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Occupational Noise-Induced Hearing Loss (ONIHL) and Fishing 职业性噪音引致的听力损失与钓鱼
Pub Date : 2019-05-21 DOI: 10.33552/ojor.2019.01.000516
Lucio Maci
Fishing is a working environment, which, due to the presence of engines and noisy equipment, can lead to hearing problems, especially for workers who are more exposed, such as motorists. It is emphasized that prevention, the only weapon available, is more difficult at sea.
钓鱼是一种工作环境,由于存在发动机和嘈杂的设备,可能会导致听力问题,特别是对于那些接触较多的工人,如驾驶者。需要强调的是,预防是唯一可用的武器,但在海上更为困难。
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引用次数: 1
The Invisible Handicaps of O.R.L. Detroit 底特律O.R.L.公司的隐形障碍
Pub Date : 2019-04-25 DOI: 10.33552/ojor.2019.01.000514
Lucio Maci
In case of disability, we talk about activity limitation. Participation refers to the involvement of a person in a real-life situation; in the case of disability, we talk about restriction of participation. The ICIDH (International Classification of Disabilities), developed at the initiative of the World Health Organization, focuses on the positive side of the individual expressed in terms of functioning, the negative side being referred to as the handicap. Any worker struggling with the consequences of occupational deafness should ideally benefit from adequate assessment, workplace adaptation, and social and professional support and rehabilitation services in order to respond to their needs. health, well-being and safety needs. This care should naturally and necessarily exceed the only principles of the logic of compensation.
在残疾的情况下,我们谈论活动限制。“参与”指的是一个人在现实生活中的参与;在残疾的情况下,我们谈论的是参与的限制。在世界卫生组织的倡议下制定的《国际残疾分类》侧重于以功能表示的个人的积极方面,而消极方面则被称为残疾。任何与职业性耳聋的后果作斗争的工人都应该从适当的评估、工作场所适应以及社会和专业支持和康复服务中受益,以满足他们的需求。健康、福祉和安全需求。这种关心自然也必然超越补偿的唯一原则。
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引用次数: 0
Grisel Syndrome: A Rare Complication of Pediatric Adenotonsillectomy Grisel综合征:小儿腺扁桃体切除术中一种罕见的并发症
Pub Date : 2019-04-18 DOI: 10.33552/ojor.2019.01.000513
E. Amadei
We report our casuistry of 1231 pediatric adenotonsillectomies. All were performed at our Hospital during the period 2009-2018 by the same surgeon. In adult patients adenoidectomy is rarely indicated. The main indication for tonsillectomy is given by recurring inflammations/infections. From international guidelines the indication is given by 5 or more episodes of tonsillitis per year, for at least 2 consecutive years [1]. In pediatric patients, on the other hand, the main indication for adenoidectomy is given by nasal breathing difficulty and by recurrent acute or chronic otitis. The indication for tonsillectomy is essentially represented by obstruction of the upper airways caused by hypertrophic tonsils, with consequent night snoring and sleep apnea. Adenotonsillectomy is a routine surgery for an otolaryngologist, but never trivial. In fact, there are many transient problems after surgery: these are mainly represented by the difficulty in swallowing, halitosis, fever, earache, post-tonsillectomy hemorrhage. This last complication has an incidence in our casuistry of 3% per year, as in the international case studies. In 4 cases we found a persistent torcicollis.
