International Archives of Otorhinolaryngology最新文献

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Voice and Temporal Auditory Processing in Elderly People: A Correlation Study. 老年人的声音和时态听觉处理:相关性研究
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1768139
Mariana Batista de Souza Santos, Lílian Ferreira Muniz, Adriana de Oliveira Camargo Gomes, Cleide Fernandes Teixeira, Karina Paes Advíncula, Zulina Souza de Lira, Bruno Teixeira de Moares, Jonia Alves Lucena
{"title":"Voice and Temporal Auditory Processing in Elderly People: A Correlation Study.","authors":"Mariana Batista de Souza Santos, Lílian Ferreira Muniz, Adriana de Oliveira Camargo Gomes, Cleide Fernandes Teixeira, Karina Paes Advíncula, Zulina Souza de Lira, Bruno Teixeira de Moares, Jonia Alves Lucena","doi":"10.1055/s-0043-1768139","DOIUrl":"10.1055/s-0043-1768139","url":null,"abstract":"<p><p><b>Introduction</b>  The voice and hearing can be affected to different degrees by aging, which can cause communication difficulties for elderly people. Vocal production requires effective temporal auditory processing at central levels within the nervous system, which can be compromised by the aging process. <b>Objective</b>  To analyze the correlation between voice and temporal auditory processing in older adults. <b>Materials and Methods</b>  A total of 40 elderly people aged 60 years or older were subdivided into 2 groups according to the presence or absence of vocal symptoms measured by the Voice Symptom Scale. All of the participants were submitted to auditory temporal tests, vocal self-assessment, and acoustic and perceptual auditory analyses of voice. <b>Results</b>  Most of the subjects assessed had decreased voice intensity and normal variability in terms of vocal quality. The performance was normal in the Pitch Pattern Sequence test and altered in the Random Gap Detection test. In the Masking Period Pattern test, the detection thresholds for the target signal were increased in the presence of masking in different temporal target signal positions. Only pitch differed between the two groups. There were differences between the genders regarding frequency, shimmer, the overall severity of the alteration, and roughness. There was a correlation regarding temporal resolution ability and the overall severity of the alteration and roughness of the voice. <b>Conclusion</b>  There is a central auditory impairment in temporal resolution which is correlated with vocal alterations in the elderly.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 1","pages":"e57-e69"},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10843932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cannabidiol (CBD): Potential Use in Otorhinolaryngology. 大麻二酚(CBD):耳鼻喉科的潜在用途。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-02-05 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1777857
Geraldo Pereira Jotz, Rafael Scorsatto Ortiz, Renata Pereira Limberger, Flavio Anastácio de Oliveira Camargo
{"title":"Cannabidiol (CBD): Potential Use in Otorhinolaryngology.","authors":"Geraldo Pereira Jotz, Rafael Scorsatto Ortiz, Renata Pereira Limberger, Flavio Anastácio de Oliveira Camargo","doi":"10.1055/s-0043-1777857","DOIUrl":"10.1055/s-0043-1777857","url":null,"abstract":"","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 1","pages":"e1-e2"},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10843906/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late Bilateral Sequential Cochlear Implant and Quality of Life. 晚期双侧序列人工耳蜗植入与生活质量
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-02-05 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1776721
Larissa Claret De Lima Mendes, Alda Borges, Fernanda Caldas, Juliano Passos Barbosa, Fayez Bahmad
{"title":"Late Bilateral Sequential Cochlear Implant and Quality of Life.","authors":"Larissa Claret De Lima Mendes, Alda Borges, Fernanda Caldas, Juliano Passos Barbosa, Fayez Bahmad","doi":"10.1055/s-0043-1776721","DOIUrl":"https://doi.org/10.1055/s-0043-1776721","url":null,"abstract":"<p><p><b>Introduction</b>  Hearing impairment is one of the main disorders that can interfere with the development of speech and language. In an individual, it can cause significant communication difficulties, social isolation, negative feelings, and depressive disorders. The hearing aids (HAs) and cochlear implant (CI) are options for profound and severe hearing loss, and the CI can be indicated for individuals who do not obtain benefits from HAs. <b>Objective</b>  To evaluate the quality of life of individuals who underwent sequential bilateral CIs with a long surgical interval between procedures. <b>Methods</b>  