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Sphenoid Sinus Meningioma: A Case Report with Review of Literature 蝶窦脑膜瘤1例并文献复习
Pub Date : 2017-12-01 DOI: 10.4172/2324-8785.1000326
Frilling Mj, Baugh Rf, J. Oh
Extracranial meningiomas of the sphenoid sinus are extremely rare. They present a unique challenge to otolaryngologists and neurosurgeons regarding diagnosis and treatment when contiguous intracranial involvement is present. We present a case of a secondary sphenoid sinus meningioma extending from the temporal fossa and medial sphenoid ridge. Otolaryngologic endoscopic transnasal techniques are able to characterize masses of the nose and paranasal sinuses when intra and extracranial involvement is seen on imaging to further direct treatment with a lower associated morbidity than a craniotomy approach. Surgical excision of a secondary sphenoid sinus meningioma can be complicated due to frequent involvement of nearby neurovascular structures. Often, an endoscopic transnasal technique combined with a transfacial/transcranial approach is both required to achieve adequate resection of the meningioma, although complete resection is difficult.
蝶窦颅外脑膜瘤极为罕见。他们提出了一个独特的挑战,耳鼻喉科医生和神经外科医生的诊断和治疗,当连续颅内累及存在。我们报告一个继发性蝶窦脑膜瘤从颞窝和内侧蝶脊延伸的病例。耳鼻喉内窥镜经鼻技术能够在影像学上发现颅内和颅内外受累者时,对鼻和鼻窦肿块进行表征,从而进一步直接治疗,其相关发病率比开颅手术低。继发性蝶窦脑膜瘤的手术切除可能比较复杂,因为它经常累及附近的神经血管结构。通常,内镜下经鼻技术结合经面/经颅入路都需要实现脑膜瘤的充分切除,尽管完全切除是困难的。
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引用次数: 0
Progressive Velopharyngeal Insufficiency: A Rare presenting Symptom of Neurofibromatosis Type 1 进行性腭咽功能不全:1型神经纤维瘤病的罕见症状
Pub Date : 2017-12-01 DOI: 10.4172/2324-8785.1000328
Johnson Ab, Phillipson Jd, Bright Kl, E. Ocal, Hartzell Ld
Velopharyngeal insufficiency (VPI) is most commonly associated with overt or submucous cleft palate. There are few reports of VPI as a symptom of Neurofibromatosis type 1 (NF1). Here we report a novel case of delayed onset and progressive VPI as the presenting symptom leading to the diagnosis of NF1. Examination revealed nasal air emissions, hypernasality, a persistent velopharyngeal gap and multiple cafe au lait spots. Subsequent neurology consultation revealed changes on MRI consistent with NF1. She was then evaluated by neurosurgery and underwent surgery to address hydrocephalus. With time, the patient has seen improvement in speech. Primary surgical intervention for VPI was avoided. This case underscores the importance of obtaining a complete history and performing a thorough physical exam in all patients.
腭咽功能不全(VPI)最常与显性或粘液下腭裂相关。VPI作为1型神经纤维瘤病(NF1)症状的报道很少。在这里,我们报告一个新病例延迟发作和进行性VPI作为主要症状导致NF1的诊断。检查发现鼻气体排放,鼻高,持续腭咽间隙和多个奶泡点。随后的神经学会诊显示MRI改变与NF1一致。她随后接受了神经外科检查,并接受了治疗脑积水的手术。随着时间的推移,病人的语言能力有所改善。避免了VPI的初级手术干预。本病例强调了获得完整病史和对所有患者进行彻底体检的重要性。
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引用次数: 0
It’s Never Just a PTA: A Series of Deep Neck Infections with Literature Review 它绝不仅仅是PTA:深颈部感染系列文献综述
Pub Date : 2017-12-01 DOI: 10.4172/2324-8785.1000330
L. Reichert, Kevin Lin, D. Young, W. Szeremeta
Infections of the head and neck are commonly treated by otolaryngologists. Peritonsillar abscesses are a relatively frequent occurrence that can be treated on an outpatient basis, unlike other deep neck infections which typically require operative drainage. Patients are often transferred to institutions with specialist coverage, and accepting physicians must be wary of the presumed diagnosis. We present two cases of extensive deep neck infections requiring multiple operative procedures in patients who were transferred with a diagnosis of peritonsillar abscess. These cases and review of literature is a reminder to all to ensure an independent evaluation and differential diagnosis when assessing any patient.
