Chinese journal of otorhinolaryngology head and neck surgery最新文献

{"title":"[The classification and treatment of subjective tinnitus].","authors":"X Ma, L S Yu","doi":"10.3760/cma.j.cn115330-20240927-00547","DOIUrl":"10.3760/cma.j.cn115330-20240927-00547","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 5","pages":"543-545"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152000","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":"[IgG4 Mikulicz disease in combination with parotid duct carcinoma and lung cancer:a case report].","authors":"R Y Guo, M M Ai, Z Y Liu, Q Zhang, Y Lin, F Yu","doi":"10.3760/cma.j.cn115330-20241106-00620","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20241106-00620","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 5","pages":"541-542"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151959","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":"[Surgical treatment of frontal sinus cavernous hemangioma: a case report].","authors":"P Y Tang, Y P Wang, X H Li, G Zhang","doi":"10.3760/cma.j.cn115330-20240723-00437","DOIUrl":"10.3760/cma.j.cn115330-20240723-00437","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 5","pages":"537-538"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151997","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 design and applications of nasal mucosal flaps for frontal drill-out procedures].","authors":"B Zhou","doi":"10.3760/cma.j.cn115330-20241205-00679","DOIUrl":"10.3760/cma.j.cn115330-20241205-00679","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 ","pages":"572-578"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080961","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":"[New advancements in the research of post-traumatic olfactory dysfunction].","authors":"Z Y Wang, J F Liu","doi":"10.3760/cma.j.cn115330-20240909-00517","DOIUrl":"10.3760/cma.j.cn115330-20240909-00517","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 5","pages":"558-565"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151962","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":"[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":"<p><p><b>Objective:</b> To evaluate the diagnostic value of image enhancement endoscopy (IEE) for sinonasal malignant tumors. <b>Methods:</b> 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. <b>Results:</b> 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% <i>vs</i> 51.42%), specificity (98.68% <i>vs</i> 96.69%), PPV (93.33% <i>vs</i> 78.26%), NPV (95.51% <i>vs</i> 89.57%), diagnostic consistency (95.16% <i>vs</i> 88.17%), and κ value (0.832 <i>vs</i> 0.554). <b>Conclusions:</b> IEE improves the endoscopic diagnosis of sinonasal malignancies. Ni type Ⅴ is suitable for the diagnosis of malignant tumors of squamous epithelial malignant tumors.</p>","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}

{"title":"[Angioleiomyoma of the larynx: a case report].","authors":"Z Q Zhang, L Sun, W J Chen, H Liu, Y B Ji","doi":"10.3760/cma.j.cn115330-20240912-00525","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240912-00525","url":null,"abstract":"","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 4","pages":"468-469"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013374","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 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":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; 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). &lt;b&gt;Methods:&lt;/b&gt; 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 (&lt;i&gt;n&lt;/i&gt;=40) or an experimental group (&lt;i&gt;n&lt;/i&gt;=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. &lt;b&gt;Results:&lt;/b&gt; 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 &lt;i&gt;Z&lt;/i&gt;=-4.73, &lt;i&gt;P&lt;/i&gt;&lt;0.001; the control group &lt;i&gt;Z&lt;/i&gt;=-4.73, &lt;i&gt;P&lt;/i&gt;&lt;0.001). Participants in both groups showed improvements in olfactory VAS and QOD scores (experimental group &lt;i&gt;Z&lt;/i&gt; value was -2.88 and -5.45, &lt;i&gt;P&lt;/i&gt;&lt;0.01 and&lt;0.001, respectively; the control group &lt;i&gt;Z&lt;/i&gt; value was -4.42 and -5.50, respectively, both &lt;i&gt;P&lt;/i&gt;&lt;0.001). However, there was no significant difference in the VAS score between the two groups (&lt;i&gt;Z&lt;/i&gt;=-0.68, &lt;i&gt;P&lt;/i&gt;=0.499). The paticipants in experimental group showed greater improvement in OIT and greater reduction in QOD scores compared to the control group (&lt;i&gt;Z&lt;/i&gt;=-2.19, &lt;i&gt;P&lt;/i&gt;=0.029; &lt;i&gt;Z&lt;/i&gt;=-2.99, &lt;i&gt;P&lt;/i&gt;=0.003). There was no significant difference in the decrease of olfactory VAS between the two groups (&lt;i&gt;Z&lt;/i&gt;=-0.02, &lt;i&gt;P&lt;/i&gt;=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 &lt;i&gt;Z&lt;/i&gt; value was -0.91, -0.90 and -1.43, respectively, all &lt;i&gt;P&lt;/i&gt;&gt;0.05; control group &lt;i&gt;Z&lt;/i&gt; value was -1.21, -0.84 and -0.91, respectively, all &lt;i&gt;P&lt;/i&gt;&gt;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}

