International Archives of Otorhinolaryngology最新文献_第9页

Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review 颌下腺瘘的早期临床定位:1例报告及系统回顾

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-10-06 DOI: 10.1055/s-0043-1767801

Vivek Dokania, Md Ibrar, Mayashankar Vishwakarma

Abstract Introduction Submandibular gland fistula (SGF) is a rare subset of salivary gland fistulas. It is seldom tough to diagnose them prior to surgical exploration, and it is often clinically confused with close differentials. An early diagnosis based on pertinent clinical features and focused radiological findings can be pivotal in optimal management and help prevent recurrence and avoid unnecessary investigations/interventions. Objective To review articles that discuss SGF and provide vital etiological, clinical, and imaging features of this rare entity that can aid in early clinical diagnosis. Data synthesis An extensive review involving PubMed and Google Scholar and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Conclusion Submandibular gland fistula is a rare entity. It can be confused with close differentials, including branchial fistulas, if not thoroughly examined. Discharge from fistulae along with submandibular pain/tenderness and/or swelling are important diagnostic clues. A history of trauma, nodule at the site of discharge, prior submandibular disease/calculi, or discharge aggravated with food further increases a clinical suspicion. Optimal radiological investigation looking for calculi/foreign body and delineating the fistula tract is vital to affirm a diagnosis. Gland with fistula excision is a commonly advocated treatment of choice with no reports of recurrence, although conservative management and gland preserving surgery have also reported a favorable prognosis.

摘要:颌下腺瘘(SGF)是一种罕见的唾液腺瘘。在手术探查前很难诊断，临床上常与相近的鉴别相混淆。基于相关临床特征和集中的放射学发现的早期诊断对于优化管理至关重要，有助于预防复发并避免不必要的调查/干预。目的回顾讨论SGF的文章，并提供重要的病因学、临床和影像学特征，以帮助早期临床诊断。一项涉及PubMed和Google Scholar的广泛综述，并根据系统综述和荟萃分析(PRISMA)标准的首选报告项目进行报告。结论颌下腺瘘是一种罕见的疾病。如果检查不彻底，它可能与包括鳃裂瘘管在内的紧密鉴别相混淆。瘘管排出伴下颌骨疼痛/压痛和/或肿胀是重要的诊断线索。创伤史、分泌物处结节、既往的下颌下疾病/结石或因食物加重的分泌物进一步增加临床怀疑。寻找结石/异物和勾画瘘道的最佳放射检查对确认诊断至关重要。腺体瘘切除是一种普遍提倡的治疗选择，没有复发的报道，尽管保守治疗和腺体保留手术也报道了良好的预后。

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引用次数: 0

Effect of Speaking Valves on Tracheostomy Decannulation 说话阀在气管切开术中的作用

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-10-06 DOI: 10.1055/s-0043-1767797

Bradley W. Eichar, Thomas M. Kaffenberger, Jennifer L. McCoy, Reema K. Padia, Hiren Muzumdar, Allison B. J. Tobey

Abstract Introduction Despite several pediatric tracheostomy decannulation protocols there remains tremendous variability in practice. The effect of tracheostomy capping on decannulation has been studied but the role of speaking valves (SVs) is unknown. Objective Given the positive benefits SVs have on rehabilitation, we hypothesized that SVs would decrease time to tracheostomy decannulation. The purpose of the present study was to evaluate this in a subset of patients with chronic lung disease of prematurity (CLD). Methods A retrospective chart review was performed at a tertiary care children's hospital. A total of 105 patients with tracheostomies and CLD were identified. Data collected included demographics, gestational age, congenital cardiac disease, airway surgeries, granulation tissue excisions, SV and capping trials, tracheitis episodes, and clinic visits. Statistics were performed with logistic and linear regression. Results A total of 75 patients were included. The mean gestational age was 27 weeks (standard deviation [SD] = 3.6) and the average birthweight was 1.1 kg (SD = 0.6). The average age at tracheostomy was 122 days (SD = 63). A total of 70.7% of the patients underwent decannulation and the mean time to decannulation (TTD) was 37 months (SD = 19). A total of 77.3% of the patients had SVs. Those with an SV had a longer TTD compared to those without (52 versus 35 months; p = 0.008). Decannulation was increased by 2 months for every increase in the number of hospital presentations for tracheitis (p = 0.011). Conclusion The present study is the first, to our knowledge, to assess the effect of SVs on tracheostomy decannulation in patients with CLD showing a longer TTD when SVs are used.