我们报告1231例小儿腺样腺瘤切除术的病例。所有病例均于2009-2018年由同一位外科医生在我院进行手术。成人患者很少行腺样体切除术。扁桃体切除术的主要适应症是复发性炎症/感染。根据国际指南,每年扁桃体炎发作5次或5次以上,至少连续2年,即为适应症。另一方面,在儿科患者中,腺样体切除术的主要指征是鼻腔呼吸困难和复发性急性或慢性中耳炎。扁桃体切除术的指征主要表现为扁桃体肥大引起的上呼吸道阻塞,随之而来的夜间打鼾和睡眠呼吸暂停。腺扁桃体切除术是耳鼻喉科医生的常规手术,但绝不是小事。事实上,术后有许多短暂性问题:这些主要表现为吞咽困难、口臭、发热、耳痛、扁桃体切除后出血。最后一种并发症在我们的诡辩中每年的发生率为3%,与国际病例研究相同。其中4例发现持续性斜颈。
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引用次数: 0
Imaging in Simple Nasal Trauma. Is Current Practice Uniform Worldwide? –A Survey of Global Practices 单纯性鼻外伤的影像学分析。现行做法是全球统一的吗?-全球实践调查
Pub Date : 2019-02-19 DOI: 10.33552/ojor.2019.01.000512
R. Chawla, M. Perry
Background: Currently in the UK, it is accepted that imaging is no longer routinely undertaken if nasal injuries are suspected clinically. The argument for this is that it does not affect management in a clinically obvious fracture. Occasionally, nasal and septal fractures may be an incidental finding following CT head or facial bones and this can opportunistically help plan treatment. Whilst this rationale for a relatively straight forward clinical problem is generally agreed within the UK, anecdotally it appeared that this is not always the case overseas. We therefore set out to see if there was indeed a significant diversity of opinion in the assessment of what is essentially a ‘simple’ injury. Methodology: A questionnaire was sent to surgeons across the globe. Questions included the role of imaging in the assessment of acute nasal fractures, experience of ORIF and imaging of secondary nasal deformity in their day-to-day clinical practice. Results: 343 responses were received from 95 countries from a range of specialties: A&E, plastic surgery, ENT, OMFS and general surgery. Interestingly, in many countries plain films are still undertaken in the assessment of simple acute nasal trauma. CT imaging is occasionally performed for secondary corrective procedures. Conclusion: Internationally, the practice and need for imaging in the assessment of nasal injuries vary greatly. Even in 2018, there still does not appear to be universally agreed diagnostic pathways for what most clinicians would consider to be a common and simple injury. Historic practice and personal opinion seem to still trump any evidence base.
背景:目前在英国,如果临床怀疑鼻腔损伤,影像学检查已不再是常规检查。这样做的理由是,它不会影响临床明显骨折的治疗。偶尔,鼻和鼻中隔骨折可能是头部或面部骨骼CT后偶然发现的,这可以机会性地帮助计划治疗。虽然这种相对直接的临床问题的基本原理在英国得到普遍认同,但有趣的是,在海外似乎并不总是如此。因此,我们开始看看在评估什么是本质上的“简单”伤害时,是否确实存在显著的意见分歧。方法:向全球的外科医生发送了一份调查问卷。问题包括影像学在评估急性鼻骨折中的作用,ORIF的经验以及继发性鼻畸形的影像学在日常临床实践中的应用。结果:我们收到了来自95个国家的343份回复,涉及的专业包括:急诊科、整形外科、耳鼻喉科、OMFS和普通外科。有趣的是,在许多国家,在评估单纯急性鼻外伤时仍采用平片。CT成像偶尔用于二次矫正手术。结论:国际上对鼻部损伤的影像学评估方法和需求差异较大。即使在2018年,对于大多数临床医生认为常见和简单的损伤,似乎仍然没有普遍认可的诊断途径。历史实践和个人观点似乎仍然胜过任何证据基础。
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引用次数: 0
Internal Carotid Artery Dissection Causing Lower Cranial Neuropathies 颈内动脉剥离引起下颅神经病变
Pub Date : 2019-02-11 DOI: 10.33552/ojor.2019.01.000511
Clare Perkins, M. Atfeh, M. Medcalf
As a recognised cause of acute stroke, particularly in younger patients, spontaneous carotid artery dissection is an important diagnosis to consider. Although advances in interventional radiology are improving diagnosis, it is still considered an underrecognised phenomenon [1]. It is estimated to account for around 2.5% of all strokes, but this figure is much higher for younger patients [2]. However, the clinical presentation can be varied, subtle and often challenging to make, with multiple different presentations described. Unilateral cranial nerve palsies, particularly of the lower cranial nerves, are a recognised sign in up to 12% of cervical artery dissections [1], and it is therefore vital to be able to recognise them. We present a case of a man referred to a head and neck cancer clinic with unilateral lower cranial neuropathies and neck pain who was subsequently found to have an internal carotid artery dissection.
