Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery最新文献

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Refractory sphenoid wing osteomyelitis as a complication of orbital decompression. 眼眶减压术并发难治性蝶骨翼骨髓炎
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-06-07 DOI: 10.1080/01676830.2024.2363239
Timothy Meade, Brian Sindelar, Daniel E Rubinstein
{"title":"Refractory sphenoid wing osteomyelitis as a complication of orbital decompression.","authors":"Timothy Meade, Brian Sindelar, Daniel E Rubinstein","doi":"10.1080/01676830.2024.2363239","DOIUrl":"10.1080/01676830.2024.2363239","url":null,"abstract":"<p><p>Osteomyelitis of the sphenoid wing is a rare clinical entity that can result in significant morbidity due to cranio-orbital infection. This entity has never previously been described as a complication of orbital decompression. An elderly patient developed relapsing orbital cellulitis and cranio-orbital abscesses following orbital decompression. Multiple attempts at incision and drainage with extended antibiotic therapy failed to eliminate the infection. The patient's clinical course was indicative of sphenoid osteomyelitis at the prior decompression site. A combined craniotomy-orbitotomy with debridement of the involved portion of the sphenoid resulted in resolution of the patient's clinical symptoms. Surgeons should be aware of the possibility of this rare infection following any surgery in which bone is structurally modified or removed, including orbital decompression.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"228-231"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288774","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
Checkpoint inhibitor-related myasthenia-myocarditis-myositis overlap syndrome in the orbit. 与检查点抑制剂相关的眼肌症-心肌炎-肌炎重叠综合征。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-26 DOI: 10.1080/01676830.2024.2351519
Benjamin Jinsung Park, Aaron W Warning, Sruti S Akella
{"title":"Checkpoint inhibitor-related myasthenia-myocarditis-myositis overlap syndrome in the orbit.","authors":"Benjamin Jinsung Park, Aaron W Warning, Sruti S Akella","doi":"10.1080/01676830.2024.2351519","DOIUrl":"10.1080/01676830.2024.2351519","url":null,"abstract":"<p><p>We report a series of three patients who developed checkpoint inhibitor-related myocarditis with orbital myositis and/or myasthenia gravis overlap syndrome, with varying degrees of severity. In all cases, checkpoint inhibitor therapy was immediately discontinued upon diagnosis and corticosteroids were initiated. While two patients achieved substantial recovery, one patient passed away on hospital day three. These cases underscore the critical need for prompt recognition of adverse events associated with immune checkpoint inhibitors.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"200-206"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155648","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
Orbital Kimura disease: maintenance therapy using mycophenolate mofetil. 眼眶木村病:使用霉酚酸酯进行维持治疗。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-30 DOI: 10.1080/01676830.2024.2358061
Matthew Fenech, Ayodeji Ajanaku, Austin McCormick, Sarah E Coupland, Yamini Krishna, Ziyaad Sultan, Nima Ghadiri
{"title":"Orbital Kimura disease: maintenance therapy using mycophenolate mofetil.","authors":"Matthew Fenech, Ayodeji Ajanaku, Austin McCormick, Sarah E Coupland, Yamini Krishna, Ziyaad Sultan, Nima Ghadiri","doi":"10.1080/01676830.2024.2358061","DOIUrl":"10.1080/01676830.2024.2358061","url":null,"abstract":"<p><p>Kimura disease (KD) is a rare, chronic, inflammatory condition, predominantly found in male patients of Asian ethnicity. It typically presents between 50-60 years of age and usually with bilateral disease. Angiolymphoid hyperplasia with eosinophilia (ALHE) remains the main differential diagnosis, although histological analysis is essential in differentiating from other similarly presenting pathologies. In this case, we present an atypical case of unilateral orbital KD in a middle-aged, Caucasian, male gentleman and no evidence of regional lymphadenopathy along with a literature review of orbital KD and the differential diagnoses, histological features and management modalities available, adding to the sparse literature on the topic. At present, no recognised diagnostic criteria for KD are available, with histopathological analysis through incisional or excisional biopsy being the primary diagnostic method. Complete surgical excision with or without corticosteroid management remains the most common treatment modality although management is shifting to steroid-sparing immunomodulatory therapy. To the best of our knowledge, this is the first case to describe maintenance therapy of KD using mycophenolate mofetil.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"215-222"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141181002","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
