Rhinology最新文献_第3页

Motion analysis for objective evaluation of psychomotor skills in Endoscopic Sinus Surgery. 运动分析对内窥镜鼻窦手术精神运动技能的客观评价。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin22.320

K Miyaji, M Suzuki, R Watanabe, K Matoba, A Nakazono, Y Nakamaru, K Ebina, T Abe, D Hinder, A J Psaltis, P J Wormald, A Homma, A Konno

{"title":"Motion analysis for objective evaluation of psychomotor skills in Endoscopic Sinus Surgery.","authors":"K Miyaji, M Suzuki, R Watanabe, K Matoba, A Nakazono, Y Nakamaru, K Ebina, T Abe, D Hinder, A J Psaltis, P J Wormald, A Homma, A Konno","doi":"10.4193/Rhin22.320","DOIUrl":"10.4193/Rhin22.320","url":null,"abstract":"Background: This study aims to digitalize surgical maneuvers in ESS using a motion capture system under standardized conditions provided by 3D printed-sinus models.Methodology: Forty-seven otolaryngologists performed ESS on 3D printed models manufactured from computed tomography (CT) images of actual patients. Participants were classified to 3 groups according to the objective structured technical skills assessment score. All surgical maneuverers performed during ESS were captured by a motion capture system. The path length, velocity, acceleration, and jerk were calculated for each surgical instrument and compared among the groups. Principle Component Analysis (PCA) was utilized to identify which metrics reflected surgical skill level. In addition, ten registrars repeated the surgical dissection. Their motion metrics were also compared between first training and the repeated training and then subjected to the PCA.Results: Several metrics such as the angular acceleration and jerk of the cutting forceps were identified by PCA as possible indicators distinguishing the different skill levels for the ESS maneuvers. PCA analysis in the repetitive training also found the angular metrics of the upturned-cutting forceps correlating to their skill improvement.Conclusions: Combined with the validated 3D-printed sinus models, the motion capture system provided the objective evaluation of the surgical performances of ESS.","PeriodicalId":21361,"journal":{"name":"Rhinology","volume":" ","pages":"190-199"},"PeriodicalIF":4.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of the Sino-Nasal Outcome Test-25 (SNOT-25) measure for patients with nasal septal perforation. 鼻中隔穿孔患者的鼻结果测试-25 （SNOT-25）测量的验证。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.443

S P Williams, S C Leong

引用次数: 0

Remission in chronic rhinosinusitis with nasal polyps (CRSwNP). 伴有鼻息肉的慢性鼻炎（CRSwNP）病情缓解。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.457

P W Hellings, E De Corso, V Backer, M Bernal-Sprekelsen, Y Chan, D M Conti, M E Cornet, W J Fokkens, P Gevaert, J Han, C Hopkins, B N Landis, S Lau, S Lee, V J Lund, J Mullol, A Peters, S Schneider, B Senior

引用次数: 0

Patient preferences for treatment of chronic rhinosinusitis with nasal polyps. 患者对治疗伴有鼻息肉的慢性鼻窦炎的偏好。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.475

J Sutphin, S Okafor, S D Reed, A Deb, J Silver, M J Wallace, J-C Yang, R Abi Hachem, D W Jang

引用次数: 0

Advanced paranasal sinuses osteomas: a retrospective multicentric analysis on surgical management outcomes and intra- and postsurgical complications. 晚期鼻窦骨瘤：对手术治疗结果和手术内及术后并发症的回顾性多中心分析。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.165

V Rampinelli, M Ferrari, I Dohin, A Vinciguerra, D Mattavelli, T Saccardo, G Testa, C Conti, C Frigerio, B Verillaud, G Ajasllari, P Gaudioso, D Cazzador, A Aga, S Taboni, A Daniele Arioso, L Neri, D Borsetto, A Wolf, C Rodriguez-Van Strahlen, M Turri-Zanoni, E Emanuelli, A Schreiber, P Battaglia, F Pagella, M Bignami, C Piazza, P Castelnuovo, P Nicolai, P Herman

