ENT Journal最新文献_第9页

Pneumatization of all Three Nasal Turbinates 所有三个鼻鼻甲的通气

ENT Journal Pub Date : 2016-01-01 DOI: 10.1177/014556131609500105

Jae Hoon Lee

引用次数: 0

Slag Injury to the Tympanic Membrane 鼓膜的矿渣损伤

ENT Journal Pub Date : 2016-01-01 DOI: 10.1177/014556131609500104

Emily J. Marchiano, R. Jyung

引用次数: 4

A Case of Lipoma Arising in the Eustachian Tube 耳咽管脂肪瘤1例

ENT Journal Pub Date : 2016-01-01 DOI: 10.1177/014556131609500102

J. Dabiri, G. Choufani, I. Delpierre, S. Hassid

引用次数: 5

Sensorineural Hearing Loss in β-thalassemia Patients Treated with iron Chelation 铁螯合治疗β-地中海贫血患者的感音神经性听力损失

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401206

U. Osma, E. Kurtoğlu, H. Eyigor, M. Yılmaz, N. Aygener

{"title":"Sensorineural Hearing Loss in β-thalassemia Patients Treated with iron Chelation","authors":"U. Osma, E. Kurtoğlu, H. Eyigor, M. Yılmaz, N. Aygener","doi":"10.1177/014556131509401206","DOIUrl":"https://doi.org/10.1177/014556131509401206","url":null,"abstract":"The predictive value of pure-tone audiometry (PTA) in the early detection of ototoxicity has been questioned, particularly in the higher frequencies. Otoacoustic emissions testing appears to be more sensitive to cochlear insult than conventional PTA. We conducted a cross-sectional descriptive study to compare the efficacy of distortion-product otoacoustic emissions (DPOAE) testing with that of PTA as a method of audiologic monitoring. Our study group was made up of 159 patients (318 ears)—69 males (43.4%) and 90 females (56.6%), aged 5 to 61 years (mean: 23.59 ± 12.55). All patients had been diagnosed with either β-thalassemia major (BTM) or β-thalassemia intermedia (BTI), and all had received at least 1 year of treatment within the previous year with an iron chelator—either deferasirox, desferrioxamine (deferoxamine in the United States), deferiprone, or a combination of desferrioxamine and deferiprone. PTA and DPOAE evaluations were performed by the same audiologist using the same audiometer for all patients. In the right ears, the overall incidence of ototoxicity as manifested by sensorineural hearing loss was 39.0% on PTA and 22.0% on DPOAE testing; in the left ears, the corresponding figures were 27.7 and 19.5%, respectively. There were no statistically significant differences in the incidence of ototoxicity between the BTM and BTI groups with any of the four different drug regimens on PTA (p = 0.765, p = 0.378, p = 0.265, and p = 0.579, respectively) or on DPOAE testing (p = 0.890, p = 0.263, p = 0.390, and p = 0.340, respectively). Based on these data, we found no significant difference between PTA and DPOAE testing in their ability to detect ototoxicity. We conclude that periodic testing with both PTA and DPOAE is necessary for patients with suspected β-thalassemia in order arrive at a prompt diagnosis and initiate timely management.","PeriodicalId":11842,"journal":{"name":"ENT Journal","volume":"57 1","pages":"481 - 485"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91320919","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: 6

