Chinese journal of otorhinolaryngology head and neck surgery最新文献

{"title":"[Horizontal sound localization in young and middle-aged patients with symmetric sensorineural hearing loss in noisy environments].","authors":"J S Dai, L Wei, J Y Li, X Wang, X L He, S Nie, J Zhang","doi":"10.3760/cma.j.cn115330-20240707-00406","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240707-00406","url":null,"abstract":"<p><p><b>Objective:</b> This study evaluates the horizontal sound localization ability of young and middle-aged individuals with symmetric sensorineural hearing loss (SNHL) in noisy environments. It also examines the impact of hearing loss severity and signal-to-noise ratio (SNR) on localization accuracy. <b>Methods:</b> In this cross-sectional study, conducted from April 2023 to April 2024, 135 young and middle-aged patients (73 males and 62 females, aged 18~60 years) with SNHL who sought care at Beijing Chaoyang Hospital, were categorized into mild, moderate, and moderate-to-severe hearing loss groups (45 per group), with 45 normal-hearing controls (23 males and 22 females, aged 20~60 years). Participants completed localization tasks in quiet and noisy environments with SNR levels of 5 dB, 0 dB, -5 dB, and-10 dB. Root mean square error (RMSE) was used to measure localization accuracy. Repeated measures ANOVA assessed the effects of hearing loss and SNR on RMSE, while Pearson correlation evaluated the relationship between binaural 4-frequency pure-tone average (4fPTA) and RMSE. Multiple linear regression analyzed the predictive role of 4fPTA and age. <b>Results:</b> (1) Two-way repeated measures ANOVA showed that both hearing loss severity and SNR significantly affected RMSE [<i>F</i>=92.67,<i>P</i><0.01;<i>F</i>=430.29,<i>P</i><0.01], with a significant interaction between the two factors(<i>F</i>=92.67,<i>P</i><0.01). (2) RMSE increased with hearing loss severity. At SNRs of 5 dB, 0 dB, and-5 dB, the moderate-to-severe group had significantly higher RMSE than the mild and moderate groups (<i>P</i><0.01). No significant differences were found between mild and moderate groups (<i>P</i>=0.53, 0.57, 0.22). At-10 dB SNR, significant differences were observed across all groups (<i>P</i><0.01). (3) RMSE increased non-linearly as SNR decreased. Mean RMSE values under quiet conditions and at SNRs of 5 dB, 0 dB, -5 dB, and-10 dB were (7.43±5.01)°, (9.80±5.74)°, (11.60±6.22)°, (14.56±7.07)°, and (18.74±8.02)°, respectively. (4) RMSE was significantly positively correlated with binaural 4fPTA (r=0.54~0.58, <i>P</i><0.01). Multiple linear regression analysis indicated that the binaural average 4fPTA significantly predicted RMSE (<i>P</i><0.01), explaining 30.5%-34.1% of RMSE variance. Age did not significantly contribute to RMSE variation. <b>Conclusions:</b> The degree of hearing loss and background noise SNR significantly affect horizontal sound localization in young and middle-aged SNHL patients. RMSE increases with hearing loss severity and decreases with higher SNR. The interaction between hearing loss and SNR is significant, and RMSE correlates with binaural 4fPTA. However, the regression model based on 4fPTA and age explains only part of the RMSE variance, suggesting other contributing factors.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 ","pages":"785-791"},"PeriodicalIF":0.0,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691786","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}

{"title":"[Guideline for the diagnosis and surgical treatment of adult obstructive sleep apnea (2024)].","authors":"","doi":"10.3760/cma.j.cn115330-20250308-00133","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20250308-00133","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 ","pages":"18-60"},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576514","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}

