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Frontal Sinus "Hump": An Anatomical Risk Factor for Anterior Skull Base Injury in the Endoscopic Modified Lothrop Approach (Outside-In Frontal Drill-Out). 额窦“驼峰”:内镜下改良Lothrop入路(由外向内额部钻出)前颅底损伤的解剖学危险因素。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-07-22 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3402496
Teppei Takeda, Kazuhiro Omura, Haw Torng, Teru Ebihara, Satoshi Aoki, Kosuke Tochigi, Hiromi Kojima, Nobuyoshi Otori

Skull base injuries caused by the outside-in frontal drill-out technique have not been reported. In this report, we chose an outside-in approach to open the frontal sinus for olfactory neuroblastoma resection. Although we identified the first olfactory fibre, the anterior skull base was damaged while drilling into the frontal sinus on the tumour side. We reconstructed the skull base in multiple layers using fascia and cartilage. Postoperative cerebrospinal fluid leakage or intracranial haemorrhage was not observed. In this case, a morphological difference existed in the posterior wall of the frontal sinus between the right and left sides, like a "hump" in the posterior wall of the frontal sinus. This case of damage to the anterior skull base that could not be avoided by identifying the first olfactory fibre alone is the first published case of skull base injury caused by the outside-in approach due to morphological variations of the frontal sinus and skull base. In this approach, the posterior wall of the frontal sinus cannot be observed because the intraoperative landmark is limited to the first olfactory fibre. Therefore, morphological variations of the posterior wall of the frontal sinus should be analysed in advance to prevent cranial base injury.

由外向内额部钻孔技术造成颅底损伤尚未见报道。在本报告中,我们选择了一种由外而内的方法来打开额窦进行嗅神经母细胞瘤切除术。虽然我们发现了第一嗅纤维,但在肿瘤一侧的额窦钻孔时,前颅底受损。我们利用筋膜和软骨重建了多层颅底。术后未见脑脊液漏或颅内出血。在本例中,左右两侧额窦后壁存在形态差异,如额窦后壁出现“驼峰”。本例前颅底损伤不能通过单独识别第一嗅纤维来避免,这是第一例因额窦和颅底形态变化而由外向内入路引起颅底损伤的病例。在这种入路中,由于术中标记仅限于第一嗅纤维,因此无法观察到额窦后壁。因此,应提前分析额窦后壁的形态学变化,防止颅底损伤。
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引用次数: 0
Middle Ear Ceruminous Gland Adenoma Obstructing the Eustachian Tube Orifice. 中耳耵聍腺瘤阻塞耳咽管口。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-07-14 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5987353
Hamin Jeong, Haemin Noh, Chang-Hee Kim

Ceruminous glands are located in the skin of the cartilaginous portion of the external auditory canal, and ceruminous gland adenoma originating from the middle ear mucosa is extremely rare. We report a case of middle ear ceruminous gland adenoma which caused long-standing otomastoiditis and mixed hearing loss with a large air-bone gap by obstructing the bony Eustachian tube. We discuss the clinical characteristics and histologic features of the present case.

耵聍腺位于外耳道软骨部分的皮肤上,起源于中耳粘膜的耵聍腺瘤极为罕见。我们报告一例中耳耵聍腺腺瘤,经由阻塞骨性咽鼓管而引起长期的耳乳突炎及混合性听力损失。我们讨论本病例的临床特点和组织学特征。
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引用次数: 1
Use of Supraclavicular Flap by End to Side Technique in Pharyngeal SCC: A Case Report and Review of Literature. 锁骨上皮瓣在咽部鳞状细胞癌中的应用:1例报告及文献复习。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-07-14 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6619916
Aslan Ahmadi, Ayda Sanaei, Delaram Jan, Maryam Zolfaghary

Objectives: In recent years, conservation laryngeal surgeries, including partial pharyngectomy, have been introduced as an alternative procedure for selected cases of hypopharyngeal squamous cell carcinoma (HSCC). Reconstruction of these defects presents a considerable challenge for the surgeon after partial pharyngectomy due to its circumferential nature. In this case report, we represent the innovative "End to side" technique to reconstruct hypopharyngeal defect using the rolled supraclavicular flap after laryngeal-preserving partial pharyngectomy.

