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Correction to: Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty 修正:中隔延伸板移植物在中隔成形术患者中的效果评价
Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-11-14 DOI: 10.1055/s-0043-1776756
In the Article Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty (Int Arch Otorhinolaryngol 2023;27.4:602–607. DOI: 10.1055/s-0043-1768211), published online in Int Arch Otorhinolaryngol in October 2023.
在文章《鼻中隔延伸板条移植物在鼻中隔成形术患者中的效果评价》(国际耳鼻喉科杂志2023;27.4:602-607)。DOI: 10.1055/s-0043-1768211),于2023年10月在线发表在Int Arch Otorhinolaryngol上。
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引用次数: 0
Assessment of the Sensitivity of the Vocal Tract in Parkinson Disease by Nasal Video Endoscopy. 鼻视频内镜对帕金森病声道敏感性的评价。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1760286
Gabriela de Castro Machado, Luise Stumpf Hubner, Jordana Balbinot, Aline Prikladnicki, Gerson Schulz Maahs, Silvia Dornelles, Sady Selaimen da Costa

Introduction  Sensory deficits of the upper airways are common in people with Parkinson disease. Compounded by considerable deterioration of the swallowing function, these deficits may contribute to the elevated rates of morbidity and mortality among this population. Objective  To examine the sensitivity of the vocal tracts of people with Parkinson disease using nasal videoendoscopy and to compare the results with paired controls. Methods  The present was a prospective, observational, case-control study. Sensitivity assessments were conducted in a sample of 24 people divided into 2 groups: one group of 12 patients with Parkinson's disease, and a control group with 12 healthy subjects. The study group also underwent a fiberoptic endoscopic evaluation of swallowing and answered the Swallowing Disturbance Questionnaire (SQD) to detect dysphagia. Results  There was a significant difference ( p  < 0.05) in the region of the arytenoid cartilages, showing that sensitivity was better preserved among the control group, and that sensitivity deficits were present in the study group. The qualitative results showed sensorial impairment in the study group than in the control group regarding the base of the tongue, the vestibular folds, and the vocal folds. The study group showed self-awareness regarding the deficits in the swallowing function, but there was no statistically significant association between swallowing function deficits and deterioration of sensorial function among them. Conclusions  Sensorial deficits were present in the study group when compared to the healthy subjects, mainly in the qualitative evaluation.

介绍 上呼吸道感觉缺陷在帕金森病患者中很常见。再加上吞咽功能的严重恶化,这些缺陷可能导致该人群的发病率和死亡率上升。客观的 使用鼻内窥镜检查帕金森病患者声道的敏感性,并将结果与配对对照进行比较。方法 本研究为前瞻性、观察性、病例对照研究。对24人的样本进行了敏感性评估,分为两组:一组由12名帕金森病患者组成,另一组为12名健康受试者组成的对照组。研究组还接受了纤维内窥镜吞咽评估,并回答了吞咽障碍问卷(SQD)以检测吞咽困难。后果 有显著性差异(p 结论 与健康受试者相比,研究组存在感觉缺陷,主要是在定性评估中。
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引用次数: 0
Orofacial Myofunctional Aspects of Nursing Infants and Preschoolers. 哺乳婴儿和学龄前儿童的口面部肌功能方面。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1759576
Andréa Monteiro Correia Medeiros, Herick Santos Assis, Maria Vanessa Martins Alves, Yasmin Fernandes Silva Santana, William José E Silva-Filho, Íkaro Daniel de Carvalho Barreto, Giédre Berretin-Felix