Fifteen patients, aged 8 to 70 years old, who underwent sequential bilateral CI, with an interval ≥ 4 years between surgeries, were evaluated. Quality of life was evaluated using three questionnaires: WHOQOL-BREF, SSQ-12 and HHIA in Portuguese. <b>Results</b>  The WHOQOL-BREF questionnaire showed that the study participants had a good quality of life in all domains assessed. According to the SSQ-12, few reported inability to listen in communication situations. Most individuals were classified as having medium disability by the HHIA, but the social and emotional effects did not significantly affect the quality of life. <b>Conclusion</b>  The use of questionnaires to assess the quality of life of patients with hearing impairment is a valuable tool to measure adaptation to CI. Patients undergoing bilateral sequential CI, even with a long interval between procedures, presented high indices of quality of life.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 2","pages":"e263-e277"},"PeriodicalIF":1.1,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sleep and Learning: A Systematic Review. 睡眠与学习:系统回顾
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-02-05 eCollection Date: 2024-10-01 DOI: 10.1055/s-0043-1777294
Martha Lucía Gutiérrez Pérez, Juan Antonio Lugo Machado, Valeria Lozano Lavado, Diana Camila Navarro Pimiento
{"title":"Sleep and Learning: A Systematic Review.","authors":"Martha Lucía Gutiérrez Pérez, Juan Antonio Lugo Machado, Valeria Lozano Lavado, Diana Camila Navarro Pimiento","doi":"10.1055/s-0043-1777294","DOIUrl":"10.1055/s-0043-1777294","url":null,"abstract":"<p><p><b>Introduction</b>  Sleep deprivation has a great impact on the learning process in physicians in training. Therefore, inquiring on this phenomenon in the most recent investigations will facilitate the provision of evidence on the influence regarding the absence of sleep on the learning process in health personnel. <b>Objectives</b>  The aim of this systematic review is to review, analyze and discuss the current literature that shows the impact of sleep on the learning process on doctors in training. <b>Data Synthesis</b>  A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. A search of the existing literature between the years of 2000 and 2022 was performed in the PubMed and Elsevier databases, taking into account the inclusion criteria of articles in English or Spanish and the established timeframe. As a result, 128 articles distributed in the databases were obtained and 23 articles that met the inclusion criteria were selected. <b>Conclusion</b>  Sleep is a fundamental factor for the consolidation, processing and functioning of memory and learning. Health professionals are a population at risk of sleep deprivation, thus it is important to take into account the effects it has on patients and health personnel.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e657-e661"},"PeriodicalIF":1.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cross-Cultural Adaptation and Validation of the Persian Version of the M. D. Anderson Dysphagia Inventory. M. D. Anderson 吞咽困难量表波斯语版的跨文化适应性和验证。
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-01-24 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1776725
Fardin Sharifi, Zahra Sadat Qoreishi, Jalal Bakhtiyari, Abbas Ebadi, Mohammad Houshyari, Samira Azghandi
{"title":"Cross-Cultural Adaptation and Validation of the Persian Version of the M. D. Anderson Dysphagia Inventory.","authors":"Fardin Sharifi, Zahra Sadat Qoreishi, Jalal Bakhtiyari, Abbas Ebadi, Mohammad Houshyari, Samira Azghandi","doi":"10.1055/s-0043-1776725","DOIUrl":"https://doi.org/10.1055/s-0043-1776725","url":null,"abstract":"<p><p><b>Introduction</b>  Dysphagia is a common issue in patients with head and neck cancer (HNC) and is known to negatively impact their quality of life. To evaluate the impact of dysphagia on the quality of life of HNC patients, the M. D. Anderson Dysphagia Inventory (MDADI) questionnaire was developed. <b>Objective</b>  The present study aimed to culturally adapt and validate the MDADI for Persian-speaking individuals. The MDADI is a self-administered questionnaire designed to assess the impact of dysphagia on the quality of life of HNC patients. <b>Methods</b>  The original MDADI questionnaire was translated into Persian using the forward-backward method, following the guidelines of the World Health Organization (WHO) for cultural adaptation. The content validity of the Persian version, MDADI-P, was assessed by 10 speech-language pathologists using the content validity index (CVI). Seventy-five HNC patients completed the MDADI-P to evaluate its convergent