Journal of Otolaryngology-ENT Research最新文献

{"title":"From pioneers to modern medicine: tracing the evolution of our understanding of the relationship between Eustachian tube dysfunction, alternobaric vertigo, and laryngopharyngeal reflux","authors":"","doi":"10.15406/joentr.2023.15.00521","DOIUrl":"https://doi.org/10.15406/joentr.2023.15.00521","url":null,"abstract":"Decades of research have been devoted to understanding the complicated connections between the ears, nose, throat, and stomach. Pioneers in the discipline of otolaryngology/ear, nose, and throat (ENT), James Yearsley (1805–1869) and Peter Allen (1826–1844), produced theories and concepts that allowed us to determine the relationship between these items. The current study has contributed to clarifying the complex relationship between Eustachian tube dysfunction (ETD), alternobaric vertigo (ABV), gastroesophageal reflux disease (GERD), laryngopharyngeal reflux (LPR), and nasopharyngeal reflux (NPR). These interrelationships are required for guiding otolaryngology research and improving patient care. This article investigates the historical and contemporary links between ETD, ABV, and LPR. James Yearsley developed the concept of \"stomach deafness\" in 1843, suggesting a relationship between stomach issues and hearing loss. Peter Allen thought that ETD might be related to vertigo, especially \"alternobaric vertigo,\" which happens when the air pressure changes in the labyrinth and affects the fluid in it. Recent investigations have shown that NPR or LPR can produce ETD and ABV by irritating and inflaming the Eustachian tube. For otolaryngology research to progress and patient care to improve, it is critical to understand both the historical and modern perspectives on these complex interactions.","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134177343","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":"VOR Cancellation at the patient's bedside: how to avoid another cause of false positive","authors":"Ricardo D’Albora – Rivas, José Luis Cuervo, Ligia Silvera, María Julia Monaco – Hansen, Guilermo Zalazar, S. Carmona","doi":"10.15406/joentr.2023.15.00519","DOIUrl":"https://doi.org/10.15406/joentr.2023.15.00519","url":null,"abstract":"There is little literature on the semiological aspects of the clinical Vestibulo-Occulomotor Reflex (VOR) cancellation technique. This study aims to determine which would be the best head movement frequency cutoff to perform the VOR cancellation clinical test. Materials and methods: 98 horizontal semicircular canals with normal gains from normal individuals were included. The VOR was cancelled by placing a headband with a fixed target over the individual's head, and the patient was told to keep their eyes on the target while the examiner recorded the presence and number of saccades that were evident with the naked eye by performing sinusoidal cephalic rotations at different frequencies. The head rotation frequency was compared with the following variables: 1-Saccades that are evident with the naked eye -SHIMP (+) clinical-, 2-The presence of saccades performed for a period of 2 seconds, 3- The presence of saccades performed in every cycle, 4- Amplitude in º/sec. of the performed saccades, 5-Percentage of VOR cancellation and 6-Age. Conclusion: To avoid a false positive caused by SHIMP saccades during the clinical evaluation of the VOR cancellation at the patient's bedside, we recommend performing cephalic rotations with frequencies lower than 0.5Hz - 0.6Hz for the age group under 67 years old. In patients older than and equal to 67 years old, the interpretation of the VOR cancellation using this method should be cautious, and it should be performed with glasses if worn. Keywords: vestibulo-cular reflex cancellation, SHIMP saccades, SHIMP headband","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127448925","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 MRI and transnasal endoscopic surgery for the diagnosis of perineural tumor spread to the skull base","authors":"M. Tepedino, Camila Alves Costa Silva, Raíssa de Figueiredo Neves, Andrea S D Costacurta, M. Junqueira, D. Herchenhorn, Fernando L Dias","doi":"10.15406/joentr.2023.15.00518","DOIUrl":"https://doi.org/10.15406/joentr.2023.15.00518","url":null,"abstract":"Introduction: Magnetic resonance imaging (MRI) provides information about tumor size and extension, infiltration of major blood vessels and nerves, early bone-marrow infiltration, and lymph node involvement. Transnasal endoscopic approaches are an integral part of the therapeutic arsenal developed to address malignant sinonasal and skull-base neoplasms. Objective: To analyze the use of magnetic resonance imaging in the diagnosis of perineural