Advances in Oto-Rhino-Laryngology最新文献

Advances in Neurolaryngology 神经喉科研究进展

Advances in Oto-Rhino-Laryngology Pub Date : 2020-11-09 DOI: 10.1159/isbn.978-3-318-06628-9

P. Bradley, V. Prasad, M. Remacle

引用次数: 0

Anterior Skull Base Tumors 前颅底肿瘤

Advances in Oto-Rhino-Laryngology Pub Date : 2020-07-30 DOI: 10.1159/isbn.978-3-318-06670-8

P. Bradley, P. Nicolai

引用次数: 2

Transnasal Endoscopic Surgery: Surgical Techniques and Complications. 经鼻内窥镜手术:手术技术和并发症。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-07-30 DOI: 10.1159/000457924

Paolo Battaglia, Alessia Lambertoni, Paolo Castelnuovo

{"title":"Transnasal Endoscopic Surgery: Surgical Techniques and Complications.","authors":"Paolo Battaglia, Alessia Lambertoni, Paolo Castelnuovo","doi":"10.1159/000457924","DOIUrl":"https://doi.org/10.1159/000457924","url":null,"abstract":"Nowadays, surgeons have a wide armamentarium of surgical approaches available to safely treat sinonasal malignancies, which includes open approaches, with the traditional craniofacial resection (CFR), and endoscopic transnasal techniques. The correct choice depends on the features of the pathology. It is well known that endoscopic approaches have a lower morbidity compared with traditional open techniques, due to a shorter hospitalization, absence of facial incisions, and avoidance of brain retraction. Moreover, endoscopic surgery presents clear technical advantages. For example, magnification of the surgical field allows the surgeon to carefully identify tumor margins, the site of origin, and the anatomical structures involved by the lesion. Nevertheless, a purely endoscopic approach cannot always provide successful resection of the tumor; the patient must be informed about the possibility of switching to a combined cranioendoscopic resection or CRF, depending on the effective extension of the disease evaluated intraoperatively. Despite these advantages, postoperative complications can occur after endoscopic endonasal surgery, as in any surgical intervention; however, complications after these procedures are less severe and less frequent compared with traditional open approaches. The most common complications observed include skull base reconstruction failure, intraoperative vascular lesions, and orbital or central nervous system complications. Thus, endoscopic endonasal resection, when properly planned and performed by experienced surgeons, is an acceptable treatment for well-selected skull base malignancies with long-term outcomes comparable to those achieved with traditional external approaches.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"84 ","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000457924","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38210370","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: 6

Benign Tumors of the Anterior Cranial Base. 前颅底良性肿瘤。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-07-30 DOI: 10.1159/000457930

Carl H Snyderman, Philippe Lavigne

{"title":"Benign Tumors of the Anterior Cranial Base.","authors":"Carl H Snyderman, Philippe Lavigne","doi":"10.1159/000457930","DOIUrl":"https://doi.org/10.1159/000457930","url":null,"abstract":"Benign tumors of the anterior cranial base may originate from intracranial, cranial, or extracranial sites. Intracranial tumors such as meningiomas may secondarily involve the cranial base and extend into the sinuses or nasal cavity. Bony tumors arising from the cranium include benign fibro-osseous lesions such as osteoma, fibrous dysplasia, and ossifying fibroma. The most common extracranial tumors that may extend to the skull base include angiofibroma and inverted papilloma. Symptoms are nonspecific and diagnosis is often delayed. In most cases, a diagnosis can be established based on the clinical presentation and radiographic features. Some small asymptomatic tumors may be observed for growth (meningioma, osteoma), whereas others should be treated due to continued destructive growth (angiofibromas) or potential for malignancy (inverted papilloma). Surgery remains the predominant treatment modality for benign tumors of the anterior cranial base. The major advance in recent decades has been the adoption of endoscopic techniques. Advances in endoscopic transnasal surgery have dramatically altered the surgical landscape, enabling the removal of tumors of the anterior cranial base with minimal morbidity. Due to decreased morbidity in comparison to transfacial or transcranial approaches, endoscopic transnasal surgery has lowered the threshold for surgery for benign tumors and can be applied to adult as well as pediatric populations. Anatomical limits include the anterior cranial base from the frontal sinus to the sella and optic canals and laterally to the mid-plane of the orbital roofs. Large dural defects can be reliably reconstructed using local (nasoseptal) and regional (extracranial pericranial) vascularized flaps.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"84 ","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38209438","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: 2

Olfactory Neuroblastoma. 嗅觉神经母细胞瘤。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-07-30 DOI: 10.1159/000457935