耳鼻喉科医生通常治疗头颈部感染。扁桃体周围脓肿是一种相对常见的疾病,可以在门诊治疗,而不像其他通常需要手术引流的深颈部感染。患者通常被转移到有专科覆盖的机构,接受治疗的医生必须对假定的诊断保持警惕。我们报告了两例广泛的深颈部感染,需要对诊断为扁桃体周围脓肿的患者进行多次手术。这些病例和文献综述提醒所有人,在评估任何患者时,要确保独立评估和鉴别诊断。
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引用次数: 0
Multifocal Sporadic Burkitt’s Lymphoma Involving Temporal Bone and Parapharyngeal Space 累及颞骨及咽旁间隙的多灶散发性伯基特淋巴瘤
Pub Date : 2017-12-01 DOI: 10.4172/2324-8785.1000327
T. Hsieh, Timbang Mr, R. Dedhia, Diaz Rc
Sporadic Burkitt’s lymphoma (BL) is a highly aggressive B cell non-Hodgkin lymphoma that comprises 30 percent of non-endemic pediatric lymphomas. When found in extranodal locations of the head and neck, BL most commonly presents as a unifocal mass in the maxilla and mandible. We present the first case of sporadic, multifocal BL presenting concurrently in the temporal bone and parapharyngeal space.
散发性伯基特淋巴瘤(BL)是一种高度侵袭性的B细胞非霍奇金淋巴瘤,占非地方性儿童淋巴瘤的30%。当发现于头颈部结外位置时,BL最常见于上颌骨和下颌骨的单灶性肿块。我们报告了第一例同时出现在颞骨和咽旁间隙的散发性多灶BL。
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引用次数: 0
Benign Fibrous Histiocytoma of Larynx, an Uncommon Finding 罕见的喉良性纤维组织细胞瘤
Pub Date : 2017-08-16 DOI: 10.4172/2324-8785.1000320
Laur Cm
Fibrous histiocytoma of larynx is a rare entity. We present a 78-year-old female of benign fibrous histiocytoma of larynx what is extremely rare. Its pathology is described including arguments for benignity, and we can distinguish from malignant fibrous histiocytoma.
摘要喉部纤维组织细胞瘤是一种罕见的肿瘤。我们报告一位78岁的女性喉部良性纤维组织细胞瘤,这是非常罕见的。其病理描述包括良性的论点,我们可以区分恶性纤维组织细胞瘤。
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引用次数: 0
The Contralateral Acoustic Reflex Threshold Using Speech Stimuli: A Comparative Study 言语刺激对侧声反射阈值的比较研究
Pub Date : 2017-08-16 DOI: 10.4172/2324-8785.1000319
J. Barney, K. Henry
The acoustic reflex (AR) is a subject that has been highly studied in the field of audiology. In fact, the physiology of the AR has been debated about since the 16th century. Historically and clinically the AR has been elicited with pure tone stimuli. In the 1970’s and 1980’s different eliciting stimuli were experimented with, such as: broadband noise (BBN), highband noise (HBN), lowband noise (LBN) and speech stimuli. The amplitude modulation of speech has made it difficult to record the acoustic reflex threshold (ART) due to the artifact that it creates on the measuring machine. When ecological validity, or the ability of the findings of the research to be applied to real-life setting, is taken into account, speech signals are the most valid of all types of stimuli that have been used to elicit the AR. In this study, three concatenated speech stimuli were created from the NU-6 word list 1-A. The words for the NU-6 word list 1-A were concatenated together to create one long speech stimuli, this was done to eliminate the impact of the artifact created by the amplitude modulation that is caused by the pauses in speech. The focus of this study was to compare the contralateral ART using the speech stimuli as the eliciting stimuli for the ART with a pure tone stimulus and different noise stimuli. Together, the findings presented here provide evidence supporting the use of the speech stimuli when measuring the ART clinically. The findings also suggest potential application and further research opportunities for noise induced hearing loss caused by self-vocalizations and a potential correlation for pure tone versus speech ART when testing individuals with central auditory processing disorders.
