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Experimental Investigation of the Effect of Polydioxanone Plate and Platelet-Rich Plasma on Cartilage Regeneration. 聚二氧酮板和富血小板血浆对软骨再生影响的实验研究
Pub Date : 2024-10-11 DOI: 10.1177/01455613241287278
Ahmet Halit Aydin, Ercan Kaya, Deniz Arik, Funda Canaz, Mehmet Ozgur Pinarbasli, Melek Kezban Gurbuz, Hamdi Cakli, Cemal Cingi

Objectives: This study aimed to investigate the effectiveness of polydioxanone (PDS) plate and platelet-rich plasma (PRP) on the regeneration of cartilage grafts, which are frequently used in nasal and septal surgery. Methods: Fifteen white New Zealand Albino-type female rabbits were used in the study. Our study was carried out on 4 different applications on each animal: cartilage only, cartilage+PRP, cartilage+PDS plate, and cartilage+PRP+PDS plate, and in 3 different periods: the first month, the second month, and the third month. Results: A significant difference was obtained between the groups using cartilage+PRP and cartilage+PRP+PDS only in the first month. When both application types were compared, a statistically significant decrease was found in the histopathological cartilage viability score after PDS use. In examining peripheral chondrocyte proliferation, a statistically significant difference was found only in the third-month comparison. When the group using only cartilage was compared with the group using cartilage+PDS, it was determined that peripheral chondrocyte proliferation was significantly reduced at the end of the third month with PDS. In evaluating fibrosis and foreign body reaction, a statistically significant increase was detected using a PDS plate. In histopathological cartilage viability score statistical analysis, a significant difference was obtained between the groups using cartilage+PRP and cartilage+PRP+PDS only in the first month. Degeneration in the cartilage structure was observed macroscopically in the specimens where the PDS plate was used. Shape change and cartilage deformation were observed in the PDS plate specimens. Conclusions: When the results were examined, this observation coincided with the statistically significant increase in foreign body reaction and fibrosis in the PDS plate groups. However, these results contradicted our hypothesis before the study and the information in the literature. Our results will help provide preliminary information and guidance for future studies and offer a different perspective.

研究目的本研究旨在探讨聚二氧酮(PDS)板和富血小板血浆(PRP)对鼻腔和鼻中隔手术中常用的软骨移植的再生效果。方法:研究使用了 15 只白色新西兰白化型雌兔。我们的研究对每只动物进行了 4 种不同的应用:仅软骨、软骨+PRP、软骨+PDS 板和软骨+PRP+PDS 板,并分 3 个不同时期进行:第一个月、第二个月和第三个月。结果使用软骨+PRP 和软骨+PRP+PDS 的组别仅在第一个月有明显差异。在对两种应用类型进行比较后发现,使用 PDS 后,组织病理学软骨活力评分出现了统计学意义上的显著下降。在检查外周软骨细胞增殖时,只有在第三个月的比较中才发现有统计学意义的差异。将只使用软骨的组与使用软骨+PDS的组进行比较,结果发现,在使用PDS的第三个月末,外周软骨细胞增殖明显减少。在评估纤维化和异物反应时,发现使用 PDS 板时,纤维化和异物反应在统计学上明显增加。在组织病理学软骨活力评分统计分析中,使用软骨+PRP 和软骨+PRP+PDS 的组间仅在第一个月有显著差异。在使用 PDS 板的标本中,宏观观察到软骨结构退化。在使用 PDS 板的试样中观察到了形状变化和软骨变形。结论:在对结果进行检查时,这一观察结果与 PDS 骨板组异物反应和纤维化在统计学上的显著增加不谋而合。然而,这些结果与我们在研究前的假设和文献信息相矛盾。我们的结果将有助于为今后的研究提供初步信息和指导,并提供一个不同的视角。
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引用次数: 0
A Novel Screening Tool for Severe Obstructive Sleep Apnea. 严重阻塞性睡眠呼吸暂停的新型筛查工具。
Pub Date : 2024-10-11 DOI: 10.1177/01455613241279654
Utku Kubilay, Ozlem Yagız Agayarov, Burcu Oktay Arslan, Omer Sancaktar, Kutluhan Cevher, Zeynep Zeren Ucar, Ibrahim Cukurova

