Turkish Archives of Otorhinolaryngology最新文献

英文中文

Early Transthyrohyoid Injection Laryngoplasty Under Local Anaesthesia in a Single Tertiary Center of Southeast Asia: Multidimensional Voice Outcomes 东南亚一个三级中心在局部麻醉下的早期经甲状舌骨注射喉镜成形术：多维声音结果

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-8-12

Xiaojun Chow, Sitti Farhana Johari, Luqman Rosla, Adi Farhan Abdul Wahab, M. Azman, M. Baki

Objective: To study the effectiveness of early percutaneous transthyrohyoid injection laryngoplasty under local anesthesia in improving voice quality in unilateral vocal fold paralysis (UVFP) patients. Methods: Longitudinal data of 29 UVFP patients who underwent injection laryngoplasty within six months from the onset of the symptoms were studied. The injectate (0.5–1 mL) was hyaluronic acid-based material (Juvéderm ULTRA XC; Allergan Industrie, France) that was delivered under local anesthesia with transthyrohyoid approach using a double-bend 21G needle. Multidimensional voice outcomes employing: 1) Malay-Voice-Handicap Index-10 (mVHI-10); 2) maximum phonation time (MPT); and 3) acoustic analysis [jitter%, shimmer% and noise-harmonic ratio (NHR)] were used to assess the treatment progress. The voice parameters were measured at baseline (2 weeks pre-injection), and at the first and third months post-injection. Results: The mean age of the 29 patients was 44.69 years, with a female-to-male ratio of 3.14:1. The voice outcomes measured at different time points were evaluated with repeated measures ANOVA. Significant improvement was observed from baseline to three months post injection laryngoplasty for mVHI-10, jitter, and NHR (p<0.001), shimmer (p=0.005) and MPT (p=0.018). Following the procedure, none of the patients developed any major complications. Conclusion: Office setting early transthyrohyoid injection laryngoplasty using a double-bend needle is a safe and effective procedure in patients with UVFP with evidence of significant improvement in voice and life quality.

目的:探讨局部麻醉下早期经皮甲状腺舌骨注射喉成形术对单侧声带麻痹(UVFP)患者改善语音质量的效果。方法:对29例UVFP患者在出现症状后6个月内行注射喉部成形术的纵向资料进行研究。注射剂(0.5-1 mL)为透明质酸基材料(juvultra XC;Allergan Industrie，法国)，在局部麻醉下使用双弯21G针经甲状腺舌骨入路分娩。多维语音结果采用:1)马来语语音障碍指数10 (mVHI-10);2)最大发声时间(MPT);3)声学分析[抖动%，闪烁%和噪声谐波比(NHR)]评估处理进展。在基线(注射前2周)和注射后第1个月和第3个月测量语音参数。结果:29例患者平均年龄44.69岁，男女比例为3.14:1。采用重复测量方差分析评估不同时间点的语音结果。从基线到注射喉成形术后3个月，观察到mVHI-10、抖动和NHR (p<0.001)、闪烁(p=0.005)和MPT (p=0.018)的显著改善。手术后，没有患者出现任何重大并发症。结论:办公室设置的早期双弯针经甲状腺舌骨骨注射喉成形术对UVFP患者是一种安全有效的治疗方法，可显著改善患者的声音和生活质量。

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引用次数: 3

Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? 新生儿外渗损伤后咽后脓肿：引流还是不引流？

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-4-13

J. Ng, B. Goh, Mohd Imree Azmi, E. Y. Hing, S. Ishak

Neonatal retropharyngeal abscess (RPA) is a rare and life-threatening entity. Most of the cases are idiopathic in nature. We encountered a case of RPA in a newborn secondary to extravasation injury. The presence of neck swelling with clinical deterioration following extravasation of total parenteral nutrition (TPN) infused via a peripherally inserted central catheter at the right upper limb raised the suspicion of neck abscess. This was later confirmed to be RPA based on magnetic resonance imaging of the neck. She was treated with prolonged intravenous antibiotics in the Neonatal Intensive Care Unit (NICU). Her condition gradually improved, evidenced by resolution of the collection on serial imaging. Early recognition and prompt management are crucial to reduce the morbidity and mortality from RPA.

