Based on the comparison of the answers from the original questionnaire regarding the noise burden of music noise through headphones and other noisy activities in young people aged 16–18 years with the results of an audiometric examination using a threshold tone audiogram, it was confi rmed, contrary to the generally widespread information, that in this age group, there is no hearing impairment. We explain this fact by the young age of the examinees, i.e. the high resistance of the hearing apparatus to noise. Similar results are also reported in current professional literature, which is signifi cantly poor in this issue. Similar results have not yet been published in the Czech literature. If, according to the literature, initial symptoms of hearing impairment were found, then exclusively in the high-frequency audiometric area. The answer to the question whether “are our investigation methods sensitive enough to noise-induced hearing damage” is a clear NO. If we would like to record preventively the initial states of hearing damage from noise, including music consumed through headphones, then we must investigate with high-frequency audiometry. Key words hearing – noise impairment – headphones – young age – high-frequency audiometry
{"title":"Are our investigation methods sensitive enough to hearing damage caused by noise?","authors":"Mojmír Lejska, Johana Kratochvílová","doi":"10.48095/ccorl202422","DOIUrl":"https://doi.org/10.48095/ccorl202422","url":null,"abstract":"Based on the comparison of the answers from the original questionnaire regarding the noise burden of music noise through headphones and other noisy activities in young people aged 16–18 years with the results of an audiometric examination using a threshold tone audiogram, it was confi rmed, contrary to the generally widespread information, that in this age group, there is no hearing impairment. We explain this fact by the young age of the examinees, i.e. the high resistance of the hearing apparatus to noise. Similar results are also reported in current professional literature, which is signifi cantly poor in this issue. Similar results have not yet been published in the Czech literature. If, according to the literature, initial symptoms of hearing impairment were found, then exclusively in the high-frequency audiometric area. The answer to the question whether “are our investigation methods sensitive enough to noise-induced hearing damage” is a clear NO. If we would like to record preventively the initial states of hearing damage from noise, including music consumed through headphones, then we must investigate with high-frequency audiometry. Key words hearing – noise impairment – headphones – young age – high-frequency audiometry","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"50 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Švejdová, M. Homoláč, Peter Kántor, M. Černý, J. Šatanková, Lucie Zeinerová, J. Mejzlík, J. Krtičková, Viktor Chrobok
Summary Introduction: Enhanced contact endoscopy (ECE) – combination of contact endoscopy and NBI (narrow-band imaging) or IMAGE1 S, is a noninvasive optical technique used for assessment of superfi cial vascular changes of mucosal lesions in high magnifi cation. Aim: The aim of our study was to evaluate the dia gnostic value of ECE in an intraoperative settlement and validation of the ELS classifi cation. Methods: Patients with laryngeal lesions underwent direct laryngoscopy with a structured assessment of the lesion using white light, NBI and ECE. Lesions were classified according to the European Laryngological Society Classifi cation that divides the vascular pattern changes into longitudinal (unsuspicious) and perpendicular (suspicious). Evaluation was correlated with histopathology. Results: 60 patients with 76 lesions were enrolled. Sensitivity, specifi city, positive predictive value (PPV), negative predictive value (NPV) and accuracy for NBI assessment reached 71.4%, 100%, 100%, 53.8% and 78.6%, resp., index of 0.556. Sensitivity, specifi city, PPV, NPV and accuracy for ECE reached 86.4%, 89.5%, 95.0%, 73.9% and 87.3%, index of 0.716. Additional 20% (9/ 45) of the leukoplakias could be assessed with ECE compared to NBI. Conclusions: Our data support the assumption that ECE is a useful tool for pre-histological examination of mucosal lesions, however it cannot fully replace bio psy sampling. ECE shows higher accuracy in detecting malignant lesions compared to NBI and can be especially helpful in the assessment of vocal fold leukoplakia. Key words enhanced contact endoscopy – narrow-band imaging – laryngeal mucosal lesions – squamous cell carcinoma – leukoplakia
