Indian Journal of Otolaryngology and Head and Neck Surgery最新文献_第10页

Sinonasal Teratocarcinosarcoma in a Thirty Five Year Old Male Patient: A Case Report from a Regional Cancer Institute of Eastern India. 一名 35 岁男性患者的鼻窦畸胎肉瘤：印度东部地区一家癌症研究所的病例报告。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-11 DOI: 10.1007/s12070-024-05029-4

Sarbashis Hota, Srabani Chakrabarti

引用次数: 0

Performance of Novel GPT-4 in Otolaryngology Knowledge Assessment. 新版 GPT-4 在耳鼻喉科知识评估中的表现。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-03 DOI: 10.1007/s12070-024-04935-x

Lucy Revercomb, Aman M Patel, Daniel Fu, Andrey Filimonov

{"title":"Performance of Novel GPT-4 in Otolaryngology Knowledge Assessment.","authors":"Lucy Revercomb, Aman M Patel, Daniel Fu, Andrey Filimonov","doi":"10.1007/s12070-024-04935-x","DOIUrl":"10.1007/s12070-024-04935-x","url":null,"abstract":"Purpose: GPT-4, recently released by OpenAI, improves upon GPT-3.5 with increased reliability and expanded capabilities, including user-specified, customizable GPT-4 models. This study aims to investigate updates in GPT-4 performance vs. GPT-3.5 on Otolaryngology board-style questions.Methods: 150 Otolaryngology board-style questions were obtained from the BoardVitals question bank. These questions, which were previously assessed with GPT-3.5, were inputted into standard GPT-4 and a custom GPT-4 model designed to specialize in Otolaryngology board-style questions, emphasize precision, and provide evidence-based explanations.Results: Standard GPT-4 correctly answered 72.0% and custom GPT-4 correctly answered 81.3% of the questions, vs. GPT-3.5 which answered 51.3% of the same questions correctly. On multivariable analysis, custom GPT-4 had higher odds of correctly answering questions than standard GPT-4 (adjusted odds ratio 2.19, P = 0.015). Both GPT-4 and custom GPT-4 demonstrated a decrease in performance between questions rated as easy and hard (P < 0.001).Conclusions: Our study suggests that GPT-4 has higher accuracy than GPT-3.5 in answering Otolaryngology board-style questions. Our custom GPT-4 model demonstrated higher accuracy than standard GPT-4, potentially as a result of its instructions to specialize in Otolaryngology board-style questions, select exactly one answer, and emphasize precision. This demonstrates custom models may further enhance utilization of ChatGPT in medical education.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6112-6114"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Changes in the Muscles Beneath the Submucosal Tissues Necessitate a Novel Strategy in the Medical Management of OSMF: A Systematic Review. 粘膜下组织肌肉的变化是否要求在 OSMF 的医疗管理中采取新策略：一项系统性综述。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-11 DOI: 10.1007/s12070-024-05063-2

Uday Kiran Uppada

{"title":"Does Changes in the Muscles Beneath the Submucosal Tissues Necessitate a Novel Strategy in the Medical Management of OSMF: A Systematic Review.","authors":"Uday Kiran Uppada","doi":"10.1007/s12070-024-05063-2","DOIUrl":"10.1007/s12070-024-05063-2","url":null,"abstract":"This study is envisioned to assess the structural changes the muscles undergo beneath the submucosal tissues and whether these changes necessitate a novel strategy from the existing conventional modality in the treatment of oral submucous fibrosis (OSMF) medically through a systematic literature survey. Literature search was performed electronically using Medline, EMBASE and CENTRAL databases to identify published literature until the end of April 2024 in dental, oral and maxillofacial surgery, plastic surgery and otolaryngology journals containing the terms \"oral submucous fibrosis\", \"muscles of mastication\", \"muscles of facial expression\", \"histopathologic study\", \"ultrasonographic study\", \"CT\", \"MRI\" in either their titles, abstracts, and keywords with only English being the preferred language. The data was extracted from the selected articles and prudently studied to gather and compile the data. Descriptive data from all the carefully chosen articles were selected and analysed. Seven studies met the inclusion criteria. It was observed that the masseter muscle was the first to be involved in the disease process of OSMF among the muscles of mastication and facial expression. It was observed that the anterior temporalis and orbicularis oris muscles remained unaffected. However, the buccinator muscle which lies in utmost vicinity is not evaluated in the included studies. The degree of muscle degeneration and the degree of disease progression were directly related to the duration of the habit. The restricted mouth opening noticed in OSMF is not only governed by the subepithelial fibrosis but also on the extent of muscle degeneration. The changes the surrounding muscles undergo could be a manifestation of the disease, atrophy as a sequalae to the limited functional activity of the muscles which is brought about by fibrosis or it could be an essential part of the disease itself.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6124-6130"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Simultaneous Use of Neuromodulation and Acoustic Stimulation in the Management of Tinnitus. 同时使用神经调节和声学刺激治疗耳鸣的效果