validity, which was determined by comparing the results with the Short-Form 36 (SF-36) questionnaire. Internal consistency and test-retest reliability were assessed using Cronbach α coefficient and intraclass correlation (ICC), respectively. <b>Results</b>  The scale content validity index (S-CVI) for the MDADI-P was 0.90, indicating good content validity. The MDADI-P demonstrated satisfactory internal consistency (Cronbach α coefficient = 0.728) and test-retest reliability (ICC = 0.91). The total MDADI-P score exhibited a significant correlation with the physical and mental components of the SF-36 (0.456 and 0.349, respectively, <i>p</i>  < 0.05). <b>Conclusion</b>  The findings of the present study confirm the suitability of the MDADI-P in terms of content validity, construct validity, internal consistency, and test-retest reliability.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 2","pages":"e288-e293"},"PeriodicalIF":1.1,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Site of Tracheostomy and Its Influence on The Surgical Outcome and Quality of Life After Tracheal Resection and Anastomosis in Patients with Tracheal Stenosis. 气管造口部位及其对气管狭窄患者气管切除和吻合术后手术效果和生活质量的影响
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-01-04 eCollection Date: 2024-01-01 DOI: 10.1055/s-0043-1776702
Soorya Pradeep, Arun Alexander, Sivaraman Ganesan, Dharanya Gopalakrishnan Srinivasan, Akshat Kushwaha, Aparna Gopalakrishnan, Lokesh Kumar Penubarthi, Kalaiarasi Raja, Sunil Kumar Saxena
{"title":"Site of Tracheostomy and Its Influence on The Surgical Outcome and Quality of Life After Tracheal Resection and Anastomosis in Patients with Tracheal Stenosis.","authors":"Soorya Pradeep, Arun Alexander, Sivaraman Ganesan, Dharanya Gopalakrishnan Srinivasan, Akshat Kushwaha, Aparna Gopalakrishnan, Lokesh Kumar Penubarthi, Kalaiarasi Raja, Sunil Kumar Saxena","doi":"10.1055/s-0043-1776702","DOIUrl":"10.1055/s-0043-1776702","url":null,"abstract":"<p><p><b>Introduction</b>  With the advances in critical care, the incidence of post intubation tracheal stenosis is increasing. Tracheal resection and anastomosis have been the gold standard for the management of grades III and IV stenosis. Scientific evidence from the literature on the determining factors and outcomes of surgery is not well described. <b>Objective</b>  This study was aimed at determining the influence of tracheostoma site on the surgical outcomes and postoperative quality of life of patients undergoing tracheal resection anastomosis. <b>Methods</b>  Thirteen patients who underwent tracheal resection and anastomosis during a period of 3 years were followed up prospectively for 3 months to determine the degree of improvement in their quality of life postsurgery by comparing the pre and postoperative validated Tamil/vernacular version of RAND SF-36 scores and Medical Research Council (MRC) dyspnea score. <b>Results</b>  As per preoperative computed tomography (CT), the mean length of stenosis was found to be 1.5 cm while the mean length of trachea resected was 4.75 cm. We achieved a decannulation rate of 61.53%. There was an estimated loss of 3.20 +/- 1.90 cm of normal trachea from the lower border of the stenosis until the lower border of the stoma that was lost during resection. Analysis of SF-36 and MRC dyspnea scores revealed significant improvement in the domains of physical function postoperatively in comparison with the preoperative scores ( <i>p</i>  < 0.05). <b>Conclusion</b>  Diligent placement of tracheostomy in an emergency setting with respect to the stenotic segment plays a pivotal role in minimizing the length of the resected segment of normal trachea.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 1","pages":"e22-e29"},"PeriodicalIF":1.1,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10843922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial. 使用 K-Y 胶喉咙包治疗鼻腔手术后的喉咙痛:随机对照试验
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2024-01-04 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1776724
Ahmed Mahmoud M M Elgarhy, Saeed Mostafa Abdelhameed, Othman Saadeldien Yahia, Wael Mohamed Elmahdy Ibrahim, Tamer Mohamed Ahmed Ewieda, Mahmoud M Elsayed, Marwa M Abdel-Aziz, Naglaa A Elshehawy, Hussein Magdy Abdelkader, Mahmoud Hamdy Al Boghdady, Ayman Yehia Abbas
