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Dural Arteriovenous Fistula Presenting as Pulsatile Tinnitus 硬脑膜动静脉瘘表现为搏动性耳鸣
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.871
Jun Shuto, Yuzo Hori
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引用次数: 0
Sensorineural hearing loss in a child with congenital hypothyroidism receiving thyroid hormone replacement therapy 接受甲状腺激素替代治疗的先天性甲状腺功能减退儿童的感音神经性听力损失
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.32637/orli.v52i2.580
Semiramis Zizlavsky, Tri Handayani, R. Suwento, Eka Dwi Safitri, T. Airlangga
ABSTRACTBackground: Congenital hypothyroidism remains as one of the most common causes of hearing loss in children, considering that thyroid hormone plays an essential role in the development and maturation of auditory organs. Purpose: To report a case of hearing loss in a child with congenital hypothyroidism who had received thyroid hormone replacement therapy. Case report: Presenting a 3-year-old boy with congenital hypothyroidism, growth and developmental delays, and a very severe bilateral sensorineural hearing loss. He was diagnosed at 6 months old, and even after subsequent therapies, the hearing impairment of the child remained profound. Clinical question: Could thyroid hormone replacement therapy improve the prognosis of hearing function in congenital hypothyroid patients accompanied by sensorineural hearing loss? Review method: Literature review through database PubMed, ProQuest, EBSCO, EBSCOhost and Embase, using keywords: “congenital hypothyroidism”, “hearing loss”, and “thyroid hormone replacement therapy”. Result: Screening on 1088 articles found no studies that were relevant with the clinical question and inclusion criteria. Conclusion: This report supported the evidence on the effects of congenital hypothyroidism on hearing loss, and the importance of early diagnosis and prompt treatment in congenital hypothyroid children. A missed diagnosis of congenital hypothyroidism in neonates may result in unfavorable effects on the child’s growth and development. Further studies are needed to assess the improvement of hearing function in congenital hypothyroid patients accompanied by sensorineural hearing loss that received thyroid hormone replacement therapy. ABSTRAKLatar belakang: Hipotiroidisme kongenital merupakan salah satu penyebab paling umum gangguan pendengaran pada anak-anak, terutama mengingat hormon tiroid berperan penting dalam perkembangan dan maturasi organ pendengaran. Tujuan: Melaporkan satu kasus gangguan pendengaran pada anak dengan hipotiroidisme kongenital yang menetap setelah terapi sulih hormon tiroid. Laporan kasus: Seorang anak laki-laki berusia 3 tahun dengan hipotiroidisme kongenital yang mengalami keterlambatan pertumbuhan dan perkembangan, dan gangguan pendengaran tipe sensorineural bilateral derajat sangat berat. Pasien didiagnosis pada usia 6 bulan, dan walaupun setelah terapi, gangguan pendengaran pada anak tersebut menetap. Pertanyaan klinis: Apakah terapi sulih hormon tiroid mempengaruhi prognosis perbaikan fungsi pendengaran pada pasien hipotiroid kongenital yang disertai gangguan pendengaran sensorineural? Tinjauan literatur: Melalui database PubMed, ProQuest, EBSCO, EBSCOhost dan Embase, menggunakan kata kunci: “hipotiroidisme kongenital”, “gangguan pendengaran”, “terapi sulih hormon tiroid”. Hasil: Setelah skrining 1088 artikel, tidak ada penelitian yang sesuai dengan pertanyaan klinis dan kriteria inklusi. Kesimpulan: Laporan ini menambah bukti tentang efek hipotiroidisme kongenital pada gangguan penden
