Brazilian Journal of Otorhinolaryngology最新文献

英文中文

Use of ultrasonography in the evaluation of patients with sleep apnea: a systematic review 在评估睡眠呼吸暂停患者时使用超声波检查：系统性综述

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-14 DOI: 10.1016/j.bjorl.2024.101468

Objectives

This study aims to review the current role of various ultrasonographic methods in the evaluation of the upper airway in patients with obstructive sleep apnea.

Methods

A literature review was performed on the medical databases: Pubmed, Web of Science, Scopus and Embase. After analyzing the available studies, six of them were selected for data extraction.

Results

All selected studies demonstrated that it is possible to use ultrasonography as a method of evaluating the upper airway. Studies with gray-scale ultrasound concluded that the lateral pharyngeal wall and tongue are thicker in patients with obstructive sleep apnea compared to non-apneic patients. Moreover, studies with tissue characterization ultrasound, nowadays called quantitative ultrasound, have identified unique features in obstructive sleep apnea patients: standardized backscatter ultrasonography demonstrated that this particular sound wave analysis is associated with the severity of obstructive sleep apnea. Ultrasonography with elastography shows that the electrical stimulus generated in the hypoglossal nerve results in greater stiffness on the side of the tongue that is stimulated; whereas studies show conflicting results regarding the evaluation of baseline tongue stiffness in obstructive sleep apnea patients compared to non-apneic subjects.

Conclusion

There is feasibility of different methods of ultrasonographic evaluation of the upper airway, with emphasis on ultrasonographic methods of tissue characterization, such as elastography, which proved to be a promising method of evaluating the mechanical properties of the muscles involved in the pathogenesis of obstructive sleep apnea and which require further studies for a better elucidation of its applicability.

本研究旨在回顾目前各种超声波检查方法在阻塞性睡眠呼吸暂停患者上气道评估中的作用：方法在以下医学数据库中进行了文献综述：Pubmed、Web of Science、Scopus 和 Embase。结果所有被选中的研究都表明，使用超声波检查作为评估上气道的方法是可行的。灰阶超声研究认为，与非呼吸暂停患者相比，阻塞性睡眠呼吸暂停患者的咽侧壁和舌部较厚。此外，利用组织特征超声波（现称为定量超声波）进行的研究发现了阻塞性睡眠呼吸暂停患者的独特特征：标准化背向散射超声波检查表明，这种特殊的声波分析与阻塞性睡眠呼吸暂停的严重程度有关。超声波弹性成像显示，舌下神经产生的电刺激会导致受刺激一侧的舌头更僵硬；而与非呼吸暂停受试者相比，研究显示阻塞性睡眠呼吸暂停患者舌头僵硬度基线的评估结果相互矛盾。结论不同的上气道超声波评估方法都是可行的，重点是超声波组织特征描述方法，如弹性成像，它被证明是评估阻塞性睡眠呼吸暂停发病机制中肌肉机械特性的一种有前途的方法，需要进一步研究以更好地阐明其适用性。

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引用次数: 0

Percutaneous Vocal Fold Lateralization in children — a case series of a Brazilian tertiary pediatric hospital (pediatric vocal fold lateralization cases in a Brazilian hospital) 儿童经皮声带侧切术--巴西一家三级儿科医院的系列病例（巴西一家医院的儿科声带侧切病例）

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-14 DOI: 10.1016/j.bjorl.2024.101469

Objectives

Percutaneous Vocal Fold Lateralization (PVFL) consists of external fixation with non-absorbable percutaneous suture of the vocal fold in a lateral position, under direct glottic visualization. The objective of this study is to determine the effectiveness of PVFL in a university pediatric hospital, as well as to describe the potential risks and complications of the surgery.

Methods

Retrospective cohort study, with data collected from electronic medical records. The study was approved by the Research Ethics Committee of the institution. Surgeries were performed with the modified Lichentenberg technique and data, and outcomes were analyzed.