The Potter Technique for Cleft Lip Rhinoplasty 唇裂鼻整形术的波特技术

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401205

J. Rousso

{"title":"The Potter Technique for Cleft Lip Rhinoplasty","authors":"J. Rousso","doi":"10.1177/014556131509401205","DOIUrl":"https://doi.org/10.1177/014556131509401205","url":null,"abstract":"Patients with unilateral cleftlip are, arguably,the most technically complex subgroup of rhinoplasty patients. Asymmetry of the three-dimensional nasal structure creates an obvious deformity that largely contributes to the cleftstigmata, particularly the nasal tip and alar base.' A IS-year-old girl presented with a history of leftsided, unilateral, complete cleft lip and palate, which had been repaired at an outside hospital during her infancy. She presented with complaints -of difficulty breathing from the left side of her nose, and she was very bothered by her nasal deformity. This patient's nasal asymmetry was identified on examination. The ala on the cleft side was flattened, with a subsequent hanging nostril; additionally, the dome was lower on the cleft side. The nasal tip and columella were pointing away from the cleft side, and the bony dorsum toward the cleft side. However, because of the alotomy performed at the time of her primary lip surgery, her alar base width was symmetric. As a result of her deformity, the soft-tissue triangles were extremely asymmetric, as were her nostril openings (figure 1). The patient's endonasal exam revealed that the \"quadrangular cartilage was deviated toward the cleft side. Manual elevation of her ptotic left nasal ala caused a significant improvement in her breathing, and the standard Cottle maneuver did not prove beneficial. The preoperative surgical plan was carefully structured to address the patient's concern regarding her aesthetic nasal appearance; she was most bothered by the size discrepancy between the nostril openings and the hanging of the left nostril. The patient was marked for a standard inverted V incision of the mid-columellar skin, and the Tajima reverse-U incisionwas incorporated on the left side of the alar rim skin so as to create a symmetric, left-sided, soft-tissue triangle appearance (figure 2, A). The endonasal rhinoplasty was performed via a hemitransfixion incision, and all portions of the deviated quadrangular cartilage were removed, leaving a l.S-cm caudal and dorsal L-strut.","PeriodicalId":11842,"journal":{"name":"ENT Journal","volume":"332 1","pages":"478 - 480"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80546797","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

Button Battery Injuries in the Pediatric Aerodigestive Tract 小儿呼吸道的纽扣电池损伤

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401207

Abhinav R. Ettyreddy, Matthew W. Georg, David H. Chi, B. Gaines, J. Simons

{"title":"Button Battery Injuries in the Pediatric Aerodigestive Tract","authors":"Abhinav R. Ettyreddy, Matthew W. Georg, David H. Chi, B. Gaines, J. Simons","doi":"10.1177/014556131509401207","DOIUrl":"https://doi.org/10.1177/014556131509401207","url":null,"abstract":"Children with a button battery impaction present with nonspecific symptoms that may account for a delay in medical care. We conducted a retrospective study of the clinical presentation, management, and complications associated with button battery ingestion in the pediatric aerodigestive tract and to evaluate the associated long-term morbidity. We reviewed the medical records of 23 patients who were treated for button battery impaction at our tertiary care children's hospital from Jan. 1, 2000, through July 31, 2013. This population was made up of 14 boys and 9 girls, aged 7 days to 12 years (mean: 4 yr). Patients were divided into three groups based on the site of impaction; there were 9 impactions in the esophagus and 7 each in the nasal cavity and stomach. We compiled information on the type and size of each battery, the duration of the impaction, presenting symptoms, treatment, and outcomes. The mean duration of battery impaction was 40.6, 30.7, and 21.0 hours in the esophagus, nasal cavity, and stomach, respectively. We were able to identify the specific type of battery in 13 cases; 11 of these cases (85%) involved a 3-V20-mm lithium ion battery, including all cases of esophageal impaction in which the type of battery was identified. The most common presenting signs and symptoms were vomiting (n = 7 [30%]), difficulty feeding (n = 5 [22%]), cough (n = 5), and bloody nasal discharge (n = 5); none of the presenting signs and symptoms predicted the severity of the injury or the outcome. The median length of hospital stay was far greater in the esophageal group (12 days) than in the nasal and stomach groups (1 day each; p = 0.006). Battery impaction in the esophagus for more than 15 hours was associated with a significantly longer postoperative hospital stay than impaction for less than 15 hours (p = 0.04). Esophageal complications included strictures (n = 5), perforation (n = 3), and tracheoesophageal fistula formation (n = 2). Clinicians should consider battery impaction in the upper aerodigestive tract as an emergency that can lead to significant long-term morbidity, and therefore immediate surgical intervention is required.","PeriodicalId":11842,"journal":{"name":"ENT Journal","volume":"56 1","pages":"486 - 493"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77641410","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: 17

Physician Liability Issues and Telemedicine: Part 2 of 3 医生责任问题和远程医疗:3集之二

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401201

S. Kmucha

引用次数: 3

Hemangioma of the Soft Palate 软腭血管瘤

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401203

Yu-Hsuan Lin, Yaoh-Shiang Lin

引用次数: 3

Two Cases of Sublingual Hematoma as a Manifestation of Child Abuse 儿童虐待表现为舌下血肿2例

ENT Journal Pub Date : 2015-12-01 DOI: 10.1177/014556131509401208

M. Mehra, Antonia E Chiesa, A. Sirotnak