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Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology最新文献

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Pleomorphic adenoma of the nasal cavity 鼻腔多形性腺瘤
Pub Date : 2021-03-13 DOI: 10.31579/2692-9562/026
G. Buiret
Pleomorphic adenomas represent 80% of the salivary gland’s benign tumors. They are most often found in the parotid gland or in the submandibular gland. Pleomorphic adenomas of the nasal cavity are rare, with less than fifty cases reported to date. There are no treatment or follow up guidelines. The purpose of this article is to review the cases already described in the literature and to share our clinical experience. We describe the case of a 38-year-old woman with a history of a slow growing intranasal tumor with recurrent epistaxis, obstruction, and aesthetic deformation. The pre-operative assessment suggested a benign tumor, but the biopsies were inconclusive. The decision was taken to perform an open rhinoplasty to have an en bloc resection with margins control. The diagnosis of pleomorphic adenoma was established on the excised tumor. There were no post-operative complications. The early follow-up showed no signs of recurrence. We decided to closely follow the patient with frequent clinical examinations and yearly enhanced-MRIs for at least five years due to the recurrence and malignant transformation risks.
多形性腺瘤占唾液腺良性肿瘤的80%。它们最常见于腮腺或颌下腺。鼻腔多形性腺瘤是罕见的,不到50例报告至今。没有治疗或后续指导方针。本文的目的是回顾文献中已经描述的病例,并分享我们的临床经验。我们描述的情况下,一个38岁的妇女与历史缓慢增长的鼻内肿瘤复发鼻出血,阻塞,和审美变形。术前评估显示为良性肿瘤,但活检结果不确定。决定进行开放式鼻整形手术,以控制边缘进行整体切除。多形性腺瘤的诊断是基于切除的肿瘤。无术后并发症。早期随访未见复发迹象。考虑到患者有复发和恶性转化的风险,我们决定对患者进行至少5年的密切随访,定期进行临床检查和每年的mri增强检查。
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引用次数: 1
Prevalence of palatal diseases in adults; an observational study in a tertiary care hospital 成人腭部疾病的患病率;某三级医院的观察性研究
Pub Date : 2021-03-13 DOI: 10.31579/2692-9562/017
Sameh M. Zamzam
Aim: The aim of this study is to spot the light on palatal diseases and their prevalence in adults from otolaryngologists' point of view. Materials and Methods: This is an observational study that was conducted on adult patients presented to otolaryngology department of Cairo university hospital in the period from January 2016 to January 2018. Patients were routinely examined by the author however the chief complaint either related to palate or not. Results: Out of 4800 patients have been examined over 2 years, 289 cases have been affected by palatal disease or lesion either primary or secondary. It was clearly noted that the most common pathology affecting the palate is the gastric reflux, 248 patients; the remaining 41 cases have been affected by different diseases of variable etiologies. Conclusion: The palate is a part of routine examination by otolaryngologists. It may carry signs of different diseases and lesions which are not uncommon. The author observed palatal diseases in 6% of the study's sample. Prevalence of those diseases has been entailed in this study.