{"title":"Use of K-Y Jelly on Throat Packs for Postoperative Sore Throat after Nasal Surgery: A Randomized Controlled Trial.","authors":"Ahmed Mahmoud M M Elgarhy, Saeed Mostafa Abdelhameed, Othman Saadeldien Yahia, Wael Mohamed Elmahdy Ibrahim, Tamer Mohamed Ahmed Ewieda, Mahmoud M Elsayed, Marwa M Abdel-Aziz, Naglaa A Elshehawy, Hussein Magdy Abdelkader, Mahmoud Hamdy Al Boghdady, Ayman Yehia Abbas","doi":"10.1055/s-0043-1776724","DOIUrl":"https://doi.org/10.1055/s-0043-1776724","url":null,"abstract":"<p><p><b>Introduction</b>  Postoperative sore throat (POST) is a fairly common side effect of general anesthesia. The K-Y jelly is a well-known lubricant used in many medical procedures. <b>Objective</b>  In this randomized study, we evaluated the use of throat packs soaked with K-Y jelly for POST outcomes in patients submitted to nasal surgery. <b>Methods</b>  The present double-blinded, randomized, controlled study included 140 ASA I-II patients undergoing nasal surgery under general anesthesia. Patients received either or K-Y jelly or water-soaked X-ray detectable throat packs fully inserted into the mouth to occlude the oropharynx. <b>Results</b>  Comparison between the studied groups regarding the severity of POST assessed by visual analog scale revealed significantly lower POST levels in the K-Y jelly group on recovery from anesthesia, and at 2, 4, and 6 hours postoperatively. <b>Conclusions</b>  The use of K-Y jelly-soaked throat packs was associated with less severe POST after nasal surgery.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 2","pages":"e314-e318"},"PeriodicalIF":1.1,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Inflammatory Modifications in Paranasal Sinuses and Ostiomeatal Complex Anatomical Variations in Jet Aircraft Pilots: A Computed Tomography Study. 喷气式飞机飞行员副鼻腔鼻窦的炎症性改变和鼻腔鼻窦复合体的解剖变异:计算机断层扫描研究
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2023-11-29 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1773761
Yeda da Silva, Luciana Munhoz, José Rodrigues Parga Filho, Andreza Gomes Damasceno, Cesar Felipe França da Rosa, Eduardo Bilaqui Zukovski, Erik Zhu Teng, Emiko Saito Arita, Cláudio Campi de Castro
{"title":"Inflammatory Modifications in Paranasal Sinuses and Ostiomeatal Complex Anatomical Variations in Jet Aircraft Pilots: A Computed Tomography Study.","authors":"Yeda da Silva, Luciana Munhoz, José Rodrigues Parga Filho, Andreza Gomes Damasceno, Cesar Felipe França da Rosa, Eduardo Bilaqui Zukovski, Erik Zhu Teng, Emiko Saito Arita, Cláudio Campi de Castro","doi":"10.1055/s-0043-1773761","DOIUrl":"https://doi.org/10.1055/s-0043-1773761","url":null,"abstract":"<p><p><b>Introduction</b>  Jet aircraft pilots are exposed to huge pressure variation during flight, which affect physiological functions as systems, such as the respiratory system. <b>Objectives</b>  The objective of the present investigation was to evaluate inflammatory changes of paranasal sinuses of jet aircraft pilots before and after a jet aircraft training program, using multislice computed tomography (CT), in comparison with a group of nonairborne individuals with the same age, sex, and physical health conditions. A second objective of the present study was to assess the association between the ostiomeatal complex obstruction and its anatomical variations. <b>Methods</b>  The study group consisted of 15 jet aircraft pilots participating in the training program. The control group consisted of 41 nonairborne young adults. The 15 fighter pilots were evaluated before initiating the training program and after their final approval for the presence of inflammatory paranasal sinus disease. The ostiomeatal complex anatomical variations and obstructions were analyzed in pilots after the training program. <b>Results</b>  Jet aircraft pilots presented higher incidence of mucosal thickening in maxillary sinus and anterior ethmoid cells than controls. Prominent ethmoidal bulla showed significant association with obstruction of the osteomeatal complex. <b>Conclusions</b>  Jet aircraft pilots present increased inflammatory disease when compared with nonairborne individuals. The presence of a prominent ethmoidal bulla is associated with ostiomeatal complex obstruction.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 2","pages":"e203-e210"},"PeriodicalIF":1.1,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prognostic Value of Polypoid Changes of the Middle Turbinate in Relapsed Nasal Polypi after FESS: A Prospective Cohort Study. 鼻息肉切除术后复发鼻息肉的中鼻甲息肉样变的预后价值:一项前瞻性队列研究
IF 1.1
International Archives of Otorhinolaryngology Pub Date : 2023-11-29 eCollection Date: 2024-04-01 DOI: 10.1055/s-0043-1776730
Alaa Mohamed Abdelsamie, Hossam Mohamed Abdelazeem, Gena Kerollos Dawood, Taha Mohamed Abdelaal