作为急性中风的公认原因,特别是在年轻患者中,自发性颈动脉夹层是一个重要的诊断需要考虑。尽管介入放射学的进步正在改善诊断,但它仍然被认为是一种未被充分认识的现象[1]。据估计约占所有中风的2.5%,但这一数字在年轻患者中要高得多[2]。然而,临床表现可能是多种多样的,微妙的,往往具有挑战性,有多种不同的表现。单侧脑神经麻痹,特别是下脑神经麻痹,在高达12%的颈动脉夹层中是一个公认的症状[1],因此能够识别它们是至关重要的。我们提出的情况下,一名男子转诊到头颈癌诊所与单侧下颅神经病变和颈部疼痛谁随后被发现有颈内动脉夹层。
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引用次数: 0
Somatic Tinnitus and Manual Therapy: A Systematic Review 躯体耳鸣和手工疗法:系统综述
Pub Date : 2019-02-02 DOI: 10.33552/OJOR.2019.01.000510
B. Kinne, Linnea Christine Bays, Kara Lynne Fahlen, J. Owens
Background: In 2016, a systematic review was conducted to examine the effects of physical therapy interventions on individuals with subjective tinnitus. However, the research study investigated subjective tinnitus that may not have had a somatic origin. In addition, only one of the included studies specifically assessed the effectiveness of manual therapy. Objectives: The purpose of this systematic review was to examine the effects of manual therapy techniques on individuals with somatic tinnitus. Methods: A search was performed using the following databases: CINAHL Complete, ProQuest Medical Library, and PubMed. The search terms were “somatic tinnitus” OR “somatosensory tinnitus” AND “manual therapy”. An evaluation of the evidence level for each included article was conducted using the Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence, and an evaluation of the methodological rigor for each included article was conducted using criteria adapted by Medlicott and Harris. Results: A qualitative synthesis was ultimately performed on eight articles. The manual therapy techniques included in this systematic review were cervical mobilizations, myofascial techniques, osteopathic manipulations, soft tissue techniques, and manual therapy as developed by the School of Manual Therapy Utrecht. This systematic review also included complementary treatment approaches such as patient education, therapeutic exercise, transcutaneous electrical neurostimulation, and home exercise programs. Conclusion: Manual therapy appears to be an effective intervention for individuals with somatic tinnitus, especially if they have co-varying tinnitus or tinnitus sensitization. In addition, a multimodal intervention approach may be the ideal way in which to positively impact an individual’s activities of daily living.
背景:2016年进行了一项系统综述,研究物理治疗干预对主观性耳鸣患者的影响。然而,该研究调查了主观性耳鸣,可能没有躯体起源。此外,纳入的研究中只有一项专门评估了手工疗法的有效性。目的:本系统综述的目的是研究手工治疗技术对躯体耳鸣患者的影响。方法:使用以下数据库进行检索:CINAHL Complete、ProQuest Medical Library和PubMed。检索词为“躯体耳鸣”或“体感耳鸣”及“手法治疗”。使用牛津循证医学中心2011证据水平对每篇纳入文章的证据水平进行评估,并使用Medlicott和Harris采用的标准对每篇纳入文章的方法学严密性进行评估。结果:最终对8篇文章进行了定性合成。本系统综述中包括的手工治疗技术包括颈椎活动、肌筋膜技术、整骨疗法、软组织技术和乌得勒支手工治疗学院开发的手工治疗。该系统综述还包括补充治疗方法,如患者教育、治疗性运动、经皮神经电刺激和家庭运动计划。结论:手工疗法似乎是一种有效的干预个体与躯体耳鸣,特别是如果他们有共同变化的耳鸣或耳鸣敏化。此外,多模式干预方法可能是积极影响个人日常生活活动的理想方式。
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引用次数: 4
Classification of Nasal Deviation 鼻偏曲的分类
Pub Date : 2019-01-25 DOI: 10.33552/ojor.2019.01.000509
D AbdulRsJuratli