The effect of blepharoplasty or blepharoplasty combined with ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease. 眼睑整形术或眼睑整形术联合上睑下垂或眉毛手术对生活质量的影响,以及与头痛或眼睑皮肤病有关的药物使用情况。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-08-28 DOI: 10.1080/01676830.2024.2393418
Tiina Leivo
{"title":"The effect of blepharoplasty or blepharoplasty combined with ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease.","authors":"Tiina Leivo","doi":"10.1080/01676830.2024.2393418","DOIUrl":"10.1080/01676830.2024.2393418","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to evaluate the effect of blepharoplasty, ptosis or eyebrow surgery to quality of life and use of medication related to headache or eyelid skin disease.</p><p><strong>Methods: </strong>A longitudinal, prospective study including 90 consecutive patients who underwent blepharoplasty, ptosis, eyebrow or combined surgery.  The quality of life related to headache was evaluated by HIT6™ and to eyelid skin disease by Skindex-Mini SDM. Use of medication was measured by number of days per week medication was used for headache or eyelid skin disease.</p><p><strong>Results: </strong>Preoperatively 46 (51%) had headache, 4 (4%) eyelid skin and 2 (2%) headache and eyelid skin symptoms. The median HIT-6 difference was -21 (range -36-0; <i>p</i> < .0001) and the median SDM difference was -13 (range = -15 to -1; <i>p</i> = .036). The median difference in medication days/week related to headache was -1 (range -4-0; <i>p</i> < .0001) and to eyelid skin disease -1.5 (range -3 to -1; <i>p</i> = .034).</p><p><strong>Conclusions: </strong>This study shows that after upper eyelid blepharoplasty, ptosis or brow ptosis surgery, headache or eyelid skin disease-related quality of life measures are significantly improved, and the use of headache or eyelid skin-related medication is significantly less.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"150-153"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082180","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
Trends in orbital cellulitis severity and management: 2016 through 2022. 眼眶蜂窝织炎严重程度和管理趋势:2016 年至 2022 年。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-09-17 DOI: 10.1080/01676830.2024.2397027
Alison B Gibbons, Ramy Elsafy, Ashley Campbell, Emily Li
{"title":"Trends in orbital cellulitis severity and management: 2016 through 2022.","authors":"Alison B Gibbons, Ramy Elsafy, Ashley Campbell, Emily Li","doi":"10.1080/01676830.2024.2397027","DOIUrl":"10.1080/01676830.2024.2397027","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize trends in orbital cellulitis (OC) severity and management from 2016 through 2022, including assessment of effects from the COVID-19 pandemic.</p><p><strong>Methods: </strong>A retrospective chart review was conducted at a tertiary care center using an electronic medical record search of OC from January 1 2016 to January 1 2023. Radiography was used to categorize patients into three cohorts - OC without abscess, OC with subperiosteal abscess (SPA), and OC with orbital abscess (OA). Infection cohort and age group [pediatric (<9 years old), adolescent (9-18 years), adult (>18 years)] were compared across years. Subgroup analysis was performed in the SPA cohort. Comparisons were made between the time periods prior to and after the start of the COVID-19 pandemic.</p><p><strong>Results: </strong>From 2016-2022, there were 247 (67.3%) cases of OC, 103 (28.1%) SPA, and 17 (4.6%) OA. The year 2022 incurred higher rates of SPA and OA (<i>p</i> = 0.035), pediatric infections (<i>p</i> = 0.008), and co-morbid sinusitis (<i>p</i> = 0.005) compared to all preceding years. Rates were similar from 2016 through 2021. Within the SPA cohort, rates of surgical intervention and outcomes were similar across all years. Rate of abscess formation was significantly higher during the COVID-19 pandemic compared to the pre-pandemic era (<i>p</i> = 0.033).