Ent-Ear Nose & Throat Journal最新文献_第4页

Sporadic diffuse neurofibroma of the retropharyngeal space. 咽后间隙散发性弥漫性神经纤维瘤。

IF 0.7 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-06-01 Epub Date: 2022-06-16 DOI: 10.1177/01455613221109756

Andrea Colizza, Francesca Arienzo, Francesca Cambria, Daniela Messineo, Mara Riminucci, Renato Covello, Marco De Vincentiis, Alessandro Corsi

引用次数: 0

Preoperative perforator mapping of anterolateral thigh flaps using computed tomographic angiography and visual coordinate system for the reconstruction of head and neck defects. 利用计算机断层血管造影和视觉坐标系统对大腿前外侧皮瓣进行术前穿支定位，用于头颈部缺损的重建。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-14 DOI: 10.1177/01455613221108367

Aobo Zhang, Yanbo Dong, Shuoqing Yuan, Mingzhen Zhao, Tingting Zhang, Liangfa Liu

{"title":"Preoperative perforator mapping of anterolateral thigh flaps using computed tomographic angiography and visual coordinate system for the reconstruction of head and neck defects.","authors":"Aobo Zhang, Yanbo Dong, Shuoqing Yuan, Mingzhen Zhao, Tingting Zhang, Liangfa Liu","doi":"10.1177/01455613221108367","DOIUrl":"10.1177/01455613221108367","url":null,"abstract":"ObjectivesThe anterolateral thigh (ALT) flap is a versatile workhorse flap for the reconstruction of head and neck defects; however, variations in the location of perforators are a significant concern. This prospective study proposes a rapid, effective, and convenient method for mapping the location of sizeable perforators on the curved thigh skin surface using the visual coordinate system in computed tomographic angiography (CTA) images.MethodsFourteen patients suffering from defects after head and neck carcinoma resection underwent CTA prior to ALT flap reconstruction at the Department of Otolaryngology-Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, from January 2018 to August 2021. Using sterile gauze swab developing lines pasted on the patients' thighs, we established a coordinate system visualized both in CTA images and the thighs. The perforator information was then compared between the CTA and intraoperative findings.ResultsTwenty-one perforators were detected on CTA in the designed flaps, which were also confirmed during the operation with a visual pulse. The course and source of the perforators were consistent with the intraoperative findings. The distances of perforator coordinate points between CTA and intraoperative findings were <5 mm. Another five perforators (mostly without visual pulse) found intraoperatively could not be identified on preoperative CTA. Most flaps survived in their entirety, and one flap suffered a small area of necrosis due to perforator compression.ConclusionThis study demonstrated the efficacy of a novel perforator mapping method for anterolateral thigh flaps.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP195-NP202"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41420303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radiation induced mucoepidermoid carcinoma of the parotid gland following post-operative radiotherapy to the earlobe for keloid prophylaxis. 耳垂放射治疗预防瘢痕疙瘩术后放射性诱发的腮腺粘液表皮样癌。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-05-03 DOI: 10.1177/01455613221099998

Stephen Dzul, Harriett Jaenisch, Chris Nagle, Michael Joiner, Steven Miller

引用次数: 0

Clinical application of dexmedetomidine combined with dezocine in local anesthesia for endoscopic dacryocystorhinostomy. 右美托咪定联合地佐辛局部麻醉在内镜下泪囊鼻腔造瘘术中的临床应用。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-14 DOI: 10.1177/01455613221108366

Lu Zhao, Zuojun Sun, Wenting Shen, Yongheng Zeng

{"title":"Clinical application of dexmedetomidine combined with dezocine in local anesthesia for endoscopic dacryocystorhinostomy.","authors":"Lu Zhao, Zuojun Sun, Wenting Shen, Yongheng Zeng","doi":"10.1177/01455613221108366","DOIUrl":"10.1177/01455613221108366","url":null,"abstract":"ObjectiveTo investigate the clinical effect of dexmedetomidine combined with dezocine in local anesthesia for endoscopic dacryocystorhinostomy (DCR).MethodsNinety patients undergoing elective endoscopic DCR were randomly divided into two groups, local anesthesia group (LA group n = 45) and general anesthesia group (GA group, n = 45). These subjects were all American Society of Anesthesiologists (ASA)-Physical Status I-II patients. The changes of mean arterial pressure (MAP) and heart rate (HR) were observed and recorded before anesthesia (T0), after anesthesia (T1), at the beginning of surgery (T2), and at the end of surgery (T3). The visual analogue scale (VAS) score was observed and recorded immediately after awakening from anesthesia and at 1, 2, 6, and 12 h after surgery. Additionally, the occurrence of adverse reactions after surgery and the sedation-agitation scale (SAS) score after awakening were recorded.ResultsCompared with the LA group, the MAP and HR of the GA group were significantly lower at T1 and T2, but significantly higher at T3. Local anesthesia was associated with lower VAS score immediately after awakening and at 1, 2, 6, and 12 h after surgery. Also, local anesthesia caused a lower incidence of postoperative agitation, nausea, and vomiting. The SAS score in the LA group was markedly higher than that in the GA group.ConclusionLocal anesthesia with dexmedetomidine and dezocine as adjuvants in endoscopic DCR has more stable hemodynamics and reduces the stress response during perioperative period. Also, this anesthesia achieves better postoperative sedation and analgesia effects, reduces postoperative complications, and improves the quality of awakening from anesthesia. Collectively, local anesthesia is a comfortable and safe option for patients with high risks of general anesthesia and those unwilling to receive general anesthesia.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP210-NP215"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46590637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diffuse Large B-Cell Lymphoma of the Frontal Sinus: A Case Report. 额窦弥漫大b细胞淋巴瘤1例报告。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-13 DOI: 10.1177/01455613221101089

