Acta Oto-Laryngologica Case Reports最新文献

英文中文

Surgical drainage of pediatric gas-containing orbital subperiosteal abscess 小儿眼眶骨膜下含气脓肿的外科引流

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2023-02-01 DOI: 10.1080/23772484.2023.2169148

T. Iwanami, R. Kagoya, Keiichiro Isozaki, Ken Ito

引用次数: 1

Simultaneous repair of bilateral temporal bone meningoencephaloceles by combined mastoid-middle cranial fossa approach 乳突-中颅窝联合入路同时修复双侧颞骨脑膜脑膨出

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2023-01-11 DOI: 10.1080/23772484.2022.2162905

Kazuto Osaka, T. Okano, Masahiro Tanji, Koichi Omori

引用次数: 0

Transmembranous piston extrusion after stapedotomy: A rare complication 镫骨切开术后跨膜活塞挤压:罕见并发症

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2023-01-09 DOI: 10.1080/23772484.2022.2150627

H. B. E. Elzinga, H. Thomeer

引用次数: 0

Growth Modulation for the Treatment of Juvenile Hallux Valgus: A Systematic Review of Literature. 生长调节治疗青少年拇外翻:文献综述。

IF 0.8 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2023-01-01 DOI: 10.5005/jp-journals-10080-1579

Muadh AlZeedi, J Patrick Park, Yousef Marwan, Khaled Mousa Abu-Dalu, Reggie Hamdy, Chantal Janelle

Background: Juvenile hallux valgus (JHV) is a forefoot deformity that causes pain and functional limitation. Treatment poses a challenge in terms of the optimal technique and timing of intervention. A systematic review of the literature on the use of growth modulation in treating JHV was conducted.

Materials and methods: The literature review was performed using PubMed and EMBASE searches for articles investigating growth modulation in the treatment of JHV published before December 1st, 2021. Seven articles were included in the final review that matched the inclusion and exclusion criteria. The primary outcomes included the degree of correction of hallux valgus angle and intermetatarsal angle. A qualitative assessment of the articles was done due to the heterogeneity of the growth modulation methods used in these articles.

Results: A total of 135 feet from 78 patients were included from the reviewed articles. Growth modulation methods included temporary screw lateral hemiepiphysiodesis of the first metatarsal, lateral drilling hemiepiphysiodesis of the first metatarsal, and a trephine plug removal of the lateral epiphysis followed by cancellous bone graft insertion. The degree of correction of the hallux valgus and intermetatarsal angles were found to be statistically significant in all studies, regardless of the technique.

Conclusion: Growth modulation for JHV by lateral hemiepiphysiodesis using minimally invasive techniques produced favourable radiologic outcomes with some evidence of clinical improvement. Larger, prospective and comparative studies with objective clinical outcome measures may further consolidate this surgical approach as a mean to treating this deformity.

How to cite this article: AlZeedi M, Park JP, Marwan Y, et al. Growth Modulation for the Treatment of Juvenile Hallux Valgus: A Systematic Review of Literature. Strategies Trauma Limb Reconstr 2023;18(1):51-55.

背景:青少年拇外翻(JHV)是一种引起疼痛和功能限制的前足畸形。治疗在最佳技术和干预时机方面提出了挑战。对生长调节治疗JHV的文献进行了系统的回顾。材料和方法:使用PubMed和EMBASE检索在2021年12月1日之前发表的研究JHV治疗中生长调节的文章进行文献综述。最终审查中纳入了7篇符合纳入和排除标准的文章。主要结果包括拇外翻角和跖间角的矫正程度。由于这些文章中使用的生长调节方法的异质性，对这些文章进行了定性评估。结果:78名患者共135英尺被纳入综述文章。生长调节方法包括第一跖骨临时螺钉外侧半骨骺固定术，第一跖骨外侧钻孔半骨骺固定术，以及外侧骨骺取出套管塞，然后插入松质骨移植物。无论采用何种技术，所有研究均发现拇外翻和跖间角的矫正程度具有统计学意义。结论:采用微创技术通过侧半表皮成形术来调节JHV的生长，获得了良好的放射学结果和一些临床改善的证据。具有客观临床结果测量的更大规模、前瞻性和比较研究可能进一步巩固这种手术方法作为治疗这种畸形的手段。文章引用方式:AlZeedi M, Park JP, Marwan Y等。生长调节治疗青少年拇外翻:文献综述。创伤肢体重建[j]; 2018;18(1):51-55。

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引用次数: 0

Nasal floor augmentation for empty nose syndrome 鼻底隆胸术治疗空鼻综合征

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-12-31 DOI: 10.1080/23772484.2021.2020122