Purpose: Obstructive sleep apnea (OSA) is a prevalent condition with long waiting lists for the gold standard polysomnography (PSG) test. Screening tests are essential to identify and prioritize patients with severe OSA. Current questionnaires do not accurately detect severe cases. This study aims to develop an alternative screening tool based on anthropometric and morphological characteristics to determine the severity of OSA. Methods: The study included 149 patients with sleep apnea symptoms who did not have additional diseases. The obstructive sleep apnea morphologic scale (OSAMS) was created using 5 parameters: 3 internal parameters related to the upper respiratory tract (tonsil size, oropharyngeal passage, and hypopharyngeal-laryngeal examination) and 2 external parameters (neck circumference and body mass index). Each parameter was scored, and the total scores were correlated with the apnea-hypopnea index (AHI) of PSG to determine the severity of OSA. Results: A statistically significant moderate positive correlation was found between AHI and OSAMS scores (rho = .491; P < .001). A grand total score >4 provided 80.3% sensitivity and 53.9% specificity to identify patients with severe OSA. OSAMS demonstrated superior results compared to existing questionnaires for OSA screening in our study group. Conclusions: OSAMS is a potential alternative to existing questionnaires to screen patients with severe OSA, offering a practical approach based on morphology during physical examinations.

目的:阻塞性睡眠呼吸暂停(OSA)是一种普遍存在的疾病,金标准多导睡眠图(PSG)检查的等待时间很长。筛查测试对于识别和优先处理严重 OSA 患者至关重要。目前的调查问卷无法准确检测出严重病例。本研究旨在开发一种基于人体测量和形态特征的替代筛查工具,以确定 OSA 的严重程度。研究方法研究纳入了 149 名有睡眠呼吸暂停症状且无其他疾病的患者。阻塞性睡眠呼吸暂停形态量表(OSAMS)由 5 个参数组成:3个与上呼吸道相关的内部参数(扁桃体大小、口咽通道和下咽-喉检查)和2个外部参数(颈围和体重指数)。对每个参数进行评分,并将总分与 PSG 的呼吸暂停-低通气指数 (AHI) 相关联,以确定 OSA 的严重程度。结果:AHI 与 OSAMS 分数之间存在统计学意义上的中度正相关(rho = .491; P < .001)。总分大于 4 分可提供 80.3% 的灵敏度和 53.9% 的特异性来识别严重 OSA 患者。在我们的研究小组中,与现有的 OSA 筛查问卷相比,OSAMS 显示出更优越的结果。结论:OSAMSOSAMS 是筛查严重 OSA 患者的现有问卷调查的潜在替代方案,它提供了一种基于体检形态学的实用方法。
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引用次数: 0
Comparison of the Inadequacies of Ultrasonography and Computed Tomography in the Diagnosis of Sialolithiasis. 比较超声波和计算机断层扫描在诊断霰粒肿方面的不足。
Pub Date : 2024-10-11 DOI: 10.1177/01455613241287291
Necdet Özçelik, Husam Vehbi, Elvin Alaskarov

