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Factors Influencing the Time to Treatment of Patients with Idiopathic Sudden Sensorineural Hearing Loss. 影响特发性突发性感音神经性听力损失患者治疗时间的因素。
Pub Date : 2024-11-11 DOI: 10.1177/01455613241298097
Feng Qin, Siquan Guo, Jinbao Guo, Jibing Qiu

Objective: To identify the factors that influence the time to treatment (TT) in patients with idiopathic sudden sensorineural hearing loss (ISSNHL). Method: This study included a total of 324 patients with ISSNHL, who were treated at our department between September 2021 and May 2024. Basic information and audiological indicators of patients were collected, and their relationship with the TT was analyzed. Results: The patients were classified into long-term (TT >7 days, n = 75) and short-term groups (TT ≤7 days, n = 249). A significant difference was observed in sex, type of hearing loss, pretreatment hearing threshold, average improved hearing threshold, linear distance, and effective rate between the 2 groups. Conclusion: The average pretreatment hearing threshold and linear distance are related to the TT, and both of them are independent influencing factors. Patients with mild hearing loss and long linear distance from hospital may have a longer TT.

目的确定影响特发性突发性感音神经性听力损失(ISSNHL)患者治疗时间(TT)的因素。方法:本研究纳入了 2021 年 9 月至 2024 年 5 月期间在我科接受治疗的 324 例 ISSNHL 患者。收集患者的基本信息和听力指标,分析其与 TT 的关系。结果患者被分为长期组(TT >7天,n = 75)和短期组(TT ≤7天,n = 249)。两组患者在性别、听力损失类型、治疗前听阈、平均改善听阈、线性距离和有效率方面存在明显差异。结论治疗前的平均听阈和线性距离与 TT 有关,两者都是独立的影响因素。听力损失较轻且距离医院直线距离较远的患者的 TT 可能较长。
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引用次数: 0
Supernumerary Nostril: A Rare Case. 鼻孔外翻:罕见病例
Pub Date : 2024-11-10 DOI: 10.1177/01455613241293533
Avani Jain, Jasleen Kaur
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引用次数: 0
Speech Perception Ability and Subjective Satisfaction After Upgrade of Speech Processor in Cochlear Implantation. 人工耳蜗植入术语音处理器升级后的语音感知能力和主观满意度。
Pub Date : 2024-11-09 DOI: 10.1177/01455613241272467
Carson Shin, Jun Yeon Kim, Jee Yeon Lee, Dong Kyu Lee, Hye Ah Joo, Yun Ji Lee, Yeonjoo Choi, Hong Ju Park

Objective: Cochlear implant (CI) users face the decision of whether to upgrade to a new sound processor (SP) with technological advances. We wanted to assess the changes of speech perception ability and aided hearing thresholds as well as subjective satisfaction after upgrade to a new SP. Methods: Fifty-five patients who have used CI for 10 years or more and upgraded to a new SP were enrolled. Word recognition scores were assessed before the upgrade and compared to those assessed 1 year after the upgrade to the Nucleus 7 SP. Changes of aided hearing thresholds and C- and T-levels were analyzed. Results: Previous SPs were 3G in 5, Freedom in 40, N5 in 24, and N6 in 6. Speech perception remained relatively unaffected by SP upgrade. The C- and T-levels increased after SP upgrading and the aided thresholds with previous generation SPs were higher than those 1 year after SP upgrading at all frequencies. In questionnaires, subjects felt that there was a definite subjective benefit to upgrading while most (60%) felt no difference regarding the communication in noise. Conclusions: Speech perception remained similar, but there were improved hearing sensitivity and better satisfaction after SP upgrade.

