Romanian Journal of Rhinology最新文献

The multidetector CT evaluation of diffuse hyperostosis frontalis interna 额间弥漫性骨质增生的多载体 CT 评估

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0018

Mikail Inal, N. Muluk, Enes Nusret Celik

{"title":"The multidetector CT evaluation of diffuse hyperostosis frontalis interna","authors":"Mikail Inal, N. Muluk, Enes Nusret Celik","doi":"10.2478/rjr-2024-0018","DOIUrl":"https://doi.org/10.2478/rjr-2024-0018","url":null,"abstract":"\u0000 \u0000 OBJECTIVES. Hyperostosis frontalis interna (HFI) is a condition that involves the non-cancerous growth of the inner part of the frontal bone. We investigated diffuse HFI in cranial CT in terms of bone thickness and density.\u0000 \u0000 MATERIAL AND METHODS. The cranial CT images of 154 adult patients with diffuse HFI and 151 adult patients without HFI were included in the study. Bone thickness measurements were performed at vertex, frontal tuberosity and frontal sinus levels in the midline, right and left lateral parts. Density measurements were also performed in the same areas. In the HFI group, measurements were performed at the HFI and non-HFI regions. In the control group, density measurements were also performed.\u0000 \u0000 RESULTS. HFI was detected more in females (96.1%). In diffuse HFI patients, bone thickness values increased at the vertex, frontal tuberosity and frontal sinus levels (p<0.05). Bone densities of the HFI parts increased at vertex and frontal tuberosity levels (p<0.05). In the HFI group, there were positive correlations between bone thicknesses (p<0.05). As bone thicknesses increased, bone density values decreased (p<0.05). In older patients, frontal tuberosity and frontal sinus bone densities decreased (p<0.05).\u0000 \u0000 CONCLUSION. HFI may be one of the reasons for headaches in females. In the future, it would be better to investigate the relationship between HFI and headaches. The physicians should notice that increased bone thickness may be the sign of the HFI and they should consult with the Radiology Department. When HFI is detected, an endocrinological assessments will also be performed.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"130 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842000","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

Cough: A protective reflex and herbal therapies 咳嗽：保护性反射和草药疗法

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0017

Imran Ozdemir, N. Muluk, Oguzhan Oguz, Z. Ozturk, C. Cingi

{"title":"Cough: A protective reflex and herbal therapies","authors":"Imran Ozdemir, N. Muluk, Oguzhan Oguz, Z. Ozturk, C. Cingi","doi":"10.2478/rjr-2024-0017","DOIUrl":"https://doi.org/10.2478/rjr-2024-0017","url":null,"abstract":"\u0000 \u0000 OBJECTIVES. In this paper, we reviewed cough and herbal therapies.\u0000 \u0000 MATERIAL AND METHODS. Research methods included searching online databases such as Google, Google Scholar, ProQuest Central, and PubMed at Kirikkale University. We used terms like “cough”, “herbal”, “reflex”, “Primula veris”, “Primula elatior”, “Thymus vulgaris”, “Althea Officinalis”, and “Mentha piperita” to find related articles.\u0000 \u0000 RESULTS. Coughing is a reflex that serves a legitimate physiological purpose by expelling fluids and debris from the lungs. Herbal teas and preparations with antioxidant and expectorant properties are made from medicinal herbs like Primula veris and Primula elatior. The phenolic monoterpene thymol, one of the primary components of thyme oil, is found primarily in thyme plants. Both thymol and thyme essential oil have lengthy histories of usage in conventional medicine, particularly for their upper respiratory system-targeted expectorant, anti-inflammatory, antiviral, antibacterial, and antiseptic properties. Historically, people have turned to the plant Althaea officinalis for help with treating respiratory issues, like cough. Officinalis extracts alone for dry cough therapy, while A. officinalis was more effective when combined with Zataria multiflora, Zingiber officinale, or Helix hedera. Furthermore, all types of coughs benefited from officinalis. One of the most popular types of herbal tea, known as a tisane, is peppermint, or Mentha piperita. Peppermint essential oil and tea made from the plant’s leaves have long histories of usage in alternative medicine. Some studies have found that peppermint may have antiallergenic properties in addition to its antibacterial, antiviral, antioxidant, and anticancer properties.\u0000 \u0000 CONCLUSION. Cough is a persistent symptom of many acute and chronic illnesses. Primula veris, Thymus vulgaris, Althaea Officinalis, and Mentha piperita are some herbs used to treat cough. Cough patients can supplement their standard medical care with herbal remedies that contain these compounds.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850727","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

