Brazilian Journal of Otorhinolaryngology最新文献

{"title":"Reducing local tension to repair nasal septal deviation and spur","authors":"Qihang Lin ,&nbsp;Xi Lin","doi":"10.1016/j.bjorl.2024.101464","DOIUrl":"10.1016/j.bjorl.2024.101464","url":null,"abstract":"<div><h3>Objectives</h3><p>To introduce our method managing nasal septal spurs during endoscopic septoplasty.</p></div><div><h3>Methods</h3><p>We conducted a prospective study of cases treated with endoscopic septoplasty between March 2022 and June 2023. We innovated a surgical method to reduce the local mucosal tension at the spur by cutting the spur above and below the bony connection, and reducing the chance of mucosal tear and loss during dissection. The authors performed these cases at the First Affiliated Hospital of Fujian Medical University, where 40 surgeries were performed with regular postoperative follow-ups for 6–12 months.</p></div><div><h3>Results</h3><p>All patients' clinical symptoms improved significantly after surgery. After 2–4 weeks of follow-up, the mucosa could recover to the preoperative state on both sides of the nasal septum.</p></div><div><h3>Conclusion</h3><p>This surgical method is suitable for most patients with nasal septal deviation, especially those with a spur, which can effectively reduce the chance of nasal septal mucosa tear and accelerate postoperative recovery.</p></div><div><h3>Level of evidence</h3><p>Ⅳ.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 6","pages":"Article 101464"},"PeriodicalIF":1.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S180886942400079X/pdfft?md5=8bfb71a6b850419cf50d44add3d6be20&pid=1-s2.0-S180886942400079X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141849639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The pedagogical rehabilitation in the construction of the alphabetic writing of children with cochlear implant","authors":"Rogério Hamerschmidt","doi":"10.1016/j.bjorl.2024.101457","DOIUrl":"10.1016/j.bjorl.2024.101457","url":null,"abstract":"","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 4","pages":"Article 101457"},"PeriodicalIF":1.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000727/pdfft?md5=51e1babfaeef5e9897bee1675726ef6b&pid=1-s2.0-S1808869424000727-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141407246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SMAS flap for extracapsular dissection of parotid gland tumors: is it necessary?","authors":"Roberto Becelli ,&nbsp;Valerio Facchini ,&nbsp;Alessandro Piccirilli ,&nbsp;Flavia Maesa ,&nbsp;Fabrizio Bozza ,&nbsp;Filippo Giovannetti ,&nbsp;Ettore Lupi ,&nbsp;Edoardo Covelli ,&nbsp;Walter Colangeli","doi":"10.1016/j.bjorl.2024.101462","DOIUrl":"10.1016/j.bjorl.2024.101462","url":null,"abstract":"<div><h3>Objective</h3><p>The aim of this retrospective article is to evaluate postoperative outcomes after extracapsular dissection for small benign superficial parotid neoplasms (&lt;3 cm) in patients who received Superficial Musculoaponeurotic System (SMAS) flap and in patients who did not receive it.</p></div><div><h3>Methods</h3><p>Two groups were created and statistically compared regarding Frey’s syndrome and aesthetic satisfaction by data collected through the POI-8 validated questionnaire and through an aesthetic satisfaction scale ranging from 1 to 10. The difference between these two groups was the utilization of SMAS flap. SMAS flap was harvested in one of these two group, meanwhile was not used in the other.</p></div><div><h3>Results</h3><p>The p-value analysis between group 1 and group 2 on these complications, resulted statistically not significant. Also, the aesthetic satisfaction resulted not statistically significant between group 1 and group 2. Gender, localization, and facial palsy resulted statistically correlated with the aesthetic satisfaction (<em>p</em>-value &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>In conclusion, there is no statistical difference in the use of SMAS flap for benign parotid neoformations of the superficial lobe, with a diameter of less than 3 cm for which extracapsular dissection is adopted as a surgical technique.</p></div><div><h3>Level of evidence</h3><p>3.