International Archives of Otorhinolaryngology最新文献

筛选
英文 中文
Description of the Uncinate Process: A Computed Tomography Cross-Sectional Study. 钩状突的描述:计算机断层扫描横断面研究。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1791259
Mohammad Waheed El-Anwar, Mohamed Kamel Alawady, Ashraf El-Hussiny, Mohamed Talaat Albasiouny, Hany Alloush, Hoda Ismail Abdelhamid
{"title":"Description of the Uncinate Process: A Computed Tomography Cross-Sectional Study.","authors":"Mohammad Waheed El-Anwar, Mohamed Kamel Alawady, Ashraf El-Hussiny, Mohamed Talaat Albasiouny, Hany Alloush, Hoda Ismail Abdelhamid","doi":"10.1055/s-0044-1791259","DOIUrl":"10.1055/s-0044-1791259","url":null,"abstract":"<p><p><b>Introduction</b>  The uncinate process (UP) is the most important and constant landmark in the ostiomeatal complex and the middle meatus. <b>Objective</b>  To identify the UP variations that have not been published before and establish a categorization using computed tomography (CT). <b>Methods</b>  The current study was carried out on 110 paranasal CT scans (220 sides). Axial images were acquired with multiplanar reformats to capture delicate details in other planes. <b>Results</b>  Out of 120 CT scans (220 sides), the UP was found to be of type 1 in 84.5%, type 2 in 12.3%, and type 3 in 3.2%, without significant diferences between genders, and it was found to be medialized in 81.9%, vertical in 16.3%, lateralized in 0.9%, and absent in 0.9%, without significant differences between genders. A total of 8.63% of the UPs were pneumatized. <b>Conclusion</b>  The present study improves surgeons' and radiologists' knowledge of the UP, while creating a standard classification and description to be used as a common language between otorhinolaryngologists and radiologists, which could also be used for training.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-5"},"PeriodicalIF":1.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515611","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
Postoperative Hearing Outcomes and Usefulness of Endoscopy-Assisted Tympanoplasty in Pars Tensa Cholesteatoma. 内窥镜辅助鼓室成形术治疗紧张部胆脂瘤的术后听力效果及疗效。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1792016
Takaomi Kurioka, Kunio Mizutari
{"title":"Postoperative Hearing Outcomes and Usefulness of Endoscopy-Assisted Tympanoplasty in Pars Tensa Cholesteatoma.","authors":"Takaomi Kurioka, Kunio Mizutari","doi":"10.1055/s-0044-1792016","DOIUrl":"10.1055/s-0044-1792016","url":null,"abstract":"<p><p><b>Introduction</b>  In recent years, transcanal endoscopic ear surgery (TEES) has gained widespread recognition as an excellent surgical field for blind spots such as the sinus tympani (ST) when compared to microscopic ear surgery (MES). <b>Objective</b>  To investigate the postoperative hearing results for pars tensa cholesteatoma and the indications for utilizing endoscopy. <b>Methods</b>  The medical records of 16 patients (10 men and 6 women) with pars tensa cholesteatoma, who received initial surgical treatment between 2018 and 2022, were reviewed. We performed MES, TEES, or endoscopy-assisted MES (dual approach) depending on the pathological involvement in the mastoid cavity and ST. <b>Results</b>  The mean age of the patients was 45 years, and the surgical techniques utilized were MES in 2 cases, TEES in 7 cases, and dual approach in 7 cases. The preoperative pathological classification was stage I in 3 patients and stage II in 13 patients. The overall surgical success rates of postoperative hearing outcomes were 69% and 50% (1/2 patients) in the TEES group, 71% (5/7 patients) in the MES group, and 71% (5/7 patients) in the dual approach group. The successful cases (n = 11) were significantly younger and demonstrated better mastoid pneumatization than unsuccessful cases (n = 5). <b>Conclusion</b>  Endoscopy-assisted MES is appropriate for treating pars tensa cholesteatoma when pathological involvement is present at the deep bottom of the ST. Early surgical intervention and good eustachian tube function are crucial for improving hearing prognosis. Transcanal endoscopic ear surgery can be particularly useful in identifying and removing residual cholesteatoma within the ST.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-7"},"PeriodicalIF":1.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970677","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
Incidence, Risk Factors and Outcomes of Urinary Tract Infections among Patients Undergoing Thyroidectomy: Insights from the ACS-NSQIP. 甲状腺切除术患者尿路感染的发生率、危险因素和结局:来自ACS-NSQIP的见解
IF 1
International Archives of Otorhinolaryngology Pub Date : 2025-01-10 eCollection Date: 2025-01-01 DOI: 10.1055/s-0044-1788769
