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Journal of otorhinolaryngology, hearing and balance medicine最新文献

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Early Identification of Hearing Loss and Language Development at 32 Months of Age. 32月龄时听力损失和语言发育的早期识别。
Pub Date : 2022-10-24 DOI: 10.3390/ohbm3040008
Anne B Harris, Elizabeth Seeliger, Christi Hess, Allison L Sedey, Kayla Kristensen, Yen Lee, Winnie Chung

This study examines the relationship between the early identification of hearing loss and language outcomes for deaf/hard of hearing (D/HH) children, with bilateral or unilateral hearing loss and with or without additional disabilities. It was hypothesized that hearing loss identified by 3 months of age would be associated with better language outcomes. Using a prospective, longitudinal design, 86 families completed developmental instruments at two time points: at an average age of 14.8 months and an average age of 32.1 months. Multiple regression examined how hearing loss identified by 3 months of age contributed to later language outcomes while controlling for developmental level at the first time point. Hearing loss identified by 3 months of age was positively associated with better language outcomes for D/HH children at 32 months of age; however, D/HH children still exhibited language delays, compared to normative scores for same-aged hearing peers for reported measures. Language outcomes of children with unilateral hearing loss were not better than those of children with mild-to-moderate bilateral hearing loss. Children with additional disabilities and more severe bilateral hearing loss had lower language scores than those without.

本研究考察了患有双侧或单侧听力损失以及有或没有额外残疾的聋哑/重听(D/HH)儿童的早期听力损失识别与语言结果之间的关系。据推测,3个月大时发现的听力损失与更好的语言结果有关。采用前瞻性纵向设计,86个家庭在两个时间点完成了发育工具:平均年龄14.8个月和平均年龄32.1个月。多元回归研究了3个月大时发现的听力损失如何在控制第一个时间点的发育水平的同时对后来的语言结果做出贡献。3个月大时发现的听力损失与32个月大的D/HH儿童更好的语言成绩呈正相关;然而,与同龄听力同龄人的标准分数相比,D/HH儿童仍然表现出语言延迟。单侧听力损失儿童的语言结果并不比轻度至中度双侧听力损失儿童好。有额外残疾和更严重的双侧听力损失的儿童的语言得分低于没有残疾的儿童。
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引用次数: 0
Machine Learning in the Management of Lateral Skull Base Tumors: A Systematic Review 机器学习在颅底外侧肿瘤治疗中的应用:系统综述
Pub Date : 2022-09-28 DOI: 10.3390/ohbm3040007
Kotaro Tsutsumi, Sina Soltanzadeh-Zarandi, Pooya Khosravi, K. Goshtasbi, H. Djalilian, M. Abouzari
The application of machine learning (ML) techniques to otolaryngology remains a topic of interest and prevalence in the literature, though no previous articles have summarized the current state of ML application to management and the diagnosis of lateral skull base (LSB) tumors. Subsequently, we present a systematic overview of previous applications of ML techniques to the management of LSB tumors. Independent searches were conducted on PubMed and Web of Science between August 2020 and February 2021 to identify the literature pertaining to the use of ML techniques in LSB tumor surgery written in the English language. All articles were assessed in regard to their application task, ML methodology, and their outcomes. A total of 32 articles were examined. The number of articles involving applications of ML techniques to LSB tumor surgeries has significantly increased since the first article relevant to this field was published in 1994. The most commonly employed ML category was tree-based algorithms. Most articles were included in the category of surgical management (13; 40.6%), followed by those in disease classification (8; 25%). Overall, the application of ML techniques to the management of LSB tumor has evolved rapidly over the past two decades, and the anticipated growth in the future could significantly augment the surgical outcomes and management of LSB tumors.