tumor spread involving the skull base region. Methods: We describe two cases of patients who presented with primary squamous cell carcinoma in the malar region and suspected perineural spread to the skull base on MRI. One frozen cadaver head, were dissected to expose the trigeminal nerve and it branches. Results: MRI showed evidence of perineural spread to the skull base, which was confirmed histopathologically after endoscopic transnasal biopsy. Conclusion: MRI plays an important role in the diagnosis of perineural spread of tumors originating in the nose and skull base. In the two cases reported herein, the diagnostic suspicion raised by MRI was confirmed by histopathological examination. Endoscopic transnasal skull base surgery proved to be an important tool for diagnostic confirmation, with low procedure-associated morbidity. The presence of perineural spread changes the staging and, consequently, the prognosis and treatment of these tumors. Thus, its active search should be encouraged to improve diagnosis and help ensure appropriate treatment. Keywords: endoscopic surgery, magnetic resonance imaging, perineural tumor, bone-marrow infiltration","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133918974","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 third-party disability between normal hearing siblings of children using hearing aids and those using cochlear implants","authors":"Manisha Rani, Aparna Nandurkar","doi":"10.15406/joentr.2022.14.00516","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00516","url":null,"abstract":"Purpose: Historically, research tends to focus on the experiences of deaf children and the difficulties faced, as well as the difficulties their parents endure. Less attention has been focused on siblings of children with hearing impairment (CWHI). This study aimed to compare the Third-Party Disability between normal hearing siblings of children using hearing aids (HAs) with those using cochlear implants (CI). The objective was to develop International Classification of Functioning, Disability and Health (ICF) based-tools across different domains and categories that describe third-party disability in siblings of children with hearing impairment. Method: 45 Normal Hearing Older Siblings (NHOS) from the two groups of children with hearing impairment using HAs and CI participated in the study. A tool was developed and mapped onto ICF components of Activities and Participation and Environmental factors. The developed tool consisting of 43-items across six-domains was administered through interviews, independent of the sibling. Frequency distribution and descriptive statistics were obtained. Shapiro-Wilk test was performed to assess normality of the distribution. Mann Whitney U test was administered to compare the domain-wise distributions for the two groups. Results: NHOS of CWHI using HAs perceive greater third-party disability as compared to the NHOS of CWHI using unilateral CI across all the six domains included in the study. The differences were striking in the domain of communication, interpersonal interaction and relationship, support and relationship. There were differences across the other three domains which were not found to be statistically significant. Conclusion: Hearing loss is a disabling condition that not only effects the individual, but is an experience shared by immediate family members including siblings. The extent of third-party disability in NHOS is influenced by the hearing device. This study has provided insights into the difficulties faced by normal hearing siblings of children with hearing impairment. Implication: Utilization of an ICF-based tool has provided an idea about the specific domains(s) in which they perceive maximum difficulties, which will help clinicians counsel parents, focusing not only on the needs and issues of the CWHI but also the hearing siblings. Keywords: children with hearing aids, children with cochlear implants, normal hearing siblings","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128111685","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":"Esophageal foreign bodies","authors":"Ivonne Delgado Juan, Luis Alfredo, Rodríguez Regalado","doi":"10.15406/joentr.2022.14.00515","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00515","url":null,"abstract":"Esophageal foreign bodies are a relatively frequent emergency in our country and their removal is necessary as quickly as possible to avoid complications and suppress the discomfort they cause to patients, so an emergency esophagoscopy is performed by the Otolaryngology Specialist who is is on duty, so all otolaryngologists must know this entity and have experience in the diagnosis and performance of the surgical