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101462"},"PeriodicalIF":1.7,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000776/pdfft?md5=3d385f17cf2a6bfa74e2bd54a09d9585&pid=1-s2.0-S1808869424000776-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and factors associated with olfactory impairment among patients with acne treated with oral isotretinoin: a cross-sectional study","authors":"Rogério Nabor Kondo ,&nbsp;Hélio Amante Miot ,&nbsp;Elouise Zwirtes Frare ,&nbsp;Ellen Cristine Duarte Garcia ,&nbsp;Abner Hiraku Yamakami ,&nbsp;Marco Aurélio Fornazieri","doi":"10.1016/j.bjorl.2024.101461","DOIUrl":"10.1016/j.bjorl.2024.101461","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to investigate the prevalence and factors associated with olfactory dysfunction in individuals exposed to Isotretinoin (ISO) for the treatment of acne, using the University of Pennsylvania Smell Identification Test (UPSIT®).</p></div><div><h3>Methods</h3><p>This cross-sectional study enrolled age and sex-matched patients with acne who were current users of oral ISO and unexposed controls without olfactory complaints. UPSIT® and a validated questionnaire (Nasal Obstruction Symptom Evaluation) were administered to evaluate nasal obstruction in patients exposed to ISO.</p></div><div><h3>Results</h3><p>A total of seventy patients were recruited, with 35 in the exposed group and 35 in the unexposed group, consisting of 18 males and 17 females in each group, aged from 17 to 47 years. The prevalence of olfactory dysfunction was higher in the exposed group compared to the non-exposed group (62.9% vs. 17.1%), yielding a Prevalence Ratio (PR) of 3.7 (95% CI 1.9–7.1). However, no participants were categorized as anosmia or severe hyposmia and the majority of dysfunction was mild hyposmia compared to moderate hyposmia (51.5% vs. 11.4%). Among the exposed individuals, gasoline, orange, coffee, and wood exhibited the highest rates of identification errors (≥54%). Olfactory function demonstrated a negative correlation with treatment duration (<em>p</em> = 0.01), cumulative dose (<em>p</em> = 0.02), and nasal obstruction (<em>p</em> = 0.02).</p></div><div><h3>Conclusions</h3><p>Olfactory dysfunction was more prevalent among ISO users, despite the patients being unaware of the disorder. Olfactory changes were correlated with treatment duration, cumulative dose, and nasal obstruction.</p></div><div><h3>Level of evidence</h3><p>Level 4.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101461"},"PeriodicalIF":1.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000764/pdfft?md5=be03a2cab767d6b8d9cc8f976a34bb5a&pid=1-s2.0-S1808869424000764-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language development in children from a public cochlear implant program","authors":"Alice Lang Silva ,&nbsp;Isadora Martins da Silva Stumpf ,&nbsp;Laura Prolla Lacroix ,&nbsp;Debora Milena Ferreira Alves ,&nbsp;Adriana Laybauer da Silveira ,&nbsp;Sady Selaimen da Costa ,&nbsp;Letícia Petersen Schmidt Rosito","doi":"10.1016/j.bjorl.2024.101458","DOIUrl":"10.1016/j.bjorl.2024.101458","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the rate of loss to follow-up in a cochlear implant program from the public health system in Southern Brazil as well as the characteristics of hearing loss, sociodemographic, sociocultural and the development of oral language in children with prelingual deafness.</p></div><div><h3>Methods</h3><p>Retrospective cohort study with children who underwent CI surgery between 2010 and 2020. Data was collected through of interviews and review of medical records. The language development assessment was performed using the MUSS, MAIS and IT-MAIS scales. For the classification of language development, we used as parameters the values (mean ± SD) found in a previous national study. From those values, the Z-score for each patient at each hearing age (time of experience with the cochlear implant) was calculated.</p></div><div><h3>Results</h3><p>Of the 225 children implanted between 2010–2020, 129 were included in this study. The rate of loss to follow-up in the program was 42.6%. The mean age at first surgery was 40.5 (±16.9) months, with 77.5% of patients having received a unilateral implant. Language results below the expected for hearing age (&lt;Z-score-1) for the MAIS score were found in 59.7% of the sample, while for the MUSS score the proportion was 62%.</p></div><div><h3>Conclusions</h3><p>Most patients had an elevated mean age at cochlear implantation and there was a high rate of loss to follow-up and low attendance to speech and programming sessions. An overall poor language performance was found for this pediatric cochlear implant program from the public health system in Southern Brazil.