This study aimed to determine the value of either ultrasonography and computed tomography (CT) alone or both for diagnosing salivary gland stones. Based on their clinical findings and physical examination, 188 patients with salivary stones were included. Initially, an ultrasound was performed, and then a non-contrast-enhanced thin-sliced CT scan was done. The study included 161 patients with suspected submandibular gland (SMG) sialolithiasis and 27 with parotid gland (PG) sialolithiasis. Among the SMG cases, stones were confirmed in 130 patients through interventional sialoendoscopy. Sixteen of the stones were detected by CT scan only and were not seen in the previous ultrasound examination. After the second follow-up ultrasound, which was conducted after reviewing the CT scans, 9 of them were identified. Five patients with distal stones and ductal dilation on ultrasound were confirmed to have sialolithiasis. In 5 patients with stones detected on ultrasound but not on CT, dental filling artifacts were identified as the cause. For PG cases, stones were observed in 18 out of 19 patients with suspected sialolithiasis based on ultrasound and CT findings. Three patients with positive CT findings but negative ultrasound showed stones during sialendoscopy. During an ultrasound examination, palpating the floor of the mouth with the other hand's index finger can help identify stones obscured by the shadow of the mandible, thereby enhancing the test's accuracy. Patients with dental fillings, implants, and permanent dentures should not be referred for a CT scan to avoid unnecessary exposure to ionizing radiation. They also cause significant metallic artifacts in the field of interest. In these cases, ultrasound should be considered. To minimize the effects of ionizing radiation, it is recommended to create limited field requests for the target, focusing solely on the submandibular and PGs.

本研究旨在确定单独使用超声波和计算机断层扫描(CT)或同时使用这两种方法诊断唾液腺结石的价值。根据临床表现和体格检查结果,188 名唾液腺结石患者被纳入研究范围。首先进行超声波检查,然后进行非造影剂增强薄层 CT 扫描。研究包括161例疑似颌下腺(SMG)涎结石患者和27例腮腺(PG)涎结石患者。在 SMG 病例中,130 名患者通过介入性咽内镜检查确诊为结石。其中 16 例结石仅通过 CT 扫描发现,在之前的超声波检查中未见结石。在复查 CT 扫描后进行的第二次超声波随访检查中,发现了其中 9 个结石。5 名超声波检查发现远端结石和导管扩张的患者被证实患有霰粒肿。在 5 名超声波检查发现结石但 CT 检查未发现结石的患者中,牙科填充物伪影被确定为结石的原因。在 PG 病例中,根据超声波和 CT 检查结果怀疑患有霰粒肿的 19 名患者中有 18 人发现了结石。3 名 CT 检查结果呈阳性但超声检查结果呈阴性的患者在巩膜内窥镜检查中发现了结石。在进行超声波检查时,用另一只手的食指触摸口腔底部有助于识别被下颌骨阴影遮挡的结石,从而提高检查的准确性。有牙科补牙、植入物和永久假牙的患者不应转诊进行 CT 扫描,以避免不必要地暴露于电离辐射中。补牙、植入物和永久性假牙也会在扫描范围内造成明显的金属伪影。在这种情况下,应考虑超声波检查。为尽量减少电离辐射的影响,建议对目标进行有限的视野要求,只关注颌下腺和 PG。
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引用次数: 0
Investigation of the Effectiveness of Nasal Sprays in Allergic Rhinitis. 鼻腔喷雾剂对过敏性鼻炎疗效的研究
Pub Date : 2024-10-10 DOI: 10.1177/01455613241287298
Ayten Güner Atayoğlu, Nuray Bayar Muluk, Rahime Koca, İbrahim Çukurova, Erdem Atalay Çetinkaya, Özgür Yörük, Cengiz Bal, Arzu Tatar, Nihat Susaman, Nagehan Dilşad Erdoğmuş Küçükcan, Enes Güngör, Necdet Özçelik, Elvin Alaskarov, Zeynel Öztürk, Oğuzhan Oğuz, Burak Mustafa Taş, Cemal Cingi