{"title":"Intraoperative use of enhanced contact endoscopy for evaluation of laryngeal mucosal lesions, validation of ELS classification","authors":"A. Švejdová, M. Homoláč, Peter Kántor, M. Černý, J. Šatanková, Lucie Zeinerová, J. Mejzlík, J. Krtičková, Viktor Chrobok","doi":"10.48095/ccorl202428","DOIUrl":"https://doi.org/10.48095/ccorl202428","url":null,"abstract":"Summary Introduction: Enhanced contact endoscopy (ECE) – combination of contact endoscopy and NBI (narrow-band imaging) or IMAGE1 S, is a noninvasive optical technique used for assessment of superfi cial vascular changes of mucosal lesions in high magnifi cation. Aim: The aim of our study was to evaluate the dia gnostic value of ECE in an intraoperative settlement and validation of the ELS classifi cation. Methods: Patients with laryngeal lesions underwent direct laryngoscopy with a structured assessment of the lesion using white light, NBI and ECE. Lesions were classified according to the European Laryngological Society Classifi cation that divides the vascular pattern changes into longitudinal (unsuspicious) and perpendicular (suspicious). Evaluation was correlated with histopathology. Results: 60 patients with 76 lesions were enrolled. Sensitivity, specifi city, positive predictive value (PPV), negative predictive value (NPV) and accuracy for NBI assessment reached 71.4%, 100%, 100%, 53.8% and 78.6%, resp., index of 0.556. Sensitivity, specifi city, PPV, NPV and accuracy for ECE reached 86.4%, 89.5%, 95.0%, 73.9% and 87.3%, index of 0.716. Additional 20% (9/ 45) of the leukoplakias could be assessed with ECE compared to NBI. Conclusions: Our data support the assumption that ECE is a useful tool for pre-histological examination of mucosal lesions, however it cannot fully replace bio psy sampling. ECE shows higher accuracy in detecting malignant lesions compared to NBI and can be especially helpful in the assessment of vocal fold leukoplakia. Key words enhanced contact endoscopy – narrow-band imaging – laryngeal mucosal lesions – squamous cell carcinoma – leukoplakia","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"52 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vojtěch Kubec, Michal Riant, Petr Škopek, Petr Hrabačka, Markéta Horáková
Introduction: Thyroid nodule is a pathology with a prevalence of 19–68% of the population, with a thyroid gland carcinoma proven in 7–15% of these cases. Bethesda classifi cation is a standardized system for cytology fi ndings evaluation. Aim of work: The aim of our work was to compare a predicted preoperative dia gnosis including Bethesda classifi cation and the fi nal histology results, to defi ne malignancy risk for Bethesda categories and to compare our fi ndigs with foreign papers. Material and methods: A retrospective, observational study. In a group of 330 patients with performed operation on the thyroid gland (total thyroidectomy or hemithyroidectomy) at the ENT department of the University hospital in Pilsen between 2016 and 2017 there was a group of 180 patients (147 female and 33 male patients) with preoperatively known Bethesda category. We have compared an expected dia gnosis and postoperatively known histology dia gnosis, determined a risk of malignancy rate for each category of Bethesda classifi cation and compared our results with a foreign literature. Results: In the group of our patients, we have determined a risk of malignancy rate for Bethesda I. category as 14.29%, same as for Bethesda II. For Bethesda III. as 15.79%, Bethesda IV. as 10.64%, Bethesda V. as 52.17% and Bethesda VI. category as 100%. Conclusion: Fine- -needle aspiration bio psy of thyroid gland nodules is a basic dia gnostic method, which facilitates categorization and stratifi cation of a risk of malignancy in cytological fi ndings. In our group of patients, a risk of malignancy rate diff ers in Bethesda I. and II. category, our risk of malignancy rate is higher compared to foreign literature, which, we believe, is a statistical error due to a rather small set of patients. Key words thyroid nodule – fine-needle aspiration bio psy – Bethesda classifi cation – risk of malignancy rate
导言甲状腺结节是一种病变，发病率占总人口的 19-68%，其中 7-15% 的病例可确诊为甲状腺癌。贝塞斯达分类法是细胞学检查结果评估的标准化系统。工作目标：我们的工作旨在比较包括贝塞斯达分类在内的术前预测结果和最终组织学结果，界定贝塞斯达分类的恶性风险，并将我们的研究结果与国外论文进行比较。材料和方法：回顾性观察研究。2016年至2017年期间，在比尔森大学医院耳鼻喉科接受甲状腺手术（甲状腺全切除术或甲状腺半切除术）的330名患者中，有180名患者（147名女性和33名男性）术前已知Bethesda类别。我们比较了预期诊断结果和术后已知组织学诊断结果，确定了每一类贝塞斯达分类的恶性肿瘤风险率，并将我们的结果与国外文献进行了比较。结果：在本组患者中，我们确定贝塞斯达 I 类的恶性肿瘤风险率为 14.29%，与贝塞斯达 II 类相同。贝塞斯达 III 类为 15.79%，贝塞斯达 IV 类为 10.64%，贝塞斯达 V 类为 52.17%，贝塞斯达 VI 类为 100%。结论：甲状腺结节的细针穿刺生物分析是一种基本的诊断方法，有助于对细胞学检查结果中的恶性肿瘤风险进行分类和分层。在我们这组患者中，恶性肿瘤风险率在贝塞斯达Ⅰ类和Ⅱ类中有所不同，与国外文献相比，我们的恶性肿瘤风险率较高，我们认为这是由于患者人数较少造成的统计误差。关键词 甲状腺结节--细针穿刺生物心理学--贝塞斯达分类--恶性肿瘤风险率