目的:本研究的目的是从耳鼻喉科医生的角度来了解腭部疾病及其在成人中的患病率。材料与方法:本研究是一项观察性研究,研究对象为2016年1月至2018年1月在开罗大学医院耳鼻喉科就诊的成年患者。作者对患者进行了常规检查,但主诉是否与上颚有关。结果:在2年多的时间里,4800例患者中有289例患有腭部疾病或原发性或继发性病变。明确指出,影响腭部最常见的病理是胃反流,248例;其余41例因不同病因的不同疾病而受到影响。结论:上颚是耳鼻喉科医师常规检查的一部分。它可能携带不同疾病和病变的迹象,这并不罕见。作者在6%的研究样本中观察到腭部疾病。这些疾病的流行情况已列入这项研究。
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引用次数: 0
Estimation of the dental movements caused by Narval® Oral Appliance in the treatment of adult obstructive sleep apnea hypopnea syndrome Narval®口腔矫治器治疗成人阻塞性睡眠呼吸暂停低通气综合征时牙体移动的评估
Pub Date : 2021-03-13 DOI: 10.31579/2692-9562/019
JC Letievant, G. Buiret, E. Dinkel, B. Navailles
Objective: oral appliances are one of the treatments of obstructive sleep apnea hypopnea syndrome. They all have dental anchoring points, causing potential changing in the dental occlusion with time. The aim of the study was to evaluate dental displacement induced by Narval® oral appliance in the treatment of the adult mild to severe obstructive sleep apnea hyponea syndrome. Material and methods: The study was based on 15 adults with mild to severe obstructive sleep apnea hypopnea syndrome treated with a Narval® oral appliance for more than one year. Before oral appliance delivery and more than one year after oral appliance delivery, dental impressions were performed and digitized by a 3D scanner. The dental positions were calculated by the software 3D Reshaper® and compared. Results: The mean wearing time of the Narval® oral appliance was 13.5 months (±2.1). The mean mandibular advancement was 6mm (±2). For the maxillary arch, there was a significant distalization of molar and premolar-canine blocks from 0.12 to 0.20mm (all p<0.05) and a significant proclination of incisal blocks of 0.18mm (p<0.05). For the mandibular arch, there was a significant mesialization of the molar and premolar-canine blocks of 0.14 to 0.25 mm (p<0.05) and a non-significant retoclination of the incisors of 0.09 mm. Conclusions: The Narval® oral appliance produced minimal but significant teeth movements on the maxillary and mandibular at the short and medium term.
目的:口腔矫治器是治疗阻塞性睡眠呼吸暂停低通气综合征的有效方法之一。它们都有牙锚点,使牙合电位随时间变化。本研究的目的是评价Narval®口腔矫治器诱发牙移位治疗成人轻至重度阻塞性睡眠呼吸暂停低通气综合征的效果。材料和方法:该研究基于15名轻度至重度阻塞性睡眠呼吸暂停低通气综合征的成年人,使用Narval®口腔矫具治疗一年以上。在口腔器械交付前和交付一年多后,使用3D扫描仪对牙印进行数字化处理。通过3D整形软件计算牙位并进行比较。结果:Narval®口腔矫治器平均佩戴时间为13.5个月(±2.1)。下颌平均前移6mm(±2)。对于上颌弓,磨牙和前磨牙-犬牙块的远端为0.12 ~ 0.20mm (p<0.05),切牙块的前倾为0.18mm (p<0.05)。对于下颌弓,磨牙和前磨牙-犬牙块有0.14至0.25 mm的显著内倾(p<0.05),而门牙的后倾不显著,为0.09 mm。结论:Narval®口腔矫治器在中短期内对上颌和下颌骨产生微小但显著的牙齿移动。
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引用次数: 0
A Comprehensive and Multidisciplinary Approach to Obstructive Sleep Apnea: Case Examples 阻塞性睡眠呼吸暂停的综合多学科治疗方法:案例分析
Pub Date : 2021-03-13 DOI: 10.31579/2692-9562/020
Michael Weber
Positive airway pressure (PAP) therapy is well established as the standard of care for most patients with obstructive sleep apnea (OSA), however, up to 50% are not successfully treated with this approach and their further care remains a challenge. The value of engaging a multidisciplinary team in the diagnosis and management of OSA has been well recognized for over 30 years; however, the difficulty has been translating this principle into clinical practice. We present a series of selected patients with a diagnosis of OSA who initially failed PAP therapy but were successfully treated using a multidisciplinary and evidence-based approach that is reproducible at other sleep centers.