尽管有几种儿科气管切开术脱管方案，但在实践中仍然存在巨大的差异。研究了气管造口术封顶对脱管的影响，但对说话瓣膜的作用尚不清楚。目的考虑到SVs对康复的积极作用，我们假设SVs可以缩短气管切开术脱管时间。本研究的目的是在早产儿慢性肺部疾病(CLD)患者的亚组中评估这一点。方法对某三级保健儿童医院的病历进行回顾性分析。本组共确诊气管切开术合并CLD患者105例。收集的数据包括人口统计学、胎龄、先天性心脏病、气道手术、肉芽组织切除、SV和盖帽试验、气管炎发作和门诊就诊。采用逻辑回归和线性回归进行统计。结果共纳入75例患者。平均胎龄27周(标准差[SD] = 3.6)，平均出生体重1.1 kg (SD = 0.6)。气管切开术的平均年龄为122天(SD = 63)。70.7%的患者接受了脱管手术，平均脱管时间(TTD)为37个月(SD = 19)。77.3%的患者存在SVs。有SV的人比没有SV的人有更长的TTD(52个月对35个月;P = 0.008)。气管炎住院就诊次数每增加1次，脱管时间延长2个月(p = 0.011)。结论本研究是我们所知的第一个评估SVs对TTD较长的CLD患者气管切开术脱管的影响。

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引用次数: 0

Knowledge of and Attitudes Toward Hearing Loss Among Primary Care Physicians in the Public Health Sector of Mauritius 毛里求斯公共卫生部门初级保健医生对听力损失的知识和态度

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-10-06 DOI: 10.1055/s-0043-1770729

Taslima Foondun, Lidia Pottas, Maggi Soer

Abstract Introduction Primary care physicians are essential first points of contact for patients with hearing loss. Thus, knowledge of hearing loss and related aspects is essential to ensure the optimal management of individuals with suspected hearing loss. Objective This study aimed to determine the knowledge of and attitudes toward hearing loss among primary care physicians in the public health sector in Mauritius. Methods In this cross-sectional descriptive cohort study, 320 primary care physicians completed an online questionnaire adapted from previous questionnaires on knowledge of and attitudes toward hearing loss. Responses were analyzed using descriptive statistics and cross-sectional analyses. Results Primary care physicians showed limited knowledge of hearing loss in areas such as early identification and intervention, professionals responsible for hearing assessments, and hearing tests used for assessing hearing sensitivity. However, the responses also showed positive attitudes toward hearing loss. Significant associations between knowledge of and attitudes toward hearing loss were obtained regarding the type of physician, length of practice, and department posted in. Ear, nose, and throat specialists, as well as pediatricians, demonstrated significantly higher scores for both knowledge of and positive attitudes toward hearing loss. Conclusions The findings highlight a strong need for ongoing medical education to spread awareness about hearing loss among primary care physicians in the public health sector of Mauritius.

初级保健医生是听力损失患者必不可少的第一接触点。因此，了解听力损失及其相关方面对于确保对疑似听力损失患者进行最佳管理至关重要。目的本研究旨在确定毛里求斯公共卫生部门初级保健医生对听力损失的知识和态度。方法在这项横断面描述性队列研究中，320名初级保健医生完成了一份在线问卷，该问卷改编自以前的听力损失知识和态度问卷。采用描述性统计和横断面分析对反应进行分析。结果初级保健医生在听力损失的早期识别和干预方面的知识有限，专业人员负责听力评估，用于评估听力敏感性的听力测试。然而，受访者对听力损失也表现出积极的态度。对听力损失的认识和态度与医生类型、执业时间长短和科室有关。耳鼻喉科专家以及儿科医生在对听力损失的认识和积极态度方面得分明显更高。结论:研究结果强调，毛里求斯公共卫生部门的初级保健医生迫切需要进行持续的医学教育，以传播有关听力损失的意识。