{"title":"[Comparison of the modified Kadish, AJCC T and Dulguerov T staging systems for olfactory neuroblastoma: analysis of the SEER database].","authors":"H H Lyu, X Wen, J T Lin, R H Fang, R He, M Y Chen, Y H Wen, W P Wen","doi":"10.3760/cma.j.cn115330-20240723-00438","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240723-00438","url":null,"abstract":"<p><p><b>Objective:</b> To compare the Kadish T staging, AJCC T staging, and Dulguerov T staging system in terms of their impact on surgical treatment selection and survival prognosis in patients with olfactory neuroblastoma (ONB). <b>Methods:</b> The cases of pathologically confirmed ONB from the Surveillance, Epidemiology, and End Results (SEER) database between 2000 and 2018 were collected and screened. Tumors were staged according to Kadish staging system, AJCC T staging and Dulguerov T staging guidelines. Kaplan-Meier analysis was used to calculate 5-and 10-year overall survival rates for different stages, and the log-rank test was used to detect statistically significant differences. Multivariate analysis was performed using Logistic regression and Cox regression models to explore factors influencing surgical treatment choices and prognosis in ONB patients. <b>Results:</b> A total of 519 ONB patients with complete data available for analysis were included in the study. Multivariate analysis revealed that tumor staging, age, and marital status were closely associated with surgical treatment selection. The 10-year survival rates for patients in stage A, B, and C were 74.1%, 68.7%, 55.0%, respectively. The multivariate analysis failed to show a significant prognostic gradient between adjacent stages in any of the three staging systems. <b>Conclusions:</b> The selection of surgical treatment for ONB is influenced by clinical characteristics such as tumor stage and age. The commonly used Kadish, AJCC T, and Dulguerov T staging systems do not significantly differentiate prognosis between adjacent stages, highlighting the need for the development of a more accurate and comprehensive staging system.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"646-653"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683258","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}

{"title":"[The 36th World Congress of Audiology summary and cutting-edge topics sharing].","authors":"Y P Lin, S X Gao, T Y Liu, L Yin","doi":"10.3760/cma.j.cn115330-20241230-00714","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20241230-00714","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"678-682"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683275","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}

{"title":"[Timing of facial nerve decompression for Bell's palsy: systematic review and Meta-analysis].","authors":"Y Wang, T Pan","doi":"10.3760/cma.j.cn115330-20240625-00372","DOIUrl":"10.3760/cma.j.cn115330-20240625-00372","url":null,"abstract":"<p><p><b>Objective:</b> To compare the surgical effects of facial nerve decompression for bell's facial palsy at different times, and to provide reference for evaluating the best operation time of Bell's palsy. <b>Methods:</b> A systemic search of subject-related clinical studies published before December 2023 was conducted. Meta-analysis was performed with RevMan5.3 software for the literatures meeting the inclusion criteria to compare the efficacy of different surgical timing. Surgical outcome was defined as the effective by house-Brackmann grade Ⅰ-Ⅲ, and satisfactory recovery was defined by grade Ⅰ-Ⅱ. <b>Results:</b> A total of 10 literatures were included, including 498 cases. The overall quality of literatures was high, and no obvious publication bias was suggested. The effective rate of facial nerve decompression in general was 86.1%-100.0%, and the satisfactory recovery rate was 50.0%-80.5%. The effective rate of operation within 3 months (91.4%) was higher than that after 3 months (81.4%, <i>OR</i>=3.66, 95%<i>CI</i>: 1.53-8.73, <i>P</i>=0.003); The effective rate of operation within 6 months (90.3%) was higher than that after 6 months (69.0%, <i>OR</i>=4.34, 95%<i>CI</i>: 1.74-10.86, <i>P</i>=0.002). The satisfactory recovery rate of operation within 2 months (64.9%) was higher than that of operation group (37.9%, <i>OR</i>=2.54, 95%<i>CI</i>: 1.26-5.11, <i>P</i>=0.009). The satisfactory recovery rate of the operation group within 3 months (58.9%) was higher than that of the operation group after 3 months (15.4%, <i>OR</i>=7.14, 95%<i>CI</i>: 2.40-21.20, <i>P</i><0.001). <b>Conclusions:</b> For Bell's palsy with complete facial paralysis, facial nerve decompression is an effective treatment option. The effective rate of operation within 3-6 months after onset is higher than that after 3-6 months. The satisfactory recovery rate of operation within 2-3 months after onset is higher than that after 2-3 months. This provides an important basis for the choice of the best operative time and the prediction of the surgical outcome for Bell's palsy.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"590-596"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683277","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}