{"title":"Prognostic Value of Polypoid Changes of the Middle Turbinate in Relapsed Nasal Polypi after FESS: A Prospective Cohort Study.","authors":"Alaa Mohamed Abdelsamie, Hossam Mohamed Abdelazeem, Gena Kerollos Dawood, Taha Mohamed Abdelaal","doi":"10.1055/s-0043-1776730","DOIUrl":"https://doi.org/10.1055/s-0043-1776730","url":null,"abstract":"<p><p><b>Introduction</b>  Despite the high level of patient satisfaction with functional endoscopic sinus surgery (FESS) and the clinical improvement, polyp recurrence is observed in 23% to 87% of patients and requires reoperation. <b>Objective</b>  To assess the prognostic value of polypoid changes of the middle turbinate (PCMT) in relapse of paranasal sinus polyps in patients with chronic rhinosinusitis with nasal polyp (CRSwNP) after FESS and the effect of partial middle turbinectomy (PMT) on the outcome of surgery. <b>Methods</b>  We conducted a prospective clinical study on 60 patients with CRSwNP with and without PCMT. The patients were allocated into three groups: group I included twenty patients without PCMT; group II, twenty patients with PCMT; and group III included twenty patients with PCMT submitted to PMT. The patients were evaluated endoscopically according to the Lund-Kennedy endoscopic scoring system, radiologically according to the Lund-Mackay scoring system, and symptomatically through the 22-item Sinonasal Outcome Test (SNOT-22). <b>Results</b>  The total postoperative Lund-Kennedy score differed significantly among the 3 groups ( <i>p</i>  < 0.001), with a group II presenting a significantly higher total score compared to groups I and III. The Preoperative SNOT-22 score differed significantly among the three groups ( <i>p</i>  = 0.013), with group II presenting a significantly higher score compared to group I. There was a significant association involving the 3 groups and relapse at 12 months ( <i>p</i>  = 0.029); relapse was higher in group II (50.0%) than in groups I (20%) and III (15.0%). <b>Conclusion</b>  There was a significant association between PCMT and the relapse of nasal polyps. Also, nasal polyposis recurred at a lower rate in the group submitted to middle turbinate resection compared to the group in whom it was preserved.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 2","pages":"e226-e233"},"PeriodicalIF":1.1,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Minimum Recording Time and the Influence of Time in the Supine Position on Out-of-Center Sleep Tests. 评估最短记录时间和仰卧位时间对中心外睡眠测试的影响。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2023-11-29 eCollection Date: 2024-10-01 DOI: 10.1055/s-0043-1769495
Raquel Chartuni Teixeira, Michel Burihan Cahali
{"title":"Evaluation of Minimum Recording Time and the Influence of Time in the Supine Position on Out-of-Center Sleep Tests.","authors":"Raquel Chartuni Teixeira, Michel Burihan Cahali","doi":"10.1055/s-0043-1769495","DOIUrl":"10.1055/s-0043-1769495","url":null,"abstract":"<p><p><b>Introduction</b>  The prevalence of moderate to severe sleep-disordered breathing is of 17% among men aged between 50 and 70-years, and of 9% among women in the same age group. In Brazil, obstructive sleep apnea (OSA) is also highly prevalent, and it is associated with metabolic and cardiovascular impacts, excessive daytime sleepiness, and increasing risk of traffic accidents. Laboratory-based polysomnography is the gold standard test for OSA diagnosis. However, its complexity has led to the search for alternatives to simplify the diagnosis, such as the out-of-center sleep test (OCST). <b>Objectives</b>  To discusses the minimum OCST recording time and the potential effects of the supine position on this parameter. <b>Data Synthesis</b>  We conducted a search on the PubMed, Web of Science, Scopus, and Embase databases to identify relevant studies on OCST recording time and a possible association with body position. We used a combination of terms, including <i>Obstructive Sleep Apnea</i> and <i>Home Monitoring</i> OR <i>Home Care Services</i> OR <i>Portable Monitoring</i> AND <i>Supine</i> OR <i>Position</i> OR <i>Recording Time</i> OR <i>Positional Obstructive Sleep Apnea</i> . The references of the selected articles were also reviewed to find other relevant studies. Through our approach, eighteen articles were retrieved and included in the present study. <b>Conclusion</b>  Since OCSTs are conducted in an unattended environment, with potential signal loss during the night, it is crucial to determine the minimum recording time to validate the test and assess how the time spent in the supine position affects this parameter. After reviewing the literature, this topic remains to be clarified, and additional studies should focus on that matter.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e662-e667"},"PeriodicalIF":1.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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