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Chinese journal of otorhinolaryngology head and neck surgery最新文献

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[Position paper on diagnosis and treatment of type 2 chronic rhinosinusitis]. [关于 2 型慢性鼻炎诊断和治疗的立场文件]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240518-00289
J B Shi, L Cheng, H B Li, Z Liu, C S Wang, Y Q Sun, H Y Hong, Q T Yang, K J Zuo, R Xu, P P Cao, Y Y Lai, F H Chen, Y N Zhang, G Xu, L Zhang
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引用次数: 0
[Review of the development and latest perspectives in 2024 on Allergic Rhinitis and its Impact on Asthma (ARIA)]. [过敏性鼻炎及其对哮喘的影响(ARIA)的发展回顾和 2024 年的最新展望]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240725-00450
X Luo, Z X Hua, Y N Zhang, Q T Yang
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引用次数: 0
[Application of mitoxantrone hydrochloride in lymph node imaging during radical thyroidectomy]. [盐酸米托蒽醌在甲状腺根治术淋巴结成像中的应用]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240518-00287
Y Cheng, S Zhang, Z W Liu, L L Liu, Y Wang, J H Gu
<p><p><b>Objective:</b> To investigate the clinical application value of the new tracer mitoxantrone hydrochloride in imaging of cervical lymph nodes and identifying of parathyroid, recurrent laryngeal nerve during thyroid cancer radical surgery. <b>Methods:</b> A prospective controlled study was conducted between January 2022 and April 2024 at Tianjin First Central Hospital, recruiting 180 patients with thyroid cancer, including 54 males and 126 females, aged from 26 to 69 years. The patients were randomly divided into three groups: the mitoxantrone hydrochloride lymph node tracing group (MHI group), the nanocarbon lymph node tracing group (nanocarbon group), and the control group without lymph node tracers, with 60 cases in each group. All patients underwent total thyroid resection and regional lymph node dissection. The number of detected lymph nodes and positive metastatic lymph nodes and surgical field clarity scores and the identification rate of parathyroid glands and the instances of inadvertent excision were compared between the groups. Serum calcium and parathyroid hormone (PTH) levels at different perioperative time points and treatment-related complications were analyzed. One-way ANOVA, chi-square test and two independent sample non-parametric tests, were employed for statistical analyses. <b>Results:</b> The mean operation time, neck drainage volume and hospital stay in the MHI group and the nanocarbon group were respectively significantly lower than those in the control group (<i>P</i><0.05). The mean staining intensity score, tracer success rate and surgical field clarity score in MHI group were respectively significantly higher than those in nanocarbon group (<i>P</i><0.05). The mean numbers of dissected lymph nodes positive metastatic nodes and identification rates of parathyroid glands in MHI group were respectively significantly higher than those in both the nanocarbon and control groups (<i>P</i><0.05). The rates of inadvertent parathyroid excision in both MHI group and nanocarbon group were significantly lower than those in control group (<i>P</i><0.05). On postoperative day 1 and day 5, mean serum calcium and PTH levels in MHI group were respectively significantly higher than those in nanocarbon group and control groups. However, on postoperative day 1, there was no difference in mean serum calcium levels between the nanocarbon group and the control group (<i>P</i>>0.05), though PTH level in the nanocarbon group was higher than that in the control group. By postoperative day 5, both serum calcium and PTH levels were higher in the nanocarbon group compared to the control group (<i>P</i><0.05). On postoperative days 30, there were no differences in serum calcium and PTH levels between the MHI group and the nanocarbon group (<i>P</i>>0.05). The risks of facial numbness, hand and foot tetany and choking during drinking were lower in both the MHI and nanocarbon groups compared to the control group (<i>P</i><0.05). <b>Conclusion:<
