Indian Journal of Otolaryngology and Head and Neck Surgery最新文献_第6页

Post Neck Dissection Chyle Leak Repair with Omohyoid Flap - A Novel Operative Technique. 肩胛舌骨瓣修复颈夹层后乳糜漏——一种新的手术技术。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s12070-025-05468-7

Vidula Mestry, Prathamesh S Pai

{"title":"Post Neck Dissection Chyle Leak Repair with Omohyoid Flap - A Novel Operative Technique.","authors":"Vidula Mestry, Prathamesh S Pai","doi":"10.1007/s12070-025-05468-7","DOIUrl":"10.1007/s12070-025-05468-7","url":null,"abstract":"Chyle leak is a potentially serious complication that can occur after neck dissection. It is characterized by the leakage of milky fluid in the neck area which occurs due to thoracic or lymphatic duct injury. Chyle leak can lead to severe metabolic and wound related complications. Intraoperative identification and prompt repair can prevent further complications. Traditional surgical repair method is ligating or oversewing the duct with surrounding soft tissue, but in cases where extensive level IV neck dissection is performed, alternative techniques are required. This article describes a novel technique of using omohyoid muscle flap for surgical repair of chyle or lymphatic leak after neck dissection. Underlying principle of the method involves employing a vascularized flap of the omohyoid muscle to exert pressure on the duct to compress it against the prevertebral muscles, while also sealing the location of the chyle leak. The muscle is affixed in position by suturing it to the carotid fascia and the fascia of the prevertebral region. This approach expedites the healing process and offers efficient control. This technique can be utilized when conventional approaches prove ineffective or during surgical exploration for continual chyle leaks. Proposed technique facilitates prompt intraoperative control of chyle or lymphatic leakage in the level IV region following neck dissection. Inferiorly based omohyoid flap can be effectively used with the described technique for post neck dissection chyle leak repair without giving additional morbidity and with lesser learning curve for surgeons.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2433-2437"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152597","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

Neuroendocrine Carcinoma Presenting as Metastasis of Unknown Origin in Cervical Lymph Nodes: An Unwonted Case Report. 以颈部淋巴结不明来源转移为表现的神经内分泌癌一例罕见病例报告。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s12070-025-05425-4

Anmol Kath, Prince Handa, Aparna Ganesan, Nishtha Batra

引用次数: 0

An Unusual Tracheobronchial Foreign Body - A Fractured Tracheostomy Tube. 罕见气管支气管异物-气管造瘘管断裂。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1007/s12070-025-05508-2

Nayana Sarma, Sauradeep Das, Nongthombam Bidyananda Singh, Manu Balakrishnan, Suvamoy Chakraborty

引用次数: 0

Association among Extended High-Frequency Hearing, Speech Perception in Noise, and Auditory Temporal-Spectral Processing in Adults with Normal Hearing: A Cross-Sectional Study. 正常听力成人扩展高频听力、噪声环境下的言语感知和听觉时间谱处理之间的关系：一项横断面研究。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1007/s12070-025-05496-3

Zahra Jeddi, Afsaneh Doosti, Ali Hajimohammadi, Abdolrahim Asadollahi

{"title":"Association among Extended High-Frequency Hearing, Speech Perception in Noise, and Auditory Temporal-Spectral Processing in Adults with Normal Hearing: A Cross-Sectional Study.","authors":"Zahra Jeddi, Afsaneh Doosti, Ali Hajimohammadi, Abdolrahim Asadollahi","doi":"10.1007/s12070-025-05496-3","DOIUrl":"10.1007/s12070-025-05496-3","url":null,"abstract":"Speech comprehension relies on temporal and spectral processing, which can be impaired by background noise. Traditional pure-tone audiometry in standard frequencies has limitations in predicting speech understanding under such conditions. Extended High Frequencies (EHFs) contribute to audibility and speech recognition. This study aims to investigate the correlation between EHF hearing, auditory temporal-spectral processing, and speech comprehension in background noise, and to analyze the factors influencing speech perception in noise ability in adults with normal hearing, emphasizing the importance of EHF evaluation in clinical settings. This cross-sectional study included 44 participants with normal auditory function. The participants underwent high-frequency audiometry, the Quick speech-in-noise (SIN) test for SIN comprehension evaluation, the Gap in Noise (GIN) test for temporal resolution assessment, and the Spectral-Temporally Modulated Ripple Test (SMRT) for spectral resolution examination. The study found a significant correlation between mean EHF thresholds and SNR loss in both common (P-value = 0.019) and high-frequency (P-value = 0.033) words lists. However, no significant correlations were observed between mean EHF thresholds and mean GIN thresholds, GIN percentage of correct answers, or SMRT results. Regression analysis revealed that EHF thresholds significantly contribute to predicting SNR loss. Our findings demonstrate a correlation between EHF thresholds and SIN performance but not with spectro-temporal resolution. However, significant associations between spectro-temporal resolution and SIN performance were observed. Combining these assessments may enhance the prediction of SIN difficulties, facilitating targeted rehabilitation strategies.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2318-2325"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152689","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