{"title":"[Pharmacoeconomic evaluation of preseasonal treatment of omalizumab in seasonal allergic rhinitis].","authors":"S J Li, Y B Gao, Y Zhang, L Zhang","doi":"10.3760/cma.j.cn115330-20240612-00346","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240612-00346","url":null,"abstract":"<p><p><b>Objective:</b> To assess the pharmacoeconomic benefits of using omalizumab in the treatment of seasonal allergic rhinitis (SAR) before the pollen season. <b>Methods:</b> This economic evaluation, which based on a prospective, randomized, controlled, open label, single center trial conducted in 2020, compared omalizumab treatment with standard medicine treatment in controlling SAR symptoms two weeks before autumn pollen season. Total nasal symptom scores (TNSS) were used as the effect index for cost-effectiveness analysis (CEA), with incremental cost-effectiveness ratio (ICER) calculated. Cost-utility analysis (CUA) was used to compare incremental cost-utility ratios (ICUR) between groups using 1.76 times of the national and Beijing per capita GDP as willingness-to-pay thresholds. The experimental group was divided into mild and moderate-severe groups for cost-effectiveness analysis. <b>Results:</b> CEA showed an ICER of 3 084.76 yuan/point. CUA revealed an ICUR of 554 288.39 yuan, exceeding 1.76 times of the 2020 national (126 417.28 yuan) and Beijing (288 918.08 yuan) per capita GDP. Therefore, omalizumab currently lacked economic advantage in both Beijing and nationwide. The moderate-severe subgroup had a lower ICUR (371 041.07 yuan/year) than the mild subgroup (1 436, 823.35 yuan/year). Omalizumab would gain economic advantage in Beijing if its cost dropped below 723.02 yuan/dose, and nationwide below 312.72 yuan/dose. For moderate-severe patients, the cost threshold for Beijing was 1 104.95 yuan/dose, and 482.45 yuan/dose nationwide. <b>Conclusions:</b> At its current price, a single pre-pollen season omalizumab injection (300 mg) offers no pharmacoeconomic advantage over conventional medication in improving SAR patients' quality of life in Beijing and nationwide. However, omalizumab shows lower ICUR in moderate-severe SAR patients compared to mild cases.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 4","pages":"427-434"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043222","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":"[Attention network function and its influencing factors in patients with sensorineural hearing loss].","authors":"L L Wang, B X Zhang, Q Z Sun","doi":"10.3760/cma.j.cn115330-20240703-00401","DOIUrl":"https://doi.org/10.3760/cma.j.cn115330-20240703-00401","url":null,"abstract":"<p><p><b>Objective:</b> To investigate the characteristics of attention network function and its related factors in sensorineural hearing loss (SNHL) patients. <b>Methods:</b> This study was a cross-sectional study. 116 patients with binaural severe or higher SNHL who were hospitalized in the Department of Otolaryngology, Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical University from January to July 2023 were selected by the objective sampling method, including 54 males and 62 females, aged from 4 to 56 years old. Demographic data such as patient gender, age, education level, place of residence, per capita monthly family income, caregiver's education level and audiological and clinical data such as air conduction pure tone hearing threshold, age when hearing loss was first detected, whether hearing loss was gradually aggravated, hearing compensation mode, hearing compensation time, whether to participate in rehabilitation training, and rehabilitation time were collected through the general data questionnaire. The Attention Network Test was used to investigate three attention network functions in SNHL patients: alertness, orientation and executive control. SPSS 22.0 software was used for statistical analysis. <b>Results:</b> Univariate analysis showed that patients with postlingual deafness had lower executive control network score, patients with postlingual deafness, hearing loss gradually aggravated, hearing aid compensation, compensation time >5 years, and no rehabilitation learning had faster average response time, and patients with postlingual deafness, compensation time >5 years, and no rehabilitation learning had higher average accuracy (<i>P</i><0.05 for all). The results of multivariate analysis showed that patients aged 13-18 years, postlingual deafness and compensation time >5 years had faster average response time, and patients with compensation time >5 years and no rehabilitation learning had higher average accuracy (<i>P</i><0.05 for all). <b>Conclusions:</b> There is a general decline in attentional function and delayed development in patients with severe and above SNHL. No matter what mode of hearing compensation, timely and long-term hearing compensation intervention after hearing loss can effectively improve the attention network function, while the patients who do not participate in rehabilitation learning may improve their response accuracy by inhibiting interference and enhancing audio-visual interaction.</p>","PeriodicalId":23987,"journal":{"name":"Chinese journal of otorhinolaryngology head and neck surgery","volume":"60 4","pages":"412-419"},"PeriodicalIF":0.0,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039911","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}