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Retrospective Analysis of Cerebrospinal Gushers in Cochlear Implant Surgery: Incidence, Risk Factors, and Outcomes-A Systematic Review and Meta-analysis. 人工耳蜗手术中脑脊液灌注的回顾性分析:发病率、风险因素和结果--系统回顾和 Meta 分析。
Pub Date : 2024-10-23 DOI: 10.1177/01455613241292195
Mohammed Hazazi, Eman Almashharawi, Saleh Alamry, Meshael M Alkusayer, Alwaleed Altimyat, Yazeed Alsalamah

Background: Cerebrospinal fluid (CSF) gusher is a common complication experienced during cochlear implantation in patients with structural deformities in the inner ear. Objectives: This study aimed to investigate the incidence of CSF gusher, risk factors, and outcomes in patients during cochlear implantation. Methods: This systematic review and meta-analysis were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model. Studies used in the analysis were identified through a comprehensive search in Google Scholar and PubMed. Results: The analysis was performed using 13 retrospective studies. The incidence of CSF gusher was 5% (95% CI: 3%-9%). CSF gusher was more prevalent among patients with inner-ear malformation (IEM) than without IEM odds ratio = 63.01 (95% CI: 9.85-403.11, P < .00001, I2 = 88%). For incomplete partition (IP), CSF gusher in the IP-I group was 48% (95% CI: 25%-71%, I2 = 0%), 19% in IP-II, 86% in IP-III, 40% in the common cavity, 26% in cochlear hypoplasia, and 27% in patients with enlarged vestibula aqueduct. Conclusion: The CSF gusher incidences were determined to be 5%. Patients with IEM are at increased risk of experiencing CSF gusher during cochlear implant surgery. Therefore, precise scanning reports should be produced in preoperational phase to inform proper management techniques to reduce the chances of intraoperative complications, including CSF gusher.

背景:脑脊液(CSF)涌出是内耳结构畸形患者在人工耳蜗植入过程中常见的并发症。研究目的本研究旨在调查人工耳蜗植入术中脑脊液涌出的发生率、风险因素和患者的预后。方法本系统综述和荟萃分析以《系统综述和荟萃分析首选报告项目》模型为指导。分析中使用的研究是通过在谷歌学术和 PubMed 上进行全面搜索后确定的。结果分析使用了 13 项回顾性研究。CSF涌液的发生率为5%(95% CI:3%-9%)。有内耳畸形(IEM)的患者比无内耳畸形(IEM)的患者更容易出现 CSF 涌流,几率比 = 63.01 (95% CI: 9.85-403.11, P < .00001, I2 = 88%)。就不完全分隔(IP)而言,IP-I 组的 CSF 涌出率为 48%(95% CI:25%-71%,I2 = 0%),IP-II 组为 19%,IP-III 组为 86%,普通腔为 40%,耳蜗发育不良为 26%,前庭导水管扩大患者为 27%。结论经测定,脑脊液喷涌发生率为 5%。IEM 患者在人工耳蜗植入手术中出现 CSF 涌流的风险增加。因此,应在术前阶段制作精确的扫描报告,以提供正确的管理技术,降低术中并发症(包括 CSF 涌流)的发生几率。
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引用次数: 0
Investigation of Body Perception, Alexithymic Characteristics, and Self-Esteem in Patients Underwent Septorhinoplasty. 对接受鼻中隔成形术患者的身体感知、亚历山大特征和自尊的调查。
Pub Date : 2024-10-23 DOI: 10.1177/01455613241292734
Tarik Yagci, Zehra Gunay Yagci