Results

Six patients with Bilateral Vocal Fold Paralysis who underwent Percutaneous Vocal Fold Lateralization were evaluated. Three patients were male. The age at diagnosis ranged from 2 to 132 days (mean 10.5 days). The reason for investigating the upper airway was the presence of increased work of breathing and stridor. Five patients had a favorable clinical evolution, with spontaneous ventilation in room air and absence of stridor or ventilatory effort, without the need for tracheostomy. Surgical results in this series corroborate the findings of other similar cohorts, which showed Percutaneous Vocal Fold Lateralization as a safe and effective procedure in avoiding tracheostomy or allowing decannulation in children with Bilateral Vocal Fold Paralysis.

Conclusions

PVFL seems to be a safe and effective procedure, but it has morbidity, due to immediate, and probably late, non-serious complications. Studies with a larger number of patients, with longer follow-up and using a controlled and randomized clinical design are needed to establish the role of PVFL in the treatment of BVFP in newborns and infants.

Levels of evidence

Level 4 (step 4).

目的经皮声带侧切术（PVFL）是在声门直视下用非吸收性经皮缝线将声带侧位外固定。本研究的目的是确定 PVFL 在一所大学儿科医院的有效性，并描述手术的潜在风险和并发症。该研究获得了该机构研究伦理委员会的批准。结果对接受经皮声带侧切术的六名双侧声带瘫痪患者进行了评估。三名患者为男性。确诊时的年龄从 2 天到 132 天不等（平均 10.5 天）。检查上呼吸道的原因是出现呼吸功增加和喘鸣。五名患者的临床表现良好，在室内空气中能自发通气，没有喘鸣或呼吸困难，无需进行气管造口术。该系列的手术结果证实了其他类似群组的研究结果，这些研究结果表明，经皮声带侧切术是一种安全有效的手术，可避免对双侧声带瘫痪的儿童进行气管造口术或允许其停止呼吸。要确定 PVFL 在治疗新生儿和婴儿双侧声带褶皱瘫痪中的作用，还需要对更多患者、更长时间的随访以及采用对照和随机临床设计进行研究。

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引用次数: 0

Risk factors for mild cognitive impairment in patients with age-related hearing loss: a meta-analysis 老年性听力损失患者出现轻度认知障碍的风险因素：荟萃分析

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-11 DOI: 10.1016/j.bjorl.2024.101467

Objectives

One of the most common sensory impairments in the elderly is age-related hearing loss, and individuals with this condition have a higher risk of mild cognitive impairment than the overall aged population. The purpose of this study was to conduct a systematic review of the literature in order to evaluate the evidence supporting the hypothesis that mild cognitive impairment may be developed in patients with age-related hearing loss.

Methods

The PRISMA principles were followed when searching the databases of the China Knowledge Network, Wanfang, China Biomedical Literature Database, Pub Med, Cochrane Library, Embase, and Web of Science. Two investigators independently carried out the quality assessment, data extraction, and literature review of the eligible studies. Stata 17.0 was used to finish the statistical analysis and descriptive results.

Results

A total of 13 articles containing 2,222,036 individuals who were evaluated for demographic traits, factors associated with age-related hearing loss, vascular neurologic factors, and psychological factors were included after 2166 search records were found in the database. In patients with age-related hearing loss, eleven factors were found to be risk factors for the development of mild cognitive impairment: age (OR = 1.63; 95% CI 1.09–2.43), male (OR = 1.29; 95% CI 1.14–1.47), degree of hearing loss (OR = 1.35; 95% CI 1.03–1.75), not wearing hearing aids (OR = 1.56; 95% CI 1.37–1.79), cerebrovascular disease (OR = 1.41; 95% CI 1.17–1.69), cardiovascular disease (OR = 1.29; 95% CI 1.07–1.55), diabetes mellitus (OR = 1.28; 95% CI 1.20–1.35), head injury (OR = 1.22; 95% CI 1.13–1.33), alcohol consumption (OR = 1.28; 95% CI 1.14–1.43), and tobacco use (OR = 1.19; 95% CI 1.14–1.25), and depression (OR = 1.63; 95% CI 1.47–1.81).

Conclusion

Caregivers can customize care strategies to decrease the occurrence of mild cognitive impairment in elderly deaf patients by considering demographic traits, factors associated with age-related hearing loss, vascular-neurologic factors, and psychological factors.