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引用次数: 0

Intraoperative Wound Lavage System for Deep Neck Infection: A Retrospective Cohort Study 术中伤口灌洗系统治疗深颈部感染:回顾性队列研究

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-10-06 DOI: 10.1055/s-0042-1758717

Soraya Abdul-Hadi, Francis Beauchamp Perez, Jeamarie Pascual-Marrero

Abstract Introduction Multiple solutions are currently used to cleanse a deep neck infection (DNI), and a variety of devices are available to deliver wound irrigation solutions. An essential difference between these devices is the pressure that the irrigation solution exerts over the wound tissue. Objective To compare low-pressure and high-pressure irrigation delivery systems for wound cleansing in DNI. Methods we designed a retrospective cohort study and reviewed the medical records of patients operated on due to DNI from June 2016 to December 2017 at our institution. One cohort included patients treated with an intraoperative irrigation method that exerts low pressure over the irrigated tissue, and the other cohort, to a system capable of generating higher pressure. The Pearson Chi-squared test was used to analyze the data. Results A total of 42 patients whose ages ranged from 16 months to 72 years were included. The low-pressure irrigation system was used in 18 patients, and the high-pressure system was used in 24 patients. No statistical differences were observed regarding the irrigation methods, the complexity of the DNI, and the overall outcomes. Conclusions The present is the first study in which low- and high-pressure systems for wound lavage were evaluated in the treatment of DNI. When comparing these methods, we did not find one to be superior to the other; however, the additional cost associated with the high-pressure devices may not justify their in head and neck procedures.

摘要:目前用于清洁深颈部感染(DNI)的解决方案多种多样，并且有多种设备可用于提供伤口冲洗溶液。这些装置之间的一个本质区别是冲洗液对伤口组织施加的压力。目的比较低压和高压灌洗系统在DNI创面清洗中的应用。方法设计回顾性队列研究，回顾我院2016年6月至2017年12月因DNI手术的患者病历。一组患者采用术中冲洗法对冲洗组织施加低压，另一组患者采用能够产生更高压力的系统。采用Pearson卡方检验对数据进行分析。结果共纳入42例患者，年龄16个月~ 72岁。低压灌洗系统18例，高压灌洗系统24例。在灌溉方法、DNI复杂性和总体结果方面没有观察到统计学差异。结论本研究首次对低压和高压伤口灌洗系统在DNI治疗中的应用进行了评价。在比较这些方法时，我们没有发现一种方法优于另一种方法;然而，与高压装置相关的额外费用可能不足以证明其在头颈部手术中的合理性。

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引用次数: 0

Necrotizing Otitis Externa: A Proposal for Diagnostic and Therapeutic Approach. 坏死性外耳炎:诊断和治疗方法的建议。

IF 1.1 Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 eCollection Date: 2023-10-01 DOI: 10.1055/s-0042-1758719

Marília Batista Costa, Ektor Tsuneo Onishi

Introduction Necrotizing otitis externa has a high impact on the quality of life of patients and has shown a significant increase in its incidence in recent years. There has been a change in the profile of affected patients and a lack of consensus on the management of these patients. Objective To develop a practical and effective care protocol to standardize the diagnostic and therapeutic management of necrotizing otitis externa. Methods A retrospective cohort study of necrotizing otitis externa patients between January 2015 and December 2020. Results There were 34 patients with two bilateral cases, totaling 36 ears. The mean age was 68.5, with a higher prevalence of males (76%). Diabetes was present in 97% of the samples. The involvement of cranial pairs was identified in 35% of the sample. Pseudomonas aeruginosa was the most frequent pathogen isolated, found in 50% of the cases. Among the cultures with bacterial agents isolated, 35% showed resistance to ciprofloxacin. The most frequent exam was computed tomography (94%). Hospital admission was indicated for 31 patients (91%), and ceftazidime was the most prescribed drug (35.5%). There were 11 recurrences (32%), and 12 patients (35%) had complications during treatment. Among the unfavorable outcomes, 12% persisted with some degree of peripheral facial paralysis, 6% maintained dysphagia, and 9% died of the disease. Conclusions The present study developed a diagnostic and therapeutic protocol for the effective management of necrotizing otitis externa. This protocol is a dynamic tool and should be revised and updated as new demands emerge during its implementation.