目的:随着技术的进步,人工耳蜗(CI)用户面临着是否升级到新的声音处理器(SP)的决定。我们希望评估升级到新 SP 后,言语感知能力和辅助听阈的变化以及主观满意度。研究方法我们招募了 55 名使用人工耳蜗 10 年或以上并升级到新 SP 的患者。对升级前的单词识别得分进行评估,并与升级到 Nucleus 7 SP 1 年后的得分进行比较。此外,还分析了辅助听阈、C 级和 T 级的变化。结果:以前的 SP 有 5 人使用 3G,40 人使用 Freedom,24 人使用 N5,6 人使用 N6。语音感知相对不受 SP 升级的影响。SP 升级后,C 级和 T 级均有所提高,在所有频率上,使用上一代 SP 时的辅助阈值均高于 SP 升级 1 年后的阈值。在问卷调查中,受试者认为升级后有明显的主观益处,而大多数受试者(60%)则认为在噪声中的交流没有区别。结论:受试者的言语感知仍然相似,但 SP 升级后听力灵敏度和满意度都有所提高。
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引用次数: 0
Symonds, Ersner, Myers, and Otitic Hydrocephalus. 西蒙兹、埃斯纳、迈尔斯和耳性脑积水。
Pub Date : 2024-11-09 DOI: 10.1177/01455613241298090
Nicolas Egan, Glenn Isaacson
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引用次数: 0
A Prospective, Multicenter European Study on the Effects of Anatolian Propolis and Hypertonic Saline Combination Nasal Spray on Allergic Rhinitis Symptoms. 关于安纳托利亚蜂胶和高渗盐水鼻腔喷雾剂对过敏性鼻炎症状影响的欧洲多中心前瞻性研究》(Prospective, Multenter European Study on the Effects of Anatolian Propolis and Hypertonic Saline Combination Nasal Spray on Allergic Rhinitis Symptoms)。
Pub Date : 2024-11-03 DOI: 10.1177/01455613241290502
Felicia Manole, Karl Hoermann, Desiderio Passali, Philippe Rombaux, Luisa Maria Bellussi, Michael Rudenko, Mario Milkov, Gabriela Kopacheva-Barsova, Emmanuel Prokopakis, Frédéric Chabolle, Maria Doulaptsi, Cengiz Bal, Cemal Cingi

Objectives: The current study examined the effectiveness of Rhinapi, a hypertonic saline nasal spray with Anatolian propolis added, on allergic rhinitis (AR) symptoms in a European population. Methods: Four hundred and forty AR patients (251 males and 189 females) from various European centers were enrolled. Nasal examination, overall symptom scores, individual AR symptoms (nasal discharge, sneezing, nasal itching, and nasal obstruction), and quality of life (QoL) were assessed before and after 3 weeks of treatment with Rhinapi, the nasal spray made of hypertonic saline with Anatolian propolis added (Bee&You, Istanbul, Turkey). Results: Rhinapi nasal drop use was associated with a substantial decrease (P < .05) in AR symptom ratings, including nasal discharge, sneezing, nasal itching, and nasal obstruction. QoL scores showed a significant improvement (P < .05), and the spray also alleviated swelling and improved concha color (P < .05). Conclusion: Rhinapi, Anatolian propolis-added hypertonic saline nasal spray (Bee&You, Istanbul, Turkey), when used for 3 weeks, reduced AR symptom scores and improved QoL. Both the concha color and the edema were also enhanced.

研究目的本研究考察了添加了安纳托利亚蜂胶的高渗盐水鼻腔喷雾剂 Rhinapi 对欧洲人群过敏性鼻炎 (AR) 症状的疗效。研究方法来自欧洲不同中心的 40 名过敏性鼻炎患者(251 名男性和 189 名女性)参加了研究。在使用添加了安纳托利亚蜂胶的高渗盐水鼻腔喷雾剂 Rhinapi(Bee&You,土耳其伊斯坦布尔)治疗 3 周前后,对鼻腔检查、总体症状评分、单个 AR 症状(流鼻涕、打喷嚏、鼻痒和鼻塞)和生活质量(QoL)进行了评估。治疗结果使用 Rhinapi 滴鼻剂后,AR 症状评分大幅下降(P < .05),包括流鼻涕、打喷嚏、鼻痒和鼻塞。QoL 评分有明显改善(P < .05),喷雾剂还能减轻肿胀并改善圆锥体颜色(P < .05)。结论使用安纳托利亚蜂胶添加高渗盐水的鼻腔喷雾剂 Rhinapi(Bee&You,土耳其伊斯坦布尔)3 周后,可减少 AR 症状评分并改善 QoL。圆锥体的颜色和水肿也得到了改善。
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引用次数: 0
Bilateral Compensatory Reinke's Edema: Self-Medialization. 双侧补偿性莱因克氏水肿:自我矫正。
Pub Date : 2024-11-02 DOI: 10.1177/01455613241294242
Katherine D Mullen, Mary J Hawkshaw, Robert T Sataloff
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引用次数: 0
Efficacy of Clarithromycin Combined with Fluticasone Propionate on Nasal Function, Nasal Mucociliary Transport Function, and Serum Inflammatory Markers in Chronic Rhinosinusitis Patients After Functional Endoscopic Sinus Surgery. 克拉霉素联合丙酸氟替卡松对功能性内窥镜鼻窦手术后慢性鼻窦炎患者的鼻功能、鼻黏膜纤毛运输功能和血清炎症标志物的疗效
Pub Date : 2024-11-02 DOI: 10.1177/01455613241294244
Yuhua Wu, Xuezheng Shi, Shuren Ni, Hao Sun