摘要新生儿咽后脓肿是一种罕见且危及生命的疾病。大多数病例都是特发性的。我们遇到了一个新生儿继发于外渗损伤的RPA病例。右上肢经外周中心导管输注的全肠外营养(TPN)外渗后出现颈部肿胀和临床恶化，引起了颈部脓肿的怀疑。后来根据颈部磁共振成像证实为RPA。她在新生儿重症监护病房(NICU)接受了长时间静脉注射抗生素治疗。她的病情逐渐好转，这可以从连续成像的分辨率看出。早期发现和及时治疗对于降低RPA的发病率和死亡率至关重要。

引用次数: 0

Preliminary Planning for Mucormycosis in Developing Countries During COVID-19 Pandemic COVID-19大流行期间发展中国家毛霉菌病的初步规划

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-6-1

N. Shakrawal, M. Chouhan, B. Solanki

The coronavirus pandemic was formally declared a public health emergency of international concern (PHEIC) on 30th January 2020. In India, an upsurge of rampant opportunistic infection of coronavirus disease-2019 (COVID-19) associated mucormycosis (CAM), along with the skewed second wave of the COVID-19, has been an issue of concern from May to July 2021. Suppressed immunity due to COVID-19 and its management has created more opportunities for invasive fungal coinfections in immunocompetent individuals.

2020年1月30日，冠状病毒大流行被正式宣布为国际关注的突发公共卫生事件。在印度，2021年5月至7月期间，与2019冠状病毒病(COVID-19)相关的毛霉菌病(CAM)的机会性感染猖獗，以及第二波COVID-19的倾斜，一直是一个令人担忧的问题。COVID-19导致的免疫抑制及其管理为免疫正常个体的侵袭性真菌合并感染创造了更多机会。

引用次数: 0

A Rare Tumor in the Neck of a Child: Plexiform Neurofibroma 儿童颈部罕见肿瘤:丛状神经纤维瘤

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-3-10

Siti Sarah Mohd Ramli, G. See, F. Zaki, S. M. Md Pauzi, Mohamad Fariz Bin Amri

Plexiform neurofibroma represents an uncommon variant of neurofibromatosis type 1, constituting only 5%–30% of all cases. Plexiform neurofibroma is usually diagnosed during childhood and arises from multiple nerves, manifesting as bulging and deforming masses that can also involve connective tissue and skin folds. We report a case of a two-year-old girl who presented with worsening stridor since birth and later exhibited progressively increasing left neck swelling at the age of 10 months old. Ultrasound and magnetic resonance imaging (MRI) showed a lobulated solid mass in the left deep neck space extending to the midline and having a mass effect on the airway with involvement of the supraglottic region. Tracheostomy was done, and a biopsy of the supraglottic lesion revealed a plexiform neurofibroma. The patient was conservatively managed after a discussion with her parents concerning the associated potential of operative morbidity. The patient’s parents had learned about tracheostomy care, and the patient was scheduled for yearly MRI surveillance. MRI was performed again three months after the initial diagnosis and showed stable lesion. Plexiform neurofibroma is a slow-growing tumor. A treatment decision must consider the benefits of surgery and the morbidity of the progressing disease. Hence, airway management is crucial prior to the final decision of such cases.

丛状神经纤维瘤是一种少见的1型神经纤维瘤病，仅占所有病例的5%-30%。丛状神经纤维瘤通常在儿童时期被诊断出来，起源于多个神经，表现为肿胀和变形的肿块，也可累及结缔组织和皮肤褶皱。我们报告一个两岁的女孩谁提出恶化喘出生后，后来表现出逐渐增加左颈部肿胀在10个月大的情况下。超声和磁共振成像(MRI)显示左侧深颈空间分叶状实性肿块，延伸至中线，对气道有肿块效应，累及声门上区。气管切开术，声门上病变活检显示为丛状神经纤维瘤。在与父母讨论了手术并发症的相关可能性后，对患者进行了保守治疗。患者的父母已经了解了气管切开术的护理，并计划每年对患者进行MRI监测。初次诊断后3个月再次行MRI，病变稳定。丛状神经纤维瘤是一种生长缓慢的肿瘤。治疗决定必须考虑手术的益处和疾病进展的发病率。因此，在此类病例的最终决定之前，气道管理是至关重要的。

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引用次数: 1

Mastoid Emissary Vein Canal Incidence and Its Relationship with Jugular Bulb and Sigmoid Sulcus Anatomical Variations 乳突隐静脉管的发生率及其与颈球、乙状窦解剖变异的关系

