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Determinants of Residual Dizziness in BPPV Patients After Effective Repositioning Maneuvers: The Mediating Role of Blood Lipid Levels in a Single-Center Analysis. BPPV患者在有效复位操作后残留头晕的决定因素:单中心分析中血脂水平的中介作用
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-04 DOI: 10.1017/S0022215124001798
Guanyu Wang
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引用次数: 0
Concentration, motivation, activity, and subjective fatigue in patients with single-sided deafness. 单侧耳聋患者的注意力、动力、活动和主观疲劳感。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-11-20 DOI: 10.1017/S0022215124001002
Emre Gürses, Samet Kılıç, Bünyamin Çıldır

Objective: To evaluate four dimensions of fatigue, including subjective fatigue severity, concentration problems, reduced motivation, and activity in patients with single-sided deafness.

Methods: Following audiological assessment, the Checklist Individual Strength scale and Montreal Cognitive Assessment were performed on 41 adults with single-sided deafness and 41 sex-matched adults with normal bilateral hearing in the study group and control group, respectively. Subjective fatigue severity, concentration, motivation, activity level and cognitive performance were analysed between and within groups.

Results: Individuals with single-sided deafness exhibited reduced concentration and motivation; however, their activity level was average. Subjective fatigue symptoms were more prevalent in individuals with single-sided deafness than in control participants. The concentration problem was related to decreased cognitive performance.

Conclusion: This study revealed negative somatic consequences of single-sided deafness. Self-perceived fatigue is likely underestimated in this population due to the limited studies reported in the literature. Further studies should focus on counselling, follow up and hearing rehabilitation concerning ameliorating fatigue.

目的评估单侧耳聋患者的四个疲劳维度,包括主观疲劳严重程度、注意力不集中、动力减退和活动能力:在进行听力评估后,分别对研究组和对照组的 41 名单侧耳聋成人和 41 名性别匹配的双侧听力正常成人进行了核对表个人力量量表和蒙特利尔认知评估。对组间和组内的主观疲劳严重程度、注意力、积极性、活动水平和认知表现进行了分析:结果:单侧耳聋患者的注意力和积极性都有所下降,但他们的活动水平一般。与对照组相比,单侧耳聋患者的主观疲劳症状更为普遍。注意力不集中与认知能力下降有关:本研究揭示了单侧耳聋对躯体造成的负面影响。由于文献中报道的研究有限,这一人群的自我感觉疲劳可能被低估了。进一步的研究应侧重于有关改善疲劳的咨询、随访和听力康复。
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引用次数: 0
The pioneers of vestibular physiology in the 19th century. 19 世纪前庭生理学的先驱。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-05-08 DOI: 10.1017/S0022215124000951
Soumit Dasgupta, Marco Mandala, Enis Alpin Guneri, Marc Bassim, Alexander Andrea Tarnutzer

It was known from ancient times that vertigo was a malady and that the inner ears of animals contained an intricate network of structures named the labyrinth, whose function was unknown. The flourishing of human vestibular anatomy in the Renaissance period still adhered to age-old notions of traditional spiritual philosophy. In the post-Renaissance period, when science was being redefined and challenging these traditional thoughts, vestibular physiology was born. Started by Flourens, it gathered momentum with Hogyes, Goltz, Breuer, Mach, Crum Brown, Ewald, Brown Sequard and Baginsky in the 19th century. They discovered the role of the vestibular organ in sensing balance and the fine intricacies of vestibular physiology valid to this day. Ménière shattered the concept of traditional aetiology of vertigo and de Cyon challenged the Kantian concept of space. The science catapulted to the modern century. This article traces the history of these pioneers of vestibular physiology.

从古代开始,人们就知道眩晕是一种疾病,动物的内耳中有一个复杂的网状结构,名为迷宫,其功能尚不清楚。文艺复兴时期蓬勃发展的人体前庭解剖学仍然坚持传统精神哲学的古老观念。在后文艺复兴时期,当科学被重新定义并挑战这些传统思想时,前庭生理学诞生了。它由弗洛伦斯开创,在19世纪随着霍格斯、戈尔茨、布鲁尔、马赫、克拉姆·布朗、埃瓦尔德、布朗·塞卡尔和巴金斯基的出现而发展壮大。他们发现了前庭器官在感知平衡中的作用,以及前庭生理学的精细复杂性,直到今天仍然有效。msamni打破了传统眩晕病因学的概念,而德·赛昂则挑战了康德的空间概念。科学飞速发展到现代。本文追溯了这些前庭生理学先驱的历史。
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引用次数: 0
Spontaneous regression of head and neck squamous cell carcinoma: a systematic review and meta-analysis of case reports. 头颈部鳞状细胞癌的自发消退:病例报告的系统回顾和荟萃分析。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-11-25 DOI: 10.1017/S0022215124001336
Kin Lun Lau, Zarius Ferozepurwalla

Objective: A systematic review of case reports in spontaneous regression of head and neck squamous cell carcinoma (SCC) was carried out to investigate the pattern and characteristics of this phenomenon.