technique for its extraction, wanting with this exhibition to contribute to have a better knowledge of this entity. Keywords: foreign body, esophagus, dysphagia","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129163047","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":"Outcomes of tracheal resection and anastomosis for post intubation tracheal stenosis: a study of 12 cases","authors":"M. Dhaha, R. Braham, Alia Methnani, S. Jebali, S. Dhambri, S. Kedous, S. Gritli","doi":"10.15406/joentr.2022.14.00514","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00514","url":null,"abstract":"Post intubation tracheal stenosis is a severe clinical condition with an increasing prevalence due to the advances of critical care medicine. This is a retrospective study including 12 cases of post-intubation tracheal stenosis managed by TRA in our head and neck surgery department between the years 2013 and 2019. All patients underwent preoperative clinical evaluation based on neck CT scan and endoscopy under general anaesthesia. Traffic road accidents and trauma were the main causes of prolonged intubation. Ten (10) patients required tracheostomy. According to the Cotton Meyer grading, 4 patients had grade II, 2 had grade III and 4 had grade IV. The mean length of stenosis was 16.2±5.6 millimeters. T-tube was inserted intraoperatively in 5 patients. 4 were successfully decannulated in a mean delay of 9.2 months. Early postoperative complications were subcutaneous emphysema, laryngeal edema, aspiration pneumonia, intra-tracheal migration of the T-tube, and vocal cord paralysis each complication occurred in 1 case. Late postoperative complications were granulation tissue formation observed in 5 cases and restenosis in 3 cases. The initial success rate of the TRA was 91.7%. Management of Post intubation tracheal stenosis requires a skillful multidisciplinary team. TRA guided by a meticulous preoperative evaluation is the gold standard. Keywords: tracheal resection, anastomosis, tracheal resection with end-to-end anastomosis, cervical computed tomography","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127621782","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":"Early activation of a late sequential cochlear implant systematic review","authors":"Niño Torre LM, Rodríguez Montoya SR","doi":"10.15406/joentr.2022.14.00513","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00513","url":null,"abstract":"Early activation of Cochlear Implant (CI) is a technique where the processor is activated in less than 4 weeks. In this way, time and costs are reduced in the process of functional restoration of hearing. On the other hand, a late sequential cochlear implant is one where the second CI is implanted at a different surgical time than the first and the user's age is greater than 7 years. The aim of systematic review is to analyze the available information on the effects of early activation after late sequential cochlear implant surgery. Systematic literature search was performed, in databases, of studies about the effects of early activation of late sequential CI and early activation of CI in terms of quality of life, hearing and language from the years 2012 to June 2022. Fifteen publications were included in the clinical evidence review for early CI activation review, but no articles were found for review on the topic of early activation of late sequential CI. The review identified early CI activation as a safe and reliable procedure where the effects are positive on quality of life, hearing and speech by electrophysiological and auditory perceptual recordings. However, no information about the effects on early activation of late sequential CI is recognized. Keywords: early activation, cochlear implant, sequential, late, impedance, complications","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129626684","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":"Radiofrequency treatment of labial hemangioma","authors":"Casas Ocando Julio, L. Vazquez, Alfonzo Rincón Jhoan","doi":"10.15406/joentr.2022.14.00511","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00511","url":null,"abstract":"Localized vascular lesions, hyperplastic or permanent dilation of vascular origin, not inflammatory or degenerative, are called angiomas. These hyperplasias may be of lymphatic vessels (lymphangiomas) or arterial vessels (hemangiomas), or both (hemolymphangiomas). Hemangioma is one of the most common benign tumors of vascular origin, present in childhood, located in the head and neck area (60%), the first location being the lip, followed by the tongue and palate; variable size, bright red or bluish red color, diagnosis by pressure changing color or by a puncture. A hemangioma can be flat, cavernous, papular, stellar, tuberous, and tumorous; characterized by three stages: endothelial cell proliferation, rapid growth, and spontaneous involution. Spontaneous resolution in 50% of cases and 90% of lesions before 9 years are solved. 