介绍坏死性外耳道炎对患者的生活质量有很大影响，近年来其发病率显著增加。受影响患者的情况发生了变化，对这些患者的管理缺乏共识。客观的制定一个实用有效的护理方案，以规范坏死性外耳炎的诊断和治疗管理。方法 2015年1月至2020年12月坏死性外耳道炎患者的回顾性队列研究。后果 34例患者，双侧2例，共36耳。平均年龄为68.5岁，男性患病率较高（76%）。97%的样本中存在糖尿病。35%的样本中发现了颅骨对的受累。铜绿假单胞菌是分离出的最常见的病原体，在50%的病例中发现。在分离出细菌制剂的培养物中，35%显示出对环丙沙星的耐药性。最常见的检查是计算机断层扫描（94%）。31名患者（91%）入院，头孢他啶是处方最多的药物（35.5%）。有11名患者（32%）复发，12名患者（35%）在治疗过程中出现并发症。在不利的结果中，12%的患者持续出现一定程度的周围性面瘫，6%的患者保持吞咽困难，9%的患者死于该疾病。结论本研究开发了一种有效治疗坏死性外耳道炎的诊断和治疗方案。该议定书是一个动态工具，应在执行过程中出现新的需求时加以修订和更新。

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引用次数: 0

Endoscopic Study of Ethmoidal Canals in Cadavers, Including a Histological Analysis of Their Contents 尸体筛管的内镜研究，包括其内容物的组织学分析

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 DOI: 10.1055/s-0043-1767805

Alexandre Wady Debes Felippu, Thiago Picolli Morsch, André Wady Debes Felippu, Filippo Cascio, Claudia Regina Gomes Cardim Mendes de Oliveira, Alexandre Felippu, Richard Louis Voegels

Abstract Introduction The advent of the endoscope has enabled the use of the endonasal approach for a variety of diseases. Studying the ethmoidal canals is important for surgeries of the paranasal sinuses and the anterior base of the skull. Objective To investigate the ethmoidal canals and evaluate their structure, the presence of vessels and nerves, their location, and to perform an anatomopathological study of their contents. Methods We evaluated 20 cadavers (20 left and 20 right nasal cavities) through endoscopic dissection of the anterior base of the skull and exposure of the medial periorbita and dura mater; then, the ethmoidal canals were located and measured in relation to the anterior wall of the sphenoid sinus and between the ethmoidal canals, followed by removal of their content for histological analysis. Results Vessels were present in 75% of the left anterior ethmoidal canals, 70% of the left posterior ethmoidal canals, 75% of the left middle ethmoidal canals, 85% of the right anterior ethmoid canals, and 64.5% of the right posterior ethmoid canals; 50% of the right middle ethmoidal canals contained one vessel. Conclusion The ethmoidal canal does not necessarily contain an ethmoidal artery. Studies with a larger sample should be performed to quantify the correct proportion of arteries and ethmoidal canals.

