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Effects of Maxillary Movements on Lips Following Orthognathic Surgery: A Retrospective Non-Randomized Clinical Trial. 正颌手术后上颌骨移动对嘴唇的影响:一项回顾性非随机临床试验
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1773759
Soodeh Tahmasbi, Kasra Rahimipour, Mahshid Namdari, Reza Tabrizi, Fatemesadat Seyedzadeghomi

Introduction  Lips play a fundamental role in facial attractiveness and in decisions pertaining to orthognathic surgery. Objective  To assess the upper lip changes following Le Fort I osteotomy for maxillary advancement and/or impaction. Methods  In the present retrospective non-randomized clinical trial, we evaluated 3 groups of patients who underwent Le Fort I osteotomy of the maxilla. Group 1 (n = 35) underwent maxillary advancement, group 2 (n = 14), maxillary impaction, and group 3 (n = 11) was submitted to both maxillary advancement and impaction. The lip thickness of all patients was measured preoperatively, and the participants in each group were categorized into two subgroups: thin (< 12 mm) and thick (> 12 mm) lip. The primary (before orthognathic surgery) and final (after orthodontic bracket removal) lateral cephalograms of the patients were analyzed using the Dolphin software. Comparisons were made using the paired t -test and linear regression in the IBM SPSS Statistics for Windows software. Results  The length of the upper lip increased by 1 mm ( p  = 0.012) on average following maxillary advancement, and it decreased by 0.43 mm ( p  = 0.24) on average following maxillary impaction. In the maxillary advancement group, the change in angulation of the incisors predicted the incisal display ( p  = 0.03). In the maxillary impaction group, skeletal changes in the vertical dimension predicted changes in upper lip length ( p  = 0.033). Conclusions  Le Fort I osteotomy for maxillary advancement significantly increases the length of the upper lip. The assessment of lip thickness prior to surgery can help predict the postoperative results. Changing the angulation of the incisors can predict the incisal display. In maxillary impaction, skeletal changes in the vertical dimension can predict the changes in the length of the upper lip.

引言 嘴唇对面部吸引力和正颌外科手术的决定起着至关重要的作用。目的 评估因上颌骨前移和/或阻塞而接受 Le Fort I 截骨术后上唇的变化。方法 在本回顾性非随机临床试验中,我们对 3 组接受 Le Fort I 上颌骨截骨术的患者进行了评估。第一组(35 人)接受上颌前移术,第二组(14 人)接受上颌阻滞术,第三组(11 人)同时接受上颌前移术和上颌阻滞术。术前测量了所有患者的嘴唇厚度,并将每组患者分为薄唇(< 12 毫米)和厚唇(> 12 毫米)两组。使用 Dolphin 软件对患者的初次(正颌手术前)和最终(正畸托槽移除后)侧向头影进行分析。在 IBM SPSS Statistics for Windows 软件中使用配对 t 检验和线性回归进行比较。结果 上颌骨前移术后,上唇长度平均增加了 1 毫米(p = 0.012),而上颌骨阻塞术后,上唇长度平均减少了 0.43 毫米(p = 0.24)。在上颌前突组中,切牙角度的变化可以预测切迹的显示 ( p = 0.03)。在上颌阻塞组,垂直维度的骨骼变化可预测上唇长度的变化 ( p = 0.033)。结论 用于上颌前突的 Le Fort I 截骨术可显著增加上唇长度。术前对嘴唇厚度的评估有助于预测术后效果。改变切牙的角度可以预测切口的显示效果。在上颌阻塞术中,垂直维度的骨骼变化可以预测上唇长度的变化。
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引用次数: 0
Fast-Tracking of Publication Times of Otolaryngology Papers During the COVID-19 Pandemic. 在 COVID-19 大流行期间快速跟踪耳鼻喉科论文的发表时间。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1767806
Irit Duek, Nidal Muhanna, Yahav Oron, Yohai Shraga, Omer J Ungar