Sinonasal angiosarcoma: case report and literature review 鼻窦血管肉瘤：病例报告和文献综述

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0021

Andreea Milea, Alex Milea, C. Sarafoleanu

{"title":"Sinonasal angiosarcoma: case report and literature review","authors":"Andreea Milea, Alex Milea, C. Sarafoleanu","doi":"10.2478/rjr-2024-0021","DOIUrl":"https://doi.org/10.2478/rjr-2024-0021","url":null,"abstract":"\u0000 \u0000 BACKGROUND. Angiosarcoma is a neoplastic tumor that originates from endothelial cells, accounting for less than 2% of all sarcomas. The sinonasal localization of angiosarcoma is uncommon. It is a highly aggressive tumor with an increased risk of local recurrence.\u0000 \u0000 CASE REPORT. We present the case of a 24-year-old male patient with 1 month of left side epistaxis, left nasal obstruction, headache and left hemifacial paresthesia. The CT scan of the skull and paranasal sinuses performed with intravenous contrast showed a macronodular heterogenous tissue lesion, partially hyperdense spontaneously, iodophilic, with multiple vascular trajectories apparently of the arterial type, localised in the left maxillary sinus and ipsilateral nasal cavity. The first result from histopathological examination concluded for sinonasal angiofibroma with no signs of malignancy. Even if a wide resection was performed by external and endoscopic approach, a quite quick local recurrence appeared. After the second surgical resection of the tumor, the histopathological examination correlated with immunohistochemical tests and the clinical-imaging aspect concluded on sinonasal angiosarcoma. The proper treatment was delayed because of the histopathological examination misinterpretation.\u0000 \u0000 CONCLUSION. A thorough histopathological examination and immunohistochemistry have an important role for an adequate diagnosis of sinonasal angiosarcoma.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851405","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

Volumetric analysis of pons, middle brain and thalamus by MRI in migraine patients; and evaluation of vertebral artery diameter 通过核磁共振成像分析偏头痛患者脑桥、中脑和丘脑的体积；评估椎动脉直径

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0020

M. Şahan, N. Muluk, Fatih Kocturk, Melih Akşamoğlu

{"title":"Volumetric analysis of pons, middle brain and thalamus by MRI in migraine patients; and evaluation of vertebral artery diameter","authors":"M. Şahan, N. Muluk, Fatih Kocturk, Melih Akşamoğlu","doi":"10.2478/rjr-2024-0020","DOIUrl":"https://doi.org/10.2478/rjr-2024-0020","url":null,"abstract":"\u0000 \u0000 OBJECTIVES. We investigated whether there were atrophic changes in grey matter (pons, midbrain, and thalamus) in migraine patients. Vertebral artery diameters were also evaluated.\u0000 \u0000 MATERIAL AND METHODS. The cranial MRI images of 49 adult migraine-diagnosed patients and 49 adult subjects with normal cranial MRI results were included in the study. In both groups, pons, midbrain, and thalamus volumes, as well as vertebral artery diameters were measured.\u0000 \u0000 RESULTS. There were no significant differences between pons, midbrain, bilateral thalamus volumes and vertebral artery diameters of the migraine and control groups (p>0.05). In the right-sided migraine group, the right thalamus volume was significantly lower than the contralateral side (p<0.05). In the left-sided migraine group, the left thalamus volume was non-significantly lower than the contra-lateral side (p>0.05). In the right-sided and left-sided migraine groups, left vertebral artery diameters were significantly higher than those on the right side (p<0.05). In older migraine patients, pons and midbrain volumes decreased (p<0.05). In longer migraine duration, pons volume decreased (p<0.05). In aura-present migraine patients, right vertebral artery diameters decreased (p<0.05).\u0000 \u0000 CONCLUSION. We concluded that migraine is related to grey matter atrophy in terms of thalamus atrophy on the migraine side. Pons atrophy in longer migraine, and pons and midbrain atrophy in older migraine patients were also detected. Therefore, during the follow-up of the migraine patients, grey matter atrophy should be examined by MRI, and treatment to prevent migraine attacks should be planned.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"1975 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852117","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

3D segmentation and 3D printing in presurgical planning and patient education in sinonasal tumoral pathologies 三维分割和三维打印技术在鼻窦肿瘤病理的术前规划和患者教育中的应用

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0022

Mihai Dragomir, C. Sarafoleanu, E. Liciu, Daniel Cristea

引用次数: 0

Evaluation and management of antrochoanal polyps in children 儿童肛门息肉的评估和治疗

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0019

G. Iovănescu, Alina Elisabeta Anglitoiu, Karina Cristina Marin, Dana Florentina Gidea, Dan Iovanescu, Roxana Daniela Vintila