M. Ushio, Junko Ishimaru, Sayaka Omura, Y. Ohta, Mitsuya Suzuki

Abstract Background Empty nose syndrome (ENS) can be relieved by conservative therapeutic modalities such as nasal hygiene, nasal moisturizers, or nasal irrigation; however, surgery may be required for reestablishing nasal resistance and physiologic airflow. Surgical operation for ENS is often accompanied by procedural difficulties and complications. Aims To introduce and evaluate the use of nasal floor augmentation as a simple method to increase nasal resistance and ameliorate the symptoms of ENS. Materials and methods In this prospective study, the nasal floor in six patients with ENS was augmented with pieces of auricular cartilage. Subjective symptoms were examined using questionnaire assessments performed before and 3 months after surgery. Pre- and postoperative nasal resistance was evaluated using rhinomanometry. Results The nasal floor was successfully augmented in all six cases. At 3 months after surgery, the total questionnaire score reduced, and the nasal resistance increased. Conclusions and significance The findings of this study suggest that nasal floor augmentation for ENS is effective in increasing nasal resistance and reducing the nasal symptoms causally related to ENS. Informed consent statement This study was approved by the institutional Ethics Committee Review Board. All the patients provided full written and informed consent to participate in this study. The project conforms to the Code of Ethics of the World Medical Association (Declaration of Helsinki).

摘要背景空鼻综合征（ENS）可以通过保守的治疗方式来缓解，如鼻腔卫生、鼻腔保湿剂或鼻腔冲洗；然而，可能需要手术来重建鼻腔阻力和生理气流。ENS的外科手术通常伴随着手术困难和并发症。目的介绍和评价鼻底扩大术作为一种增加鼻阻力和改善ENS症状的简单方法的应用。材料和方法在本前瞻性研究中，用耳软骨片对6例ENS患者的鼻底进行了扩大。使用之前和3年进行的问卷评估来检查主观症状手术后数月。鼻测压法评估术前和术后鼻腔阻力。结果6例患者均成功扩张鼻底。在3 术后数月，问卷总分下降，鼻阻力增加。结论和意义本研究的结果表明，鼻底扩大术可有效增加鼻阻力，减少与ENS相关的鼻腔症状。知情同意书本研究已获得机构伦理委员会审查委员会的批准。所有患者均提供了参与本研究的完整书面和知情同意书。该项目符合《世界医学会道德规范》（赫尔辛基宣言）。

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引用次数: 2

Promising perioperative outcomes of supraclavicular flap in the reconstruction of head and neck complex defects: An evidence-based case report 锁骨上皮瓣重建头颈部复杂缺损的围手术期疗效：一例循证病例报告

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-12-11 DOI: 10.1080/23772484.2022.2150931

Fauziah Fardizza, M. Reksodiputro, Bambang Hermani, T. Koento, Syahrial Marsinta Hutauruk, Dini Widiarni Widodo, Arie Cahyono, Raden Ayu Anatriera, Khoirul Anam

Abstract Pedicled flap options have been currently used as a first-line option, especially in developing countries. Several regional flaps are used for complex head and neck (H&N) deformities, such as pectoralis major flap, deltopectoral flap, and forehead flap. Free Tissue Transfer (FTT) is usually used in a large defect that cannot be closed with a regional flap. Recently there has been a resurgence of interest in using cervico-humeral tissue, specifically the supraclavicular flap (SCF). We report one case of pharyngocutaneous fistula following total laryngectomy and neck dissection, which was successfully managed using SCF. Prompted by this case, we present a scoping review of the literature with a specific clinical question, search terms applied, and a critical appraisal was conducted to the selected literature. The finding supports the viability and versatility of SCF as an excellent reliable alternative to FTT and provides evidence for its inclusion in the head and neck reconstructive surgery armamentarium.

摘要带蒂皮瓣目前已被用作一线选择，尤其是在发展中国家。几种区域性皮瓣可用于复杂的头颈部畸形，如胸大肌皮瓣、三角外肌皮瓣和前额皮瓣。游离组织移植（FTT）通常用于无法用局部皮瓣闭合的大缺损。最近，人们重新对使用肱骨颈组织，特别是锁骨上皮瓣（SCF）产生了兴趣。我们报告了一例全喉切除术和颈清扫术后的咽皮瘘，该瘘使用SCF成功治疗。在这个案例的推动下，我们对文献进行了范围界定审查，提出了一个特定的临床问题，应用了搜索术语，并对所选文献进行了批判性评估。这一发现支持SCF作为FTT的一种出色可靠的替代品的可行性和多功能性，并为其纳入头颈部重建手术提供了证据。