Objective: This study aims to assess the efficacy of clarithromycin (CAM) combined with fluticasone propionate (FP) in patients with chronic rhinosinusitis (CRS) after functional endoscopic sinus surgery (FESS), focusing on nasal function, nasal mucociliary transport (MCT) function, and serum inflammatory markers. Methods: The control group (n = 48) was treated with FESS alone, while the study group (n = 48) was treated with FESS plus CAM combined with FP. The clinical effects, symptom scores, nasal function, nasal MCT function, serum inflammatory marker levels, and the occurrence of adverse reactions were compared. Results: The total efficacy rate of the study group (95.83%) was significantly higher than that of the control group (83.33%). After treatment, the study group showed lower symptom scores for nasal congestion, runny nose, sneezing and dizziness, and headache compared to those in the control group. The study group also had lower nasal airway resistance, shorter distance from the minimal cross-sectional area to the nostril, and lower T&T olfactory scores. In contrast, their nasal cavity volume and minimal cross-sectional area were higher than those of the control group. Additionally, the nasal mucociliary clearance and MCT rates were higher in the study group. Serum levels of interleukin-6, interleukin-8, tumor necrosis factor-α, and procalcitonin were significantly lower in the study group compared to the control group (all P < .05). Conclusion: The use of CAM combined with FP in patients after FESS for CRS is effective, leading to the relief of clinical symptoms, improvement of nasal function, enhancement of MCT function, and reduction of inflammatory response, without increasing the incidence of adverse reactions.

研究目的本研究旨在评估克拉霉素(CAM)联合丙酸氟替卡松(FP)对功能性内窥镜鼻窦手术(FESS)后慢性鼻窦炎(CRS)患者的疗效,重点关注鼻腔功能、鼻黏膜纤毛运输(MCT)功能和血清炎症指标。研究方法对照组(48 人)单独接受 FESS 治疗,研究组(48 人)接受 FESS 加 CAM 联合 FP 治疗。比较临床效果、症状评分、鼻腔功能、鼻腔 MCT 功能、血清炎症标志物水平和不良反应发生率。结果显示研究组的总有效率(95.83%)明显高于对照组(83.33%)。治疗后,研究组的鼻塞、流涕、打喷嚏、头晕和头痛症状评分低于对照组。研究组的鼻腔气道阻力也较小,最小横截面到鼻孔的距离较短,T&T嗅觉评分也较低。相比之下,研究组的鼻腔容积和最小横截面积均高于对照组。此外,研究组的鼻粘膜纤毛清除率和 MCT 率也更高。与对照组相比,研究组的血清白细胞介素-6、白细胞介素-8、肿瘤坏死因子-α 和降钙素原水平明显降低(均 P < .05)。结论对 FESS 治疗 CRS 后的患者使用 CAM 联合 FP 是有效的,可缓解临床症状、改善鼻功能、增强 MCT 功能并减轻炎症反应,且不会增加不良反应的发生率。
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引用次数: 0
Babe Ruth's Anaplastic Epidermoid Carcinoma of the Nasopharynx. 贝比·鲁斯的鼻咽无定形表皮样癌。
Pub Date : 2024-11-01 Epub Date: 2023-10-13 DOI: 10.1177/01455613231205518
Theodore N Pappas, Nadim B Bikhazi
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引用次数: 0
Nasal Respiratory Epithelial Adenomatoid Hamartoma: Three Case Reports and Review of the Literature. 鼻呼吸上皮腺瘤样错构瘤:3例报告并文献复习。
Pub Date : 2024-11-01 Epub Date: 2023-09-25 DOI: 10.1177/01455613231198996
Jiangxue Liao, Xuge Zhang, Wei Xu, Fei Li, Gang Qin