Methods and results: A 70-year-old female presented with a history of progressive dysphagia and odynophagia. The evaluations revealed a T3N0M0 SCC of pyriform sinus. The mass was successfully resected through partial pharyngectomy, and the hypopharyngeal defect reconstruction was achieved using the rolled supraclavicular flap via the "End to side" technique. The patient was discharged after decannulation on day 10. The 3-week barium swallow was performed with no evidence of anastomotic leakage, and the oral feeding was started after NG tube removal. At week 5, complete movement of the true vocal cord on the one side and good phonation and deglutition was observed. There was no evidence of recurrence after 1 year.

Conclusions: Laryngeal-preserving partial pharyngectomy and hypopharyngeal reconstruction with the rolled supraclavicular flap via the "End to side" technique could lead to good oncological and functional outcomes in selected cases of pyriform sinus.

目的:近年来,保护性喉部手术,包括部分咽切除术,已被引入作为下咽鳞状细胞癌(HSCC)病例的替代手术。这些缺陷的重建是外科医生在部分咽切除术后的一个相当大的挑战,因为它的圆周性质。在这个病例报告中,我们代表了创新的“端到侧”技术重建下咽缺损后,使用卷锁骨上瓣保留喉部分切除术。方法和结果:一名70岁女性,有进行性吞咽困难和吞咽困难病史。检查结果为梨状窦T3N0M0 SCC。通过咽部分切除术成功切除肿物,并通过“端到侧”技术使用锁骨上皮瓣进行下咽缺损重建。患者于第10天拔管出院。术后3周吞钡无吻合口漏,拔除胃管后开始口服喂养。第5周,观察到一侧真声带运动完全,发音和吞咽良好。1年后无复发迹象。结论:对部分梨状窦患者行保喉部分咽切除术及锁骨上卷瓣下咽重建术,可获得良好的肿瘤及功能预后。
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引用次数: 2
Translabyrinthine Petrous Apex Cholesteatoma Surgery with Hearing Preservation. 经迷路岩尖胆脂瘤手术伴听力保护。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-06-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5541703
Holger Sudhoff, Randolf Klingebiel, Lars-Uwe Scholtz, Ingo Todt

Objective: To introduce a novel surgical approach to petrous apex lesion (PA) with superior semicircular canal plugging for hearing preservation. Patient. A 63-year-old patient presented with a recurrent cholesteatoma of the left petrous apex. The patient had a long-term history of cholesteatoma and MRI with diffusion-weighted imaging (DWI) detected a suspicious lesion in the left petrous apex on follow-up. Intervention. The cholesteatoma could be completely removed from the petrous apex with partial superior semicircular canal plugging and removal with hearing preservation. Outcomes. Cholesteatomas of the temporal bone are managed by surgery with complete excision of the lesion.

Results: The translabyrinthine approach, generally useful in nonhearing ears, could be utilized with the additional technique of superior semicircular canal plugging to preserve hearing in this patient.

Conclusions: This case highlights the possibility of a hearing preservation strategy for PA cholesteatomas using a translabyrithine approach.

目的:介绍一种采用上半规管封堵术治疗岩尖病变的新方法。病人。一个63岁的病人提出了复发的左岩尖胆脂瘤。患者有长期的胆脂瘤病史,随访时MRI伴弥散加权成像(DWI)发现左侧岩尖可疑病变。干预。在保留听力的情况下,通过封堵部分上半规管将胆脂瘤从岩尖处完全切除。结果。颞骨胆脂瘤的治疗是通过手术完全切除病变。结果:经迷路入路可配合上半规管封堵术,对无听力的患者有一定的保护作用。结论:本病例强调了采用经迷宫入路治疗PA胆脂瘤的听力保护策略的可能性。
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引用次数: 4
Epstein-Barr Virus Mucocutaneous Ulcer: An Unexpected Diagnosis of a New Entity. eb病毒粘膜皮肤溃疡:一种意想不到的新实体诊断。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-05-10 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9989756
William Howden, Tony Kuo

Epstein-Barr virus mucocutaneous ulcer (EBVMCU) is a new entity, only recently included in World Health Organisation classification of lymphoid neoplasms. Almost all cases described to date have been in patients with a predisposing risk factor of immunosuppression. This case presents a 21-year-old male admitted with tonsillitis and no overt immunosuppression, who is subsequently diagnosed with EBVMCU of likely iatrogenic origin.