机器学习(ML)技术在耳鼻喉科的应用在文献中仍然是一个感兴趣和流行的话题,尽管之前没有文章总结ML在侧颅底(LSB)肿瘤的管理和诊断中的应用现状。随后,我们对先前ML技术在LSB肿瘤治疗中的应用进行了系统的概述。在2020年8月至2021年2月期间,在PubMed和Web of Science上进行了独立搜索,以确定用英语撰写的关于在LSB肿瘤手术中使用ML技术的文献。对所有文章的应用任务、机器学习方法和结果进行评估。共审查了32篇文章。自1994年第一篇有关该领域的文章发表以来,涉及ML技术在LSB肿瘤手术中的应用的文章数量显著增加。最常用的ML类别是基于树的算法。大多数文章被纳入手术管理范畴(13;40.6%),其次是疾病分类(8;25%)。总的来说,在过去的二十年里,机器学习技术在LSB肿瘤治疗中的应用发展迅速,未来的预期增长可能会显著提高LSB肿瘤的手术效果和治疗。
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引用次数: 0
A Narrative Review of Auditory Categorisation and Its Potential Role in Tinnitus Perception 听觉分类及其在耳鸣感知中的潜在作用的述评
Pub Date : 2022-07-29 DOI: 10.3390/ohbm3030006
D. Vajsakovic, Michael R D Maslin, G. Searchfield
Auditory categorisation is a phenomenon reflecting the non-linear nature of human perceptual spaces which govern sound perception. Categorisation training paradigms may reduce sensitivity toward training stimuli, decreasing the representation of these stimuli in auditory perceptual maps. Reduced cortical representation may have clinical implications for conditions that arise from disturbances in cortical activation, such as tinnitus. This review explores the categorisation of sound, with a particular focus on tinnitus. The potential of categorisation training as a sound-based tinnitus therapy is discussed. A narrative review methodological framework was followed. Four databases (PubMed, Google Scholar, Scopus, and ScienceDirect) were extensively searched for the following key words: categorisation, categorical perception, perceptual magnet effect, generalisation, and categorisation OR categorical perception OR perceptual magnet effect OR generalisation AND sound. Given the exploratory nature of the review and the fact that early works on categorisation are crucial to the understanding and development of auditory categorisation, all study types were selected for the period 1950–2022. Reference lists of articles were reviewed to identify any further relevant studies. The results of the review were catalogued and organised into themes. In total, 112 articles were reviewed in full, from which 59 were found to contain relevant information and were included in the review. Key themes identified included categorical perception of speech stimuli, warping of the auditory perceptual space, categorisation versus discrimination, the presence of categorisation across several modalities, and categorisation as an innate versus learned feature. Although a substantial amount of work focused on evaluating the effects of categorisation training on sound perception, only two studies investigated the effects of categorisation training on tinnitus. Implementation of a categorisation-based perceptual training paradigm could serve as a promising means of tinnitus management by reversing the changes in cortical plasticity that are seen in tinnitus, in turn altering the representation of sound within the auditory cortex itself. In the instance that the categorisation training is successful, this would likely mean a decrease in the level of activity within the auditory cortex (and other associated cortical areas found to be hyperactive in tinnitus) as well as a reduction in tinnitus salience.