Introduction  The outbreak of COVID-19 has produced an unprecedented number of trials and articles. Objective  To study the impact of the COVID-19 pandemic on otolaryngology-head and neck surgery (ORL-HNS) journal processing times. Methods  Original papers search of published in selected ORL-HNS journals in terms of times from submission-to-acceptance (S-A), acceptance-to-first online publication (A-P), and submission-to-online publication (S-P). Papers were divided into those published in the pre-COVID-19 era and those during the COVID-19 era. The latter were further divided into unrelated to COVID-19 and related to COVID-19. Results  A total of 487 articles from 5 selected ORL-HNS journals were included, of which 236 (48.5%) were published during the pre-COVID-19 era and 251 (51.5%) were published during the COVID-19 era. Among them, 180 (37%) papers were not related to COVID-19, and 71 (14.5%) were related to COVID-19. The S-A duration of COVID-19-related articles was significantly shorter compared with that of papers submitted in the pre-COVID-19 era and to papers submitted in the COVID-19 era but unrelated to COVID-19 (median 6 to 34 days compared to 65 to 125 and 46 to 127, respectively) in all 5 journals. The most prominent reductions in S-A and S-P times were documented in the laryngology and otology/neurotology disciplines, respectively. Conclusions  Processing times of the included papers were significantly shorter in most of the selected ORL-HNS journals during the COVID-19 era compared with the pre-COVID-19 era. COVID-19-related papers were processed more rapidly than non-COVID-19-related papers. These findings testify to the possibility of markedly expediting S-P times and hopefully set a precedent for postpandemic publishing schedules. Level Of Evidence: 5.

引言 COVID-19 的爆发产生了前所未有的大量试验和文章。目的 研究 COVID-19 大流行对耳鼻咽喉头颈外科(ORL-HNS)期刊处理时间的影响。方法 按照从投稿到接受(S-A)、从接受到首次在线发表(A-P)和从投稿到在线发表(S-P)的时间对选定的耳鼻咽喉头颈外科(ORL-HNS)期刊上发表的原创论文进行检索。论文分为前 COVID-19 时代发表的论文和 COVID-19 时代发表的论文。后者又分为与 COVID-19 无关的论文和与 COVID-19 相关的论文。结果 从 5 种选定的 ORL-HNS 期刊中共收录了 487 篇文章,其中 236 篇(48.5%)发表于前 COVID-19 时代,251 篇(51.5%)发表于 COVID-19 时代。其中 180 篇(37%)与 COVID-19 无关,71 篇(14.5%)与 COVID-19 有关。在所有 5 种期刊中,COVID-19 相关论文的 S-A 持续时间明显短于前 COVID-19 时代发表的论文,也短于 COVID-19 时代发表但与 COVID-19 无关的论文(中位数分别为 6 至 34 天和 65 至 125 天和 46 至 127 天)。S-A和S-P时间缩短最明显的学科分别是喉科学和耳科学/神经科学。结论 COVID-19 时代与 COVID-19 之前相比,大多数所选 ORL-HNS 期刊收录论文的处理时间明显缩短。与 COVID-19 相关的论文比与 COVID-19 无关的论文处理速度更快。这些发现证明了明显加快S-P时间的可能性,并有望为流行病后的出版时间表开创先例。证据等级:5.
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引用次数: 0
Evaluation and Treatment of Dysphagia in Public and Private Intensive Care Units (ICUs) in Greece. 希腊公立和私立重症监护病房(ICU)中吞咽困难的评估和治疗。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1767676
Soultana L Papadopoulou, Evangelia Kitsanou, Ermioni Brahimi, Georgios Papathanakos, Ioannis Andrianopoulos, Stavroula J Theodorou, Vasilios Koulouras, Nafsica Ziavra

