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A Rare Case of Eagle Syndrome Associated with Tonsil Hypertrophy: Case Report with Literature Review 罕见鹰综合征伴扁桃体肥大1例报告并文献复习
Pub Date : 2021-07-01 DOI: 10.33552/ojor.2021.05.000601
R. M. El Hafed
Eagle’s syndrome, or stylohyoid complex syndrome, is a rare facial pain syndrome characterised by latero-cervical pain radiating to the face, pharyngeal pain increased by swallowing, linked to an abnormal enlargement of the styloid or calcification of the stylo-hyoid ligament. The incidence of the presentation is about 4 to 8 per 10,000 individuals. The establishment of the diagnosis is a challenge in itself as we need to differentiate it from the neuralgias of cranial nerve such as glossopharyngeal neuralgia and superior laryngeal neuralgias. The surgical management of the Eagle syndrome consists in the shortening of the elongated styloid process, with the surgical access by intra oral or cervical. We report a case of a 28-year- old men admitted to our otorhinolaryngology department with sharp neck pain and a sensation of having a foreign body in the throat. Physical examination found bilateral tonsilar hypertrophia, with palpation of a solid immobile structure. CT scan with 3D reconstruction revealed elongated styloid processes with ossification of the left stylo-hyoid ligament. The patient was treated by tonsillectomy with excision of styloid processes by intra oral approach.
鹰氏综合征,又称茎突舌骨复合体综合征,是一种罕见的面部疼痛综合征,其特征是颈侧疼痛放射到面部,咽部疼痛因吞咽而加重,与茎突异常肿大或茎突舌骨韧带钙化有关。这种症状的发生率约为每10000人中有4到8人。诊断的建立本身就是一个挑战,因为我们需要将其与颅神经神经痛如舌咽神经痛和喉上神经痛区分开来。Eagle综合征的外科治疗包括缩短茎突,通过口内或颈内手术进入。我们报告一例28岁男性患者,因颈部剧痛及喉内有异物之感觉而入住耳鼻咽喉科。体格检查发现双侧扁桃体肥大,触诊为实性不动结构。CT三维重建显示茎突拉长,左侧茎突舌骨韧带骨化。经口内入路扁桃体切除茎突治疗。
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引用次数: 0
Endoscopic Transnasal Resection of Adenoid Cystic Carcinoma of the Nasal Septum: A Case Report and Literature Review 经鼻内镜下鼻中隔腺样囊性癌切除术1例报告及文献复习
Pub Date : 2021-06-21 DOI: 10.33552/ojor.2021.04.000600
Tessei Kuruma
Very few reports have described adenoid cystic carcinoma of the nasal septum. We performed endoscopic endonasal surgical resection of an adenoid cystic carcinoma of the nasal septum in a 61-year-old woman. Histological examination confirmed adenoid cystic carcinoma. The patient has had no local recurrence or distant metastases as of 3 years postoperatively.
很少有关于鼻中隔腺样囊性癌的报道。我们对一位61岁的女性进行鼻内窥镜手术切除鼻中隔腺样囊性癌。组织学检查证实为腺样囊性癌。患者术后3年无局部复发或远处转移。
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引用次数: 0
Permanent Childhood Hearing Loss in Infants with Hypoxic Ischaemic Encephalopathy: Incidence and Risk Factors 婴儿缺氧缺血性脑病的永久性儿童听力丧失:发病率和危险因素
Pub Date : 2021-06-15 DOI: 10.33552/ojor.2021.04.000599
Alpana Kulkarni
Objective: To study the incidence of permanent hearing loss in infants with hypoxic ischaemic encephalopathy (HIE) and the risk factors associated with hearing loss. Study design: A single centre retrospective cohort study was completed in all term and near term infants with HIE over 9 years (2010-18). Newborn screening with one/two stage protocol was carried out initially (automated otoacoustic emissions only or with automated auditory brainstem testing if baby in NICU for more than 48 hours) of all babies with HIE. Babies with Stage 2 and 3 HIE were cooled. Those who failed this protocol had diagnostic auditory brainstem testing (ABR) which identified the hearing loss as sensorineural or auditory neuropathy spectrum disorder. Aetiological investigations were done to rule out other causes of sensorineural hearing loss including MRI IAMS, cytomegalovirus and Connexin 26 testing. Results: Ninety-nine babies were eligible and 8 died. Ten out of 91 babies failed the newborn screen. Of the 10, 8 (8.8%) had permanent hearing loss. Six out of 8 babies had bilateral sensorineural hearing loss, 1 had unilateral sensorineural hearing loss and 1 had unilateral auditory neuropathy spectrum disorder. Permanent hearing loss was associated with low Apgar score at 1 and 5 min (CI 0.5, 3.9, p=0.01), persistent pulmonary hypertension (p=0.0002, CI-0.5,-0.2) and loop diuretics (CI-0.4,-0.1, p=0.0002). Permanent hearing loss was found in all grades of HIE. Conclusion: This study adds to the previous studies indicating that there is high incidence of permanent hearing loss seen in term and near term babies with HIE (cooled as well as not cooled). Further studies with larger samples are needed to study the risk factors in this cohort and compare the incidence of hearing loss in cooled versus not cooled babies. What’s new: This study confirms that permanent hearing loss of all degree and severity can occur in all grades of hypoxic ischaemic encephalopathy. It indicates that auditory neuropathy spectrum disorder can develop secondary to HIE. Association between low Apgar score at 1 and 5 min, PPHN, loop diuretics and development of permanent hearing loss is significant and needs to be explored further.