摘要背景:先天性甲状腺功能减退症是儿童听力损失最常见的原因之一,甲状腺激素在听觉器官的发育和成熟中起着至关重要的作用。目的:报告一例先天性甲状腺功能减退症患儿在接受甲状腺激素替代治疗后出现听力损失。病例报告:提出一个3岁男孩先天性甲状腺功能减退,生长发育迟缓,并有非常严重的双侧感音神经性听力损失。他在6个月大的时候被诊断出来,即使在随后的治疗之后,孩子的听力障碍仍然很严重。临床问题:甲状腺激素替代治疗能否改善先天性甲状腺功能减退伴感音神经性听力损失患者的听力功能预后?综述方法:通过PubMed、ProQuest、EBSCO、EBSCOhost、Embase等数据库进行文献综述,关键词:“先天性甲状腺功能减退症”、“听力损失”、“甲状腺激素替代疗法”。结果:对1088篇文献进行筛选,未发现与临床问题和纳入标准相关的研究。结论:本报告支持了先天性甲状腺功能减退症对听力损失的影响,以及早期诊断和及时治疗先天性甲状腺功能减退儿童的重要性。新生儿先天性甲状腺功能减退症的漏诊可能对儿童的生长发育造成不利影响。先天性甲状腺功能减退伴感音神经性听力损失患者接受甲状腺激素替代治疗后听力功能的改善情况有待进一步研究。【摘要】【latar belakang】:Hipotiroidisme kongenital merupakan salah satu penyebab paling umum gangguan pendengaran padanak -anak, terutama mengingat horoid berperan pendingdalam perkembangan dan maturasi organ pendengaran。图juan: Melaporkan satu kasus gangguan pendengaran padanak dengan类hipotiidisme kongenital yang menetap setelah terapi sulith类激素。【翻译】【翻译】拉波兰kasus: Seorang anak laki-laki berusia 3 tahun dengan hipotiroidisme kongenital yang mengalami keterlambatan pertumbuhan dan perkembangan】,dangangguan pendengaran类型感觉神经双边derajat sangat berat。帕森诊断为6例小儿麻痹症,丹·瓦洛潘·塞特拉·特拉皮,冈冈·潘登加兰·帕特拉克·特拉皮。前列腺癌:Apakah terapi sulih,激素,甲状腺激素,前列腺癌预后,前列腺癌,前列腺癌,前列腺癌,前列腺癌,前列腺癌,前列腺癌,前列腺癌,前列腺癌,神经科?田家文献:Melalui数据库PubMed, ProQuest, EBSCO, EBSCOhost dan Embase, menggunakan kata kunci:“hipotiroidisme kongenital”,“gangguan pendengaran”,“terapi sulih hormone tiroid”。【中文】:Setelah skrining 1088文章,titaak ada penelitian yang sesuai dengan pertananyaan klinis dan kriteria inklusi。【翻译】:Laporan ini menambah bukti tentang efek hipotiroidisme kongenital pada gangguan pendengaran, serta pentingnya诊断dini dan pengobatan segera pada anak hipotiroisme kon生殖器。诊断:先天性甲状腺疾病、先天性甲状腺疾病、先天性甲状腺疾病、先天性甲状腺疾病、先天性甲状腺疾病、先天性甲状腺疾病。Diperlukan penelitian lebih lanjut为她menilai预后peningkatan fungsi pendengaran篇pasien hipotiroid kongenital dengan gangguan pendengaran神经性,杨mendapatkan terapi sulih荷尔蒙tiroid。
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引用次数: 0
A Case of Multiple Toxoplasmosis Lymphadenitis Presenting in the Neck Involving the Parotid Region 颈部多发性弓形虫病淋巴结炎累及腮腺区1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.977
Shotaro Koizumi, Kenichi Watanabe
Infections by the coccidian parasite Toxoplasma gondii usually do not cause obvious symptoms in adults. Lymphadenopathy is the most common clinical manifestation of acute acquired toxoplasma infection in healthy individuals, but rarely presents as a parotid mass. Herein, we report a case of multiple masses in the parotid region caused by toxoplasmosis. A 35-year-old woman had visited another hospital with a one-month history of preauricular swelling. Computed tomography and magnetic resonance imaging revealed multiple masses in the left parotid region and bilateral cervical regions. Fine-needle aspiration cytology from the parotid mass did not reveal any evidence of malignancy. Histopathological examination of an excised lymph node from the right submandibular region revealed follicular hyperplasia, monocytoid B-cell proliferation, and granuloma formation. Serological tests revealed high serum levels of both IgM and IgG antibodies against Toxoplasma gondii. Based on the findings, we made the diagnosis of toxoplasmic lymphadenitis. The lymphadenopathy gradually subsided through six months of follow-up.