听觉分类是一种反映人类感知空间非线性特性的现象,它支配着声音感知。分类训练范式可能降低对训练刺激的敏感性,减少这些刺激在听觉感知图中的表征。皮层表征减少可能对由皮层激活紊乱引起的疾病(如耳鸣)具有临床意义。这篇综述探讨了声音的分类,特别关注耳鸣。分类训练作为一种基于声音的耳鸣治疗的潜力进行了讨论。遵循了叙述审查的方法框架。四个数据库(PubMed, Google Scholar, Scopus和ScienceDirect)广泛搜索以下关键词:分类,分类感知,感知磁铁效应,概括,分类或分类感知或感知磁铁效应或概括和声音。考虑到该综述的探索性,以及早期分类工作对听觉分类的理解和发展至关重要的事实,所有研究类型都是在1950-2022年期间选择的。查阅文献列表以确定是否有进一步的相关研究。审查的结果被编目并组织成主题。总共审阅了112篇文章,其中59篇被认为包含相关信息,并被纳入综述。确定的关键主题包括言语刺激的分类感知,听觉感知空间的扭曲,分类与歧视,几种模式的分类存在,以及分类作为先天与学习特征。虽然大量的工作集中在评估分类训练对声音感知的影响,但只有两项研究调查了分类训练对耳鸣的影响。基于分类的感知训练范式的实施可以作为耳鸣管理的一种有希望的手段,通过逆转耳鸣中所见的皮层可塑性的变化,进而改变听觉皮层本身的声音表征。在分类训练成功的情况下,这可能意味着听觉皮层(以及耳鸣中过度活跃的其他相关皮层区域)活动水平的降低以及耳鸣显著性的降低。
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引用次数: 0
The New Coronavirus Infection (COVID-19) and Hearing Function in Adults 新型冠状病毒感染(COVID-19)与成人听力功能的关系
Pub Date : 2022-06-16 DOI: 10.3390/ohbm3020005
M. Boboshko, E. Garbaruk, S. M. Vikhnina, L. Golovanova, E. Ogorodnikova, A. V. Rabchevskaya, E. V. Zhilinskaia
In this study, we assessed the impact of COVID-19 on the hearing function in adults. A total of 161 subjects were examined, and the results of a previous audiological examination of 24 patients were reviewed. Pure tone audiometry, impedancemetry, speech audiometry in quiet and noise, the Binaural Fusion Test, the dichotic digits test, and a cognitive status examination were performed. A total of 81% of patients complained about hearing disorders, and 43% noted memory impairment. According to pure tone audiometry, 24% of the subjects had normal hearing, while 76% had some degree of hearing loss. No significant changes in hearing thresholds were found in comparison with audiological examinations performed before COVID-19. Disorder of monosyllabic words’ intelligibility in quiet was found in 33% of patients, and in 42% in noise, along with low indicators in the dichotic digits test in 54% of patients. Moreover, 71% of patients had low scores on the MoCA scale that indicated cognitive impairment. Conclusions: The deterioration of speech test scores in patients after COVID-19 can occur due to central auditory processing disorders (CAPD), memory impairment, or changes in cognitive status in general.
在这项研究中,我们评估了COVID-19对成人听力功能的影响。共对161名受试者进行了检查,并对24名患者的先前听力学检查结果进行了回顾。进行纯音测听、阻抗测听、安静和噪声环境下的语音测听、双耳融合测试、双指测试和认知状态检查。共有81%的患者抱怨听力障碍,43%的患者注意到记忆障碍。纯音测听结果显示,24%的受试者听力正常,76%的受试者有一定程度的听力损失。与COVID-19之前进行的听力学检查相比,听力阈值未见明显变化。33%的患者在安静环境中出现单音节单词理解障碍,42%的患者在噪音环境中出现单音节单词理解障碍,54%的患者在二位数测试中出现低指标。此外,71%的患者在MoCA量表上得分较低,表明认知障碍。结论:新冠肺炎患者言语测试成绩的下降可能是由于中枢性听觉加工障碍(CAPD)、记忆障碍或整体认知状态的改变所致。
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引用次数: 2
Study of the Agreement of the Apnea–Hypopnea Index Measured Simultaneously by Pressure Transducer via Respiratory Polygraphy and by Thermistor via Polysomnography in Real Time with the Same Individuals 同一个体呼吸测谎压力传感器与热敏电阻测多导睡眠仪同时测量呼吸暂停-低呼吸指数的一致性研究
Pub Date : 2022-05-01 DOI: 10.3390/ohbm3020004
Bich-Ty Tran-Thi, Minh Quach-Thieu, Bao-Ngoc Le-Tran, Duy Nguyen-Duc, Nguyen Tran-Hiep, Thao Nguyen-Thi, Yen-Linh Nguyen-Ngoc, Anh Nguyen-Tuan, Tram Tang-Thi-Thao, T. Nguyen-Van, S. Duong-Quy
Background: Obstructive sleep apnea (OSA) is a common disorder and can lead to many severe complications; however, the majority of patients remain undiagnosed. Although polysomnography (PSG) remains the gold standard of diagnosis, it is usually uncomfortable and costly for patients. Purpose: The study aims to assess the agreement of the AHI measured by polygraphy (PG) (Philips Alice NightOne) with that of polysomnography (Philips Alice PDx) simultaneously recorded in-lab. Methods: A total of 11 voluntary participants over 18 years old underwent one night of simultaneous PSG and PG recording in sleep laboratories. Studied parameters (AHI, OAI, CAI, MAI, and minSpO2) were analyzed and reported by the Philips Sleepware G3 software. PSG and PG results were scored by qualified staff. Results: In terms of AHI, the mean AHI derived from PG was different from that of PSG—7.78 and 2.37 events/h, respectively. A Bland–Altman analysis of the AHI on PSG versus PG showed a mean difference of 5.41; limits of agreement (equal to ±2 standard deviations) were from −6.74 to 17.56. The Bland–Altman analysis showed a slight difference between the two methods, with a mean difference of −0.12 events/h in CAI, 1.35 events/h in OAI, and 0.42 events/h in MAI. Conclusions: In the population with a low suspicion of OSA, the PG showed a low agreement with the simultaneous PSG in the sleep lab. Therefore, PG should only be used as a screening method. Further studies with sufficient sensors in the expanded populations of OSA are needed.