声反射(AR)是听力学领域研究的热点之一。事实上,自16世纪以来,AR的生理学就一直存在争议。历史上和临床上,AR是由纯音刺激引起的。在20世纪70年代和80年代,对不同的诱发刺激进行了实验,如:宽带噪声(BBN)、高频带噪声(HBN)、低频带噪声(LBN)和语音刺激。语音的振幅调制使得记录声反射阈值(ART)变得困难,因为它在测量机上产生了伪影。当考虑到生态效度,或研究结果应用于现实生活环境的能力时,语音信号是用于引发AR的所有类型刺激中最有效的。在本研究中,从NU-6单词列表1-A中创建了三个连接的语音刺激。NU-6单词列表1-A的单词被连接在一起以创建一个长语音刺激,这样做是为了消除由语音暂停引起的幅度调制所产生的伪影的影响。本研究的重点是比较以语音刺激作为诱导刺激的对侧ART与纯音刺激和不同噪声刺激的ART。总之,本文提出的研究结果提供了支持在临床测量ART时使用言语刺激的证据。研究结果还表明,在自我发声引起的噪音性听力损失方面有潜在的应用和进一步的研究机会,并且在测试中枢听觉处理障碍患者时,纯音和语音ART之间存在潜在的相关性。
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引用次数: 0
Mouth Breathing and how it affects Your Health 口腔呼吸和它如何影响你的健康
Pub Date : 2017-08-16 DOI: 10.4172/2324-8785.1000322
I. Oliveira
It is perfectly natural to breathe through your mouth at certain times, such as when liіing a heavy load or exercising. Breathing through the mouth most of the time, however, can cause health problems. It has been well established that normal breathing should be achieved through the nose.
在某些时候用嘴呼吸是非常自然的,比如在负重或锻炼的时候。然而,大多数时候用嘴呼吸会导致健康问题。众所周知,正常的呼吸应该通过鼻子来实现。
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引用次数: 0
Morbidities and Risk Factors Associated with the Complications of Tracheotomy 气管切开术并发症的发病率及危险因素
Pub Date : 2017-08-10 DOI: 10.4172/2324-8785.1000323
Baek Mk, Kim Ys, Woodring Jh, Baek Mj, Kim Dy
Objective: To determine complication rates after tracheotomy and identify associated risk factors. Methods: A retrospective electronic medical record analysis of 402 tracheotomies performed from January 2008 to December 2013 was performed. The incidences of surgical complications following tracheotomy and risk factors of complications were determined by statistical analysis using the Gil Hospital database. Results: The over net complication rate was 16.1%. Post-operative tracheostomal stenosis was identified as the most common complication (7.7%) and hemorrhage was the second most common (4.2%). A resident performed procedure was a risk factor of net complication rates and tracheostomal stenosis. The risk factors ofnet complication rates were an age of >65 years and a patient neck thickness of >23 mm.Conclusion: The risk factors of net complication rates were operator skill, a patient age of >65 years, and a patient neck thickness of >23 mm. The risk factors of tracheostomal stenosis were operator skill and a neck thickness >23 mm. These statistics indicate the need for precise and skilled procedures to reduce and prevent tracheotomy complications, and that greater care should be taken in patients aged >65 years and in those with a patient neck thickness of >23 mm.
目的:确定气管切开术后并发症的发生率,并确定相关的危险因素。方法:对2008年1月至2013年12月进行的402例气管切开术进行回顾性电子病历分析。气管切开术后手术并发症的发生率和并发症的危险因素通过使用吉尔医院数据库的统计分析来确定。结果:超净并发症发生率为16.1%,术后气管造口狭窄为最常见并发症(7.7%),出血为第二常见并发症(4.2%),住院手术是导致净并发症发生和气管造口狭窄的危险因素。新并发症发生率的危险因素为年龄>65岁,患者颈部厚度>23mm。这些统计数据表明,需要精确而熟练的手术来减少和预防气管切开术并发症,对于年龄>65岁的患者和颈部厚度>23毫米的患者,应更加小心。
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引用次数: 0
Postlaryngectomy Pharyngocutaneous Fistula:Analysis of Possible Risk Factors 喉切除术后咽皮瘘:可能的危险因素分析
Pub Date : 2017-08-10 DOI: 10.4172/2324-8785.1000321
S. Bilici, Gokduman Ar, O. Yigit
Objective: The aim of this study was to analyse factors that predispose patients to pharyngocutaneous fistula (PCF) in total laryngectomy, with a focus on intraoperative primary tracheooesophageal fistula (TEF) with voice prosthesis and anti-reflux prophylaxis.Methods: This retrospective cohort included 77 patients who underwent total laryngectomy (TL). Potential risk factors included intraoperative primary TEF with voice prosthesis, anti-reflux prophylaxis, previous radiotherapy (RT), diabetes mellitus, concurrently neck dissection and tumour stage.Results: The global PCF rate was 46.3%. No statistically significant difference was noted between the fistula positive and negative groups for these parameters, except for hospitalisation time.Conclusion: Anti-reflux prophylaxis was not significantly associated with the incidence of PCF. Primary TEF and voice prosthesis did not increase the incidence of PCF.
