Turkish Archives of Otorhinolaryngology最新文献_第7页

Challenging Removal of Embedded Fishbone in Tongue: Multimodal Technique, Surgical Approach and Consideration of Migration 挑战性去除舌内嵌鱼骨:多模式技术，手术入路和对迁移的考虑

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Turkish Archives of Otorhinolaryngology Pub Date : 2022-03-01 DOI: 10.4274/tao.2021.2021-6-5

Fathiyah Idris, F. Kin, F. Zaki, M. Baki

引用次数: 0

Ethical Dilemmas in the Management of Head and Neck Cancers in the Era of the COVID-19 Pandemic 新冠肺炎大流行时代头颈部肿瘤治疗的伦理困境

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Turkish Archives of Otorhinolaryngology Pub Date : 2022-03-01 DOI: 10.4274/tao.2022.2021-11-7

R. Dhanani, M. Wasif, H. Pasha, S. K. Ghaloo, Engr. Dr. Muntazir Hussain, Abdul Basit Shah Vardag

引用次数: 1

Primary Laryngeal Tuberculosis Manifesting as Irregular Vocal Fold Lesion 原发性喉结核表现为不规则声带病变

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Turkish Archives of Otorhinolaryngology Pub Date : 2022-03-01 DOI: 10.4274/tao.2021.2021-7-1

Lu Guan, Tey Kai Jun, M. Azman, M. Baki

{"title":"Primary Laryngeal Tuberculosis Manifesting as Irregular Vocal Fold Lesion","authors":"Lu Guan, Tey Kai Jun, M. Azman, M. Baki","doi":"10.4274/tao.2021.2021-7-1","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-7-1","url":null,"abstract":"Laryngeal tuberculosis is rare despite its close anatomical and physiological proximity to the lungs. It constitutes less than 1% of extrapulmonary tuberculosis. The symptoms of laryngeal tuberculosis are non-specific and mimic other laryngeal pathologies. The recent evolving and atypical endoscopic laryngeal features cause a diagnostic dilemma and delay in treatment. In this report, we presented three patients with distinct age and medical history, and hoarseness. Flexible videolaryngoscopy showed similar findings in the three cases, with irregular mucosa involving the entire length of the vocal fold, unilaterally in two cases and bilaterally in one. Mucosal waves were typically absent on laryngostroboscopy examination. The routine workup for pulmonary tuberculosis was unremarkable. The usage of Mycobacterium tuberculosis complex (MTBC) and rifampicin resistance (Xpert MTB/RIF) assay that detects Mycobacterium tuberculosis in the tissue biopsy specimens has helped in the rapid diagnosis of primary laryngeal tuberculosis and timely commencement of anti-tuberculous therapy. The clinical course and response to treatment were diverse in which two cases showed good response whilst the third developed disseminated tuberculosis despite optimal therapy.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"60 1","pages":"47 - 52"},"PeriodicalIF":0.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43863748","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

Management of Basal Cell Carcinomas: Clinical Experience 基底细胞癌的治疗：临床经验

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Turkish Archives of Otorhinolaryngology Pub Date : 2022-03-01 DOI: 10.4274/tao.2022.2021-6-11

Irfan Kara, Alperen Vural, M. Ünlü, Furkan Şan, Gülten Benan Göçer, Muhammed Gazi Yıldız

{"title":"Management of Basal Cell Carcinomas: Clinical Experience","authors":"Irfan Kara, Alperen Vural, M. Ünlü, Furkan Şan, Gülten Benan Göçer, Muhammed Gazi Yıldız","doi":"10.4274/tao.2022.2021-6-11","DOIUrl":"https://doi.org/10.4274/tao.2022.2021-6-11","url":null,"abstract":"Objective: Basal cell carcinomas (BCC) mostly originate from the head and neck region. Main goal in BCC treatment is to achieve both aesthetic and functional results while observing the principles of tumor surgery. We report our experience regarding the clinical, histopathological features and surgical treatment results of head and neck basal cell carcinomas in the light of the literature. Methods: Files of patients with head and neck BCCs treated surgically in two university hospitals were retrospectively analyzed. Sociodemographic variables, location and size of tumor, pathological subtype, recurrence ratio, complications and technique of reconstruction were evaluated. Results: We analyzed 119 tumoral lesions in 105 patients of whom 55 (52.4%) were male and 50 (47.6%) were female. Their mean age was 67.3±12 years. The nasal region was the most common location area (n=42, 35.3%). Mean tumor size was 12.6 mm and tumor size range was 2–85 mm. The most commonly used reconstruction techniques were flap surgery, followed by primary closure, and skin grafts. Conclusion: It is important to remove the tumor with a clear surgical margin at least 4 mm and evaluate the five surgical margins with frozen sections intraoperatively. Operations are often performed under local anesthesia and are well tolerated by patients. The most common flaps used in the reconstruction are not only easy to learn but also sufficient in most cases. Skin grafts are good choices in defects located in the cavum concha and the external meatus.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"60 1","pages":"9 - 15"},"PeriodicalIF":0.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49535458","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: 0