Methods: A systematic search of case studies of spontaneously regressed head and neck SCC was carried out in Ovid Embase, Ovid Medline and Pubmed. Methodological quality was assessed by ascertainment of diagnosis and overall details of reports. Outcomes included patient demographics, head and neck SCC characteristics and clinical course of disease.

Results: A total of 8 cases were included and 50 per cent (n = 4) of the reported cases were SCC of the vocal folds. All cases received a surgical biopsy and three cases had possible febrile episodes preceding regression. The mean length of time to regression was 4.3 months.

Discussion: Spontaneous regression in head and neck SCC is likely to be under-reported. A better understanding of how the host immune system can instigate an antitumour response will shed light on the development of novel treatments.

目的对头颈部鳞状细胞癌(SCC)自发消退的病例报告进行系统回顾,以研究这种现象的模式和特点:在 Ovid Embase、Ovid Medline 和 Pubmed 上对自发消退的头颈部鳞状细胞癌病例研究进行了系统检索。通过确定诊断和报告的整体细节来评估方法学质量。研究结果包括患者的人口统计学特征、头颈部 SCC 特征和临床病程:结果:共收录了 8 例病例,50%(n = 4)的报告病例为声带 SCC。所有病例均接受了手术活检,其中三例病例在消退前可能出现过发热。病例消退的平均时间为 4.3 个月:讨论:头颈部SCC的自发性消退可能未得到充分报道。更好地了解宿主免疫系统如何激发抗肿瘤反应将有助于开发新的治疗方法。
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引用次数: 0
Exploring tonsil pathology in PTEN hamartoma syndrome: a cohort study. 探索 PTEN Hamartoma 综合征的扁桃体病理学:队列研究
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-05-20 DOI: 10.1017/S0022215124000975
Lauren M Cairns, Callum Findlay, Nimeshi Jayakody, Kwamena Amonoo-Kuofi, Nimesh N Patel, Katherine L Lachlan

Background: PTEN hamartoma tumour syndrome (PHTS) comprises a group of genetic disorders with varied clinical presentations, including macrocephaly, developmental delay, and increased cancer susceptibility. Recent reports have highlighted the occurrence of tonsil-related issues in PHTS.

Methods: Clinical data focusing on tonsil-related pathology and tonsillectomy details (indications, histology and post-operative complications) were collected from 53 patients with PHTS.

Results: Tonsil issues affected 58 per cent of the cohort, with 43 per cent requiring tonsillectomy. Primary indications for tonsillectomy included obstructive sleep apnoea (43 per cent), recurrent tonsillitis (17 per cent) and other causes (17 per cent). Tonsil-related problems were observed both before (45 per cent) and after (55 per cent) PHTS. Tonsillectomy with adenoidectomy was the predominant surgical intervention performed (87 per cent), spanning a broad age range (1-27 years old).

Discussion: Our findings highlight the complex nature of PHTS and its association with tonsil-related pathology, demonstrating its relevance for ENT surgeons. Early recognition and intervention are pivotal for managing sleep apnoea and the associated health problems.

背景:PTEN hamartoma肿瘤综合征(PHTS)是一组遗传性疾病,临床表现多种多样,包括巨脑症、发育迟缓和癌症易感性增加。最近的报告强调了 PHTS 中扁桃体相关问题的发生:方法:收集 53 名 PHTS 患者的临床数据,重点是扁桃体相关病理和扁桃体切除术的细节(适应症、组织学和术后并发症):结果:58%的患者有扁桃体问题,其中43%需要进行扁桃体切除术。扁桃体切除术的主要适应症包括阻塞性睡眠呼吸暂停(43%)、复发性扁桃体炎(17%)和其他原因(17%)。在 PHTS 之前(45%)和之后(55%)都发现了与扁桃体有关的问题。扁桃体切除术和腺样体切除术是最主要的外科手术(87%),手术年龄跨度很大(1-27 岁):讨论:我们的研究结果突显了PHTS的复杂性及其与扁桃体相关病理的关联性,显示了其与耳鼻喉外科医生的相关性。早期识别和干预是控制睡眠呼吸暂停及其相关健康问题的关键。
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引用次数: 0
A Retrospective Comparative Chart Review of Hearing Recovery in Neural and Sensory Type Sudden Sensorineural Hearing Loss Patients. 神经型和感觉型突发性感音神经性听力损失患者听力恢复情况的回顾性病历对比。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-05-20 DOI: 10.1017/S0022215124000781
Rebecca Z Xu, Ru C Guo, Printha Wijesinghe, Temitope G Joshua, Aysha Ayub, Melissa Lee, Desmond A Nunez