Introduction  Clinical assessment in orofacial motricity is required for the speech therapist to diagnose and treat disorders involving the stomatognathic system. Validated tools can help establish a prognosis and outline intervention methods connected to human development. Objective  The goal of the present study was to examine the domains of the oromyofunctional assessment of nursing infants and preschoolers according to sex and age group, as well as the application of the MMBGR Protocol - Nursing Infants and Preschool Children. Methods  A quantitative technique was used to conduct an analytical and cross-sectional investigation. The present study included a total of 214 healthy breastfeeding infants and preschoolers of both sexes. The Mann-Whitney test was used to compare the medians. The Spearman correlation of each test domain was determined. R Core Team 2021 (R Foundation, Vienna, Austria) was used, and the significance threshold was set at 5%. Results  In intraoral and extraoral examinations, there was a difference between sexes for tongue scores in nursing infants (d = - 0.428; p  = 0.045), worse in males. When the orofacial functions were considered in nursing infants, there were differences between the sexes for the liquid/solid/semisolid deglutition scores (d = 0.479; p  = 0.031), with females performing worse. There were sex differences in solid/semisolid deglutition (d = - 0.335; p  = 0.043), and speech in preschoolers (d = - 0.478; p  = 0.034), including the production of phones/phonemes (d = - 0.599; p  = 0.007), which were always worse in males. Conclusion  The research revealed sex disparities and related the domains of oromyofunctional assessment, according to scores, of the domains of myofunctional assessment, as recorded in a standardized oromyofunctional assessment protocol by age group.

介绍 言语治疗师需要对口腔颌面运动进行临床评估,以诊断和治疗涉及口腔颌面系统的疾病。经过验证的工具可以帮助建立预后,并概述与人类发展相关的干预方法。客观的 本研究的目的是根据性别和年龄组检查护理婴儿和学龄前儿童的口肌功能评估领域,以及MMBGR方案——护理婴儿和学前儿童的应用。方法 采用定量技术进行分析和横断面调查。本研究共包括214名健康的母乳喂养婴儿和学龄前儿童。Mann-Whitney检验用于比较中位数。确定了每个测试域的Spearman相关性。使用R核心团队2021(奥地利维也纳R基金会),显著性阈值设定为5%。后果 在口腔内和口腔外检查中,哺乳期婴儿的舌头评分存在性别差异(d = - 0.428;p = 0.045),男性更差。当在护理婴儿时考虑到口腔面部功能时,液体/固体/半固体吞咽得分在性别之间存在差异(d = 0.479;p = 0.031),女性表现更差。固体/半固体吞咽存在性别差异(d = - 0.335;p = 0.043),以及学龄前儿童的言语(d = - 0.478;p = 0.034),包括生产电话/音素(d = - 0.599;p = 0.007),而男性的情况总是更糟。结论 这项研究揭示了性别差异,并根据年龄组标准化口腔功能评估方案中记录的肌肉功能评估领域的得分,将口腔功能评估领域联系起来。
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引用次数: 0
Survival Outcome in True Carcinoma of Unknown Primary (tCUP) with p16 + Cervical Metastasis. 原发性不明癌合并p16 +宫颈转移的生存结局。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1759575
Muhammad Faisal, Nguyen-Son Le, Stefan Grasl, Johannes Pammer, Stefan Janik, Gregor Heiduschka, Annemarie U Schratter-Sehn, Peter Franz, Meinhard Königswieser, Matthaeus Ch Grasl, Boban M Erovic

Introduction  Age and lymph node ratio have been attributed as independent predictors for survival and recurrence in carcinoma of unknown primary (CUP). Objective  The purpose of this study was to analyze the prognostic value of p16 overexpression for CUP in the absence of true primary (TP). Methods  The study involved 43 patients who underwent therapeutic lymph node dissection (LND) from 2000 to 2015 after all the diagnostic work up for CUP. Immunohistochemistry for p16 overexpression was performed. Cox proportional hazard regression analysis was used to analyze the prognostic impact on 5-year overall survival (OS) and recurrence-free survival (RFS). Results  The male-to-female ratio was 5.1:1, with a median age of 62 years. The clinicopathological data, except for p16 overexpression, did not differ significantly in terms of 5-year OS and RFS. The Cox regression analysis proposed p16 positivity to be an independent prognosticator of regional recurrence-free survival (RRFS) (hazard ratio [HR] 6.180, p  = 0.21). The median time to recurrence and death were 10 and 25 months, respectively. Conclusion  Cervical metastasis with p16 overexpression is a significant prognostic factor of improved RFS after surgery in CUP. The prognostic significance of lymph node p16 positivity should be further studied.

