Journal of Rhinology最新文献_第6页

Cost-Effectiveness Analysis of Uvulopalatopharyngoplasty Versus Positive Airway Pressure in Patient With Obstructive Sleep Apnea in South Korea. 韩国阻塞性睡眠呼吸暂停患者使用腭咽成形术与气道正压通气的成本-效果分析

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2022.00416

Jae Hoon Cho

{"title":"Cost-Effectiveness Analysis of Uvulopalatopharyngoplasty Versus Positive Airway Pressure in Patient With Obstructive Sleep Apnea in South Korea.","authors":"Jae Hoon Cho","doi":"10.18787/jr.2022.00416","DOIUrl":"10.18787/jr.2022.00416","url":null,"abstract":"Background and objectives: Although positive airway pressure (PAP) is known to be more effective than uvulopalatopharyngoplasty (UPPP) in the treatment of obstructive sleep apnea (OSA), PAP is a more expensive treatment in Korea. Therefore, it is necessary to compare the cost-effectiveness of these two treatments.Methods: We assumed patients with moderate to severe OSA and divided them into three groups: those who used PAP (the PAP Treatment group), those who received UPPP (surgery group), and those who did not receive a diagnosis or treatment (No Treatment group). We compared their medical costs over 10 years. The incidence rate of common complications and accidents (coronary heart disease, heart failure, stroke, depression, diabetes, vehicle accident, and work-related accident) with or without treatment was adopted through a literature review. The average medical expenses for treating each complication and accident were also found by searching several databases.Results: The incidence of all complications was higher in the control group than in the PAP Treatment group or the surgery group. However, since the absolute incidence rate was not high in all groups and medical expenses in Korea are low, the expected treatment cost was not high (KRW 108,209 per year for the PAP Treatment group, KRW 141,228 for the surgery group, and KRW 178,369 for the No Treatment group). In contrast, the costs of a polysomnography examination, PAP rental, and mask purchase were relatively high. Based on these results, the 10-year medical expenses for the PAP Treatment group were KRW 10,246,948, and those for the surgery were only KRW 925,095.Conclusion: Although PAP treatment reduces the incidence of complications in OSA patients, it is not as cost-effective as UPPP in Korea, where medical costs are low.","PeriodicalId":33935,"journal":{"name":"Journal of Rhinology","volume":" ","pages":"15-22"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43190573","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors for Rebleeding After Successful Rapid Rhino Packing in Epistaxis Patients. 鼻出血患者快速鼻填塞成功后再出血的危险因素

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00001

Joon Taek Oh, Mi Rye Bae

{"title":"Risk Factors for Rebleeding After Successful Rapid Rhino Packing in Epistaxis Patients.","authors":"Joon Taek Oh, Mi Rye Bae","doi":"10.18787/jr.2023.00001","DOIUrl":"10.18787/jr.2023.00001","url":null,"abstract":"Background and objectives: Epistaxis is one of the most common emergencies in otolaryngology, and the recently developed Rapid Rhino nasal pack, a balloon-type nasal packing device, is widely used in emergency departments. Rebleeding after initial treatment increases patients' discomfort and medical costs. The aim of this study was to investigate risk factors for rebleeding in patients treated with Rapid Rhino packing.Methods: In this retrospective study, 93 patients with epistaxis treated with Rapid Rhino from January 2020 to November 2022 were divided into the well-controlled group (39 patients) and the rebleeding group (54 patients), and the baseline characteristics, management methods, and complications were compared between these groups. The rebleeding group was divided according to whether patients experienced a single episode of rebleeding (38 patients) or multiple rebleeding episodes (16 patients), and the differences between these two groups were compared.Results: Oral anticoagulation therapy was associated with a higher risk of rebleeding after Rapid Rhino packing (odds ratio [OR]=8.41, p=0.047). A history of nasal surgery was associated with multiple rebleeding (OR=22.55, p=0.009). Age, sex, the management method, complications, and the site of bleeding were not found to be related to rebleeding.Conclusion: Patients with rebleeding after Rapid Rhino nasal packing had a higher rate of concurrent oral anticoagulation therapy. A history of nasal surgery was strongly associated with multiple episodes of rebleeding. A detailed medical history can be important for assessing the risk of rebleeding in epistaxis patients treated with Rapid Rhino packing.","PeriodicalId":33935,"journal":{"name":"Journal of Rhinology","volume":" ","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45797781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of Intraoperative Saline-Soaked Pharyngeal Packing on Nausea, Vomiting, and Throat Pain After Nasal Surgery: A Systematic Review and Meta-Analysis. 术中盐水浸泡咽部填塞对鼻手术后恶心、呕吐和咽喉疼痛的影响:一项系统综述和荟萃分析