</p><p><strong>Conclusion: </strong>The severity of OC leading up to the COVID-19 pandemic appeared steady. After pandemic onset, a delayed increase in abscess formation, predominantly affecting pediatric patients and correlating with a greater rate of sinusitis, was observed in 2022.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"163-170"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298571","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
Recalcitrant postoperative bleeding after ectropion repair in the setting of undiagnosed chronic disseminated intravascular coagulation. 未确诊的慢性弥散性血管内凝血导致的外翻修复术后顽固性出血。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-04-03 DOI: 10.1080/01676830.2024.2331695
Tatiana R Rosenblatt, Lisa Y Lin, Carolina A Chiou, Nahyoung Grace Lee, Gunsagar S Gulati, Pavan K Bendapudi, Natalie Wolkow
{"title":"Recalcitrant postoperative bleeding after ectropion repair in the setting of undiagnosed chronic disseminated intravascular coagulation.","authors":"Tatiana R Rosenblatt, Lisa Y Lin, Carolina A Chiou, Nahyoung Grace Lee, Gunsagar S Gulati, Pavan K Bendapudi, Natalie Wolkow","doi":"10.1080/01676830.2024.2331695","DOIUrl":"10.1080/01676830.2024.2331695","url":null,"abstract":"<p><p>Disseminated intravascular coagulation (DIC) is characterized by abnormal activation of the coagulation cascade, which leads to simultaneous hypercoagulation and excessive bleeding. While it typically occurs in systemic diseases, such as infection, inflammation, obstetric complications, and malignancy, it can rarely manifest postoperatively. This case report describes a patient who presented with prolonged, refractory bleeding after ectropion repair via a lateral tarsal strip procedure. Due to the inability to control the patient's bleeding with conservative measures followed by surgical exploration and electrocautery, the patient underwent a hematologic work-up. Laboratory studies were consistent with DIC, attributed to his large burden of endovascular stents. He was treated with anticoagulation using apixaban in addition to tranexamic acid to achieve lasting hemostasis. This case highlights the importance of thorough preoperative assessments, even for minor surgical procedures, and systemic workup for atypical postoperative bleeding.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"196-199"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854182","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
A case of extraocular muscle pyomyositis in an elderly patient with diabetes mellitus. 一名老年糖尿病患者的眼外肌脓肌炎病例。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-06-24 DOI: 10.1080/01676830.2024.2370055
Jose Miguel Ambat, Mayari Ito, Tatsuro Yokoyama, Yasuhiro Takahashi
{"title":"A case of extraocular muscle pyomyositis in an elderly patient with diabetes mellitus.","authors":"Jose Miguel Ambat, Mayari Ito, Tatsuro Yokoyama, Yasuhiro Takahashi","doi":"10.1080/01676830.2024.2370055","DOIUrl":"10.1080/01676830.2024.2370055","url":null,"abstract":"<p><p>Pyomyositis is a bacterial infection of skeletal muscle leading to abscess formation. Younger males are predominantly involved, but pyomyositis may occur in all ages and sexes. Underlying systemic disease or accompanying immunocompromised states may increase the risk of pyomyositis. This is a report of a 72-year-old, male, with uncontrolled diabetes mellitus, presenting initially as a case of orbital cellulitis. Magnetic resonance imaging confirmed the presence of an abscess in the left lateral rectus. Antibiotic therapy was promptly initiated, and drainage of the abscess was performed via a transconjunctival approach. Pyomyositis resolved post-surgery and medical therapy. Residual exotropia was noted at the eighth month of follow-up necessitating subsequent strabismus surgery. Nine months post-treatment, left lateral rectus pyomyositis did not recur.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"232-235"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447322","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