Objective: While the pathogenesis of sudden sensorineural hearing loss is thought to be localised to the cochlea, recent microRNA findings suggest a neuro-topic localisation in some patients. This study distinguishes if neural and non-neural groups differ in hearing recovery.

Methods: Neural-type hearing loss was defined as a presenting word recognition score less than 60 per cent, with a word recognition score reduction greater than 20 per cent than expected based on the averaged pure tone audiometry. Hearing recovery was defined as an improvement of greater than or equal to 10 decibels in pure tone audiometric thresholds.

Results: Eight of 12 and 24 of 36 of neural and non-neural hearing loss patients demonstrated hearing recovery, respectively. The affected ear's word recognition score (per cent) change with treatment were different between the neural and non-neural groups (46.9 ± 29.8 vs 3.2 ± 25.8 (p < 0.0001)).

Conclusion: The hearing recovery rate in neural and non-neural hearing loss groups was similar. Patients with neural-type hearing loss demonstrated greater word recognition score recovery post treatment than those in the sensory group.

目的:虽然突发性感音神经性听力损失的发病机制被认为是耳蜗定位,但最近的microRNA研究结果表明,在一些患者中存在神经位点定位。本研究将区分神经组和非神经组在听力恢复方面是否存在差异:方法:神经型听力损失的定义是:出现的单词识别率低于 60%,根据平均纯音测听结果,单词识别率比预期降低 20%。听力恢复的定义是纯音测听阈值提高大于或等于 10 分贝:结果:神经性和非神经性听力损失患者分别有 12 人和 36 人中的 8 人和 24 人实现了听力恢复。神经组和非神经组患耳的单词识别得分(百分比)随治疗的变化不同(46.9 ± 29.8 vs 3.2 ± 25.8 (p < 0.0001)):结论:神经性和非神经性听力损失组的听力恢复率相似。结论:神经性听力损失组和非神经性听力损失组的听力恢复率相似,神经性听力损失患者在治疗后的单词识别得分恢复率高于感官性听力损失组。
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引用次数: 0
Laryngeal muscle tension in patients with sinonasal diseases: prevalence and clinical significance. 鼻窦疾病患者的喉肌紧张;发病率和临床意义。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-05-14 DOI: 10.1017/S0022215124000847
Abdul-Latif Hamdan, Jad Hosri, Yara Yammine, Patrick Abou Raji Feghali, Nadine El Hadi, Elie Alam

Objective: To determine the prevalence of laryngeal muscle tension in patients with sinonasal diseases.

Methods: The medical records and video-recordings of patients with a history of sinonasal disease were reviewed to identify one of four muscle tension patterns during phonation. A control group with no history of sinonasal diseases was matched according to age and gender.

Results: Seventy-seven patients were divided into a study group (n = 47) and a control group (n = 30). In the study group, 29 patients had at least one muscle tension pattern compared with only 9 in the control group (p = 0.007). The most common muscle tension patterns observed in the study and control groups were muscle tension patterns II and III. In the study group, 79.3 per cent of patients with at least one muscle tension pattern reported dysphonia compared with only 33.3 per cent in the control group.

Conclusion: Patients with sinonasal diseases are more likely to exhibit laryngeal muscle tension and dysphonia in comparison with healthy subjects.