{"title":"Fine-needle aspiration bio psy and Bethesda classifi cation in the diagnostics of the tumours of the thyroid gland – a retrospective study","authors":"Vojtěch Kubec, Michal Riant, Petr Škopek, Petr Hrabačka, Markéta Horáková","doi":"10.48095/ccorl202416","DOIUrl":"https://doi.org/10.48095/ccorl202416","url":null,"abstract":"Introduction: Thyroid nodule is a pathology with a prevalence of 19–68% of the population, with a thyroid gland carcinoma proven in 7–15% of these cases. Bethesda classifi cation is a standardized system for cytology fi ndings evaluation. Aim of work: The aim of our work was to compare a predicted preoperative dia gnosis including Bethesda classifi cation and the fi nal histology results, to defi ne malignancy risk for Bethesda categories and to compare our fi ndigs with foreign papers. Material and methods: A retrospective, observational study. In a group of 330 patients with performed operation on the thyroid gland (total thyroidectomy or hemithyroidectomy) at the ENT department of the University hospital in Pilsen between 2016 and 2017 there was a group of 180 patients (147 female and 33 male patients) with preoperatively known Bethesda category. We have compared an expected dia gnosis and postoperatively known histology dia gnosis, determined a risk of malignancy rate for each category of Bethesda classifi cation and compared our results with a foreign literature. Results: In the group of our patients, we have determined a risk of malignancy rate for Bethesda I. category as 14.29%, same as for Bethesda II. For Bethesda III. as 15.79%, Bethesda IV. as 10.64%, Bethesda V. as 52.17% and Bethesda VI. category as 100%. Conclusion: Fine- -needle aspiration bio psy of thyroid gland nodules is a basic dia gnostic method, which facilitates categorization and stratifi cation of a risk of malignancy in cytological fi ndings. In our group of patients, a risk of malignancy rate diff ers in Bethesda I. and II. category, our risk of malignancy rate is higher compared to foreign literature, which, we believe, is a statistical error due to a rather small set of patients. Key words thyroid nodule – fine-needle aspiration bio psy – Bethesda classifi cation – risk of malignancy rate","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":" 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140389214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicol Koblásová, J. Mejzlík, L. Školoudík, Hubert Vaníček, J. Dědková, Jan Laco, Petra Kašparová, Lenka Ryšková, Viktor Chrobok
Introduction: Nontuberculous mycobacterial (NTM) infection of lymph nodes in young children is a rare disease. The increasing incidence has been observed after termination of vacciation in Czech Republic in November 2010. Aim of the study: To provide an overview of the clinical picture, dia gnostic options and therapeutic approach in children with neck lymph nodes aff ected by non-tuberculous mycobacteria. Methods: Retrospective cohort study of patients with confi rmed NTM infection treated at the Clinic of Otorhinolaryngology and Head and Neck Surgery of Faculty Hospital Hradec Kralove from 2010 to 2021. The inclusion criterion was proof of the causative agent of the disease (nontuberculous mycobacteria) by culture or molecular bio logical technique (PCR). Results: A total of 19 children with an average age of 26 months (range 12–42, SD 7.27) were enrolled. The most frequent pathogen was Mycobacterium avium (N = 16). Culture examination was positive in 84% (N = 16) of cases, PCR was positive in 47% of patients (N = 9). All children from the group underwent both surgical and antibio tic treatment. The most frequently used antibio tics were a combination of a macrolide antibio tic (clarithromycin) with an antituberculotic drug (rifampicin). In 6 children, an incision was made along with drainage of the lesion and for the duration of the infl ammation a complete extirpation of the pathological tissue under general anaesthesia followed. A total of 15 children underwent probatory extirpation of the pathological neck lymph node. We performed block dissections of the infected tissue in 7 children for residual infl ammation. Conclusion: The most eff ective treatment of the infection seems to be the exstirpation of all aff ected lymph nodes with surrounding tissue and combination of antibio tic (macrolide) with antituberculotic agent (rifampicin). Key words mycobacterial infection – nontuberculous mycobacteria – cervical lymphadenitis – children