研究目的探讨新型示踪剂盐酸米托蒽醌在甲状腺癌根治术中颈部淋巴结成像及甲状旁腺、喉返神经识别中的临床应用价值。研究方法天津市第一中心医院于2022年1月至2024年4月开展了一项前瞻性对照研究,共招募180例甲状腺癌患者,其中男性54例,女性126例,年龄26至69岁。患者被随机分为三组:盐酸米托蒽醌淋巴结示踪组(MHI组)、纳米碳淋巴结示踪组(纳米碳组)和不含淋巴结示踪剂的对照组,每组60例。所有患者均接受了甲状腺全切除术和区域淋巴结清扫术。比较了各组检测到的淋巴结数量、阳性转移淋巴结数量、手术视野清晰度评分、甲状旁腺识别率和误切情况。分析了围手术期不同时间点的血清钙和甲状旁腺激素(PTH)水平以及治疗相关并发症。统计分析采用了单因素方差分析、卡方检验和两个独立样本非参数检验。结果MHI 组和纳米碳组的平均手术时间、颈部引流量和住院时间分别显著低于对照组(PPPPP>0.05),但纳米碳组的 PTH 水平高于对照组。术后第 5 天,纳米碳组的血清钙和 PTH 水平均高于对照组(PP>0.05)。与对照组相比,MHI 组和纳米碳组发生面部麻木、手足抽搐和饮水呛咳的风险都较低(PC结论:MHI 显示了快速输注的优势:在甲状腺癌根治性甲状腺切除术中进行区域淋巴结清扫时,MHI具有靶向给药快、术野染色清晰的优势,可有效降低喉返神经和甲状旁腺的副损伤风险。
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引用次数: 0
[Analysis of 15 children with type Ⅳ branchial cleft cyst treated with endoscopic transoral approach]. [采用内窥镜经口方法治疗 15 名Ⅳ型腮裂囊肿患儿的分析]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240606-00339
Q C Duan, F Z Zhang, G X Wang, D J Seng, H B Ren, E L Qian, J Zhang

Objective: To analyze the clinical characteristics and endoscopic surgical procedures of the second branchial cleft cyst type Ⅳ in children. Methods: A retrospective review was conducted on 15 pediatric cases with type Ⅳ second branchial cleft cysts treated at the Beijing Children's Hospital affiliated with Capital Medical University and Henan Children's Hospital from September 2019 to November 2023. All patients underwent excision via a two-person, three-hand endoscopic transoral approach. The cohort included 12 males and 3 females, with an age range of 10 months to 10 years and 5 months, and a median age of (59.20±32.05) months. The clinical data of initial symptoms, sides, imaging features, treatment methods, complications, length of hospital stay, prognosis and outcome were recorded and analyzed. SPSS 22.0 software was used for statistical analysis. Results: Of the 15 children, 13 cases presented with snoring as the primary symptom, 1 case with dysphagia, and 1 case was asymptomatic and was found unintentionally. The mean disease duration was (6.74±9.05) months (range, from 3 days-2 years). MRI revealed cystic lesions on the right side in 12 cases and on the left side in 3 cases, characterized by uniform long T2 signal, equal T1 or short T1 signal. The cysts appeared dumbbell-shaped in 10 cases with the pharyngeal constrictor muscle as the waist, the posterior outside of the mass was adjacent to the internal carotid artery. The remaining 5 cases showed an isolated cyst located inside the pharyngeal constrictor muscle. The intraoperative MRI findings were consistent. Partial cystectomy was performed in 10 cases near the internal carotid artery, leaving only the portion with a clear arterial pulse intact. Five cases with isolated cysts on the medial side of the pharyngeal constrictor muscle were totally removed. The average length of hospital stay was (4.53±0.52) days (4-5 days). All patients were followed up for 7-56 months [median (30±15.12) months] with no recurrence of symptoms observed. Conclusions: The second branchial cleft cyst type Ⅳ in children is characterized by prominent pharyngeal cystic mass, with snoring as a predominant initial symptom, MRI provides excellent diagnostic value. The two-person, third-hand endoscopic transoral approach for cyst excision is feasible, safe, and offers the benefits of minimal invasiveness and reduced hospitalization time.

目的分析儿童第二杈裂囊肿Ⅳ型的临床特点和内窥镜手术方法。方法:对 15 例儿童Ⅳ型第二支裂囊肿病例进行回顾性研究:回顾性分析2019年9月至2023年11月首都医科大学附属北京儿童医院和河南省儿童医院收治的15例小儿Ⅳ型第二支裂囊肿患者。所有患者均通过二人三手内镜经口方法进行切除。队列中包括12名男性和3名女性,年龄范围为10个月至10岁零5个月,中位年龄为(59.20±32.05)个月。记录并分析了初始症状、病侧、影像学特征、治疗方法、并发症、住院时间、预后和结局等临床数据。采用 SPSS 22.0 软件进行统计分析。结果15 名患儿中,13 例以打鼾为主要症状,1 例有吞咽困难,1 例无症状,无意中发现。平均病程为(6.74±9.05)个月(3天-2年不等)。核磁共振成像显示,12 例患者右侧出现囊性病变,3 例患者左侧出现囊性病变,其特征为均匀的长 T2 信号、等 T1 或短 T1 信号。10例囊肿呈哑铃状,以咽收缩肌为腰部,肿块后外侧紧邻颈内动脉。其余5例显示为位于咽收缩肌内的孤立囊肿。术中磁共振成像结果一致。10例病例在颈内动脉附近进行了部分囊肿切除术,只保留动脉搏动清晰的部分。5例咽部收缩肌内侧的孤立囊肿被完全切除。平均住院时间为(4.53±0.52)天(4-5天)。所有患者均接受了 7-56 个月的随访[中位数(30±15.12)个月],未发现症状复发。结论儿童第二咽裂囊肿Ⅳ型的特点是咽部囊性肿块突出,最初的主要症状是打鼾,磁共振成像具有很好的诊断价值。双人第三手内窥镜经口囊肿切除术可行、安全,并具有微创和缩短住院时间的优点。