Usama Waqar, Warda Ahmed, Zoha Zahid Fazal, Ahmad Areeb Chaudhry, Haissan Iftikhar, Afsheen Ziauddin, Syed Akbar Abbas
{"title":"Incidence, Risk Factors and Outcomes of Urinary Tract Infections among Patients Undergoing Thyroidectomy: Insights from the ACS-NSQIP.","authors":"Usama Waqar, Warda Ahmed, Zoha Zahid Fazal, Ahmad Areeb Chaudhry, Haissan Iftikhar, Afsheen Ziauddin, Syed Akbar Abbas","doi":"10.1055/s-0044-1788769","DOIUrl":"10.1055/s-0044-1788769","url":null,"abstract":"<p><p><b>Introduction</b>  Urinary tract infections (UTIs) represent a rare postoperative complication following thyroidectomy. <b>Objective</b>  This study aimed to assess the clinicodemographic factors associated with the development of UTIs and subsequent outcomes among patients undergoing thyroidectomy. <b>Methods</b>  This retrospective study used the National Surgical Quality Improvement Program (NSQIP) database to analyze patients who underwent thyroidectomy from 2005 to 2019. Multivariable logistic regression models were used to identify risk factors and associations of UTIs with postoperative morbidity and mortality. <b>Results</b>  In a cohort of 180,373 identified thyroidectomy patients, 0.28% contracted a UTI. Significant risk factors associated with UTIs included age > 60 years (adjusted odds ratio [OR] 2.187, 95% confidence interval [CI] 1.618-2.956), female gender (OR 1.767, 95% CI 1.372-2.278), American Society of Anesthesiologists (ASA) Classification 3 to 5 (OR 1.463, 95% CI 1.185-1.805), partially (OR 4.267, 95% CI 2.510-7.253) or totally dependent functional health status (OR 9.658, 95% CI 4.170-22.370), pulmonary disease (OR1.907, 95% CI 1.295-2.808), chronic steroid therapy (OR 1.649, 95% CI 1.076-2.527), inpatient procedure (OR 1.507, 95% CI 1.251-1.814), and operative time > 150 minutes (OR 1.449, 95% CI 1.027-2.044). Additionally, UTIs were independently associated with postoperative complications, including pulmonary, vascular, or cardiac complication; stroke; acute renal failure; infectious complications; sepsis; septic shock; pneumonia; prolonged length of stay; unplanned reoperation; and mortality. <b>Conclusion</b>  While UTIs are rare after thyroidectomy, they carry a significant burden on patient outcomes. Preoperative optimization of comorbidities and reducing operative times may help mitigate the risk of UTIs. Optimized care for postoperative UTI patients is also recommended to prevent complications and improve outcomes.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"29 1","pages":"1-10"},"PeriodicalIF":1.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970674","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
Obstructive Salivary Gland Disorders - A Malaysian Patient Series. 阻塞性唾液腺疾病--马来西亚患者系列。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1786833
Sethu Thakachy Subha, Malina Osman, Prepageran Narayanan
{"title":"Obstructive Salivary Gland Disorders - A Malaysian Patient Series.","authors":"Sethu Thakachy Subha, Malina Osman, Prepageran Narayanan","doi":"10.1055/s-0044-1786833","DOIUrl":"10.1055/s-0044-1786833","url":null,"abstract":"<p><p><b>Introduction</b>  Obstructive salivary gland disease is a frequently encountered clinical entity that can present to various health practitioners. Obstructive sialadenitis can lead to recurrent infections and debilitating quality-of-life issues. <b>Objective</b>  There is a paucity of published data regarding obstructive salivary disorders among the multiracial Asian population. The present study aimed to determine the demographic pattern and risk factors of obstructive salivary gland disorders with the goal of better management of this condition. <b>Methods</b>  A retrospective cross-sectional study was conducted at a tertiary institution over a period of 5 years. <b>Results</b>  A total of 256 (9.84 for every 1,000) patients were found to have salivary disorders, 10% of who were diagnosed to have obstructive disorder. Among the obstructive salivary disorders, 76% had sialolithiasis, 19% had recurrent parotitis, and 1 patient had chronic sialadenitis. We observed a small female preponderance for obstructive salivary disorders. This study revealed that smoking is a significant risk factor ( <i>p</i>  = 0.041; prevalence ratio = 2.54, 95% confidence interval 1.12-5.78), and smokers were 2.5 times more likely to develop obstructive salivary disorders. There was no statistical correlation between the prevalence and other risk factors like infection, dehydration, intake of medications, history of diabetes mellitus, radiotherapy, and autoimmune disorders. <b>Conclusion</b>  Our study results demonstrated that the prevalence of obstructive salivary gland disorders was 0.1%. This study provided a better understanding of the prevalence and risk factors of obstructive salivary disorders, which facilitate timely management and improves quality of life.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e608-e613"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11514693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521783","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