Objectives: We investigated the effectiveness of different types of nasal irrigation sprays in adult allergic rhinitis (AR) patients. Methods: A total of 1700 patients with AR (866 males and 834 females) were assigned to: Group 1: Hypertonic nasal spray group (n = 600) (Sinomarin® hypertonic nasal spray); Group 2: Algae-containing hypertonic nasal spray group (n = 600) (Sinomarin Plus Algae ENT); and Group 3: Isotonic saline nasal spray group (n = 500). All patients underwent an otolaryngological examination, continued their standard AR treatment, and received the assigned nasal spray additionally (1 spray to each nostril, 3 times a day, for 3 weeks). Allergic symptom scores, turbinate examination, total symptom scores, and quality of life (QoL) scores were evaluated during pre- and post-treatment periods. Results: In groups 1 and 2, symptom scores and turbinate color and edema, total symptom scores, and QoL scores increased after treatment (P < .05). In the saline group, there were no significant differences in symptom scores and total symptom scores after treatment; however, improvement was detected in turbinate color and edema values after treatment. QoL scores increased after treatment. When comparing the 3 groups, the total symptom scores of groups 1 and 2 were significantly lower, and the QoL scores of groups 1 and 2 were considerably higher than those of the saline group. There were no significant differences between groups 1 and 2. Conclusion: Algae-containing and hypertonic nasal spray may be added to the standard AR treatment to increase QoL and decrease total symptom scores.

研究目的我们研究了不同类型的鼻腔冲洗喷雾剂对成年过敏性鼻炎(AR)患者的疗效。方法1700名过敏性鼻炎患者(866名男性和834名女性)被分配到以下组别:第二组:含藻类高渗鼻腔喷雾组(n = 600)(Sinomarin Plus Algae ENT);第三组:等渗生理盐水鼻腔喷雾组(n = 500)。所有患者都接受了耳鼻喉科检查,继续接受标准的 AR 治疗,并额外接受指定的鼻腔喷雾剂(每个鼻孔喷 1 次,每天 3 次,持续 3 周)。在治疗前后对过敏症状评分、鼻甲检查、症状总评分和生活质量(QoL)评分进行了评估。结果显示治疗后,第 1 组和第 2 组的症状评分、鼻甲颜色和水肿、症状总评分和 QoL 评分均有所上升(P < .05)。生理盐水组的症状评分和症状总评分在治疗后无显著差异,但鼻甲颜色和水肿值在治疗后有所改善。治疗后 QoL 评分有所提高。比较三组患者,第 1 组和第 2 组的症状总评分明显低于生理盐水组,而第 1 组和第 2 组的 QoL 评分则明显高于生理盐水组。第 1 组和第 2 组之间没有明显差异。结论在标准 AR 治疗中添加含藻高渗鼻腔喷雾剂可提高患者的生活质量,降低症状总分。
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引用次数: 0
Bovie, Cushing, and The Era of Electrosurgery. 博维、库欣和电外科时代。
Pub Date : 2024-10-09 DOI: 10.1177/01455613241289692
Andrew C Li, Glenn Isaacson
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引用次数: 0
A Case of Necrotizing Lymphadenitis Misdiagnosed as a Neck Abscess. 一例被误诊为颈部脓肿的坏死性淋巴结炎病例
Pub Date : 2024-10-09 DOI: 10.1177/01455613241290493
Yan Zhou, Qiuling Liang, Chun Yang

Histiocytic necrotizing lymphadenitis (HNL), also known as Kikuchi disease, is a relatively rare sub-acute necrotic localized lymphadenitis. This benign, self-limiting condition is characterized by fever, painful lymphadenopathy, skin rash, and other systemic symptoms. Due to its nonspecific presentation, unclear etiology, and pathogenesis, HNL has a low incidence rate in clinical practice. Insufficient awareness among clinicians and pathologists can easily lead to misdiagnosis. This article reported a 27-year-old female patient who was admitted to the hospital with fever, neck pain, and enlarged lymph nodes in the neck. There were no special medical or personal histories, and postoperative pathology confirmed tissue necrotizing lymphadenitis. After treatment with steroids and symptomatic therapy, she recovered and was discharged from the hospital. Follow-up to date has shown no recurrence.