背景:阻塞性睡眠呼吸暂停(OSA)是一种常见的疾病,可导致许多严重的并发症;然而,大多数患者仍未得到诊断。虽然多导睡眠图(PSG)仍然是诊断的黄金标准,但它通常对患者来说是不舒服和昂贵的。目的:本研究旨在评估polygraphy (PG) (Philips Alice NightOne)测量的AHI与polysomnography (Philips Alice PDx)同时在实验室记录的AHI的一致性。方法:11名年龄在18岁以上的志愿者在睡眠实验室进行了1晚的PSG和PG同步记录。研究参数(AHI、OAI、CAI、MAI和minSpO2)由Philips Sleepware G3软件分析并报告。PSG和PG结果由合格的工作人员评分。结果:在AHI方面,PG组与psg组的平均AHI差异较大,分别为7.78和2.37 events/h。Bland-Altman分析PSG与PG的AHI平均差异为5.41;一致性限(等于±2个标准差)为−6.74至17.56。Bland-Altman分析显示两种方法之间有轻微差异,CAI的平均差异为- 0.12事件/h, OAI的平均差异为1.35事件/h, MAI的平均差异为0.42事件/h。结论:在低怀疑OSA的人群中,PG与睡眠实验室同步PSG的一致性较低。因此,PG只能作为一种筛选方法。需要在扩大的OSA人群中进一步研究足够的传感器。
{"title":"Study of the Agreement of the Apnea–Hypopnea Index Measured Simultaneously by Pressure Transducer via Respiratory Polygraphy and by Thermistor via Polysomnography in Real Time with the Same Individuals","authors":"Bich-Ty Tran-Thi, Minh Quach-Thieu, Bao-Ngoc Le-Tran, Duy Nguyen-Duc, Nguyen Tran-Hiep, Thao Nguyen-Thi, Yen-Linh Nguyen-Ngoc, Anh Nguyen-Tuan, Tram Tang-Thi-Thao, T. Nguyen-Van, S. Duong-Quy","doi":"10.3390/ohbm3020004","DOIUrl":"https://doi.org/10.3390/ohbm3020004","url":null,"abstract":"Background: Obstructive sleep apnea (OSA) is a common disorder and can lead to many severe complications; however, the majority of patients remain undiagnosed. Although polysomnography (PSG) remains the gold standard of diagnosis, it is usually uncomfortable and costly for patients. Purpose: The study aims to assess the agreement of the AHI measured by polygraphy (PG) (Philips Alice NightOne) with that of polysomnography (Philips Alice PDx) simultaneously recorded in-lab. Methods: A total of 11 voluntary participants over 18 years old underwent one night of simultaneous PSG and PG recording in sleep laboratories. Studied parameters (AHI, OAI, CAI, MAI, and minSpO2) were analyzed and reported by the Philips Sleepware G3 software. PSG and PG results were scored by qualified staff. Results: In terms of AHI, the mean AHI derived from PG was different from that of PSG—7.78 and 2.37 events/h, respectively. A Bland–Altman analysis of the AHI on PSG versus PG showed a mean difference of 5.41; limits of agreement (equal to ±2 standard deviations) were from −6.74 to 17.56. The Bland–Altman analysis showed a slight difference between the two methods, with a mean difference of −0.12 events/h in CAI, 1.35 events/h in OAI, and 0.42 events/h in MAI. Conclusions: In the population with a low suspicion of OSA, the PG showed a low agreement with the simultaneous PSG in the sleep lab. Therefore, PG should only be used as a screening method. Further studies with sufficient sensors in the expanded populations of OSA are needed.","PeriodicalId":73883,"journal":{"name":"Journal of otorhinolaryngology, hearing and balance medicine","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85470210","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
Prevalence of New-Onset Otological Symptoms in Patients with Temporomandibular Disorders 颞下颌疾病患者新发耳科症状的患病率
Pub Date : 2022-04-19 DOI: 10.3390/ohbm3020003