eb病毒粘膜皮肤溃疡(EBVMCU)是一种新的实体,最近才被列入世界卫生组织淋巴样肿瘤分类。迄今为止所描述的几乎所有病例都是具有免疫抑制易感危险因素的患者。该病例是一名21岁男性,因扁桃体炎入院,没有明显的免疫抑制,随后被诊断为EBVMCU,可能是医源性的。
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引用次数: 0
Pedicled Cervical Lymphoadipose Tissue for Volume Reconstruction after Superficial Parotidectomy. 带蒂颈部淋巴脂肪组织用于腮腺浅表切除术后体积重建。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-05-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5574419
Kyle P Davis, Amy L Fraser, Elizabeth O Shay, Michael W Sim

Volume restoration is often required after parotidectomy due to the resultant facial contour deformity. Common procedures include local pedicled flaps, such as the sternocleidomastoid muscle flap, fat grafting, and even autologous free flaps, for more extensive defects. Local pedicled flaps have the advantage of a single surgical site, which spares the patient the added morbidity of a separate fat graft donor site, while simultaneously reducing the operative time. We report two cases of a novel reconstructive option using pedicled level I and II cervical lymphoadipose tissue for volume restoration after superficial parotidectomy. This reconstruction would be useful for patients with benign parotid lesions and inferior parotid defects. In addition, with maintained blood supply to this tissue, it would likely provide sustained bulk over time.

腮腺切除术后由于面部轮廓畸形,通常需要体积恢复。常见的方法包括局部带蒂皮瓣,如胸锁乳突肌皮瓣,脂肪移植,甚至自体游离皮瓣,用于更广泛的缺陷。局部带蒂皮瓣的优点是手术部位单一,避免了患者单独脂肪移植供体的额外发病率,同时减少了手术时间。我们报告了两例新的重建选择,使用带蒂的I级和II级颈部淋巴脂肪组织进行腮腺浅表切除术后的体积恢复。对于腮腺良性病变及下腮腺缺损的患者,这种重建是有用的。此外,由于该组织有持续的血液供应,它可能会随着时间的推移提供持续的体积。
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引用次数: 0
Pseudocyst in Neck: A Case Report on Rare Complication of Ventriculoperitoneal Shunt. 颈部假性囊肿:脑室-腹腔分流术罕见并发症1例报告。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-04-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6656506
B Nitin, Manish Gupta, Anshul Singh

Introduction: Ventriculoperitoneal shunt is a common neurosurgical procedure, for the definitive management of hydrocephalus. Shunt failures may occur due to various causes but are usually due to infections in adults and catheter occlusion in the paediatric population. Case Report. The 13-year-old girl presented with a right lateral neck swelling. In detailed history, she was found to be an old case of ventriculoperitoneal shunt. The clinical examination and radiological investigation revealed proximal dislodgment of the stent from the cranium, causing persistent cerebrospinal fluid (CSF) leak and pseudocyst formation in the neck.

Conclusion: The case highlights CSF pseudocyst formation as a rare differential for lateral neck swellings.

脑室-腹膜分流术是一种常见的神经外科手术,用于脑积水的最终治疗。分流失败可能由于各种原因而发生,但通常是由于成人感染和儿科人群的导管阻塞。病例报告。13岁女孩表现为右侧颈部肿胀。在详细的病史中,她被发现是一个脑室腹腔分流的老病例。临床检查和影像学检查显示支架近端从头盖骨脱位,导致持续的脑脊液(CSF)泄漏和颈部假性囊肿形成。结论:该病例强调脑脊液假性囊肿形成是颈部外侧肿胀的罕见鉴别诊断。
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引用次数: 2
Central Auditory Nervous System Stimulation through the Cochlear Implant Use and Its Behavioral Impacts: A Longitudinal Study of Case Series. 人工耳蜗对中枢听觉系统的刺激及其对行为的影响:一项病例系列的纵向研究。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-04-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8888450
Marina Isabel Cavalcanti, Liliane Aparecida Fagundes Silva, Maria Valéria Schmidt Goffi Gomez, Tsuji Robinson Koji, Ricardo Ferreira Bento, Ana Cláudia Martinho de Carvalho, Matas Carla Gentile