目的老年性听力损失是老年人最常见的感官障碍之一，与整体老年人群相比，患有老年性听力损失的人患轻度认知障碍的风险更高。本研究旨在对文献进行系统性回顾，以评估支持老年性听力损失患者可能出现轻度认知障碍这一假设的证据。方法在检索中国知网、万方数据库、中国生物医学文献数据库、Pub Med、Cochrane Library、Embase 和 Web of Science 等数据库时遵循 PRISMA 原则。两名研究人员独立对符合条件的研究进行了质量评估、数据提取和文献综述。结果在数据库中找到 2166 条检索记录后，共纳入 13 篇文章，包含 2,222,036 人的人口统计学特征、老年性听力损失相关因素、血管神经因素和心理因素的评估。在老年性听力损失患者中，发现有 11 个因素是轻度认知障碍发生的危险因素：年龄（OR = 1.63；95% CI 1.09-2.43）、男性（OR = 1.29；95% CI 1.14-1.47）、听力损失程度（OR = 1.35；95% CI 1.03-1.75）、未佩戴助听器（OR = 1.56；95% CI 1.37-1.79）、脑血管疾病（OR = 1.41；95% CI 1.17-1.69）、心血管疾病（OR = 1.29；95% CI 1.07-1.55）、糖尿病（OR = 1.28；95% CI 1.20-1.35）、头部损伤（OR = 1.22；95% CI 1.13-1.33）、饮酒（OR = 1.28；95% CI 1.14-1.43）和吸烟（OR = 1.19；95% CI 1.14-1.25）以及抑郁症（OR = 1.63；95% CI 1.47-1.81）。结论护理人员可以通过考虑人口统计学特征、与老年性听力损失相关的因素、血管神经因素和心理因素来定制护理策略，以减少老年耳聋患者轻度认知障碍的发生。

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引用次数: 0

Office based non-invasive diagnostic technique for acquired tracheoesophageal fistula 基于诊室的后天性气管食管瘘无创诊断技术

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-10 DOI: 10.1016/j.bjorl.2024.101466

引用次数: 0

Treatment-emergent central sleep apnea in a patient with multiple system atrophy: case report 一名多系统萎缩患者因治疗引发的中枢性睡眠呼吸暂停：病例报告

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-09 DOI: 10.1016/j.bjorl.2024.101465

引用次数: 0

Is the measurement of ethmoid sinus dominance in eosinophilic chronic rhinosinusitis accurate? 嗜酸性粒细胞慢性鼻炎患者乙状窦优势度的测量准确吗？

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-09 DOI: 10.1016/j.bjorl.2024.101463

Objective

An ethmoid-dominant shadow on computed tomography is an indicator of type 2 inflammation, and is one of the main items used to diagnose and classify the severity of eosinophilic chronic rhinosinusitis in the Japanese diagnostic criteria. Ethmoid sinus dominance is examined using the Lund-Mackay scoring system and may be overestimated due to scoring characteristics. We aim to investigate the accuracy of evaluations of ethmoid dominance using the conventional scoring system and the possibility of conducting an objective evaluation using a more detailed other scoring system.

Methods

Patients diagnosed with eosinophilic chronic rhinosinusitis and who underwent bilateral endoscopic sinus surgery were enrolled in the present study. Computed tomography was performed preoperatively on all subjects. The bilateral anterior and posterior ethmoid sinuses and bilateral maxillary sinus were scored, and the ethmoid-to-maxillary ratio was calculated using 3 different scoring systems: Lund-Mackay (each sinus score ranges between 0 and 2), simplified Zinreich (score ranging between 0 and 3), and Zinreich (score ranging between 0 and 5).

Results

A total of 149 patients were eligible for the present study. Significant differences were observed in ethmoid-to-maxillary ratio evaluated by the 3 different scoring systems (2.4 ± 0.7, 3.0 ± 1.1, and 3.7 ± 2.2). Only 2 patients were negative for ethmoid dominance by the Lund-Mackay scoring system, while 14 were negative by the simplified-Zinreich and Zinreich scoring systems. Severity changed from the initial grade in 12 patients.