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引用次数: 0

Severe laryngeal sarcoidosis in a child managed by intralesional steroid, debulking, and methotrexate 儿童严重喉部结节病经局灶内类固醇、消肿和甲氨蝶呤治疗

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-12-10 DOI: 10.1080/23772484.2022.2153052

Jesper Stensig Aa, P. Toftedal, Joyce H Schultz, S. Fast

Abstract Laryngeal sarcoidosis is a rare condition, particularly in the pediatric population. Acute airway intervention may be required in severe cases, but guidelines to support the therapeutic strategy are absent. Moreover, evidence regarding systemic therapy is scarce. This encouraged us to report the result of airway management and systemic methotrexate at a one-year follow-up in a child with severe laryngeal sarcoidosis. A 14-year-old Caucasian female presented with dyspnea, dysphagia, and hoarseness. Fiberoptic laryngoscopy revealed profound swelling of the epiglottis and the arytenoid regions. Laryngeal sarcoidosis was suspected, and direct laryngoscopy, including biopsies, cold steel debulking, and intralesional corticosteroid injections, was performed to secure the airway. Histology was compatible with sarcoidosis, and long-term therapy with methotrexate was prescribed. At one-year follow-up, the patient was asymptomatic, and fiberoptic laryngoscopy demonstrated a near complete remission.

喉结节病是一种罕见的疾病，特别是在儿童人群中。严重病例可能需要急性气道干预，但缺乏支持治疗策略的指南。此外，关于全身治疗的证据很少。这鼓励我们报告一名患有严重喉结节病的儿童在一年随访中气道管理和全身甲氨蝶呤的结果。一位14岁的白人女性表现为呼吸困难、吞咽困难和声音嘶哑。纤维喉镜检查显示会厌和杓状区严重肿胀。怀疑喉部结节病，进行直接喉镜检查，包括活检、冷钢减压和病灶内皮质类固醇注射，以确保气道安全。组织学符合结节病，并给予甲氨蝶呤长期治疗。在一年的随访中，患者无症状，纤维喉镜检查显示几乎完全缓解。

引用次数: 1

Carotid artery dissection due to an elongated styloid process: A case report and implications for the otolaryngologist 颈动脉剥离由于茎突拉长:一个病例报告和耳鼻喉科的意义

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-12-10 DOI: 10.1080/23772484.2022.2153053

Keisuke Kondo, Tomosuke Kitagawa, Y. Hata, Kozo Fukuyama, K. Honda

Abstract An elongated styloid process (SP) may cause a painful condition known well as Eagle syndrome. The elongated SP rarely causes internal carotid artery (ICA) dissection, and this event may not be recognized by otolaryngologists. We report the case of a 52-year-old man presenting with a 3-day history of sudden onset otalgia and gradually worsening ptosis on the left eye. He was initially suspected of having facial palsy because no other abnormality was noted on physical examination. Magnetic resonance imaging revealed dissection of the left ICA and excluded cerebrovascular diseases. Computed tomography revealed an elongated left SP in close proximity to the left ICA. Therefore, the patient was diagnosed with ICA dissection due to the left elongated SP causing radiating pain and ptosis, which is also a symptom of Horner syndrome. Otolaryngologists should be aware that an elongated SP can cause ICA dissection, and the symptoms can mimic facial palsy.

摘要柄突延长（SP）可能导致一种称为鹰综合征的疼痛状况。延长的SP很少引起颈内动脉（ICA）夹层，耳鼻喉科医生可能无法识别这一事件。我们报告了一例52岁的男子，他有3天的突然发作的耳痛和逐渐恶化的左眼上睑下垂病史。他最初被怀疑患有面瘫，因为体检中没有发现其他异常。磁共振成像显示左侧ICA剥离，排除脑血管疾病。计算机断层扫描显示，在左侧ICA附近有一个细长的左侧SP。因此，患者被诊断为ICA夹层，原因是左侧SP延长，导致放射疼痛和上睑下垂，这也是Horner综合征的一种症状。耳鼻喉科医生应该意识到，延长的SP会导致ICA剥离，其症状可能类似于面瘫。

引用次数: 0

Cochlear implantation in neurobrucellosis: Two case reports 神经布鲁氏菌病人工耳蜗植入术2例报告

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-11-29 DOI: 10.1080/23772484.2022.2150629