{"title":"Nontuberculous mycobacterial infections in children","authors":"Nicol Koblásová, J. Mejzlík, L. Školoudík, Hubert Vaníček, J. Dědková, Jan Laco, Petra Kašparová, Lenka Ryšková, Viktor Chrobok","doi":"10.48095/ccorl20248","DOIUrl":"https://doi.org/10.48095/ccorl20248","url":null,"abstract":"Introduction: Nontuberculous mycobacterial (NTM) infection of lymph nodes in young children is a rare disease. The increasing incidence has been observed after termination of vacciation in Czech Republic in November 2010. Aim of the study: To provide an overview of the clinical picture, dia gnostic options and therapeutic approach in children with neck lymph nodes aff ected by non-tuberculous mycobacteria. Methods: Retrospective cohort study of patients with confi rmed NTM infection treated at the Clinic of Otorhinolaryngology and Head and Neck Surgery of Faculty Hospital Hradec Kralove from 2010 to 2021. The inclusion criterion was proof of the causative agent of the disease (nontuberculous mycobacteria) by culture or molecular bio logical technique (PCR). Results: A total of 19 children with an average age of 26 months (range 12–42, SD 7.27) were enrolled. The most frequent pathogen was Mycobacterium avium (N = 16). Culture examination was positive in 84% (N = 16) of cases, PCR was positive in 47% of patients (N = 9). All children from the group underwent both surgical and antibio tic treatment. The most frequently used antibio tics were a combination of a macrolide antibio tic (clarithromycin) with an antituberculotic drug (rifampicin). In 6 children, an incision was made along with drainage of the lesion and for the duration of the infl ammation a complete extirpation of the pathological tissue under general anaesthesia followed. A total of 15 children underwent probatory extirpation of the pathological neck lymph node. We performed block dissections of the infected tissue in 7 children for residual infl ammation. Conclusion: The most eff ective treatment of the infection seems to be the exstirpation of all aff ected lymph nodes with surrounding tissue and combination of antibio tic (macrolide) with antituberculotic agent (rifampicin). Key words mycobacterial infection – nontuberculous mycobacteria – cervical lymphadenitis – children","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"32 3‐4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140228130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The authors present a case report of a 37-year-old female patient seen at the ENT clinic for a soft oval swelling on the left temporal region Intramuscular haemangioma is a rare dia gnosis, accounting for only 1% of all haemangiomas. Only 34 cases of intramuscular haemangioma of the temporal muscle have been described in the world literature. In the case report, the authors describe the dia gnostic process, surgical procedure, other therapeutic options, and the follow-up of the patient. Key words intramuscular hemangioma – temporal muscle – preoperative embolization – surgical extirpation
{"title":"Haemangioma of the temporal muscle – a case report","authors":"Hana Schovánková, R. Salzman","doi":"10.48095/ccorl202448","DOIUrl":"https://doi.org/10.48095/ccorl202448","url":null,"abstract":"The authors present a case report of a 37-year-old female patient seen at the ENT clinic for a soft oval swelling on the left temporal region Intramuscular haemangioma is a rare dia gnosis, accounting for only 1% of all haemangiomas. Only 34 cases of intramuscular haemangioma of the temporal muscle have been described in the world literature. In the case report, the authors describe the dia gnostic process, surgical procedure, other therapeutic options, and the follow-up of the patient. Key words intramuscular hemangioma – temporal muscle – preoperative embolization – surgical extirpation","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"42 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140230197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The issue of periodic fever conditions in paediatric patients is connected with wide diff erential dia gnosis. Among other causes, it is necessary to think also about the group of so-called periodic fevers syndrome, or autoinfl ammatory diseases. PFAPA syndrome (Periodic Fever, Aphthous Stomatitis, Pharyngitis and Cervical Adenitis syndrome) is the most common representative periodic fever in children’s patients. Eff ective causal treatment of this syndrome is possible within the ENT department. In the article, we provide an overview of PFAPA syndrome among autoinfl ammatory diseases and the eff ect of surgical treatment, tonsillectomy with adenotomy. Key words PFAPA syndrome – periodic fevers – Marshall syndrome – autoinfl ammatory diseases – aphthous stomatitis