{"title":"Evaluation and management of antrochoanal polyps in children","authors":"G. Iovănescu, Alina Elisabeta Anglitoiu, Karina Cristina Marin, Dana Florentina Gidea, Dan Iovanescu, Roxana Daniela Vintila","doi":"10.2478/rjr-2024-0019","DOIUrl":"https://doi.org/10.2478/rjr-2024-0019","url":null,"abstract":"\u0000 \u0000 BACKGROUND. Antrochoanal polyps (ACP) were originally reported by Gustav Killian in 1906. Antrochoanal polyps (ACPs) are benign polypoid lesions that begin in the maxillary antrum and extend into the choana. Although there have been recorded occurrences of bilateral ACPs in the literature, ACPs are mostly unilateral. They typically have an impact on youth and youngsters.\u0000 \u0000 MATERIAL AND METHODS. In a trial of 15 cases treated and admitted to our ENT Pediatric Department at the Emergency County Hospital Timisoara over the previous four years, the pathology, differential diagnosis, treatment, complications, etiopathogenesis, clinical features, positive and differential diagnosis, preoperative evaluation, pathology, and treatment of ACPs were reviewed in this study.\u0000 \u0000 RESULTS. The patients age group comprised five females (33.33%) and ten boys (66.67%), ranging in age from 7 to 16 years. The most common presenting symptoms were unilateral nasal obstruction (100%), purulent rhinorrhea (66.67%), olfactory impairment (53.33%), and mouth breathing (46.67%). A nasal endoscopy and a craniofacial CT scan were the gold standards for diagnosing ACP. The chosen course of treatment for all pediatric patients included in the study was surgery: 12 patients (80%) underwent transnasal endoscopic polypectomy, and 3 patients (20%) underwent both transnasal polypectomy and transcanine fossa approach. The success rate of the combined endoscopic and transcanine fossa approach was 100%, whereas the transnasal endoscopic surgery (polypectomy) had an 80% success rate.\u0000 \u0000 CONCLUSION. Polypectomy combined with a transcanine fossa approach technique and transnasal polypectomy is the optimal course of treatment.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"112 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843753","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

Editorial: The present and future in rhinology 社论：鼻科的现状与未来

Romanian Journal of Rhinology Pub Date : 2024-07-01 DOI: 10.2478/rjr-2024-0016

C. Sarafoleanu

引用次数: 0

Laryngeal coccidioidomycosis in adults: systematic review of the literature and a case report 成人喉部球虫菌病:文献系统回顾及1例报告

Romanian Journal of Rhinology Pub Date : 2023-10-14 DOI: 10.2478/rjr-2023-0027

Carolina Verde Lizárraga, José Roberto Reina Loaiza, Karen Alejandra Leal Tapia, Juan Antonio Lugo Machado

{"title":"Laryngeal coccidioidomycosis in adults: systematic review of the literature and a case report","authors":"Carolina Verde Lizárraga, José Roberto Reina Loaiza, Karen Alejandra Leal Tapia, Juan Antonio Lugo Machado","doi":"10.2478/rjr-2023-0027","DOIUrl":"https://doi.org/10.2478/rjr-2023-0027","url":null,"abstract":"Abstract BACKGROUND. Coccidioidomycosis spp. is a dimorphic fungus endemic to the southwestern United States and northern Mexico. Incidences in high-risk locations have increased over the last years. MATERIAL AND METHODS. A systematic review has been carried out following the PRISMA guidelines of the reports found in PubMed, Scopus, Google Scholar databases from 1953 to 2023. We included articles written in the English language, with the following keywords “laryngeal” and “coccidioidomycosis” and “adults”, \"upper respiratory tract\" and \"coccidioidomycosis\" and \"adults\". RESULTS. In the review, we could access 8 publications with a total of 10 cases in which 7 men and 3 women were reported, with a mean age of 49.3 years. The ten reported cases were from the southern region of the United States, which borders our state of Sonora in the north. Also, we report the case of a 24-year-old male patient, who presented a chronic picture of more than 1 year with dysphonia, worsening in the last month. He underwent direct laryngoscopy with biopsy, resulting in the diagnosis of laryngeal coccidioidomycosis. Our patient had multiple comorbidities, among which chronic kidney disease in treatment with peritoneal dialysis, erythropoietin and prednisone, with a history of renal transplant in 2017, rejected in 2019. CONCLUSION. Laryngeal coccidioidomycosis is a diagnostic challenge for the clinician, its characteristics may appear to be a malignant entity, up to the formation of abscesses and even present bone destruction. The geographical area in which we are located makes it necessary to always include coccidioidomycosis as a pathology to rule out in our patients.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803353","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

Treatment with Cinnabsin in patients with acute and exacerbated chronic rhinosinusitis 肉桂素治疗急性及加重慢性鼻窦炎

