh Karimi, Faeze Abbaspour, SeyedAhmad SeyedAlinaghi","doi":"10.1055/s-0044-1786046","DOIUrl":"10.1055/s-0044-1786046","url":null,"abstract":"<p><p><b>Introduction</b>  Olfactory dysfunction (OD) has emerged as a notable symptom among coronavirus disease 2019 (COVID-19) patients, with its prevalence varying among different populations. Recognizing the need to provide therapeutic solutions for these individuals, the present study seeks to comprehensively review the current evidence on potential underlying mechanisms and treatment modalities to manage OD in COVID-19 patients. <b>Objective</b>  To review the recent evidence on treatments for OD in COVID-19. From the beginning of the study until August 2nd, 2023, we conducted a systematic search on four electronic databases, PubMed, Scopus, Embase, and Web of Science, to find relevant publications. <b>Data Synthesis</b>  In the present study, 37 articles were selected for data extraction and included in the final review. The total number of patients was of 3,560 (2,098 female and 1,462 male subjects). The predominant disorders reported were hyposmia, anosmia, and parosmia. In most of the studies, the pre and postintervention assessments were the same, except for one study, in which the pre-intervention assessment of the disorder was through the SST, Sniffin' Sticks Test (SST), and the post-intervention assessment was through the Visual Analog Scale (VAS) and the 22-item Sinonasal Outcome Test (SNOT-22). The findings suggest olfactory training (OT), ivermectin, palmitoylethanolamide, luteolin, and systemic corticosteroids, in combination with topical corticosteroids, are potential therapies for COVID-19 patients with olfactory impairment. <b>Conclusion</b>  Although the review suggested several medications for OD treatment, further research must delve into the specific impact of OT, a non-pharmacological modality, regarding the mitigation of OD. By continuing to investigate and refine these therapeutic approaches, we can better support COVID-19 patients and improve their quality of life while navigating the challenges posed by OD.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511580/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors for Recurrence after Surgical Resection of Sinonasal Inverted Papilloma. 鼻窦倒置乳头状瘤手术切除后复发的风险因素
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1785206
Eugénie Delaine, François Gorostidi, Pierre Guilcher, Karma Lambercy, Yann Litzistorf, Luc Bron, Antoine Reinhard

Introduction  Sinonasal inverted papilloma (SNIP) is a rare benign epithelial tumor of the nasal cavity and paranasal sinuses that accounts for 0.4% and 4.7% respectively, of all tumors of this anatomical region. Objective  To analyze the outcomes after surgical resection of SNIP and identify the risk factors for recurrence in a Swiss tertiary center. Methods  We conducted a retrospective review of all cases of SNIP treated at the Lausanne university hospital between 2005 and 2018. All data available on the patients and tumors were collected for analysis. We studied the recurrence rate and looked for risk factors. Results  We included 57 patients with a mean age of 55.5 years. There were 46 primary cases (80.7%) and 11 recurrences (19.3%). Maxillary sinus was the most frequent location (33.3%). Approximately half of the patients (52.6%) presented with a T3 tumor according to the Krouse classification. The mean recurrence rate after surgery was of 17.5% and it was more frequent among the patients in the recurrence group (45.5%) than among the primary cases (10.9%), reaching statistical significance (odds ratio [OR] = 6.8; 95% confidence interval [95%CI]: 1.5-30.8; p  = 0.0165). Most patients were treated endoscopically (94.7%). Frontal sinus location, higher Krouse stage, and combined approach seemed to increase the risk of recurrence, but without statistical significance. Conclusion  Difficult surgical access, as in the case of tumors located in the frontal sinus, higher stage of the disease, and previously operated cases carry the higher risk of incomplete resection and recurrence.