{"title":"PFAPA syndrome in children, our experience with surgical treatment – review article with a case report","authors":"Andrea Marková","doi":"10.48095/ccorl202437","DOIUrl":"https://doi.org/10.48095/ccorl202437","url":null,"abstract":"The issue of periodic fever conditions in paediatric patients is connected with wide diff erential dia gnosis. Among other causes, it is necessary to think also about the group of so-called periodic fevers syndrome, or autoinfl ammatory diseases. PFAPA syndrome (Periodic Fever, Aphthous Stomatitis, Pharyngitis and Cervical Adenitis syndrome) is the most common representative periodic fever in children’s patients. Eff ective causal treatment of this syndrome is possible within the ENT department. In the article, we provide an overview of PFAPA syndrome among autoinfl ammatory diseases and the eff ect of surgical treatment, tonsillectomy with adenotomy. Key words PFAPA syndrome – periodic fevers – Marshall syndrome – autoinfl ammatory diseases – aphthous stomatitis","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"71 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Vidanová, Bálinth Tóth, Martin Babinec, Ž. Frajková, Miroslav Tedla
The case report describes a case of a 78-year-old patient after microlaryngosurgery with intubation and with stenosis in the area of the posterior glottic commissure. The solution method is a new procedure using a silicone stent inserted and sewn into the tunnel in the area of the stenosis. The silicone stent was removed after 5 weeks, and the remaining part of the stenosis was interrupted. The surgical procedure in the patient led to decannulation, voice improvement and increased the quality of life. This treatment method appears to be a suitable way of solving some types of stenosis in the area of the posterior glottic commissure. Key words acquired laryngeal stenosis – implant – surgical procedure
{"title":"First experience with the use of a silicone stent in the treatment of posterior glottic stenosis – a case report","authors":"Gabriela Vidanová, Bálinth Tóth, Martin Babinec, Ž. Frajková, Miroslav Tedla","doi":"10.48095/ccorl202443","DOIUrl":"https://doi.org/10.48095/ccorl202443","url":null,"abstract":"The case report describes a case of a 78-year-old patient after microlaryngosurgery with intubation and with stenosis in the area of the posterior glottic commissure. The solution method is a new procedure using a silicone stent inserted and sewn into the tunnel in the area of the stenosis. The silicone stent was removed after 5 weeks, and the remaining part of the stenosis was interrupted. The surgical procedure in the patient led to decannulation, voice improvement and increased the quality of life. This treatment method appears to be a suitable way of solving some types of stenosis in the area of the posterior glottic commissure. Key words acquired laryngeal stenosis – implant – surgical procedure","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"33 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marcela Dubová, Naděžda Lasotová, M. Budíková, V. Uhrová, N. Blažková
Introduction: Flexible endoscopic evaluation of swallowing (FEES) is an objective dia gnostic method designed to assess the oropharyngeal dysphagia. The presence of swallowing disorder and the optimal management settings signifi cantly aff ect patients’ clinical status and quality of life. Methods: From 2014 to 2021, FEES was prospectively evaluated against the penetration-aspiration scale for eight disease categories – stroke, other focal brain lesions, head and neck tumours, neurodegenerative diseases, refl ux diseases, polyneuropathy associated with artifi cial lung ventilation, cervical spine surgery and other diseases. Results: A total of 2,601 FEES examinations were carried out at our workplace. Oropharyngeal dysphagia was confi rmed in two-thirds of all cases. The highest incidence of penetration and aspiration, i.e. in more than 70% of examinations, has been shown in stroke and other focal brain lesions. In one quarter of all examinations in the total set, silent aspiration was demonstrated. Conclusion: The objective examination of swallowing FEES should be part of comprehensive hospital care for a patient at risk of dysphagia. Early detection of swallowing pathology reduces the risk of complications associated with dysphagia. FEES examination is an important dia gnostic method within the framework of interdisciplinary cooperation, not only in patients with diseases in the ENT area. Keywords: risk assessment – dysphagia – endoskopy – diagnostic techniques and procedures