Intranodal Rosai-Dorfman Disease and its Extranodal Recurrence: A Rare Case Review. 结内Rosai-Dorfman病及其结外复发：一例罕见病例回顾。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1007/s12070-025-05509-1

Sucheta Gandhe, Yogesh Pawar, Chaitanya Borde, Ramesh Venkata Yasam, Raj Nagarkar

引用次数: 0

Bridging Theory and Practice: Advancing Laryngology Training in India. 衔接理论与实践：在印度推进喉科培训。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-30 DOI: 10.1007/s12070-025-05501-9

Utkarsh Shrivastava, Rakesh Srivastava, Giorgio Peretti, Prashant M Naik

{"title":"Bridging Theory and Practice: Advancing Laryngology Training in India.","authors":"Utkarsh Shrivastava, Rakesh Srivastava, Giorgio Peretti, Prashant M Naik","doi":"10.1007/s12070-025-05501-9","DOIUrl":"https://doi.org/10.1007/s12070-025-05501-9","url":null,"abstract":"Aims: This article explores developing and implementing 3D-printed models in medical simulation labs to improve training in laryngology and upper airway procedures, specifically in India. Traditional methods of endoscopy training face ethical challenges, high costs, and limited access to cadaveric specimens, creating barriers to comprehensive education in airway management.Materials and methods: Introducing affordable, anatomically accurate 3D printed models, such as the NuOssa larynx model and the EnjoyStich Laryngeal Holder System, offers a practical solution. These models simulate anatomical features and pathology, such as vocal fold lesions, enabling trainees to practice diagnostic and interventional procedures on larynx and upper airway. Students can improve their skills without ethical concerns through simulation labs equipped with such models. The models allow repeated practice and provide haptic feedback, making them effective in skill development.Result: While highly effective as training tools, these models cannot totally mimic the living tissue responses. However, advances in material sciences and virtual reality integration may overcome these limitations in the future.Conclusion: The article concludes that adopting 3D printed models in simulation labs is crucial for advancing laryngology training, particularly in resource-limited settings like India, where airway pathology are prevalent and access to specialized training is limited.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2332-2336"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152672","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

The Hyoid Bone Syndrome. 舌骨综合症。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-26 DOI: 10.1007/s12070-025-05470-z

B H Shrikrishna, Vasim Ismail Patel, P R Meghana, G Deepa

引用次数: 0

The"symbiotic"regulation approach in bimodal hearing adults. 双峰听力成人的“共生”调节方法。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-02 DOI: 10.1007/s12070-025-05449-w

Marco Carner, Luca Bianconi, Luca Sacchetto, Valerio Arietti, Riccardo Nocini, Maria Sofia Salvetta, Giuditta Maulu, Alessandro Diodati, Luca Turchet

{"title":"The\"symbiotic\"regulation approach in bimodal hearing adults.","authors":"Marco Carner, Luca Bianconi, Luca Sacchetto, Valerio Arietti, Riccardo Nocini, Maria Sofia Salvetta, Giuditta Maulu, Alessandro Diodati, Luca Turchet","doi":"10.1007/s12070-025-05449-w","DOIUrl":"10.1007/s12070-025-05449-w","url":null,"abstract":"Purpose: Patients with bimodal auditory stimulation represent an expanding group of cochlear implant users in many countries. The hearing results reported in the literature for subjects with bimodal hearing are controversial and often only evaluate hearing aids that are simply synchronized with their cochlear implant (\"synchronized\" regulation) and sometimes even adapted independently of the cochlear implant (\"classic\" regulation). This study aims to verify that the innovative \"symbiotic'' regulation of the cochlear implant with an integrated hearing aid and dedicated fitting formula allows to achieve adequate rehabilitative hearing levels.Material and methods: Thirty adult patients (12 females and 18 males; age range: 18-69 years) with bimodal hearing have been enrolled in a one-year study and divided into three groups of ten subjects for each of the regulation modes (\"classic\", \"synchronized\" and \"symbiotic\") applied to fit the cochlear implant and the hearing aid. Statistical analysis of the demographic characteristics and hearing outcomes observed in the three groups was conducted using the R statistical software.Results: For all subjects, the use of the \"symbiotic\" regulation approach with a dedicated bimodal regulation formula and integrated hearing aid allowed significantly better hearing performances (p < 0.05) compared to those obtained to either the \"classic\" or the \"synchronized\" regulations.Conclusion: The \"symbiotic\" bimodal fitting formula provides significant hearing benefits compared to \"classic\" and \"synchronized\" regulation and it proves to be the ideal adjustment and coupling modality between a cochlear implant and a contralateral integrated hearing aid in bimodal listeners.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2239-2246"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152643","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