简介:鼻窦倒置乳头状瘤(SNIP)是一种罕见的鼻腔和副鼻窦良性上皮肿瘤,分别占该解剖区域所有肿瘤的 0.4% 和 4.7%。目的 分析瑞士一家三级医疗中心鼻腔和副鼻窦良性上皮肿瘤手术切除后的疗效,并确定复发的风险因素。方法 我们对洛桑大学医院 2005 年至 2018 年间治疗的所有 SNIP 病例进行了回顾性研究。我们收集了患者和肿瘤的所有可用数据进行分析。我们研究了复发率,并寻找风险因素。结果 我们共收治了57名患者,平均年龄为55.5岁。原发病例 46 例(80.7%),复发病例 11 例(19.3%)。上颌窦是最常见的发病部位(33.3%)。根据克鲁斯(Krouse)分类法,约半数患者(52.6%)的肿瘤为T3。手术后的平均复发率为 17.5%,复发组患者(45.5%)的复发率高于原发病例(10.9%),达到统计学意义(比值比 [OR] = 6.8;95% 置信区间 [95%CI]:1.5-30.8;P<0.05):1.5-30.8; p = 0.0165).大多数患者接受了内窥镜治疗(94.7%)。额窦位置、较高的 Krouse 分期和联合方法似乎会增加复发风险,但无统计学意义。结论 手术入路困难(如肿瘤位于额窦)、疾病分期较高和曾接受过手术的病例切除不彻底和复发的风险较高。
{"title":"Risk Factors for Recurrence after Surgical Resection of Sinonasal Inverted Papilloma.","authors":"Eugénie Delaine, François Gorostidi, Pierre Guilcher, Karma Lambercy, Yann Litzistorf, Luc Bron, Antoine Reinhard","doi":"10.1055/s-0044-1785206","DOIUrl":"10.1055/s-0044-1785206","url":null,"abstract":"<p><p><b>Introduction</b>  Sinonasal inverted papilloma (SNIP) is a rare benign epithelial tumor of the nasal cavity and paranasal sinuses that accounts for 0.4% and 4.7% respectively, of all tumors of this anatomical region. <b>Objective</b>  To analyze the outcomes after surgical resection of SNIP and identify the risk factors for recurrence in a Swiss tertiary center. <b>Methods</b>  We conducted a retrospective review of all cases of SNIP treated at the Lausanne university hospital between 2005 and 2018. All data available on the patients and tumors were collected for analysis. We studied the recurrence rate and looked for risk factors. <b>Results</b>  We included 57 patients with a mean age of 55.5 years. There were 46 primary cases (80.7%) and 11 recurrences (19.3%). Maxillary sinus was the most frequent location (33.3%). Approximately half of the patients (52.6%) presented with a T3 tumor according to the Krouse classification. The mean recurrence rate after surgery was of 17.5% and it was more frequent among the patients in the recurrence group (45.5%) than among the primary cases (10.9%), reaching statistical significance (odds ratio [OR] = 6.8; 95% confidence interval [95%CI]: 1.5-30.8; <i>p</i>  = 0.0165). Most patients were treated endoscopically (94.7%). Frontal sinus location, higher Krouse stage, and combined approach seemed to increase the risk of recurrence, but without statistical significance. <b>Conclusion</b>  Difficult surgical access, as in the case of tumors located in the frontal sinus, higher stage of the disease, and previously operated cases carry the higher risk of incomplete resection and recurrence.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Myringoplasty using the Periosteum: An Institutional Overview. 使用骨膜进行小儿耳廓成形术:机构概览。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-07-01 DOI: 10.1055/s-0043-1776001
Al Hussein Awad, Mahmood A Hamed

Introduction  Myringoplasty is a common otologic procedure to restore the integrity of the tympanic membrane in cases of traumatic or pathologic perforations. Many grafting materials have been used with different techniques. Objective  In the present work, we evaluate the surgical and audiological outcomes of periosteal graft overlying the mastoid cortex through a retroauricular incision in a pediatric cohort. Methods  A retrospective study was carried out involving all children aged ≤ 16 years who underwent periosteal graft myringoplasty for the treatment of chronic suppurative otitis media with dry central perforation in our hospital from April 2019 to April 2021. All patients were followed up for one year to assess the anatomical success and functional outcomes by comparing the preoperative and postoperative (after six months) results of pure tone audiometry (PTA). Results  The sample was composed of 36 patients; 20 of them were female (55.6%) and 16 were male (44.4%) subjects, with ages ranging from 7 to 16 (mean: 12.7) years. Four patients underwent surgery in both ears (with an interval of 6 to 9 months). Out of 40 surgeries performed, 38 ears have shown anatomical success (95%). A highly significant improvement in hearing was obtained (the mean difference between the pre- and postoperative results of the PTA was of 14.6 ± 3.45 dB ( p  < 0.001). Conclusion  We advocate the use of periosteal graft in the pediatric population as a good alternative for other types of grafts, with comparable and even better functional and anatomical outcomes.