Objective: This study evaluated patients' body perception, self-esteem, and personality traits during the preoperative and postoperative periods of septorhinoplasty. Based on these evaluations, we may provide patient selection recommendations for septorhinoplasty applicants. Methods: In this cross-sectional questionnaire study, 86 patients who underwent primary septorhinoplasty in the Department of Otolaryngology at Bilecik Training and Research Hospital were included between March 2023 and 2024. The same surgeon performed all operations. The preoperative Rhinoplasty Outcome Evaluation (ROE) Questionnaire, Rosenberg Self-Esteem Scale (RSES), Body Perception Scale (BPS), Toronto Alexithymia Scale (TAS), and TEMPS-A Temperament Scale in the preoperative period and ROE, RSES, and BPS in the postoperative period were applied. Results: Fifty-four female and 32 male patients participated in our study. The mean age was 24.0 ± 0.6 years. While there was no significant difference in the BPS and RSES scores between the preoperative and postoperative periods, the total ROE score was significantly higher in the postoperative than in the preoperative period. Postoperative ROE scores were positively correlated with RSES and hyperthymic temperament. In contrast, it was negatively correlated with depressive temperament, cyclothymic temperament, anxious temperament, BPS total score, TAS total score, and TAS emotion recognition and expression subscale scores. In the group with alexithymia features separated according to the TAS cutoff score, preoperative and postoperative ROE results were significantly lower, whereas depressive, cyclothymic, irritable, and anxious personality traits and total BPS scores were higher. However, the postoperative RSBE scores were lower in this group. Conclusion: This is the first study to evaluate self-esteem, body image, alexithymia, and personality traits in septorhinoplasty patients. Appropriate patient selection is essential for success and patient satisfaction in aesthetic operations such as septorhinoplasty. Performing BPS, TEMPS-A, and TAS may help evaluate psychological factors.

研究目的本研究评估了鼻中隔成形术术前和术后患者的身体感知、自尊和个性特征。根据这些评估结果,我们可以为鼻中隔成形术申请者提供患者选择建议。方法:在这项横断面问卷调查中,共纳入了 2023 年 3 月至 2024 年 3 月期间在比勒希克培训与研究医院耳鼻喉科接受鼻中隔成形术的 86 名患者。所有手术均由同一位外科医生实施。术前采用鼻整形术结果评估(ROE)问卷、罗森伯格自尊量表(RSES)、体感量表(BPS)、多伦多亚历山大量表(TAS)和 TEMPS-A 气质量表,术后采用 ROE、RSES 和 BPS。结果54名女性和32名男性患者参与了研究。平均年龄为 24.0±0.6 岁。虽然术前和术后的 BPS 和 RSES 分数没有明显差异,但术后的 ROE 总分明显高于术前。术后 ROE 分数与 RSES 和多血质气质呈正相关。相反,它与抑郁气质、环状气质、焦虑气质、BPS 总分、TAS 总分以及 TAS 情绪识别和表达分量表得分呈负相关。在根据 TAS 临界分值区分的具有反射性癔症特征的组别中,术前和术后 ROE 结果均显著降低,而抑郁、环状、易激惹和焦虑人格特质以及 BPS 总分则较高。然而,该组患者术后的 RSBE 评分较低。结论:这是首次对鼻中隔成形术患者的自尊、身体形象、自闭症和人格特质进行评估的研究。适当选择患者对于鼻中隔成形术等美容手术的成功和患者满意度至关重要。进行 BPS、TEMPS-A 和 TAS 可以帮助评估心理因素。
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引用次数: 0
Real-World Survival Impact and Utilization of Adjuvant Radiation in Advanced Laryngeal Cancer. 晚期喉癌辅助放射治疗的实际生存影响和使用情况
Pub Date : 2024-10-23 DOI: 10.1177/01455613241291701
Dylan J Cooper, Camron Davies, Paul Putnam, James B Tansey, John Gleysteen, Eugene R Sansoni, David L Schwartz, Carey Burton Wood

