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Journal of otology & rhinology最新文献

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The Role of Transoral Oropharyngectomy in the Management of Oropharyngeal Cancers 经口口咽切除术在口咽癌治疗中的作用
Pub Date : 2018-04-09 DOI: 10.4172/2324-8785.1000342
G. Wijayasingam, R. Gan, K. Ubayasiri, K. Jolly, S. Mortimore, M. De
The incidence of oropharyngeal carcinoma is increasing as a result of increasing Human Papilloma Virus (HPV subtypes 16 and 18) infection of the oropharynx. 31 patients with oropharyngeal squamous cell carcinoma were treated in a university teaching hospital. The primary cancer was resected by either transoral laser microsurgery or transoral robotic surgery. Patients underwent simultaneous neck dissection when indicated. The Multidisciplinary Team (MDT) decided whether patients required postoperative radiotherapy/ chemoradiotherapy depending on tumour and patient factors. Survival was analyzed using a Kaplan-Meier estimator. The results were discussed alongside a literature search on oropharyngeal carcinoma management. 87.4% patients were disease free at 1 year, and 77.2 % at both 3 and 5 years. Overall survival at 1 year was 92% and 76.4% at both 3 and 5 years.
口咽癌的发病率由于口咽的人类乳头瘤病毒(HPV亚型16和18)感染的增加而增加。31例口咽鳞状细胞癌患者在一所大学教学医院接受治疗。原发性癌症通过经口激光显微手术或经口机器人手术切除。患者在需要时同时进行颈清扫。多学科团队(MDT)根据肿瘤和患者因素决定患者是否需要术后放疗/放化疗。使用Kaplan-Meier估计量分析生存率。这些结果与口咽癌治疗的文献检索一起进行了讨论。87.4%的患者在1年时无疾病,77.2%的患者在3年和5年时均无疾病。1年的总生存率为92%,3年和5年的总存活率分别为76.4%。
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引用次数: 0
Acute MRSA rhinosinusitis with periorbital cellulitis: A case report 急性MRSA鼻窦炎合并眶周蜂窝织炎1例
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-C4-018
Amira Trini Raihanah, M. Gaffar
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引用次数: 0
Sudden Sensorineural Hearing Loss during Acute Otitis Media due to Cochlear Otosclerosis 急性中耳炎引起的突发性感音神经性听力损失
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785.1000356
O. Ergun, M. Bajin, L. Sennaroğlu
Purpose: The risk of sensorineural hearing loss (SNHL) as an acute otitis media (AOM) complication is a well-recognized condition. Here, we present a sudden sensorineural hearing loss due to acute otitis media in a patient with cochlear otosclerosis (COS). We hypothesize that the demineralization of otosclerosis around cochlea may have constituted a weak spot and facilitated the crossing of noxious substances into the inner ear. Although many possible means of connection between the middle ear and inner ear has been described, an increased risk of SNHL as an otitis complication at COS patients has not been mentioned in the literature. In order to decrease this risk, preventive pneumococcal vaccination should be offered to COS patients and in an event of AOM, a more aggressive treatment approach should be considered including early myringotomy together with antibiotics.
目的:感觉神经性听力损失(SNHL)作为急性中耳炎(AOM)并发症的风险是一种公认的疾病。在此,我们报告一例急性中耳炎引起的突发性感音神经性听力损失,患者伴有耳蜗耳硬化(COS)。我们推测耳蜗周围耳硬化的脱矿可能构成了一个薄弱环节,并促进了有害物质进入内耳。虽然已经描述了许多可能的中耳和内耳之间的连接方式,但SNHL作为COS患者中耳炎并发症的风险增加尚未在文献中提及。为了降低这种风险,应向COS患者提供预防性肺炎球菌疫苗接种,如果发生AOM,应考虑更积极的治疗方法,包括早期鼓膜切开术和抗生素。
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引用次数: 0
SLP & Parkinson's Disease (PD) SLP &帕金森病(PD)
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785.1000360
Amany Sakr
PD is one of the most common non-curable neurological disorders. It is a progressive disorder that affects movement & develops gradually, starting with a little noticeable tremor in just one hand. In early stages of PD, face may show little or no expression, arms may not swing on walking. Speech may become soft or slurred & over time symptoms worsen as the condition progresses.