摘要确定鼻窦疾病患者喉部肌肉紧张的发生率:方法:对有鼻窦疾病史的患者的病历和录像资料进行审查,以确定发音时四种肌肉紧张模式中的一种。根据年龄和性别匹配了无鼻窦疾病史的对照组:77 名患者被分为研究组(47 人)和对照组(30 人)。研究组中有 29 名患者至少有一种肌肉紧张模式,而对照组只有 9 名患者(P = 0.007)。研究组和对照组中最常见的肌肉紧张模式是肌肉紧张模式 II 和 III。在研究组中,至少有一种肌张力模式的患者中有 79.3% 报告有发音障碍,而对照组中仅有 33.3%:结论:与健康人相比,鼻窦疾病患者更容易表现出喉肌紧张和发音障碍。
{"title":"Laryngeal muscle tension in patients with sinonasal diseases: prevalence and clinical significance.","authors":"Abdul-Latif Hamdan, Jad Hosri, Yara Yammine, Patrick Abou Raji Feghali, Nadine El Hadi, Elie Alam","doi":"10.1017/S0022215124000847","DOIUrl":"10.1017/S0022215124000847","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of laryngeal muscle tension in patients with sinonasal diseases.</p><p><strong>Methods: </strong>The medical records and video-recordings of patients with a history of sinonasal disease were reviewed to identify one of four muscle tension patterns during phonation. A control group with no history of sinonasal diseases was matched according to age and gender.</p><p><strong>Results: </strong>Seventy-seven patients were divided into a study group (<i>n</i> = 47) and a control group (<i>n</i> = 30). In the study group, 29 patients had at least one muscle tension pattern compared with only 9 in the control group (<i>p</i> = 0.007). The most common muscle tension patterns observed in the study and control groups were muscle tension patterns II and III. In the study group, 79.3 per cent of patients with at least one muscle tension pattern reported dysphonia compared with only 33.3 per cent in the control group.</p><p><strong>Conclusion: </strong>Patients with sinonasal diseases are more likely to exhibit laryngeal muscle tension and dysphonia in comparison with healthy subjects.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1095-1099"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The utility of Chat Generative Pre-trained Transformer as a patient resource in paediatric otolaryngology. 聊天生成预训练转换器作为儿科耳鼻喉科患者资源的效用。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-12-04 DOI: 10.1017/S0022215124001154
Walter M Jongbloed, Nancy Grover

Objectives: This study aimed to determine the feasibility of using Chat Generative Pre-trained Transformer (ChatGPT) (https://chatgpt.com) as a patient resource for paediatric otolaryngology conditions and assess the quality of responses generated by ChatGPT when compared with information available on the internet.

Method: ChatGPT responses to common paediatric otolaryngology conditions were compared with top internet pages for readability (Flesch Reading Ease score, word count), expediency (time taken to generate response), validity (comparison of recommendations to the American Academy of Otolaryngology Head and Neck Surgery guidelines) and consistency (changes in recommendations based on question variation).

Results: ChatGPT was more expeditious in generating responses with fewer words, albeit with higher reading scores. When compared with accredited guidelines, there was no difference in validity between these sources (internet sources and ChatGPT). Consistent responses were obtained with question variation.

Conclusion: ChatGPT may be a valuable source for patients and families in providing valid information comparable to internet materials.

目的:本研究旨在确定使用聊天生成预训练转换器(ChatGPT) (https://chatgpt.com)作为儿科耳鼻喉科疾病的患者资源的可行性,并与互联网上可用的信息相比,评估ChatGPT产生的反应的质量。方法:将ChatGPT对常见儿科耳鼻喉科疾病的回答与顶级互联网页面进行可读性(Flesch Reading Ease评分,字数),便捷性(生成回答所需的时间),有效性(与美国耳鼻喉科头颈外科学会指南的建议比较)和一致性(基于问题变化的建议变化)的比较。结果:ChatGPT在用更少的单词生成回答时更迅速,尽管阅读分数更高。与认可的指南相比,这些来源(互联网来源和ChatGPT)之间的有效性没有差异。通过问题变异得到一致的回答。结论:ChatGPT可以为患者和家属提供与网络资料相当的有效信息。
{"title":"The utility of Chat Generative Pre-trained Transformer as a patient resource in paediatric otolaryngology.","authors":"Walter M Jongbloed, Nancy Grover","doi":"10.1017/S0022215124001154","DOIUrl":"10.1017/S0022215124001154","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the feasibility of using Chat Generative Pre-trained Transformer (ChatGPT) (https://chatgpt.com) as a patient resource for paediatric otolaryngology conditions and assess the quality of responses generated by ChatGPT when compared with information available on the internet.</p><p><strong>Method: </strong>ChatGPT responses to common paediatric otolaryngology conditions were compared with top internet pages for readability (Flesch Reading Ease score, word count), expediency (time taken to generate response), validity (comparison of recommendations to the American Academy of Otolaryngology Head and Neck Surgery guidelines) and consistency (changes in recommendations based on question variation).</p><p><strong>Results: </strong>ChatGPT was more expeditious in generating responses with fewer words, albeit with higher reading scores. When compared with accredited guidelines, there was no difference in validity between these sources (internet sources and ChatGPT). Consistent responses were obtained with question variation.</p><p><strong>Conclusion: </strong>ChatGPT may be a valuable source for patients and families in providing valid information comparable to internet materials.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1115-1118"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy of intranasal corticosteroid sprays in relieving clinical signs of Eustachian tube dysfunction: a systematic review and meta-analysis of randomised, controlled trials. 鼻内皮质类固醇喷雾剂缓解咽鼓管功能障碍临床症状的疗效:随机对照试验的系统回顾和元分析》。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-04-29 DOI: 10.1017/S0022215124000756
Tara J Nibhanupudy, Aneesh Patel, Caroline P Trinh, Elizabeth Jenkins, Peter C Weber, Jessica R Levi