Valsalva-associated orbital compartment syndrome in the setting of frontoethmoidal mucocele and orbital cellulitis. 前牙状粘液瘤和眼眶蜂窝织炎引起的瓦尔萨尔瓦相关眼眶隔室综合征。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-05-30 DOI: 10.1080/01676830.2024.2355641
Chad Y Lewis, Rupin N Parikh, Arnulfo Garza Reyes, Matthew R Hoffman, Erin M Shriver
{"title":"Valsalva-associated orbital compartment syndrome in the setting of frontoethmoidal mucocele and orbital cellulitis.","authors":"Chad Y Lewis, Rupin N Parikh, Arnulfo Garza Reyes, Matthew R Hoffman, Erin M Shriver","doi":"10.1080/01676830.2024.2355641","DOIUrl":"10.1080/01676830.2024.2355641","url":null,"abstract":"<p><p>Valsalva-associated orbital compartment syndrome in the setting of orbital cellulitis, mucocele, or subperiosteal abscess has not been previously reported. A previously healthy girl presented with orbital cellulitis complicated by a subperiosteal abscess and frontoethmoidal mucocele. On the day of her planned orbitotomy and endoscopic sinus surgery, she developed a Valsalva-associated retrobulbar hemorrhage and elevated intraocular pressure after crying during a blood glucose fingerstick. An urgent canthotomy and cantholysis in addition to the planned endoscopic sinus procedure was performed. She did well post-operatively with normal vision at follow-up. Based on these experiences, there should be a consideration to implement heightened vigilance to prevent or minimize Valsalva maneuvers in orbital cellulitis patients with subperiosteal abscesses or mucoceles extending into the orbit. While it remains unclear whether and to what degree these patients may be at an increased risk of developing retrobulbar hemorrhage leading to orbital compartment syndrome, we hope that this novel report aids in providing another consideration with the goal of preventing vision loss.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"211-214"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180965","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
Intraosseous venous malformation of the frontal bone with extension into the frontal sinus and orbit. 额骨骨内静脉畸形,并延伸至额窦和眼眶。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-08-19 DOI: 10.1080/01676830.2024.2363218
Julie M Shabto, Allison Coombs, Shanlee Stevens, Arjun Adapa, Jonathan B Overdevest, Brett Youngerman, Michael Kazim
{"title":"Intraosseous venous malformation of the frontal bone with extension into the frontal sinus and orbit.","authors":"Julie M Shabto, Allison Coombs, Shanlee Stevens, Arjun Adapa, Jonathan B Overdevest, Brett Youngerman, Michael Kazim","doi":"10.1080/01676830.2024.2363218","DOIUrl":"10.1080/01676830.2024.2363218","url":null,"abstract":"<p><p>We present a novel case of intraosseous venous malformation of the frontal bone with dehiscence of the inner table of the frontal calvarium and extension into the frontal sinus and orbit. This case report discusses the surgical management of this intraosseous lesion achieved with a multidisciplinary approach involving otolaryngology and neurosurgical teams. We also present a review of the literature of the pathophysiology of venous malformations, the imaging modalities that aid in diagnosis of these lesions and the management options.</p>","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"223-227"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001061","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
Letter to the editor regarding the article "The effect of traction force on eyelid blood perfusion during closure of defects". 致编辑的信,内容涉及文章 "闭合缺损时牵引力对眼睑血液灌注的影响"。
IF 0.9
Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery Pub Date : 2025-04-01 Epub Date: 2024-06-25 DOI: 10.1080/01676830.2024.2371005
Fernando Procianoy
{"title":"Letter to the editor regarding the article \"The effect of traction force on eyelid blood perfusion during closure of defects\".","authors":"Fernando Procianoy","doi":"10.1080/01676830.2024.2371005","DOIUrl":"10.1080/01676830.2024.2371005","url":null,"abstract":"","PeriodicalId":47421,"journal":{"name":"Orbit-The International Journal on Orbital Disorders-Oculoplastic and Lacrimal Surgery","volume":" ","pages":"252"},"PeriodicalIF":0.9,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451894","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
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