Dysphagia: Focus in Diagnosis. 吞咽困难:诊断重点。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1791749
Geraldo Pereira Jotz
{"title":"Dysphagia: Focus in Diagnosis.","authors":"Geraldo Pereira Jotz","doi":"10.1055/s-0044-1791749","DOIUrl":"10.1055/s-0044-1791749","url":null,"abstract":"","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e559-e560"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499799","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
Do Anatomical Variations of Sphenoid Sinus Influence Sella Exposure and Residual Disease in Pituitary Surgery? - A Study in an Indian Population. 蝶窦的解剖变异会影响垂体手术中的蝶窦暴露和残留疾病吗?- 印度人群研究。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1788313
Aparna Gopalakrishnan, Sivaraman Ganesan, Andi Sadayandi Ramesh, Ananthakrishnan Ramesh, Lokesh Kumar Penubarathi, Kalaiarasi Raja, Jijitha Lakshmanan, Akshat Khushwaha, Koshika Kaushal, Arun Alexander
{"title":"Do Anatomical Variations of Sphenoid Sinus Influence Sella Exposure and Residual Disease in Pituitary Surgery? - A Study in an Indian Population.","authors":"Aparna Gopalakrishnan, Sivaraman Ganesan, Andi Sadayandi Ramesh, Ananthakrishnan Ramesh, Lokesh Kumar Penubarathi, Kalaiarasi Raja, Jijitha Lakshmanan, Akshat Khushwaha, Koshika Kaushal, Arun Alexander","doi":"10.1055/s-0044-1788313","DOIUrl":"10.1055/s-0044-1788313","url":null,"abstract":"<p><p><b>Introduction</b>  Endoscopic transsphenoidal surgery (ETS) is the standard practice in pituitary surgeries. The sellar exposure becomes the main factor which determines the residual disease in ETS. Not many studies can be found in the literature on the influence of anatomical variations of the sphenoid on intraoperative sella exposure. <b>Objective</b>  The aim of the current study is to ascertain whether sphenoid sinus variations play a role in sellar exposure and residual tumor volume. <b>Methods</b>  This is a prospective study conducted in a south Indian tertiary care center between June 2020 to June 2022, with 21 study participants who were scheduled to have ETS. The relation of preoperative computed tomography (CT) and magnetic resonance imaging (MRI) parameters with the intraoperative area of sellar exposure and residual tumor volume was evaluated. <b>Results</b>  Sphenoid sinus dimensions, like presellar width (mean = 1.89 ± 0.51 cm), maximum width (mean = 2.94 ± 1.09 cm), presellar depth (mean = 1.14 ± 0.55 cm), suprasellar depth (mean = 1.08 ± 0.24 cm), infrasellar depth (mean = 2.36 ± 0.92 cm), presellar height (mean = 2.22 ± 0.47 cm), or the 9 internal carotid artery (ICA)-related measures, did not have any correlation with the mean intraoperative area of sellar exposure (0.57 ± 0.28 cm <sup>2</sup> ). Also, the adequacy of sellar exposure did not relate to the residual tumor. Preoperative tumor volume was found to be higher (20.2 [55.3-13.2] cm <sup>3</sup> ) in patients with residual tumor compared with those with no residual tumor (5.9 [6.8-5.2] cm <sup>3</sup> ). Tumor extension had a significant association with the residual tumor volume. <b>Conclusion</b>  According to the present study, anatomical variations of the sphenoid sinus do not influence the adequacy of sellar exposure. Further studies need to be undertaken concerning residual tumor volume as well as preoperative tumor volume and extension.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e643-e649"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499798","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
Results of a New Treatment Protocol for Sudden Sensorineural Hearing Loss Using Betamethasone for Intratympanic Therapy. 使用倍他米松进行鼓室内治疗突发性感音神经性听力损失的新治疗方案的结果。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1788779
Paula Tardim Lopes, Jessica Almeida, Ricardo Ferreira Bento