Introduction  Dysphagia is a significant but underrecognized clinical issue in the intensive care unit (ICU), and it is associated with various complications. Despite its clinical importance, there is limited research and no Greek ICU-specific guidelines for managing dysphagic patients. Additionally, only a few ICUs in Greece have dysphagia specialists, specifically speech-language pathologists (SLPs) providing their expertise. Objective  Τo identify the current practices for dysphagia management (screening, assessment, treatment) and gain insight into ICU directors' awareness/perceptions of the prevalence, complications, and risk of dysphagia. Materials and Methods  We identified 138 Greek ICUs. Data were collected from ICU (including pediatric and neonatal) directors, working in public and private hospitals, via a 24-item, anonymous online questionnaire, within a 4-month period. Results  Our survey was completed by 45 ICU directors. Most participants (84.4%) reported that dysphagia is a relevant clinical problem in their ICU, and 51.1% estimated a frequency rate < 20%. Non-instrumental approaches are mainly utilized to screen and diagnose dysphagia, whereas enteral nutrition and diet modifications are used to manage dysphagia. Additionally, 64.4% of ICU directors agreed that SLPs are essential for the management of dysphagic patients, and 66.7%, that awareness of dysphagia in their ICU could be increased. Conclusion  The current study documented the methods and approaches used to manage dysphagic patients in Greek ICUs. The ICU directors seem to recognize the clinical significance of dysphagia and its complications. According to our findings, the employment of SLPs could result in a more comprehensive and intensive approach and improve the quality of care for these patients.

导言 吞咽困难是重症监护病房(ICU)中一个重要但未得到充分认识的临床问题,它与各种并发症有关。尽管吞咽困难具有重要的临床意义,但希腊针对吞咽困难患者管理的研究和重症监护病房指南却十分有限。此外,希腊只有少数重症监护室有吞咽困难专家,特别是提供专业知识的语言病理学家(SLP)。目的 Τo 确定目前吞咽困难管理(筛查、评估、治疗)的做法,并深入了解 ICU 主任对吞咽困难患病率、并发症和风险的认识/看法。材料和方法 我们确定了 138 家希腊 ICU。在为期 4 个月的时间内,我们通过 24 个项目的匿名在线问卷向公立和私立医院的 ICU(包括儿科和新生儿科)主任收集了数据。结果 45 名重症监护室主任完成了我们的调查。大多数参与者(84.4%)表示,吞咽困难是其重症监护室的一个相关临床问题,51.1%的参与者估计了吞咽困难的发生率 结论 本次研究记录了希腊重症监护室管理吞咽困难患者的方法和途径。ICU 主任似乎认识到了吞咽困难及其并发症的临床意义。根据我们的研究结果,SLP 的使用可以带来更全面、更深入的方法,并提高对这些患者的护理质量。
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引用次数: 0
Role of Virtual Bronchoscopy in Evaluation of Suspected Foreign Body in Children's Tracheobronchial Tree. 虚拟支气管镜在评估儿童气管支气管疑似异物中的作用。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-07-01 DOI: 10.1055/s-0043-1778015
Rachana M Prajapati, Jayman B Raval, Ranjan G Aiyer

Introduction  The presence of foreign bodies in the airways remain a diagnostic challenge to healthcare professionals. They can become life threatening emergencies that require immediate intervention or go unnoticed for weeks and even months. Prevention is best but early recognition remains a critical factor in treatment of foreign body inhalation in children. Objective  To study the diagnostic advantages of virtual over rigid bronchoscopy in the evaluation of children with suspected foreign body in the tracheobronchial tree and plan for early management. Methods  A crossectional study conducted at a tertiary care hospital & medical college in India. A total 24 patients (0-12-years-old) who presented with complaints of sudden onset of coughing, choking, and breathing difficulty were included during the 2-year duration, from January 2018 to December 2019. All patients underwent virtual and rigid bronchoscopy. Results  In 8 patients, foreign bodies detected by virtual bronchoscopy were confirmed by rigid bronchoscopy. There was one case in which virtual bronchoscopy showed no foreign body, but rigid bronchoscopy detected it. In 15 cases virtual and rigid bronchoscopy did not show foreign bodies. The sensitivity, specificity, positive and negative predictive value of virtual bronchoscopy were 88.88, 100, 100, and 93.75%, respectively. Conclusions  Virtual bronchoscopy is less invasive and does not require general anesthesia but cost and availability are limitations. It can be used as method of investigation in children with suspected foreign body aspiration.