</p></div><div><h3>Level of evidence</h3><p>Level 3 (Non-randomized cohort study).</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101458"},"PeriodicalIF":1.7,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000739/pdfft?md5=6e86894cddf0102a1184705b6f3e1d41&pid=1-s2.0-S1808869424000739-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive analysis and treatment of intraoral thyroglossal duct cysts with intraoperative techniques: a 7-case series review in a tertiary care center","authors":"Bo Li ,&nbsp;Cuiping She ,&nbsp;Delong Liu","doi":"10.1016/j.bjorl.2024.101460","DOIUrl":"10.1016/j.bjorl.2024.101460","url":null,"abstract":"<div><h3>Objective</h3><p>Intraoral thyroglossal duct cyst is a relatively rare clinical disease. This article reviews the diagnosis and treatment process of 7 patients and explores the clinical characteristics of diagnosis and treatment of intraoral thyroglossal duct cyst in combination with past literature reports.</p></div><div><h3>Method</h3><p>A retrospective analysis was conducted on 7 cases of intraoral thyroglossal duct cyst admitted to the Otolaryngology ward of Dalian Municipal Central Hospital from January 2017 to January 2024. The cases were recorded in terms of gender, age, symptoms, physical signs, radiological examinations, surgical methods, and postoperative complications. All cases were followed up, and the latest follow-up results were recorded.</p></div><div><h3>Results</h3><p>Among the 7 cases, 6 patients underwent laryngoscopic and radiological examinations before surgery, and 1 child was found to have a cyst during surgery. All cases were diagnosed with intraoral thyroglossal duct cyst and treated with plasma radiofrequency surgery. None of the patients had postoperative complications, and no recurrence was found in the six-month follow-up after discharge.</p></div><div><h3>Conclusion</h3><p>Intraoral thyroglossal duct cyst is rare in clinical practice. It is important to pay attention to its differential diagnosis clinically, and careful review of images is required before surgery. Cryoablation with low-temperature plasma radiofrequency is not only minimally invasive and has a quick recovery but also has few complications and a low recurrence rate. It is a safe and effective treatment method that is worthy of clinical promotion.</p></div><div><h3>Level of Evidence</h3><p>Level 3.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101460"},"PeriodicalIF":1.7,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000752/pdfft?md5=eb6ba330991a622a7f112657fb3722c7&pid=1-s2.0-S1808869424000752-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parapharyngeal and maxillary metastasis in hepatocellular carcinoma as the first presentation: a rare case","authors":"Shan Chen ,&nbsp;Hua Cai ,&nbsp;Bei-Bei Gao ,&nbsp;Wen-Wen Wang","doi":"10.1016/j.bjorl.2024.101459","DOIUrl":"10.1016/j.bjorl.2024.101459","url":null,"abstract":"","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101459"},"PeriodicalIF":1.7,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000740/pdfft?md5=189785a3c2ba407e3eef6ffdabe6e10d&pid=1-s2.0-S1808869424000740-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sonographic characteristics and clinical characteristics combined with nomogram for predicting the aggressiveness of papillary thyroid carcinoma coexisted with Hashimoto’s thyroiditis","authors":"Shuangshuang Zhao ,&nbsp;Zheng Zhang ,&nbsp;Xin Zhang,&nbsp;Xincai Wu,&nbsp;Yanwei Chen,&nbsp;Xin Min,&nbsp;Baoding Chen","doi":"10.1016/j.bjorl.2024.101456","DOIUrl":"10.1016/j.bjorl.2024.101456","url":null,"abstract":"<div><h3>Objective</h3><p>The association between Papillary Thyroid Carcinoma (PTC) and coexistent Hashimoto’s Thyroiditis (HT) was controversial. The purpose of this study was to evaluate the presence of HT exerts any influence on the aggressiveness of PTC, and to establish a nomogram for predicting the possibility of aggressiveness in PTC.</p></div><div><h3>Methods</h3><p>373 consecutive PTC patients with/without coexistent HT from January 2017 to December 2020 were retrospective reviewed. Patients’ clinicopathologic and sonographic characteristics were collected for univariate and multivariate analyses. A nomogram was established based on the risk factors for aggressiveness in PTC.