Brazilian Journal of Otorhinolaryngology最新文献_第7页

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

Chenxingzi Wu, Wenjuan Wang, Ruilin Li, Yuhong Su, Huiling Lv, Shuhong Qin, Zhanhang Zheng

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

Nesha Rajendram , Masaany Mansor , Norazila Abdul Rahim , Mohd Zukiflee Abu Bakar , Muhammad Arif Sobani

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

Carolina Almeida Grinfeld, Yasmin de Rezende Beiriz, Thatiana Pereira Silva, Natalia Martins de Araújo, Mirella Pereira Souza Paixão, Julyana Carneiro Gomes, Paulo Sergio Lins Perazzo

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

Kosuke Akiyama, Yasushi Samukawa, Hiroshi Hoshikawa

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

4.

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。

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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

Qihang Lin , Xi Lin

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。

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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

3.

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:

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引用次数: 0

Prevalence and factors associated with olfactory impairment among patients with acne treated with oral isotretinoin: a cross-sectional study 口服异维A酸治疗的痤疮患者中嗅觉障碍的发生率和相关因素：一项横断面研究。

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-06-28 DOI: 10.1016/j.bjorl.2024.101461

Rogério Nabor Kondo , Hélio Amante Miot , Elouise Zwirtes Frare , Ellen Cristine Duarte Garcia , Abner Hiraku Yamakami , Marco Aurélio Fornazieri

Objective

This study aimed to investigate the prevalence and factors associated with olfactory dysfunction in individuals exposed to Isotretinoin (ISO) for the treatment of acne, using the University of Pennsylvania Smell Identification Test (UPSIT®).

Methods

This cross-sectional study enrolled age and sex-matched patients with acne who were current users of oral ISO and unexposed controls without olfactory complaints. UPSIT® and a validated questionnaire (Nasal Obstruction Symptom Evaluation) were administered to evaluate nasal obstruction in patients exposed to ISO.

Results

A total of seventy patients were recruited, with 35 in the exposed group and 35 in the unexposed group, consisting of 18 males and 17 females in each group, aged from 17 to 47 years. The prevalence of olfactory dysfunction was higher in the exposed group compared to the non-exposed group (62.9% vs. 17.1%), yielding a Prevalence Ratio (PR) of 3.7 (95% CI 1.9–7.1). However, no participants were categorized as anosmia or severe hyposmia and the majority of dysfunction was mild hyposmia compared to moderate hyposmia (51.5% vs. 11.4%). Among the exposed individuals, gasoline, orange, coffee, and wood exhibited the highest rates of identification errors (≥54%). Olfactory function demonstrated a negative correlation with treatment duration (p = 0.01), cumulative dose (p = 0.02), and nasal obstruction (p = 0.02).

Conclusions

Olfactory dysfunction was more prevalent among ISO users, despite the patients being unaware of the disorder. Olfactory changes were correlated with treatment duration, cumulative dose, and nasal obstruction.

Level of evidence

Level 4.

研究目的本研究旨在使用宾夕法尼亚大学气味识别测试（UPSIT®），调查因治疗痤疮而接触异维A酸（ISO）的患者中嗅觉功能障碍的发生率和相关因素：这项横断面研究招募了年龄和性别相匹配的痤疮患者，这些患者目前正在使用口服异维A酸治疗痤疮，而未接触异维A酸治疗痤疮的对照组则没有嗅觉问题。结果：共招募了 70 名痤疮患者：共招募了 70 名患者，其中暴露组和未暴露组各 35 人，每组各有 18 名男性和 17 名女性，年龄在 17 至 47 岁之间。与未暴露组相比，暴露组的嗅觉功能障碍患病率更高（62.9% 对 17.1%），患病率比（PR）为 3.7（95% CI 1.9-7.1）。然而，没有参与者被归类为无嗅或严重嗅觉减退，与中度嗅觉减退相比，大多数功能障碍为轻度嗅觉减退（51.5% 对 11.4%）。在暴露的个体中，汽油、橙子、咖啡和木材的识别错误率最高（≥54%）。嗅觉功能与治疗时间（p = 0.01）、累积剂量（p = 0.02）和鼻阻塞（p = 0.02）呈负相关：结论：嗅觉功能障碍在 ISO 使用者中更为普遍，尽管患者并未意识到这一障碍。嗅觉变化与治疗时间、累积剂量和鼻阻塞有关：证据等级：4 级。

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引用次数: 0

Language development in children from a public cochlear implant program 公立人工耳蜗植入项目儿童的语言发展

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-06-17 DOI: 10.1016/j.bjorl.2024.101458

Alice Lang Silva , Isadora Martins da Silva Stumpf , Laura Prolla Lacroix , Debora Milena Ferreira Alves , Adriana Laybauer da Silveira , Sady Selaimen da Costa , Letícia Petersen Schmidt Rosito

Objective

To evaluate the rate of loss to follow-up in a cochlear implant program from the public health system in Southern Brazil as well as the characteristics of hearing loss, sociodemographic, sociocultural and the development of oral language in children with prelingual deafness.