气道正压通气(PAP)治疗是大多数阻塞性睡眠呼吸暂停(OSA)患者的标准治疗方法,然而,高达50%的患者无法通过这种方法成功治疗,他们的进一步护理仍然是一个挑战。30多年来,多学科团队参与OSA诊断和管理的价值已得到广泛认可;然而,难点在于将这一原则转化为临床实践。我们介绍了一系列被诊断为OSA的患者,他们最初的PAP治疗失败,但通过多学科和循证方法成功治疗,这在其他睡眠中心是可重复的。
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引用次数: 0
Audit of the Effect of Non-Nasal Specific Scoring On the Postoperative Snot22 Questionnaire 非鼻特异性评分在术后Snot22问卷调查中的效果审计
Pub Date : 2020-09-23 DOI: 10.29328/JOURNAL.ATED.1001010
S. Gendy
The Sino-nasal outcome test (SNOT22) has been widely adopted in clinical practice and has been declared as the most suitable sinonasal outcome scoring system. It is simple disease specific encompassing 22 symptoms reflecting health burden of the rhino- logical patients. Each item quantifies symptoms severity from 0(no problem) to 5 (worst symptom). The sum of each item results in a maximum score of 110.High score indicates poor outcome.
鼻内镜结果测试(SNOT22)已被广泛应用于临床实践,并被认为是最合适的鼻内镜结果评分系统。它是一种简单的疾病特异性,包括22种症状,反映了犀牛患者的健康负担。每个项目量化症状的严重程度,从0(没有问题)到5(最严重的症状)。每个项目的总和最高可得110分。得分高表明结果差。
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引用次数: 0
Do patients correctly use steroid nose spray? A patient-reported survey of the nasal spray technique and patient compliance 患者是否正确使用类固醇鼻喷雾剂?患者报告的鼻喷雾剂技术和患者依从性的调查
Pub Date : 2020-09-11 DOI: 10.22541/au.159986117.74841261
Waqas Jamil, Abdullah Alahwal, R. Suman, F. Naz, T. Beech
Background:Correct nasal spray techniqueand patient compliance are the two mostimportant factors in the use of steroid nose spray. Objectives:To find out if patientsuse steroid nasal spray with a correctspray technique and if they are compliant in using the spray. Design: Patient-reported survey Participants: 100 participants (1 excluded) Main outcome measures 1) Nasal spray technique 2) Patient compliance Results: Out of 99 participants included in this study only one patient used steroid nose spray with a completely correct spray technique. 40% of patients received guidance instructions from the prescriber about the spray technique. 70% of patients reported using their spray regularly and 53% of patients were found using the correct dosage of the spray. Conclusions: Wrong spray technique and patient noncompliance is common and can be corrected. This survey emphasizes the importance of giving written and verbal instructions about the use of spray to the patients.
背景:正确的鼻喷雾剂技术和患者依从性是使用类固醇鼻喷雾剂的两个最重要的因素。目的:了解患者使用类固醇鼻腔喷雾剂时是否使用了正确的喷雾剂技术,以及患者是否符合喷雾剂的使用要求。设计:患者报告调查参与者:100名参与者(1名除外)主要结果测量1)鼻喷雾剂技术2)患者依从性结果:本研究纳入的99名参与者中,只有1名患者使用类固醇鼻喷雾剂并使用完全正确的喷雾技术。40%的患者接受了处方医生关于喷雾技术的指导说明。70%的患者报告定期使用喷雾剂,53%的患者使用正确剂量的喷雾剂。结论:错误的喷淋技术和患者的不依从性是常见的,可以纠正。这项调查强调了给予患者关于喷雾使用的书面和口头指示的重要性。
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引用次数: 1
Case Report: Otogenic Lateral Sinus Thrombosis 病例报告:耳源性外侧窦血栓形成
Pub Date : 2020-07-27 DOI: 10.31579/2692-9562/009
Sedrack Matsiko
The availability of effective antibiotic therapy has tremendously reduced the incidence of otogenic lateral sinus thrombosis (OLST) and changed its clinical presentation to a subtle one. The nature of predisposing otogenic disease has also changed from acute otitis media to chronic suppurative otitis media (CSOM). The prevalence of CSOM is still high in low-income economies. With such a high prevalence of CSOM, a good clinical acumen is required to identify and manage OLST. We present a case of chronic suppurative otitis media (CSOM) complicated by OLST.