目的:探讨新生儿缺氧缺血性脑病(HIE)永久性听力损失的发生率及相关危险因素。研究设计:对所有9岁以上(2010- 2018年)的足月和近足月HIE婴儿进行单中心回顾性队列研究。采用一/两阶段方案对所有HIE婴儿进行新生儿筛查(仅进行自动耳声发射,如果婴儿在NICU超过48小时,则进行自动听觉脑干检测)。第2期和第3期HIE的婴儿被冷却。未通过该方案的患者进行了诊断性听觉脑干测试(ABR),该测试将听力损失确定为感觉神经或听神经病变谱系障碍。病因学调查排除感音神经性听力损失的其他原因,包括MRI、巨细胞病毒和连接蛋白26检测。结果:符合条件的婴儿99例,死亡8例。91名婴儿中有10名未能通过新生儿筛查。在这10人中,8人(8.8%)有永久性听力损失。8例患儿中6例为双侧感音神经性听力损失,1例为单侧感音神经性听力损失,1例为单侧听神经病变谱系障碍。永久性听力损失与1分钟和5分钟Apgar评分低(CI 0.5, 3.9, p=0.01)、持续性肺动脉高压(p=0.0002, CI-0.5,-0.2)和袢利尿剂(CI-0.4,-0.1, p=0.0002)相关。所有等级的HIE患者均出现永久性听力损失。结论:本研究增加了先前的研究,表明足月和近期HIE婴儿(冷却和未冷却)的永久性听力损失发生率很高。需要更大样本的进一步研究来研究这一队列中的危险因素,并比较冷却婴儿和未冷却婴儿的听力损失发生率。最新进展:这项研究证实,所有程度和严重程度的永久性听力损失都可能发生在所有级别的缺氧缺血性脑病中。提示听神经病变谱系障碍可继发于HIE。低Apgar评分在1和5分钟,PPHN,利尿剂和发展的永久性听力损失之间的关系是显著的,需要进一步探讨。
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引用次数: 1
Therapeutic Induction of Interleukin-10 by Theophylline Administration for the Treatment of Hyposmia 茶碱诱导白细胞介素-10治疗低氧症
Pub Date : 2021-06-09 DOI: 10.33552/ojor.2021.04.000598
R. Henkin
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引用次数: 2
"Complications in Blepharoplasty and How to Resolve Them" 眼睑成形术中的并发症及解决方法
Pub Date : 2021-05-24 DOI: 10.33552/ojor.2021.04.000597
Marcos-Antonio Rodriguez Perales
Any type of eyelid correction or postoperative blepharoplasty complication should be well managed and studied before attempting its correction, as it could lead to a worsening of the original alteration. Although postoperative scars in a blepharoplasty are relatively rare, they can generally be improved by massage and late with the application of topical corticosteroids, with the understanding that their best use is during the first twelve months. An early intervention should be avoided as this can worsen the result and rarely improve the final result, when there is a healing problem, remembering that stress is a determining factor in the final result. The laxity of the canthus tendons should always be evaluated either by directly pulling the eyelid down, with an eyelid glide test, the impingement test, and a poor eyelid position prior to surgery should always be documented. In these cases, the surgeon who operates blepharoplasty must have a perfect knowledge of the management of the canthal tendons and have within his surgical resources the realization of the canthal application or the repositioning of the palpebral canthal tendon.