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-30 DOI: 10.1007/s12070-024-05017-8

Maryam Emadi, Reza Faraji, Morteza Hamidi Nahrani, Atta Heidari

{"title":"Effect of Simultaneous Use of Neuromodulation and Acoustic Stimulation in the Management of Tinnitus.","authors":"Maryam Emadi, Reza Faraji, Morteza Hamidi Nahrani, Atta Heidari","doi":"10.1007/s12070-024-05017-8","DOIUrl":"10.1007/s12070-024-05017-8","url":null,"abstract":"Tinnitus is a relatively common disorder with a heterogeneous nature. Combining methods in its treatment may offergreater effectiveness. We aim to explore the impact of concurrently applying tRNS neuromodulation and acousticstimulation for tinnitus control. Thirty-two tinnitus patients participated in this study, divided into two groups. Thefirst group underwent 8 sessions of electrical stimulation (tRNS) and acoustic stimulation simultaneously, while thesecond group received only tRNS. The outcomes were assessed using psychoacoustic evaluation and tinnitushandicap inventory (THI) and visual analog scale (VAS) for loudness and annoyance of tinnitus. The SF-36questionnaire was utilized to evaluate the quality of life before, and immediately after intervention and at one monthfollow-up. A notable reduction in tinnitus loudness was observed in both groups. There were significant differences inTHI scores before and after the intervention for both groups. However, the first group exhibited larger effect sizes forchanges in loudness and THI scores. The scores of the SF-36 questionnaire improved in both groups, the increase ingeneral health and emotional scores was particularly significant in the first group. According to the results of thisstudy, using electrical and acoustic stimulation simultaneously with dual-modality stimulation is more effective inreducing the loudness and annoyance of tinnitus, compared to the use of electrical stimulation alone.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5495-5499"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Type 2 Usher Syndrome - A Cause for Sensorineural Hearing Loss. 2 型乌谢尔综合征--感音神经性听力损失的病因。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-07 DOI: 10.1007/s12070-024-04953-9

B L Yatish Kumar, Manjoo S Reddy, N Vijayendra Simha, K Avinash

{"title":"Type 2 Usher Syndrome - A Cause for Sensorineural Hearing Loss.","authors":"B L Yatish Kumar, Manjoo S Reddy, N Vijayendra Simha, K Avinash","doi":"10.1007/s12070-024-04953-9","DOIUrl":"10.1007/s12070-024-04953-9","url":null,"abstract":"Usher syndrome is a genetic condition involving Sensorineural hearing loss and Retinitis pigmentosa (RP). Although considered a rare disease, it is the most frequent cause of deaf- blindness in humans. It is inherited in an autosomal recessive pattern. It is divided clinically into three significant groups: Type I, Type 2 and Type 3. A retrospective study was carried out for three patients over a period of 5 years in a medical college hospital presenting with non-progressive hearing loss and progressive diminished vision. History, complete ENT, audiological and ophthalmological evaluation was performed. 3 patients (2 males, 1 Female) with a mean age 24 years had bilateral moderate to severe sensorineural hearing loss and bilateral retinitis pigmentosa. All patients were rehabilitated with hearing aids, and medical treatment was given for ophthalmic issues. Usher syndrome is the rare possibility of bilateral hearing loss since early childhood. Early detection of this condition with audiological and ophthalmic examination will improve the quality of life, improve hearing and delay the progression of complete blindness.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5228-5233"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ewing Sarcoma of Temporal bone Presentation as Chronic Otitis Media: A rare Clinical Confusion. 颞骨尤文肉瘤表现为慢性中耳炎：罕见的临床混淆