Conclusions

The present results confirmed a potential overestimation when only the Lund-Mackay scoring system was used to assess ethmoid dominance. Ethmoid dominance has been identified as one of the main predictive factors for the long-term postoperative outcomes of eosinophilic chronic rhinosinusitis and is included in the Japanese diagnostic criteria. A detailed evaluation of ethmoid dominance is desirable for more accurate evaluations of the severity and prognosis of eosinophilic chronic rhinosinusitis.

Level of evidence

目的计算机断层扫描上的乙状窦优势阴影是 2 型炎症的指标，也是日本诊断标准中用于诊断和划分嗜酸性粒细胞慢性鼻炎严重程度的主要项目之一。乙状窦优势使用 Lund-Mackay 评分系统进行检查，由于评分特点，可能会被高估。我们旨在研究使用传统评分系统评估乙状窦优势的准确性，以及使用更详细的其他评分系统进行客观评估的可能性。所有受试者术前均进行了计算机断层扫描。对双侧乙状窦前、后和双侧上颌窦进行了评分，并使用 3 种不同的评分系统计算了乙状窦与上颌窦的比例：结果共有 149 名患者符合本研究的条件。通过 3 种不同的评分系统（2.4±0.7、3.0±1.1 和 3.7±2.2），观察到乙状舌骨与下颌的比率存在显著差异。只有 2 名患者的伦德-马凯评分系统检测结果为乙状舌骨优势阴性，14 名患者的简化-Zinreich 和 Zinreich 评分系统检测结果为阴性。结论本研究结果证实，仅使用 Lund-Mackay 评分系统评估乙状舌骨优势时，可能会高估其严重程度。蝶窦优势已被确定为嗜酸性粒细胞性慢性鼻炎术后长期疗效的主要预测因素之一，并被纳入日本的诊断标准。为了更准确地评估嗜酸性粒细胞性慢性鼻炎的严重程度和预后，需要对蝶窦优势进行详细评估。

{"title":"Is the measurement of ethmoid sinus dominance in eosinophilic chronic rhinosinusitis accurate?","authors":"","doi":"10.1016/j.bjorl.2024.101463","DOIUrl":"10.1016/j.bjorl.2024.101463","url":null,"abstract":"<div><h3>Objective</h3><p>An ethmoid-dominant shadow on computed tomography is an indicator of type 2 inflammation, and is one of the main items used to diagnose and classify the severity of eosinophilic chronic rhinosinusitis in the Japanese diagnostic criteria. Ethmoid sinus dominance is examined using the Lund-Mackay scoring system and may be overestimated due to scoring characteristics. We aim to investigate the accuracy of evaluations of ethmoid dominance using the conventional scoring system and the possibility of conducting an objective evaluation using a more detailed other scoring system.</p></div><div><h3>Methods</h3><p>Patients diagnosed with eosinophilic chronic rhinosinusitis and who underwent bilateral endoscopic sinus surgery were enrolled in the present study. Computed tomography was performed preoperatively on all subjects. The bilateral anterior and posterior ethmoid sinuses and bilateral maxillary sinus were scored, and the ethmoid-to-maxillary ratio was calculated using 3 different scoring systems: Lund-Mackay (each sinus score ranges between 0 and 2), simplified Zinreich (score ranging between 0 and 3), and Zinreich (score ranging between 0 and 5).</p></div><div><h3>Results</h3><p>A total of 149 patients were eligible for the present study. Significant differences were observed in ethmoid-to-maxillary ratio evaluated by the 3 different scoring systems (2.4 ± 0.7, 3.0 ± 1.1, and 3.7 ± 2.2). Only 2 patients were negative for ethmoid dominance by the Lund-Mackay scoring system, while 14 were negative by the simplified-Zinreich and Zinreich scoring systems. Severity changed from the initial grade in 12 patients.</p></div><div><h3>Conclusions</h3><p>The present results confirmed a potential overestimation when only the Lund-Mackay scoring system was used to assess ethmoid dominance. Ethmoid dominance has been identified as one of the main predictive factors for the long-term postoperative outcomes of eosinophilic chronic rhinosinusitis and is included in the Japanese diagnostic criteria. A detailed evaluation of ethmoid dominance is desirable for more accurate evaluations of the severity and prognosis of eosinophilic chronic rhinosinusitis.</p></div><div><h3>Level of evidence</h3><p>4.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000788/pdfft?md5=45163932d29ebab2b7d8e0b9baf537c8&pid=1-s2.0-S1808869424000788-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reducing local tension to repair nasal septal deviation and spur 降低局部张力，修复鼻中隔偏曲和骨刺

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-08 DOI: 10.1016/j.bjorl.2024.101464

Objectives

To introduce our method managing nasal septal spurs during endoscopic septoplasty.