Caffeine Enhances the Balance System and Postural Balance in Short Time in Healthy Individuals 咖啡因在短时间内增强健康个体的平衡系统和姿势平衡

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-4-17

Bunyamin Cildir, Büşra Altın, S. Aksoy

{"title":"Caffeine Enhances the Balance System and Postural Balance in Short Time in Healthy Individuals","authors":"Bunyamin Cildir, Büşra Altın, S. Aksoy","doi":"10.4274/tao.2021.2021-4-17","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-4-17","url":null,"abstract":"Objective: This study aimed to explore the effects of caffeine on balance function by determining the extent to which caffeine consumption affects postural sway and balance control in healthy individuals. Methods: Thirty healthy participants aged 20–35 years without any vestibular disorder were enrolled in this study. The participants were randomly divided into two groups, and those in Group 1 were given two cups of regular coffee (300–350 mg) while those in Group 2 were given two cups of decaffeinated coffee. The sensory organization test, the head shake sensory organization test, the limits of stability test, and the adaptation test were performed on all participants before and after coffee intake using computerized dynamic posturography. Results: The sensory organization test composite scores (p=0.001) and the head shake condition 5 (C5) equilibrium scores (p=0.001) of the participants in Group 1 showed a statistically significant increase after coffee intake while the composite scores (p=0.001) and the head shake condition (C5) equilibrium scores (p=0.001) of those in Group 2 showed a statistically significant decrease. There was a statistically significant difference between the two groups in the equilibrium scores in the pitch plane (p=0.001), the yaw plane (p=0.001), and the roll plane (p=0.001) of C5 after coffee intake. Conclusion: Consumption of an appropriate dose of caffeine may enhance body position, postural stability, and voluntary motor control ability. The combined use of the sensory organization test, the head shake sensory organization test, the adaptation test, and the limits of stability test in evaluating the balance mechanism in individuals with normal vestibular findings provides detailed information about postural sway.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"59 1","pages":"253 - 260"},"PeriodicalIF":0.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43151661","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: 3

Mycobiome in the Middle Ear Cavity with and Without Otitis Media with Effusion 中耳炎伴和不伴中耳炎伴积液的中耳腔菌群

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-10-4

R. Durmaz, B. Durmaz, O. Arı, Olkar Abdulmajed, Serdal Çelik, M. Kalcıoğlu

{"title":"Mycobiome in the Middle Ear Cavity with and Without Otitis Media with Effusion","authors":"R. Durmaz, B. Durmaz, O. Arı, Olkar Abdulmajed, Serdal Çelik, M. Kalcıoğlu","doi":"10.4274/tao.2021.2021-10-4","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-10-4","url":null,"abstract":"Objective: No data have yet been published revealing the composition and the diversity of fungal communities (mycobiome) in the human middle ear cavity. The presented study investigated the mycobiome in the middle ear cavities of individuals with healthy middle ears and patients with otitis media with effusion. Methods: A total of 77 middle ear and four adenoid samples were collected from 47 individuals (35 children and 12 adults) in Group 1 and from 20 children in Group 2. The mycobiome profile was analyzed with nuclear ribosomal internal transcribed spacer 2 (ITS2) based metabarcoding using an Illumina MiSeq metagenomics kit. Results: ITS2-based metabarcoding detected 14 different genera and 17 different species with a mean relative abundance of ≥1% in the samples analyzed. Mycobiome profile was similar between the adenoid tissue and the middle ear cavity, between Groups 1 and Group 2, and between children and adults. Fusarium, Stemphylium, Candida, and Cladosporium were the most abundant genera detected in all samples. The mean relative abundances of the genera Candida and Fusarium were remarkably higher in Group 2 compared to Group 1. Conclusion: The species Candida glaebosa, Candida cretensis, Aspergillus ruber, Penicillium desertorum, and Rhizopus arrhizus were significantly more abundant in patients with otitis media with effusion (OME), raising the possibility that they affect the pathogenesis of OME.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"59 1","pages":"261 - 270"},"PeriodicalIF":0.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46870102","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: 1

En Bloc Resection of Supraglottic Carcinomas with Transoral Laser Microsurgery 经口激光显微手术整块切除声门上癌

