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

{"title":"Computed Tomography Analysis of the Anterosuperior Portion of the Bulla Lamella in Chinese Subjects and Its Surgical Significance in Endoscopic Frontal Sinusotomy.","authors":"Muhan Shi,&nbsp;Yuxiao Wu,&nbsp;Yuguang Wang,&nbsp;Min Wang,&nbsp;Fei Yuan,&nbsp;Zhimin Xing,&nbsp;Hui Li,&nbsp;Shien Huang","doi":"10.1159/000518366","DOIUrl":"https://doi.org/10.1159/000518366","url":null,"abstract":"<p><strong>Introduction: </strong>The anterosuperior portion of the bulla lamella can extend into the frontal sinus and form the supra bulla frontal cell (SBFC) and supraorbital ethmoid cell (SOEC). This can affect the frontal drainage pathway and make surgery more challenging.</p><p><strong>Objectives: </strong>The aim of the study was to compare the anatomical characteristics of SBFC and SOEC in Chinese chronic rhinosinusitis (CRS) patients and explore the relationship between the cells and frontal sinusitis (FS). The surgical skills in dealing with these cells were also studied.</p><p><strong>Methods: </strong>We prospectively identified SBFC and SOEC in 114 patients with CRS by computed tomography (CT). The sides of the patients were divided into groups A (with FS) and B (without FS). CT scans were analyzed to distinguish the SBFC, SOEC, and the drainage pathway. Statistical analysis was conducted to determine whether the cells were associated with the occurrence of FS.</p><p><strong>Results: </strong>The prevalence of frontal cells was as follows: SBFC: 9.65%, SOEC: 21.93%. There was an association between the presence of SBFC and FS (p < 0.05). The anterior drainage pathway was present in patients with SBFC and SOEC, anterolateral pathway in those with SBFC/SOEC coexisting with the frontal septal cell, and anteromedial pathway in those with SBFC/SOEC coexisting with the supra agger frontal cell.</p><p><strong>Conclusions: </strong>There was an association between the presence of SBFC and the occurrence of FS. Extension of the anterosuperior portion of the bulla lamella into the frontal sinus obstructed the drainage pathway posteriorly. Understanding the anatomy may help surgeons thoroughly dissect the bulla lamella.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"289-295"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39413583","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":"Necessity of Intraoperative Level IIA Lymph Node Dissection in Patients with Carotid Body Tumors: A Retrospective Study of 126 Cases.","authors":"Heng Ma,&nbsp;Minghui Wei,&nbsp;Xiaolei Wang,&nbsp;Huerman Bahetibieke,&nbsp;Wan Liu,&nbsp;Xiaoliang Wang,&nbsp;Jiaomei Zeng","doi":"10.1159/000519046","DOIUrl":"https://doi.org/10.1159/000519046","url":null,"abstract":"<p><strong>Background: </strong>Carotid body tumors (CBTs) are relatively uncommon neoplasms that rarely have malignant potential. However, malignant CBTs (MCBTs) are still associated with a poor prognosis and the treatment is still challenging clinically. Therefore, we evaluated the necessity of intraoperative level IIA lymph node dissection in patients with CBT.</p><p><strong>Methods: </strong>The clinical characteristics, intraoperative details, and pathological diagnosis of 126 CBT patients who had undergone surgery were retrospectively reviewed. The patients were divided into 2 groups according to whether level IIA lymph node dissection was performed. The prognosis was analyzed using Kaplan-Meier curves and Cox model multivariate survival analysis.</p><p><strong>Results: </strong>Among the 126 patients, 7 patients (10.3%) in the selective lymph node dissection (SLND) group (68 patients) were diagnosed with MCBTs with evidence of lymph node metastasis. Two patients (3.4%) in the lymph node nondissection (LNND) group (58 patients) were diagnosed with MCBTs later after the second operation because they could not be diagnosed as malignant initially because of the lack of lymph node pathology results although the pathology of the primary lesion showed features of malignancy. The SLND group had a significantly higher relapse-free survival rate than the LNND group (94.1% vs. 79.3%, p = 0.021). Patients with a confirmed diagnosis had a better prognosis than those with insufficient evidence of a malignancy due to the lack of lymph node information. Twenty-nine patients in the SLND group and 26 patients in the LNND group had postoperative nerve injuries, with no significant difference between the groups (p = 0.879).</p><p><strong>Conclusion: </strong>Intraoperative dissection of level IIA lymph nodes around the tumor in CBT patients can help improve the diagnosis and prognosis of MCBTs without causing additional cranial nerve injury.