导言:鼓膜成形术是一种常见的耳科手术,用于恢复外伤性或病理性鼓膜穿孔病例的鼓膜完整性。许多移植材料被用于不同的技术中。本研究评估了通过耳后切口在乳突皮质上进行骨膜移植的手术和听力效果。方法 我们开展了一项回顾性研究,研究对象是 2019 年 4 月至 2021 年 4 月期间在我院接受骨膜移植耳廓成形术治疗慢性化脓性中耳炎伴干性中枢性穿孔的所有 16 岁以下儿童。对所有患者进行为期一年的随访,通过比较术前和术后(六个月后)纯音测听(PTA)结果,评估解剖学成功率和功能效果。结果 样本由 36 名患者组成,其中女性 20 名(55.6%),男性 16 名(44.4%),年龄从 7 岁到 16 岁(平均 12.7 岁)不等。四名患者接受了双耳手术(间隔时间为 6 至 9 个月)。在 40 例手术中,有 38 例手术在解剖学上取得了成功(95%)。听力得到了非常明显的改善(PTA 术前和术后结果的平均差异为 14.6 ± 3.45 dB ( p 结论 我们提倡在儿童群体中使用骨膜移植,作为其他类型移植的良好替代品,其功能和解剖效果相当甚至更好。
{"title":"Pediatric Myringoplasty using the Periosteum: An Institutional Overview.","authors":"Al Hussein Awad, Mahmood A Hamed","doi":"10.1055/s-0043-1776001","DOIUrl":"10.1055/s-0043-1776001","url":null,"abstract":"<p><p><b>Introduction</b>  Myringoplasty is a common otologic procedure to restore the integrity of the tympanic membrane in cases of traumatic or pathologic perforations. Many grafting materials have been used with different techniques. <b>Objective</b>  In the present work, we evaluate the surgical and audiological outcomes of periosteal graft overlying the mastoid cortex through a retroauricular incision in a pediatric cohort. <b>Methods</b>  A retrospective study was carried out involving all children aged ≤ 16 years who underwent periosteal graft myringoplasty for the treatment of chronic suppurative otitis media with dry central perforation in our hospital from April 2019 to April 2021. All patients were followed up for one year to assess the anatomical success and functional outcomes by comparing the preoperative and postoperative (after six months) results of pure tone audiometry (PTA). <b>Results</b>  The sample was composed of 36 patients; 20 of them were female (55.6%) and 16 were male (44.4%) subjects, with ages ranging from 7 to 16 (mean: 12.7) years. Four patients underwent surgery in both ears (with an interval of 6 to 9 months). Out of 40 surgeries performed, 38 ears have shown anatomical success (95%). A highly significant improvement in hearing was obtained (the mean difference between the pre- and postoperative results of the PTA was of 14.6 ± 3.45 dB ( <i>p</i>  < 0.001). <b>Conclusion</b>  We advocate the use of periosteal graft in the pediatric population as a good alternative for other types of grafts, with comparable and even better functional and anatomical outcomes.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11226276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mismatch Negativity in Children with Deficits in Auditory Abilities. 听觉能力缺陷儿童的错配负性。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1785458
Julia Dalcin Pinto, Déborah Aurélio Temp, Laís Ferreira, Amália El Hatal de Souza, Michele Vargas Garcia, Adriana Neves de Andrade, Eliara Pinto Vieira Biaggio

Introduction  Mismatch negativity (MMN) represents a negative component of event-related potentials, which is mentioned by guidelines as an important tool to provide measurable data regarding the functionality of the auditory system in acoustic processing. However, the literature still lacks reliable data that can support the clinical use of this potential in the complementary diagnosis of central auditory processing (CAP) disorder (CAPD). Objectives  To analyze whether MMN assessment might be associated with the CAP behavioral test battery, as well as to assess the effects of auditory ability deficits on MMN responses in the pediatric population. Methods  In total, 45 age-matched children participated in the study. They were submitted to the CAP behavior assessment and to MMN. The children were tested with a combination of speech contrast consisting of acoustic syllables [da] versus [ta], governed by the oddball paradigm. Results  Mismatch negativity did not show a direct association with a single test but with the combination of the four tests used as a behavioral test battery to identify CAPD. The results also indicated that the auditory ability deficits influenced the measurement of MMN latency ( p  = 0.003*), but not the amplitude ( p  = 0.857) or the area ( p  = 0.577). Conclusion  Mismatch negativity was shown to be statistically associated with the battery of tests used to identify deficits in auditory abilities in the studied sample rather than with a single behavioral test. The deficits in auditory abilities were observed in the MMN latency. Mismatch negativity can be used to assess children with CAPD.

