ORL; journal for oto-rhino-laryngology and its related specialties最新文献

{"title":"Middle Turbinate Attachment locating Common Canaliculus During an Endoscopic Dacryocystorhinostomy.","authors":"Turki Aldrees, Mohammad Albar, Samer Abou Rizk, Roy R Casiano","doi":"10.1159/000551932","DOIUrl":"https://doi.org/10.1159/000551932","url":null,"abstract":"<p><p>: Objective: To determine whether anterior middle turbinate attachment (MTA) to the lateral wall of the nose can serve as a reliable endoscopic landmark for the approximate level of the common canaliculus of the lacrimal sac during endoscopic dacryocystorhinostomy (DCR).</p><p><strong>Method and materials: </strong>This descriptive anatomical study included 12 cadaveric heads and 24 endoscopic DCRs. After performing DCR, the location of the common canaliculus was measured endoscopically relative to the MTA.</p><p><strong>Results: </strong>The mean location of the common canaliculus was 1 mm below MTA. The common canaliculus was found at, below, and above the MTA level in 42%, 50%, and 8% of the specimens, respectively. The common canaliculus was identified up to 4 mm below and 1 mm above the MTA level on all specimens and sides.</p><p><strong>Conclusion: </strong>MTA can be used as a reliable anatomical landmark to predict the location of the common canaliculus during endoscopic DCR.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-16"},"PeriodicalIF":1.3,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147795420","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}

{"title":"Review of Treatment Options for Facial Synkinesis: Working Towards a Standardized Algorithm.","authors":"Aileen Z Cui, Shivam Patel, Dana Smithnosky, Christina M Yver","doi":"10.1159/000551933","DOIUrl":"https://doi.org/10.1159/000551933","url":null,"abstract":"<p><p>Background Facial synkinesis describes a sequela of transient facial nerve injury that can occur following viral reactivation syndromes such Bell's palsy or following traumatic facial nerve injury. Facial synkinesis is frequently characterized by muscle hypertonicity, involuntary co-contraction of facial muscles, and spasm, and can have severe functional and aesthetic consequences. Although this condition is not curable, several treatment options exist; however, there is currently a lack of consensus regarding the appropriate timeline and sequence of synkinesis treatment strategies. Summary Treatment for facial synkinesis is nuanced and constantly evolving. A range of both noninvasive and invasive treatment options exist, including physical therapy, chemodenervation with botulinum toxin, and various surgical interventions such as selective myectomy and selective neurectomy. The optimal treatment strategy is often dependent on patient preference, clinical presentation, and provider comfort, and can be further complicated by confusion regarding the appropriate timeline for escalation of care. This review summarizes the current treatment trends and proposes a nuanced algorithm that integrates current practice and individualized decision-making to provide a framework to care for this patient population.   Key Messages Management of facial synkinesis is complicated by the wide range of treatment options in addition to the lack of clear consensus on how to integrate these modalities into a cohesive treatment plan. The algorithmic approach outlined here represents one of several possible frameworks for evaluating and managing patients with this challenging condition.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-15"},"PeriodicalIF":1.3,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147694527","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}

{"title":"Secondary eyelid weight surgery in patients with facial paralysis.","authors":"Charles M Henry, Haley M Hullfish, Chloe Mattila, Elizabeth G Hill, Michelle S Hwang","doi":"10.1159/000551931","DOIUrl":"https://doi.org/10.1159/000551931","url":null,"abstract":"<p><strong>Introduction: </strong>Paralytic lagophthalmos in the setting of facial paralysis results in exposure keratopathy and places patients at risk for corneal injury and long term sequalae. Upper eyelid weight implantation restores passive eyelid closure and increases protection of the cornea. While effective, some patients ultimately require secondary surgery. The factors associated with eyelid weight revision remain incompletely characterized. This study identifies clinical and surgical factors associated with secondary eyelid weight surgery (replacement or removal) among patients with facial paralysis at a tertiary academic medical center.</p><p><strong>Methods: </strong>A retrospective chart review was conducted of patients who underwent eyelid weight placement for incomplete eye closure secondary to unilateral facial paralysis between January 1, 2014 and December 31, 2023. Data collected included demographics, etiology of paralysis, history of radiation therapy, paralysis severity and recovery, implant characteristics, and adjunctive facial reanimation procedures. Statistical analyses compared patient and procedural factors associated with receiving secondary or revision surgery, and among secondary cases, between those who underwent replacement versus removal.</p><p><strong>Results: </strong>Ninety-four patients met inclusion criteria, and 21 (22.3%) underwent secondary surgery. The most common indication for revision was recovery of facial nerve function (33.3%), followed by bothersome symptoms (28.6%), extrusion (23.8%), and incomplete eye closure (14.3%). Patients with partial or complete recovery of paralysis were significantly more likely to undergo secondary surgery compared to those without recovery (61.8% vs 22%; p < 0.001). A history of head and neck radiation was not significantly associated with revision (p = 0.4). There were no significant differences found with respect to age, gender, severity of paralysis, etiology, type or material of implant, or procedural setting.</p><p><strong>Conclusion: </strong>Secondary eyelid weight surgery was primarily associated with recovery of facial function followed by persistent ocular symptoms and extrusion.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-17"},"PeriodicalIF":1.3,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655589","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}