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00014

Do Hyun Kim, Se Hwan Hwang

{"title":"Effects of Intraoperative Saline-Soaked Pharyngeal Packing on Nausea, Vomiting, and Throat Pain After Nasal Surgery: A Systematic Review and Meta-Analysis.","authors":"Do Hyun Kim, Se Hwan Hwang","doi":"10.18787/jr.2023.00014","DOIUrl":"10.18787/jr.2023.00014","url":null,"abstract":"Background and objectives: The purpose of this study was to conduct a meta-analysis of the effects of intraoperative pharyngeal packing on postoperative nausea, vomiting, and sore throat in nasal surgery patients.Methods: Databases were searched from inception to December 2022. Randomized controlled trials comparing saline-soaked pharyngeal packing (packing group) with no packing (control group) during intubation in patients undergoing nasal surgery were included. The primary outcomes of interest were the incidence of postoperative nausea, vomiting, and sore throat at 24 hours.Results: Eleven studies, including a total of 931 patients, were included. There was no significant difference between the two groups in the incidence of postoperative nausea and vomiting and severity scores at 2, 6, and 24 hours postoperatively. The incidence of throat pain was higher in the packing group than in the control group immediately after surgery and at 24 hours postoperatively. However, no significant difference was observed between the two groups in the incidence of sore throat at 6 and 12 hours postoperatively.Conclusion: Intraoperative saline-soaked pharyngeal packing did not significantly decrease postoperative nausea and vomiting. However, the use of pharyngeal packing was associated with a higher incidence of sore throat in the initial recovery period.","PeriodicalId":33935,"journal":{"name":"Journal of Rhinology","volume":" ","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45627688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of IgG4-Related Disease With Sinonasal Involvement Presenting With Decreased Visual Acuity. igg4相关疾病累及鼻窦表现为视力下降1例

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00008

Ju Eun Lee, Se Hwan Hwang

引用次数: 0

A Case of Forehead Flap Nasal Reconstruction for Dog Bite Nasal Injury. 狗咬伤性鼻损伤的额皮瓣鼻再造1例

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2022.00426

Sung Seok Ryu, Yong Ju Jang

引用次数: 0

Comparison of Outcomes After Septoplasty With Non-Absorbable or Biodegradable Synthetic Polyurethane Foam Nasal Packing With a Focus on Pain and Cardiac Factors. 以疼痛和心脏因素为重点的不可吸收或可生物降解合成聚氨酯泡沫鼻中隔成形术后结果的比较