介绍 年龄和淋巴结比率被认为是未知原发性癌症(CUP)生存和复发的独立预测因素。客观的 本研究的目的是分析在没有真正原发性(TP)的情况下p16过表达对CUP的预后价值。方法 该研究涉及43名患者,他们在完成了CUP的所有诊断工作后,于2000年至2015年接受了治疗性淋巴结清扫(LND)。对p16过表达进行免疫组化。Cox比例风险回归分析用于分析对5年总生存期(OS)和无复发生存期(RFS)的预后影响。后果 男女比例为5.1:1,中位年龄为62岁。除p16过表达外,临床病理数据在5年OS和RFS方面没有显著差异。Cox回归分析表明p16阳性是区域无复发生存率(RRFS)的独立预测指标(危险比[HR]6.180,p = 0.21)。复发和死亡的中位时间分别为10个月和25个月。结论 宫颈转移伴p16过表达是CUP术后RFS改善的重要预后因素。淋巴结p16阳性的预后意义有待进一步研究。
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引用次数: 0
Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty. 鼻中隔延伸板条移植物在鼻中隔成形术患者中的效果评价。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1768211
Hamidreza Hosnani, Shahin Bastaninez, Amirbahador Golchin, Hamed Givzadeh

Introduction  Correction of caudal septal deviations has always been a challenging subject in septorhinoplasty. The septum batten extension graft (SBEG) is a new graft that has potential properties in rhinoplasty. However, few reports have evaluated the surgical outcomes of this technique. Objective  The purpose of this study was to evaluate the effectiveness of SBEG in correcting caudal septal deviation. Methods  This cross-sectional study was conducted on patients with caudal septal deviation undergoing septorhinoplasty using SBEG at 2 different hospitals in 2019. We then retrospectively reviewed medical records and photographs of 50 patients at the preoperative period, as well as at 1-month, and 12-month postoperatively. Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results  There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values ( p  < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p  < 0.0001; p  < 0.001). Moreover, this method had a significant favorable effect on nasal obstruction ( p  = 0.049). Conclusion  Our results showed that septorhinoplasty using SBEG is useful for correcting caudal septal deviation, with favorable surgical outcomes, and it has responded well to all five aforementioned criteria.

介绍 在鼻中隔成形术中,矫正尾部中隔偏曲一直是一个具有挑战性的课题。鼻中隔板条延伸移植物(SBEG)是一种在鼻整形术中具有潜在性能的新型移植物。然而,很少有报道评估这种技术的手术结果。客观的 本研究的目的是评估SBEG在矫正尾侧间隔偏斜方面的有效性。方法 这项横断面研究是对2019年在2家不同医院使用SBEG进行鼻中隔成形术的尾侧间隔偏斜患者进行的。然后,我们回顾性回顾了50名患者在术前、术后1个月和12个月的医疗记录和照片。通过摄影分析方法评估鼻唇角、小柱显示、鼻尖突出和鼻背偏斜的总体变化,并通过患者对呼吸的满意度评估鼻阻塞。后果 术后1个月和12个月的平均鼻唇角和小柱显示与以前的值相比有显著差异(p p p p = 0.049)。结论 我们的研究结果表明,使用SBEG的鼻中隔成形术有助于矫正尾侧中隔偏曲,具有良好的手术效果,并且对上述五项标准都有良好的反应。
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引用次数: 0
Comparison of Pre- and Posttreatment Airway Volume in Patients with Temporomandibular Joint Disorders Treated with Ultra-Low Frequency Transcutaneous Electrical Nerve Stimulation Using Cone Beam Computed Tomography. 锥形束计算机断层扫描超低频经皮神经电刺激治疗颞下颌关节疾病前后气道容积的比较。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1758207
Rhea Susan Verghese, Renju Jose, Anu Ramachandran, Aravind M Shanmugham, Priya K Nair, Krishna S Kumar, Beena R Varma

Introduction  Temporomandibular joint disorders (TMD) present with a multitude of symptoms that can range from headaches to shoulder pain. Patients frequently present with pain in the ear, dizziness, and vertigo. It is noted that some patients who report TMDs also have a history of sleep disturbances, which is noted in cone beam computed tomography (CBCT) as a reduction in the oropharyngeal airway volume. Objective  To evaluate the airway volume in pre- and posttreatment of TMD with the use of neuromuscular orthotics made with ultra-low frequency transcutaneous electrical nerve stimulation (ULF-TENS). Methods  A total of 15 patients were evaluated for TMDs using the related criteria. Those included were treated with ULF-TENS with evaluation of the airway volume both pre- and posttreatment using CBCT and the Dolphin 3D volume analysis software. Results  While the symptoms were shown to be significantly reduced in patients who were treated with this particular modality, the airway volume varied in those who reported a reduction after a period of 3 months and those that reported after a period of 6 months. Conclusion  Posttreatment evaluation of the airway should be done after a period of 6 months for a more objective evaluation. A multidisciplinary evaluation of the patient is required in such cases.

