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Paraneoplastic Neurological Syndrome with Demyelinating Polyradiculoneuropathy in Tonsil Cancer patient 扁桃体癌患者伴脱髓鞘性多根神经病变的副肿瘤神经系统综合征
Pub Date : 2019-07-17 DOI: 10.17352/2455-1759.000200
Tena Šimunjak, B. Filipović, Irena Pirkl, Boris Šimunjak
Objective: To describe a rare case of a paraneoplastic neurological syndrome associated with tonsillar squamous cell carcinoma. Design: Case report.
目的:报告一例罕见的扁桃体鳞状细胞癌伴发副肿瘤神经系统综合征。设计:病例报告。
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引用次数: 0
Woakes’ syndrome: Report of a rare case 沃克斯综合征:罕见病例报告
Pub Date : 2019-07-08 DOI: 10.17352/2455-1759.000099
Amar Hazwan, T ShiNee, Syed Zaifullah Bin Syed Hamzah
Woakes’ syndrome, first described by Woakes in 1885, also better known as ethmoiditis, is a rare condition causing disfigured facial appearance by extensive nasal polyposis growth in the nasal cavity and paranasal sinuses.
沃克斯综合征,1885年由沃克斯首次描述,也被称为筛炎,是一种罕见的疾病,由鼻腔和鼻窦广泛的鼻息肉生长引起面部毁容。
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引用次数: 0
Ganglioneuroma of the neck: A case report 颈部神经节神经瘤1例
Pub Date : 2019-06-28 DOI: 10.17352/2455-1759.000098
İ. Can, Yunus Kantekin, Betul Aytekin, Serdar Yanik, K. Atilgan
Objectives: An unusual left parapharyngeal ganglioneuroma case was discussed in the context of diagnostic difficulties, surgical tricks and Horner syndrome as a main surgical complication. Methods: The patient presented with a painless neck mass. Fine needle aspiration did not give any clue regarding diagnosis. The mass was removed totally by a challenging surgery. Results: Histopathology revealed ganglioneuroma. Horner syndrome occurred after surgery. Conclusion: Due to the scarcity of ganglioneuromas and the lack of specific signs and symptoms, it is often difficult to reach a definitive diagnosis prior to pathological examination. Ganglioneuromas should be considered in differential diagnosis of cervical neck masses located medial to main neurovascular structures. The patients should be warned of the possible complication of Horner syndrome.
目的:讨论一例罕见的左侧咽旁神经节神经瘤的诊断困难、手术技巧和主要手术并发症霍纳综合征。方法:患者表现为无痛性颈部肿块。细针穿刺未提示诊断。通过一次极具挑战性的手术,肿块被完全切除了。结果:组织病理学示神经节神经瘤。霍纳综合征发生于手术后。结论:由于神经节神经瘤少见,且缺乏特异性体征和症状,在病理检查前往往难以明确诊断。颈椎肿块位于主要神经血管结构的内侧,在鉴别诊断时应考虑神经节神经瘤。应提醒患者注意霍纳综合征可能的并发症。
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引用次数: 0
Titanium Septum Plate: A novel technique to straighten and to stabilize the Nasal Septum using a Modified Titanium Breathe-Implant 钛中隔板:一种使用改良钛呼吸植入物来拉直和稳定鼻中隔的新技术
Pub Date : 2019-06-26 DOI: 10.17352/2455-1759.000097
D. Àwengen
Importance: The cartilagineous nasal septum remains a difficult structure to straighten and to stabilize as it tends to bend. Recurrence of an asymmetric and bent septum is a frequent complain in patients as it may lead to asymmetric nasal breathing and/or aesthetic asymmetries of the shape of the nose. Objective: To investigate a novel technique: the implantation of a titanium septum plate (TSP) in its use as a septum stabilizer and straightener. To present a clinical study on the experience of a modified titanium Breathe-Implant used as a septum plate.