Romanian Journal of Rhinology Pub Date : 2023-10-14 DOI: 10.2478/rjr-2023-0025

Rumen Benchev, Dilyana Vicheva

{"title":"Treatment with Cinnabsin in patients with acute and exacerbated chronic rhinosinusitis","authors":"Rumen Benchev, Dilyana Vicheva","doi":"10.2478/rjr-2023-0025","DOIUrl":"https://doi.org/10.2478/rjr-2023-0025","url":null,"abstract":"Abstract BACKGROUND. Patients with rhinosinusitis account for about 30% of the total amount of otolaryngologic patients and their number is constantly growing. Currently, there is no ideal treatment for acute and especially chronic rhinosinusitis and various therapeutic approaches are still under debate. OBJECTIVES. To evaluate the effectiveness and the safety of Cinnabsin® in acute and exacerbated chronic rhinosinusitis treatment. MATERIAL AND METHODS. We included in our non-interventional, multicenter, prospective study 200 patients with acute and exacerbated chronic rhinosinusitis in order to evaluate the effectiveness and the safety of treatment with Cinnabsin® (while 20 out of 200 patients received additional therapy, only patients who did not receive additional therapy were taken into account in the statistical analysis; 180 patients have been treated with Cinnabsin® only and this is the basis of the statistical assessments performed). Changes in the total score of the typical symptoms of rhinosinusitis were assessed, and changes in edema, hyperemia and secretion were assessed by rhinoscopy. RESULTS. The total score of the typical symptoms of rhinosinusitis showed a statistically significant difference between the first and final visits – v4 vs. v1 according to Pearson Chi-square (p = 0.0000) as well as in accordance with Risk Difference (RD), Relative Risk (RR), Odds Ratio (OR) ratios at the beginning and end of the treatment. The healthy status of the patients (major improvement, improvement, no complaints) was rated as 93.9% at the final visit. The efficacy of treatment (major improvement, improvement, no complaints) was rated as 93.9% at the final visit. Treatment tolerance was rated as very good in almost all patients (99.4%). CONCLUSION. Cinnabsin® could be considered efficient in reducing the symptoms of acute rhinosinusitis, shows a very good safety profile, and could be recommended for outpatient treatment of patients with acute or exacerbated chronic rhinosinusitis, no matter the additional therapy.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135803208","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

Correlations between daytime sleepiness, arterial hypertension and the degree of apnea in patients with obstructive sleep apnea syndrome 阻塞性睡眠呼吸暂停综合征患者日间嗜睡、动脉高血压与呼吸暂停程度的相关性

Romanian Journal of Rhinology Pub Date : 2023-10-14 DOI: 10.2478/rjr-2023-0026

Gabriela Jimborean, Hedy Balogh Sarkozy, Mioara Szatmari, Neagos Cristian Mircea, Anca Vlad, Adriana Neagos

{"title":"Correlations between daytime sleepiness, arterial hypertension and the degree of apnea in patients with obstructive sleep apnea syndrome","authors":"Gabriela Jimborean, Hedy Balogh Sarkozy, Mioara Szatmari, Neagos Cristian Mircea, Anca Vlad, Adriana Neagos","doi":"10.2478/rjr-2023-0026","DOIUrl":"https://doi.org/10.2478/rjr-2023-0026","url":null,"abstract":"Abstract BACKGROUND. Sleep-breathing disorders are increasingly common in the general population, affecting the quality of life from many points of view. Patients with sleep-disordered breathing have a series of comorbidities, including arterial hypertension, which affects the quality of life also through the collateral manifestations of daytime sleepiness. MATERIAL AND METHODS. A descriptive study was conducted on a group of 134 patients who underwent investigations to determine the degree of obstructive sleep apnea syndrome (OSAS) by respiratory polygraphic and polysomnographic investigations. This group was also investigated from the point of view of blood pressure values as well as the degree of daytime sleepiness, an important element for the quality of life. RESULTS. The average age of the evaluated patients was 42.18±12.70 years, and the body mass index was 31.20±5.74 kg/m 2 . The assessment of systemic blood pressure indicated an increased value above its standard normal value in most subjects: 58 patients (43.9%) were included in stage I hypertension, 9.8% in stage II, 1.5% of the subjects were diagnosed with stage III hypertension. To describe the relationship between OSAS and quality of life assessed by the degree of daytime sleepiness, we performed the regression and correlation analysis. The dependence between the values of the apnea-hypopnea index (AHI) and the ESS (the degree of daytime sleepiness) was positive; an increase in the AHI implies an increase in the ESS, thus a decrease in the quality of life. CONCLUSION. We can conclude that the severity of OSAS is directly involved in establishing the degree of arterial hypertension. Moreover, early detection is essential in order to decrease the degree of daytime sleepiness and implicitly increase the quality of life.","PeriodicalId":498190,"journal":{"name":"Romanian Journal of Rhinology","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135804037","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