介绍 颞下颌关节紊乱病(TMD)表现出从头痛到肩部疼痛的多种症状。患者经常表现为耳朵疼痛、头晕和眩晕。值得注意的是,一些报告TMDs的患者也有睡眠障碍史,这在锥形束计算机断层扫描(CBCT)中被认为是口咽气道容积的减少。客观的 评估使用超低频经皮神经电刺激(ULF-TENS)制成的神经肌肉矫形器治疗TMD前后的气道容量。方法 共有15名患者使用相关标准进行了TMDs评估。这些患者接受ULF-TENS治疗,并使用CBCT和Dolphin 3D体积分析软件评估治疗前后的气道体积。后果 虽然用这种特殊方式治疗的患者症状明显减轻,但在3个月后报告减少的患者和6个月后报道减少的患者的气道容量各不相同。结论 治疗后的气道评估应在6个月后进行,以便进行更客观的评估。在这种情况下,需要对患者进行多学科评估。
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引用次数: 0
Perivascular Innervation in the Nasal Mucosa and Clinical Findings in Patients with Allergic Rhinitis and Idiopathic Rhinitis. 变应性鼻炎和特发性鼻炎患者鼻黏膜血管周围神经支配及临床表现。
IF 1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775581
Thiago Carvalho, João Ferreira de Mello, Elia Tamaso Espin Garcia Caldini, Daniel Calduro Salgado, Nicole Mary Garcia de Carvalho, Nilsa Regina Damaceno-Rodrigues, Richard Louis Voegels

Introduction  The nonspecific hyperreactivity of rhinitis has been attributed to neurotrophins activating sensory nerves and inflammatory cells. The relationship between these markers and the intensity of the symptoms is not well established and few studies have evaluated individuals with idiopathic rhinitis. Objective  The present study aims to evaluate whether perivascular innervation and nerve growth factor (NGF) are related to the intensity of the clinical conditions in allergic rhinitis (AR) and idiopathic rhinitis (IR). Methods  A total of 15 patients with AR and 15 patients with IR with the indication for inferior turbinectomy (associated or not with septoplasty) were selected. The patients received a score according to their signs and symptoms. After the surgery, we quantified eosinophils, mast cells, NGF, and nerve fibers in the nasal turbinate. Results  The score of the signs and symptoms was higher in the AR group. Nerve growth factor was found in the cytoplasm of inflammatory cells in the submucosa in greater quantity in the AR group. The nerve fibers were distributed throughout the tissue, mainly in the subepithelial, glandular, and vascular regions, and there was no difference between the groups. Greater perivascular innervation was associated with a higher signs and symptoms score. Conclusions  We concluded that these findings suggest that the NGF produced by submucosal inflammatory cells stimulates increased perivascular innervation in rhinitis, thus directly reflecting in more intense clinical conditions, especially in AR.