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00005

Jae Seong An, Do Hyun Kim, Soo Whan Kim, Sung Won Kim, Il Hwan Lee

{"title":"Comparison of Outcomes After Septoplasty With Non-Absorbable or Biodegradable Synthetic Polyurethane Foam Nasal Packing With a Focus on Pain and Cardiac Factors.","authors":"Jae Seong An, Do Hyun Kim, Soo Whan Kim, Sung Won Kim, Il Hwan Lee","doi":"10.18787/jr.2023.00005","DOIUrl":"10.18787/jr.2023.00005","url":null,"abstract":"Background and objectives: We compared pain levels, cardiovascular parameters, and complications according to whether patients underwent nasal packing with non-absorbable or biodegradable materials.Methods: Patients who underwent septoplasty from May 2015 to April 2020 were retrospectively reviewed. Numeric rating scale (NRS) scores for pain, blood pressure, and heart rate were measured three times (immediately after surgery, 6 hours later, and on postoperative day [POD] 1). We collected data on complications, including postoperative bleeding, septal hematoma, adhesions, septal perforation, and the recurrence of septal deviation.Results: In total, 200 patients underwent septoplasty, of whom 100 underwent nasal packing with Merocel and 100 underwent packing with Nasopore. The summed NRS scores over the three time points did not differ significantly between the groups. The NRS scores at 6 hours after surgery were highest in both groups. The systolic and diastolic blood pressure and the heart rate immediately after surgery were significantly higher than before surgery in both groups. The blood pressure and heart rate at 6 hours after surgery and on POD 1 did not differ significantly from those before surgery in either group. The incidence of sleep disturbance, postoperative bleeding, septal hematoma, adhesions, septal perforation, and recurrence of septal deviation did not differ significantly between the two groups.Conclusion: Although the level of postoperative pain and the cardiovascular parameters changed over time, we found no significant differences in pain, blood pressure, heart rate, or the complication rate according to whether patients underwent nasal packing with Nasopore or Merocel.","PeriodicalId":33935,"journal":{"name":"Journal of Rhinology","volume":" ","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46558799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Postoperative Guillain-Barré Syndrome After Nasal Surgery. 鼻手术后格林-巴氏综合征1例

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00011

Chan Ho Yoon, Young Bin Yun, Sangjun Kim, Woo Yong Bae

引用次数: 0

Weight Loss for Obstructive Sleep Apnea: Pharmacological and Surgical Management. 阻塞性睡眠呼吸暂停的体重减轻:药理学和外科治疗

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00010

Beomsoo Kim, Ji Ho Choi

{"title":"Weight Loss for Obstructive Sleep Apnea: Pharmacological and Surgical Management.","authors":"Beomsoo Kim, Ji Ho Choi","doi":"10.18787/jr.2023.00010","DOIUrl":"10.18787/jr.2023.00010","url":null,"abstract":"Obstructive sleep apnea (OSA) is a relatively common sleep disorder characterized by repetitive narrowing or obstruction of the upper airway, including the nasal cavity, pharynx, and larynx, during sleep. OSA can cause a variety of symptoms and/or complications, such as excessive daytime sleepiness, reduced concentration, hypertension, type II diabetes, and stroke. Accordingly, an accurate diagnosis and appropriate treatments are required for OSA. Obesity is an important risk factor for OSA and is characterized by the abnormal accumulation of fat in the body, including the upper airway. When the body weight increases, adipose tissue accumulates in the pharynx, which can narrow the diameter of the upper airway and lead to dysfunction of the pharynx dilator muscles. These changes caused by weight gain can cause or exacerbate OSA. Various therapeutic options exist for patients with overweight or obesity, including diet, behavioral modifications, exercise, pharmacological treatments, and surgical procedures. Of these, diet, behavioral modifications, and exercise constitute the first-line management for obesity. However, their results are relatively unsatisfactory, and pharmacotherapy and bariatric surgery are generally implemented in obese patients with OSA. Therefore, the purpose of this paper is to review pharmacological and surgical management strategies for obesity that are currently commonly used in overweight or obese adult patients with OSA.","PeriodicalId":33935,"journal":{"name":"Journal of Rhinology","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11524361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46124626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impacted Foreign Body in the Anterior Nasal Cavity Presenting With Tooth Pain. 前鼻腔内阻生异物，表现为牙齿疼痛

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00007

Jae Hyoung Choi, Kyung Soo Kim, Hyun Jin Min

引用次数: 0

Pneumothorax Induced by Automatic Positive Airway Pressure Therapy for Obstructive Sleep Apnea: A Rare Case Report and Review of the Literature. 自动气道正压治疗阻塞性睡眠呼吸暂停引起的肺炎：一例罕见病例报告及文献复习

Journal of Rhinology Pub Date : 2023-03-01 Epub Date: 2023-03-30 DOI: 10.18787/jr.2023.00004

Min Ju Kang, Yun Jin Kang, Chan-Soon Park

引用次数: 0