Auris Nasus Larynx最新文献

{"title":"Retrograde cricopharyngeal dysfunction: Two case reports and a literature review","authors":"Maria Angela S. Dealino ,&nbsp;Rumi Ueha ,&nbsp;Kyohei Horikiri ,&nbsp;Takao Goto ,&nbsp;Masanobu Kumada ,&nbsp;Kenji Kondo","doi":"10.1016/j.anl.2025.12.011","DOIUrl":"10.1016/j.anl.2025.12.011","url":null,"abstract":"<div><div>Retrograde cricopharyngeal dysfunction (RCPD) is a fairly recently described condition that has been gaining traction online. Majority of patients arrive at the diagnosis themselves, after undergoing numerous inconclusive investigations, indicating that widespread dissemination within the medical community remains to be seen. We present two cases, the first describes the successful medical management of a 17-year-old male who was treated with rikkunshito, a Kampo medicine, combined with mosapride, an established prokinetic agent. The second case involves a 30-year-old female with refractory symptoms who was effectively managed with endoscopic cricopharyngeal myotomy. She had previously undergone percutaneous botulinum toxin injection that initially provided temporary relief. Both patients experienced a lifelong inability to belch, and had previous unrevealing diagnostic evaluations. Prior to treatment, high-resolution manometry was performed on both patients, showing elevated basal upper esophageal sphincter (UES) pressure and absence of UES relaxation with attempted belching. These findings finally led to a diagnosis of RCPD. Increased clinician awareness of RCPD could potentially spare patients from a meandering clinical course. Alternative medicine, such as rikkunshito, could be a potential adjunct for patients unwilling to undergo procedures. For refractory cases and those intolerant of repeated injections, more extensive surgery, including cricopharyngeal myotomy, may be offered.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 152-156"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epithelial tumors of the lacrimal drainage system: A narrative review","authors":"Takahiro Wakasaki ,&nbsp;Ryuji Yasumatsu","doi":"10.1016/j.anl.2025.12.018","DOIUrl":"10.1016/j.anl.2025.12.018","url":null,"abstract":"<div><div>In this review, we aimed to provide a comprehensive and up-to-date overview of epithelial tumors of the lacrimal drainage system (LDS)—rare but clinically significant entities that are often misdiagnosed as benign obstructions—by integrating recent evidence regarding epidemiology, clinical manifestations, diagnostic approaches, histopathological and molecular diversity as well as warning signs and imaging and biopsy strategies. According to the available data, squamous cell carcinoma is the predominant subtype, including both human papillomavirus (HPV)-positive non-keratinizing (transitional-type) variants with p16 overexpression and phosphatidylinositol 3-kinase, catalytic subunit alpha (PIK3CA)/fibroblast growth factor receptor 3 (FGFR3) alterations and HPV-negative keratinizing forms with tumor protein p53 (TP53) mutations. Management emphasizes complete en bloc resection aiming for negative margins supported by adjuvant radiotherapy. Organ-preserving chemoradiotherapy may be feasible in p16-positive cases, whereas proton or carbon-ion therapy has been shown to allow for precise dosing at anatomically constrained sites. Prognosis depends mainly on extent, margin status, perineural invasion, nodal involvement, histological subtype, and HPV status. Earlier recognition through awareness of “red flags” and standardized work-ups can significantly improve outcomes by reducing resection extent and morbidity risk. The integration of HPV status assessment and molecular profiling now allows biologically informed risk stratification and opens up new avenues for targeted and immune therapies, and proton and carbon-ion radiotherapies extend curative options to anatomically constrained regions. Important future research directions include designing molecularly informed therapeutic trials and prioritizing the development and establishment of standardized diagnostic frameworks and multicenter registries.