组织细胞坏死性淋巴结炎(HNL)又称菊地病,是一种较为罕见的亚急性坏死性局部淋巴结炎。这种良性、自限性疾病的特点是发热、淋巴结病痛、皮疹和其他全身症状。由于其表现无特异性、病因和发病机制不明确,HNL 在临床上的发病率很低。临床医生和病理学家对其认识不足,很容易导致误诊。本文报告了一名因发热、颈部疼痛和颈部淋巴结肿大而入院的 27 岁女性患者。患者无特殊病史或个人史,术后病理证实为组织坏死性淋巴结炎。经过类固醇和对症治疗后,她康复出院。随访至今未见复发。
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引用次数: 0
Horner's Syndrome as a Complication of Tonsillectomy: Comprehensive Literature Review. 作为扁桃体切除术并发症的霍纳综合征:文献综述。
Pub Date : 2024-10-08 DOI: 10.1177/01455613241290177
Ahmad Alkheder, Hossam Alhraki, Vivian Alahmad, Zeina Alsodi, Salah Abdalkader, Adham Bader Aldeen Mohsen

Horner's syndrome, though very rare, is a recognized complication following tonsillectomy, as presented in this case report of a 4.5-year-old girl. She developed Horner's syndrome after a tonsillectomy, which was performed using cold steel technique and bipolar diathermy for hemostasis. The patient exhibited symptoms such as ptosis, miosis, and anhidrosis on the left side, detected following a secondary post-tonsillectomy hemorrhage that required surgical intervention. No improvement in Horner's syndrome was noted after 3 months. Our review of the literature revealed 15 documented cases of Horner's syndrome as a complication of tonsillectomy, with an increase in recent years possibly due to the advancements in surgical techniques and heightened awareness of the condition. Interestingly, Horner's syndrome occurred with a wide range of surgical methods, indicating that the etiology is likely multifactorial, involving factors such as surgical technique, anatomical variations, and the extent of cauterization. This report emphasizes the need for caution in the application of modern hemostatic techniques, advocating for a balanced approach that considers traditional methods like ligation and suturing, which may reduce the risk of such complications. Continuous reporting and further research are crucial to better understanding the mechanisms behind Horner's syndrome following tonsillectomy and improving patient outcomes.

霍纳氏综合征虽然非常罕见,但却是扁桃体切除术后公认的并发症,本病例报告中的患者是一名 4.5 岁的女孩。她在使用冷钢技术和双极透热止血法进行扁桃体切除术后出现了霍纳综合征。患者表现出眼睑下垂、瞳孔缩小和左侧无汗等症状,扁桃体切除术后继发出血,需要手术治疗。3 个月后,霍纳氏综合征未见好转。通过查阅文献,我们发现有 15 例霍纳氏综合征作为扁桃体切除术并发症的病例记录在案,近年来病例增多的原因可能是手术技术的进步和人们对该病症认识的提高。有趣的是,Horner's 综合征的发生与多种手术方法有关,这表明病因可能是多因素的,涉及手术技术、解剖变异和烧灼程度等因素。本报告强调在应用现代止血技术时需要谨慎,提倡采用平衡的方法,考虑结扎和缝合等传统方法,这样可以降低此类并发症的风险。持续报告和进一步研究对于更好地了解扁桃体切除术后霍纳综合征背后的机制和改善患者预后至关重要。
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引用次数: 0
Clinical Predilection Features of Middle Ear Adenomatous Neuroendocrine Tumors: A Review of 10 Patients and a Special Case Is Attached. 中耳腺瘤性神经内分泌肿瘤的临床预选特征:10 例患者回顾及特殊病例附后
Pub Date : 2024-10-08 DOI: 10.1177/01455613241264435
Dan You, Qingzhong Li, Huiqian Yu