Mathieu Veyrat, Benjamin Vérillaud, Domitille Fiaux-Camous, Sébastien Froelich, Damien Bresson, Piero Nicolai, Philippe Herman

{"title":"Olfactory Neuroblastoma.","authors":"Mathieu Veyrat, Benjamin Vérillaud, Domitille Fiaux-Camous, Sébastien Froelich, Damien Bresson, Piero Nicolai, Philippe Herman","doi":"10.1159/000457935","DOIUrl":"https://doi.org/10.1159/000457935","url":null,"abstract":"Olfactory neuroblastoma is a rare tumor. Nasal endoscopy typically identifies a soft mass arising from the olfactory cleft. Computer tomography and magnetic resonance imaging are mandatory for staging (in association with 18F-fluorodeoxyglucose positron emission tomography) in high-grade and/or high-stage tumors. Biopsy must be representative to confirm a diagnosis and for grading purposes. Two complementary classifications are described: one (Kadish) based on clinical-radiological analysis, and the other (Hyams) on histological criteria. Based on Hyams grading, studies have pointed out that grades III-IV entail significantly different behavior and prognosis. A multimodal approach, which may combine surgery, chemotherapy, and radiotherapy, is essential to manage these tumors. Treatment schedules which include surgery seem to be superior to others. Surgery classically consisted of anterior craniofacial resection to obtain good exposure. However, the role of transnasal endoscopic surgery has expanded because of its association with fewer complications, shorter hospital stays, and comparable oncologic results to the open surgical techniques. Unilateral endoscopic craniectomy can be performed for limited lesions to avoid definitive anosmia. Treatment that includes radio- and chemotherapy is recommended for advanced and high-grade tumors. The role of neoadjuvant chemotherapy in advanced-stage lesions is emerging. The main prognostic factors associated with poor patient outcome are Hyams grade III-IV, Kadish C-D, and positive surgical margins. Lifelong follow up is recommended.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"84 ","pages":"154-167"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38208350","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: 2

Endoscopic Endonasal Approaches for Anterior Skull Base Meningiomas. 前颅底脑膜瘤的鼻内内镜入路。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-07-30 DOI: 10.1159/000457931

Alexandre B Todeschini, André Beer-Furlan, Brad Otto, Daniel M Prevedello, Ricardo L Carrau

引用次数: 5

Objective Measures of Stroboscopy and High-Speed Video. 频闪和高速视频的测量方法。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-11-09 DOI: 10.1159/000456681

Peak Woo

{"title":"Objective Measures of Stroboscopy and High-Speed Video.","authors":"Peak Woo","doi":"10.1159/000456681","DOIUrl":"https://doi.org/10.1159/000456681","url":null,"abstract":"Videostroboscopy and high-speed imaging is now an accepted way to evaluate laryngeal function in patients with voice disorders. In patients with neurolaryngological diseases such as tremor, laryngeal spasm, and paralysis, having an objective way to evaluate vocal function is desirable. Using digital imaging and analysis, both the videostroboscopy and the high-speed video can be analyzed to obtain relevant measures of vocal function. From the videostroboscopy, the montage of the glottal cycle derived from steady of vocal vibration can be analyzed by using edge tracking software to obtain the glottal area waveform. The waveform is an indication of the efficiency of the vocal folds in acting as an oscillator and gives direct information as to the open and closed phase, the symmetry of vocal fold vibration and the degree of amplitude contribution from each fold. High-speed video overcomes the deficiencies of stroboscopy by allowing for all voice gestures to be studies. Using digital kymography and analysis of the vibrogram, analysis of the onset of vocal fold oscillation, evaluation of diplophonia, tremor, and voice breaks becomes possible. Furthermore, analysis of the high-speed video kymograph tracing using signal analysis allow the investigator to evaluate the frequency and power relationships of vocal fold vibratory function in the normal and disordered state.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"85 ","pages":"25-44"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38582237","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: 9

Spasmodic Dysphonia. 痉挛性发声困难。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-11-09 DOI: 10.1159/000456693

Jiahui Lin, Babak Sadoughi

引用次数: 1

Vocal Fold Immobility: An Algorithm for Treating Glottal Insufficiency. 声带不动:一种治疗声门功能不全的算法。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-11-09 DOI: 10.1159/000496491

Vaninder K Dhillon, Lee M Akst

引用次数: 0

Radiology in Neurolaryngology. 神经喉科放射学。

Advances in Oto-Rhino-Laryngology Pub Date : 2020-01-01 Epub Date: 2020-11-09 DOI: 10.1159/000456682

Salman Qureshi

引用次数: 0