{"title":"Effectiveness of Intranasal Insulin for the Treatment of Olfactory Dysfunction: A Systematic Review.","authors":"Atheer Ali Al-Talhi, Bassam AlRajhi, Abdulaziz Hamed S Almalki, Mohamed Alqazenli, Muhnnad Abdulaziz AlGhamdi, Fadi Abdu Munhish, Ibrahim Sumaily","doi":"10.1159/000550990","DOIUrl":"10.1159/000550990","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of the study was to assess the effectiveness and safety of intranasal insulin (INI) for the treatment of olfactory dysfunction (OD) in patients with anosmia and/or hyposmia compared to placebo or no treatment.</p><p><strong>Methods: </strong>We searched four databases: Medline, Scopus, Directory of Open Access Journals (DOAJ), and Springer Nature. The study protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (ID: CRD42023456891). The protocol design was in accordance with the PRISMA. Participants with hyposmia or anosmia aged ≥18 years were included. Patients with an altered sense of smell due to anatomical malformations, trauma, neurodegenerative diseases, surgery, or intranasal lesions were excluded from the study.</p><p><strong>Results: </strong>Five studies with 131 participants were included. There were 131 participants, of whom 63 were men and 68 were women. The participants' ages ranged from 16 to 56 years. Almost all studies used a dose of 40 IU, except one that used different doses for different participants. Glycemic assessment was performed in three studies, which showed a very slight decrease in glucose, except in one study in which the drop in glucose reached 10.4 mg/dL. All studies agreed that olfactory function improved after INI administration.</p><p><strong>Conclusion: </strong>This systematic review concluded that INI can be an effective treatment option for patients with OD. However, further well-designed clinical trials are required to establish robust clinical recommendations.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-11"},"PeriodicalIF":1.3,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319380","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}

{"title":"Minimally Invasive Skull Base Approach Styloidectomy for Treatment of Eagle Syndrome.","authors":"Victoria Fonseca, Makayla R Matthews, Trevor Hackman","doi":"10.1159/000551089","DOIUrl":"10.1159/000551089","url":null,"abstract":"<p><strong>Introduction: </strong>Eagle syndrome is an underrecognized condition caused by the elongation of the styloid process or calcification of the stylohyoid ligament, with an unknown true incidence. It is diagnosed clinically through symptoms related to compression of the surrounding neurovascular and musculoskeletal structures, along with radiographic confirmation of styloid elongation. Symptoms are variable and may include neck pain, dysphagia, tinnitus, dizziness, headaches, otalgia, and cognitive complaints. Surgical management via intraoral or transcervical approaches is the current standard of care. We propose a novel minimally invasive skull base approach designed to allow complete styloid removal with reduced tissue dissection.</p><p><strong>Methods: </strong>A retrospective review was conducted in patients who underwent this minimally invasive skull base approach for Eagle syndrome between November 2020 and June 2024. Of 102 identified patients, 90 met the inclusion criteria. Demographics, operative time, intraoperative and postoperative complications, narcotic use, and symptom improvement were extracted from the electronic medical record. Data were analyzed using Excel.</p><p><strong>Results: </strong>Patients were predominantly female (73.3%) and white (90%). The mean operative time for unilateral styloid removal was 53 min (±21.2). The most common postoperative complication was temporary numbness (42.2%), with resolution reported in 63.2% of affected patients. Overall, 86.7% (n = 78) of patients reported complete or partial symptom improvement by or before the 3-month follow-up.</p><p><strong>Conclusion: </strong>The minimally invasive skull base approach for Eagle syndrome demonstrates symptom improvement rates comparable to traditional intraoral and transcervical techniques while offering shorter operative times and limited tissue dissection. This approach appears to be an effective alternative surgical option with an acceptable complication profile.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-8"},"PeriodicalIF":1.3,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147319350","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}