由球虫寄生虫弓形虫感染的成人通常不会引起明显的症状。淋巴结病变是健康人群急性获得性弓形虫感染最常见的临床表现,但很少表现为腮腺肿块。在此,我们报告一例由弓形虫病引起的腮腺区域多发肿块。一名35岁的妇女因一个月的耳前肿胀史到另一家医院就诊。计算机断层扫描和磁共振成像显示左侧腮腺区和双侧颈椎区多发肿块。腮腺肿块的细针穿刺细胞学检查未发现任何恶性肿瘤的证据。右颌下区切除淋巴结的组织病理学检查显示滤泡增生,单核细胞b细胞增生,肉芽肿形成。血清学检测显示血清中抗刚地弓形虫的IgM和IgG抗体水平较高。根据这些发现,我们诊断为弓形虫性淋巴结炎。随访6个月,淋巴结病变逐渐消退。
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引用次数: 0
Temporal Bone Imaging 颞骨显像
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.944
Satoshi Yoshioka
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引用次数: 0
診療所における舌下免疫療法の検討 在诊所进行舌下免疫疗法的讨论
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.947
Satoru Masuno
Background: Allergen immunotherapy is the only curative treatment for allergic rhinitis (AR) that can induce long-term clinical remission. In Japan, sublingual immunotherapy (SLIT) is often employed for the treatment of AR caused by Japanese cedar pollen (JCP) and house dust mites (HDM). To obtain a high likelihood for remission, SLIT should be continued for at least 3 to 5 years; however, a substantial number of patients dropout from the treatment.
背景:过敏原免疫疗法是治疗变应性鼻炎(AR)唯一能引起长期临床缓解的治疗方法。在日本,舌下免疫疗法(SLIT)常用于治疗由杉木花粉(JCP)和屋尘螨(HDM)引起的AR。为了获得较高的缓解可能性,SLIT应至少持续3至5年;然而,相当数量的患者退出了治疗。
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引用次数: 0
Diagnosis and conservative therapy of retropharyngeal hematoma 咽后血肿的诊断与保守治疗
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.32637/orli.v52i2.431
Wahyu Tri Novriansyah, Novialdi Nukman
ABSTRACTBackground: Retropharyngeal hematoma is the accumulation of blood clots in the retropharyngeal space which can cause upper airway obstruction. Until now, controversy over surgical versus conservative therapy is still being debated. Purpose: Reporting one rare case of retropharyngeal hematoma. Case report: A 72-year-old man was brought to the emergency room with complaints of worsening dyspnea for 12 hours, after slipped and fell in the bathroom. Physical examination revealed purple discoloration on the posterior pharyngeal wall, CT scan showed inhomogeneous hyperdense masses, and coagulopathy. The patient underwent conservative therapy but finally died on the day-10 of treatment. Clinical question: How effective is the conservative therapy in retropharyngeal hematoma compared to surgical therapy? Review method: A literature search using keywords ”retropharyngeal hematoma” was conducted through Pubmed and Google Scholar. Result: Management of retropharyngeal hematoma is still controversial due to the lack of widely accepted guidelines. Conclusion: Conservative therapy in cases of retropharyngeal hematoma, should be administered aggressively, comprehensively, and with a strict protocol. ABSTRAKLatar belakang: Hematoma retrofaring adalah penumpukan bekuan darah di ruang retrofaring yang dapat menyebabkan obstruksi jalan nafas bagian atas. Hingga saat ini, kontroversi mengenai terapi bedah versus konservatif masih menjadi perdebatan. Tujuan: Melaporkan satu kasus hematoma retrofaring yang jarang terjadi. Laporan kasus: Seorang pria berusia 72 tahun dibawa ke ruang gawat darurat dengan keluhan sesak nafas yang semakin memburuk sejak 12 jam setelah jatuh karena terpeleset di kamar mandi. Pada pemeriksaan fisik didapatkan warna keunguan pada dinding posterior faring, CT scan terlihat massa hyperdense yang tidak homogen, serta koagulopati. Pasien menjalani terapi konservatif namun akhirnya meninggal pada hari ke-10 pengobatan. Pertanyaan klinis: Seberapa efektif terapi konservatif pada hematoma retrofaring dibandingkan dengan terapi bedah? Telaah literatur: Pencarian literatur menggunakan kata kunci ”retropharyngeal hematoma” dilakukan melalui Pubmed dan Google Scholar. Hasil: Penatalaksanaan hematoma retrofaring masih menjadi kontroversi karena belum adanya pedoman yang diterima secara luas. Kesimpulan: Terapi konservatif pada kasus hematoma retrofaring sebaiknya diberikan secara agresif, komprehensif, dan dengan protokol yang ketat.