导言 气道异物仍然是医护人员面临的诊断难题。这些异物可能成为危及生命的紧急情况,需要立即进行干预,也可能在数周甚至数月后才被发现。预防是最好的办法,但早期识别仍是治疗儿童异物吸入的关键因素。目的 研究在评估气管支气管树疑似异物患儿时,虚拟支气管镜比硬质支气管镜的诊断优势,并制定早期治疗计划。方法 在印度的一家三级医院和医学院进行了一项横断面研究。在 2018 年 1 月至 2019 年 12 月的 2 年时间内,共纳入了 24 名主诉突然出现咳嗽、呛咳和呼吸困难的患者(0-12 岁)。所有患者均接受了虚拟和硬质支气管镜检查。结果 8 例患者通过虚拟支气管镜检查发现的异物经硬质支气管镜检查证实。1例患者的虚拟支气管镜检查未发现异物,但硬质支气管镜检查发现了异物。有 15 例虚拟和硬质支气管镜检查均未发现异物。虚拟支气管镜检查的敏感性、特异性、阳性预测值和阴性预测值分别为 88.88%、100%、100% 和 93.75%。结论 虚拟支气管镜检查创伤较小,无需全身麻醉,但成本和可用性是其局限性。虚拟支气管镜可作为疑似异物吸入儿童的检查方法。
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引用次数: 0
A Simplified Protocol for Tracheostomy Decannulation in Patients Weaned off Prolonged Mechanical Ventilation. 为长期机械通气断奶患者解除气管插管的简化方案。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1776720
K Devaraja, C S Majitha, Kailesh Pujary, Dipak Ranjan Nayak, Shwethapriya Rao

Introduction  The criteria for the removal of the tracheostomy tube (decannulation) vary from center to center. Some perform an endoscopic evaluation under anesthesia or computed tomography, which adds to the cost and discomfort. We use a simple two-part protocol to determine the eligibility and carry out the decannulation: part I consists of airway and swallowing assessment through an office-based flexible laryngotracheoscopy, and part II involves a tracheostomy capping trial. Objective  The primary objective was to determine the safety and efficacy of the simplified decannulation protocol followed at our center among the patients who were weaned off the mechanical ventilator and exhibited good swallowing function clinically. Methods  Of the patients considered for decannulation between November 1st, 2018, and October 31st, 2020, those who had undergone tracheostomy for prolonged mechanical ventilation were included. The efficacy to predict successful decannulation was calculated by the decannulation rate among patients who had been deemed eligible for decannulation in part I of the protocol, and the safety profile was defined by the protocol's ability to correctly predict the chances of risk-free decannulation among those submitted to part II of the protocol. Results  Among the 48 patients included (mean age: 46.5 years; male-to-female ratio: 3:1), the efficacy of our protocol in predicting the successful decannulation was of 87.5%, and it was was safe or reliable in 95.45%. Also, in our cohort, the decannulation success and the duration of tracheotomy dependence were significantly affected by the neurological status of the patients. Conclusion  The decannulation protocol consisting of office-based flexible laryngotracheoscopy and capping trial of the tracheostomy tube can safely and effectively aid the decannulation process.