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-4-26

Rıdvan Pekçevik, Aylin Öztürk, Y. Pekçevik, O. Toka, Gülay Güçlü Aslan, I. Cukurova

Objective: We aimed to investigate the mastoid emissary vein (MEV) canal incidence and to identify its relationship with jugular bulb (JB) and sigmoid sulcus anatomical variations. Methods: We retrospectively reviewed 1,300 patients with temporal bone computed tomography (CT) scans in January 2016 to March 2020. The presence and the diameter of the MEV canal, and the anatomical variations of the sigmoid sulcus and the JB were reviewed by two radiologists. High riding JB, JB diverticulum, dehiscent JB, and anterior and lateral protrusion of the sigmoid sulcus were evaluated. All variables were summarized using descriptive statistics. The differences between the groups for categorical data were investigated using the chi-square test. Numeric variables were compared with the Mann-Whitney and the Kruskal-Wallis tests. Logistic regression models were constructed. Results: The study included 1,269 patients of whom 694 were female (54.7%) and 575 were male (45.3%). Their mean age was 39.01±18.47. Among them 915 (72.1%) had the right and 871 (68.6%) had the left MEV canal. Men were more likely to have the MEV canal on both sides. The presence of the right and left MEV canals was associated with the ipsilateral dominant JB/sigmoid sulcus. The left MEV canal was associated with the left high riding JB and right dehiscent JB. Conclusion: This is the largest patient population reported in the literature and allows a more precise estimate of the MEV canal incidence. We also classified the diameter of the MEV canal to identify clinically relevant, prominent MEV incidence. This is also the first study to demonstrate a relationship between the presence of the MEV canal, and the JB and sigmoid canal variations. Since both the prominent MEV and the JB variations may be symptomatic, knowing this association between them may have clinical relevance.

目的:探讨乳突透射静脉(MEV)管的发生率，并探讨其与颈静脉球(JB)和乙状窦沟的解剖变异之间的关系。方法:我们回顾性分析了2016年1月至2020年3月1,300例颞骨CT扫描患者。两位放射科医生回顾了MEV管的存在和直径，以及乙状结肠沟和JB的解剖变化。评估高骑型JB、JB憩室、JB开裂、乙状结肠前突及外侧突。所有变量采用描述性统计进行汇总。分类资料组间差异采用卡方检验。数值变量与Mann-Whitney检验和Kruskal-Wallis检验比较。建立了Logistic回归模型。结果:共纳入1269例患者，其中女性694例(54.7%)，男性575例(45.3%)。平均年龄39.01±18.47岁。其中右侧MEV管915例(72.1%)，左侧MEV管871例(68.6%)。男性更有可能两侧都有MEV管。左右MEV管的存在与同侧占主导地位的JB/乙状结肠沟有关。左侧MEV管与左侧高骑性JB和右侧开裂JB相关。结论:这是文献中报道的最大的患者群体，可以更准确地估计MEV管的发生率。我们还对MEV管的直径进行了分类，以确定临床相关的、突出的MEV发生率。这也是第一个证明MEV管的存在与JB管和乙状结肠管变化之间关系的研究。由于突出的MEV和JB变异都可能是有症状的，了解它们之间的联系可能具有临床意义。

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引用次数: 4

Management of a Spontaneous Thyroid Nodule Hemorrhage Causing Acute Airway Obstruction 自发性甲状腺结节性出血致急性气道阻塞的处理

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-5-23

H. Başak, L. Yücel, A. Hasanova, S. Beton

Spontaneous intrathyroidal hemorrhage (ITH) causing airway obstruction is relatively rare. We report a case with no known history of a thyroid disease that presented with an ITH causing severe airway obstruction as a life-threatening situation. A 57-year-old female patient presented to the emergency department with sudden onset of swelling of the anterior neck, severe dyspnea, and unconsciousness. Computerized tomography scan after intubation revealed a 6.2x5.3 cm mass originating from the right thyroid lobe and compressing the airway. Drainage of hematoma with right lobectomy was done. When the patient was extubated one day after the surgery the vocal cords were found to be mobile. She was discharged after two days and there was no need for further intervention during the one-month follow-up. Spontaneous life-threatening ITHs are rare entities. Immediate assessment of airway obstruction and achieving a secure airway are crucial. Besides drainage of hematoma, thyroidectomy may also be necessary.