导言:错配负性(MMN)是事件相关电位的一种负性成分,被指南称为一种重要工具,可提供有关听觉系统在声音处理过程中功能的可测量数据。然而,文献中仍缺乏可靠的数据支持临床使用该电位辅助诊断中枢听觉处理(CAP)障碍(CAPD)。目的 分析 MMN 评估是否可能与 CAP 行为测试相关联,并评估听觉能力缺陷对 MMN 反应的影响。方法 共有 45 名年龄匹配的儿童参与研究。他们接受了 CAP 行为评估和 MMN 测试。在奇球范式下,儿童接受了由声学音节[da]和[ta]组成的语音对比组合测试。结果 错配负性与单项测试没有直接联系,但与作为行为测试组合的四项测试有直接联系,可用于识别 CAPD。结果还表明,听觉能力缺陷会影响 MMN 的测量延迟(p = 0.003*),但不会影响振幅(p = 0.857)或面积(p = 0.577)。结论 研究表明,错配负性在统计学上与用于识别研究样本听觉能力缺陷的一系列测试有关,而不是与单一的行为测试有关。听觉能力的缺陷可从 MMN 潜伏期中观察到。错配负性可用于评估患有儿童听觉障碍的儿童。
{"title":"Mismatch Negativity in Children with Deficits in Auditory Abilities.","authors":"Julia Dalcin Pinto, Déborah Aurélio Temp, Laís Ferreira, Amália El Hatal de Souza, Michele Vargas Garcia, Adriana Neves de Andrade, Eliara Pinto Vieira Biaggio","doi":"10.1055/s-0044-1785458","DOIUrl":"10.1055/s-0044-1785458","url":null,"abstract":"<p><p><b>Introduction</b>  Mismatch negativity (MMN) represents a negative component of event-related potentials, which is mentioned by guidelines as an important tool to provide measurable data regarding the functionality of the auditory system in acoustic processing. However, the literature still lacks reliable data that can support the clinical use of this potential in the complementary diagnosis of central auditory processing (CAP) disorder (CAPD). <b>Objectives</b>  To analyze whether MMN assessment might be associated with the CAP behavioral test battery, as well as to assess the effects of auditory ability deficits on MMN responses in the pediatric population. <b>Methods</b>  In total, 45 age-matched children participated in the study. They were submitted to the CAP behavior assessment and to MMN. The children were tested with a combination of speech contrast consisting of acoustic syllables [da] versus [ta], governed by the oddball paradigm. <b>Results</b>  Mismatch negativity did not show a direct association with a single test but with the combination of the four tests used as a behavioral test battery to identify CAPD. The results also indicated that the auditory ability deficits influenced the measurement of MMN latency ( <i>p</i>  = 0.003*), but not the amplitude ( <i>p</i>  = 0.857) or the area ( <i>p</i>  = 0.577). <b>Conclusion</b>  Mismatch negativity was shown to be statistically associated with the battery of tests used to identify deficits in auditory abilities in the studied sample rather than with a single behavioral test. The deficits in auditory abilities were observed in the MMN latency. Mismatch negativity can be used to assess children with CAPD.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vestibular Disorders Limited to the Vertical Semicircular Canals. 仅限于垂直半规管的前庭失调。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-05-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1786047
Pedro Luiz Mangabeira Albernaz, Flavia Salvaterra Cusin, Bernardo Faria Ramos, Renato Cal, Francisco Carlos Zuma E Maia

Introduction  The advent of the video head impulse test (vHIT) enables the study of each one of the six semicircular canals. In the present study, certain patients present disorders related only to the vertical semicircular canals, and they were carefully evaluated. Objective  To investigate vestibular disorders limited to the vertical semicircular canals. Methods  In total, 9,891 patients were submitted to the vHIT in our clinic; 26 (2.63%) of them, 11 men and 15 women, showed reduced vestibulo-ocular reflex (VOR) limited to the vertical canals. All of these patients had vestibular symptoms. Results  These patients presented different disorders of the vestibular system, and ten of them presented vestibular neuritis. Conclusion  Now, vestibular disorders limited the vertical canals can be evaluated through the vHIT. These disorders, however, may relate do different labyrinthine diseases.