The purpose of this study was to investigate, over a period of five years, the cortical maturation of the central auditory pathways and its impacts on the auditory and oral language development of children with effective use and without effective use of a Cochlear Implant (CI). A case series study was conducted with seven children who were CI users and seven children with normal hearing, with age- and gender-matched to CI users. The assessment was performed by long-latency auditory evoked potentials and auditory and oral language behavioral protocols. The results pronounced P1 latency decrease in all CI users in the first nine months. Over five years, five children with effective CI use presented decrease or stabilization of P1 latency and a gradual development of auditory and oral language skills, although, for most of the children, the electrophysiological and behavior results remained poor than their hearing peers' results. Two children who stopped the effective use of CI after the first year of activation had worsened auditory and oral language behavioral skills and presented increased P1 latency. A negative correlation was observed between behavioral measures and the P1 latency, the P1 component being considered an important clinical resource capable of measuring the cortical maturation and the behavioral evolution.

本研究的目的是在五年的时间里,调查有效使用和未有效使用人工耳蜗(CI)的儿童中枢听觉通路的皮层成熟及其对听觉和口语发展的影响。对7名CI使用者儿童和7名听力正常的儿童进行了病例系列研究,年龄和性别与CI使用者相匹配。评估采用长潜伏期听觉诱发电位和听觉和口头语言行为协议。结果表明,在前9个月里,所有CI用户的P1潜伏期都有所下降。在5年的时间里,5名使用有效CI的儿童表现出P1潜伏期减少或稳定,听觉和口语技能逐渐发展,尽管对大多数儿童来说,电生理和行为结果仍然比他们的听力同龄人差。两名在激活一年后停止有效使用CI的儿童听觉和口语行为技能恶化,P1潜伏期增加。行为测量与P1潜伏期呈负相关,P1成分被认为是能够测量皮层成熟和行为演变的重要临床资源。
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引用次数: 2
Granulomatosis with Polyangiitis as a Cause of Sudden-Onset Bilateral Sensorineural Hearing Loss: Case Report and Recommendations for Initial Assessment. 肉芽肿病合并多血管炎是突发性双侧感音神经性听力损失的原因:病例报告和初步评估的建议。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-04-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6632344
Paul R Ratmeyer, Benjamin R Johnson, Luis P Roldan, Tania L Kraai

Granulomatosis with polyangiitis (GPA) is a severe systemic vasculitis that commonly affects the paranasal sinuses, upper and lower respiratory tracts, and kidneys. GPA has also been associated with sensorineural hearing loss (SNHL), through inflammation of the cochlear apparatus. Early recognition, diagnostic laboratory evaluation, and appropriate treatment are essential to improve outcomes and achieve remission for patients with GPA. Here, we present a case of bilateral sudden sensorineural hearing loss (SSNHL) and distal symmetric polyneuropathy as the first presenting signs of GPA. A specific diagnostic work-up to rule out autoimmune inner-ear disease in patients with bilateral SSNHL is not clearly stated in the clinical practice guidelines from the American Academy of Otolaryngology-Head and Neck Surgery. The aim of this paper is to delineate an appropriate diagnostic work-up for patients with bilateral SSNHL when there is concern for autoimmune disease.

肉芽肿病伴多血管炎(GPA)是一种严重的全身性血管炎,通常影响副鼻窦、上、下呼吸道和肾脏。GPA也与耳蜗炎症引起的感音神经性听力损失(SNHL)有关。早期识别、诊断性实验室评估和适当的治疗对于改善GPA患者的预后和实现缓解至关重要。在此,我们报告一例双侧突发性感音神经性听力损失(SSNHL)和远端对称性多神经病变作为GPA的首发症状。美国耳鼻喉头颈外科学会的临床实践指南中没有明确规定排除双侧SSNHL患者自身免疫性内耳疾病的具体诊断检查。本文的目的是为双侧SSNHL患者描述一个适当的诊断检查,当有自身免疫性疾病的关注。
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引用次数: 0
Corrigendum to "A Case Report of Complete Resolution of Auricular Mucormycosis in an 18-Month-Old Diabetic Child". 18 个月大糖尿病患儿耳廓黏液瘤病完全治愈的病例报告》更正。
IF 0.6 Q4 OTORHINOLARYNGOLOGY Pub Date : 2021-04-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9794624
Mariam Aljehani, Hatem Alahmadi, Mansour Alshamani

[This corrects the article DOI: 10.1155/2021/6618191.].

[This corrects the article DOI: 10.1155/2021/6618191.].
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引用次数: 0
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Case Reports in Otolaryngology
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