摘要:内窥镜的出现使得鼻内入路治疗多种疾病成为可能。筛管的研究对鼻窦和颅底的手术有重要意义。目的探讨筛管的结构、血管和神经的分布及其位置，并对其内容物进行解剖病理学研究。方法对20具尸体(20具左、右鼻腔)进行鼻内镜下前颅底解剖和眶周内侧及硬脑膜暴露;然后，在蝶窦前壁和筛管之间定位和测量筛管，然后去除其内容物进行组织学分析。结果75%的左侧筛前管、70%的左侧筛后管、75%的左侧筛中管、85%的右侧筛前管和64.5%的右侧筛后管均有血管存在;50%的右侧筛管中含有一条血管。结论筛管不一定包含筛动脉。应该进行更大样本的研究，以量化动脉和筛管的正确比例。

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引用次数: 0

An Experience in Laboratory Diagnosis of Fungal Infections in COVID -19 Patients COVID -19患者真菌感染的实验室诊断体会

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 DOI: 10.1055/s-0043-1768140

Sushma Yadav Boorgula, Sadhana Yelamanchili, Srinivas Kishore Sistla, Lubna Saher, Deepika Gujjarlapudi, Shalini E., Sindhu Devi V., Nageshwar Reddy Duvvur

Abstract Introduction Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has cast a gloom spell on healthcare worldwide, infecting millions of people. Objective The aim of the present study is to determine the prevalence and review the contributing comorbidities and the precipitating factors leading to the emergence of the fungal infections in COVID-19-affected patients. To assess the utility of different laboratory techniques for confirmation of fungal infections. To assess the strengths and limitations of the diagnostic methods. Methods We have studied 252 clinical samples obtained from 121 COVID-positive patients. Results Among the 121 patients clinically diagnosed with fungal infections, 88 had diabetes and were given steroids for treatment (p-value = 0.001). Ninety-five patients (78.5%) had a positive laboratory diagnosis (either culture positive, potassium hydroxide [KOH]-positive or positive histopathology report). Fungal culture was positive in 75 (61.9%) patients and histopathology report was positive in 62 (51.2%). Histopathology was positive in 7 (5.8%) patients in whom culture and KOH were negative. Conclusion Aggressive treatment methods, administration of immune suppressants, and antibiotics, with an intention to salvage, have made patients susceptible to the benign fungus, causing it to evade the host immunity, thus leading to invasive infections. Applying different laboratory modalities would not only aid in providing fast and valuable information but also help in understanding the pathology which would assist the clinician in selecting the correct treatment for the patient.

由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的冠状病毒病2019 (COVID-19)给全球医疗保健蒙上了一层阴影，感染了数百万人。目的了解2019冠状病毒病(covid -19)患者真菌感染的流行情况，并对导致真菌感染的合并症和诱发因素进行综述。评估不同实验室技术在确认真菌感染方面的效用。评估诊断方法的优势和局限性。方法对121例新冠肺炎阳性患者的252份临床样本进行分析。结果121例临床诊断为真菌感染的患者中，88例合并糖尿病并给予类固醇治疗(p值= 0.001)。实验室诊断阳性95例(78.5%)(培养阳性、氢氧化钾阳性或组织病理学报告阳性)。真菌培养阳性75例(61.9%)，组织病理学报告阳性62例(51.2%)。组织病理学阳性7例(5.8%)，其中培养和KOH阴性。结论积极的治疗方法、免疫抑制剂的使用和以抢救为目的的抗生素治疗使患者对良性真菌易感，使其逃避宿主免疫，从而导致侵袭性感染。应用不同的实验室模式不仅有助于提供快速和有价值的信息，而且有助于理解病理，这将有助于临床医生为患者选择正确的治疗方法。

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引用次数: 0

Temporal Ordering and Auditory Resolution in Individuals with Sensorineural Hearing Loss 感音神经性听力损失患者的时间顺序和听觉分辨

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 DOI: 10.1055/s-0042-1759748

Adriana Neves de Andrade, Milaine Dominici Sanfins, Magdalena Beata Skarzynska, Piotr Henryk Skarzynski, Daniela Gil