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-8-13

Kerem Öztürk, Arın Öztürk, Goksel Turhal

{"title":"En Bloc Resection of Supraglottic Carcinomas with Transoral Laser Microsurgery","authors":"Kerem Öztürk, Arın Öztürk, Goksel Turhal","doi":"10.4274/tao.2021.2021-8-13","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-8-13","url":null,"abstract":"Objective: Complete en bloc supraglottic tumor excision with transoral laser microsurgery (TLM) can be achieved with good postoperative outcomes. We report surgical feasibility and the postsurgical outcomes of en bloc resection of supraglottic laryngeal squamous cell carcinomas (LSCC) with TLM. Methods: Seventeen patients who underwent TLM for supraglottic laryngeal cancer were included in the study. Demographic and pathological data, clinic and follow-up outcomes of the patients were reviewed and analyzed. Results: Type 1 TLM was performed in three patients, type 2a in one patient, type 3b in 12 patients, and type 4b in one patient. Negative surgical margins were achieved in all of the cases. Re-excision or any adjuvant treatment for positive resection margins was not required in any of the cases. Eight patients received adjuvant radiotherapy due to lymph node metastasis. Mean follow-up time was 33.8±15.7 months (range: 10–65 months). None of the patients had recurrence or distant metastasis. Conclusion: The transoral approach with the use of CO2 laser and microscopy offers complete tumor excision for treating supraglottic LSCC. The three-dimensional structure of the supraglottis can be achieved with adequate exposure. En bloc resection is possible with safe margins.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"59 1","pages":"282 - 288"},"PeriodicalIF":0.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44060533","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: 0

Early Transthyrohyoid Injection Laryngoplasty Under Local Anaesthesia in a Single Tertiary Center of Southeast Asia: Multidimensional Voice Outcomes 东南亚一个三级中心在局部麻醉下的早期经甲状舌骨注射喉镜成形术：多维声音结果

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-8-12

Xiaojun Chow, Sitti Farhana Johari, Luqman Rosla, Adi Farhan Abdul Wahab, M. Azman, M. Baki

{"title":"Early Transthyrohyoid Injection Laryngoplasty Under Local Anaesthesia in a Single Tertiary Center of Southeast Asia: Multidimensional Voice Outcomes","authors":"Xiaojun Chow, Sitti Farhana Johari, Luqman Rosla, Adi Farhan Abdul Wahab, M. Azman, M. Baki","doi":"10.4274/tao.2021.2021-8-12","DOIUrl":"https://doi.org/10.4274/tao.2021.2021-8-12","url":null,"abstract":"Objective: To study the effectiveness of early percutaneous transthyrohyoid injection laryngoplasty under local anesthesia in improving voice quality in unilateral vocal fold paralysis (UVFP) patients. Methods: Longitudinal data of 29 UVFP patients who underwent injection laryngoplasty within six months from the onset of the symptoms were studied. The injectate (0.5–1 mL) was hyaluronic acid-based material (Juvéderm ULTRA XC; Allergan Industrie, France) that was delivered under local anesthesia with transthyrohyoid approach using a double-bend 21G needle. Multidimensional voice outcomes employing: 1) Malay-Voice-Handicap Index-10 (mVHI-10); 2) maximum phonation time (MPT); and 3) acoustic analysis [jitter%, shimmer% and noise-harmonic ratio (NHR)] were used to assess the treatment progress. The voice parameters were measured at baseline (2 weeks pre-injection), and at the first and third months post-injection. Results: The mean age of the 29 patients was 44.69 years, with a female-to-male ratio of 3.14:1. The voice outcomes measured at different time points were evaluated with repeated measures ANOVA. Significant improvement was observed from baseline to three months post injection laryngoplasty for mVHI-10, jitter, and NHR (p<0.001), shimmer (p=0.005) and MPT (p=0.018). Following the procedure, none of the patients developed any major complications. Conclusion: Office setting early transthyrohyoid injection laryngoplasty using a double-bend needle is a safe and effective procedure in patients with UVFP with evidence of significant improvement in voice and life quality.","PeriodicalId":44240,"journal":{"name":"Turkish Archives of Otorhinolaryngology","volume":"59 1","pages":"271 - 281"},"PeriodicalIF":0.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44194199","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: 3

Retropharyngeal Abscess in a Neonate After Extravasation Injury: To Drain or not to Drain? 新生儿外渗损伤后咽后脓肿：引流还是不引流？

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-4-13

J. Ng, B. Goh, Mohd Imree Azmi, E. Y. Hing, S. Ishak

引用次数: 0

Preliminary Planning for Mucormycosis in Developing Countries During COVID-19 Pandemic COVID-19大流行期间发展中国家毛霉菌病的初步规划

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Turkish Archives of Otorhinolaryngology Pub Date : 2021-12-01 DOI: 10.4274/tao.2021.2021-6-1

N. Shakrawal, M. Chouhan, B. Solanki

引用次数: 0