{"title":"Advanced paranasal sinuses osteomas: a retrospective multicentric analysis on surgical management outcomes and intra- and postsurgical complications.","authors":"V Rampinelli, M Ferrari, I Dohin, A Vinciguerra, D Mattavelli, T Saccardo, G Testa, C Conti, C Frigerio, B Verillaud, G Ajasllari, P Gaudioso, D Cazzador, A Aga, S Taboni, A Daniele Arioso, L Neri, D Borsetto, A Wolf, C Rodriguez-Van Strahlen, M Turri-Zanoni, E Emanuelli, A Schreiber, P Battaglia, F Pagella, M Bignami, C Piazza, P Castelnuovo, P Nicolai, P Herman","doi":"10.4193/Rhin24.165","DOIUrl":"10.4193/Rhin24.165","url":null,"abstract":"Background: This study examines the management and outcomes of large paranasal sinus osteomas (PSO), especially those abutting or encasing critical structures of the skull base and orbit.Methodology: A multicentric retrospective analysis was conducted between June 2007 and September 2023. The study included surgically treated (regardless the type of approach chosen) PSO, exceeding 3 cm in diameter and/or located in critical anatomical areas. An analysis was performed to assess the association between the critical relationships, size, presence of residual disease, and incidence of intra- and postoperative complications.Results: The series included 160 patients. Most PSO were diagnosed due to clinical symptoms, predominantly for those located in the frontal sinus. Residual disease was observed in 9.4% of patients, with its occurrence influenced by PSO size and relationships with specific anatomical structures. Thirty-five/160 (21.9%) of patients experienced one or more intra-and/or postoperative complications. Intraoperative complications were associated with the proximity of PSO to the cribriform plate. Long-term complications were more frequently observed in cases involving the anterior and posterior plate of the frontal bone.Conclusions: This study highlights the complexities involved in managing large PSO, demonstrating that size and anatomical relationships of these osteomas can critically influence surgical decisions, residual disease, and complication rate. The study's retrospective design limited the collection of standardized symptom outcomes, highlighting the need for future studies to address this apect.","PeriodicalId":21361,"journal":{"name":"Rhinology","volume":" ","pages":"209-220"},"PeriodicalIF":4.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radial intralesional linear calcifications and focal hyperostosis: key points for diagnosis, extension and point of origin identification of sinonasal inverted papilloma. 鼻窦内翻性乳头状瘤的诊断、扩展及起源点鉴别要点：病灶内线状钙化及局灶性骨质增生。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.379

E Granell, A Cardesin, D Pallares, R Sanchez, J R Gras

引用次数: 0

Pocket guide: biologics in upper and lower airways in adults. 袖珍指南：成人上下气道生物制剂。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.510

W J Fokkens, V Backer, V J Lund, P J Barnes, M Bernal-Sprekelsen, L Bjermer, E de Corso, D M Conti, M E Cornet, Z Diamant, R Djukanovic, M Gaga, P Gevaert, J K Han, C Hopkins, G Joos, B N Landis, S Lau, S E Lee, J Mullol, A T Peters, G K Scadding, S Schneider, B Senior, I D Pavord, S Quirce, D Ryan, M E Wechsler, P W Hellings

引用次数: 0

Management of eosinophilic otitis media in the era of biological therapy: systematic review and proportion meta-analysis. 生物治疗时代嗜酸性中耳炎的治疗：系统回顾和比例荟萃分析。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.421

M Lazzeroni, H Elzinga, P Merkus, E van Spronsen, W J Fokkens, S Reitsma

{"title":"Management of eosinophilic otitis media in the era of biological therapy: systematic review and proportion meta-analysis.","authors":"M Lazzeroni, H Elzinga, P Merkus, E van Spronsen, W J Fokkens, S Reitsma","doi":"10.4193/Rhin24.421","DOIUrl":"10.4193/Rhin24.421","url":null,"abstract":"Background: Eosinophilic otitis media (EOM) is a recently recognised type 2 inflammatory disease, strongly associated with asthma and chronic rhinosinusitis with nasal polyps. Known as a difficult-to-treat condition, EOM is often refractory to traditional therapies for (chronic) otitis media. This review aims to assess the success rates of the different interventions for patients with EOM including newly available biological therapy.Methodology: In March 2024 we systematically searched PubMed, Embase, Scopus and Web of Science for studies on more than 5 EOM patients undergoing any medical or surgical intervention with a reported success rate. Proportion meta-analysis on a random effect model was used to synthesize results effectively. Risk of bias was assessed through the Risk Of Bias In Non randomized Studies of Interventions tool (ROBINS-I).Results: From 1103 potential articles, 14 studies with 361 patients were included. 62% were females and 85% had bilateral presentation. Otorrhoea was present in 68% of patients, tympanic membrane perforation in 50%. The overall success rate was 61.3. However, interventions comprising biological agents targeting type 2 inflammatory cascade showed higher success rates compared to non-biological treatments.Conclusions: A shift towards biologic-based therapies could be beneficial for managing the challenging condition EOM.","PeriodicalId":21361,"journal":{"name":"Rhinology","volume":" ","pages":"145-152"},"PeriodicalIF":4.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of clinical characteristics of fungus ball based on the number of involved sinuses. 基于受累窦数的真菌球临床特征分析。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin23.501