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 128-136"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on “Physical therapy for peripheral facial palsy: A systematic review and meta-analysis”","authors":"Run-cheng Wang ,&nbsp;Li-hua Xuan","doi":"10.1016/j.anl.2025.11.001","DOIUrl":"10.1016/j.anl.2025.11.001","url":null,"abstract":"","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Page 161"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Authors’ reply: Comments on “Physical therapy for peripheral facial palsy: A systematic review and meta-analysis”","authors":"Haruki Nakano ,&nbsp;Takashi Fujiwara ,&nbsp;Yasushi Tsujimoto ,&nbsp;Naohito Morishima ,&nbsp;Takashi Kasahara ,&nbsp;Misato Ameya ,&nbsp;Keita Tachibana ,&nbsp;Shota Sanada ,&nbsp;Saori Toufukuji ,&nbsp;Naohito Hato","doi":"10.1016/j.anl.2025.11.002","DOIUrl":"10.1016/j.anl.2025.11.002","url":null,"abstract":"","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 162-163"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Removal of submandibular hilar stones using a sialendoscope and a high-definition endoscope: Our experience and outcomes","authors":"Takahiro Suzuki,&nbsp;Teruyuki Sato,&nbsp;Yutaka Tateda,&nbsp;Nobuo Ohta","doi":"10.1016/j.anl.2025.12.019","DOIUrl":"10.1016/j.anl.2025.12.019","url":null,"abstract":"<div><h3>Objective</h3><div>Sialendoscopy is a minimally invasive approach that enables better visualisation of the salivary ductal system, as well as treatment of salivary stones. A high-definition endoscope (HDE) is excellent for observing deep areas of the oral cavity. We have used these two types of endoscopes for the treatment of submandibular hilar stones. The aim of this study was to review the treatment outcomes of sialendoscopy with/without an HDE for submandibular hilar stones in our patient population.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of 74 cases of submandibular hilar stones that were treated at our hospital. The following factors were investigated in these cases: age, gender, stone size, removal method, success rates, postoperative complications, and rate of improvement in symptoms postoperatively. Regarding the removal method, stone retrieval via the Wharton's duct using the sialendoscope was classified as sialendoscopy alone, while endoscopic stone removal using a transoral approach with the assistance of the sialendoscope was classified as the combined approach.</div></div><div><h3>Results</h3><div>Median patient age was 35.5 years. There were 30 males and 44 females. Stone size ranged from 1 to 18 mm, with a median size of 6 mm. The stones were successfully removed transorally in 71 (96 %) of the 74 patients. Stone retrieval was performed by sialendoscopy alone in 10 cases, while a combined approach was required in the remaining 61 cases. Of these 61 cases, the stone location could be identified under a magnified view with HDE in 46 cases. In the remaining 15 cases, the stone location was identified by the simultaneous use of a sialendoscope and HDE. Regarding postoperative complications, ranula, transient lingual nerve paralysis and neck abscess were observed in three (4 %), two (2.7 %) and one (1.3 %) patient, respectively. In terms of the rate of symptom improvement, 67 of the 71 cases (94 %) in whom transoral stone removal was successful showed complete resolution of symptoms, while four cases (6 %) exhibited mild symptoms of obstruction.</div></div><div><h3>Conclusion</h3><div>Sialendoscopy is an effective method for removing submandibular hilar stones, with a low incidence of postoperative complications. Using an HDE during transoral surgery enhances its efficacy by aiding precise localisation of the stone, facilitating its removal and detecting residual fragments or stones.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 146-151"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of ear structures on fetal MRI: A comparative analysis at 1.5-T and 3-T","authors":"Said Sonmez ,&nbsp;Omer Orak ,&nbsp;Sumeyye Guzeloglu Orak ,&nbsp;Edanur Karapinar ,&nbsp;Mehmet Barburoglu ,&nbsp;Tugba Sarac Sivrikoz ,&nbsp;Tuğba Kalaycı ,&nbsp;Umit Tuzun ,&nbsp;Mehmet Celik ,&nbsp;Beldan Polat ,&nbsp;Yahya Guldiken ,&nbsp;Derya Umit Talas ,&nbsp;Kadir Serkan Orhan","doi":"10.1016/j.anl.2025.12.017","DOIUrl":"10.1016/j.anl.2025.12.017","url":null,"abstract":"<div><h3>Objectives</h3><div>To compare the visualization of fetal ear structures on 1.5-Tesla (T) and 3-T fetal MRI (feMRI) using a staging system, and to measure cochlear height (CH) at 3-T.</div></div><div><h3>Methods</h3><div>Between 2009–2024, 147 feMRI examinations were retrospectively evaluated; after excluding 25 suboptimal scans, 122 studies were analyzed (1.5-<em>T</em> = 80; 3-<em>T</em> = 42). The cochlea, vestibule–semicircular canals (V-SCC), middle ear–ossicular chain (ME-OC), and external auditory canal (EAC) were systematically staged by a blinded neuroradiologist. CH was measured on 3-T. Categorical and group comparisons, correlation and ROC analysis were performed.