任何类型的眼睑矫正或术后眼睑成形术并发症都应在尝试矫正前进行良好的管理和研究,因为它可能导致原有改变的恶化。虽然眼睑成形术术后的疤痕相对罕见,但通常可以通过按摩和后期局部使用皮质类固醇来改善,要明白在最初的12个月里使用皮质类固醇是最好的。应该避免早期干预,因为这可能会恶化结果,很少会改善最终结果,当有一个愈合问题时,记住压力是最终结果的决定性因素。要评估眼角肌腱的松弛程度,可以直接下拉眼睑,同时进行眼睑滑动试验、撞击试验,手术前记录眼睑位置不佳的情况。在这些情况下,进行眼睑成形术的外科医生必须对眦肌腱的处理有完善的了解,并在他的手术资源范围内实现眦应用或眼睑眦肌腱的重新定位。
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引用次数: 0
Multisession Radiosurgery for Large Glomus Jugulare Tumors in and Around Jugular Foramen 颈静脉孔内及周围大颈静脉球瘤的多期放射治疗
Pub Date : 2021-04-14 DOI: 10.33552/OJOR.2021.04.000596
Y. Kida
There are two cases of large glomus jugulare tumors growing in and around jugular foramen, and they were successfully treated with multi- session gamma knife treatments. The tumors demonstrated remarkable shrinkage without any neurological deterioration and serious adverse effects. Since the surgical procedure may associate serious complications often, stereotactic radiosurgery seems to be a promising option.
本文报告2例颈静脉球瘤生长于颈静脉孔内及周围,经多次伽玛刀治疗均成功。肿瘤明显缩小,无神经功能恶化及严重不良反应。由于手术过程可能经常伴有严重的并发症,立体定向放射手术似乎是一个有希望的选择。
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引用次数: 0
Clinical Evaluation of Efficacy of Cyanoacrylate Glue and Conventional Polypropylene Suturing in Cutaneous Wounds-A Comparitive Study 氰基丙烯酸酯胶与常规聚丙烯缝合皮肤创面的临床疗效比较研究
Pub Date : 2021-04-09 DOI: 10.33552/OJOR.2021.04.000595
M. Alakananda
Introduction: The benefits of assisting closure by holding the opposing edges of a wound together have been recognized in the last 5000 years. There are several well-proven techniques of skin closure using a variety of materials like braided or monofilament material, absorbable and nonabsorbable conventional suture materials, metal clips and adhesive tapes. Conventional skin suturing techniques do have certain disadvantages. From the past three decades, many new biomaterials have been discovered in the medical field. Bio-adhesives are one among them. These materials when applied on the incised tissues possess the ability to bind them together. This group of adhesives are called Cyanoacrylates. The purpose of the study was to compare the efficacy and clinical outcome of the two techniques of wound closure by using conventional polypropylene suturing and cyanoacrylate glue. Objectives of the study: The objective of this study was to compare the pain, duration of the procedure, postoperative infection, wound dehiscence and esthetic outcome of cyanoacrylate with the polypropylene suturing in skin wounds. Materials and method: A total number of 50 subjects, with lacerations of head and neck region in the age group of 15-40 years were included in the study. Group I: Lacerations closed using polypropylene Group II: Lacerations closed using cyanoacrylates Variables like pain, esthetic outcome, time taken, wound dehiscence, infection was taken into account. Conclusion: In our study we noted that cyanoacrylates is an easily applied material, has good physical properties, has good wound healing characteristics, overcomes the disadvantage and discomfort of suture removal, infection, duration of closure and produces cosmesis comparable to that produced by sutures with excellent patient satisfaction. With a limited number of samples and study, we conclude that with a proper patient selection, meticulous technique and limitation to external use, Cyanoacrylate can serve as a good and reliable alternative to sutures for lacerated wounds in the minimal tension areas of the face.