</p></div><div><h3>Results</h3><p>Male (<em>p</em> = 0.001), tumor size &gt;1.0 cm (<em>p</em> = 0.046) and lymph node metastasis (<em>p</em> = 0.018) were negatively associated with PTC coexisted with HT, while it was significantly positively associated with the frequence of multifocality (<em>p</em> = 0.010). Univariate and multivariate analyses suggested that age ≥55 years (<em>p</em> = 0.000), male (<em>p</em> = 0.027), HT (<em>p</em> = 0.017), tumor size &gt;1.0 cm (<em>p</em> = 0.015), multifocality (<em>p</em> = 0.041), distance to capsular ≤0 cm (<em>p</em> = 0.050) and blood flow (Grade I: <em>p</em> = 0.044) were independent risk factors for predicting the aggressiveness in PTC. A nomogram according to these predictors was further developed and validated. The receiver operating characteristic curve (AUC = 0.734 and 0.809 for training and validation cohorts, respectively) and decision curve analyses indicated that the nomogram model was clinically useful. The calibration curve revealed that the nomogram exhibited an excellent consistency.</p></div><div><h3>Conclusions</h3><p>In this study, the coexistent HT might play a protective role in preventing the proliferation of PTC. Dispensable aggressive treatment may be reduced in PTC by pre-operative identification of sonographic and clinical characteristics and incorporating with the predicted nomogram model.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101456"},"PeriodicalIF":1.7,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000715/pdfft?md5=0e56a8fd2f64b398d5de18d28c56315a&pid=1-s2.0-S1808869424000715-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141401223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Orbital Apex Syndrome secondary to residual tooth root infection: a case report","authors":"Zongxuan He ,&nbsp;Hongyu Han ,&nbsp;Wei Shang ,&nbsp;Kai Song","doi":"10.1016/j.bjorl.2024.101455","DOIUrl":"10.1016/j.bjorl.2024.101455","url":null,"abstract":"","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101455"},"PeriodicalIF":1.7,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1808869424000703/pdfft?md5=8d97f914b4c8f900d8709cf111dbed73&pid=1-s2.0-S1808869424000703-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology, prognostic factors, and treatment of head and neck mucoepidermoid carcinoma: Analysis of the surveillance, epidemiology, and end results database","authors":"","doi":"10.1016/j.bjorl.2024.101450","DOIUrl":"10.1016/j.bjorl.2024.101450","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate prognostic factors in patients with head and neck Mucoepidermoid Carcinoma (MEC), especially the impact of treatment modalities on survival.</p></div><div><h3>Methods</h3><p>Patients with primary head and neck MEC between 2000 and 2015 were obtained from the Surveillance, Epidemiology, and End Results (SEER) database. Prognostic factors related to Overall Survival (OS) and Cancer-Specific Survival (CSS), as well as the impact of treatments, were evaluated by multivariable Cox regression analysis.</p></div><div><h3>Results</h3><p>We identified 2692 patients diagnosed with head and neck MEC, of whom 1397 (51.89%) had a parotid gland primary, 569 (22.14%) died, and 341 (12.67%) died of MEC. Older age (≥53 years), males, unmarried, lower income, tumor site in other head and neck areas, higher tumor grade, larger tumor size, and higher stage were related to poorer OS and CSS. Patients who did not undergo surgery (HR<!--> <!-->=<!--> <!-->3.20, 95% CI 2.45‒4.18) had worse OS, while no significant difference was detected between partial and total organ excision on patients’ OS (<em>p</em> <!-->=<!--> <!-->0.729). For combination therapy, patients who received radiotherapy only (HR<!--> <!-->=<!--> <!-->3.21, 95% CI 2.27–4.53) or no surgery and no radiotherapy (HR<!--> <!-->=<!--> <!-->2.59, 95% CI 1.83–3.67) were correlated with worse OS (vs. surgery only), but no significant difference was detected between surgery only and surgery combined with radiotherapy on patients’ OS (<em>p</em> <!-->=<!--> <!-->0.218). For CSS, the corresponding results were consistent with OS.</p></div><div><h3>Conclusion</h3><p>Surgical resection only may be a better survival option for head and neck MEC.</p></div>","PeriodicalId":49099,"journal":{"name":"Brazilian Journal of Otorhinolaryngology","volume":"90 5","pages":"Article 101450"},"PeriodicalIF":1.7,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S180886942400065X/pdfft?md5=e8732520f2d18e4ad87c4c70f7e13f14&pid=1-s2.0-S180886942400065X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}