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Myths of Tinnitus 耳鸣的神话
Pub Date : 2017-05-04 DOI: 10.24983/SCITEMED.AOHNS.2017.00002
M. Grossan
Joseph Campbell has explained many of the ancient and current myths and how they reflect our emotional needs. But the myths surrounding tinnitus are causing harm because doctors are not offering patients therapy that is available and patients are not seeking these therapies.
约瑟夫·坎贝尔解释了许多古代和现代的神话,以及它们如何反映我们的情感需求。但是,关于耳鸣的神话正在造成伤害,因为医生没有为患者提供可用的治疗方法,患者也没有寻求这些治疗方法。
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引用次数: 1
An Unusual Foreign Body Within the Pterygopalatine Fossa: A Case Report 翼腭窝内异常异物1例报告
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2019.00100
A. Darwish, L. Scholtz, B. Gehl, H. Sudhoff
Air gun injuries normally present with a wide variety of clinical forms from minor to life-threatening injuries. The rare case of an air gun pellet retained in the pterygopalatine fossa has the risk of immediate or delayed haemorrhage as illustrated by our patient. Gunshot injuries must be considered as potentially life-threatening and raising awareness regarding its potential threats are required in order to minimize the air gun injuries, especially in children.
气枪伤害通常表现为各种各样的临床形式,从轻微到危及生命的伤害。罕见的情况下,一个气枪丸保留在翼腭窝有立即或延迟出血的风险,我们的病人说明。必须将枪伤视为可能危及生命的伤害,必须提高对其潜在威胁的认识,以尽量减少气枪伤害,特别是对儿童的伤害。
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引用次数: 1
Improvement in Pediatric Recurrent Respiratory Papillomatosis With Systemic Bevacizumab: Case Report and Review of the Literature 全身性贝伐单抗改善儿童复发性呼吸道乳头状瘤病:病例报告和文献回顾
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2021.00148
David M. Bruss, Michael H Berger, J. Haduong, K. Huoh
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引用次数: 0
Comparison of Inferior Turbinate Reduction Techniques on Postoperative Epistaxis and Nasal Congestion 下鼻甲复位技术治疗术后鼻出血和鼻塞的比较
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2022.00154
Emily S. Sagalow, Vanessa Christopher, K. Gill, Raphael G. Banoub, S. Shankar, Madalyne Sunday, Tingting Zhan, Glen E D'Souza, J. Stanek, Michelle Hwang, R. Heffelfinger, Howard Krein
Inferior turbinate hypertrophy is commonly found in patients with nasal obstruction and is often concurrent with septal deviation. Medical therapy for inferior turbinate hypertrophy includes an antihistamine or nasal decongestant spray [1]. If hypertrophied inferior turbinates are refractory to medical management, surgical reduction of the turbinates can be performed [2,3]. Several techniques exist for surgical inferior turbinate reduction. Submucous resection of the inferior turbinates involves removing the underlying bone and erectile tissue of the turbinates while sparing the mucosal tissue [4,5]. In contrast, partial excision of the inferior turbinates involves trimming portions of the inferior turbinate bone along with its overlying mucosa [4]. Both techniques are often performed in conjunction with outfracturing of the inferior turbinates, which lateralizes the entire turbinate structure and expands the internal nasal valve. Other surgical methods for inferior turbinate reduction include total turbinectomy, microdebrider removal, electrocautery, laser cautery, cryotherapy, and radiofrequency ablation [1,3-4,6-9]. Turbinate reduction surgery can be associated with adverse postoperative outcomes such as postoperative epistaxis, nasal congestion, infection, and nerve injury, and empty nose syndrome [4,10]. There is literature which comments on the rate of postoperative complications and the type of surgical technique utilized. For example, previous studies described rates of epistaxis to be 1.6% after submucous resection with a microdebrider and 5.8% after radical turbinectomy [9,11]. Other studies comment on nasal congestion: 96% of patients reported an improvement in nasal breathing two weeks after surgery, and 88% after two months, after undergoing bilateral inferior turbinate reduction. This was compared to 78% of patients who reported improvement after two weeks, and 76% after two months, after a submucosal diathermy turbinate reduction [12]. The purpose of this study was to compare two surgical techniques of inferior turbinate reduction, submucous resection versus partial excision, with their associated postoperative complications including epistaxis and recurrent nasal congestion in patients undergoing functional nasal surgery at a single academic center. To date, no other study has directly compared these two methods with endpoints of epistaxis and nasal congestion.