简介:在过去的5000年里,人们已经认识到通过将伤口的相对边缘保持在一起来帮助闭合的好处。有几种经过验证的皮肤闭合技术,使用各种材料,如编织或单丝材料,可吸收和不可吸收的传统缝合材料,金属夹和胶带。传统的皮肤缝合技术确实有一定的缺点。在过去的三十年里,在医学领域发现了许多新的生物材料。生物胶粘剂就是其中之一。当将这些材料应用于切割的组织时,它们具有将它们结合在一起的能力。这类粘合剂被称为氰基丙烯酸酯。本研究的目的是比较常规聚丙烯缝合和氰基丙烯酸酯胶缝合两种缝合方法的疗效和临床效果。研究目的:本研究的目的是比较氰基丙烯酸酯和聚丙烯缝合在皮肤伤口中的疼痛、手术时间、术后感染、伤口裂开和美观效果。材料与方法:选取年龄15 ~ 40岁的头颈部有撕裂伤的患者50例。第1组:聚丙烯缝合伤口第2组:氰基丙烯酸酯缝合伤口考虑疼痛、美观、时间、伤口裂开、感染等因素。结论:在我们的研究中,我们注意到氰基丙烯酸酯是一种易于应用的材料,具有良好的物理性能,具有良好的伤口愈合特性,克服了缝线拆除、感染、缝合时间等缺点和不适,并产生了与缝线相当的美容效果,患者满意度很高。通过有限的样本和研究,我们得出结论,通过适当的患者选择,细致的技术和限制外用,氰基丙烯酸酯可以作为面部最小张力区域撕裂伤伤口缝合的良好可靠的替代方法。
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引用次数: 0
The New Strategy in Head and Neck Cancer-Changes in Diagnosis and Survival 头颈部肿瘤的新策略——诊断和生存的变化
Pub Date : 2021-03-16 DOI: 10.33552/OJOR.2021.04.000594
A. Rapoport
The approach for Head and Neck Cancer (HNC) is directly related to the predominance (90%) of Squamous Cell Carcinoma (SCC), where the transition from pre-cancer status to neoplastic clinical lesion is related to stromal inflammation and immune deflection [1]. This focus explain the clinical evolution of the disease and the prognosis without interference of the therapy, where a serie of HPV mucosal viruses determine an oncogenic high risk [2]. Beside the large number of SCC, is mandatory the recognition of a phenothipics changes in these neoplasias, where a great variance of behavior must be considered [3].
头颈癌(HNC)的入路与鳞状细胞癌(SCC)的优势(90%)直接相关,鳞状细胞癌从癌前状态向肿瘤临床病变的转变与间质炎症和免疫偏转有关[1]。这一重点解释了在不干扰治疗的情况下疾病的临床演变和预后,其中一系列HPV粘膜病毒确定了致癌高风险[2]。除了大量的SCC外,必须认识到这些肿瘤的表型变化,其中必须考虑到行为的巨大差异[3]。
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引用次数: 0
A Case that Should be Considered in Recurrent Rhinosinusity in Childhood: Rhinolite 儿童复发性鼻窦炎应考虑的一个病例:鼻石
Pub Date : 2021-03-09 DOI: 10.33552/OJOR.2021.04.000593
M. Dogan
Introduction: Rhinolitis is a very common disorder in all age groups. It can manifest itself with headache, nasal congestion, bad breath, and recurrent infections. Its diagnosis can be made by anterior rhinoscopy, endoscopy, and radiology. Its treatment is surgery. Case report: A 9-year-old male patient was admitted to our clinic with recurrent nasal infection. In the endoscopic examination, a hard, irregular mass was found in the right nasal passage. Opacity was observed in the right nasal floor on direct radiography. The mass, which was removed under general anesthesia, was sent to pathology. Pathology result was compatible with rhinolith. Discussion: Rhinolitis has been known for years. Rhinolitis may be asymptomatic in some patients. Rhinolitis is the first diagnosis to be considered in recurrent infections and halitosis together with a foreign body.
鼻炎是一种非常常见的疾病,在所有年龄组。它可以表现为头痛、鼻塞、口臭和反复感染。其诊断可通过前鼻镜、内窥镜和放射学进行。它的治疗方法是手术。病例报告:一名九岁男童因复发性鼻腔感染而入院。在内镜检查中,在右鼻通道发现一个坚硬的不规则肿块。右侧鼻底x线平片可见混浊。在全身麻醉下取出的肿块被送到了病理科。病理结果与鼻石吻合。讨论:鼻炎已被发现多年。有些患者可能没有鼻炎症状。在反复感染和口臭伴有异物时,鼻炎是首先要考虑的诊断。
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引用次数: 0
Demodex and Itching Ears 蠕形螨和耳朵瘙痒
Pub Date : 2021-03-05 DOI: 10.33552/OJOR.2021.04.000592
E. Nastase
While facial skin demodicosis was investigated during the time, ear demodicosis has only few but not to be neglected references. This ear disease should also be included on the list of the differential diagnosis in patients with damaged ears, especially when itching is one of the symptoms.
虽然在此期间对面部皮肤蠕虫病进行了调查,但耳部蠕虫病的参考文献很少,但不容忽视。这种耳部疾病也应列入耳朵受损患者的鉴别诊断清单,特别是当瘙痒是症状之一时。
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引用次数: 0
期刊
Online Journal of Otolaryngology and Rhinology
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