导言:拔除气管造口管(取消封管)的标准因医疗中心而异。有些中心在麻醉或计算机断层扫描下进行内窥镜评估,这增加了费用和不适感。我们采用一个简单的两部分方案来确定是否符合条件并实施拔管:第一部分包括通过诊室柔性喉气管镜进行气道和吞咽评估,第二部分包括气管造口封堵试验。目的 主要目的是确定本中心对已脱离机械呼吸机并在临床上表现出良好吞咽功能的患者所采用的简化气管切开方案的安全性和有效性。方法 在 2018 年 11 月 1 日至 2020 年 10 月 31 日期间考虑停用的患者中,纳入了因长期机械通气而接受气管切开术的患者。根据方案第一部分中被认为符合终止阉割条件的患者的终止阉割率计算预测成功终止阉割的有效性,根据方案正确预测提交方案第二部分的患者中无风险终止阉割机会的能力定义安全性概况。结果 在纳入的 48 名患者中(平均年龄:46.5 岁;男女比例:3:1),我们的方案在预测成功拔管方面的有效率为 87.5%,在 95.45% 的患者中是安全或可靠的。此外,在我们的队列中,气管切开的成功率和气管切开依赖的持续时间受到患者神经状况的显著影响。结论 由诊室柔性喉气管镜检查和气管造口导管封盖试验组成的封堵方案可以安全有效地帮助封堵过程。
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引用次数: 0
Clinical Manifestations of Wegener Granulomatosis in Iranian Ethnicities Using the K-Means Algorithm: A Descriptive Study. 使用 K-Means 算法分析伊朗各民族韦格纳肉芽肿病的临床表现:描述性研究
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1767803
Fahimeh Khedmatkon, Samira Alesaeidi, Fatemeh Hajialiasgari, Jaleh Shoshtarian Malak

Introduction  Wegener granulomatosis (WG) appears with clinical symptoms, including recurrent respiratory infection, renal manifestations, and nonspecific systemic symptoms. Objective  To study the clinical manifestations of WG in Iranian ethnicities, and data on 164 patients were recorded from 2013 to 2018. Methods  The data included demographics, symptoms, and the Birmingham Vasculitis Activity Score (BVAS). The symptoms involved the following sites: the nose, sinus, glottis, ears, lungs, kidneys, eyes, central nervous system, mucous membranes, skin, heart, stomach, intestine, as well as general symptoms. The clinical manifestations of nine ethnicities were analyzed. Results  In total, 48% of the patients were male and 51% were female, with a median age of 51 years. The BVAS was of 15.4, the sites most involved were the sinus ( n  = 155), nose ( n  = 126), lungs ( n  = 125), and ears ( n  = 107). Gastrointestinal ( n  = 14) and cardiac ( n  = 7) involvement were less common. Among the patients, 48.17% were Persian, 13.41% were Azari, 11.17% were Gilaki, 11.17% were Kurd, and 10.9% were Lor. Conclusion  Our findings indicated that the sinus, nose, lungs, and ears were the sites most involved, and gastrointestinal and cardiac involvement were less common. In the present study, involvement of the upper and lower respiratory tract was higher than that reported in Western and Asian case series. Moreover, we report for the first time that, in all patients with ear involvement, the left ear was the first to be affected. The clinical manifestations among Iranian ethnicities were not different, and the Gilaki ethnicity had the highest BVAS, mostly because the weather was humid; therefore, in Iran, in areas with humidity, the rate of the disease was higher.

导言 韦格纳肉芽肿病(WG)出现的临床症状包括反复呼吸道感染、肾脏表现和非特异性全身症状。目的 研究WG在伊朗种族中的临床表现,记录2013年至2018年164名患者的数据。方法 数据包括人口统计学、症状和伯明翰血管炎活动评分(BVAS)。症状涉及以下部位:鼻、鼻窦、声门、耳、肺、肾、眼、中枢神经系统、粘膜、皮肤、心脏、胃、肠以及全身症状。对九个种族的临床表现进行了分析。结果 48%的患者为男性,51%为女性,中位年龄为 51 岁。BVAS为15.4,受累部位最多的是鼻窦(155人)、鼻子(126人)、肺部(125人)和耳朵(107人)。胃肠道(14 例)和心脏(7 例)受累较少。患者中 48.17% 为波斯人,13.41% 为阿扎里人,11.17% 为吉拉基人,11.17% 为库尔德人,10.9% 为洛尔人。结论 我们的研究结果表明,鼻窦、鼻、肺和耳是受累最多的部位,而胃肠道和心脏受累则较少见。在本研究中,上呼吸道和下呼吸道受累的比例高于西方和亚洲的系列病例。此外,我们还首次发现,在所有耳部受累的患者中,左耳最先受累。伊朗各民族的临床表现并无差异,吉拉基族的 BVAS 最高,这主要是因为伊朗天气潮湿;因此,在伊朗,潮湿地区的发病率较高。
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引用次数: 0
The Prevalence of Dysphagia in Children with Laryngomalacia Pre and Postsupraglottoplasty: A Systematic Review with Meta-Analysis. 喉头成形术前后喉头畸形儿童吞咽困难的发生率:带 Meta 分析的系统性综述。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0042-1755309
Eduarda Pinto Rossoni, Vanessa Souza Gigoski de Miranda, Lisiane De Rosa Barbosa