Background: Optimal treatment of locally advanced cancer of the larynx is controversial. In this study, we aim to compare outcomes in patients with T3-4N0-1 cancer of the larynx who underwent surgery alone versus surgery followed by radiation therapy (RT). Materials and Methods: A total of 1820 patients with advanced laryngeal cancer were identified from the national Surveillance, Epidemiology, and End Results Database and stratified based on postoperative RT status, and clinical outcomes were compared between these 2 groups. Propensity score matching was conducted to balance baseline characteristics. Results: The majority of patients (53.4%) received adjuvant RT. N0 patients who received laryngectomy and who did not undergo adjuvant radiation had a 47% higher risk of cancer-specific death than patients receiving adjuvant RT (adj. HR 1.47, 95% CI 1.18-1.84). N1 patients who did not undergo adjuvant radiation had a 90% higher risk of cancer-specific death than patients receiving RT after surgery (adj. HR 1.90, 95% CI 1.27-2.84). After adjusting for propensity scores, adjuvant RT carried a significant overall survival benefit (HR 0.73, 95% CI 0.60-0.87). Conclusions: This study provides real-world support for adjuvant radiation in patients with T3-4N0-1 laryngeal carcinoma. Nearly half of patients did not receive RT, indicating a need for national provider education and process improvement strategies to improve utilization.

背景:局部晚期喉癌的最佳治疗方法尚存争议。本研究旨在比较 T3-4N0-1 喉癌患者单纯手术与手术后放疗(RT)的疗效。材料与方法:从国家监测、流行病学和最终结果数据库中确定了1820名晚期喉癌患者,并根据术后RT状态进行了分层,比较了两组患者的临床疗效。为平衡基线特征,进行了倾向评分匹配。结果:大多数患者(53.4%)接受了辅助 RT。与接受辅助 RT 的患者相比,接受喉切除术且未接受辅助放射治疗的 N0 患者的癌症特异性死亡风险高出 47%(辅助 HR 1.47,95% CI 1.18-1.84)。未接受辅助放射治疗的 N1 患者的癌症特异性死亡风险比术后接受 RT 的患者高 90%(adj. HR 1.90,95% CI 1.27-2.84)。在对倾向评分进行调整后,辅助 RT 可显著提高总生存率(HR 0.73,95% CI 0.60-0.87)。结论:这项研究为T3-4N0-1喉癌患者的辅助放射治疗提供了现实支持。近一半的患者没有接受RT治疗,这表明有必要在全国范围内开展医疗服务提供者教育并制定流程改进策略,以提高利用率。
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引用次数: 0
A Rare Case Report of Malignant Peripheral Nerve Sheath Tumor in the Infratemporal Fossa. 颞下窝恶性周围神经鞘瘤罕见病例报告
Pub Date : 2024-10-23 DOI: 10.1177/01455613241293868
Molham Alahmad, Lubna Kharita, Arige Alassaf

Introduction: Malignant peripheral nerve sheath tumors (MPNSTs) are rare tumors that develop from peripheral nerve sheath cells and they account for approximately 5% to 10% of all soft-tissue sarcomas. MPNSTs in the head and neck region represent approximately 2% to 6% of all head and neck sarcomas and account for 12% to 19% of all MPNSTs, and the infratemporal fossa is a rare site for MPNSTs. MPNSTs originating from the trigeminal nerve are extremely rare. Case presentation: A 19-year-old female presented with a 6-month history of left-sided facial pain and paresthesia on the same side. On examination, there was left-sided facial paresthesia at the third trigeminal nerve (V3) areas; computed tomography scanning and magnetic resonance imaging showed an infratemporal lesion and surgical resection was done. Histological examination and the immunostaining finding showed high-grade MPNST. Conclusion: MPNSTs in the head and neck region may manifest with nonspecific symptoms. The diagnosis often requires a combination of clinical, pathological, and immunohistochemistry studies. Treatment involves total surgical resection with adjuvant radiotherapy.