T Yang, C Liu, Y Wang, J Zhou, Y Li, H Wei

{"title":"Analysis of clinical characteristics of fungus ball based on the number of involved sinuses.","authors":"T Yang, C Liu, Y Wang, J Zhou, Y Li, H Wei","doi":"10.4193/Rhin23.501","DOIUrl":"10.4193/Rhin23.501","url":null,"abstract":"Background: Fungus ball (FB) typically presents unilaterally, with the maxillary sinus being the most commonly affected site.Multi-sinus FB cases are seldom discussed.Methodology: A retrospective study involving 1709 FB patients categorized them into single sinus fungus ball (SSFB), double sinus fungus balls (DSFB), and multiple sinus fungus balls (MSFB) groups for clinical analysis.Results: The SSFB group comprised 1596 patients (93.39%), the DSFB group 111 patients (6.50%), and the MSFB group two patients (0.12%). The prevalence of diabetes mellitus in the DSFB group was higher than that in the SSFB group. A female prevalence was noticed and there was no difference in the sex ratio by age group. On computed tomography (CT), maxillary sinus FB group had higher intralesional hyperdensity than sphenoid sinus FB group. Oppositely, sphenoid sinus FB group had higher lateral sinus wall sclerosis than maxillary sinus FB group.Conclusions: DSFB occurs in a minority of cases but needs to be investigated especially in diabetics given the link between diabetes mellitus and increased DSFB risk. A female predominance is seen in both pre- and postmenopausal women. On CT, the presence of intralesional hyperdensity and lateral sinus wall sclerosis correlates with the location of the FB.","PeriodicalId":21361,"journal":{"name":"Rhinology","volume":" ","pages":"230-236"},"PeriodicalIF":4.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ligation of anterior ethmoidal artery nasal branch: anatomical-based management of recalcitrant epistaxis. 乙状动脉鼻前支结扎术：根据解剖学治疗顽固性鼻衄。

IF 4.8 2区医学

Rhinology Pub Date : 2025-04-01 DOI: 10.4193/Rhin24.317

A Vinciguerra, A Daloiso, I Dohin, F Boaria, M Marc, M Ferrari, B Verillaud, F Chatelet, P Herman

{"title":"Ligation of anterior ethmoidal artery nasal branch: anatomical-based management of recalcitrant epistaxis.","authors":"A Vinciguerra, A Daloiso, I Dohin, F Boaria, M Marc, M Ferrari, B Verillaud, F Chatelet, P Herman","doi":"10.4193/Rhin24.317","DOIUrl":"10.4193/Rhin24.317","url":null,"abstract":"Recurrent epistaxis, despite conservative therapies (i.e. nasal packing or direct vessel coagulation), is generally treated with ligation of the sphenopalatine artery (SPA). Indeed, the rationale behind SPA ligation lies in its ability to disrupt arterial blood supply to the nasal mucosa, thereby reducing the likelihood of recurrent bleeding episodes (1). Nevertheless, in some cases, nosebleeds persist despite appropriate SPA ligation, opening discussion of the anterior ethmoidal artery (AEA) contribution in recalcitrant epistaxis that, for some authors, is up to 28.8% (2). From an anatomical point of view, the AEA leaves the orbital cavity and passes the ethmoidal roof through the ethmoidal canal, before entering inside the anterior cranial fossa via the lateral lamella (3). Endocranially, the AEA gives posterior branches which vascularize the anterior cribriform plate, whereas its many trunk continues anteriorly and divides into two branches: the anterior meningeal branch, and a second vessel that enters inside the nasal fossa through the cribroethmoidal foramen located 2.86 Â± 1.93 mm (range, 1-7 mm) (4) anteriorly to the first olfactory phylum, giving rise to the so-called nasal branch (NbAEA) (5).","PeriodicalId":21361,"journal":{"name":"Rhinology","volume":" ","pages":"253-255"},"PeriodicalIF":4.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0