目的:本研究的目的是分析全喉切除术患者发生咽皮瘘(PCF)的易感因素,重点关注术中伴有假声和抗反流预防的原发性气管食管瘘(TEF)。方法:本回顾性队列包括77例接受全喉切除术(TL)的患者。潜在的危险因素包括术中原发性TEF伴假声、抗反流预防、既往放疗(RT)、糖尿病、并发颈部清扫和肿瘤分期。结果:全球PCF率为46.3%。除住院时间外,瘘管阳性组和阴性组在这些参数上均无统计学差异。结论:抗反流预防与PCF发生率无显著相关。原发TEF和假声没有增加PCF的发生率。
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引用次数: 0
Clinical Analysis and Financial Loss of Alcohol-Related Maxillofacial Trauma 酒精性颌面损伤的临床分析及经济损失
Pub Date : 2017-08-10 DOI: 10.4172/2324-8785.1000324
Baek Mk, Kim St, Jung Jh, Woodring Jh, Baek Mj, Cha He, Kang Ig
Objective: To evaluate clinical analysis and financial loss of alcohol-related maxillofacial trauma in tertiary medical center. Study design: Case series with chart review.Methods: We retrospectively reviewed the medical records of maxillofacial injury patients who visited our emergency department between January 1st 2010 and December 31st 2010. Alcohol-related maxillofacial injuries were defined as cases in which the alcohol was the direct cause of the injury. The type of injury was assessed by physical and radiologic examination. We also documented the patients’ age, sex and the combined injuries along with the medical cost.Results: We assessed 441 patients with maxillofacial injury. Alcohol was the cause of the injury in the case of 82 of these patients (18.2%). Among them 75 were male (91%) and 7 were (8.5%) female. Blowout fracture and nasal bone fracture were the most common type of injuries (91.5%). Intracranial hemorrhage wasthe common type of combined injury (6%). Each patient spent an average of $2,800 towards medical care which includes the public insurance and the final average medical cost per patient came up to about $14,000. Conclusion: Alcohol-related maxillofacial injury mainly occurs in young men and where blowout and nasal bone fractures are common type of alcohol related maxillofacial fractures. Maxillofacial injury causes many socioeconomic problems and therefore the harmful side-effects of the alcohol could be decreased by educating the public on the consequences of drinking and driving and violent behaviors they often show drinking.
目的:评价三级医疗中心酒精性颌面部创伤的临床分析及经济损失。研究设计:案例系列,图表回顾。方法:回顾性分析2010年1月1日至2010年12月31日在我院急诊科就诊的颌面部损伤患者的病历。与酒精相关的颌面部损伤被定义为酒精是损伤的直接原因的病例。损伤类型通过物理和放射学检查进行评估。我们还记录了患者的年龄、性别、合并损伤以及医疗费用。结果:我们评估了441例颌面部损伤患者。82例(18.2%)患者因饮酒而受伤,其中男性75例(91%),女性7例(8.5%)。爆裂性骨折和鼻骨骨折是最常见的损伤类型(91.5%),颅内出血是常见的复合损伤类型(6%)。每位患者平均花费2800美元用于医疗保健,其中包括公共保险,最终每位患者的平均医疗费用约为14000美元。结论:酒精性颌面损伤主要发生在年轻男性,其中爆裂性骨折和鼻骨骨折是酒精性颌面骨折的常见类型。颌面损伤会导致许多社会经济问题,因此可以通过教育公众饮酒、驾驶的后果以及他们经常表现出的饮酒暴力行为来减少酒精的有害副作用。
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引用次数: 0
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Journal of otology & rhinology
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