重要性:由于软骨性鼻中隔容易弯曲,它仍然是一个难以拉直和稳定的结构。鼻中隔不对称和弯曲的复发是患者经常抱怨的,因为它可能导致鼻呼吸不对称和/或鼻子形状的美学不对称。目的:探讨一种新的技术:植入钛中隔板(TSP)作为中隔稳定矫直剂。介绍一种改良钛呼吸种植体作为鼻中隔钢板的临床研究。
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引用次数: 2
Quality of sleep in patients with Obstructive Sleep Apnea and Hypopnea Syndrome 阻塞性睡眠呼吸暂停和低呼吸综合征患者的睡眠质量
Pub Date : 2019-06-13 DOI: 10.17352/2455-1759.000096
V. Miranda, Katielle Rech Moleta, D. Vidor
Objective: To correlate sleep quality with the severity of the patient's effort to polysomnography. Methods: A random sample of 15 adult patients of both genders, aged 29-68 years, who were referred for polysomnography examination at a hospital in the city of Porto Alegre / RS, Brazil, were randomly selected. In addition, all the patients in the sample received a Speech and Language Pathology Assessment Protocol for OSAHS (adapted) and later the Pittsburgh Sleep Quality Questionnaire.
目的:探讨睡眠质量与患者多导睡眠描记的努力程度之间的关系。方法:随机选取巴西阿雷格里港某医院转诊行多导睡眠图检查的成年患者15例,年龄29-68岁,男女不限。此外,所有样本患者均接受了OSAHS言语和语言病理评估方案(改编)和匹兹堡睡眠质量问卷。
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引用次数: 0
Cystic cervical lymph nodes metastasis revealing a papillary carcinoma of the thyroid gland: A case report 囊性颈淋巴结转移显示甲状腺乳头状癌1例报告
Pub Date : 2019-04-30 DOI: 10.17352/2455-1759.000094
Diouf Ms, A. Thiam, S. Maiga, D. Rea, A. Diop, Barry Mw, R. Diouf
Cystic cervical lymph nodes are a rare anatomo-clinical form. They are a typical presentation of metastasis of cancers of the waldeyer ring in particular those of the palatine tonsil. Nevertheless, they may reveal a papillary carcinoma of the thyroid even though the thyroid gland is clinically normal. In this case the combination of ultrasound and fine needle aspiration cytology (FNAC) with intranodal thyroglobulin dosage allows to differentiate lymphadenopathies of thyroid origin from other causes. We report the case of a 40-year-old patient received in December 2015 in our hospital for cystic cervical lymph nodes without clinical thyroid mass. FNAC was for a metastasis of an adenocarcinoma.
囊性颈淋巴结是一种罕见的解剖临床形式。它们是瓦尔德耳环癌转移的典型表现,特别是那些腭扁桃体。然而,即使甲状腺在临床上是正常的,它们也可能显示甲状腺乳头状癌。在这种情况下,结合超声和细针穿刺细胞学检查(FNAC)和结内甲状腺球蛋白剂量可以区分甲状腺源性淋巴结病和其他原因。我们报告一位40岁的患者,于2015年12月因宫颈囊性淋巴结在我院就诊,无临床甲状腺肿块。FNAC用于腺癌的转移。
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引用次数: 0
Is there any association between Nasal Polyposis and Osteoma? A retrospective analysis of incidence of Paranasal Sinus Osteoma among 600 patients treated for Nasal Polyposis 鼻息肉和骨瘤之间有什么联系吗?回顾性分析600例鼻息肉患者鼻窦骨瘤的发生率
Pub Date : 2019-04-09 DOI: 10.17352/2455-1759.000093
S. Girolamo, Barbara Flora, F. Passàli, R. Mauro, F. Martino, E. Fuccillo, P. Giacomini
Osteoma is a rare benign lesion of the skull, with an incidence of 0.6% of all benign tumours of paranasal sinuses. It is commonly asymptomatic, and mostly diagnosed incidentally at the imaging. The most frequent disturbs are: headache, nasal discharge and symptoms of inflammation.