Objective: Eustachian tube dysfunction is prevalent in both paediatric and adult populations. Current clinical guidelines recommend observation over topical intranasal corticosteroids for Eustachian tube dysfunction management, which remains controversial. This study aimed to systematically review randomised, controlled trials assessing topical intranasal corticosteroid efficacy in Eustachian tube dysfunction, and analyse effect through tympanometric normalisation.

Methods: PubMed, EMBASE, Web of Science and Cochrane Library databases were searched. All randomised, controlled trials assessing intranasal corticosteroids in adult or paediatric Eustachian tube dysfunction patients were included. A meta-analysis of proportions was used to evaluate tympanogram normalisation.

Results: Of 330 results, eight randomised, controlled trials met inclusion criteria and underwent qualitative data synthesis and risk-of-bias analysis. Meta-analysis of tympanometry data from four eligible trials (n = 512 ears) revealed no significant difference in tympanometric normalisation between intranasal corticosteroids and control (odds ratio 1.21, 95% confidence interval 0.65-2.24).

Conclusion: Study results do not strongly support intranasal corticosteroids for Eustachian tube dysfunction. Data were limited, emphasising the need for larger, higher quality, randomised, controlled trials.

目的:耳咽管功能障碍在儿童和成人中都很普遍。目前的临床指南建议观察局部鼻内皮质类固醇治疗耳咽管功能障碍,这仍然存在争议。本研究旨在系统回顾随机对照试验,评估局部鼻内皮质类固醇治疗耳咽管功能障碍的疗效,并通过鼓室测量正常化分析效果。方法:检索PubMed、EMBASE、Web of Science、Cochrane Library等数据库。所有评估鼻内皮质类固醇治疗成人或儿童咽鼓管功能障碍患者的随机对照试验均纳入研究。采用比例的荟萃分析来评估鼓室图的正常化。结果:在330个结果中,8个随机对照试验符合纳入标准,并进行了定性数据综合和偏倚风险分析。四项符合条件的试验(n = 512耳)的鼓室测量数据的荟萃分析显示,鼻内皮质类固醇与对照组在鼓室测量正常化方面无显著差异(优势比1.21,95%可信区间0.65-2.24)。结论:研究结果并不强烈支持鼻内皮质类固醇治疗耳咽管功能障碍。数据有限,强调需要更大规模、更高质量、随机对照试验。
{"title":"Efficacy of intranasal corticosteroid sprays in relieving clinical signs of Eustachian tube dysfunction: a systematic review and meta-analysis of randomised, controlled trials.","authors":"Tara J Nibhanupudy, Aneesh Patel, Caroline P Trinh, Elizabeth Jenkins, Peter C Weber, Jessica R Levi","doi":"10.1017/S0022215124000756","DOIUrl":"10.1017/S0022215124000756","url":null,"abstract":"<p><strong>Objective: </strong>Eustachian tube dysfunction is prevalent in both paediatric and adult populations. Current clinical guidelines recommend observation over topical intranasal corticosteroids for Eustachian tube dysfunction management, which remains controversial. This study aimed to systematically review randomised, controlled trials assessing topical intranasal corticosteroid efficacy in Eustachian tube dysfunction, and analyse effect through tympanometric normalisation.</p><p><strong>Methods: </strong>PubMed, EMBASE, Web of Science and Cochrane Library databases were searched. All randomised, controlled trials assessing intranasal corticosteroids in adult or paediatric Eustachian tube dysfunction patients were included. A meta-analysis of proportions was used to evaluate tympanogram normalisation.</p><p><strong>Results: </strong>Of 330 results, eight randomised, controlled trials met inclusion criteria and underwent qualitative data synthesis and risk-of-bias analysis. Meta-analysis of tympanometry data from four eligible trials (<i>n</i> = 512 ears) revealed no significant difference in tympanometric normalisation between intranasal corticosteroids and control (odds ratio 1.21, 95% confidence interval 0.65-2.24).</p><p><strong>Conclusion: </strong>Study results do not strongly support intranasal corticosteroids for Eustachian tube dysfunction. Data were limited, emphasising the need for larger, higher quality, randomised, controlled trials.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1065-1072"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lost and found: surgical adventures in migratory foreign body cases. 失而复得:迁移性异物病例的外科冒险。
IF 1.1 4区 医学 Q3 OTORHINOLARYNGOLOGY Pub Date : 2024-11-01 Epub Date: 2024-05-16 DOI: 10.1017/S0022215124000690
G M Divya, Sanu P Moideen, Razal M Sheriff, Amjad Khan