介绍 鼻炎的非特异性高反应性归因于神经营养因子激活感觉神经和炎症细胞。这些标志物与症状强度之间的关系尚不明确,很少有研究评估特发性鼻炎患者。客观的 本研究旨在评估血管周围神经支配和神经生长因子(NGF)是否与过敏性鼻炎(AR)和特发性鼻炎(IR)的临床条件强度有关。方法 共选择了15名AR患者和15名IR患者,其适应症为下鼻甲切除术(与鼻中隔成形术相关或不相关)。患者根据其体征和症状进行评分。手术后,我们对鼻鼻甲中的嗜酸性粒细胞、肥大细胞、NGF和神经纤维进行了定量。后果 AR组的体征和症状得分较高。AR组黏膜下层炎性细胞胞浆中神经生长因子含量较高。神经纤维分布在整个组织中,主要分布在上皮下、腺体和血管区域,各组之间没有差异。血管周围神经支配越大,体征和症状评分越高。结论 我们的结论是,这些发现表明,粘膜下炎症细胞产生的NGF刺激鼻炎血管周围神经支配的增加,从而直接反映在更激烈的临床条件下,尤其是在AR中。
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引用次数: 0
IAO Systematic Review Award 2023. 2023年国际民航组织系统评审奖。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1775998
Geraldo Pereira Jotz, Aline Gomes Bittencourt, Adilson Marcos Montefusco
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引用次数: 0
Influence of Breathing Modes and Facial Growth Patterns on Electromyographic Fatigue of Masticatory Muscles in Children. 呼吸方式和面部生长方式对儿童咀嚼肌肌电图疲劳的影响。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1759606
Yulieth Paulina Stave Gomez, Nathalisa de Morais Rockenbach, Anaelena Bragança de Moraes, Eliane Castilhos Corrêa, Ana Maria Toniolo da Silva, Angela Ruviaro Busanello-Stella

Introduction  Changes in breathing patterns affect the harmonious development of the structures of the craniofacial system, leading to changes in posture, occlusion, and facial growth patterns. However, little is known about how these changes influence the muscle contraction patterns, either at rest or while functioning, and either in a normal or unbalanced condition. Objective  To study the masseter and anterior temporal muscles fatigue during mastication in nasal- and mouth-breathing children, also considering their facial growth patterns. Methods: A total of 70 children aged 6 to 12 years old who met the study criteria were assessed. Speech-language-hearing, otorhinolaryngologic, and cephalometric assessments were performed to divide them into groups. In the electromyographic assessment, the children were asked to chew gum following a metronome until they felt fatigued. The median frequency of the muscles was analyzed at 15, 30, 45, and 60 seconds of mastication. The reported time of fatigue perception was recorded. The data were analyzed with analysis of variance (ANOVA) and the Kruskal-Wallis and the Mann-Whitney U tests. Results  There were no median frequency decrease patterns nor differences in the myoelectric manifestations and reported time of fatigue between the groups. Conclusion  The masticatory muscles did not reveal fatigue in the electromyographic analysis; however, the fatigue time was reported, despite the absence of physiological fatigue. The breathing mode, the facial growth pattern, and the association between them did not interfere with the behavior of the median frequency of the electromyographic signal and the fatigue time perception.

介绍 呼吸模式的变化影响颅面系统结构的协调发展,导致姿势、咬合和面部生长模式的变化。然而,人们对这些变化如何影响肌肉收缩模式知之甚少,无论是在休息时还是在正常或不平衡的情况下。客观的 研究鼻和口呼吸儿童咀嚼过程中的咬肌和颞前肌疲劳,并考虑他们的面部生长模式。方法:对70名符合研究标准的6-12岁儿童进行评估。进行言语听力、耳鼻喉科和头影测量评估,将他们分组。在肌电图评估中,孩子们被要求按照节拍器咀嚼口香糖,直到他们感到疲劳。在15、30、45和60时分析肌肉的中位频率 咀嚼的秒数。记录所报告的疲劳感知时间。数据采用方差分析(ANOVA)和Kruskal-Wallis和Mann-Whitney U检验进行分析。后果 两组之间没有中位频率下降模式,肌电表现和报告的疲劳时间也没有差异。结论 咀嚼肌在肌电图分析中没有显示疲劳;然而,尽管没有生理疲劳,疲劳时间还是有报道的。呼吸模式、面部生长模式及其之间的关联不会干扰肌电图信号的中值频率和疲劳时间感知的行为。
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引用次数: 0
International Archives of Otorhinolaryngology Celebrates Achievement of Its First Impact Factor in JCR. 国际耳鼻喉科档案庆祝其在JCR中的第一个影响因子的成就。
IF 1.1 Q3 OTORHINOLARYNGOLOGY Pub Date : 2023-10-23 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1776108
Geraldo Pereira Jotz, Adilson Marcos Montefusco
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引用次数: 0
期刊
International Archives of Otorhinolaryngology
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