{"title":"Experiences with the objective examination of swallowing using the flexible endoscopy in the years 2014–2021","authors":"Marcela Dubová, Naděžda Lasotová, M. Budíková, V. Uhrová, N. Blažková","doi":"10.48095/ccorl202378","DOIUrl":"https://doi.org/10.48095/ccorl202378","url":null,"abstract":"Introduction: Flexible endoscopic evaluation of swallowing (FEES) is an objective dia gnostic method designed to assess the oropharyngeal dysphagia. The presence of swallowing disorder and the optimal management settings signifi cantly aff ect patients’ clinical status and quality of life. Methods: From 2014 to 2021, FEES was prospectively evaluated against the penetration-aspiration scale for eight disease categories – stroke, other focal brain lesions, head and neck tumours, neurodegenerative diseases, refl ux diseases, polyneuropathy associated with artifi cial lung ventilation, cervical spine surgery and other diseases. Results: A total of 2,601 FEES examinations were carried out at our workplace. Oropharyngeal dysphagia was confi rmed in two-thirds of all cases. The highest incidence of penetration and aspiration, i.e. in more than 70% of examinations, has been shown in stroke and other focal brain lesions. In one quarter of all examinations in the total set, silent aspiration was demonstrated. Conclusion: The objective examination of swallowing FEES should be part of comprehensive hospital care for a patient at risk of dysphagia. Early detection of swallowing pathology reduces the risk of complications associated with dysphagia. FEES examination is an important dia gnostic method within the framework of interdisciplinary cooperation, not only in patients with diseases in the ENT area. Keywords: risk assessment – dysphagia – endoskopy – diagnostic techniques and procedures","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123677489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Radek Pavel, M. Jurovčík, J. Skřivan, Z. Balatková, J. Plzák, Z. Čada
A foreign body in the orbit is a relatively uncommon but serious complication of a penetrating orbital injury. The clinical manifestations of a chronic foreign body may be insignifi cant. Also, dia gnostics and accurate localization of foreign bodies in orbit (especially organic) using imaging methods may not always be unambiguous. In the case report, we describe the case of a two-year-old boy with a woody foreign body in the orbit, whose dia gnosis was delayed, despite repeated surgical interventions and imaging, and the foreign body was removed more than six months later laterally. Keywords: foreign body in orbit – orbita injury in children – medial orbitotomy
{"title":"Chronic foreign body in orbit","authors":"Radek Pavel, M. Jurovčík, J. Skřivan, Z. Balatková, J. Plzák, Z. Čada","doi":"10.48095/ccorl202387","DOIUrl":"https://doi.org/10.48095/ccorl202387","url":null,"abstract":"A foreign body in the orbit is a relatively uncommon but serious complication of a penetrating orbital injury. The clinical manifestations of a chronic foreign body may be insignifi cant. Also, dia gnostics and accurate localization of foreign bodies in orbit (especially organic) using imaging methods may not always be unambiguous. In the case report, we describe the case of a two-year-old boy with a woody foreign body in the orbit, whose dia gnosis was delayed, despite repeated surgical interventions and imaging, and the foreign body was removed more than six months later laterally. Keywords: foreign body in orbit – orbita injury in children – medial orbitotomy","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130046859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Extraesophageal refl ux is relatively common in ENT outpatient offi ces. The aim of the study is to compare the mutual associations and sensitivity of individual dia gnostic methods in the process of identifi cation of extraesophageal refl ux (Refl ux Symptom Index – RSI, Refl ux Finding Score – RFS, oropharyngeal pH-metry RESTECH Dx-pH System, dia gnostic-therapeutic test – DTT). Material and methods: The study included 30 patients. In 20 of them refl