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引用次数: 0
[Giant cell tumor of the hyoid bone: a case report]. [舌骨巨细胞瘤:病例报告]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240601-00330
J B Zhao, W T Wei, T Wang
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引用次数: 0
[Analysis of long-term efficacy of CO2 laser partial excision of vocal folds for 599 cases in the treatment of vocal cord leukoplakia]. [599 例声带白斑病患者接受二氧化碳激光声带部分切除术的长期疗效分析]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240720-00432
H Z Wang, X Y Liu, X Y Li, L Y Cheng, R Hu, Q W Yang, Y R Li, W Xu
<p><p><b>Objective:</b> To analyze long-term prognosis and influencing factors of recurrence in vocal fold leukoplakia treated by endoscopic cordectomy with CO<sub>2</sub> laser. <b>Methods:</b> A retrospective review was conducted on 599 patients with vocal fold leukoplakia [566 males and 33 females, aged 17-84 years (median age 55 years)], undergoing endoscopic cordectomy by CO<sub>2</sub> laser under general anesthesia at the Department of Otorhinolaryngology Head and Neck Surgery of Beijing Tongren Hospital, Capital Medical University, from January 2000 to December 2023. The study analyzed the clinical features, pathological grade, surgical methods, postoperative voice function, recurrence, malignant changes and analyzed the long-term efficacy and and its influencing factors. The patients were followed up for a duration of 6-249 months postoperatively, with a median follow-up time of 48 months. SPSS 20.0 software was used for statistical analysis. <b>Results:</b> Among the 599 patients, the histopathological grades included simple squamous cell hyperplasia in (<i>n</i>=264, 44.08%), mild dysplasia (<i>n</i>=96, 16.03%), moderate dysplasia (<i>n</i>=74, 12.35%), severe dysplasia(<i>n</i>=43, 7.81%), carcinoma in situ(<i>n</i>=35, 5.84%), and carcinoma in situ with microinvasion(<i>n</i>=87, 14.52%). The 3-year and 5-year overall recurrence rates were 12.91% and 16.00%, respectively. In patients with precancerous lesion, 3.91% of recurrences presented with an upgraded pathologic grade and 2.34% evolved into carcinoma. The risk of recurrence was higher in lesions involving the anterior commissure, larger lesions, significant reduction/absence of mucosal waves, neovascularization/suspected neovascularization, and pathology of dysplasia/carcinoma in situ/carcinoma in situ with microinvasion(<i>F</i>=44.76,21.54,11.55,8.78,23.20,respectively,<i>P<</i>0.05). Additionally, patients with recurrent disease exhibited higher reflux symptom index scores compared to those without recurrence. Exophytic lesion characteristics and the inability to cease smoking postoperatively were identified as independent risk factors for recurrence with an upgraded pathological grade, with odds ratios of 8.675 and 11.380 times greater than those with non-exophytic lesions and successful smoking cessation, respectively. At the 6-months postoperative assessment, patients who underwent subepithelial cordectomy (typeⅠ) demonstrated a statistically significant increase in fundamental frequency (<i>t</i>=-3.38, <i>P</i><0.05), and while other voice acoustic parameters were not significantly different.Conversely, those who underwent transmuscular cordectomy (TypeⅢ) exhibited significant alterations in multiple voice acoustic parameters when compared to preoperative values (<i>P</i><0.05). Furthermore, postoperative vocal fold adhesions developed in 84 patients with 13 of these individuals requiring surgical intervention for adhesion release. <b>Conclusions:</b> Lesions involving