骨瘤是一种罕见的颅骨良性病变,发病率为鼻窦良性肿瘤的0.6%。它通常是无症状的,大多是在影像学上偶然诊断出来的。最常见的症状是:头痛、流鼻涕和炎症症状。
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引用次数: 1
The effect of Bilateral Thyroplasty on swallowing for Presbylaryngis 双侧甲状腺成形术对喉老患者吞咽的影响
Pub Date : 2019-03-14 DOI: 10.17352/2455-1759.000092
Che-Hung Kuo, Hsing-Mei Wu, Clint T. Allen, Y. Tsai, Chu Chun Huang, Chia-Jung Lee
Presbylaryngis is defined as age-related structural changes of the vocal folds. Aging results in ossification of the laryngeal skeleton, arthritis of the cricoarytenoid and cricothyroid joints, and structural changes to the superficial layer of the lamina propria that results in true vocal fold bowing [1]. Patients with presbylaryngis often present with symptoms of glottal insufficiency that may include a hoarse-breathy voice, higher than normal pitch and vocal fatigue.
喉老被定义为与年龄相关的声带结构变化。衰老导致喉部骨骼骨化,环杓关节和环甲关节关节炎,固有层浅层结构改变,导致真正的声带弯曲[1]。喉老患者通常表现为声门功能不全,包括声音嘶哑、音调高于正常和声带疲劳。
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引用次数: 0
Analysis of headache outcomes in patients treated with nasal and sinus surgery 鼻窦手术患者头痛结局分析
Pub Date : 2019-02-28 DOI: 10.17352/AOR.000090
P. Catalano, Melinda Davis, B. Fennessy
Introduction: The diagnosis and management of rhinogenic headaches is debated among rhinologists and neurologists alike; the role for surgical intervention remains controversial.
鼻源性头痛的诊断和治疗在鼻科医生和神经科医生之间一直存在争议;手术干预的作用仍有争议。
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引用次数: 1
Diffusion-weighted magnetic resonance imaging with echo-planar and non-echo-planar (PROPELLER) techniques in the clinical evaluation of cholesteatoma 超声平面和非超声平面(PROPELLER)扩散加权磁共振成像技术在胆脂瘤临床评价中的应用
Pub Date : 2019-02-11 DOI: 10.17352/2455-1759.000089
M. Moreno-Ramos, Miguel Olivencia Pérez, J. A. Rodríguez, Mª José Gómez Galán, Francisco Javier Ramos Medrano
Background: Diffusion-weighted magnetic resonance imaging (DWI) is an alternative to second-look surgery for the detection of cholesteatoma. Purpose: To assess the utility of DWI with echo-planar (EPI-DWI) and non-echo-planar (PROPELLER) sequences for the diagnosis of primary and recurrent cholesteatoma. Materials and methods: A prospective study of 33 ears, 21 with previous cholesteatoma surgery. Twelve patients were asymptomatic, with 4 showing signs suggestive of cholesteatoma in previous CT scans. The MRI protocol was: axial and coronal T1-weighted and T2-weighted imaging, and diffusion-weighted sequences by both EPI-DWI and PROPELLER techniques. The results were correlated with the clinical examination and subsequent surgical findings. Ten patients undergoing ear surgery for other reasons were included as negative controls.
背景:扩散加权磁共振成像(DWI)是检测胆脂瘤的替代手术。目的:评价超声平面(EPI-DWI)和非超声平面(PROPELLER)序列在原发性和复发性胆脂瘤诊断中的应用价值。材料和方法:前瞻性研究33耳,21耳既往胆脂瘤手术。12例患者无症状,其中4例在既往CT扫描中显示胆脂瘤征象。MRI方案为:轴位和冠状位t1加权和t2加权成像,以及EPI-DWI和PROPELLER技术的弥散加权序列。结果与临床检查和随后的手术结果相关。10例因其他原因接受耳部手术的患者作为阴性对照。
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引用次数: 2
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Archives of Otolaryngology and Rhinology
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