Introduction  Laryngomalacia is the most common congenital laryngeal alteration, with spontaneous resolution in most cases. However, in the face of more severe presentations of the disease, it is necessary to perform supraglottoplasty surgery. Studies have been dedicated to researching changes in swallowing in children with laryngomalacia before and after surgical intervention. Objectives  To identify the prevalence of oropharyngeal dysphagia in children with pre and postsupraglottoplasty laryngomalacia. Data Synthesis  A search strategy was developed with terms and entreterms to designate a population pediatric with laryngomalacia , exposure supraglottoplasty , and outcome frequency of dysphagia , adapted to the requirements of the main databases in the health area. The analysis of the records found was performed by two independent examiners and, in the end, 6 articles were included in the study. The articles found enabled a sample of 330 children with laryngomalacia, 311 of whom underwent supraglottoplasty. Among the included studies, 5 were grouped and meta-analyzed. After supraglottoplasty surgery, a 59% reduction in the prevalence of oropharyngeal dysphagia was identified, with high heterogeneity I 2  = 93%. Conclusion  Despite the heterogeneity of the sample, the supraglottoplasty procedure significantly reduces the prevalence of dysphagia in children with laryngomalacia.

导言 喉气肿是最常见的先天性喉部病变,大多数病例可自行缓解。但是,如果病情较为严重,则有必要进行声门上成形术。有研究专门探讨了喉气肿患儿在手术治疗前后吞咽功能的变化。目的 确定声门上型喉成形术前和术后儿童口咽吞咽困难的发生率。数据综合 根据卫生领域主要数据库的要求,制定了搜索策略,使用术语和词条来指定患有喉肌无力的儿科人群、喉上成形术暴露情况以及吞咽困难的结果频率。两名独立审查员对找到的记录进行了分析,最终有 6 篇文章被纳入研究范围。这些文章的样本包括 330 名喉头畸形儿童,其中 311 人接受了声门上成形术。在所纳入的研究中,有 5 篇文章进行了分组和荟萃分析。结果发现,接受声门上成形术后,口咽吞咽困难的发生率降低了 59%,异质性很高,I 2 = 93%。结论 尽管样本存在异质性,但喉上成形术可显著降低喉发育不全儿童吞咽困难的发生率。
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引用次数: 0
Outcomes of Endoscopic Stapedectomy: Systematic Review. 内窥镜镫骨切除术的结果:系统性综述。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1761171
Ahmed Nabil Elsamnody, Amr Hamdino Yousef, Mohamed Salah Taha

Introduction  Stapes surgery was traditionally performed with the use of microscopy either through postauricular, endaural or transcanal approaches. Endoscopic stapedectomy ushered a revolution as a new technique with less complications. Objective  To review the outcomes of endoscopic stapes surgery with an emphasis on intraoperative and postoperative clinical and audiological results. Data Synthesis  A literature review on the PubMed, Web of Science, Scopus, the Cochrane Library, and Embase databases was conducted. Endoscopic stapes surgery or stapedotomy were the main keywords used, and we searched for studies and research published from January 2015 to October 2021. Articles on endoscopic stapes surgery were included, and qualitative and descriptive analyses of the studies and outcomes data regarding audiometric changes and postoperative complications were conducted. Articles including patients with cholesteatoma were excluded. A total of 122 studies were retrieved for qualitative and descriptive analyses and to measure the outcomes of endoscopic stapedotomy; only 12 studies met the inclusion criteria, and the rest was excluded. The meta-analysis revealed a statistically significant difference in hearing improvement. The gain in air-bone gap ranged from 9 dB to 16 dB. A low rate of operative and postoperative complications was reported. Conclusions  Endoscopic stapes surgery appears to be a reasonable alternative to microscopic stapes surgery, with shorter operative times, low complication rate, and significant hearing improvement. The endoscopic technique enabled a better visualization and less scutum drilling, which was confirmed by all included studies.