引言 视频头脉冲试验(vHIT)的出现使得对六个半规管中每一个半规管的研究成为可能。在本研究中,某些患者仅表现出与垂直半规管有关的障碍,我们对他们进行了仔细评估。目的 研究仅限于垂直半规管的前庭疾病。方法 本诊所共有 9891 名患者接受了 vHIT 检查,其中 26 人(2.63%)(11 名男性和 15 名女性)表现出仅限于垂直半规管的前庭-眼反射(VOR)减弱。所有这些患者都有前庭症状。结果 这些患者的前庭系统出现了不同的疾病,其中 10 人患有前庭神经炎。结论 现在,可以通过 vHIT 对限制垂直管道的前庭疾病进行评估。不过,这些疾病可能与不同的迷宫疾病有关。
{"title":"Vestibular Disorders Limited to the Vertical Semicircular Canals.","authors":"Pedro Luiz Mangabeira Albernaz, Flavia Salvaterra Cusin, Bernardo Faria Ramos, Renato Cal, Francisco Carlos Zuma E Maia","doi":"10.1055/s-0044-1786047","DOIUrl":"10.1055/s-0044-1786047","url":null,"abstract":"<p><p><b>Introduction</b>  The advent of the video head impulse test (vHIT) enables the study of each one of the six semicircular canals. In the present study, certain patients present disorders related only to the vertical semicircular canals, and they were carefully evaluated. <b>Objective</b>  To investigate vestibular disorders limited to the vertical semicircular canals. <b>Methods</b>  In total, 9,891 patients were submitted to the vHIT in our clinic; 26 (2.63%) of them, 11 men and 15 women, showed reduced vestibulo-ocular reflex (VOR) limited to the vertical canals. All of these patients had vestibular symptoms. <b>Results</b>  These patients presented different disorders of the vestibular system, and ten of them presented vestibular neuritis. <b>Conclusion</b>  Now, vestibular disorders limited the vertical canals can be evaluated through the vHIT. These disorders, however, may relate do different labyrinthine diseases.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Quality of Life After Use the Virtual Reality in Patients with Neurodegenerative Disease. 评估神经退行性疾病患者使用虚拟现实技术后的生活质量。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-04-30 eCollection Date: 2024-07-01 DOI: 10.1055/s-0044-1785681
Jéssica Spricigo Malisky, Bianca Lopes Cavalcante-Leão, Maria Izabel Severiano, Geslaine Janaina Bueno Dos Santos, Hélio Augusto Guizoni Teive, Maria Renata José, Cristiano Miranda de Araújo, Bianca Simone Zeigelboim

Introduction  Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases. Objective  To evaluate the living standard of patients with SCA, by applying the Vestibular Disorders Activities of Daily Living Scale (VADL) and Activitiesspecific Balance Confidence Scale (ABC) questionnaires. Methods  An uncontrolled clinical trial study was conducted with 28 patients who underwent anamnesis, ENT evaluation, and vestibular assessment and the application of questionnaires VADL and ABC before and after rehabilitation with virtual reality. Results  The vestibular exam was altered in 64.3% of the cases. The result between the correlation of the VADL and ABC questionnaires showed significant results in all cases (p < 0.005). The correlation between the ages and disease length with the VADL and ABC questionnaires was significant in the T3 assessment (p = 0.015). The correlation between the disease length and the VADL questionnaire was significant in all cases (p < 0.005). The comparison of the vestibular rehabilitation result (T1 to T2) showed a significant difference for all the applied games, except for the ski slalom. The comparison of the vestibular rehabilitation result (T1 to T3) showed significant difference for all the applied games (p < 0.005) (1st assessment before the start of rehabilitation designated T1, after 10 rehabilitation sessions, considered T2 and, at the end of 20 rehabilitation sessions, called T3). Conclusion  We can point out a direct improvement in the living standard, reflected by the reduction of falls, better balance, and march, contributing to a higher self-confidence in patients in daily activities.