{"title":"Results of a New Treatment Protocol for Sudden Sensorineural Hearing Loss Using Betamethasone for Intratympanic Therapy.","authors":"Paula Tardim Lopes, Jessica Almeida, Ricardo Ferreira Bento","doi":"10.1055/s-0044-1788779","DOIUrl":"10.1055/s-0044-1788779","url":null,"abstract":"<p><p><b>Introduction</b>  Sudden sensorineural hearing loss (SSNHL) is defined as a rapid sensation of hearing impairment in one or both ears. Based on its personal impact on patients, the present study advances the analysis of new treatments for the prompt recognition and management of SSNHL, with higher chances of improvements in terms of hearing recovery and quality of life of the patients. <b>Objective</b>  To describe the intratympanic (IT) corticoid infiltration technique, to demonstrate the efficacy of betamethasone injection as a sequential treatment in patients whose initial systemic steroid treatment failed, as well as to compare its use in different treatment periods. <b>Methods</b>  The present clinical trial was conducted with 37 patients referred to our office with the diagnosis of SSNHL, from September 2019 to May 2022, who provided informed consent to participate. <b>Results</b>  Even dividing the analysis of increasing the pure tone average (PTA) or speech recognition threshold (SRT) between the difference into initiation of the salvage therapy in up to 15 days of the sudden deafness event, and between 15 days and 3 months of the event, we did not find any difference in hearing improvement. <b>Conclusion</b>  Intratympanic corticosteroid therapy is prescribed when conventional therapy fails or when there is a limitation to the use of corticosteroids due to the presence of systemic disorders. As such, new drugs, such as bethametasone, are studied and show promising results.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e650-e656"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499813","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
Audiological Characterization of Individuals with Cornelia de Lange Syndrome. 科妮莉亚-德-朗格综合征患者的听觉特征。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1788001
Nayara Pereira Santos, Liliane Aparecida Fagundes Silva, Ivone Ferreira Neves-Lobo, Chong Ae Kim, Carla Gentile Matas
{"title":"Audiological Characterization of Individuals with Cornelia de Lange Syndrome.","authors":"Nayara Pereira Santos, Liliane Aparecida Fagundes Silva, Ivone Ferreira Neves-Lobo, Chong Ae Kim, Carla Gentile Matas","doi":"10.1055/s-0044-1788001","DOIUrl":"10.1055/s-0044-1788001","url":null,"abstract":"<p><p><b>Introduction</b>  Cornelia de Lange Syndrome (CdLS) is a genetic disorder in which individuals may present sensorineural and/or conductive hearing loss, and the results of behavioral auditory assessments are not accurate. <b>Objective</b>  To characterize the audiological profile of individuals with CdLS through behavioral, electroacoustic, and electrophysiological audiological assessments. <b>Methods</b>  The study included 13 individuals of both sexes, aged between 3 and 26 years, with diagnoses confirmed through genetic studies. The following procedures were performed: medical history survey, otoscopy (pure-tone audiometry [PTA], speech audiometry, and acoustic immittance measures), and auditory brainstem response (ABR). <b>Results</b>  In total 62.50% of the participants who underwent PTA had abnormal results (all of which were mild), with a predominance of bilateral conductive hearing loss (60%). Regarding tympanometry, 76.93% had abnormal results, most frequently type B (85.72% on the right and 88.89% on the left ear). Acoustic reflexes showed results compatible with tympanometry changes. Changes in ABR latency values compatible with middle-ear impairment were found in 8 of them (66.66%) - 3 had bilateral (37.50%), and 5 had unilateral impairments (62.50%). <b>Conclusion</b>  Mild hearing loss was identified in 62.5% of the individuals with CdLS who underwent the behavioral audiological assessment. In the acoustic immittance measures, 76.9% of the participants presented a tympanometry curve characteristic of middle-ear changes. Acoustic reflexes were absent in 84.6% of the subjects. In the ABR, no changes were identified in auditory pathway integrity. On the other hand, changes in the absolute latency values were found, which are characteristic of conductive hearing loss.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e626-e633"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499796","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
Efficacy of Expansion Pharyngoplasty without Drug-induced Sleep Endoscopy Screening in Obstructive Sleep Apnea. 无需药物诱导睡眠内窥镜筛查的扩张性咽成形术对阻塞性睡眠呼吸暂停的疗效。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1782630
Rafael Tenor, Juan Miguel Palomeque-Vera, Angel Bandera-López, Pilar Cuellar, Manuel Oliva-Domínguez