有效的抗生素治疗极大地降低了耳源性外侧窦血栓形成(OLST)的发生率,并使其临床表现变得更加微妙。易感耳源性疾病的性质也从急性中耳炎转变为慢性化脓性中耳炎。在低收入经济体中,CSOM的患病率仍然很高。由于CSOM的高发病率,需要良好的临床敏锐度来识别和管理OLST。我们报告一例慢性化脓性中耳炎(CSOM)并发OLST。
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引用次数: 0
Thyroidectomy under Local Anaesthesia; Experience from a Tertiary Hospital in Kumasi, Ghana 局部麻醉下甲状腺切除术;来自加纳库马西一家三级医院的经验
Pub Date : 2020-07-27 DOI: 10.31579/JCO/2020/007
A. Konney
Objectives: Improvement in anaesthesia has allowed thyroidectomies to be performed mainly under general anaesthesia. There is however a growing interest in performing thyroid surgery under local or regional anaesthesia. The objective of this study was to analyse and share our experience with safety of thyroidectomy under regional cervical plexus block/ local anaesthesia in a tertiary referral hospital in Ghana. Materials and Methods: A retrospective study was conducted on all patients who had thyroidectomy under local anaesthesia from 1st January 2017 to 31st May 2018 in KATH. Data collected were demography, grade of goitre, operating time, and duration of hospital stay, complications and cost effectiveness of the procedure. Data was analysed using Stata version 16.0software. Results: A total of 105 thyroidectomies were done in the study period out of which 16 were done under local anaesthesia. All 16 patients (16 females, 100%) and majority 11 (68.75%) were aged between 30 and 50 years. 11 (68.75) had grade IB goitres. The most frequently performed surgery was thyroid lobectomy 12 (75%) and in 75% of cases the surgery was completed between 60 and 90 minutes. Most patients, 9 (56.25%) were discharged home within 48 hours following surgery. The cost of treatment was averagely 30% less compared to same surgery under general anaesthesia. No complications were recorded in the post-operative period. Conclusions: Comprehensive clinical assessment and careful patient selection for thyroidectomy under local anaesthesia result in good surgical outcomes. The procedure is safe and cost-effective and should be performed by experienced surgeons for the best outcomes.
目的:麻醉的改善使甲状腺切除术主要在全身麻醉下进行。然而,在局部或区域麻醉下进行甲状腺手术的兴趣越来越大。本研究的目的是分析和分享我们在加纳一家三级转诊医院在局部颈丛阻滞/局部麻醉下甲状腺切除术的安全性经验。材料与方法:回顾性研究2017年1月1日至2018年5月31日在KATH行局麻下甲状腺切除术的所有患者。收集的数据包括人口统计学、甲状腺肿的分级、手术时间、住院时间、并发症和手术的成本效益。数据分析采用Stata 16.0版本软件。结果:本组共行甲状腺切除术105例,其中局部麻醉16例。16例患者(女性16例,占100%),多数11例(68.75%)年龄在30 ~ 50岁之间。11例(68.75)为IB级甲状腺肿。最常见的手术是甲状腺叶切除术(75%),75%的手术在60到90分钟内完成。9例(56.25%)患者术后48小时内出院。与全身麻醉下的相同手术相比,治疗费用平均减少30%。术后无并发症发生。结论:全面的临床评估和谨慎的患者选择可获得良好的手术效果。该手术是安全且经济有效的,应由经验丰富的外科医生进行,以获得最佳效果。
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引用次数: 0
Re-Print-A Comparison between Conventional Throat Packs and Pharyngeal Placement of Tampons in Rhinology Surgeries. 常规咽喉填充物与卫生棉条在鼻科手术中咽部放置的比较。
Pub Date : 2020-07-27 DOI: 10.31579/2692-9562/015
H. Alansari
Objective: the aim is to evaluate the incidence of postoperative throat pain, nausea and vomiting in patients that have been packed with either conventional gauze or pharyngeal tampons. Methods: We included adult patients who were booked for a rhinology surgery that needed throat packs. They were allocated into two groups, pharyngeal tampons, and conventional ribbon gauze. They were then assessed using visual analog scales and Post-operative nausea and vomiting impact scale respectively in the 1st, 4th, and 24th hour. Data was analyzed using SPSS software version 25. Results: There is evidence to suggest that using pharyngeal tampons reduces the mean VAS score at 4 hours compared to using Gauze. [t87=3.294, p=0.001), the is no statistical evidence that show a difference in the other Visual analogue scores or post-operative nausea and vomiting scores. Conclusion: The study shows that the use of pharyngeal tampons is associated with decreased pain scores, however, it also shows that there no difference in postoperative nausea and vomiting.