Abstract Introduction Peripheral hearing loss, besides causing inadequate auditory input, can lead to distortions in the tonotopic auditory map and reorganization of neural networks. Therefore, the processing of temporal aspects of a sound stimulus and, consequently, the effectiveness of human communication can be negatively impacted. Objective To test the temporal ordering and auditory resolution of people with mild and moderate sensorineural hearing loss and to compare them with the those of people with normal hearing. Methods A total of 19 right-handed individuals aged 16 to 59 years with mild to moderate postlingually acquired symmetric bilateral sensorineural hearing loss participated in the study. They were submitted to frequency and duration pattern tests and a random gap detection test. Results The mean correct response rate in the frequency pattern test was of 66.3%, and, in the duration pattern test, 71.7%. The mean threshold in the random gap detection test was of 14.1 ms. A comparison with the criteria established for normal subjects without peripheral hearing loss revealed that more than half the subjects had abnormal results in the temporal ordering test, while a smaller fraction had reduced temporal resolution. Conclusions The performance of the subjects with acquired sensorineural hearing loss was poorer than that of the participants without peripheral hearing loss. Their results on the temporal ordering test were also poorer than in the temporal resolution test, demonstrating the importance of analyzing both these auditory skills in people with peripheral hearing loss.

外周性听力损失除了引起听觉输入不足外，还会导致同种听觉图的扭曲和神经网络的重组。因此，声音刺激的时间方面的处理，因此，人类交流的有效性可能会受到负面影响。目的探讨轻、中度感音神经性听力损失患者的时间排序和听觉分辨能力，并与听力正常人群进行比较。方法选取19例16 ~ 59岁轻、中度舌后获得性对称双侧感音神经性听力损失的右利手。他们被提交给频率和持续时间模式测试和随机间隙检测测试。结果频率模式测试的平均正确率为66.3%，时间模式测试的平均正确率为71.7%。随机间隙检测试验的平均阈值为14.1 ms。与没有周围性听力损失的正常受试者的标准进行比较发现，超过一半的受试者在时间排序测试中出现异常结果，而一小部分受试者的时间分辨率降低。结论获得性感音神经性听力损失患者的听力表现较非周围性听力损失患者差。他们在时间排序测试中的结果也比在时间分辨率测试中的结果差，这表明了分析周围性听力损失患者这两种听觉技能的重要性。

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引用次数: 0

Angioleiomyoma of the Sinonasal Tract: A Systematic Review of an Uncommon Clinicopathological Entity 鼻窦血管平滑肌瘤:一种罕见临床病理实体的系统回顾

Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 DOI: 10.1055/s-0043-1767798

Gianluca Velletrani, Riccardo Maurizi, Alessandro De Padova, Stefano Di Girolamo

Abstract Introduction Angioleiomyoma is a rare neoplasm that represents ∼ 0.2 % of all head and neck benign tumors and ∼ 2% of total cases of tumors of the sinonasal tract. It was once considered a possible subtype of leiomyoma, but, in the 2020 World Health Organization (WHO) classification of soft tissue tumors, it is accepted as a singular entity. Objective To systematically review the existing literature on angioleiomyoma in the light of the new classification of soft tissue tumors. Data Synthesis The present study was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A comprehensive search in the PubMed, Cochrane, Scopus, and Google Scholar databases was performed in January 2022. The search items included the following keywords: nasal angioleiomyoma OR sinonasal angioleiomyoma OR nasal vascular leiomyoma OR sinonasal vascular leiomyoma. A total of 87 patients were evaluated. He age of the patients in the studies ranged from 15 to 88 years (mean age at diagnosis: 55.6 years). The most common site of involvement was the nasal septum (28.4 %), followed by the inferior turbinate (22.5%). The most common symptom was nasal obstruction (66.7%), followed by epistaxis (47.1%). Surgical excision represented the main treatment, and there was recurrence of pathology in only 1 case (0.9%). Conclusion To our knowledge, only 87 cases of sinonasal-tract angioleiomyoma have been previously described. The results of the present review seem to confirm the rarity and the benign nature of this neoplasm, and they seem to confirm the necessity to improve the available data about sinonasal-tract angioleiomyoma.