简介恶性周围神经鞘瘤(MPNST)是由周围神经鞘细胞发展而来的罕见肿瘤,约占所有软组织肉瘤的5%至10%。头颈部的 MPNST 约占所有头颈部肉瘤的 2% 至 6%,占所有 MPNST 的 12% 至 19%,而颞下窝是 MPNST 的罕见部位。源自三叉神经的多发性肉芽肿极为罕见。病例介绍:一名 19 岁女性因左侧面部疼痛和同侧麻痹 6 个月前来就诊。经检查,左侧面部第三三叉神经(V3)区域有麻痹感;计算机断层扫描和磁共振成像显示颞下病变,并进行了手术切除。组织学检查和免疫染色结果显示为高级别 MPNST。结论头颈部多发性骨髓瘤可能表现为非特异性症状。诊断通常需要结合临床、病理和免疫组化研究。治疗包括手术全切除和辅助放疗。
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引用次数: 0
Endoscopic Cartilage Slice Reinforcement Technique for Anterior Perforation Repair with Anterior Canal Wall Protrusion. 用内窥镜软骨片加固技术修复伴有前管壁突出的前穿孔。
Pub Date : 2024-10-16 DOI: 10.1177/01455613241272656
Xionghui Hu, Fang-Luo Md, Di-He Md, Wenlong Jiang

Objective: To evaluate the outcomes and complications of the endoscopic cartilage slice reinforcement technique used on anterior margins for anterior perforation repair with anterior canal wall protrusion. Material and Methods: We conducted a prospective study on 38 cases of anterior perforation with anterior canal wall protrusion, treated using the endoscopic cartilage slice reinforcement technique from February 1, 2017 to August 29, 2023. The follow-up period was 6 months. Results: Of the 38 patients, medium perforations were present in 28.9%, large in 65.8%, and subtotal in 5.3%. The cause was mucosal chronic otitis media in 92.1%, traumatic perforation in 5.3%, and ventilation tube removal in 2.6%. The average operation time was 27.2 ± 4.6 minutes. The graft success rate was 94.7% (36/38) at 6 months postoperative. The average preoperative air-bone gap (ABG) was 19.8 ± 4.2 dB, and postoperative ABG was 8.6 ± 2.9 dB; this improvement was statistically significant (P < .001; paired-sample t-test). The ABG gain was 11.8 ± 5.1 dB, and the rate of successful surgery (postoperative ABG ≤ 20 dB) was 97.4% (37/38). No complications such as altered taste, vertigo, or tinnitus were reported, and no cases involved graft lateralization, significant blunting, graft atelectasis, graft adhesions, or effusion. However, myringitis was observed in 4 (10.5%) patients. Conclusion: The endoscopic cartilage slice reinforcement technique for anterior margins is a simple and effective method for repairing anterior perforations with anterior canal wall protrusion, achieving a high graft success rate, improved hearing, and minimal complications.

目的评估内镜下软骨片加固技术用于前缘穿孔修补术伴前管壁突出的效果和并发症。材料和方法:我们对 2017 年 2 月 1 日至 2023 年 8 月 29 日期间使用内窥镜软骨切片加固技术治疗的 38 例前穿孔伴前管壁突出病例进行了前瞻性研究。随访期为 6 个月。结果:在38名患者中,28.9%出现中度穿孔,65.8%出现大穿孔,5.3%出现小穿孔。92.1%的穿孔原因是粘膜慢性中耳炎,5.3%的穿孔原因是外伤,2.6%的穿孔原因是拔除通气管。平均手术时间为 27.2 ± 4.6 分钟。术后 6 个月的移植成功率为 94.7%(36/38)。术前平均气骨间隙(ABG)为 19.8 ± 4.2 dB,术后 ABG 为 8.6 ± 2.9 dB;这一改善具有显著的统计学意义(P < .001;配对样本 t 检验)。ABG 增益为 11.8 ± 5.1 dB,手术成功率(术后 ABG ≤ 20 dB)为 97.4%(37/38)。没有出现味觉改变、眩晕或耳鸣等并发症,也没有出现移植物侧移、明显变钝、移植物气胸、移植物粘连或渗出。不过,有 4 例(10.5%)患者出现了耳膜炎。结论内窥镜软骨片加固前缘技术是一种简单有效的方法,可用于修复伴有前管壁突出的前穿孔,移植物成功率高,听力改善,并发症少。
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引用次数: 0
Lengthening Short Noses in Rhinoplasty. 在鼻整形术中延长短鼻子。
Pub Date : 2024-10-16 DOI: 10.1177/01455613241288486
Badi Aldosari