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1007/s12070-024-05102-y

Shashank Nath Singh, Chetna Sharma, Snehal Chandrakant Ahire, Rekha Harshvardhan, Prem Singh Jat, Ramlakhan Meena, Pragya Rajpurohit

引用次数: 0

Extraosseous Ewing's Sarcoma Masquerading as Adolescent Neck Mass-a Case Report and Review of Literature. 伪装成青少年颈部肿块的骨外尤文氏肉瘤--病例报告和文献综述。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-10-01 DOI: 10.1007/s12070-024-05105-9

Raja Ram Khenhrani, Sapna Devi, Maha Veer, Sehrish Gaho, Fnu Sonia

{"title":"Extraosseous Ewing's Sarcoma Masquerading as Adolescent Neck Mass-a Case Report and Review of Literature.","authors":"Raja Ram Khenhrani, Sapna Devi, Maha Veer, Sehrish Gaho, Fnu Sonia","doi":"10.1007/s12070-024-05105-9","DOIUrl":"10.1007/s12070-024-05105-9","url":null,"abstract":"Ewing sarcoma (ES) is a rare type of malignant bone tumor that arises from mesenchymal stem cells. It commonly occurs in the diaphysis and diaphyseal-metaphyseal portions of long bones, pelvis, and ribs, although any bone can be affected. A minority of the Ewing sarcoma also arise in soft tissues, and a primary tumor in the neck with metastasis is extremely uncommon. We are reporting the case of a 12-year-old female with a history of fever for 4 months and a neck mass for 3 months. Given the broad range of inflammatory and neoplastic etiologies, an extensive laboratory and imaging workup was conducted. Cervical lymph node biopsy for histopathology showed sheets of round blue cells consistent with the diagnosis of Ewing sarcoma in the neck, while a positive immunohistochemical assays for NKX2.2, and negative assay for PAX-5, TdT markers neurofilament, neuron-specific enolase, and S100 protein ruled out the alternative etiologies such as rhabdomyosarcoma and lymphoma. After surgical excision of tumor, chemoradiotherapy was initiated. Despite the typically benign nature of extraosseous Ewing tumors, they can rarely metastasize in less than 20% of cases, as exemplified by this rare case. Accurate diagnosis requires a combined clinic-radio-immunohistochemical approach, and general practitioners should be aware of this clinical entity in neck masses considering its variable clinical presentation and poor prognosis in certain patient's population.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6080-6089"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Ancient Remedies to Robotic Precision: An Otolaryngology Journey. 从古老疗法到机器人精密技术：耳鼻喉科之旅。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-07 DOI: 10.1007/s12070-024-04955-7