导言脊髓小脑性共济失调(SCA)是一种异质性神经退行性疾病。目的 通过应用前庭障碍日常生活活动量表(VADL)和特定活动平衡信心量表(ABC)问卷,评估 SCA 患者的生活水平。方法 对 28 名患者进行了一项非对照临床试验研究,这些患者在使用虚拟现实技术进行康复治疗之前和之后,接受了病史、耳鼻喉科评估、前庭评估以及 VADL 和 ABC 问卷调查。结果 64.3% 的病例的前庭检查有变化。在所有病例中,VADL 和 ABC 问卷的相关性结果均显示出显著的效果(p 结论 我们可以指出,跌倒次数的减少、平衡能力的提高和行进能力的增强,直接提高了患者的生活水平,有助于增强他们在日常活动中的自信心。
{"title":"Evaluation of Quality of Life After Use the Virtual Reality in Patients with Neurodegenerative Disease.","authors":"Jéssica Spricigo Malisky, Bianca Lopes Cavalcante-Leão, Maria Izabel Severiano, Geslaine Janaina Bueno Dos Santos, Hélio Augusto Guizoni Teive, Maria Renata José, Cristiano Miranda de Araújo, Bianca Simone Zeigelboim","doi":"10.1055/s-0044-1785681","DOIUrl":"10.1055/s-0044-1785681","url":null,"abstract":"<p><p><b>Introduction</b>  Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases. <b>Objective</b>  To evaluate the living standard of patients with SCA, by applying the Vestibular Disorders Activities of Daily Living Scale (VADL) and Activitiesspecific Balance Confidence Scale (ABC) questionnaires. <b>Methods</b>  An uncontrolled clinical trial study was conducted with 28 patients who underwent anamnesis, ENT evaluation, and vestibular assessment and the application of questionnaires VADL and ABC before and after rehabilitation with virtual reality. <b>Results</b>  The vestibular exam was altered in 64.3% of the cases. The result between the correlation of the VADL and ABC questionnaires showed significant results in all cases (p < 0.005). The correlation between the ages and disease length with the VADL and ABC questionnaires was significant in the T3 assessment (p = 0.015). The correlation between the disease length and the VADL questionnaire was significant in all cases (p < 0.005). The comparison of the vestibular rehabilitation result (T1 to T2) showed a significant difference for all the applied games, except for the ski slalom. The comparison of the vestibular rehabilitation result (T1 to T3) showed significant difference for all the applied games (p < 0.005) (1st assessment before the start of rehabilitation designated T1, after 10 rehabilitation sessions, considered T2 and, at the end of 20 rehabilitation sessions, called T3). <b>Conclusion</b>  We can point out a direct improvement in the living standard, reflected by the reduction of falls, better balance, and march, contributing to a higher self-confidence in patients in daily activities.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11226250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Clinicopathological Study of Aural Polyps: A Retrospective Analysis in a Tertiary Care Hospital 耳廓息肉的临床病理研究:一家三级医院的回顾性分析
IF 1.1 Q3 Medicine Pub Date : 2024-04-12 DOI: 10.1055/s-0043-1777418
K. C. Prasad, G. Indu Varsha, K. Mohammadi, Arjun Gupta, Diana Ann Jose
Aim To document the varied clinical presentations and diagnosis of aural polyps Study Design Observational retrospective study. Introduction Aural polyps are a misnomer. Any lesion can present as a mass in the external auditory canal. Aural polyps are proliferation of the granulation tissue due to long standing inflammatory process with associated otalgia and otorrhea. Objectives To document the clinicoradiological presentations, intraoperative findings, and histopathological diagnosis of aural polyp, correlating them. Methods In our study 81 patients underwent treatment for aural polyps in the department of Ear, Nose, and Throat (ENT) from April 1997 to April 2022. Results were tabulated, a simple descriptive analysis was done using the Statistical Package Social Sciences software, and the results obtained were represented as percentages and presented in tables. Results The majority (38) of the patients presenting with aural polyps were diagnosed with mucosal and squamous type of CSOM, and 22 with simple granulation polyps. There were also 5 patients with malignant otitis externa, 3 patients had glomus tumors, 2 patients with retained foreign bodies, and 3 patients with brain herniation. We also identified aberrant internal carotid artery, high jugular bulb, one patient had facial nerve neuroma, one patient had polyp from the tragus diagnosed with tuberculosis, one patient with keratosis obturans, and one with exostosis. Conclusion A thorough detailed examination and mastoid exploration with radiological and histopathological evaluation is mandatory for better defining the definitive treatment. Utmost care and meticulousness are advised for the surgeons while dealing with aural polyps to avoid any complications.