Objective: Rhinoplasty aims to create a nose in harmony with an ideal face, help patients with specific aesthetic concerns, and improve the nose's function. So, learning all types of deformities and rhinoplasty procedures is essential to solving that particular problem. So, we aimed to point at a neglected nasal deformity to serve as a guide in short nose rhinoplasty. Methods: Hereditary factors usually determine the length of a nose, such as cephalo-caudal patterning. Nowadays, individuals who want a change on their nose neglect whether it suits their face. Therefore, a considerable change may cause a paradox and lead to losing the operated nose and face harmony. As a general rule, it should be remembered that short nose elongation sounds more complicated than reduction rhinoplasty. Indeed, multiple soft tissues, mucosa, and structures exist, and short noses may get fibrotic, thickened, and inflamed skin for various reasons. Results: Dorsal augmentation through autologous cartilage grafts or implants is often used in patients with short noses. This demands a primary focus on lengthening the short nasal base. The simplest method of lengthening the short nose is dorsal onlay or radix implants. Silicone implants with a reported non-negligible tendency of infection are no longer used. Autologous cartilage grafts can be harvested from the septum, auricular cartilage, or rib. In the case of short noses, the surgeon can remove the septum as a graft and increase the nasal dorsum or undertake dorsal augmentation through septal cartilage grafts. Conclusion: Dorsal augmentation through autologous cartilage grafts or implants remains valuable for patients with short noses. Surgeons can achieve the desired length and proportional rotation by employing various methods, such as dorsal onlay or radix implants, septal cartilage grafts, and careful tip rotation. Through skillful execution and a patient-centered approach, surgeons can help patients with short noses achieve improved facial harmony and self-confidence.

目的:鼻整形手术旨在塑造与理想脸型相协调的鼻子,帮助患者解决特定的美学问题,并改善鼻子的功能。因此,了解所有类型的畸形和鼻整形手术对于解决特定问题至关重要。因此,我们旨在指出一种被忽视的鼻部畸形,作为短鼻隆鼻术的指导。方法:遗传因素通常决定了鼻子的长度,例如头尾形态。如今,想要改变鼻子的人都会忽视鼻子是否适合自己的脸型。因此,过大的改变可能会造成矛盾,使手术后的鼻子和脸部失去协调。一般来说,短鼻拉长术比鼻头缩小术更复杂。事实上,鼻部存在多种软组织、粘膜和结构,短鼻可能会因各种原因导致皮肤纤维化、增厚和发炎。结果:短鼻子患者通常会通过自体软骨移植或假体植入来隆鼻。这就要求将主要重点放在延长短鼻根上。延长短鼻的最简单方法是鼻背嵌体或桡骨假体。硅胶假体据说有不可忽视的感染倾向,目前已不再使用。自体软骨移植可以从鼻中隔、耳廓软骨或肋骨上获取。如果鼻子较短,外科医生可以移除鼻中隔作为移植物,然后增加鼻背或通过鼻中隔软骨移植物进行鼻背增高。结论通过自体软骨移植或植入物进行鼻背增高对短鼻患者仍然很有价值。外科医生可以通过各种方法达到理想的长度和旋转比例,如鼻背嵌体或桡骨植入、鼻中隔软骨移植和仔细的鼻尖旋转。通过娴熟的技术和以患者为中心的方法,外科医生可以帮助短鼻子患者改善面部和谐,增强自信。
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引用次数: 0
A Case of Multiple Tongue Hamartomas with Cleft Palate: 7 Years of Follow-Up. 一例伴有腭裂的多发性舌咸疣:7年随访
Pub Date : 2024-10-16 DOI: 10.1177/01455613241272494
Yuelin Qin, Ningning Hu, Runze Zhang, Xuecai Yang, Junwei Wang