ux was demostrated by oropharyngeal pH-metry, in 10 the pH-metry was negative. Each patient completed an RSI questionnaire, underwent video-laryngoscopic examination, oropharyngeal pH measurement RESTECH Dx-pH System and dia gnostic-therapeutic test using proton pump inhibitors for 3 months regardless of the result of oropharyngeal pH-metry. The tolerance of the oropharyngeal pH-metry RESTECH Dx-pH System was investigated. Another aim was to capture the main trends in the data using descriptive analysis and to obtain general conclusions about the internal relations between individual dia gnostic methods and patient characteristics using inferential analysis. Results: The tolerance of oropharyngeal pH-metry RESTECH Dx-pH System in our patient group was 97.14%. Correlation indices indicate negligible or only very weak associations between the results of individual methods. Based on inference analysis performed by estimating the incidence, up to three double combinations showed the same degree of positivity (82,90%; 95% CI 70,5–95,3%). Namely, they are RSI × DTT, RFS × DTT and pH-metry × DTT. Conclusion: The RESTECH Dx-pH System – oropharyngeal pH-metry is a suitable dia gnostic method in combination with other methods used in the dia gnosis of esophageal refl ux due to the good tolerance by patients. However, its separate use in the dia gnosis of EER is questioned in several other works which can be considered a limitation of the work. The parallel use of subjective and objective dia gnostic methods in combination with a dia gnostic-therapeutic test is a sensitive way of identifying patients with extraesophageal refl ux. Keywords: oropharyngeal pH-metry – diagnostic-therapeutic test – Reflux Finding Score – Reflux Symptom Index – extraesophageal reflux
{"title":"Comparison of mutual associations and sensitivity of individual diagnostic methods in the process of identification of extraesophageal reflux","authors":"K. Lukacova, Zuzana Javorská, M. Tedla","doi":"10.48095/ccorl202358","DOIUrl":"https://doi.org/10.48095/ccorl202358","url":null,"abstract":"Introduction: Extraesophageal refl ux is relatively common in ENT outpatient offi ces. The aim of the study is to compare the mutual associations and sensitivity of individual dia gnostic methods in the process of identifi cation of extraesophageal refl ux (Refl ux Symptom Index – RSI, Refl ux Finding Score – RFS, oropharyngeal pH-metry RESTECH Dx-pH System, dia gnostic-therapeutic test – DTT). Material and methods: The study included 30 patients. In 20 of them refl ux was demostrated by oropharyngeal pH-metry, in 10 the pH-metry was negative. Each patient completed an RSI questionnaire, underwent video-laryngoscopic examination, oropharyngeal pH measurement RESTECH Dx-pH System and dia gnostic-therapeutic test using proton pump inhibitors for 3 months regardless of the result of oropharyngeal pH-metry. The tolerance of the oropharyngeal pH-metry RESTECH Dx-pH System was investigated. Another aim was to capture the main trends in the data using descriptive analysis and to obtain general conclusions about the internal relations between individual dia gnostic methods and patient characteristics using inferential analysis. Results: The tolerance of oropharyngeal pH-metry RESTECH Dx-pH System in our patient group was 97.14%. Correlation indices indicate negligible or only very weak associations between the results of individual methods. Based on inference analysis performed by estimating the incidence, up to three double combinations showed the same degree of positivity (82,90%; 95% CI 70,5–95,3%). Namely, they are RSI × DTT, RFS × DTT and pH-metry × DTT. Conclusion: The RESTECH Dx-pH System – oropharyngeal pH-metry is a suitable dia gnostic method in combination with other methods used in the dia gnosis of esophageal refl ux due to the good tolerance by patients. However, its separate use in the dia gnosis of EER is questioned in several other works which can be considered a limitation of the work. The parallel use of subjective and objective dia gnostic methods in combination with a dia gnostic-therapeutic test is a sensitive way of identifying patients with extraesophageal refl ux. Keywords: oropharyngeal pH-metry – diagnostic-therapeutic test – Reflux Finding Score – Reflux Symptom Index – extraesophageal reflux","PeriodicalId":423943,"journal":{"name":"Otorinolaryngologie a foniatrie","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131663676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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