Due to its central location, the nose plays a prominent role in addressing the central facial axis which helps at camouflaging a large proportion of facial asymmetry. It gives the standard norm to the facial expressions, any little nasal deviation result in conspicuous facial disharmony and are often attended by nasal airway disfunction. The nasal deviation causes a cosmetic deformity that is often disconcerting for patients. Nasal deviation carries considerable risk at the nasal airflow by increasing the nasal valve resistance at the level of mid vault and/or lower alar structures. The lack of objective measurement of the external nasal deviation puts the professions at risk of standardizing the severity of the deviation. It deprives the nasal plastic surgeons of having a common thought about the most likely convenient and available techniques for correcting the deviation in upper, middle, and lower thirds and nasal root as the grade of deviation is indicated. This work is licensed under Creative Commons Attribution 4.0 License OJOR.MS.ID.000509. Online Journal of Otolaryngology and Rhinology Volume 1-Issue 2 Citation: Abdul RS Juratli. Classification of Nasal Deviation. Online Journal of Otolaryngology and Rhinology. 1(2): 2019. OJOR.MS.ID.000509. DOI: 10.33552/OJOR.2019.01.000509. Page 2 of 5 Nasal Parts and its Aesthetic Lines The external nose is divided into 3 parts; upper, middle and lower thirds [2]. The upper is a bony structure made from the nasal spine of the frontal bone, two nasal bones, and the ascending or frontal process of the maxilla on both sides. The Middle third is a cartilaginous extension of the nasal dorsum consists from a combination of triangular septal cartilage on the middle, the upper alar cartilages on each side and little sesamoid cartilages on the basal connection with the nasal bony pyriform aperture and the lower attachment of the alar base. The lower third is a fibrofatty cartilaginous structure with a condensation of retaining ligaments, it is structured by the lower alar cartilages, caudal part of the nasal septum and the anterior maxillary nasal spine. Alar base stabilization and the anterior nasal spine suture technique are essential for achieving a stable midline anchor for ensuring long-term straight nasal alignment. The dorsal aesthetic line [3] (DAL), provides a thoroughfare between the radix and nasal tip, it is in the middle between the two brow-tip aesthetic lines (BTAL) (Figure 2).
由于它的中心位置,鼻子在解决面部中心轴方面起着突出的作用,这有助于掩盖大部分面部不对称。它为面部表情提供了标准规范,任何轻微的鼻部偏差都会导致明显的面部不和谐,并经常伴有鼻气道功能障碍。鼻偏导引起的美容畸形往往是令人不安的病人。鼻偏曲通过增加中拱顶和/或下鼻翼结构水平的鼻阀阻力,在鼻腔气流中具有相当大的风险。由于缺乏客观的鼻外偏度测量方法,使得专业人员面临着将鼻外偏度的严重程度标准化的风险。它剥夺了鼻整形外科医生对矫正上、中、下三分之一和鼻根偏差的最可能方便和可用的技术的共同想法,因为偏差的程度表明。本作品采用知识共享署名4.0许可OJOR.MS.ID.000509。在线耳鼻咽喉病学杂志第1卷第2期引文:Abdul RS Juratli。鼻偏曲的分类。耳鼻咽喉杂志,1(2):2019。OJOR.MS.ID.000509。DOI: 10.33552 / OJOR.2019.01.000509。第2页5鼻部位及其美学线条外鼻分为3部分;上、中、下三分之一[2]。上鼻是由额骨的鼻棘、两根鼻骨和两侧上颌骨的升突或额突组成的骨结构。中三分之一是鼻背的软骨延伸,由中间的三角形鼻中隔软骨、两侧的上鼻翼软骨和与鼻骨梨状孔基部连接的小籽状软骨和鼻翼基部的下部附体组成。下三分之一为纤维脂肪软骨结构,由下鼻翼软骨、鼻中隔尾端和上颌前鼻棘组成。鼻翼基部稳定和鼻前棘缝合技术对于实现稳定的中线锚点以确保长期的鼻部直线对齐至关重要。背侧美学线[3](DAL)在鼻根和鼻尖之间提供一条通道,它位于两条眉尖美学线(BTAL)之间(图2)。
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引用次数: 0
Loss of Empathy in Medical Training: A Sad Behavioral Learning 医学训练中同理心的丧失:一种悲伤的行为学习
Pub Date : 2019-01-03 DOI: 10.33552/OJOR.2019.01.000508
J. Machado, Dalia Iveth Yocupicio Hernández
Empathy is a very important competence in health professionals, when working with human beings who are in a situation of vulnerability. Technological advances have caused a depersonalization of human relationships and with it a significant erosion of empathy [1,2]. We cannot deny the importance of technological progress, but it has also brought a loss and loss of empathy between health professionals and patients [3,4]. It is necessary to understand this phenomenon and work on it to maintain it, promote it and learn.
