Ent-Ear Nose & Throat Journal最新文献_第9页

Delayed pathologic tibial fracture with chronic osteomyelitis after fibula free flap. 腓骨游离瓣后迟发性病理性胫骨骨折伴慢性骨髓炎。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-07 DOI: 10.1177/01455613221075775

Emily S Sagalow, Ayan T Kumar, Tristan B Fried, Steven M Raikin, Joseph M Curry

{"title":"Delayed pathologic tibial fracture with chronic osteomyelitis after fibula free flap.","authors":"Emily S Sagalow, Ayan T Kumar, Tristan B Fried, Steven M Raikin, Joseph M Curry","doi":"10.1177/01455613221075775","DOIUrl":"10.1177/01455613221075775","url":null,"abstract":"The reported donor site morbidity of the fibula free flap (FFF) is low; however, several uncommon complications have been reported with tibia fracture rarely being reported. We present a case of a pathological tibial fracture in the setting of chronic osteomyelitis after FFF. A 54-year-old female presented with a benign fibro-osseous lesion of the right mandible and was treated with mandibulectomy and reconstructed with a left FFF. Approximately 1 year following surgery, the patient presented to the emergency department. Imaging showed a pathological fracture of the distal third of the tibial shaft with persistent erythema and cellulitis of the lateral prior graft harvest site without signs of systemic infection. She was taken to the operating room for irrigation and debridement with culture and biopsy as well as external fixation of the tibial fracture. Intraoperative biopsy and culture demonstrated fracture site change with callus formation and negative culture. The patient was discharged on 6 weeks of IV vancomycin and ceftriaxone. In conclusion, tibial fracture following FFF is an uncommon complication, yet it can be exacerbated by chronic osteomyelitis. This report highlights the importance of close observation and comprehensive wound care of donor sites after free flap harvest for head and neck reconstruction.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP640-NP643"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46373626","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

Cognitive Impairment and Mild to Moderate Dysphagia in Elderly Patients: A Retrospective Controlled Study. 老年患者的认知障碍和轻至中度吞咽困难:一项回顾性对照研究。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-07 DOI: 10.1177/01455613211054631

Antonino Maniaci, Jérome R Lechien, Ignazio La Mantia, Giannicola Iannella, Salvatore Ferlito, Gianluca Albanese, Giuseppe Magliulo, Annalisa Pace, Giovanni Cammaroto, Paola Di Mauro, Claudio Vicini, Salvatore Cocuzza

{"title":"Cognitive Impairment and Mild to Moderate Dysphagia in Elderly Patients: A Retrospective Controlled Study.","authors":"Antonino Maniaci, Jérome R Lechien, Ignazio La Mantia, Giannicola Iannella, Salvatore Ferlito, Gianluca Albanese, Giuseppe Magliulo, Annalisa Pace, Giovanni Cammaroto, Paola Di Mauro, Claudio Vicini, Salvatore Cocuzza","doi":"10.1177/01455613211054631","DOIUrl":"10.1177/01455613211054631","url":null,"abstract":"Background: To investigate whether cognitive impairment in elderly patients could correlate with the severity of swallowing disorders detectable through the endoscopic fiber optic evaluation. Methods: Elderly patients (≥65 years) performing a swallowing evaluation were included and divided according to the Dysphagia outcome and severity scale (DOSS). Neurological evaluation and Mini-Mental test examination (MMET) were administered to detect cognitive impairment. Results: Significantly worse swallowing function was reported in the cognitive impairment group than the control one (40% vs 19%; P = .001). A different significant distribution of swallowing performance was detected according to the patient's MMET score (P < .001; P < .001; P = .01). At the ANOVA test among dependent variables assessed, only age>65 and MMET<10 were significantly correlated with swallowing function (F = 3.862, P = .028; F = 17.49, P = .000). Conclusions: The elderly patient has an increased risk for unrecognized swallowing disorders, with a prevalence of mild to moderate forms. Assessment of cognitive performance could facilitate the identification of swallowing disorders by providing a higher level of suspicion for silent aspiration in subjects with poor MMET scores.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP671-NP678"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45797148","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

Chronic Eustachian Tube Dilatory Dysfunction as a Manifestation of Meningioma. 慢性咽鼓管扩张功能障碍是脑膜瘤的一种表现。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-10 DOI: 10.1177/01455613221082624

Sung-Won Choi, Lee Hwangbo, Kyu-Sup Cho, Soo-Keun Kong

引用次数: 0

Pediatric Soft Tissue Perineurioma in the Head and Neck. 小儿头颈部软组织会阴瘤。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-01 DOI: 10.1177/01455613221079493