Sanjay Kumar, Angshuman Dutta, Kashiroygoud Biradar, Surjeet Dwivedi

{"title":"From Ancient Remedies to Robotic Precision: An Otolaryngology Journey.","authors":"Sanjay Kumar, Angshuman Dutta, Kashiroygoud Biradar, Surjeet Dwivedi","doi":"10.1007/s12070-024-04955-7","DOIUrl":"10.1007/s12070-024-04955-7","url":null,"abstract":"This review traces the historical development of otolaryngology, a medical specialty focused on diagnosing and treating ear, nose, and throat (ENT) disorders. The paper highlights key milestones and innovations shaping the field from ancient times to the modern era. The study involves a comprehensive review of historical texts and medical literature, examining advancements in otolaryngology. The analysis covers the early use of herbal remedies and rudimentary instruments, developments in surgical techniques and medical knowledge during the Renaissance, and innovations in anaesthesia and antisepsis in the 19th century. Additionally, it explores the impact of endoscopy, microsurgery, and the advent of robotic surgery on the field. The review identifies several important stages in the evolution of otolaryngology. Early practices in ancient Egypt, Greece, China, and India focused on herbal remedies and basic surgical techniques. During the medieval period, Arabic scholars preserved and enhanced medical knowledge. The Renaissance era saw significant progress through advances in anatomical studies and surgical techniques. The 19th century marked the formalization of otolaryngology with the introduction of anaesthesia, antisepsis, and specialized instruments. The mid-20th century brought a revolutionary impact with endoscopy and microsurgery, enabling minimally invasive procedures. The early 21st century saw the advent of robotic surgery, enhancing surgical precision and outcomes. Emerging technologies such as artificial intelligence, augmented reality, virtual reality, nanotechnology, and bioprinting hold potential to further advance the field, enhancing patient care and treatment efficacy. Otolaryngology has evolved significantly, with ongoing technological advancements promising further improvements in patient care and treatment outcomes.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"6115-6123"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inspiratory Stridor as the First Rare Presentation of Infantile Esophageal Diverticulum: A Case Report. 吸气性哮鸣音是婴幼儿食管憩室的首个罕见表现：病例报告。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-08-12 DOI: 10.1007/s12070-024-04944-w

Ahmed Abdel-Fattah ElSobki, Noha Ahmed El-Kholy, Eslam Hamed Elsayed Abdou, Mohamed El-Kotb

引用次数: 0

Maxillofacial Injury Patterns in Road Traffic Accidents- Clinical and Radiological Evaluation. 道路交通事故中的颌面部损伤模式--临床和放射学评估。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-12-01 Epub Date: 2024-09-11 DOI: 10.1007/s12070-024-05012-z

P Prerana, Arvind Sangavi, U Venkatesh, Ravi Kumar, Bhushan Chickle

{"title":"Maxillofacial Injury Patterns in Road Traffic Accidents- Clinical and Radiological Evaluation.","authors":"P Prerana, Arvind Sangavi, U Venkatesh, Ravi Kumar, Bhushan Chickle","doi":"10.1007/s12070-024-05012-z","DOIUrl":"10.1007/s12070-024-05012-z","url":null,"abstract":"To know the clinical signs and radiological findings of different types of maxillofacial fractures following facial trauma in road traffic accidents. In this retrospective study, the medical records and computerized tomography scans of 100 patients who have sustained facial fractures in road traffic accident during 2021-2022 were reviewed at Raichur Institute of Medical Sciences, Raichur; for maxillofacial fractures. Data was tabulated and statistically analysed using SPSS software version 21. 100 patients who have sustained maxillofacial injuries in road traffic accident were included in the study. Male to female ratio was 8:1. Most common age group involved was 21-30 years. Maximum number of accidents occurred during night and 38% contributed to driving under the influence of alcohol. Clinical examination findings ranged from simple abrasion, swelling/odema/haematoma, contusion to lacerations and loss of tissue. Of 66 patients with Ear Nose Throat (ENT) bleed, 26 had ear bleed, 34 had nose bleed and 17 had oral cavity bleed. Maximum individuals in the study had orbital fractures (44%). 45% had associated head injury. 30 patients had associated injuries of upper limbs, 25 had lower limb injuries and 8% had blunt trauma. 47% patients required neurosurgical intervention, 44% ophthalmology, 39% faciomaxillary surgeon intervention. Maxillofacial injuries following road traffic accidents are more common as face is the most exposed part of the body. Managing patients with road traffic accidents requires multi disciplinary approach. Safety precautions while driving like use of driving accessories, following traffic rules plays major role. This study will help the policy makers to evolve a better trauma care program by focusing on the target groups and introducing cost effective preventive measures.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"76 6","pages":"5486-5494"},"PeriodicalIF":0.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11569338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0