M. Aldè, H. Didier, A. Giannì, Fabiola Sessa, G. Borromeo, Alexandre Henri Didier, S. Barozzi, D. Zanetti, F. Di Berardino
The aim of this retrospective study was to evaluate the prevalence of new-onset otological symptoms and the possible associations between tinnitus and oral parafunctional habits among patients with temporomandibular disorders (TMD) who attended a Craniofacial Pain Outpatient and a Dentistry Clinic. The medical reports and charts of patients who experienced TMD between 1 February 2016 and 31 December 2017 were reviewed, in order to evaluate the prevalence of new-onset aural fullness, vertigo and tinnitus. Tinnitus was also analyzed in more detail to evaluate possible associations with parafunctional habits. A total of 400 patients (301 females, 99 males) met the inclusion criteria, with a median age of 39.6 ± 15.6 years. Overall, new-onset otological symptoms were reported by 304 (76%) subjects with TMD. Among otological symptoms, aural fullness was the most common (n = 133, 33.3%), followed by tinnitus (n = 92, 23%) and vertigo (n = 79, 19.8%). No significant correlations were found between tinnitus and bruxism (p = 0.28), clenching (p = 0.11), nail-biting (p = 0.96), sleeping prone (p = 0.27), chewing gum (p = 0.99) and talking for a long time (p = 0.42). The present study suggests that all patients with TMD should be investigated for new-onset otological symptoms, regardless of oral parafunctional habits. Early diagnosis would allow to plan personalized and appropriate therapeutic and rehabilitative pathways, minimizing the negative impact due to TMD.
本回顾性研究的目的是评估在颅面疼痛门诊和牙科门诊就诊的颞下颌疾病(TMD)患者中新发耳科症状的患病率以及耳鸣与口腔副功能习惯之间的可能关联。回顾2016年2月1日至2017年12月31日期间经历TMD的患者的医疗报告和图表,以评估新发听力充溢、眩晕和耳鸣的患病率。耳鸣也进行了更详细的分析,以评估可能与功能习惯的联系。符合纳入标准的患者共400例,其中女性301例,男性99例,中位年龄39.6±15.6岁。总体而言,304名(76%)TMD患者报告了新发耳科症状。在耳科症状中,最常见的是听觉充实感(n = 133, 33.3%),其次是耳鸣(n = 92, 23%)和眩晕(n = 79, 19.8%)。耳鸣与磨牙(p = 0.28)、咬牙(p = 0.11)、咬指甲(p = 0.96)、俯卧(p = 0.27)、嚼口香糖(p = 0.99)、长时间说话(p = 0.42)无显著相关性。目前的研究表明,所有TMD患者都应该调查新发的耳科症状,而不管口腔功能习惯如何。早期诊断将有助于规划个性化和适当的治疗和康复途径,最大限度地减少TMD的负面影响。
{"title":"Prevalence of New-Onset Otological Symptoms in Patients with Temporomandibular Disorders","authors":"M. Aldè, H. Didier, A. Giannì, Fabiola Sessa, G. Borromeo, Alexandre Henri Didier, S. Barozzi, D. Zanetti, F. Di Berardino","doi":"10.3390/ohbm3020003","DOIUrl":"https://doi.org/10.3390/ohbm3020003","url":null,"abstract":"The aim of this retrospective study was to evaluate the prevalence of new-onset otological symptoms and the possible associations between tinnitus and oral parafunctional habits among patients with temporomandibular disorders (TMD) who attended a Craniofacial Pain Outpatient and a Dentistry Clinic. The medical reports and charts of patients who experienced TMD between 1 February 2016 and 31 December 2017 were reviewed, in order to evaluate the prevalence of new-onset aural fullness, vertigo and tinnitus. Tinnitus was also analyzed in more detail to evaluate possible associations with parafunctional habits. A total of 400 patients (301 females, 99 males) met the