Traeden Wilson, Sherrie Wang, Bridgette Bolshom, Luke Stanisce, Swar Vimawala, Nadir Ahmad, Donald Solomon

引用次数: 0

Different Characteristics of Oropharyngeal pH Changes in Different Laryngeal Diseases. 不同喉疾病口咽pH值变化的不同特征。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-03 DOI: 10.1177/01455613221081568

Honglei Han, Qiuping Lyu, Yan Liang

{"title":"Different Characteristics of Oropharyngeal pH Changes in Different Laryngeal Diseases.","authors":"Honglei Han, Qiuping Lyu, Yan Liang","doi":"10.1177/01455613221081568","DOIUrl":"10.1177/01455613221081568","url":null,"abstract":"Objectives: To evaluate the different characteristics of oropharyngeal pH changes in patients with different laryngeal diseases.Methods: A retrospective analysis was performed. The clinical data of 262 patients were summarized. The patients were divided into 4 groups. Group 1 included 123 patients with suspected laryngopharyngeal reflux disease (LPRD). Group 2 included 45 patients with vocal cord polyps. Group 3 included 40 patients with vocal cord leukoplakia. Group 4 included 54 patients with laryngeal carcinoma. Their reflux symptom indexes (RSIs), reflux finding scores (RFSs), and Dx-pH monitoring results were compared.Results: In total, 235 patients had abnormal RSI/RFS, 90 patients had abnormal Ryan scores. The rate of abnormal RSI/RFS of Group 1 was significantly higher than that of Group 4 (P = .001). Significant differences of the rates of abnormal Ryan scores existed between Groups 2 and 4 (P = .021) and Groups 3 and 4 (P = .027). There were obvious differences in upright Ryan scores between Groups 1 and 2 (P = .013), Groups 1 and 3 (P = .002), Groups 2 and 4 (P = .046), and Groups 3 and 4 (P = .009). There were significant differences in time percentage of oropharyngeal pH of upright 5.5∼6.5 and supine 5.0∼6.5 between Groups 1 and 3 as well as Groups 1 and 4 (upright: Groups 1 and 3: P = .017; Groups 1 and 4: P = .019. Supine: Groups 1 and 3: P = .018; Groups 1 and 4: P = .023).Conclusions: There were different oropharyngeal pH characteristics in patients with different laryngeal diseases, which indicated laryngopharyngeal reflux may play different roles in different diseases through various patterns. Patients with vocal cord polyps, vocal cord leukoplakia, and laryngeal carcinoma had more and different patterns of oropharyngeal pH change than patients with LPRD. Patients with vocal cord polyps and vocal cord leukoplakia had more severe acid oropharyngeal pH change episodes than patients with laryngeal carcinoma.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP651-NP656"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44623675","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

Intermediate-grade primary melanocytic neoplasm of the cerebellopontine angle: A diagnostic challenge. 桥小脑角中度原发性黑色素细胞瘤:一个诊断挑战。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-04 DOI: 10.1177/01455613221076783

Miriam R Smetak, Nathan D Cass, Paisit Paueksakon, Elizabeth L Perkins, Matthew O'Malley, Lola Chambless, Kareem O Tawfik

引用次数: 0

Soluble Vascular Adhesion Protein-1 Level Correlates With Adropin and Inflammatory Biomarkers in Patients With Obstructive Sleep Apnea. 阻塞性睡眠呼吸暂停患者可溶性血管粘附蛋白-1水平与Adropin和炎症生物标志物相关

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-09 DOI: 10.1177/01455613221074147