{"title":"Evaluating Speech-in-Noise Deficits in Conductive Hearing Loss: The Underestimated Role of Low-Frequency Air-Bone Gaps.","authors":"Mustafa Seyrek, Burak Kabiş, Suat Özbilen, Bülent Gündüz","doi":"10.1159/000550374","DOIUrl":"10.1159/000550374","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to investigate the impact of conductive hearing loss (CHL) on speech perception in noisy environments, with a particular focus on the role of low-frequency air-bone gaps. While CHL is traditionally considered a peripheral auditory disorder, emerging evidence suggests that it may also affect central auditory processing, especially under complex acoustic conditions.</p><p><strong>Methods: </strong>Thirty individuals diagnosed with CHL and thirty age-matched participants with normal hearing were recruited from the Audiology Unit of Gazi University. All participants underwent comprehensive audiological evaluations, including the Turkish Hearing in Noise Test (T-HINT). Speech recognition thresholds (SRTs) were measured adaptively in four listening conditions: quiet and noise presented from the front, right, and left. Speech-spectrum noise was delivered at 65 dB SPL.</p><p><strong>Results: </strong>Participants with CHL demonstrated significantly elevated SRTs across all noise conditions compared to the control group, indicating reduced speech-in-noise intelligibility. However, speech discrimination scores in quiet did not differ significantly between groups. Notably, larger air-bone gaps at low frequencies were strongly correlated with poorer SRTs, suggesting a frequency-specific vulnerability in noisy environments.</p><p><strong>Conclusion: </strong>CHL substantially impairs speech perception in noise, primarily due to the detrimental effects of low-frequency air-bone gaps. These findings underscore the crucial role of low-frequency auditory input in the temporal and spectral processing of speech, underscoring the need for frequency-specific diagnostic and rehabilitative strategies in clinical audiology.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-9"},"PeriodicalIF":1.3,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914491","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}

{"title":"Stimulating the Human Olfactory Bulb to Evoke Smell Perception: A Case Report from Awake Brain Surgery.","authors":"Coralie Mignot, Susanne Weise, Stephan B Sobottka, Moustafa Bensafi, Dino Podlesek, Thomas Hummel","doi":"10.1159/000550235","DOIUrl":"10.1159/000550235","url":null,"abstract":"<p><strong>Introduction: </strong>Approximately one-third of patients with olfactory dysfunction would consider the option of an olfactory implant, a device that would sample odorants and translate this information into an electrical stimulation of the brain to produce an olfactory percept. However, the brain location for placement of such a device is to date still debated.</p><p><strong>Case presentation: </strong>We describe the single-case of a patient with left-sided frontotemporal astrocytoma who reported perceiving a lemon smell after electrical stimulation in the olfactory bulb.</p><p><strong>Conclusion: </strong>The awake-brain surgery provides a unique opportunity to test how smell percepts are formed at the central level in humans. This information is critical in the emerging field of olfactory implants. The present case emphasizes the significant role of the olfactory bulb as a target structure for the placement of an olfactory prosthesis.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-4"},"PeriodicalIF":1.3,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145822669","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}

{"title":"A Possible Expanded Timeline for Salvage Facial Reanimation Surgery: A Case Report.","authors":"Víctor A de Cos, Rishi N Modi, Sandhya Kalavacherla, Jacqueline J Greene","doi":"10.1159/000549742","DOIUrl":"10.1159/000549742","url":null,"abstract":"<p><strong>Introduction: </strong>Successful salvage facial reanimation procedures involving transfer of nerve to masseter (NTM) to an existing gracilis free muscle transfer (GFMT) have been reported when performed within 6 months.</p><p><strong>Methods: </strong>Medical records were reviewed for patients who had undergone a salvage or secondary facial reanimation surgery after an initial suboptimal GFMT by cross-face nerve graft (CFNG).</p><p><strong>Case presentations: </strong>Between 2019 and 2024, three patients underwent salvage or secondary facial reanimation surgery after an initial procedure failed to produce movement by 11, 17, and 14 months respectively. Intraoperatively, the existing gracilis of patients 1 and 3 stimulated at 2 mA, and so a salvage procedure involving NTM transfer to the obturator nerve of the existing GFMT was performed. Successful smile was noted at 5 months for patient 1 and no facial movement after 12 months for patient 3. For patient 2, a secondary facial reanimation surgery (GFMT from the contralateral leg with innervation by the NTM) was performed due to lack of existing gracilis electrical stimulation and produced a successful smile noted at 7 months.</p><p><strong>Conclusion: </strong>This study demonstrates that successful salvage of a failed GFMT by CFNG is possible through transfer of the NTM to the obturator nerve even after 11 months.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-6"},"PeriodicalIF":1.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688909","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}