20% of the cases are complicated, and the most frequent are ulcers with or without infection. Various procedures are described to solve it: surgery, cryosurgery, electrocoagulation, mechanical compression, systemic and intralesional corticotherapy, sclerotherapy, interferon alfa-2a, propranolol, selective embolization, laser therapy (DIODE, CO2, Nd: YAG) and radiotherapy; sometimes leaving as sequelae of treatment, scars. We present a case of a 25-year-old female patient with a labial hemangioma who had undergone two previous procedures, embolization, and arterial clip, without success. We use radiofrequency (coblation) since it is a method that allows achieving ablation, resection, coagulation, and hemostasis of blood vessels, with good results for the patient after its use, we carry out a systematic review of the hemangioma and the use of the coblator, in English and Spanish (Google Scholar, Cochrane, ResearchGate, Medline_Pubmed, LILACS, ScIELO, Medigraphic). Keywords: hemangioma, benign head and neck tumor, coblator, vascular malformation, radiofrequency surgery.","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132996588","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":"Increasing the speech intelligibility by the use of voice therapy in patients with profound hearing loss","authors":"Müge Müzeyyen Çiyiltepe, Özgül Akın Şenkal, Berkay Arslan","doi":"10.15406/joentr.2022.14.00510","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00510","url":null,"abstract":"Objective: The purpose of this study is to evaluate changes in the acoustic properties of voice in patients with profound sensorineural hearing loss to determine the effectiveness of voice therapy. Material-Method: Our study consisted of 15 individuals from the 20-25 years of age with bilateral symmetrical hearing loss (Group A), and 15 individuals in the 26-65 age group with post lingual cochlear implants (Group B). The control group (Group C) included 15 adults with the normal hearing range from the age group of 20-30. Prospective analysis methods was utilized for this research. In order to quantitatively measure the psychosocial consequences of voice-related disorders the Voice Handicap Index (VHI) was given, and, to determine the acoustic measures of the voice quality, the /ah/ sound was digitally recorded with the Multidimensional Voice Program (Kay Elemetrics) in all groups. Conclusion: Average Fundamental frequency (F0), jitter percentage (jitter), shimmer, noise-harmonic ratio (NHR), voice turbulence index (VTI), soft phonation index (SPI), PPQ and APQ parameters were analyzed through acoustic sound analysis program. When the data in Group A are compared with Group B, the acoustic parameters show a statistically significant higher value. Discussion: Speech intelligibility increased in individuals with profound hearing loss who received sound therapy and who used cochlear implants. According to the results of the VHI, individuals with cochlear implants benefit from voice therapy.","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122211912","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":"Antrochoanal polyp in pediatric age. A purpose of a clinical case","authors":"","doi":"10.15406/joentr.2022.14.00509","DOIUrl":"https://doi.org/10.15406/joentr.2022.14.00509","url":null,"abstract":"The antrochoanal polyp is a rare entity in the pediatric age; represents 4-6% of all nasal polyps in the general population, defined as a single, benign mass originating in the sinus maxilla, grows toward the posterior choana and may extend to the nasopharynx. Diagnosis is established by clinical findings and imaging studies; in particular, tomography. Most of the patients have a lesion visible on anterior rhinoscopy, as well as obstructive nasal symptomatology. During the early stages of development of a nasal polyp, when its size is still small, it is possible to make it disappear with corticosteroid treatment. The Surgical treatment remains the most effective and consists of surgical removal with Caldwell-Luc approach (antrostomy) or endoscopic. The objective of our work is to describe the diagnosis, therapeutic management, review the bibliography as well as the possible Differential diagnoses of a case of antrochoanal Killiam polyp.","PeriodicalId":316775,"journal":{"name":"Journal of Otolaryngology-ENT Research","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130415809","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}