Methods

Retrospective cohort study with children who underwent CI surgery between 2010 and 2020. Data was collected through of interviews and review of medical records. The language development assessment was performed using the MUSS, MAIS and IT-MAIS scales. For the classification of language development, we used as parameters the values (mean ± SD) found in a previous national study. From those values, the Z-score for each patient at each hearing age (time of experience with the cochlear implant) was calculated.

Results

Of the 225 children implanted between 2010–2020, 129 were included in this study. The rate of loss to follow-up in the program was 42.6%. The mean age at first surgery was 40.5 (±16.9) months, with 77.5% of patients having received a unilateral implant. Language results below the expected for hearing age (<Z-score-1) for the MAIS score were found in 59.7% of the sample, while for the MUSS score the proportion was 62%.

Conclusions

Most patients had an elevated mean age at cochlear implantation and there was a high rate of loss to follow-up and low attendance to speech and programming sessions. An overall poor language performance was found for this pediatric cochlear implant program from the public health system in Southern Brazil.

Level of evidence

Level 3 (Non-randomized cohort study).

目的评估巴西南部公共卫生系统人工耳蜗植入项目的随访损失率，以及语前聋儿童的听力损失特征、社会人口学、社会文化和口语发展情况。方法对 2010 年至 2020 年间接受人工耳蜗植入手术的儿童进行回顾性队列研究。通过访谈和查阅病历收集数据。语言发展评估采用 MUSS、MAIS 和 IT-MAIS 量表进行。在对语言发展进行分类时，我们使用了之前一项全国性研究中发现的数值（平均值±标度）作为参数。结果在 2010-2020 年间植入人工耳蜗的 225 名儿童中，有 129 名被纳入本研究。该计划的随访损失率为 42.6%。首次手术的平均年龄为 40.5 (±16.9) 个月，77.5% 的患者接受了单侧植入。59.7%的样本在 MAIS 评分方面的语言成绩低于预期听力年龄（Z-score-1），而在 MUSS 评分方面，这一比例为 62%。巴西南部公共卫生系统的这项儿科人工耳蜗植入计划的总体语言表达能力较差。

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引用次数: 0

Comprehensive analysis and treatment of intraoral thyroglossal duct cysts with intraoperative techniques: a 7-case series review in a tertiary care center 利用术中技术全面分析和治疗口腔内甲状舌管囊肿：一家三级医疗中心的 7 例系列回顾报告

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Brazilian Journal of Otorhinolaryngology

Pub Date : 2024-06-13 DOI: 10.1016/j.bjorl.2024.101460

Bo Li , Cuiping She , Delong Liu

Objective

Intraoral thyroglossal duct cyst is a relatively rare clinical disease. This article reviews the diagnosis and treatment process of 7 patients and explores the clinical characteristics of diagnosis and treatment of intraoral thyroglossal duct cyst in combination with past literature reports.

Method

A retrospective analysis was conducted on 7 cases of intraoral thyroglossal duct cyst admitted to the Otolaryngology ward of Dalian Municipal Central Hospital from January 2017 to January 2024. The cases were recorded in terms of gender, age, symptoms, physical signs, radiological examinations, surgical methods, and postoperative complications. All cases were followed up, and the latest follow-up results were recorded.

Results

Among the 7 cases, 6 patients underwent laryngoscopic and radiological examinations before surgery, and 1 child was found to have a cyst during surgery. All cases were diagnosed with intraoral thyroglossal duct cyst and treated with plasma radiofrequency surgery. None of the patients had postoperative complications, and no recurrence was found in the six-month follow-up after discharge.

Conclusion

Intraoral thyroglossal duct cyst is rare in clinical practice. It is important to pay attention to its differential diagnosis clinically, and careful review of images is required before surgery. Cryoablation with low-temperature plasma radiofrequency is not only minimally invasive and has a quick recovery but also has few complications and a low recurrence rate. It is a safe and effective treatment method that is worthy of clinical promotion.

Level of Evidence

Level 3.

摘要】目的口内甲状舌管囊肿是临床上比较少见的疾病。本文回顾性分析了7例患者的诊治过程，并结合既往文献报道，探讨了口内甲状舌管囊肿诊治的临床特点。方法对大连市中心医院耳鼻喉科病房2017年1月-2024年1月收治的7例口内甲状舌管囊肿患者进行回顾性分析。记录病例的性别、年龄、症状、体征、影像学检查、手术方式、术后并发症等。所有病例均进行了随访，并记录了最新的随访结果。结果7例病例中，6例患者术前进行了喉镜和放射学检查，1例患儿术中发现囊肿。所有病例均被确诊为口内甲状舌管囊肿，并接受了等离子射频手术治疗。结论口内甲状舌管囊肿在临床上较为罕见。结论口内甲状舌管囊肿在临床上较为罕见，临床上应注意其鉴别诊断，手术前应仔细复查图像。低温等离子射频低温消融术不仅创伤小、恢复快，而且并发症少、复发率低。是一种安全有效的治疗方法，值得临床推广。

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引用次数: 0