Objective: This observational study investigates migratory foreign bodies in the upper aerodigestive tract, emphasising clinical presentation, assessment and factors contributing to extraluminal migration.

Methods: Conducted across multiple medical centres in India, the study included 15 patients aged 11 to 70 years. Detailed observations, demographic information, clinical history, radiological findings and intra-operative outcomes were compiled.

Results: Fifteen patients presented with varied symptoms. Fish and chicken bones, along with metal wires, were common foreign bodies. Computed tomography scans played a crucial role in diagnosis, confirming extraluminal migration. Neck exploration successfully retrieved foreign bodies in most cases, with varied sites of impaction.

Conclusion: Migratory foreign bodies, although rare, pose significant challenges for otolaryngologists. Early recognition, thorough diagnosis and meticulous neck exploration, is crucial for effective management, preventing severe complications. This study adds valuable insights to the understanding of migratory foreign bodies, contributing to the existing literature in otolaryngology practice.

目的:本观察性研究调查了上消化道异物移位的情况:这项观察性研究调查了上消化道异物移位的情况,重点是临床表现、评估和导致管外异物移位的因素:这项研究在印度多个医疗中心进行,包括 15 名年龄在 11 至 70 岁之间的患者。研究汇编了详细的观察结果、人口统计学信息、临床病史、放射学检查结果和术中结果:15 名患者的症状各不相同。鱼骨、鸡骨和金属丝是常见的异物。计算机断层扫描在诊断中发挥了关键作用,证实了异物的腔外移位。颈部探查术成功取出了大多数病例中的异物,异物的嵌顿部位各不相同:结论:迁移性异物虽然罕见,但给耳鼻喉科医生带来了巨大挑战。早期识别、彻底诊断和细致的颈部探查对于有效治疗和预防严重并发症至关重要。本研究为了解移行性异物提供了宝贵的见解,为耳鼻喉科实践中的现有文献做出了贡献。
{"title":"Lost and found: surgical adventures in migratory foreign body cases.","authors":"G M Divya, Sanu P Moideen, Razal M Sheriff, Amjad Khan","doi":"10.1017/S0022215124000690","DOIUrl":"10.1017/S0022215124000690","url":null,"abstract":"<p><strong>Objective: </strong>This observational study investigates migratory foreign bodies in the upper aerodigestive tract, emphasising clinical presentation, assessment and factors contributing to extraluminal migration.</p><p><strong>Methods: </strong>Conducted across multiple medical centres in India, the study included 15 patients aged 11 to 70 years. Detailed observations, demographic information, clinical history, radiological findings and intra-operative outcomes were compiled.</p><p><strong>Results: </strong>Fifteen patients presented with varied symptoms. Fish and chicken bones, along with metal wires, were common foreign bodies. Computed tomography scans played a crucial role in diagnosis, confirming extraluminal migration. Neck exploration successfully retrieved foreign bodies in most cases, with varied sites of impaction.</p><p><strong>Conclusion: </strong>Migratory foreign bodies, although rare, pose significant challenges for otolaryngologists. Early recognition, thorough diagnosis and meticulous neck exploration, is crucial for effective management, preventing severe complications. This study adds valuable insights to the understanding of migratory foreign bodies, contributing to the existing literature in otolaryngology practice.</p>","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"1086-1089"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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
Journal of Laryngology and Otology
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