{"title":"Efficacy of Expansion Pharyngoplasty without Drug-induced Sleep Endoscopy Screening in Obstructive Sleep Apnea.","authors":"Rafael Tenor, Juan Miguel Palomeque-Vera, Angel Bandera-López, Pilar Cuellar, Manuel Oliva-Domínguez","doi":"10.1055/s-0044-1782630","DOIUrl":"10.1055/s-0044-1782630","url":null,"abstract":"<p><p><b>Introduction</b>  Expansion sphincter pharyngoplasty has been shown to be a good alternative to continuous pressure devices in patients with moderate to severe obstructive sleep apnea. On the other hand, drug-induced sleep endoscopy provides information on the pattern of collapse in obstructive sleep apnea, although it is unclear whether this information improves the surgical outcomes. <b>Objective</b>  To evaluate the success rate obtained when performing expansion sphincter pharyngoplasty on a group of patients diagnosed with moderate to severe obstructive sleep apnea who were not previously selected by drug-induced sleep endoscopy. <b>Methods</b>  We present a series of patients with moderate to severe obstructive sleep apnea who underwent surgery. Pre- and postoperative home sleep apnea tests were performed. The success rate was calculated, and we assessed whether there were statistically significant pre- and postoperative differences in the apnea-hypopnea index and oximetry values. <b>Results</b>  In total, 20 patients were included, and the surgical success rate was of 80%. Statistically significant improvements were demonstrated in the mean apnea-hypopnea index (from 40.25 ± 15.18 events/hour to 13.14 ± 13.82 events/hour; <i>p</i>  < 0. 0001), the mean oximetric data (from 26.3 ± 12.97 desaturations/hour to 13.57 ± 15.02 desaturations/hour; <i>p</i>  = 0.034), and in the mean percentage of total sleep time in which the patient had less than 90% of saturation (from 8.64 ± 9.25% to 4.4 ± 7.76%; <i>p</i>  = 0.028). <b>Conclusion</b>  The results showed significant improvements in the apnea-hypopnea index and in the oximetric data, with a surgical success rate of 80%, despite the lack of prior drug-induced sleep endoscopy screening.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e574-e578"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499800","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
The Effectiveness of Cognitive Behavioral Therapy versus Notched Sound Therapy in Adults with Chronic Subjective Tinnitus and Normal Hearing. 认知行为疗法与凹槽声疗法对听力正常的慢性主观性耳鸣成人的疗效对比。
IF 1
International Archives of Otorhinolaryngology Pub Date : 2024-10-25 eCollection Date: 2024-10-01 DOI: 10.1055/s-0044-1788000
Soha Abdelraouf Mekki, Mohammed Gamal Sehlo, Usama Mahmoud Youssef, Ola Abdallah Ibraheem, Mai Ragab Ghazaly
{"title":"The Effectiveness of Cognitive Behavioral Therapy versus Notched Sound Therapy in Adults with Chronic Subjective Tinnitus and Normal Hearing.","authors":"Soha Abdelraouf Mekki, Mohammed Gamal Sehlo, Usama Mahmoud Youssef, Ola Abdallah Ibraheem, Mai Ragab Ghazaly","doi":"10.1055/s-0044-1788000","DOIUrl":"10.1055/s-0044-1788000","url":null,"abstract":"<p><p><b>Introduction</b>  Tinnitus can be distressing, and it affects the quality of life (QoL) through psychological and cognitive impairments. Cognitive behavioral therapy (CBT) and notched sound therapy (NST) are tinnitus management approaches aiming to reduce symptoms and improve QoL via two different mechanisms. The CBT attains the cognitive principle, whereas the NST initiates tinnitus habituation. <b>Objective</b>  To evaluate the effect of CBT and NST and compare their results in the management of chronic subjective tinnitus. <b>Methods</b>  The present prospective study involved 64 adults with normal hearing and chronic subjective tinnitus. They were subjected to history taking, basic audiological evaluation, and extended high-frequency audiometry at 10 and 12.5 kHz. The participants were divided into two equal groups, the first treated with CBT and the second treated with NST. The psychoacoustic measures of tinnitus and the Arabic Questionnaire for Tinnitus Reaction (Arabic-QTR) were used to monitor the outcomes of both therapies. <b>Results</b>  Both groups showed significant reduction in tinnitus severity according to the Arabic-QTR and tinnitus loudness matching. Improvement in the Arabic-QTR was better in the CBT group, while tinnitus loudness improvement was better in the NST group. <b>Conclusion</b>  Both CBT and NST are effective in the management of chronic subjective tinnitus. In a comparison of the effect of the two therapies, CBT was found to be more effective in decreasing tinnitus-related distress, whereas SNT was found to be more helpful in reducing tinnitus loudness.</p>","PeriodicalId":13731,"journal":{"name":"International Archives of Otorhinolaryngology","volume":"28 4","pages":"e634-e642"},"PeriodicalIF":1.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11511275/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499816","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信