目的分析采用二氧化碳激光内镜下声带切除术治疗声带白斑病的长期预后和复发的影响因素。方法: 对 599 例声带白斑患者进行回顾性研究:回顾性分析首都医科大学附属北京同仁医院耳鼻咽喉头颈外科2000年1月至2023年12月在全麻下行CO2激光内镜下声带白斑切除术的599例声带白斑患者[男566例,女33例,年龄17-84岁(中位年龄55岁)]。研究分析了患者的临床特征、病理分级、手术方法、术后语音功能、复发情况、恶变情况,并分析了远期疗效及其影响因素。患者术后随访时间为 6-249 个月,中位随访时间为 48 个月。采用 SPSS 20.0 软件进行统计分析。结果599 例患者中,组织病理学分级包括单纯鳞状细胞增生(n=264,44.08%)、轻度发育不良(n=96,16.03%)、中度发育不良(n=74,12.35%)、重度发育不良(n=43,7.81%)、原位癌(n=35,5.84%)和原位癌伴微小浸润(n=87,14.52%)。3年和5年总复发率分别为12.91%和16.00%。在癌前病变患者中,3.91%的复发病例病理分级升高,2.34%演变为癌。病变累及前会厌、病变较大、粘膜波明显减少/消失、新生血管/疑似新生血管、病理类型为发育不良/原位癌/原位癌伴微小浸润的患者复发风险更高(F=44.76,21.54,11.55,8.78,23.20,分别为0.05)。此外,与未复发的患者相比,复发患者的反流症状指数评分更高。外生病灶特征和术后无法戒烟被认为是病理分级升高导致复发的独立风险因素,其几率分别是非外生病灶和成功戒烟患者的 8.675 倍和 11.380 倍。在术后 6 个月的评估中,接受上皮下脐带切除术(Ⅰ型)的患者的基本病变频率有显著的统计学增长(t=-3.38,PPConclusions:涉及前会厌的病变、较大的病变、病理类型为发育不良/原位癌/原位癌伴微浸润、声带粘膜波明显减少/消失以及在 NBI 下可见新生血管均表明复发风险增加,而外生病变和术后无法戒烟则会显著增加病理等级升高的复发风险。术后嗓音质量的恢复与手术方法有关,这就强调了手术方法选择在声带白斑病治疗中的重要性。
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引用次数: 0
[Controversy and comments on some recommendations of the Expert Consensus on Thermal Ablation Therapy of Papillary Thyroid Cancer (2024 Edition)]. [关于甲状腺乳头状癌热消融治疗专家共识(2024 年版)部分建议的争议和评论]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240605-00336
Q H Ji, R C Cheng, W Tian, T Huang, Y S Lin, J G Fang, S Y Liu, C Li, A K Yang, C Chang, H X Guan, B Ma, Y Wang
{"title":"[Controversy and comments on some recommendations of the Expert Consensus on Thermal Ablation Therapy of Papillary Thyroid Cancer (2024 Edition)].","authors":"Q H Ji, R C Cheng, W Tian, T Huang, Y S Lin, J G Fang, S Y Liu, C Li, A K Yang, C Chang, H X Guan, B Ma, Y Wang","doi":"10.3760/cma.j.cn115330-20240605-00336","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240605-00336","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"59 10","pages":"1088-1093"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Effect of middle turbinectomy on prognosis of chronic rhinosinusitis]. [中鼻甲切除术对慢性鼻炎预后的影响]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240104-00013
B Zhong, Z Z Hao, X C Liu, N Y Song, F Liu
{"title":"[Effect of middle turbinectomy on prognosis of chronic rhinosinusitis].","authors":"B Zhong, Z Z Hao, X C Liu, N Y Song, F Liu","doi":"10.3760/cma.j.cn115330-20240104-00013","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240104-00013","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"59 10","pages":"1102-1106"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Research advances in early vestibular compensation and central vestibular plasticity]. [早期前庭代偿和中枢前庭可塑性的研究进展]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240316-00143
J Wang, Y J Zhang, E Tian, Z Q Guo, J Y Chen, D Liu, Z H Zhou, J Q Guo, S Y Shi, Y C Lyu, S L Zhang
{"title":"[Research advances in early vestibular compensation and central vestibular plasticity].","authors":"J Wang, Y J Zhang, E Tian, Z Q Guo, J Y Chen, D Liu, Z H Zhou, J Q Guo, S Y Shi, Y C Lyu, S L Zhang","doi":"10.3760/cma.j.cn115330-20240316-00143","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240316-00143","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"59 10","pages":"1094-1101"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Effectiveness and safety of biologics in patients with chronic rhinosinusitis with nasal polyps]. [生物制剂对伴有鼻息肉的慢性鼻炎患者的有效性和安全性]。
Q4 Medicine Pub Date : 2024-10-07 DOI: 10.3760/cma.j.cn115330-20240322-00160
C S Wang, X D Wang, L Zhang
{"title":"[Effectiveness and safety of biologics in patients with chronic rhinosinusitis with nasal polyps].","authors":"C S Wang, X D Wang, L Zhang","doi":"10.3760/cma.j.cn115330-20240322-00160","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240322-00160","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"59 10","pages":"1002-1012"},"PeriodicalIF":0.0,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Chinese journal of otorhinolaryngology head and neck surgery
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