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Recalcitrant Neck Abscesses as a Late Complication of Neck Liposuction: Case Report 颈部吸脂术晚期并发症之顽固性颈部脓肿:病例报告
Pub Date : 2024-07-02 DOI: 10.33552/ojor.2024.07.000653
Eduardo Lopez Orozco
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引用次数: 0
Creating A Protocol for the Management of Epistaxis in A Tertiary Care Centre-A Practical Application of the British Rhinological Society Multidisciplinary Consensus Recommendations on the Hospital Management of Epistaxis 创建三级护理中心鼻出血管理协议——英国鼻学会多学科共识建议在鼻出血医院管理中的实际应用
Pub Date : 2022-02-08 DOI: 10.33552/ojor.2022.05.000611
N. Lewis
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引用次数: 0
Ectopic Thyroid Mimicking A Thyroglossal Duct Cyst: A Case Report 异位甲状腺模拟甲状舌管囊肿1例报告
Pub Date : 2022-01-19 DOI: 10.33552/ojor.2022.05.000610
Wilfrid Lendoye
Thyroid ectopy is a rare condition, caused by dysfunction during migration of the thyroid gland during its embryogenesis. It is generally associated with subclinical hypothyroidism. Patients with this pathology are mostly asymptomatic. It is seen in childhood by an anterior cervical mass which confuses it with a cyst of the thyroglossal tract. The diagnosis is made by ultrasound imaging, scintigraphy and histological examination. Management is essentially hormonal. Surgery is considered in case of complication.
甲状腺异位是一种罕见的疾病,是由于甲状腺在胚胎发育过程中迁移过程中的功能障碍引起的。它通常与亚临床甲状腺功能减退有关。具有这种病理的患者大多无症状。儿童期可见前颈椎肿块,易与甲状舌道囊肿混淆。通过超声、显像和组织学检查进行诊断。管理本质上是荷尔蒙。如有并发症,可考虑手术治疗。
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引用次数: 0
A Clinical Epidemiological Study of Patients with Coronavirus Disease Associated Mucormycosis Treated at A Tertiary Care Nodal Centre 某三级保健中心治疗冠状病毒病相关毛霉病患者的临床流行病学研究
Pub Date : 2022-01-04 DOI: 10.33552/ojor.2022.05.000609
M. Reddy Y
Objective: The main objective of this study was to assess clinical and epidemiological factors associated with coronavirus disease associated mucormycosis (CAM) and furthermore to recognize the role of vaccination in preventing the progression of mucormycosis. Materials and methods: A retrospective observational study was conducted on 300 patients with past history of being treat-ed for coronavirus disease and who presented to our department with symptoms of invasive fungal sinusitis. The data were analyzed to assess the factors associated with CAM. Results and Conclusion: Receiving COVID-19 vaccination either one or two doses had some statistically significant associa-tion with CAM, however, only a small number of patients received vaccination doses. Other factors including age, gender, dia-betes (denovo vs. chronic), steroid use, oxygen, and remdesivir administration were not significant. Vaccination may play a key role in lessening the sequelae and mortality due to Covid-19 while providing protection against CAM.
目的:本研究的主要目的是评估与冠状病毒病相关毛霉病(CAM)相关的临床和流行病学因素,并进一步认识疫苗接种在预防毛霉病进展中的作用。材料与方法:对300例以侵袭性真菌性鼻窦炎症状就诊的冠状病毒病治疗史患者进行回顾性观察研究。对数据进行分析以评估与CAM相关的因素。结果与结论:接种一剂或两剂新冠肺炎疫苗与CAM有一定的统计学意义,但只有少数患者接种了疫苗剂量。其他因素包括年龄、性别、糖尿病(原发性与慢性)、类固醇使用、氧气和瑞德西韦给药均不显著。疫苗接种可能在减少Covid-19的后遗症和死亡率方面发挥关键作用,同时提供针对CAM的保护。
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引用次数: 0
Defining High-Risk Tracheostomy in the Intensive Care Unit 重症监护病房高危气管切开术的定义
Pub Date : 2021-12-03 DOI: 10.33552/ojor.2021.05.000608
E. Gunn
Percutaneous dilational tracheostomy (PDT) is becoming a ubiquitous bedside procedure in the intensive care unit (ICU) in patients requiring prolonged invasive mechanical ventilatory support. Complications of PDT include bleeding, airway compromise, hypoxemia, and procedural failure. There is no clear definition for which patients are considered high-risk for these complications, therefore, we set out to review existing data and define the clinical parameters of a high-risk tracheostomy in the ICU.
经皮扩张性气管造口术(PDT)正在成为重症监护病房(ICU)中需要长时间有创机械通气支持的患者普遍采用的床边手术。PDT的并发症包括出血、气道损伤、低氧血症和手术失败。没有明确的定义,哪些患者被认为是这些并发症的高危患者,因此,我们着手回顾现有的数据,并定义高危气管切开术在ICU的临床参数。
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引用次数: 0
High And Dehiscent Jugular Bulb in External Ear Canal: A Case Report 外耳道颈静脉球高裂1例
Pub Date : 2021-11-09 DOI: 10.33552/ojor.2021.05.000607
Isaac Montoya Hernández
The high jugular bulb is the common anatomical variation of the jugular bulb in the temporal bone. Encounters with jugular bulb abnormalities during ear surgery are a rare but recognized problem. The case of a 60-year-old male with a subtotal dry eardrum perforation who underwent and elective tympanoplasty and unexpected brisk hemorrhage in external acoustic canal incisions is presented.
