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RE: Impact of Cancer Localization on Symptom Burden and Quality of Life in Head and Neck Cancers: A Comparative Study. RE:癌症定位对头颈部癌症患者症状负担和生活质量的影响:比较研究
Pub Date : 2024-10-13 DOI: 10.1177/01455613241291489
Erkan Topkan, Efsun Somay, Uğur Selek
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引用次数: 0
Endoscopic Surgery for a Case of Congenital Cholesteatoma with Ossicular Chain Anomaly. 内窥镜手术治疗一例先天性胆脂瘤伴听骨链异常。
Pub Date : 2024-10-13 DOI: 10.1177/01455613241291169
Haiping Qin, Jinxia Xu, Qingli Huang, Lili Gong

The simultaneous occurrence of congenital ossicular anomalies and congenital cholesteatoma (CC) is exceedingly rare. This report describes the case of an 11-year-old boy who presented with conductive hearing loss, characterized by an average air conduction threshold of 50 dB in the left ear, without any prior otologic history. Preoperative assessments suggested the presence of CC, with suspicion of ossicular chain malformation. The patient underwent ear endoscopic surgery, during which the lesion was excised, and the ossicular chain was reconstructed using a titanium ossicular prosthesis. Postoperative follow-up indicated successful healing, with a significant improvement in hearing, as demonstrated by a reduction in the air conduction threshold to 15 and a hearing gain of 35 dB.

同时出现先天性听骨畸形和先天性胆脂瘤(CC)的情况极为罕见。本报告描述了一例 11 岁男孩的病例,该男孩出现传导性听力损失,左耳平均气导阈值为 50 dB,之前没有任何耳科病史。术前评估提示存在 CC,并怀疑听骨链畸形。患者接受了耳内窥镜手术,切除了病灶,并使用钛合金听骨假体重建了听骨链。术后随访显示,手术成功,听力明显改善,空气传导阈值降低到 15,听力提高了 35 分贝。
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引用次数: 0
Comparative Histopathological Analysis of Nasal Osteotomy Techniques in a Rabbit Model. 兔模型鼻骨切开术的组织病理学比较分析
Pub Date : 2024-10-13 DOI: 10.1177/01455613241289960
Deniz Hanci, Berk Gurpinar, Huseyin Altun, Oyku Izel Onaran, Ugur Uygan, Omer Kumas, Yavuz Uyar

Objective: Nasal osteotomy is a crucial step in rhinoplasty, explicitly addressing the open roof deformity in nasal bones. This study aimed to assess and compare the recovery patterns associated with 4 distinct osteotomy techniques in a rabbit model. Materials and Methods: Twenty white New Zealand rabbits weighing 2.5 to 3.0 kg were included in the study. Median osteotomies were performed on the left side using piezosurgery and on the right side using an oscillating micro-saw. Additionally, internal osteotomy was executed on the right side and external osteotomy on the left side, both performed with a chisel across all rabbits. Ten rabbits were sacrificed on the 7th day, while the remaining 10 were sacrificed on the 15th day for subsequent histological examination. The granulation tissue formation (GTF), vascularization, inflammation, collagen fibril content, osteotomy gap width, and new bone formation were evaluated in hematoxylin and eosin and Masson's trichrome-stained sections. Results: On the 7th day, piezosurgery demonstrated statistically-significant advantages in terms of GTF, neovascularization, and collagen fibril quantity when compared to the oscillating micro-saw (P < .05). Furthermore, a statistically-significant difference was observed among the groups concerning the distribution of connective tissue organization between the 7th and 15th days (P < .05). Conclusions: This study's findings unequivocally establish that bone healing after osteotomy with piezosurgery surpasses that achieved with an oscillating micro-saw in this rabbit model.