Hamartoma is a congenital benign lesion commonly found in the lungs, kidneys, colon, and other regions, but it is seldom seen in the oral cavity. Multiple hamartoma occurrences in the tongue are particularly rare. This article describes a 7-day-old female infant with multiple tongue tumors and a cleft palate, who had difficulty feeding and subsequently underwent tumor removal under general anesthesia. Nine months later, a cleft palate repair was performed. No genetic abnormalities were detected in the genetic testing. After the tumor removal, follow-ups were conducted every year to observe any recurrence of the tumors, the morphology and function of the tongue, and any systemic abnormalities. After 7 years of follow-up, there was no recurrence of the tumors, and the morphology and function of the tongue were normal, with no systemic diseases found. It is crucial to conduct multidisciplinary consultations for children diagnosed with multiple tongue hamartomas and to monitor their overall development while addressing oral lesions.

火腿肠瘤是一种先天性良性病变,常见于肺、肾、结肠等部位,但很少见于口腔。舌头上出现多个火腿肠瘤尤为罕见。本文描述了一名出生 7 天的女婴,她患有多发性舌肿瘤和腭裂,喂养困难,随后在全身麻醉下接受了肿瘤切除手术。九个月后,进行了腭裂修复手术。基因检测未发现异常。肿瘤切除后,每年进行一次随访,以观察肿瘤是否复发、舌头的形态和功能以及是否出现全身异常。经过 7 年的随访,肿瘤没有复发,舌头的形态和功能正常,也没有发现全身性疾病。对确诊为多发性舌体火腿肠瘤的儿童进行多学科会诊,并在处理口腔病变的同时监测其整体发育情况至关重要。
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引用次数: 0
An Unusual Case of Fibrous Dysplasia Mimicking Frontal Mucocele. 一个罕见的纤维增生症病例,模仿额部淤血。
Pub Date : 2024-10-15 DOI: 10.1177/01455613241291677
Elif Gozgec, Abdulkadir Sahin
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引用次数: 0
Reliability of a Tailored Tele-Medicine Model for Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) Clinical Practice in Remote Areas of Nepal: A Pilot Study from Tertiary Referral Center. 尼泊尔偏远地区耳鼻咽喉头颈外科(ORL-HNS)临床实践中定制远程医疗模式的可靠性:来自三级转诊中心的试点研究。
Pub Date : 2024-10-15 DOI: 10.1177/01455613241291168
Bigyan Raj Gyawali, Obaidullah, Saurav Ghimire, Ashutosh Kashyap, Umesh Jang Rai, Prashant Tripathi, Kunjan Acharya

Introduction: Despite the ever-expanding scope of telemedicine, studies regarding its application in the field of otorhinolaryngology-head and neck surgery (ORL-HNS) in remote parts of the world are lacking. This pilot study aims to bridge the research gap and to assess the efficacy of our tailored telemedicine clinic model, operating in an "asynchronous" mode, in diagnosing various ORL-HNS diseases. Methods: This is a cross-sectional study conducted at a tertiary care center of Nepal. An asynchronous telemedicine portal was used with a store and share approach to telecast the pen endoscopic camera findings to the consultant in order to formulate a diagnosis and a management plan. Interobserver reliability was assessed using SPSS version 26 based on Cohen's kappa. The association between the results of the Mimi Hearing App (v. 5.0) and pure tone audiometry were performed using chi-square test. Results: The overall diagnostic agreement in our study was substantial to almost perfect with kappa values of .843, .784, .737, and .764 for rhinology, head and neck, otology, and pediatric cases. Chronic otitis media was the predominant diagnosis across all age groups. Various head and neck swellings, symptomatic deviated nasal septum and chronic rhinosinusitis with polyposis followed closely. Discussion: The future of telemedicine in otorhinolaryngology can be gauged to be effective in reducing cost and human resource use in the limited setting of Nepal with the model allowing for remote but effective communication between the concerned patients and the expert doctor in clarifying doubts and making diagnosis, early recognition of diseases and preventing or decreasing complications of those diseases.