{"title":"High-Impact Laryngotracheal Trauma: A Combined Narrative and Systematic Review Evaluating Gaps in the Current Laryngeal Injury Reporting System.","authors":"Asimakis D Asimakopoulos, Kishore Sandu","doi":"10.1159/000549780","DOIUrl":"10.1159/000549780","url":null,"abstract":"<p><strong>Introduction: </strong>External neck trauma represents a potentially life-threatening clinical scenario. Blunt and penetrating injuries are the primary etiologies and may result in laryngeal injuries with concurrent tracheal involvement. High-impact or high-energy laryngotracheal trauma arises from diverse mechanisms; therefore, injury reporting must account for varied patterns and incorporate any synchronous tracheal injury, thereby establishing a more effective framework for managing complex external airway trauma.</p><p><strong>Methods: </strong>Data from 7 patients experiencing high-intensity extreme laryngotracheal trauma were retrospectively analyzed, focusing on injury mechanisms, clinical presentations, site and grade of injury, imaging findings, management approaches and outcomes. In parallel, a PRISMA-guided search of PubMed, Embase, Scopus, and Web of Science (January 1980-April 2025) identified English language case series reporting ≥5 patients. Data on injury mechanisms, Schaefer-Fuhrman grade, management, and outcomes were extracted.</p><p><strong>Results: </strong>Seven cases of severe laryngotracheal trauma with varying mechanisms are presented, including closed glottis barotrauma, penetrating and blunt neck injury, accidental strangulation, prolonged labor and rough manipulation of a vertex presentation, clothesline injury, and post-intubation injury. The obstetric patient did not survive, while other patients underwent prompt airway stabilization with favorable functional outcomes. The systematic review incorporated 11 studies: blunt trauma predominated (65-75%), severe injuries (Schaefer grades III-V) accounted for one-half of cases, and overall mortality was 2%. Tracheal extension, including cricotracheal separation, was predominantly reported after high-impact blunt trauma in several studies.</p><p><strong>Conclusion: </strong>The current classification system for external laryngeal trauma does not adequately capture the severity or anatomical complexities of high-impact laryngotracheal injuries. Our experience, supported by pooled literature data, underscores the limitations of laryngeal-only grading. Incorporating both the mechanism and extent of injury is essential to improve clinical decision-making, guide treatment strategies, and ultimately, enhance patient outcomes and prognosis.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-12"},"PeriodicalIF":1.3,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12818889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679931","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}

{"title":"Frontal Sinus Fracture Management: A Single-Center 13-Year Retrospective Analysis.","authors":"Milovan V Dimitrijevic, Aleksandar M Krstic, Goran M Stojkovic, Ana M Dimitrijevic, Petar M Djurkovic, Masa G Petrovic, Bojan M Pavlovic, Sasa Jakovljevic, Nikola R Todorovic","doi":"10.1159/000548926","DOIUrl":"10.1159/000548926","url":null,"abstract":"<p><strong>Introduction: </strong>Frontal sinus fractures are complex injuries that require individualized management based on the extent of fracture, involvement of the nasofrontal duct (NFD), and the presence of cerebrospinal fluid (CSF) leakage. Optimal treatment remains controversial, with evolving trends toward selective conservative approaches. This study aimed to evaluate treatment outcomes over a 13-year period using a standardized management algorithm.</p><p><strong>Methods: </strong>A retrospective review was conducted of 201 patients treated for frontal sinus fractures at a tertiary academic center between 2007 and 2020. Fractures were classified according to anterior or posterior wall involvement, and management strategies included conservative observation, open reduction and internal fixation (ORIF), and cranialization. Surgical intervention was indicated based on NFD obstruction, posterior wall involvement, or CSF leakage. Clinical and demographic data, surgical techniques, and complications were analyzed.</p><p><strong>Results: </strong>Out of 201 patients, 189 underwent surgical treatment. ORIF was performed in 76.2% of cases, and cranialization was required in 17%. The complication rate among surgically treated patients was 10.6%, primarily due to infection and delayed healing, compared to 25% in the conservatively managed group. The majority of fractures resulted from high-energy trauma, particularly traffic accidents, and predominantly affected young male patients.</p><p><strong>Conclusion: </strong>An individualized, algorithm-guided approach to frontal sinus fracture management leads to favorable outcomes and lower complication rates. Surgical intervention is particularly beneficial in cases with NFD obstruction or CSF leakage. These findings support the role of structured, multidisciplinary decision-making in optimizing treatment strategies for complex craniofacial trauma.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"1-10"},"PeriodicalIF":1.3,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145644769","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}