Zhongyu Kong, Yuehong Liu

{"title":"Soluble Vascular Adhesion Protein-1 Level Correlates With Adropin and Inflammatory Biomarkers in Patients With Obstructive Sleep Apnea.","authors":"Zhongyu Kong, Yuehong Liu","doi":"10.1177/01455613221074147","DOIUrl":"10.1177/01455613221074147","url":null,"abstract":"Purpose: Soluble vascular adhesion protein-1 (sVAP-1) and adropin are 2 biomarkers of endothelial dysfunction. The main purpose of this study was to evaluate the levels of sVAP-1 in patients with moderate and severe obstructive sleep apnea (OSA) compared to healthy controls, and to further determine the relationship between sVAP-1 and adropin levels, as well as inflammatory biomarkers and sleep parameters.Methods: In this study, we included 50 male patients with OSA (25 moderate and 25 severe) and 20 age- and sex-matched control subjects. Patients with OSA underwent polysomnography. All subjects underwent fasting peripheral blood sampling for laboratory analysis.Results: Serum sVAP-1 and inflammatory biomarkers (IL-6, TNF-α, and hsCRP) levels were significantly higher in patients with severe OSA compared to those with moderate OSA and control groups, while plasma levels of adropin showed the opposite trend. Furthermore, sVAP-1 levels had a significant positive correlation with AHI, ODI, TNF-α, IL-6, and hsCRP levels and a significant negative correlation with adropin levels. The receiver operating characteristic analysis showed an Area Under Curve (AUC) of .876 (P < .001) for sVAP-1 levels predicting OSA. Serum sVAP-1 threshold of > 445.5 ng/mL had an 88% sensitivity and 80% specificity for detecting OSA status. Multivariate regression analysis demonstrated that sVAP-1 remained a significant positive predictor of OSA severity.Conclusions: Increased sVAP-1 levels in OSA patients are significantly correlated with indices of OSA severity, adropin levels, and inflammatory biomarkers, suggesting that sVAP-1 plays a vital role in the pathophysiology of OSA and may become a potential screening tool in the evaluation of OSA severity.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP686-NP693"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43020847","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

Extent of Nasal Irrigation in Non-operated Sinuses: A Cadaveric Trial. 非手术鼻窦的鼻腔冲洗程度：尸体试验

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-02-27 DOI: 10.1177/01455613221081567

Ibrahim Sumaily, Mohammad Jomaah, Ibrahim Alarifi, Saud Alromaih, Mohammad Aloulah, Abdulrazag Ajlan, Ahmad Alroqi, Saad Alsaleh

{"title":"Extent of Nasal Irrigation in Non-operated Sinuses: A Cadaveric Trial.","authors":"Ibrahim Sumaily, Mohammad Jomaah, Ibrahim Alarifi, Saud Alromaih, Mohammad Aloulah, Abdulrazag Ajlan, Ahmad Alroqi, Saad Alsaleh","doi":"10.1177/01455613221081567","DOIUrl":"10.1177/01455613221081567","url":null,"abstract":"Background: Nasal irrigation is among the most widely used treatment modalities for sinonasal diseases. The extent of irrigation is well studied in operated sinuses but not for non-operated sinuses. Moreover, the preferred head positioning during irrigation is not known. Herein, we studied the extent of nasal irrigation in cadaveric heads with non-operated sinuses.Methods: Nine cadaveric heads were used. Normal saline solution mixed with radiological contrast material was used to irrigate the nasal cavities with the heads in 2 different positions: standing-leaning-forward (SLF) and Head-down forward (HDF). After each irrigation, computed tomography images of the head were acquired. The extent of irrigation was assessed for each subunit of the sinonasal cavity.Results: Irrigation was performed twice on a total of 18 sides, each time in 1 position. Nine subunits were evaluated: inferior, middle, and superior meati; the olfactory cleft; and the frontal, maxillary, anterior, and posterior ethmoid and sphenoid sinuses. The extent of irrigation was significantly better in the HDF position for the olfactory cleft (100% vs 33%), P-value=.001, frontal sinus (33% vs 11%), P-value=.002, maxillary sinus (78% vs 17%), P-value=.001, and anterior ethmoid sinus (89% vs 17%), P-value=.001. There was no significant difference in the extent of irrigation between the 2 positions for the other evaluated subunits. The overall extent of irrigation was 70.37% of the subunits in HDF position and 45.06% of the subunits for SLF position, P-value= .001.Conclusions: Nasal irrigation reached the cavities of non-operated paranasal sinuses. However, while the extent of irrigation was limited in the SLF, it was well achieved in the HDF position. Studies on the clinical efficacy of irrigation in this position are recommended.","PeriodicalId":51041,"journal":{"name":"Ent-Ear Nose & Throat Journal","volume":"1 1","pages":"NP657-NP661"},"PeriodicalIF":1.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65059121","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

Ganglioneuroblastoma in the Retropharyngeal Space: A Case Report and Literature Review. 咽后间隙神经节神经母细胞瘤1例报告及文献复习。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-05-09 DOI: 10.1177/01455613221101941

Zesheng Zeng, Jinping Liu, Shengen Xu, Gang Qin

引用次数: 0

Ventral Surface Midline Cavernous Hemangioma of Anterior Tongue in a Child. 1例儿童舌前腹表面中线海绵状血管瘤。

IF 1 4区医学

Ent-Ear Nose & Throat Journal Pub Date : 2024-11-01 Epub Date: 2022-03-01 DOI: 10.1177/01455613221080971

Hyun Jung Kim, Min Bum Kim, Suk Won Chang

引用次数: 0