Introduction: Middle ear adenomatous neuroendocrine tumors (MEANTs) are rare middle ear lesions characterized by nonspecific symptoms, signs, and imaging findings. Diagnosis typically relies on postoperative pathological assessment. This study investigated the diagnostic utility of the predilection sites and clinical characteristics of MEANTs. Methods: A retrospective analysis was conducted on clinical data from 10 patients with histologically confirmed MEANTs, admitted to Eye & ENT Hospital of Fudan University between March 2016 and March 2023. Results: The median age of the patients at diagnosis was 39.3 years. Hearing loss (n = 8) and ear pain (n = 6) were the most prevalent clinical symptoms in the patients diagnosed with MEANTs. Endoscopic examination revealed diverse symptoms, predominantly presenting as non-pulsatile masses with distinct boundaries and quasi-circular shapes within the external auditory canal, often accompanied by abundant blood vessels (n = 4). Tumors were typically confined to the middle/lower tympanic chambers or eustachian tube and were frequently associated with tympanic sclerosis, particularly around the pharyngeal tube (n = 3). Pathologically, MEANTs exhibited CD56 positivity or weak positivity, along with positive staining for CKpan and Syn, negativity for S100, and Ki67 ≤3%. Personalized surgical interventions were chosen by all the patients based on lesion severity, with no subsequent radiotherapy or chemotherapy administered postoperatively. No tumor progression was noted during the postoperative follow-up. In addition, a noteworthy case was presented in which MEANT initially manifested in the middle or lower tympanic cavity and eustachian tubes. Over 2 years, the tumor progressively grew, invading the middle tympanum and surrounding ossicles, ultimately achieving complete resection with no recurrence observed during subsequent follow-up. Conclusions: A possible diagnosis of middle ear adenoma should be considered when encountering non-pulsatile tumors with clearly demarcated inner boundaries within the external auditory canal accompanied by abundant quasi-circular vessels and the presence of new bone or neoplasm at the pharyngeal tympanic canal orifice observed during preoperative examinations or surgical procedures.

简介:中耳腺瘤性神经内分泌肿瘤(MEANTs)是一种罕见的中耳病变,具有非特异性症状、体征和影像学表现。诊断通常依赖于术后病理评估。本研究调查了MEANTs的好发部位和临床特征的诊断效用。方法:对复旦大学附属眼耳鼻喉科医院在2016年3月至2023年3月期间收治的10例经组织学确诊的MEANTs患者的临床数据进行回顾性分析。分析结果患者确诊时的中位年龄为39.3岁。听力下降(8 例)和耳痛(6 例)是确诊为 MEANTs 患者最常见的临床症状。内窥镜检查发现的症状多种多样,主要表现为外耳道内边界清晰、准圆形的非搏动性肿块,通常伴有丰富的血管(4 例)。肿瘤通常局限于中/下鼓室或咽鼓管,常伴有鼓室硬化,尤其是咽鼓管周围(3 例)。病理上,MEANTs表现为CD56阳性或弱阳性,CKpan和Syn染色阳性,S100阴性,Ki67≤3%。所有患者都根据病变严重程度选择了个性化的手术治疗,术后没有进行放疗或化疗。术后随访期间未发现肿瘤进展。此外,还有一例值得注意的病例,MEANT 最初出现在中下鼓室和咽鼓管。两年后,肿瘤逐渐增大,侵及中鼓室和周围听小骨,最终完全切除,术后随访未见复发。结论:在术前检查或手术过程中,如果发现外耳道内有边界清晰的非搏动性肿瘤,并伴有丰富的准圆形血管,咽鼓管口有新骨或新生物,则应考虑中耳腺瘤的可能诊断。
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引用次数: 0
A Case Report on the Short-Term Recurrence of Low-Grade Fibromyxoid Sarcoma in the Maxillary Sinus. 上颌窦低级别纤维肉瘤短期复发病例报告
Pub Date : 2024-10-08 DOI: 10.1177/01455613241276673
Dan Zhao, Jian Dai, Yu Hu, Tao Wang

Low-grade fibromyxoid sarcoma (LGFMS) represents an exceptionally rare soft-tissue tumor, challenging to diagnose, and notorious for relentless recurrence and proliferation postsurgical resection. Primary symptoms of LGFMS include nasal congestion and rhinorrhea, accompanied by cheek numbness and distension. In this article, we report the diagnosis and treatment of a case of low-grade LGFMS originating in the maxillary sinus (MS). A 64-year-old male diagnosed with LGFMS of the left MS, undergoing 3 surgeries over a 1-year period with subsequent local recurrence. Following inconclusive postoperative pathology after the initial surgery, the patient experienced recurrence 2 months postsurgery, necessitating a second operation, which confirmed the LGFMS diagnosis pathologically. Radiation therapy commenced 1 month after the second surgery; however, recurrence transpired 6 months later, leading to a third operation. Subsequently, recurrence occurred again 8 months post third surgery, with the patient currently undergoing targeted therapy. This case underscores the distinct characteristics and therapeutic challenges inherent in LGFMS through the narrative of diagnosis and progression of LGFMS originating in the MS.