导言:尽管远程医疗的范围不断扩大,但在世界偏远地区的耳鼻咽喉头颈外科(ORL-HNS)领域却缺乏对其应用的研究。本试点研究旨在弥补这一研究空白,并评估我们以 "异步 "模式运行的定制远程医疗诊所模式在诊断各种 ORL-HNS 疾病方面的疗效。研究方法这是一项在尼泊尔一家三级医疗中心进行的横断面研究。使用异步远程医疗门户网站,以存储和共享的方式将笔式内窥镜摄像结果远程传输给顾问,以便制定诊断和管理计划。使用 SPSS 26 版基于 Cohen's kappa 评估了观察者之间的可靠性。米米听力应用程序(5.0 版)的结果与纯音测听结果之间的关联采用卡方检验。结果显示在我们的研究中,鼻科、头颈部、耳科和儿科病例的总体诊断一致性非常高,几乎达到完美,卡帕值分别为 0.843、0.784、0.737 和 0.764。慢性中耳炎是所有年龄组的主要诊断。紧随其后的是各种头颈部肿胀、有症状的鼻中隔偏曲和伴有息肉的慢性鼻炎。讨论:在尼泊尔有限的环境中,远程医疗可有效降低成本和人力资源的使用,其模式允许相关患者与专家医生之间进行远程但有效的沟通,以澄清疑虑、做出诊断、早期识别疾病并预防或减少这些疾病的并发症。
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引用次数: 0
Benign Solitary Schwannoma of the Cheek: A Case Report and a Review of the Literature. 颊部良性单发性许旺瘤:病例报告和文献综述。
Pub Date : 2024-10-15 DOI: 10.1177/01455613241290178
Amin Khbou, Samia Meherzi, Ons Mnif, Oumaima Beldi, Afifa Charfi

Schwannomas are generally known to be benign tumors that arise from Schwann cells. The most frequently encountered tumors of this type in ENT are vestibular schwannomas or acoustic neuromas. However, head and neck localization, although rare, has been documented in the literature. We present the case of a 13-year-old girl who presented with chronic swelling of the left cheek, leading to aesthetic discomfort. Clinical examination objectified a palpable swelling on both the external and internal sides of the left cheek. No other abnormalities were detected during the clinical examination. Ultrasound of the soft tissues identified the left cheek swelling as corresponding to a subcutaneous cyst. No further investigations were indicated for this patient. The treatment consisted of surgical excision via an intraoral approach with an internal buccal incision. Histological analysis confirmed the diagnosis of schwannoma. Schwannoma, a benign neurologic tumor, is rarely located in the face, particularly in the jaw. Its diagnosis is confirmed through histopathological examination, and treatment typically involves complete surgical removal when feasible.

众所周知,许旺瘤是由许旺细胞产生的良性肿瘤。耳鼻喉科最常见的此类肿瘤是前庭裂神经瘤或听神经瘤。不过,头颈部局部肿瘤虽然罕见,但也有文献记载。我们介绍了一例 13 岁女孩的病例,她的左脸颊长期肿胀,导致美观不适。临床检查发现,左侧脸颊外侧和内侧均可触及肿物。临床检查未发现其他异常。软组织超声波检查发现,左脸颊肿胀与皮下囊肿相对应。该患者无需进行进一步检查。治疗包括通过口腔内切口进行手术切除。组织学分析证实了裂隙瘤的诊断。分裂瘤是一种良性神经系统肿瘤,很少位于面部,尤其是下颌。其诊断需要通过组织病理学检查来确认,治疗方法通常是在可行的情况下进行彻底的手术切除。
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Ear, nose, & throat journal
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