目的:鼻骨截骨术是鼻整形术中的一个关键步骤,可明确解决鼻骨的开顶畸形问题。本研究旨在兔模型中评估和比较与 4 种不同截骨技术相关的恢复模式。材料和方法:研究对象包括 20 只体重为 2.5 至 3.0 千克的白色新西兰兔。在左侧使用压刀进行正中截骨,在右侧使用摆动微锯进行正中截骨。此外,所有兔子都使用凿子进行了右侧内截骨术和左侧外截骨术。第 7 天宰杀 10 只兔子,第 15 天宰杀其余 10 只兔子,进行组织学检查。通过苏木精、伊红和马森三色染色切片对肉芽组织形成(GTF)、血管形成、炎症、胶原纤维含量、截骨间隙宽度和新骨形成进行评估。结果第 7 天,与摆动式微锯相比,压电手术在 GTF、新生血管和胶原纤维数量方面具有显著的统计学优势(P < .05)。此外,在第 7 天和第 15 天之间,观察到各组之间在结缔组织组织分布方面存在显著统计学差异(P < .05)。结论:本研究结果明确证实,在该兔子模型中,使用压电手术进行截骨后的骨愈合效果优于使用摆动微锯。
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引用次数: 0
Ear Reconstruction for Auricle Defects Using an Expanded Neck Flap: A Case Report. 使用扩大的颈部皮瓣进行耳廓缺损的耳再造术:病例报告。
Pub Date : 2024-10-13 DOI: 10.1177/01455613241291171
Huiming She, Xin Chen, Gaofeng Li, Xiren Long

This case report describes a patient with a left ear deformity resulting from a flame burn sustained 20 years ago. The patient underwent an ear reconstruction procedure utilizing an expanded neck flap. The autologous rib cartilage was used as the framework, while an expanded neck flap served as the covering for the framework. The surgery was completed in 3 stages. Initially, tissue expanders were implanted and gradually inflated with water. After sufficient expansion, the expanders were removed, and the scar tissue was excised. Subsequently, the expanded flap was used to cover the defects, and the expanded neck flap was rotated to cover the autogenous costal cartilage framework obtained intraoperatively. Finally, the reconstructed ear was repaired by constructing the cephaloauricular sulcus, removing postauricular scars, and trimming the neck-flap pedicle. After a 1-year follow-up, the wound had healed satisfactorily with only minor complications. The shape of the reconstructed ear appeared realistic, and its function was maintained. Most of the scars were repaired, and the scarred alopecia was significantly improved. In patients with limited availability of the postauricular flap, especially burn patients, using an expanded neck flap can lead to superior outcomes.

本病例报告描述了一名因 20 年前被火焰烧伤而导致左耳畸形的患者。患者接受了利用扩大的颈部皮瓣进行的耳部重建手术。自体肋软骨被用作框架,而扩大的颈部皮瓣被用作框架的覆盖物。手术分三个阶段完成。首先,植入组织扩张器,并逐渐用水充气。充分膨胀后,取出扩张器,切除疤痕组织。随后,用扩张的皮瓣覆盖缺损,并旋转扩张的颈部皮瓣,覆盖术中获得的自体肋软骨框架。最后,通过构建头耳沟、去除耳后疤痕和修剪颈瓣蒂来修复重建的耳朵。经过一年的随访,伤口愈合良好,仅有轻微并发症。重建后的耳朵外形逼真,功能得以保持。大部分疤痕得到了修复,疤痕性脱发也得到了明显改善。对于耳后皮瓣可用性有限的患者,尤其是烧伤患者,使用扩大的颈部皮瓣可以带来更好的效果。
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引用次数: 0
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。
{"title":"A Novel Screening Tool for Severe Obstructive Sleep Apnea.","authors":"Utku Kubilay, Ozlem Yagız Agayarov, Burcu Oktay Arslan, Omer Sancaktar, Kutluhan Cevher, Zeynep Zeren Ucar, Ibrahim Cukurova","doi":"10.1177/01455613241279654","DOIUrl":"https://doi.org/10.1177/01455613241279654","url":null,"abstract":"<p><p><b>Purpose:</b> 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. <b>Methods:</b> 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. <b>Results:</b> A statistically significant moderate positive correlation was found between AHI and OSAMS scores (rho = .491; <i>P</i> < .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. <b>Conclusions:</b> OSAMS is a potential alternative to existing questionnaires to screen patients with severe OSA, offering a practical approach based on morphology during physical examinations.</p>","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241279654"},"PeriodicalIF":0.0,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142402447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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
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Ear, nose, & throat journal
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