inclusion criteria, with a median age of 39.6 ± 15.6 years. Overall, new-onset otological symptoms were reported by 304 (76%) subjects with TMD. Among otological symptoms, aural fullness was the most common (n = 133, 33.3%), followed by tinnitus (n = 92, 23%) and vertigo (n = 79, 19.8%). No significant correlations were found between tinnitus and bruxism (p = 0.28), clenching (p = 0.11), nail-biting (p = 0.96), sleeping prone (p = 0.27), chewing gum (p = 0.99) and talking for a long time (p = 0.42). The present study suggests that all patients with TMD should be investigated for new-onset otological symptoms, regardless of oral parafunctional habits. Early diagnosis would allow to plan personalized and appropriate therapeutic and rehabilitative pathways, minimizing the negative impact due to TMD.","PeriodicalId":73883,"journal":{"name":"Journal of otorhinolaryngology, hearing and balance medicine","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73369135","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: 1
Current Opinions in Otorhinolaryngology in Japan 日本耳鼻喉科的现状
Pub Date : 2022-04-15 DOI: 10.3390/ohbm3020002
N. Narita
The field of otolaryngology has developed through the continuous efforts of otolaryngologists around the world [...]
耳鼻喉科是在世界各地耳鼻喉科医生的不断努力下发展起来的。
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引用次数: 0
Otorhinolaryngological Advancements in Phoniatrics 耳鼻喉病学进展
Pub Date : 2022-03-21 DOI: 10.3390/ohbm3010001
W. Tseng, Tzu-Yen Huang
The production of voice is a powerful tool not only for communication, but also for artistic performances [...]
声音的制作不仅是沟通的有力工具,也是艺术表演的有力工具[…]
{"title":"Otorhinolaryngological Advancements in Phoniatrics","authors":"W. Tseng, Tzu-Yen Huang","doi":"10.3390/ohbm3010001","DOIUrl":"https://doi.org/10.3390/ohbm3010001","url":null,"abstract":"The production of voice is a powerful tool not only for communication, but also for artistic performances [...]","PeriodicalId":73883,"journal":{"name":"Journal of otorhinolaryngology, hearing and balance medicine","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90202992","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
Odontogenic Maxillary Sinusitis: The Interface and Collaboration between Rhinologists and Dentists 牙源性上颌鼻窦炎:鼻科医生和牙医之间的界面和合作
Pub Date : 2021-11-27 DOI: 10.3390/ohbm2040008
B. Nandakumar, N. Niles, L. Kalish
Odontogenic maxillary sinusitis (OMS) is an inflammatory condition affecting the paranasal sinuses and is commonly encountered by both Otorhinolaryngologists and Dentists. However, there is an ongoing debate regarding the best sequence of management. Clinicians are faced with the dilemma of first addressing either the affected tooth or the affected sinus. This paper provides a review of the current literature on the aetiology, presentation, and management of OMS, as well as our experience in managing this condition. Overall, the causative pathology of the patient’s OMS, their symptoms, and the risk of surgery should drive decision making with regards to sequence of management.