高颈静脉球是颞骨颈静脉球的常见解剖变异。在耳外科手术中遇到颈静脉球异常是一个罕见但公认的问题。病例60岁的男性与几乎全干性鼓膜穿孔谁接受和选择性鼓室成形术和意外的剧烈出血外耳道切口提出。
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引用次数: 0
Intralabyrinthine Cholesterol Granuloma with Rapid Progression After Acute Hemorrhage, A Common Origin? 急性出血后快速进展的蛋氨酸内胆固醇肉芽肿,是否有共同的起源?
Pub Date : 2021-09-22 DOI: 10.33552/ojor.2021.05.000605
Marta Navarro Fornas
We present the case of a cholesterol granuloma after acute hemorrhage in the inner ear with rapid progression to adjacent structures such as vestibular aqueduct or inner auditory canal. After 6 months of its total resection, the patient has had no local recurrence.
我们报告一例内耳急性出血后的胆固醇肉芽肿,并迅速进展到邻近结构,如前庭导水管或内耳道。全切除6个月后,患者无局部复发。
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引用次数: 0
Evolution of Joint Pain in Patients Treated with Discopexy: Retrospective Study of a Series of Cases 关节内固定治疗患者关节疼痛的演变:一系列病例的回顾性研究
Pub Date : 2021-09-17 DOI: 10.33552/ojor.2021.05.000604
K. Cristoff
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引用次数: 0
Conservative Management of Pharyngo-Cutaneous Fistula Following Traditional Tonsillotomy: A Case Report 传统扁桃体切开术后咽皮瘘的保守治疗1例
Pub Date : 2021-08-20 DOI: 10.33552/ojor.2021.05.000603
Abdullahi Musa Kirfi
Pharyngo-cutaneous fistula is a communication between the pharynx and the skin. It may occur as a result of surgical procedure, deep neck space infections and malignancies of the upper aerodigestive tract. It may also result from perforation by an upper aerodigestive foreign body. We present a 26 year old housewife and mother of 2, presented to our facility with complaints of anterior neck opening discharging pus and food particles following traditional tonsillotomy. Examination revealed chronically ill-looking woman, weak, lying on couch, wasted, dehydrated. Poor oro-dental hygiene, enlarged and inflamed left tonsil, shattered right tonsil with a cavity at the inferior pole exuding pus. Neck examination revealed dyschromic anterior neck skin, features of dermatitis, a supra-sternal wound measuring 2x2cm exuding pus. An assessment of Pharyngo-cutaneous fistula from traditional tonsillotomy was made. Patient was resuscitated, placed on intravenous antibiotics, nasogastric intubation for feeding and daily wound dressing. Full blood count, electrolytes and urea as well as barium fistulography was done. Packed cell volume of 32.1%, White blood cell count of 11.9x109/L, Neutrophilia of 81.6%, platelets count of 141x109/L. Electrolytes, Urea and Creatinine revealed hyponatremia of 133mMol/L, hypokalaemia of 2.8 mMol/L, other parameters were normal. Retroviral screening was non-reactive. Barium fistulography revealed numerous fistulous tracts from the oropharynx, the largest being 13x1.5cm. The airways appear intact. Fistula became closed three weeks after commencement of conservative management. We conclude that pharyngocutaneous fistula from traditional tonsillotomy can be managed conservatively with nasogastric intubation, intravenous antibiotics, wound care, fluid and electrolyte replacement as well as nutritional rehabilitation.
咽-皮瘘是咽与皮肤之间的通道。它可能发生在外科手术,深颈间隙感染和上呼吸道恶性肿瘤的结果。它也可能由上呼吸道消化异物穿孔引起。我们报告一位26岁的家庭主妇和2个孩子的母亲,在传统的扁桃体切除术后,因前颈部开口排出脓液和食物颗粒而来到我们的设施。检查显示,这名妇女长期相貌不佳,身体虚弱,躺在沙发上,身体消瘦,脱水。口腔卫生不良,左扁桃体肿大发炎,右扁桃体粉碎,下极有腔渗出脓液。颈部检查显示前颈部皮肤异常,皮炎特征,胸骨上伤口2x2cm,渗出脓液。对传统扁桃体切开术的咽皮瘘进行了评价。患者被复苏,静脉注射抗生素,鼻胃插管喂养和每日伤口敷料。全血细胞计数,电解质和尿素以及钡瘘造影。填充细胞体积32.1%,白细胞计数11.9 × 109/L,中性粒细胞81.6%,血小板计数141x109/L。电解质、尿素、肌酐显示低钠133mMol/L,低钾2.8 mMol/L,其他参数正常。逆转录病毒筛查无反应。钡剂瘘管造影显示口咽部有大量瘘管,最大的为13x1.5cm。气道看起来完好无损。瘘在保守治疗开始三周后关闭。我们认为,传统扁桃体切开术引起的咽皮瘘可以通过鼻胃插管、静脉注射抗生素、伤口护理、液体和电解质替代以及营养康复进行保守治疗。
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引用次数: 0
Idiopathic Subglottic Stenosis 特发性声门下狭窄
Pub Date : 2021-07-16 DOI: 10.33552/ojor.2021.05.000602
Christine M. Carmichael
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引用次数: 0
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Online Journal of Otolaryngology and Rhinology
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