Methods

We conducted a prospective study of cases treated with endoscopic septoplasty between March 2022 and June 2023. We innovated a surgical method to reduce the local mucosal tension at the spur by cutting the spur above and below the bony connection, and reducing the chance of mucosal tear and loss during dissection. The authors performed these cases at the First Affiliated Hospital of Fujian Medical University, where 40 surgeries were performed with regular postoperative follow-ups for 6–12 months.

Results

All patients' clinical symptoms improved significantly after surgery. After 2–4 weeks of follow-up, the mucosa could recover to the preoperative state on both sides of the nasal septum.

Conclusion

This surgical method is suitable for most patients with nasal septal deviation, especially those with a spur, which can effectively reduce the chance of nasal septal mucosa tear and accelerate postoperative recovery.

Level of evidence

Ⅳ.

方法我们对 2022 年 3 月至 2023 年 6 月期间接受内窥镜鼻中隔成形术治疗的病例进行了前瞻性研究。我们创新了一种手术方法，通过在骨连接处的上方和下方切断骨刺，降低骨刺处粘膜的局部张力，减少剥离时粘膜撕裂和脱落的机会。作者在福建医科大学附属第一医院实施了这些病例，共进行了 40 例手术，术后定期随访 6-12 个月。结论该手术方法适用于大多数鼻中隔偏曲患者，尤其是有鼻中隔骨刺的患者，可有效减少鼻中隔粘膜撕裂的几率，加快术后恢复。

{"title":"Reducing local tension to repair nasal septal deviation and spur","authors":"","doi":"10.1016/j.bjorl.2024.101464","DOIUrl":"10.1016/j.bjorl.2024.101464","url":null,"abstract":"<div><h3>Objectives</h3><p>To introduce our method managing nasal septal spurs during endoscopic septoplasty.</p></div><div><h3>Methods</h3><p>We conducted a prospective study of cases treated with endoscopic septoplasty between March 2022 and June 2023. We innovated a surgical method to reduce the local mucosal tension at the spur by cutting the spur above and below the bony connection, and reducing the chance of mucosal tear and loss during dissection. The authors performed these cases at the First Affiliated Hospital of Fujian Medical University, where 40 surgeries were performed with regular postoperative follow-ups for 6–12 months.</p></div><div><h3>Results</h3><p>All patients' clinical symptoms improved significantly after surgery. After 2–4 weeks of follow-up, the mucosa could recover to the preoperative state on both sides of the nasal septum.</p></div><div><h3>Conclusion</h3><p>This surgical method is suitable for most patients with nasal septal deviation, especially those with a spur, which can effectively reduce the chance of nasal septal mucosa tear and accelerate postoperative recovery.</p></div><div><h3>Level of evidence</h3><p>Ⅳ.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S180886942400079X/pdfft?md5=8bfb71a6b850419cf50d44add3d6be20&pid=1-s2.0-S180886942400079X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serum HOTTIP expression is upregulated in nasopharyngeal carcinoma patients and predicts poor prognosis 鼻咽癌患者血清 HOTTIP 表达上调，预示预后不良

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-01 DOI: 10.1016/j.bjorl.2024.101471

Ding-Ting Wang, Jian Luo, Hua-Jun Feng, Yuan-Yuan Wang

引用次数: 0

The pedagogical rehabilitation in the construction of the alphabetic writing of children with cochlear implant 人工耳蜗儿童字母书写的教学康复

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-07-01 DOI: 10.1016/j.bjorl.2024.101457