牙源性上颌鼻窦炎(OMS)是一种影响副鼻窦的炎症性疾病,耳鼻喉科医生和牙医都经常遇到。然而,关于最佳管理顺序的争论正在进行中。临床医生面临的困境是首先解决影响的牙齿或影响的鼻窦。本文综述了目前关于OMS的病因、表现和管理的文献,以及我们在管理这种疾病方面的经验。总的来说,患者OMS的致病病理、症状和手术风险应推动有关管理顺序的决策。
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引用次数: 3
Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture 睫下/经窦联合入路重建眶底骨折
Pub Date : 2021-09-21 DOI: 10.3390/ohbm2030007
N. Narita, Yumi Ito, Y. Kato, Y. Kimura, Y. Imoto, K. Ogi, Masayuki Okamoto, T. Takabayashi, S. Fujieda
Orbital floor fracture, especially with constriction of orbital soft tissue, should be reconstructed surgically. Although various approaches to treat the orbital floor have been reported, procedures have not been unified among hospitals or surgeons. Since 2009, we have adopted a procedure combining a transorbital approach via subciliary incision with a transantral approach through upper gingival incision. The combined approach compensates for the shortcomings of each approach, leading to successful reconstruction. It is applicable safely for trapdoor fracture of the orbital floor in children, which more frequently constricts orbital soft tissue and which leaves permanent diplopia. This report retrospectively assessed clinical preoperative findings and postoperative outcomes of patients who received reconstruction of orbital floor fracture with the combined approach in our department from August 2009 through March 2021. Data of 21 patients with orbital floor fracture were analyzed, only one (4.8%) of whom had postoperative diplopia. Specifically, we describe children with trapdoor fracture treated with the combined approach, resulting in complete recovery. The combined approach stands as an excellent procedure for reconstruction of orbital floor fracture in adults and even in children.
眶底骨折,尤其是伴有眶软组织收缩的眶底骨折,应手术重建。虽然已经报道了治疗眶底的各种方法,但医院或外科医生之间的程序尚未统一。自2009年以来,我们采用了经睫下切口经眶入路和经上龈切口经窦入路相结合的手术方法。综合的方法弥补了每种方法的缺点,导致成功的重建。安全适用于儿童眶底活板门骨折,多发生眶软组织收缩,造成永久性复视。本报告回顾性评估了2009年8月至2021年3月我科联合入路眶底骨折重建术患者的临床术前表现和术后结果。对21例眶底骨折患者的资料进行分析,术后复视1例(4.8%)。具体来说,我们描述了用联合入路治疗活板门骨折的儿童,导致完全恢复。联合入路是成人甚至儿童眶底骨折重建的良好方法。
{"title":"Combined Subciliary/Transantral Approach for Reconstruction of Orbital Floor Fracture","authors":"N. Narita, Yumi Ito, Y. Kato, Y. Kimura, Y. Imoto, K. Ogi, Masayuki Okamoto, T. Takabayashi, S. Fujieda","doi":"10.3390/ohbm2030007","DOIUrl":"https://doi.org/10.3390/ohbm2030007","url":null,"abstract":"Orbital floor fracture, especially with constriction of orbital soft tissue, should be reconstructed surgically. Although various approaches to treat the orbital floor have been reported, procedures have not been unified among hospitals or surgeons. Since 2009, we have adopted a procedure combining a transorbital approach via subciliary incision with a transantral approach through upper gingival incision. The combined approach compensates for the shortcomings of each approach, leading to successful reconstruction. It is applicable safely for trapdoor fracture of the orbital floor in children, which more frequently constricts orbital soft tissue and which leaves permanent diplopia. This report retrospectively assessed clinical preoperative findings and postoperative outcomes of patients who received reconstruction of orbital floor fracture with the combined approach in our department from August 2009 through March 2021. Data of 21 patients with orbital floor fracture were analyzed, only one (4.8%) of whom had postoperative diplopia. Specifically, we describe children with trapdoor fracture treated with the combined approach, resulting in complete recovery. The combined approach stands as an excellent procedure for reconstruction of orbital floor fracture in adults and even in children.","PeriodicalId":73883,"journal":{"name":"Journal of otorhinolaryngology, hearing and balance medicine","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87135188","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
Journal of otorhinolaryngology, hearing and balance medicine
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