简介:传统的镫骨手术是通过耳后、耳内或经肛门的显微镜进行的。内窥镜镫骨切除术作为一种并发症较少的新技术带来了一场革命。目的 回顾内窥镜镫骨手术的结果,重点是术中、术后的临床和听力结果。数据综述 在 PubMed、Web of Science、Scopus、Cochrane Library 和 Embase 数据库中进行了文献综述。内窥镜镫骨手术或镫骨切开术是我们使用的主要关键词,我们搜索了2015年1月至2021年10月期间发表的研究。我们纳入了有关内窥镜镫骨手术的文章,并对研究和有关听力变化及术后并发症的结果数据进行了定性和描述性分析。不包括胆脂瘤患者的文章。共检索了122项研究,对其进行定性和描述性分析,并对内窥镜镫骨切开术的结果进行测量;只有12项研究符合纳入标准,其余研究被排除在外。荟萃分析表明,听力改善方面存在显著的统计学差异。气骨间隙的增益从 9 分贝到 16 分贝不等。手术和术后并发症的发生率较低。结论 内窥镜镫骨手术似乎是显微镜镫骨手术的合理替代方案,手术时间短,并发症发生率低,听力改善显著。内窥镜技术可实现更好的可视化,减少颅骨钻孔,这一点在所有纳入的研究中都得到了证实。
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引用次数: 0
The Value of Endoscopic Exposure of Round Window in Cochlear Implant via Facial Recess. 通过面部凹陷在内窥镜下暴露人工耳蜗圆窗的价值。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1775811
Mena Maher Nassif, Islam Mohamed Hussein Darahem, Ahmed Abdelmoneim Teaima, Mustafa Mohamed Mustafa, Mohamed Saad Hassab Allah, Samer Ahmed Ibrahim

Introduction  Cochlear implantation has been considered as the best treatment in patients with severe to profound hearing loss unaidable with hearing aids. The main value of endoscope-assisted cochlear implantation is improved visibility of the RW Objective  to assess the value of endoscopic assisted CI surgery via facial recess approach without elevating tympanic anulus. Methods  This Prospective case series study non-randomized sample was performed on 50 patients with severe to profound hearing loss unaidable with hearing aids undergoing unilateral endoscopic assisted cochlear implant surgery with round window electrode insertion Results  There were 23 male and 27 female patients. Most of the cases were children (41 cases). Of those 50 patients, 39 were prelingually hearing impaired. Four cases had various inner ear abnormalities. The standard mastoidectomy and Posterior Tympanotomy approach were used for all cases. Endoscopic identification of the RW through the PT enabled us to perform regular surgery in all cases. The current study concludes the difference between microscopic exposure and endoscopic exposure represented by Saint Tomas classification found that endoscopic exposure of round window classification is better represented by downgrading in the classification of round window exposure as type I 29(58%), type IIa 18(36%) type IIb 3 (6%) Non were type III by endoscopic exposure compared to microscopic exposure of round window is a type I 7(14%), type II 14(28%), type IIb 22(44%) and type III 7 (14%). Conclusion  Endoscopy proved a great value in exposure and identification of RW in CI surgery through posterior tympanotomy approach.