Afrah Alshalan, Medhat F Yousef, A. Alsanosi

Abstract Brucellosis is one of the most frequent zoonotic diseases worldwide. Central nervous system (CNS) involvment has been reported among approximately 5% of patients. Sensorineural hearing loss (SNHL) has been considered as a popular clinical consequence of brucellosis and neurobrucellosis (NB). In this study, we present two cases of neurobrucellosis with bilateral SNHL who were succesfully managed by cochlear implantation (CI). case 1 was 52 year-old woman was admitted to another hospital 10 years ago with diagnosis of neurobrucellosis then she developed bilateral severe SNHL. There was no benefit of using hearing aid and she was found to be suitable for cochlear implantation. After the operation her audiological evaluation reflected aided Pure Tone Average (PTA) of 15 dB HL and Word recognition Score (WRS) in quiet (at 65 dB HL) was 80%. Case 2 A 48 year-old woman was admitted to our center and diagnosed as a case of neurobrucellosis. Two months later she had suffered from bilateral progressive hearing loss. Her hearing assessment showed bilateral profound SNHL and she used hearing aids but without benefit. After successful treatment of her illness, she was accepted for unilateral cochlear implant and underwent right CI. The most recent audiological evaluation reflected aided PTA of 27.5 dB HL. WRS in quiet (at 65 dB HL) was 84%.conclusion: cochlear implantation may be considered as good alternative for hearing rehabilitation in neurobrucellosis patients. Further research is warranted to build standard approach.

布鲁氏菌病是世界上最常见的人畜共患疾病之一。据报道，大约5%的患者累及中枢神经系统(CNS)。感音神经性听力损失(SNHL)一直被认为是布鲁氏菌病和神经性布鲁氏菌病(NB)的常见临床后果。在这项研究中，我们提出了两例神经布鲁氏菌病合并双侧SNHL的病例，他们成功地通过人工耳蜗植入(CI)进行了治疗。病例1为52岁女性，10年前因诊断为神经布鲁氏菌病入住另一家医院，随后发展为双侧严重SNHL。使用助听器没有任何好处，她被发现适合人工耳蜗植入。术后听力学评估显示辅助纯音平均(PTA)为15 dB HL，安静时(65 dB HL)的单词识别评分(WRS)为80%。病例2:一名48岁女性被诊断为神经布鲁氏菌病。两个月后，她患上了双侧进行性听力丧失。她的听力评估显示双侧深度SNHL，她使用助听器但没有任何效果。治疗成功后，接受单侧人工耳蜗植入及右侧CI。最近的听力学评估显示辅助PTA为27.5 dB HL。安静状态下(65 dB HL)的WRS为84%。结论:人工耳蜗植入术可作为神经布鲁氏菌病患者听力康复的良好选择。需要进一步的研究来建立标准的方法。

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引用次数: 0

Congenital bilateral nasolacrimal duct cysts with respiratory distress in a newborn 新生儿先天性双侧鼻泪管囊肿伴呼吸窘迫1例

IF 0.1 Q4 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Case Reports

Pub Date : 2022-11-29 DOI: 10.1080/23772484.2022.2150628

Haruo Yoshida, Chiharu Kihara, Kyoko Kitaoka, Chisei Satoh, Y. Kumai

Abstract Nasolacrimal duct (NLD) cysts are a rare comorbidity of dacryocystocele. We describe the case of a 0-day-old female infant with neonatal respiratory distress syndrome developing immediately after birth. Nasal endoscopy and magnetic resonance imaging revealed bilateral NLD cysts in the inferior meatus. A nasopharyngeal airway was inserted into the right nasal cavity as first aid, which effectively improved the patient’s respiratory condition. However, her respiratory condition deteriorated rapidly at 29 days of age. Hence, microdebrider-assisted endoscopic marsupialization was performed at 61 days of age. This procedure does not require any special techniques, and the cyst wall was adequately removed under general anesthesia. Her respiratory condition improved immediately postoperatively, and no complications or recurrence of the cyst have been reported to date. Neonatal respiratory distress syndrome due to congenital NLD cyst can present without abnormal findings around the eye, highlighting the importance of considering this condition as a differential diagnosis.

摘要鼻泪管囊肿是一种罕见的泪囊囊肿合并症。我们描述了一个0天大的女婴新生儿呼吸窘迫综合征发展后立即出生的情况。鼻内窥镜和磁共振成像显示双侧下道NLD囊肿。急救时在右鼻腔内插入鼻咽导气管，有效改善了患者的呼吸状况。然而，她的呼吸状况在29日龄时迅速恶化。因此，在61日龄时进行了微清创辅助下的内镜有袋化手术。该手术不需要任何特殊技术，囊肿壁在全身麻醉下被充分切除。术后呼吸状况立即改善，无并发症或囊肿复发报告。先天性NLD囊肿引起的新生儿呼吸窘迫综合征可在眼周无异常表现，突出了将这种情况作为鉴别诊断的重要性。

引用次数: 0

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