摘要背景:咽后血肿是指血块在咽后间隙的积聚,可引起上呼吸道阻塞。直到现在,关于手术还是保守治疗的争论仍在争论中。目的:报告一例罕见的咽后血肿。病例报告:一名72岁男子因在浴室滑倒后呼吸困难加重12小时而被送往急诊室。体格检查显示咽后壁紫色变,CT扫描显示不均匀高密度肿块及凝血功能障碍。患者接受了保守治疗,但最终在治疗第10天死亡。临床问题:与手术治疗相比,保守治疗咽后血肿的效果如何?综述方法:以“咽后血肿”为关键词,通过Pubmed和Google Scholar进行文献检索。结果:由于缺乏广泛接受的指导方针,咽后血肿的处理仍然存在争议。结论:咽后血肿的保守治疗应积极、全面、严格执行治疗方案。【摘要】血肿返流术:血肿返流术,血肿返流术,血肿返流术,血肿返流术,血肿返流术,血肿返流术,血肿返流术,血肿返流术。在这方面,有争议的人认为这是一种极端的行为,而保守的人认为这是一种极端的行为。图鹃:Melaporkan satu kasus血肿retrofary yang jarang terjadi。拉波兰kasus: Seorang pria berusia 72 tahun dibawa ke ang gawat darurat dengan keluhan seak nafas yang semakin memburuk sejak 12 jam setelah jatuh karena terpeleset di kamar mandi。颈椎病、脊椎病、脊椎病、脊椎病、脊椎病、脊椎病、脊椎病、脊椎病、脊椎病、脊椎病。Pasien menjalani terapi保守的namun akhirnya脑膜的padhake -10 pengobatan。peranyaan klinis:治疗保守性血肿的治疗效果:治疗性血肿是否有效?Telaah文学:Pencarian文学menggunakan kata kunci“咽后血肿”dilakukan melalui Pubmed dan Google Scholar。摘要:小儿血肿反行性治疗:小儿血肿反行性治疗:小儿血肿反行性治疗。结论:特拉普保守性鼻窦炎血肿逆行性鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎、鼻窦炎。
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引用次数: 0
A Case of Neurilemmoma Originating in the Hypoglossal Nerve Restricted to the Submandibular Region 起源于舌下神经局限于下颌下区域的神经鞘瘤1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.273
Yuya Yokoyama, Ryoki Hamabata, H. Kaida, Kenji Suga
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引用次数: 0
A Case of Crural-Type Auricular Fistula Requiring Reconstruction Using a Retroauricular Subcutaneous Pedicle Flap 应用耳后皮下蒂皮瓣重建脚型耳瘘1例
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.137
Hidekane Yoshimura, Daisuke Yanagisawa, Jun Shinagawa, Yutaka Takumi
{"title":"A Case of Crural-Type Auricular Fistula Requiring Reconstruction Using a Retroauricular Subcutaneous Pedicle Flap","authors":"Hidekane Yoshimura, Daisuke Yanagisawa, Jun Shinagawa, Yutaka Takumi","doi":"10.5631/jibirin.116.137","DOIUrl":"https://doi.org/10.5631/jibirin.116.137","url":null,"abstract":"","PeriodicalId":52493,"journal":{"name":"Practica Otologica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70896027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
閉塞性睡眠時無呼吸の鼻閉と重症度と呼吸経路 阻塞性睡眠呼吸暂停的鼻闭、严重程度和呼吸途径
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.313
Hiroyuki Tada
{"title":"閉塞性睡眠時無呼吸の鼻閉と重症度と呼吸経路","authors":"Hiroyuki Tada","doi":"10.5631/jibirin.116.313","DOIUrl":"https://doi.org/10.5631/jibirin.116.313","url":null,"abstract":"","PeriodicalId":52493,"journal":{"name":"Practica Otologica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70896061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Study on Surgical Cases of Sphenoid Sinus Disease 蝶窦疾病的外科病例分析
Q4 Medicine Pub Date : 2023-01-01 DOI: 10.5631/jibirin.116.39
Hiroki Ishida, I. Morita, Taishi Inoue, S. Ando, Toshiya Kimura, T. Tsujimura, Kumiko Gyo, Kazunari Nishimura, Hiroki Ikeda, M. Miura
{"title":"A Study on Surgical Cases of Sphenoid Sinus Disease","authors":"Hiroki Ishida, I. Morita, Taishi Inoue, S. Ando, Toshiya Kimura, T. Tsujimura, Kumiko Gyo, Kazunari Nishimura, Hiroki Ikeda, M. Miura","doi":"10.5631/jibirin.116.39","DOIUrl":"https://doi.org/10.5631/jibirin.116.39","url":null,"abstract":"","PeriodicalId":52493,"journal":{"name":"Practica Otologica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70896471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Practica Otologica
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