Rogério Hamerschmidt

引用次数: 0

SMAS flap for extracapsular dissection of parotid gland tumors: is it necessary? 用于腮腺肿瘤囊外切除的 SMAS 皮瓣：有必要吗？

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-06-29 DOI: 10.1016/j.bjorl.2024.101462

Roberto Becelli , Valerio Facchini , Alessandro Piccirilli , Flavia Maesa , Fabrizio Bozza , Filippo Giovannetti , Ettore Lupi , Edoardo Covelli , Walter Colangeli

Objective

The aim of this retrospective article is to evaluate postoperative outcomes after extracapsular dissection for small benign superficial parotid neoplasms (<3 cm) in patients who received Superficial Musculoaponeurotic System (SMAS) flap and in patients who did not receive it.

Methods

Two groups were created and statistically compared regarding Frey’s syndrome and aesthetic satisfaction by data collected through the POI-8 validated questionnaire and through an aesthetic satisfaction scale ranging from 1 to 10. The difference between these two groups was the utilization of SMAS flap. SMAS flap was harvested in one of these two group, meanwhile was not used in the other.

Results

The p-value analysis between group 1 and group 2 on these complications, resulted statistically not significant. Also, the aesthetic satisfaction resulted not statistically significant between group 1 and group 2. Gender, localization, and facial palsy resulted statistically correlated with the aesthetic satisfaction (p-value < 0.05).

Conclusion

In conclusion, there is no statistical difference in the use of SMAS flap for benign parotid neoformations of the superficial lobe, with a diameter of less than 3 cm for which extracapsular dissection is adopted as a surgical technique.

Level of evidence

目的这篇回顾性文章旨在评估腮腺良性浅表小肿瘤囊外切除术的术后效果：通过 POI-8 验证问卷和 1 到 10 分的美学满意度量表收集数据，对两组患者的弗雷氏综合征和美学满意度进行统计比较。两组之间的差异在于 SMAS 皮瓣的使用。结果显示，其中一组采用了 SMAS 皮瓣，而另一组则未采用：第一组和第二组在这些并发症上的 P 值分析结果在统计学上并不显著。性别、位置和面瘫与美学满意度有统计学相关性（P 值小于 0.05）：总之，对于直径小于 3 厘米的浅叶良性腮腺新生物，采用囊外剥离作为手术技术，在使用 SMAS 皮瓣方面没有统计学差异：3:

{"title":"SMAS flap for extracapsular dissection of parotid gland tumors: is it necessary?","authors":"Roberto Becelli , Valerio Facchini , Alessandro Piccirilli , Flavia Maesa , Fabrizio Bozza , Filippo Giovannetti , Ettore Lupi , Edoardo Covelli , Walter Colangeli","doi":"10.1016/j.bjorl.2024.101462","DOIUrl":"10.1016/j.bjorl.2024.101462","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this retrospective article is to evaluate postoperative outcomes after extracapsular dissection for small benign superficial parotid neoplasms (<3 cm) in patients who received Superficial Musculoaponeurotic System (SMAS) flap and in patients who did not receive it.</p></div><div><h3>Methods</h3><p>Two groups were created and statistically compared regarding Frey’s syndrome and aesthetic satisfaction by data collected through the POI-8 validated questionnaire and through an aesthetic satisfaction scale ranging from 1 to 10. The difference between these two groups was the utilization of SMAS flap. SMAS flap was harvested in one of these two group, meanwhile was not used in the other.</p></div><div><h3>Results</h3><p>The p-value analysis between group 1 and group 2 on these complications, resulted statistically not significant. Also, the aesthetic satisfaction resulted not statistically significant between group 1 and group 2. Gender, localization, and facial palsy resulted statistically correlated with the aesthetic satisfaction (<em>p</em>-value < 0.05).</p></div><div><h3>Conclusion</h3><p>In conclusion, there is no statistical difference in the use of SMAS flap for benign parotid neoformations of the superficial lobe, with a diameter of less than 3 cm for which extracapsular dissection is adopted as a surgical technique.</p></div><div><h3>Level of evidence</h3><p>3.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000776/pdfft?md5=3d385f17cf2a6bfa74e2bd54a09d9585&pid=1-s2.0-S1808869424000776-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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