同理心是卫生专业人员在处理弱势人群时非常重要的能力。技术进步导致了人际关系的去人格化,并导致了同理心的严重侵蚀[1,2]。我们不能否认技术进步的重要性,但它也带来了卫生专业人员与患者之间移情的缺失和丧失[3,4]。必须了解这种现象,并努力维护它,促进它和学习。
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引用次数: 0
Ossifying Fibroma of Nasal Cavity: A Rare Case Report 鼻腔骨化纤维瘤1例报告
Pub Date : 2018-12-11 DOI: 10.33552/ojor.2018.01.000507
Tulachan Bishow
Ossifying fibroma is a rare benign fibro-osseous lesion more commonly seen in the head and neck regions. Despite a benign lesion, it behaves aggressively locally and possess higher recurrence nature. One may have a diagnostic challenge owing to its rapid progression and osteolytic nature and having the impression of malignant lesion. Here, we are presenting a case of 9 years old girl with complaints of left nasal obstruction and left facial swelling for 6 months.
骨化性纤维瘤是一种罕见的良性纤维-骨性病变,多见于头颈部。尽管是良性病变,但局部表现积极,具有较高的复发率。由于其快速进展和溶骨性,并有恶性病变的印象,可能有诊断上的挑战。在这里,我们提出一个9岁的女孩,主诉左侧鼻塞和左侧面部肿胀6个月。
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引用次数: 0
Ear, Nose and Throat Approach in Autoimmune Blistering Diseases 自身免疫性水疱病的耳、鼻、喉入路
Pub Date : 2018-10-30 DOI: 10.33552/ojor.2018.01.000504
Ismail Temel, Aslı Bilgic-Temel, D. Murrell
genitals. results tissue destruction loss, blindness, etc.) and functional limitations loss of teeth, etc.) because of chronic mucosal scarring Abstract Autoimmune blistering diseases (AIBD) are a group of rare blistering disorders of the skin and mucous membranes due to autoantibodies directed against specific proteins. Involvement of mucosal areas in AIBD significantly increases patient morbidity and mortality. Ear, nose and throat (ENT) examination should be a routine procedure to evaluate mucosal involvement in every AIBD. Patients should be asked whether they had oropharyngeal, ear, nose and throat symptoms and all patients should be evaluated for ENT manifestations by direct and endoscopic examination even in patients without symptoms.
生殖器。自身免疫性起泡病(AIBD)是一组罕见的皮肤和粘膜的起泡疾病,是由针对特定蛋白质的自身抗体引起的。累及粘膜区明显增加AIBD患者的发病率和死亡率。耳鼻喉(ENT)检查应该是评估每例AIBD患者粘膜受累的常规程序。应询问患者是否有口咽、耳鼻喉症状,即使无症状,也应通过直接和内镜检查评估所有患者的耳鼻喉科表现。
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引用次数: 0
期刊
Online Journal of Otolaryngology and Rhinology
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