</div></div><div><h3>Results</h3><div>Mean gestational week (GW) was 29.1 ± 3.7 weeks with no between-group difference (<em>p</em> = 0.101). Staging scores were higher at 3-T for the cochlea and V-SCC (both <em>p</em> &lt; 0.001) and for ME-OC (<em>p</em> = 0.019), with no difference for EAC (<em>p</em> = 0.317). At 3-T, cochlear turns were identifiable in 83.3%, the lateral semicircular canal in 61.9%, and ossicles in 73.8%; at least one EAC was visualized in 71.4%. GW correlated with V-SCC (rₛ=0.220, <em>p</em> = 0.015) and EAC (rₛ=0.330, <em>p</em> &lt; 0.001). ROC analysis identified 29.5 GW as the optimal cutoff for EAC visualization (AUC=0.718; 95% CI, 0.626–0.809; sensitivity, 57.3%; specificity, 75.0%; <em>p</em> &lt; 0.001). At 3-T, CH averaged 5.17 ± 0.53 mm and showed no correlation with GW (<em>r</em> = 0.041, <em>p</em> = 0.794).</div></div><div><h3>Conclusion</h3><div>Compared with 1.5-T, 3-T feMRI provides superior visualization of inner and middle ear structures, with similar EAC performance. In suspected anomalies, a focused ear assessment within feMRI improves prenatal ear evaluation, alongside ultrasonography.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 137-145"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145945684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human otoacariasis by Amblyomma testudinarium identified with 16S rRNA gene sequencing","authors":"Mika Nakano ,&nbsp;Tomokatsu Udagawa ,&nbsp;Kayoko Yamaji ,&nbsp;Munenari Itoh ,&nbsp;Hirotaka Kanuka ,&nbsp;Mamoru Yoshikawa","doi":"10.1016/j.anl.2025.12.013","DOIUrl":"10.1016/j.anl.2025.12.013","url":null,"abstract":"<div><div>Human otoacariasis caused by tick bites in the external auditory canal is rarely reported in Japan, despite the recent increase in the movement of wild animals, known hosts of ticks into human living areas due to global warming. We report a case of human otoacariasis caused by <em>Amblyomma testudinarium</em>, genetically identified using 16S rRNA gene sequencing. A 43-year-old man presented to an urban hospital in Tokyo with left-sided otalgia. An endoscopic examination revealed a tick anchored to the skin of the external auditory canal, which showed erythema and swelling. Initial attempts to remove the tick were unsuccessful because it was firmly attached by a cement-like substance. Thereafter, the patient was treated with antibiotic and corticosteroid ear drops, which resulted in tick death and a reduction in inflammation. The shrunken tick was then successfully removed, and polymerase chain reaction analysis confirmed its species as <em>Amblyomma testudinarium</em>. Although a stereomicroscopic examination revealed a small defect in the tick mouthparts, no symptoms were observed during a follow-up period of more than one month. This case highlights the clinical importance of accurate tick species identification, even in urban environment, due to the potential risk of tick-borne diseases such as severe fever with thrombocytopenia syndrome.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 1","pages":"Pages 157-160"},"PeriodicalIF":1.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival analysis of initially inserted Kobayashi plugs in patulous Eustachian tube: A retrospective study of 297 ears","authors":"Takeshi Oshima ,&nbsp;Marin Yoshida ,&nbsp;Hidetoshi Oshima ,&nbsp;Hideshi Shindo ,&nbsp;Ryoji Hirai","doi":"10.1016/j.anl.2026.01.005","DOIUrl":"10.1016/j.anl.2026.01.005","url":null,"abstract":"<div><h3>Objectives</h3><div>Kobayashi Plug Surgery (KPS) is widely performed in Japan for refractory patulous Eustachian tube (PET). However, the duration of retention and long-term stability of the initially inserted plug have not been fully evaluated. Therefore, this study aimed to analyze plug retention (plug survival) and assess the validity of preoperative sonotubometry (ST) probe tone levels as an indicator for plug size selection.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of 237 patients (297 ears) who underwent initial KPS between January 2020 and August 2025. Ears were categorized by initial plug size: group A (size 3), group B (size 4), and group C (size ≥5). Plug removal or replacement (upsizing or downsizing) was defined as an event, and survival was analyzed using the Kaplan–Meier method. Multivariate Cox regression and Weibull parametric models were applied to identify predictors of plug survival. Preoperative ST values were compared among groups and correlated with postoperative outcomes.</div></div><div><h3>Results</h3><div>At initial surgery, size 4 plugs were most frequently used (61%). During follow-up, 42 events occurred (14.1%). Kaplan–Meier analysis showed a mean survival time of 900.6 days and a 75% survival time of 1076 days, with no significant differences among groups (log-rank test, <em>p</em> = 0.61). Weibull analysis revealed a shape parameter (β) &lt;1, indicating high early postoperative risk followed by long-term stability. Cox regression showed no significant effects of plug size, age, or ST values on survival. Among the 181 ears treated with a size 4 plug, 96 were followed for more than one year without events, and 92 of these were classified as long-term favorable cases. Preoperative ST values differed among size groups but did not predict postoperative course, particularly in size 4 cases.