引起气道阻塞的自发性甲状腺内出血（ITH）相对罕见。我们报告了一例无甲状腺病史的病例，该病例表现为ITH导致严重气道阻塞，危及生命。一名57岁的女性患者在急诊科就诊时突然出现前颈部肿胀、严重呼吸困难和意识不清。插管后的计算机断层扫描显示，右侧甲状腺叶有6.2x5.3厘米的肿块，压迫气道。右侧肺叶切除术引流血肿。当患者在手术后一天拔管时，发现声带是活动的。她在两天后出院，在一个月的随访中无需进一步干预。自发性危及生命的ITH是罕见的。立即评估气道阻塞并获得安全的气道至关重要。除血肿引流外，甲状腺切除术可能也是必要的。

引用次数: 3

Otolaryngology Residents' Attitudes, Experiences, and Barriers Regarding the Medical Research. 耳鼻喉科住院医师对医学研究的态度、经历及障碍。

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-09-01 Epub Date: 2021-10-15 DOI: 10.4274/tao.2021.2021-4-11

Hülya Eyigör, Cüneyt Orhan Kara

Objective: It was aimed to investigate the attitudes, experiences, and barriers towards scientific research among otolaryngology residents in Turkey.

Methods: Anonymous data were collected via an online survey. The demographic characteristics and experience in scientific research were investigated in the first section of the survey. The attitudes of participants towards scientific research and the barriers to the scientific research were examined in the second section of the survey using 17 items.

Results: The present study involved 119 otolaryngology residents continuing their education. It was determined that 68.1% of participants think that "participating in scientific research" is a part of otolaryngology training. In the present study, it was shown that the residents having journal club hours in clinics on regular basis participated in various steps of scientific research projects (p<0.05). Residents stated that they participated in the "literature review" stage of the preparation of a scientific publication (mean value of 2.58±1.88) most and in "verbal presentation in a congress" least (mean value of 0.74±1.44). It was determined that 80.7% of participants have not attended in any training on scientific research. It was found that the residents receiving structured scientific research training participated more in steps of scientific research projects which was statistically significantly (p<0.05).

Conclusion: In our country, otolaryngology residents are very enthusiastic about having research education and participating in researches. However, residency students frequently have time deficiency, lack of knowledge-skill, and lack of financial support. Dedicated time should be allocated for research training and practice in specialty programs. Journal club activities should be organized on regular basis and integrated with research education. On the other hand, the scholarly activities of residents should be supported by means of various countrywide educational activities on research training.

目的:调查土耳其耳鼻喉科住院医师对科学研究的态度、经历和障碍。方法:采用在线调查方式收集匿名资料。调查的第一部分调查了人口统计学特征和科研经验。调查的第二部分使用17个项目考察了参与者对科学研究的态度和科学研究的障碍。结果:本研究涉及119名耳鼻喉科住院医师继续接受教育。确定68.1%的参与者认为“参加科学研究”是耳鼻喉科培训的一部分。本研究结果显示，定期在门诊参加期刊俱乐部时数的住院医师参与科研项目的各个步骤(文献综述”阶段、科学出版物准备阶段(平均值2.58±1.88)最多，“大会口头陈述”阶段(平均值0.74±1.44)最少。确定80.7%的参与者没有参加过任何科学研究培训。结果发现，接受结构化科研培训的住院医师参与科研项目的步骤较多，差异有统计学意义(p结论:在我国，耳鼻喉科住院医师对科研教育和参与研究的热情非常高。然而，住院医师学生往往存在时间不足、缺乏知识技能和缺乏经济支持的问题。专门的时间应该分配给研究、训练和专业项目的实践。期刊社活动应定期组织，并与科研教育相结合。另一方面，应通过各种全国性的科研培训教育活动来支持居民的学术活动。

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引用次数: 1

A Patient with Severe Cervicofacial Subcutaneous Emphysema Associated with Munchausen's Syndrome: A Case Report. 重度颈面皮下肺气肿合并Munchausen综合征1例。

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-09-01 Epub Date: 2021-10-15 DOI: 10.4274/tao.2021.2021-3-16

Serap Şahin Önder, Ayşe Aslı Şahin Yılmaz, Ceyhan Şahin, Zekeriya İlçe, Sevinç Kalın

Subcutaneous cervicofacial emphysema is a rare and life-threatening condition that results from various causes. In this report, we documented a case of a patient with severe subcutaneous cervicofacial emphysema a condition that falls under the umbrella of Munchausen's syndrome and discussed the workup of this patient. Thorough diagnostic investigations seeking the etiology of the condition proved unsuccessful. When faced with cases of recurring subcutaneous cervicofacial emphysema, where the root cause remains ambiguous a diagnosis of Munchausen's Syndrome should be considered.