Lu Yang, Yu Cui, Xue Du, Bangxian Tan

引用次数: 0

A case of large ethmoid bulla causing chronic rhinosinusitis: 'Bulla bullosa'. 一例导致慢性鼻窦炎的大筛窦大泡：“大泡”。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-01 DOI: 10.1177/01455613221106223

Byeong Jin Kim, Jong Seung Kim

引用次数: 0

Quantification and Pattern of Central Compartment Lymph Nodes in pN1a Papillary Thyroid Cancer Patients. pN1a乳头状甲状腺癌症患者中央室淋巴结的定量和模式。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-07 DOI: 10.1177/01455613221104423

Chang Liu, Hui Liu, Cong Bian, Xi-Yu Yao, Yu Wu, Shun-Jin Chen

{"title":"Quantification and Pattern of Central Compartment Lymph Nodes in pN1a Papillary Thyroid Cancer Patients.","authors":"Chang Liu, Hui Liu, Cong Bian, Xi-Yu Yao, Yu Wu, Shun-Jin Chen","doi":"10.1177/01455613221104423","DOIUrl":"10.1177/01455613221104423","url":null,"abstract":"Background: The background is to investigate the results of central compartment lymphadenectomy for pN1a papillary thyroid carcinoma (PTC) with regard to quantification and pattern of resected lymph nodes thereby providing basis for future compartment VI surgical intervention. Methods: The study comprised 443 pN1a PTC patients whose clinicopathological characteristics and central compartment lymphadenectomy results were compared and correlated with the primary thyroid cancer and lymph node metastasis (LNM) features. Ultimately, multivariate analysis was conducted to identify statistically significant impact factors for a high metastatic ratio (MR). Results: Dissected lymph nodes (DLNs) were more frequently identified in right level VI than left (P < .05) although there was no difference in in the number of resected metastatic lymph nodes (MLNs). Male sex, multifocality, extrathyroidal extension (ETE), and fewer DLNs were related to a high MR. There was a positive correlation between DLN and MLN, and a negative correlation between DLN and MR. Disease multifocality and ETE were identified more frequently in the left than the right thyroid lobe. Conclusion: The outcome of central compartment lymphadenectomy in pN1a PTC patients is associated with several factors, and a thorough dissection of lymph nodes improves the rate of metastatic lymph node resection.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"237-243"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49287015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coin retained in the upper esophagus for more than 4 years: A case report and literature review. 硬币在食管上段滞留4年以上：病例报告和文献综述。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-06-07 DOI: 10.1177/01455613221106212

Hassan Assiri, Waleed Alshareef, Bshair Aldriweesh, Khaled AlShehri, Yasser AlFraih, Latifah A Makoshi

引用次数: 0

Traumatic Stapes Luxation into the Vestibule. 外伤性镫骨脱位进入前庭。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-05-31 DOI: 10.1177/01455613221106215

Jeon Mi Lee, Hyun Jin Lee

{"title":"Traumatic Stapes Luxation into the Vestibule.","authors":"Jeon Mi Lee, Hyun Jin Lee","doi":"10.1177/01455613221106215","DOIUrl":"10.1177/01455613221106215","url":null,"abstract":"We report a rare case of traumatic stapes luxation into the vestibule. A 31-year-old female visited an emergency room with sudden onset of vertigo and conductive hearing loss after accidental penetrating injury to the right ear. Temporal bone computed tomography detected pneumolabyrinth, with a shade of whole intact stapes in the vestibule. Under exploratory tympanotomy, we observed a separated incudostapedial joint, and the stapes was depressed into the vestibule. The stapes was pulled out to the middle ear, and stapedectomy was performed; the crus were cut, the suprastructure was removed, and the fractured footplate and the long process of the incus were connected with a piston wire. The stapes footplate was sealed with soft tissue and surgical glue. Vertigo rapidly subsided after surgery, and hearing was improved to normal range. However, hearing loss at high frequencies was not recovered, probably because of inner ear damage due to the stapes depressed into the vestibule or surgical manipulation within the vestibule. Traumatic ossicular dislocation is not an uncommon occurrence in otolaryngologic practice, but stapes luxation is rare. Here, we report a rare case with successful repair. This report could serve as a basis for proper treatment in similar cases in the future.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"232-236"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49159108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pregnancy-Related Giant Nasal Mass: A Diagnostic Dilemma. 与妊娠相关的巨大鼻腔肿块：诊断难题。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2025-04-01 Epub Date: 2022-05-30 DOI: 10.1177/01455613221106207

Rayan AlFallaj, Hemail M Alsubaie, Fida Almuhawas, Saad Alsaleh

引用次数: 0