Chinese journal of otorhinolaryngology head and neck surgery最新文献_第2页

[Robot-assisted neck dissection via retroauricular approach in head and neck cancer]. [机器人辅助耳后入路头颈癌颈部清扫]。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20241111-00627

Y B Zhang, Bikash Rai, Y H Zhi, B Zhang

{"title":"[Robot-assisted neck dissection via retroauricular approach in head and neck cancer].","authors":"Y B Zhang, Bikash Rai, Y H Zhi, B Zhang","doi":"10.3760/cma.j.cn115330-20241111-00627","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20241111-00627","url":null,"abstract":"Objective: To evaluate the effectiveness and safety of robot-assisted neck dissection via retroauricular approach for head and neck squamous cell carcinoma patients. Methods: A retrospective analysis was conducted on 22 patients with head and neck squamous cell carcinoma who underwent robot-assisted neck dissection via the retroauricular approach at Beijing United Family Hospital from March 2018 to August 2023. Among them, 6 were female and 16 were male, with an age range of 39-75 years. Preoperative staging showed N0 for 9 patients (41%), N1 for 12 patients (55%), and N2 for 1 patient (4%). The relevant clinical pathological and follow-up data were collected, and the effectiveness and safety of this surgical approach were analyzed. Kaplan Meier method was used to analyze the patient survival rate. Results: All patients were completed the robot-assisted neck dissection without conversion to open neck surgery, including the dissections of Ⅱ-Ⅳ regions in 11 patients, Ⅱ-Ⅲ regions in 8 patients, Ⅰ-Ⅳ regions in 2 patients, and Ⅰ-Ⅲ regions in 1 patient. The total number of dissected lymph nodes ranged from 7 to 69 (average 25.5), and the total number of metastatic lymph nodes ranged from 0 to 4 (average 1.4). The average total drainage volume was 145.8 ml. During the operation, one patient had pharyngocervical communication with the neck, which was sutured without postoperative pharyngeal fistula. After the operation, one patient developed a wound hematoma and improved after bedside drainage and hemostasis. The median follow-up time was 30 months. At the end of follow-up, one patient developed parapharyngeal lymph node recurrence, but no recurrence in the conventional neck dissection area. The 3-year neck control rate was 94.7% and the 3-year overall survival rate was 83.3%. The median satisfaction score for appearance was 10 points. Conclusion: Robot-assisted neck dissection via the retroauricular approach for head and neck squamous cell carcinoma can achieve good oncological and functional outcomes, with fewer postoperative complications and higher patient appearance satisfaction.","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 5","pages":"490-495"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Common staging system of cholesteatoma and its related research progress]. 【胆脂瘤常见分期体系及相关研究进展】。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20240425-00238

J M Deng, Z G Zhang, Y Si

引用次数: 0

[The classification and treatment of subjective tinnitus]. 主观性耳鸣的分类与治疗

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20240927-00547

X Ma, L S Yu

引用次数: 0

[IgG4 Mikulicz disease in combination with parotid duct carcinoma and lung cancer:a case report]. IgG4 Mikulicz病合并腮腺管癌、肺癌1例。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20241106-00620

R Y Guo, M M Ai, Z Y Liu, Q Zhang, Y Lin, F Yu

引用次数: 0

[Surgical treatment of frontal sinus cavernous hemangioma: a case report]. 额窦海绵状血管瘤的外科治疗1例。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20240723-00437

P Y Tang, Y P Wang, X H Li, G Zhang

引用次数: 0

[The design and applications of nasal mucosal flaps for frontal drill-out procedures]. 鼻黏膜瓣在额部钻出术中的设计与应用

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20241205-00679

B Zhou

引用次数: 0

[New advancements in the research of post-traumatic olfactory dysfunction]. [创伤后嗅觉功能障碍研究新进展]。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-05-07 DOI: 10.3760/cma.j.cn115330-20240909-00517

Z Y Wang, J F Liu

引用次数: 0

[Diagnostic value of image enhancement endoscopy in sinonasal malignancy]. [图像增强内镜在鼻腔恶性肿瘤中的诊断价值]。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-04-07 DOI: 10.3760/cma.j.cn115330-20240612-00346