PD是最常见的不可治愈的神经系统疾病之一。这是一种进行性疾病,影响运动和逐渐发展,开始时只有一只手有一点明显的震颤。在PD的早期阶段,面部可能很少或没有表情,走路时手臂可能不会摆动。言语可能变得柔和或含糊不清,随着时间的推移,症状会随着病情的发展而恶化。
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引用次数: 0
Using vibrotactile biofeedback system for bilateral vestibular loss 用振动触觉生物反馈系统治疗双侧前庭功能丧失
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-c2-012
L. Felipe, H. Kingma
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引用次数: 0
Treatment of Graves disease and incidental lingual thyroid with transoral robotic surgery 经口机器人手术治疗Graves病和偶发性舌甲状腺
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-C3-015
J. Goh
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引用次数: 0
Diagnosis and treatment of occult cerebrospinal fluid otorrhea 隐蔽性脑脊液耳漏的诊断与治疗
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-C2-011
Yi Haijin
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引用次数: 0
A Simple Voice Training Method for Vocal Fold Polyps that Emphasizes Abdominal Respiration 强调腹呼吸的声带息肉简单发声训练方法
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785.1000358
T. Kusunoki
Background: We have devised a simple voice training method that emphasizes the abdominal type of respiration. Voice therapy is considered the first choice for vocal fold nodules. Previously, our voice training method was demonstrated to improve all cases with vocal fold nodules. Some hospitals have selected surgical therapy for vocal fold polyps. Our voice training method was employed for vocal fold polyps, including cases with postoperative recurrence. Subjects and methods: None of the 25 cases of vocal polyps had improved from conservative therapy. Six of our cases (25) were postoperative recurrence. All cases were treated by our method of voice training alone using no other therapy (e.g., silence therapy, medication, surgery) during the voice training period. At our out-patient clinic, voice therapy was administered using a simple voice training method that relies on the abdominal type of respiration. Concerning the home training course, all patients received our voice training manual and exercised twice or three times-daily for 10 minutes. Moreover, we instructed them as follows. When patients experience stressed phonation during daily conversation, they corrected to naturally relaxed phonation by exhaling with abdominal respiration. Follow up evaluations were scheduled for every month after their initial visit. Results: In 19 of 25 cases with vocal polyps, the symptoms had disappeared (15) or reduced (4). Eleven of the improved cases (19) showed disappearance (8) or reduction (3) within 3 months. In those with postoperative recurrence of a vocal fold polyp, four of six cases (66.7 %) showed disappearance (2) or reduction (2) after using our method of voice training. Conclusion: These results suggest that our method of voice training could improve many cases with vocal fold polyps. Therefore, this method should be the first choice for some cases with vocal fold polyps as well as vocal fold nodules.
背景:我们设计了一种简单的声音训练方法,强调腹部呼吸。语音治疗被认为是声带小结的首选。以前,我们的语音训练方法被证明可以改善所有声带结节的病例。一些医院选择手术治疗声带息肉。我们的声音训练方法用于声带息肉,包括术后复发的病例。对象与方法:25例声带息肉经保守治疗均无好转。其中6例(25例)术后复发。所有病例均采用我们的语音训练方法进行治疗,在语音训练期间不使用其他治疗方法(如沉默疗法、药物治疗、手术)。在我们的门诊部,声音治疗是通过一种简单的声音训练方法进行的,这种方法依赖于腹部呼吸。在家庭训练课程中,所有患者都接受我们的语音训练手册,每天练习2 - 3次,每次10分钟。此外,我们指示他们如下。当患者在日常谈话中遇到紧张的发音时,他们通过腹呼吸呼气来纠正为自然放松的发音。在初次访问后,每个月安排进行后续评估。结果:25例声带息肉患者中,19例症状消失(15)或减轻(4),好转的11例(19)在3个月内症状消失(8)或减轻(3)。在术后声带息肉复发的病例中,6例中有4例(66.7%)在使用我们的声音训练方法后声带消失(2)或缩小(2)。结论:本文所提出的声音训练方法对声带息肉有一定的改善作用。因此,对于一些声带息肉和声带结节的病例,这种方法应是首选。
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引用次数: 0
Temporal bone meningo-encephalic-herniation: Etiological categorization and surgical strategy 颞骨脑膜-脑疝:病因分类和手术策略
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-c4-017
Golda Grinblat
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引用次数: 0
Prevalence of auditory problems in children with speech disorders 语言障碍儿童听觉问题的患病率
Pub Date : 2018-01-01 DOI: 10.4172/2324-8785-C5-021
D. Papadopoulou, E. Gerostergiou
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引用次数: 0
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Journal of otology & rhinology
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