Advances in Oto-Rhino-Laryngology最新文献_第7页

Clinical and Radiological Evaluation of Hypopharyngeal Carcinoma. 下咽癌的临床及影像学评价。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-02-12 DOI: 10.1159/000492306

Cesare Piazza, Alberto Paderno, Marco Ravanelli, Carlotta Pessina

引用次数: 7

Post-Traumatic Dizziness: Clinical and Medicolegal Aspects. 创伤后眩晕:临床和医学法律方面。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490279

Brian D Westerberg, Jane Lea, Anne F Cameron

{"title":"Post-Traumatic Dizziness: Clinical and Medicolegal Aspects.","authors":"Brian D Westerberg, Jane Lea, Anne F Cameron","doi":"10.1159/000490279","DOIUrl":"https://doi.org/10.1159/000490279","url":null,"abstract":"Subjective complaints of dizziness after mild-to-moderate traumatic brain injury are common. Alterations in the mode of injury have changed the presentation symptoms. Evolutions in neuroimaging challenge conventional concepts regarding lack of evidence of injury following mild head trauma and provide hope for elucidating the site of lesion in patients with post-traumatic balance symptoms. Yet the vestibular clinician must maintain a healthy level of suspicion regarding potential exaggeration of symptoms and disability in patients with a financial incentive. Unique conditions warrant particular attention by the vestibular clinician, including chronic traumatic encephalopathy, catastrophization, and persistent postural and perceptual dizziness. The clinical significance of abnormalities, particularly on vestibular-evoked myogenic potential testing, needs to be better defined prior to their widespread application in the medical legal arena. The role of the medical expert is to provide opinion on matters requiring special knowledge to assist the court in reaching its findings. As such, this chapter provides an update on recent advances to consider in patients with dizziness after trauma.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"82 ","pages":"111-118"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000490279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37120496","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

Migraine Associated Vertigo. 偏头痛引起的眩晕。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490280

Timothy Hain, Marcello Cherchi

引用次数: 1

Author Index. 作者索引。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 DOI: 10.1159/000490287

引用次数: 0

Otolith Function Testing. 耳石功能测试。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490271

Rachael L Taylor, Miriam S Welgampola

引用次数: 5

Epidemiology of Hypopharyngeal Cancer. 下咽癌的流行病学。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-02-05 DOI: 10.1159/000492299

Patrick J Bradley

{"title":"Epidemiology of Hypopharyngeal Cancer.","authors":"Patrick J Bradley","doi":"10.1159/000492299","DOIUrl":"https://doi.org/10.1159/000492299","url":null,"abstract":"Hypopharyngeal cancer is uncommon in the developed world; it is mostly diagnosed in men who smoke tobacco and consume excessive alcohol and uncommon in women. However, recent trends in the developed world show that there has been an annual increase in the percentage of women with hypopharyngeal cancer. In France, there has been a significant annual percentage change in the incidence of this form of cancer - a decrease in men and a greater increase in women since the 1980s. In the developing world, India, Taiwan and other countries, the incidence of hypopharyngeal cancer has increased in both men and women. These populations indulge widely in the social habit of tobacco usage at an earlier age, both smoking and chewing, excessive alcohol drinking, along with the chewing of the areca nut. Recent research has proven that areca nut alone is carcinogenic. The combination of tobacco and alcohol has a greater multiplicative impact on increasing the risk of cancer, while the involvement of areca nut remains to be proven. The World Health Organisation has commenced a Global Mission on the cessation of smoking and reduction of alcohol intake. The effect of this work has been credited with a reduction of hypopharyngeal and other head and neck cancers. While the younger aged should be the targeted population to avoid tobacco usage, the middle and older age of the population must be targeted for quitting smoking tobacco.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"83 ","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000492299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37117488","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: 24

Psychiatric Considerations in the Management of Dizzy Patients. 眩晕患者治疗中的精神病学注意事项。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490286

Jeffrey P Staab

{"title":"Psychiatric Considerations in the Management of Dizzy Patients.","authors":"Jeffrey P Staab","doi":"10.1159/000490286","DOIUrl":"https://doi.org/10.1159/000490286","url":null,"abstract":"Research over the last 4 decades has revealed a great deal of information about psychiatric and functional causes, consequences, and comorbidity of vestibular syndromes. Primary care clinicians, neurologists, and otologists who are willing to set aside the 20th century notion of \"psychogenic dizziness\" and incorporate 21st century concepts about 5 behavioral entities into their practices will be rewarded for their efforts with a marked improvement in diagnostic acumen and therapeutic effectiveness. Panic attacks may cause or contribute to acute or episodic vestibular symptoms. Generalized anxiety and depression do the same for chronic vestibular symptoms. Fear of falling causes considerable functional impairment, particularly in the elderly. Persistent postural-perceptual dizziness, a newly defined functional vestibular disorder that was 145 years in the making, is the most common cause of chronic dizziness in neurotologic practice. These 5 disorders are the primary diagnoses in 8-10% of patients who consult neurologists or otologists for vestibular symptoms and may be present in up to 50% of patients with structural vestibular disorders. They affect the clinical course of other illnesses and outcomes of medical and surgical interventions. Fortunately, when recognized properly, they are among the most treatment responsive of all conditions that cause vestibular symptoms.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"82 ","pages":"170-179"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000490286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37121834","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: 20

Aminoglycoside Vestibulotoxicity. 氨基糖苷类Vestibulotoxicity。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490277

John Rutka

{"title":"Aminoglycoside Vestibulotoxicity.","authors":"John Rutka","doi":"10.1159/000490277","DOIUrl":"https://doi.org/10.1159/000490277","url":null,"abstract":"Many pharmaceuticals have ototoxicity (both cochlear and/or vestibular) as part of their adverse medication profile. The aminoglycoside class of antimicrobials has been especially well studied in this regard. Many questions remain unanswered as to how to best monitor and prevent this complication. A bilateral vestibular loss profoundly affects an individual's quality of life, physical activities, and overall independence. Paradoxically, the effects of gentamicin ototoxicity have provided further insight into the workings of the vestibular system, especially the vestibulo-ocular reflex. The microbiological activity, therapeutic use, toxicities, and genetics predisposing a person to aminoglycoside ototoxicity are presented. The clinical importance of recognizing ataxia, disequilibrium, and oscillopsia as presenting symptoms for vestibulotoxicity rather than hearing loss or vertigo is stressed. Documented risk factors and new observations regarding the spectrum of vestibular dysfunction and differences in vestibulotoxicity from multiple daily dosing vs. single daily dosing schedules are presented for the first time. While most vestibulotoxicity arises from systemic aminoglycoside administration, intratympanic application has been used therapeutically for intractable Ménière's disease. Commercially available ototopical aminoglycoside preparations for the treatment of external/middle ear disease in the presence of a tympanic membrane defect have also been documented to cause unintentional ototoxicity.","PeriodicalId":39848,"journal":{"name":"Advances in Oto-Rhino-Laryngology","volume":"82 ","pages":"101-110"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000490277","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37283159","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: 11

Vestibular Neuritis: Recent Advances in Etiology, Diagnostic Evaluation, and Treatment. 前庭神经炎:病因学、诊断评估和治疗的最新进展。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490275

Trung N Le, Brian D Westerberg, Jane Lea

引用次数: 27

Benign Paroxysmal Positional Vertigo. 良性阵发性位置性眩晕。

Advances in Oto-Rhino-Laryngology Pub Date : 2019-01-01 Epub Date: 2019-01-15 DOI: 10.1159/000490273

Ryan S Instrum, Lorne S Parnes

引用次数: 6