M Li, C Li, Y Sun, Z X Huang, J Qu, S J Cui, Q Huang, B Zhou

{"title":"[Diagnostic value of image enhancement endoscopy in sinonasal malignancy].","authors":"M Li, C Li, Y Sun, Z X Huang, J Qu, S J Cui, Q Huang, B Zhou","doi":"10.3760/cma.j.cn115330-20240612-00346","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240612-00346","url":null,"abstract":"Objective: To evaluate the diagnostic value of image enhancement endoscopy (IEE) for sinonasal malignant tumors. Methods: Patients with nasal neoplasms at the Department of Otorhinolaryngology Head and Neck Surgery at Beijing Tongren Hospital from January 2019 to December 2021 were examined using white light endoscopy (WLE) and IEE. Targeted biopsy was performed after image collection, and the images were analyzed by two blinded observers. Pathological diagnosis was compared with endoscopic findings. Diagnostic accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated, and P<0.05 was statistically significant. Kappa(k) was employed to assess consistency between endoscopic and histopathological diagnoses. The vascular patterns of sinonasal malignancy were compared with Ni endoscopic classification. Results: This study ultimately included 193 patients with nasal tumors, and 41 cases (21.24%, 41/193) were comfirmed histopathologically with sinonasal malignancies. WLE correctly diagnosed 18 cases (43.90%, 18/41), while IEE diagnosed 28 cases (68.29%, 28/41). Among the 41 malignancies, 28 cases (68.29%, 28/41) showed patchy/punctate patterns and tortuous vessels (Ni type Ⅴ). All 14 squamous epithelium-derived malignancies (34.15%, 14/41) had Ni type Ⅴ vessels. Of 27 non-squamous malignancies, 14 cases (34.15%, 14/41) were Ni type Ⅴ, 7 cases (17.07%, 7/41) were false negatives, 6 cases (14.63%, 6/41) that their vessels were obscured by necrotic tissue. Compared to WLE, IEE had higher sensitivity (80.00% vs 51.42%), specificity (98.68% vs 96.69%), PPV (93.33% vs 78.26%), NPV (95.51% vs 89.57%), diagnostic consistency (95.16% vs 88.17%), and κ value (0.832 vs 0.554). Conclusions: IEE improves the endoscopic diagnosis of sinonasal malignancies. Ni type Ⅴ is suitable for the diagnosis of malignant tumors of squamous epithelial malignant tumors.","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 4","pages":"420-426"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Angioleiomyoma of the larynx: a case report]. 喉血管平滑肌瘤1例。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-04-07 DOI: 10.3760/cma.j.cn115330-20240912-00525

Z Q Zhang, L Sun, W J Chen, H Liu, Y B Ji

引用次数: 0

[The impact of early short-range olfactory training and visual stimulation on olfactory identification function and quality of life in patients undergoing functional endoscopic sinus surgery]. [早期短程嗅觉训练和视觉刺激对功能性内镜鼻窦手术患者嗅觉识别功能和生活质量的影响]。

Chinese journal of otorhinolaryngology head and neck surgery Pub Date : 2025-04-07 DOI: 10.3760/cma.j.cn115330-20240424-00232

Z N Tian, Y P Zang, Q Duan, Y D Shao, X Wang, H Wang, W Liu

{"title":"[The impact of early short-range olfactory training and visual stimulation on olfactory identification function and quality of life in patients undergoing functional endoscopic sinus surgery].","authors":"Z N Tian, Y P Zang, Q Duan, Y D Shao, X Wang, H Wang, W Liu","doi":"10.3760/cma.j.cn115330-20240424-00232","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240424-00232","url":null,"abstract":"Objective: To investigate the effects of short-term olfactory training and visual stimulation on olfactory recognition function and quality of life in patients following functional endoscopic sinus surgery (FESS). Methods: A total of 80 patients who underwent FESS in the Department of Otorhinolaryngology Head and Neck Surgery at the Affiliated Hospital of Xuzhou Medical University between December 2023 and February 2024 were enrolled in this study. The cohort comprised 67 males and 13 females, aged from 17 to 75 years. Participants were randomly allocated to either a control group (n=40) or an experimental group (n=40). The participants in control group received routine postoperative management, including nasal irrigation, oral antibiotics and glucocorticoids, topical budesonide nasal spray, and hypertonic saline solution for 12 weeks. In addition to the standard care, the participants in experimental group underwent olfactory-visual stimulation training starting 24 hours postoperatively, lasting for 2 weeks. The olfactory identification test (OIT), visual analogue scale (VAS) for olfaction and Questionnaire of Olfactory Disorders of Life (QOD-QoL, hereafter referred to as QOD) were administered preoperatively. Follow-up assessments were performed 2 weeks and 3 months postoperatively, with the same tests repeated. Data were analyzed using SPSS 27.0 and GraphPad Prism 7 statistical software. Results: There was no significant difference in preoperative OIT, VAS, and QOD scores between the two groups. The olfactory recognition function of some patients was improved after removing the packing material 24 hours after FESS surgery. The OIT scores of 2 weeks post-surgery were significantly higher than preoperative values in both groups (the experimental group Z=-4.73, P<0.001; the control group Z=-4.73, P<0.001). Participants in both groups showed improvements in olfactory VAS and QOD scores (experimental group Z value was -2.88 and -5.45, P<0.01 and<0.001, respectively; the control group Z value was -4.42 and -5.50, respectively, both P<0.001). However, there was no significant difference in the VAS score between the two groups (Z=-0.68, P=0.499). The paticipants in experimental group showed greater improvement in OIT and greater reduction in QOD scores compared to the control group (Z=-2.19, P=0.029; Z=-2.99, P=0.003). There was no significant difference in the decrease of olfactory VAS between the two groups (Z=-0.02, P=0.988). There were no statistically significant differences of all patients in VAS, OIT and QOD scores at 2 weeks and 3 months after surgery (experimental group Z value was -0.91, -0.90 and -1.43, respectively, all P>0.05; control group Z value was -1.21, -0.84 and -0.91, respectively, all P>0.05). At 3 months post-surgery, the OIT scores in the experimenta","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 4","pages":"457-463"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0