Assessment of Treatment Efficacy in Patients with Chronic Tinnitus: An Ambispective Cohort Study. 慢性耳鸣患者的治疗效果评估：一项双视角队列研究。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-07 DOI: 10.1007/s12070-025-05478-5

Sakthimurugan Sankar, Raghul Sekar, Subagar Anbarasan, S Haritha

{"title":"Assessment of Treatment Efficacy in Patients with Chronic Tinnitus: An Ambispective Cohort Study.","authors":"Sakthimurugan Sankar, Raghul Sekar, Subagar Anbarasan, S Haritha","doi":"10.1007/s12070-025-05478-5","DOIUrl":"10.1007/s12070-025-05478-5","url":null,"abstract":"Introduction: Tinnitus, a subjective perception of sound without external stimuli, affects millions worldwide, impairing daily function and quality of life. The severity of tinnitus is influenced by associated symptoms such as stress, anxiety, depression, and insomnia. The Tinnitus Functional Index (TFI) is a validated tool for assessing tinnitus severity and treatment outcomes. Despite the lack of a definitive cure, multimodal treatments, including pharmacotherapy and Tinnitus Retraining Therapy (TRT), show promise in managing the condition.Aim: This ambispective cohort study aimed to evaluate treatment efficacy in chronic tinnitus patients without hearing loss, using the Tinnitus Functional Index (TFI) as an assessment tool.Methodology: Forty patients were divided into two groups: Group A received pharmacological treatment alone, while Group B received both pharmacological treatment and tinnitus retraining therapy (TRT). TFI scores were recorded at baseline, 3, 6, and 12 months.Results: Statistical analyses revealed significant improvements in TFI scores in both groups over time, with Group B demonstrating greater improvement, indicating the efficacy of TRT.Conclusion: Our findings underscore the importance of multimodal treatment approaches, particularly TRT, in managing chronic tinnitus without hearing loss. Further research is warranted to refine treatment protocols and enhance patient outcomes.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2277-2282"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152686","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

Prediction of Ecchymosis and Edema after Rhinoplasty: Changes in Perioperative Inflammation Indixes. 鼻整形术后瘀斑和水肿的预测：围手术期炎症指数的变化。

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Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-28 DOI: 10.1007/s12070-025-05489-2

Ali Genç, Elif Kaya Çelik, Ahmet Tuğrul Şahin, Vildan Kölükçü, Mehtap Gürler Balta, Gülçin Uysal, Hakan Tapar, Tuğba Karaman, Serkan Karaman

{"title":"Prediction of Ecchymosis and Edema after Rhinoplasty: Changes in Perioperative Inflammation Indixes.","authors":"Ali Genç, Elif Kaya Çelik, Ahmet Tuğrul Şahin, Vildan Kölükçü, Mehtap Gürler Balta, Gülçin Uysal, Hakan Tapar, Tuğba Karaman, Serkan Karaman","doi":"10.1007/s12070-025-05489-2","DOIUrl":"10.1007/s12070-025-05489-2","url":null,"abstract":"This study aimed to investigate perioperative changes in the systemic immune-inflammation index (SII) and the systemic inflammation response index (SIRI) and their relationship with postoperative edema and ecchymosis following rhinoplasty. This study was approved by the Ethics Committee of Tokat Gaziosmanpasa University (2024/No: 24-KAEK-185). This prospective observational study included 94 patients who underwent open rhinoplasty under general anesthesia. The study evaluated the relationship between changes in SII (ΔSII) and SIRI (ΔSIRI), calculated from hemogram tests performed 2 h before and 2 h after surgery, and the severity of periorbital edema and ecchymosis in the early and late postoperative periods. The ΔSII value was significantly higher in the severe edema group compared with the minimal/moderate edema group in both the early and late postoperative periods (p = 0.003, p = 0.03, respectively). In addition, ΔSII was significantly higher in the severe ecchymosis group than in the minimal/moderate ecchymosis group in the early postoperative period (p = 0.03). The ΔSIRI value was significantly higher in the severe edema and ecchymosis groups compared with the minimal/moderate groups in the early postoperative period (p = 0.04, p = 0.01, respectively). This study demonstrated a significant association between perioperative changes in SII and SIRI and the severity of periorbital edema and ecchymosis following open rhinoplasty. These indices may serve as valuable markers for predicting the extent of postoperative inflammatory responses in rhinoplasty patients.","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 6","pages":"2293-2300"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12103395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152598","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