{"title":"[Investigation on the prevalence and risk factors in adults associated with allergic rhinitis in Yinchuan].","authors":"X Zhang, Y B Gao, J Y Li, Y Zhang, L Zhang","doi":"10.3760/cma.j.cn115330-20240815-00477","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240815-00477","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the epidemiological characteristics of allergic rhinitis (AR) among adults in Yinchuan, focusing on its prevalence and associated risk factors in recent years. <b>Methods:</b> A cross-sectional epidemiological survey was conducted among adult residents in Yinchuan from June to October 2022, including three districts, two counties, and one city, to identify and analyze factors influencing the incidence of AR in the population. <b>Results:</b> A total of 3 345 individuals were surveyed, including 1 891 males (56.5%) and 1 454 females (43.5%). The overall AR prevalence was 17.2% (576/3 345). The self-reported prevalence was 16.2% (306/1 891) in males and 18.6% (270/1 454) in females, with no statistically significant difference (<i>χ</i>²=3.29, <i>P</i>=0.07). The prevalence was significantly lower among the elderly (aged over 60 years) at 11.8% (60/509) compared to the middle-aged (aged 40-59 years) at 17.1% (202/1 183) and young adults (aged 18-39 years) at 19.0% (314/1 653, <i>χ</i>²=10.36, <i>P</i>=0.023). Han nationality had the highest self-reported prevalence (18.8%, 446/2 372), followed by other ethnic minorities (17.6%, 13/74), and Hui nationality (13.0%, 117/899; <i>χ</i>²=11.21, <i>P</i>=0.004). Regionally, Xingqing District had the highest self-reported prevalence at (19.5%, 188/964), followed by Jinfeng District (18.7%, 151/808), Lingwu City (17.5%, 58/332), Xixia District (14.9%, 78/522), Yongning County (14.3%, 49/342), and Helan County (13.8%, 52/377; <i>χ</i>²=35.68, <i>P</i>=0.038). In terms of disease severity, mild cases made up 55.4% (319/576), while moderate to severe cases constituted 44.6% (257/576). In terms of symptom characteristics, perennial AR patients accounted for 18.8% (108/576), seasonal AR patients accounted for 81.2% (468/576), and 25.7% (148/576) of self-reported AR patients had other allergic diseases. Regarding diagnosis and treatment, 38.7% (223/576) of patients underwent allergen tests, 65.1% (375/576) received medication, but 62.3% (359/576) reported symptoms persisting for 2-year post-treatment, 32.6% (188/576) reported uncontrolled symptoms, and 5% (29/576) experienced symptoms worsening. <b>Conclusions:</b> The study provides a preliminary understanding of the epidemiological characteristics of AR in Yinchuan. These findings provide a reference for formulating relevant public health policies, clarifying prevention and treatment strategies, and improving the prevention and control system for AR.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"624-629"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683263","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}

{"title":"[Optimization of low frequency function of vertical semicircular canal in rotating test and analysis of three-dimensional parameters of induced nystagmus].","authors":"Y L Chen, C Wang, Y T Liu, Y L Li, X F Li, Y F Lyu, Y D Song, D G Zhang","doi":"10.3760/cma.j.cn115330-20240703-00399","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240703-00399","url":null,"abstract":"<p><p><b>Objective:</b> To study the feasibility of detecting vertical semicircular canal function and to analyze the three-dimensional(3D)characteristics and normal reference value in healthy young people. <b>Methods:</b> This was a cross-sectional study conducted from January to June 2024. A three-axis rotating chair was used to perform vertical sinusoidal rotation on 52 healthy young adults (26 males and 26 females, aged 18-40 years) in the left anterior-right posterior (LARP) and right anterior-left posterior (RALP) semicircular canal planes. For each plane, nystagmus was induced with six combinations of different angles and velocity front and back rotation angles of ±30°,±60°,±90°, and velocities of 40°/s and 80°/s, the slow phase velocity (SPV) and their symmetry of 3D nystagmus were analyzed. SPSS 20.0 was used to compare the statistical differences in these two parameters across different stimulation protocols. <b>Results:</b> There were no spontaneous nystagmus in the 52 subjects, and all tests were finished. Except the combinations of (±30°-40°/s), three components of nystagmus were induced stably in the rest of the stimulations. The SPVs of vertical components were no statistically insignificant (<i>P</i>>0.05), and some horizontal or torsion components were statistically significant (<i>P</i><0.05). The 95% reference range of the symmetry was≤25% in the vertical and≤30% in the torsional component of the nystagmus except for (±30°-80°/s), the symmetry was 32.2% and 49.2% respectively. The trend changes of the three components were consistent, among which the vertical and torsional components induced by (±60°-80°/s) and (±90°-80°/s) were the best, the SPV value of the vertical components was higher in the latter group than the former apart from the front RALP, while no significant difference was found in the torsional components (<i>P</i>>0.05). <b>Conclusion:</b> The (±90°-80°/s) combination is the optimal method to detect the function of vertical semicircular canal in 3D chair test. When observing torsional component, the combining scheme of (±60°-80°/s) and (±90°-80°/s) is better. Considering tolerance, the (±60°-80°/s) combination is recommended.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"630-637"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683269","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}