血管平滑肌瘤是一种罕见的肿瘤，约占头颈部所有良性肿瘤的0.2%，占鼻道肿瘤总数的2%。它曾被认为是平滑肌瘤的一个可能亚型，但在2020年世界卫生组织(WHO)软组织肿瘤分类中，它被接受为一个单一的实体。目的结合软组织肿瘤的新分类，对血管平滑肌瘤的相关文献进行系统综述。本研究按照系统评价和荟萃分析的首选报告项目(PRISMA)声明进行。我们于2022年1月对PubMed、Cochrane、Scopus和Google Scholar数据库进行了全面搜索。检索项目包括以下关键词:鼻血管平滑肌瘤或鼻窦血管平滑肌瘤或鼻血管平滑肌瘤或鼻窦血管平滑肌瘤。共对87例患者进行评估。研究中患者的年龄从15岁到88岁不等(诊断时的平均年龄为55.6岁)。最常见的受累部位是鼻中隔(28.4%)，其次是下鼻甲(22.5%)。最常见的症状是鼻塞(66.7%)，其次是鼻出血(47.1%)。手术切除为主要治疗方法，病理复发仅1例(0.9%)。结论据我们所知，仅有87例鼻窦血管平滑肌瘤被报道过。本综述的结果似乎证实了这种肿瘤的罕见性和良性性质，并且它们似乎证实了有必要改进关于鼻道血管平滑肌瘤的现有资料。

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引用次数: 0

Benefits of Bimodal Stimulation to Speech Perception in Noise and Silence. 噪声和沉默环境下双峰刺激对言语感知的益处。

IF 1.1 Q3 OTORHINOLARYNGOLOGY

International Archives of Otorhinolaryngology

Pub Date : 2023-09-26 eCollection Date: 2023-10-01 DOI: 10.1055/s-0043-1761169

Rayssa Pacheco Brito Dourado, Fernanda Ferreira Caldas, Carolina Costa Cardoso, Danielle Cristovão Dos Santos, Fayez Bahmad

Introduction Understanding all the benefits of bimodality with self-assessment questionnaires on the effect of hearing on quality of life is still necessary. Objective To present whether bimodality still offers hearing benefits to the population who uses acoustic stimulation associated with electrical stimulation. Methods The present study included 13 participants aged between 16 and 80 years old who were users of cochlear implants from Cochlear Corporation and hearing aids. All patients underwent the Hearing in Noise Test, and their visual analog scale score was obtained. Four-tone means were collected, and the participants answered the Speech, Spatial and Hearing Qualities questionnaire. Results Bimodal users had an average sentence recognition rate of 76.0% in silence and 67.6% in fixed noise, and the signal-to-noise ratio in adaptive noise was +2.89dB. In addition, a lower level of difficulty was observed in the test using the visual analog scale. The domain with the highest average was auditory qualities (6.50), followed by spatial hearing (6.26) and hearing for speech (5.81). Individuals with an average between 50 and 70 dB of hearing level showed better sentence recognition in silence and noise. Conclusion Bimodal stimulation showed benefits for users with different degrees of hearing loss; however, individuals who presented greater hearing residue had better performance in speech recognition with noise and in silence in addition to a good perception of hearing quality.

介绍通过关于听力对生活质量影响的自我评估问卷了解双峰的所有好处仍然是必要的。客观的提出双模态是否仍然为使用与电刺激相关的声刺激的人群提供听力益处。方法本研究包括13名年龄在16岁至80岁之间的参与者，他们是耳蜗公司人工耳蜗和助听器的使用者。所有患者均接受了噪声听力测试，并获得了他们的视觉模拟量表评分。收集了四种音调的平均值，参与者回答了言语、空间和听力质量问卷。后果双模态用户在静音情况下的平均句子识别率为76.0%，在固定噪声情况下为67.6%，在自适应噪声情况下的信噪比为+2.89dB。此外，在使用视觉模拟量表的测试中，观察到难度较低。平均值最高的领域是听觉质量（6.50），其次是空间听觉（6.26）和语音听觉（5.81）听力水平的dB在无声和有声环境中表现出较好的句子识别能力。结论双峰刺激对不同程度听力损失的用户有好处；然而，表现出较大听力残留的个体除了对听力质量有良好的感知外，在有噪声和无声的语音识别中也有更好的表现。

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引用次数: 0