</div></div><div><h3>Conclusion</h3><div>KPS demonstrated durable long-term effectiveness, with most plugs remaining stable beyond the early postoperative period. While ST levels guide initial size selection, long-term outcomes appear influenced by additional anatomical and clinical factors, underscoring the need for complementary diagnostics and individualized follow-up.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 2","pages":"Pages 234-238"},"PeriodicalIF":1.5,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical relevance of the new classification for mastoid progression in the staging and classification criteria for middle ear cholesteatoma proposed by the Japan Otological society.","authors":"Yuka Morita, Tatsuya Yamagishi, Masahiro Takahashi, Yasuhiro Tanaka, Kuniyuki Takahashi, Tsukasa Ito, Yusuke Ayani, Natsumi Uehara, Manabu Komori, Yoshihiko Hiraga, Naoki Ohishi, Akira Ganaha, Yutaka Yamamoto, Shin-Ichi Haginomori, Tetsuya Tono","doi":"10.1016/j.anl.2026.01.011","DOIUrl":"https://doi.org/10.1016/j.anl.2026.01.011","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical significance of the newly proposed Japan Otological Society (JOS) classification for mastoid extension (M subdivision: M0, M1, M2) in patients with middle ear cholesteatoma.</p><p><strong>Methods: </strong>Patients with newly diagnosed middle ear cholesteatoma who underwent primary surgery at participating institutions between January 2021 and December 2022 were included. The extent of disease was classified according to the 2015 JOS staging system, with mastoid extension further subdivided into M0 (no mastoid extension), M1 (limited to the antrum), and M2 (extending beyond the antrum or the lateral SCC).</p><p><strong>Results: </strong>A total of 527 patients from 11 institutions were registered. Among them, 332 ears (63%) had pars flaccida cholesteatoma, 59 (11%) had pars tensa cholesteatoma, 69 (13%) had congenital cholesteatoma, 40 (8%) had cholesteatoma secondary to pars tensa perforation, and 27 (5%) were unclassifiable. Staging distribution included 112 ears (22%) classified as Stage I, 350 (66%) as Stage II, and 65 (12%) as Stage III; none were Stage IV. Mastoid extension was classified as M0 in 245 ears (46.2%), M1 in 123 (23.8%), and M2 in 159 (30.0%). Mastoid involvement was significantly more common in pars flaccida cholesteatoma, and higher M subdivision correlated with higher JOS stage. The transcanal atticotomy was most often used for M0 cases, whereas canal wall up and canal wall down tympanoplasty predominated in M1 and M2 groups. The use of transcanal endoscopic ear surgery decreased significantly with greater mastoid extension. No significant differences in recurrence rates or postoperative hearing outcomes were observed among the M subdivisions.</p><p><strong>Conclusion: </strong>The JOS classification of mastoid extension provides a practical and meaningful framework for assessing middle ear cholesteatoma. Although it did not affect short-term outcomes, the M subdivision offers useful guidance for surgical planning and reflects disease extent more precisely.</p>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 2","pages":"239-244"},"PeriodicalIF":1.5,"publicationDate":"2026-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146101078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metachronous development of bilateral external auditory canal cancer","authors":"Hiroaki Masuda ,&nbsp;Kazushi Fujiyama ,&nbsp;Sanami Azuma ,&nbsp;Toshiyuki Mukai ,&nbsp;Anjin Mori ,&nbsp;Sadahiro Kishishita ,&nbsp;Sakiko Miura ,&nbsp;Teppei Morikawa ,&nbsp;Kazunari Nakao","doi":"10.1016/j.anl.2026.01.008","DOIUrl":"10.1016/j.anl.2026.01.008","url":null,"abstract":"<div><div>Cancer originating from the external auditory canal (EAC) is rare, which precludes a clear understanding of the disease and its management approaches. We present an extremely rare case of bilateral auditory canal carcinoma that occurred heterochronously. Bilateral treatments resulted in good disease control and EAC structure preservation, which could accommodate various hearing aid options after cancer treatment. While disease control is the most crucial aspect to be considered when choosing a treatment of EAC cancer, one should also consider potential hearing ability in patients post-surgery, particularly in those with bilateral lesions, as it greatly influences the quality of life.</div></div>","PeriodicalId":55627,"journal":{"name":"Auris Nasus Larynx","volume":"53 2","pages":"Pages 230-233"},"PeriodicalIF":1.5,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}