研究设计 观察性回顾研究。引言 耳息肉是一种误称。任何病变都可能表现为外耳道肿块。耳息肉是由于长期炎症过程引起的肉芽组织增生,并伴有耳痛和耳鸣。目的 记录耳道息肉的临床放射学表现、术中发现和组织病理学诊断,并将它们关联起来。方法 1997 年 4 月至 2022 年 4 月期间,耳鼻喉科收治了 81 例因耳道息肉接受治疗的患者。研究结果已制成表格,并使用社会科学统计软件包进行了简单的描述性分析,所得结果以百分比表示,并以表格形式呈现。结果 大部分(38 例)耳道息肉患者被诊断为粘膜和鳞状型 CSOM,22 例为单纯肉芽肿息肉。此外,还有 5 名患者患有恶性外耳道炎,3 名患者患有腺样体肿瘤,2 名患者患有异物残留,3 名患者患有脑疝。我们还发现了颈内动脉畸形、颈静脉球增高、1 名患者患有面神经神经瘤、1 名患者外耳道息肉被诊断为结核、1 名患者患有扁桃体角化症、1 名患者患有外突症。结论 为了更好地确定最终治疗方法,必须进行彻底详细的检查和乳突探查,并进行放射学和组织病理学评估。建议外科医生在处理耳廓息肉时要小心谨慎,避免出现任何并发症。
{"title":"A Clinicopathological Study of Aural Polyps: A Retrospective Analysis in a Tertiary Care Hospital","authors":"K. C. Prasad, G. Indu Varsha, K. Mohammadi, Arjun Gupta, Diana Ann Jose","doi":"10.1055/s-0043-1777418","DOIUrl":"https://doi.org/10.1055/s-0043-1777418","url":null,"abstract":"\u0000 Aim To document the varied clinical presentations and diagnosis of aural polyps\u0000 Study Design Observational retrospective study.\u0000 Introduction Aural polyps are a misnomer. Any lesion can present as a mass in the external auditory canal. Aural polyps are proliferation of the granulation tissue due to long standing inflammatory process with associated otalgia and otorrhea.\u0000 Objectives To document the clinicoradiological presentations, intraoperative findings, and histopathological diagnosis of aural polyp, correlating them.\u0000 Methods In our study 81 patients underwent treatment for aural polyps in the department of Ear, Nose, and Throat (ENT) from April 1997 to April 2022. Results were tabulated, a simple descriptive analysis was done using the Statistical Package Social Sciences software, and the results obtained were represented as percentages and presented in tables.\u0000 Results The majority (38) of the patients presenting with aural polyps were diagnosed with mucosal and squamous type of CSOM, and 22 with simple granulation polyps. There were also 5 patients with malignant otitis externa, 3 patients had glomus tumors, 2 patients with retained foreign bodies, and 3 patients with brain herniation. We also identified aberrant internal carotid artery, high jugular bulb, one patient had facial nerve neuroma, one patient had polyp from the tragus diagnosed with tuberculosis, one patient with keratosis obturans, and one with exostosis.\u0000 Conclusion A thorough detailed examination and mastoid exploration with radiological and histopathological evaluation is mandatory for better defining the definitive treatment. Utmost care and meticulousness are advised for the surgeons while dealing with aural polyps to avoid any complications.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Modulated Masking on Cortical Auditory Evoked Potential in Normal Hearing Individuals: A Systematic Review and Meta-Analysis 调制掩蔽对正常听力个体皮层听觉诱发电位的影响:系统回顾与元分析
IF 1.1 Q3 Medicine Pub Date : 2024-04-12 DOI: 10.1055/s-0044-1782629
Mônyka Ferreira Borges Rocha, K. P. Advíncula, Jéssica Dayane da Silva, Pedro de Lemos Menezes
Introduction The study of electrophysiological auditory measures with different types of masking makes it possible to understand temporal processing skills and the processes involved in speech recognition in noise situations. The use of modulated masking in cortical measures of hearing enables the obtainment of analysis parameters of the masking release and its impact on neural auditory processing. Objective To investigate the behavior of cortical auditory evoked potentials (CAEPs) with modulated masking in the normal hearing population. Data synthesis A total of 2,159 articles were