目的:目的是评估患者术后喉咙痛,恶心和呕吐的发生率已被包装的传统纱布或咽卫生棉条。方法:我们纳入了预定进行鼻外科手术需要咽喉包的成年患者。他们被分为两组,咽卫生棉条组和传统的带状纱布组。分别于术后第1、4、24小时采用视觉模拟量表和术后恶心呕吐影响量表对患者进行评估。数据分析采用SPSS软件25版。结果:有证据表明,与使用纱布相比,使用咽卫生棉条可降低4小时时的平均VAS评分。[t87=3.294, p=0.001],其他视觉模拟评分或术后恶心呕吐评分无统计学差异。结论:本研究显示咽部卫生棉条的使用与疼痛评分降低有关,但也显示术后恶心和呕吐无差异。
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引用次数: 0
How can Head & Neck disorders be a liability to Indian population: Hindrance & Nuisance or Hesitance & Negligence??? 头颈部疾病怎么能成为印度人的负担?是阻碍和滋扰,还是犹豫和疏忽?
Pub Date : 2020-07-27 DOI: 10.31579/JCO/2020/008
Sphoorthi Basavannaiah
Introduction: Head & Neck disorders still remains a “global burden” in the world map till date. With the increasing trend of cancer in the present day scenario and raising parameters of aetiology with varied clinical occurrence, there has been a major plunge at the way things are perceived by a common man in day to day life. Aims & Objectives: To find out the various causes for Head & Neck disorder at our set up. Also to put together and touch upon aspects like risk factors, symptomatology associated with nature of the disease process in this belt of Malnad region. Methodology: 352 patients with Head & Neck disorders were considered for the study over a period of 1 year who were evaluated clinically and radiologically. After initial evaluation, most of them were referred to higher centre for further management. Results: Nearly 75% of patients presented with malignancy with 5 times predominance in males and around 97% patients belonging to the region from oral cavity up to larynx as they have a common epithelial origin. Conclusion: Head & Neck disorders are never to be neglected as it the “runway” to the crux of the body system. Any sort of limitation or hesitation can cost life and well-being.
导言:迄今为止,头颈部疾病在世界地图上仍然是一个“全球负担”。随着当今世界癌症发病率的不断上升,以及各种临床发生的病因学参数的提高,普通人在日常生活中对事物的认知方式发生了重大变化。目的和目的:在我们的设置中找出头颈部疾病的各种原因。同时也要把这些方面放在一起,比如风险因素,症状学与马尔纳德地区疾病过程的本质有关。方法:352例头颈部疾病患者在1年内被纳入研究,他们进行了临床和放射学评估。经过初步评价后,大多数人被转介到更高一级的中心进一步管理。结果:近75%的患者表现为恶性肿瘤,男性占5倍,约97%的患者属于口腔至喉部的区域,因为他们有共同的上皮起源。结论:头颈部疾病是通往身体系统症结的“跑道”,不容忽视。任何形式的限制或犹豫都可能以生命和幸福为代价。
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引用次数: 0
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Lin chuang er bi yan hou ke za zhi = Journal of clinical otorhinolaryngology
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