{"title":"[Research progress on the imaging diagnostic criteria of enlarged vestibular aqueduct].","authors":"L S Wang, X Y Li, L L Zhang","doi":"10.3760/cma.j.cn115330-20240725-00448","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240725-00448","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"683-687"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683271","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}

{"title":"[Evaluation of timing and short-term clinical efficacy of sinus stent implantation in chronic rhinosinusitis with nasal polyps].","authors":"H Q Zhou, L Tan, P Q Liu, Y Xu","doi":"10.3760/cma.j.cn115330-20250425-00252","DOIUrl":"10.3760/cma.j.cn115330-20250425-00252","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To assess the optimal timing and short-term clinical efficacy of sinus drug-eluting stent placement in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). &lt;b&gt;Methods:&lt;/b&gt; The minimum sample size was calculated using G-power 3.1.9.7 software. From March 2021 and May 2023, a total of 114 eligible patients with CRSwNP were recruited in this study at the Department of Otolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University. The patients were randomly assigned to three groups: the control group, the intraoperative stent group, and the postoperative stent group. In the intraoperative stent group, drug-eluting stents were implanted during endoscopic sinus surgery (ESS), while patients in the postoperative stent group received drug-eluting stent 2 weeks after ESS, following routine debridement of the surgical cavity. Bilateral ethmoid sinus stenting was performed for both stent groups, while the control group only underwent ESS with standard postoperative cavity debridement. All subjects were followed up at 2, 4, 8, and 12 weeks postoperatively. Nasal symptom Visual Analog Scale (VAS) scores and endoscopic evaluations of the ethmoid cavity-assessing obstruction, crusting, polypoid mucosal changes, epithelialization of ethmoid cavity, need for intervention, and complications such as middle turbinate lateralization and adhesions-were collected to evaluate the treatment efficacy of three groups. Statistical analyses were performed using GraphPad Prism 9. Analysis of variance (ANOVA) was applied to analyze continuous variables among the three groups, and chi-square tests were used for categorical variables. &lt;b&gt;Results:&lt;/b&gt; Among 114 CRSwNP patients, 21 lost follow-up patients and 7 postoperative oral corticosteroid intervention patients were excluded. Finally, 86 patients were included in the analysis, including 45 males and 41 females, aged 18-65 years. The cohort comprised 29 in the control group, 29 in the intraoperative stent group, and 28 in the postoperative stent group. Successful bilateral ethmoid sinus stent implantation was achieved in both stent groups. At 4 weeks postoperatively, compared with the control group, both stent groups showed significant improvements in nasal congestion and rhinorrhea scores (&lt;i&gt;P&lt;/i&gt;&lt;0.05). At 8 weeks, the postoperative group continued to demonstrate superior outcomes in these two symptoms (both &lt;i&gt;P&lt;/i&gt;&lt;0.05), while the intraoperative group only showed significant improvement in nasal congestion (&lt;i&gt;P&lt;/i&gt;&lt;0.05). No significant differences were observed in facial pressure, olfactory loss, or nasal dryness scores among the three groups (all &lt;i&gt;P&lt;/i&gt;&gt;0.05). Endoscopic evaluation revealed that both stent groups had significant improvements in ethmoid sinus obstruction scores at 4 weeks compared with the control group, with the postoperative group maintaining this advantage at 8 weeks (&lt;i&gt;P&lt;/i&gt;&lt;0.05). At 2 weeks, the intraoperative stent group had higher crusting scor","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"638-645"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683260","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}

{"title":"[An everlasting bond in medicine: how the Chinese Journal of Otorhinolaryngology Head and Neck Surgery guided my academic growth].","authors":"X Y Yan, R X Ma","doi":"10.3760/cma.j.cn115330-20250330-00175","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20250330-00175","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 6","pages":"676-677"},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683256","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}