Hamartomas, as non-true tumors, are commonly found in the lungs, digestive tract, and kidneys, and there are few clinical reports on nasal cases. Nasal histiocytosis accompanied by lymphatic lesions is a common feature of nasal hamartoma. Three patients with nasal cavity hamartoma were treated in our department, including 1 male and 2 females, with nasal obstruction or epistaxis. The imaging (computed tomography, magnetic resonance imaging) of 2 patients showed a soft tissue mass in the nasal cavity and no erosion of bone, while in 1 patient, the imaging was inconclusive. The excised material in all patients was found to be a soft mass. The 3 cases showed the same pattern under histological examination, and all 3 patients were diagnosed with nasal cavity respiratory epithelial adenomatoid hamartoma (REAH). Nasal hamartoma is a rare disease with nonspecific clinical manifestations and imaging features and is often misdiagnosed. Only by a better understanding of this disease can the rate of correct clinical diagnosis be improved.

错构瘤作为一种非真瘤,常见于肺部、消化道和肾脏,很少有鼻腔病例的临床报告。鼻腔组织细胞增生伴淋巴管病变是鼻错构瘤的常见特征。我科收治鼻腔错构瘤3例,其中男1例,女2例,均为鼻梗阻或鼻出血。2名患者的影像学(计算机断层扫描、磁共振成像)显示鼻腔有软组织肿块,没有骨质侵蚀,而1名患者的成像没有结论。所有患者的切除材料均为软质肿块。3例患者在组织学检查中表现出相同的模式,3例患者均被诊断为鼻腔呼吸上皮腺瘤样错构瘤(REAH)。鼻错构瘤是一种罕见的疾病,具有非特异性的临床表现和影像学特征,常被误诊。只有更好地了解这种疾病,才能提高临床正确诊断率。
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引用次数: 0
Management of Acquired Aural Atresia and Stenosis: A Case Series. 后天性耳道闭锁和狭窄的处理:病例系列。
Pub Date : 2024-10-31 DOI: 10.1177/01455613241296418
Runqin Yang, Yu Zhao, Rui Li, Changmin Zhang, Miaomiao Du, Wenyue Wang, Xiaoxiao Liu, Dingjun Zha, Yu Han

Background: Acquired aural atresia and aural stenosis have high recurrence rates, which are challenging for ear, nose, and throat surgeons. This study aimed to discuss the management of acquired aural atresia and aural stenosis to obtain favorable outcomes. Methods: Four representative cases of different etiologies are presented, and a related literature review was conducted. Results: Four patients aged 11 to 63 years were included in this study. Every patient with long-term follow-up (≥1 year) achieved favorable outcomes via pre- and postoperative management. Conclusion: Prevention in clinical practice is conducive to decreasing the incidence of acquired aural stenosis and aural atresia. Surgical techniques and postoperative management determine operative success. External auditory canal support is indispensable, and local corticosteroid injections in the early stage are beneficial for the management of restenosis.

背景:获得性耳道闭锁和耳道狭窄的复发率很高,这对耳鼻喉外科医生来说具有挑战性。本研究旨在讨论如何处理获得性耳道闭锁和耳道狭窄,以获得良好的治疗效果。方法:介绍四例不同病因的代表性病例,并对相关文献进行回顾。结果:本研究共纳入四例患者,年龄在 11 岁至 63 岁之间。通过术前和术后处理,每位长期随访(≥1年)的患者都取得了良好的疗效。结论:临床实践中的预防措施有利于降低获得性耳道狭窄和耳道闭锁的发病率。手术技术和术后管理决定了手术的成功与否。外耳道支撑不可或缺,早期局部皮质类固醇注射有利于再狭窄的治疗。
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引用次数: 0
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Ear, nose, & throat journal
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