identified in the initial search; of these, 12 were selected for full reading. After excluding studies that did not meet the eligibility criteria, six articles were included in the present systematic review.The results show that the type of masking has an influence on cortical auditory behavior, indicating a different effect on neural posture rergarding CAEP responses. Modulated noise as masking in the CAEP record generated statistically higher and earlier responses compared with non-modulated/steady noise, evidenced by the results obtained in the meta-analysis with subgroup analysis. These responses may indicate an influence of the type of noise in the neural auditory coding. Conclusion Better responses were observed in modulated masking in terms of the behavior of CAEPs. Decreased latency and increased amplitude of cortical measurements with the use of modulated noise indicate a lower masking effect of this noise in cortical auditory processing, evidencing the masking release phenomenon.
引言 通过对不同类型掩蔽的电生理听觉测量进行研究,可以了解噪声环境下的时间处理技能和语音识别过程。在皮层听觉测量中使用调制掩蔽可以获得掩蔽释放的分析参数及其对神经听觉处理的影响。目的 研究正常听力人群皮层听觉诱发电位(CAEP)在调制掩蔽下的行为。数据综述 初步检索共发现 2,159 篇文章,其中 12 篇被选中进行全文阅读。结果表明,掩蔽的类型对大脑皮层的听觉行为有影响,表明对 CAEP 反应的神经态势有不同的影响。与非调制/稳定噪声相比,CAEP 记录中作为掩蔽的调制噪声在统计学上产生的反应更高、更早,这一点在荟萃分析和亚组分析的结果中得到了证明。这些反应可能表明噪声类型对神经听觉编码的影响。结论 就 CAEPs 的行为而言,在调制掩蔽中观察到了更好的反应。使用调制噪声时,皮层测量的延迟时间缩短,振幅增大,这表明这种噪声在皮层听觉处理中的掩蔽效应较低,证明了掩蔽释放现象。
{"title":"Effect of Modulated Masking on Cortical Auditory Evoked Potential in Normal Hearing Individuals: A Systematic Review and Meta-Analysis","authors":"Mônyka Ferreira Borges Rocha, K. P. Advíncula, Jéssica Dayane da Silva, Pedro de Lemos Menezes","doi":"10.1055/s-0044-1782629","DOIUrl":"https://doi.org/10.1055/s-0044-1782629","url":null,"abstract":"\u0000 Introduction The study of electrophysiological auditory measures with different types of masking makes it possible to understand temporal processing skills and the processes involved in speech recognition in noise situations. The use of modulated masking in cortical measures of hearing enables the obtainment of analysis parameters of the masking release and its impact on neural auditory processing.\u0000 Objective To investigate the behavior of cortical auditory evoked potentials (CAEPs) with modulated masking in the normal hearing population.\u0000 Data synthesis A total of 2,159 articles were identified in the initial search; of these, 12 were selected for full reading. After excluding studies that did not meet the eligibility criteria, six articles were included in the present systematic review.The results show that the type of masking has an influence on cortical auditory behavior, indicating a different effect on neural posture rergarding CAEP responses. Modulated noise as masking in the CAEP record generated statistically higher and earlier responses compared with non-modulated/steady noise, evidenced by the results obtained in the meta-analysis with subgroup analysis. These responses may indicate an influence of the type of noise in the neural auditory coding.\u0000 Conclusion Better responses were observed in modulated masking in terms of the behavior of CAEPs. Decreased latency and increased amplitude of cortical measurements with the use of modulated noise indicate a lower masking effect of this noise in cortical auditory processing, evidencing the masking release phenomenon.","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International Archives of Otorhinolaryngology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1