下鼻甲肥大常见于鼻塞患者,常伴有鼻中隔偏曲。下鼻甲肥大的药物治疗包括抗组胺药或鼻减充血剂喷雾[1]。如果下鼻甲肥大难以治疗,可以进行手术复位鼻甲[2,3]。手术下鼻甲复位有几种技术。下鼻甲粘膜下切除术包括切除下鼻甲骨和勃起组织,同时保留粘膜组织[4,5]。相比之下,部分切除下鼻甲需要切除部分下鼻甲骨及其上覆粘膜[4]。这两种技术通常与下鼻甲外裂一起进行,这将使整个鼻甲结构外侧化并扩大内鼻阀。下鼻甲复位的其他手术方法包括全鼻甲切除术、显微清氧器移除、电灼、激光烧灼、冷冻治疗和射频消融[1,3-4,6-9]。鼻甲复位手术可能与术后不良结局相关,如术后鼻出血、鼻塞、感染、神经损伤和空鼻综合征[4,10]。有文献评论了术后并发症的发生率和所采用的手术技术类型。例如,先前的研究表明,微清创器粘膜下切除术后鼻出血发生率为1.6%,根治性鼻甲切除术后为5.8%[9,11]。其他关于鼻塞的研究:96%的患者报告术后两周鼻呼吸改善,88%的患者报告术后两个月鼻呼吸改善,双侧下鼻甲复位。相比之下,78%的患者在两周后报告改善,76%的患者在两个月后报告改善,在粘膜下透热鼻甲复位后[12]。本研究的目的是比较两种下鼻甲复位手术技术,粘膜下切除术和部分切除术,以及在同一学术中心接受功能性鼻手术的患者的术后并发症,包括鼻出血和复发性鼻塞。迄今为止,还没有其他研究直接比较这两种方法与鼻出血和鼻塞的终点。
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引用次数: 0
A Rare Cause of Airway Collapse: Spontaneous Hemorrhage and Rupture of a Parathyroid Adenoma 一个罕见的原因气道塌陷:自发性出血和破裂的甲状旁腺瘤
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2021.00147
F. Kavanagh, S. Brennan, P. Lennon
Parathyroid adenomas are the most common cause of hyperparathyroidism, with a prevalence of 0.2-0.5% [1]. Patients classically present with signs and symptoms pertaining to and/or complications arising from hypercalcemia including osteoporosis and renal calculi. This case-based review will focus on atypical presentations of a parathyroid adenoma. The first documented report illustrating a parathyroid adenoma with extracapsular hemorrhage was in 1934 [2]. From the limited number of case reports published to date, presentation is classically with signs of extensive cervical ecchymosis in the region, as well as signs and symptoms secondary to compression of adjacent structures within the neck [3,4]. These cases are challenging to diagnosis pre-operatively as they occur abruptly, without a known precipitant and are infrequent. A further anomaly of this case relates to the biochemical markers being within the normal range; the mechanism by which this can occur will be explained. This is the first published case report of a patient presenting with stridor from an acute, near complete, airway obstruction with normal biochemical markers, as the initial presentation of a parathyroid adenoma, which required immediate surgical intervention.
甲状旁腺瘤是甲状旁腺功能亢进最常见的原因,患病率为0.2-0.5%。患者通常表现出与高钙血症相关的体征和症状和/或并发症,包括骨质疏松症和肾结石。本病例为基础的回顾将集中于甲状旁腺瘤的非典型表现。第一例甲状旁腺瘤合并囊外出血的文献报道是在1934年。从迄今为止发表的有限病例报告来看,典型的表现是该区域广泛的颈椎瘀斑,以及颈部邻近结构受压的继发体征和症状[3,4]。这些病例的术前诊断具有挑战性,因为它们突然发生,没有已知的诱因,而且很少发生。该病例的另一个异常与生化指标在正常范围内有关;将解释这种情况发生的机制。这是首次发表的病例报告,患者表现为急性,接近完全的气道阻塞,生化指标正常,最初表现为甲状旁腺瘤,需要立即手术干预。
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引用次数: 0
Reflection for Meniere’s Disease in the Era of Modern Precision Medicine 现代精准医学时代对梅尼埃病的思考
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2021.00150
Juen-Haur Hwang
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引用次数: 0
Presence and Quantity of COX-2 in Lymph Node Metastases of Patients with Head and Neck Cancer 头颈癌患者淋巴结转移灶中COX-2的存在及含量
Pub Date : 1900-01-01 DOI: 10.24983/SCITEMED.AOHNS.2017.00024
Mehtap Boduc, M. Roessler, R. Mandic, Christoph Netzer, C. Güldner, U. Walliczek-Dworschak, M. Mandapathil
COX-2 expression in primary lesions, as well as lymph node metastases, appears to identify HNSCC patients at higher risk in all tumor sites. Adjuvant therapeutic approaches targeting COX-2 might be a promising tool in this patient population.
COX-2在原发病变和淋巴结转移中的表达,似乎可以识别所有肿瘤部位高危的HNSCC患者。针对COX-2的辅助治疗方法可能是一种有前途的工具。
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引用次数: 0
Non-tumoral Psammoma Bodies Correlate With Adverse Histology in Classic Type Papillary Thyroid Carcinoma 非肿瘤沙粒体与典型型甲状腺乳头状癌的不良组织学相关
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2022.00156
M. Gubbiotti, Z. Baloch, K. Montone, V. Livolsi
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引用次数: 0
Can a Surgical Technique Be a Risk for Post-tonsillectomy Haemorrhage? Our Point of View 手术技术是否有扁桃体切除术后出血的风险?我们的观点
Pub Date : 1900-01-01 DOI: 10.24983/SCITEMED.AOHNS.2018.00057
S. Motta, D. Testa, Brillante Ferrillo, E. Massimilla, R. Varriale, Teresa Barrella, G. Motta, G. Motta
Controversies have recently arisen regarding post-operative haemorrhagic complications in relation to the surgical procedures adopted for tonsillectomy. The authors set out to verify the relationship between surgical techniques and post-operative haemorrhage based on the analysis of data derived from multi-centric studies.
关于扁桃体切除术后出血并发症的争议最近出现了。基于多中心研究的数据分析,作者着手验证手术技术与术后出血之间的关系。
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引用次数: 4
Virtual Away Rotations for Aspiring Otolaryngologists to Combat the Impact of COVID-19 on the Match 为有抱负的耳鼻喉科医生提供虚拟客场轮转,以应对COVID-19对比赛的影响
Pub Date : 1900-01-01 DOI: 10.24983/scitemed.aohns.2021.00152
Brett Campbell, Arash R. Safavi, G. Grillone, C. Brook, Jessica R. Levi
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引用次数: 1
期刊
Archives of Otorhinolaryngology-Head & Neck Surgery
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