颈面皮下肺气肿是一种罕见且危及生命的疾病，由多种原因引起。在本报告中，我们记录了一例严重的颈面皮下肺气肿患者，这种情况属于Munchausen综合征，并讨论了该患者的检查。彻底的诊断调查寻求该病的病因证明是不成功的。当面对复发的皮下颈面肺气肿的情况下，其根本原因仍然不明确的诊断Munchausen's综合征应考虑。

引用次数: 0

Call for Emergency Action to Limit Global Temperature Increases, Restore Biodiversity, and Protect Health: Wealthy nations must do much more, much faster. 呼吁采取紧急行动限制全球气温上升，恢复生物多样性，保护健康:富裕国家必须做得更多，做得更快。

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-09-01 Epub Date: 2021-10-15

Lukoye Atwoli, Abdullah H Baqui, Thomas Benfield, Raffaella Bosurgi, Fiona Godlee, Stephen Hancocks, Richard Horton, Laurie Laybourn-Langton, Carlos Augusto Monteiro, Ian Norman, Kirsten Patrick, Nigel Praities, Marcel Gm Olde Rikkert, Eric J Rubin, Peush Sahni, Richard Smith, Nicholas J Talley, Sue Turale, Damián Vázquez

引用次数: 0

Author Self-Citation in the Turkish Otorhinolaryngology Literature. 土耳其耳鼻喉科文献中的作者自我引证。

IF 0.6

Turkish Archives of Otorhinolaryngology

Pub Date : 2021-09-01 Epub Date: 2021-10-15 DOI: 10.4274/tao.2021.2021-5-16

Ali Bayram

Objective: To evaluate the prevalence and other characteristics of author self-citations in six Turkey-originated general otorhinolaryngology (ORL) journals of Turkish ORL literature.

Methods: A total of 970 articles published in six Turkey-originated general ORL journals (ENT Updates, Journal of Ear Nose Throat and Head Neck Surgery, KBB-Forum, Praxis of Otorhinolaryngology, The Turkish Journal of Ear Nose and Throat, and Turkish Archives of Otorhinolaryngology) in 2016-2020 were analyzed for author self-citations. The association between author self-citations and journal types, study types, study topics, country of origin, and compatibility with the topic were also evaluated.

Results: There were 265 author self-citations (0.273 per article) which corresponded to 1.36% of all citations. There was no significant difference between the journal types, study topics, and origin of the studies in terms of mean self-citation values per study, whereas case reports had significantly lower self-citations than review and original investigations. There were three citations (1.1%) that were irrelevant to the study topic.

Conclusion: To the best of our knowledge, this is the first study that investigated the practice of author self-citation in Turkish ORL literature. Author self-citation rate in the Turkish-originated general ORL journals was found remarkably lower than the medical literature, whereas the self-citations were found compatible with the study topic to a very large extent. Members of the scientific community including authors, readers, and journal editors should be cautious regarding the unethical practices of self-citations.

目的:评价6种土耳其普通耳鼻喉科(general otorhinolaryngology, ORL)期刊土耳其ORL文献的作者自引率及其特点。方法:对2016-2020年发表在6种土耳其源性ORL期刊(ENT Updates、Journal of Ear Nose咽喉and Head Neck Surgery、kbr - forum、Praxis of Otorhinolaryngology、The Turkish Journal of Ear Nose and Throat、Turkish Archives of otorhinolyngology)上的970篇文章进行作者自引分析。作者自引与期刊类型、研究类型、研究主题、原产国以及与主题的兼容性之间的关系也被评估。结果:作者自引用265篇(0.273篇/篇)，占总被引数的1.36%。每份研究的平均自引值在期刊类型、研究主题和研究来源之间没有显著差异，而病例报告的自引率明显低于综述和原始调查。有3次引用(1.1%)与研究主题无关。结论:据我们所知，这是第一个调查土耳其ORL文献中作者自引实践的研究。土耳其文普通ORL期刊的作者自引率明显低于医学文献，而自引与研究主题有很大程度的契合。包括作者、读者和期刊编辑在内的科学界成员应该警惕自我引用的不道德行为。

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引用次数: 0

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