导言 人工耳蜗植入术一直被认为是无法使用助听器的重度到极重度听力损失患者的最佳治疗方法。内窥镜辅助人工耳蜗植入术的主要价值在于提高了人工耳蜗的可视性 目的 评估通过面部凹陷方法进行内窥镜辅助人工耳蜗植入手术的价值,而无需抬高鼓室。方法 对 50 名无法使用助听器的重度至极重度听力损失患者进行非随机抽样的前瞻性病例系列研究,这些患者接受了单侧内窥镜辅助人工耳蜗植入手术,并植入了圆窗电极。大多数病例为儿童(41 例)。在这 50 例患者中,39 例为舌前听力受损。4 例患者有各种内耳畸形。所有病例均采用标准乳突切除术和鼓室后切口法。内窥镜通过 PT 识别 RW 使我们能够对所有病例实施常规手术。目前的研究总结了以圣托马斯分类法为代表的显微镜下暴露和内窥镜下暴露之间的差异,发现内窥镜下暴露的圆窗分类法更好地代表了圆窗暴露的降级分类,即 I 型 29(58%)、IIa 型 18(36%)、IIb 型 3(6%),但内窥镜下暴露的圆窗与显微镜下暴露的圆窗相比,属于 III 型,即 I 型 7(14%)、II 型 14(28%)、IIb 型 22(44%)和 III 型 7(14%)。结论 在通过鼓室后切口进行的 CI 手术中,内窥镜在暴露和识别圆窗方面具有重要价值。
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引用次数: 0
Voice and Temporal Auditory Processing in Elderly People: A Correlation Study. 老年人的声音和时态听觉处理:相关性研究
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1768139
Mariana Batista de Souza Santos, Lílian Ferreira Muniz, Adriana de Oliveira Camargo Gomes, Cleide Fernandes Teixeira, Karina Paes Advíncula, Zulina Souza de Lira, Bruno Teixeira de Moares, Jonia Alves Lucena

Introduction  The voice and hearing can be affected to different degrees by aging, which can cause communication difficulties for elderly people. Vocal production requires effective temporal auditory processing at central levels within the nervous system, which can be compromised by the aging process. Objective  To analyze the correlation between voice and temporal auditory processing in older adults. Materials and Methods  A total of 40 elderly people aged 60 years or older were subdivided into 2 groups according to the presence or absence of vocal symptoms measured by the Voice Symptom Scale. All of the participants were submitted to auditory temporal tests, vocal self-assessment, and acoustic and perceptual auditory analyses of voice. Results  Most of the subjects assessed had decreased voice intensity and normal variability in terms of vocal quality. The performance was normal in the Pitch Pattern Sequence test and altered in the Random Gap Detection test. In the Masking Period Pattern test, the detection thresholds for the target signal were increased in the presence of masking in different temporal target signal positions. Only pitch differed between the two groups. There were differences between the genders regarding frequency, shimmer, the overall severity of the alteration, and roughness. There was a correlation regarding temporal resolution ability and the overall severity of the alteration and roughness of the voice. Conclusion  There is a central auditory impairment in temporal resolution which is correlated with vocal alterations in the elderly.

导言:嗓音和听力会因衰老而受到不同程度的影响,从而导致老年人交流困难。发声需要神经系统中枢层面有效的时间听觉处理,而这可能会因衰老过程而受到影响。目的 分析老年人发声与时间听觉处理之间的相关性。材料与方法 根据嗓音症状量表(Voice Symptom Scale)测量的嗓音症状存在与否,将 40 名 60 岁或以上的老年人分为两组。所有受试者均接受了听觉时间测试、发声自我评估以及嗓音声学和知觉听觉分析。结果 大多数受测者的声音强度有所下降,声音质量的可变性正常。在音高模式序列测试中,受试者的表现正常,而在随机间隙检测测试中,受试者的表现有所改变。在掩蔽周期模式测试中,目标信号的检测阈值在不同时间目标信号位置存在掩蔽的情况下均有所提高。两组之间只有音高存在差异。在频率、光泽、整体改变的严重程度和粗糙度方面,性别之间存在差异。时间分辨能力与声音变化的整体严重程度和粗糙度存在相关性。结论 老年人的听觉中枢在时间分辨率方面存在障碍,这与嗓音改变有关。
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引用次数: 0
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International Archives of Otorhinolaryngology
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