低分化纤维肉瘤(LGFMS)是一种异常罕见的软组织肿瘤,诊断困难,手术切除后会不断复发和增生。LGFMS 的主要症状包括鼻塞和鼻出血,伴有面颊麻木和胀痛。本文报告了一例起源于上颌窦(MS)的低级别 LGFMS 的诊断和治疗。一名 64 岁的男性被诊断为左侧上颌窦 LGFMS,在 1 年内接受了 3 次手术,随后局部复发。首次手术后,术后病理结果不确定,患者术后2个月复发,不得不进行第二次手术,病理结果证实了LGFMS的诊断。第二次手术后 1 个月开始接受放射治疗,但 6 个月后复发,不得不进行第三次手术。第三次手术后 8 个月再次复发,目前患者正在接受靶向治疗。本病例通过叙述源于多发性硬化症的 LGFMS 的诊断和进展,强调了 LGFMS 的独特特征和固有的治疗挑战。
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引用次数: 0
Analyzing Factors and Reasons Behind NonAttendance of ENT Patients: Clinical Audit. 分析耳鼻喉科病人未就诊的因素和原因:临床审计。
Pub Date : 2024-10-07 DOI: 10.1177/01455613241283798
Faris Ahmed Bahammam, Neil Tolley, Romana Kuchai, Elliot Benjamin, Matthew Rollin

Objective: This study analyzed the frequency of follow-up patients at the ENT clinic and identified different factors that are associated with nonattendance at follow-up appointments since nonattendance imposes significant stress on the system of healthcare. Methods: This study was an ambidirectional cohort study and conducted a telephonic survey with 104 ENT patients who missed their appointments. Results: The findings of the study revealed that patients missed their scheduled appointments because of transportation problems (46%), professional engagement (46%), family problems (44%), and financial problems (32.7%). However, patients didn't identify forgetfulness about the appointment, complete recovery, and health-related issues on the day of the appointment as the barrier to missing their scheduled appointment. The study assessed the relationship between socioeconomic status and the frequency of follow-up patients in an ENT clinic where transportation factor (P < .000), working commitments (P < .004) affecting the "Lower Middle and Middle Class" individuals, and financial problems (P < .005), family problems (P < .028), feeling sick (P < .037) were significantly affecting the "Middle-Upper Class" and "Middle Class." Meanwhile, forgetfulness was not associated with the socio-economic status of the ENT patients (P = .237). Conclusion: This study found transportation, family, financial issues, and professional commitments to be the key barriers to ENT appointment attendance, with Lower-Middle-Class patients particularly affected by forgetfulness. These missed appointments negatively impact patient health and strain the healthcare system.

研究目的本研究分析了耳鼻喉科诊所复诊患者的频率,并确定了与不参加复诊相关的不同因素,因为不参加复诊会给医疗系统带来巨大压力。研究方法本研究是一项双向队列研究,对 104 名错过复诊的耳鼻喉科患者进行了电话调查。结果研究结果显示,患者因交通问题(46%)、职业约定(46%)、家庭问题(44%)和经济问题(32.7%)而错过预约。然而,患者并没有将忘记预约、完全康复和预约当天的健康相关问题视为错过预约的障碍。该研究评估了社会经济地位与耳鼻喉科诊所复诊患者频率之间的关系,其中交通因素(P P P P P = .237)。结论本研究发现,交通、家庭、经济问题和职业承诺是影响耳鼻喉科预约就诊的主要障碍,中下阶层患者尤其受到健忘的影响。这些失约对患者的健康造成了负面影响,也给医疗系统带来了压力。
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引用次数: 0
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