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"271-277"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39488917","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":"Human Papillomavirus Impact on Temporal Treatment Trends in Oropharyngeal Carcinoma: 2010-2016.","authors":"Neha Amin,&nbsp;Joshua Thompson,&nbsp;Olga Goloubeva,&nbsp;Matthew Witek,&nbsp;Rodney J Taylor,&nbsp;Jeffrey S Wolf,&nbsp;Kelly Moyer,&nbsp;Ranee Mehra,&nbsp;Kyle M Hatten","doi":"10.1159/000524752","DOIUrl":"https://doi.org/10.1159/000524752","url":null,"abstract":"<p><strong>Introduction: </strong>The study objective was to identify practice patterns in oropharyngeal cancer management from 2010 to 2016 among human papillomavirus (HPV)-associated and non-HPV-associated oropharyngeal squamous-cell carcinoma (OPSCC) patients.</p><p><strong>Methods: </strong>The National Cancer Database was utilized to identify OPSCC patients from 2010 to 2016. Frequency distributions and multivariable analyses were generated to identify practice patterns and predictors of treatment modality.</p><p><strong>Results: </strong>A total of 35,956 patients with nonmetastatic OPSCC were included. HPV status was not associated with a treatment modality preference. At academic centers, the proportion of HPV-associated OPSCC patients versus non-HPV-associated OPSCC patients undergoing surgical management was similar (35.7%; 35.9%). Community cancer programs treated patients less often surgically but with no significant treatment preference based on HPV status. Within each facility type, HPV status was not a predictor of surgical or nonsurgical management.</p><p><strong>Conclusion: </strong>HPV association does not appear to significantly influence treatment modality preference among OPSCC patients. The proportion of OPSCC patients undergoing surgical treatment declined from 2010 to 2016.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"438-446"},"PeriodicalIF":1.3,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40350997","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":"Comparison of voice quality after laser cordectomy with that after radiotherapy or chemoradiotherapy for early glottic carcinoma.","authors":"Masayuki Tomifuji,&nbsp;Koji Araki,&nbsp;Katsuki Niwa,&nbsp;Yoshihiro Miyagawa,&nbsp;Daisuke Mizokami,&nbsp;Yoko Kitagawa,&nbsp;Taku Yamashita,&nbsp;Takeshi Matsunobu,&nbsp;Akihiro Shiotani","doi":"10.1159/000346934","DOIUrl":"https://doi.org/10.1159/000346934","url":null,"abstract":"<p><strong>Purpose of the study: </strong>The present study aimed to compare the voice quality after each type of cordectomy with that after radiotherapy (RT) or chemoradiotherapy (CRT) for early glottic carcinoma.</p><p><strong>Procedures: </strong>The GRBAS perceptive scale [consisting of 5 domains: grade (G), roughness (R), breathiness (B), asthenia (A), and strain (S)], aerodynamic tests and acoustic analyses, and the Voice Handicap Index questionnaire were evaluated for 58 laser cordectomy cases and 40 RT or CRT cases. Multiple comparison tests were conducted between each type of cordectomy and RT or CRT.</p><p><strong>Results: </strong>No statistical difference was found between type I/II cordectomy and RT for T1 glottic carcinoma (T1RT), whereas T1RT showed a significantly better outcome than type III cordectomy (G score: p = 0.016, maximum phonation time: p < 0.01, mean flow rate: p < 0.01). Type IV cordectomy was equivalent to RT or CRT for T2 glottic carcinoma (T2RT/CRT), while types V and VI showed a worse voice quality than T2RT/CRT (G score: p = 0.038 to type VI, B score: p = 0.025 to type V and p = 0.032 to type VI, A score: p = 0.017 to type VI).</p><p><strong>Conclusions: </strong>Voice quality after laser cordectomy differs according to the type of cordectomy. Surgeons should inform patients about the expected voice quality after each treatment modality.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"18-26"},"PeriodicalIF":1.3,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000346934","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40243801","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":"Ultrasonography imaging during nasal endoscopic transsphenoidal surgery.","authors":"Yasushi Ota,&nbsp;Ishikawa Mami","doi":"10.1159/000346931","DOIUrl":"https://doi.org/10.1159/000346931","url":null,"abstract":"<p><p>A 59-year-old Japanese woman presented with right visual impairment and tunnel vision. Pituitary gland tumor was diagnosed and nasal endoscopic transsphenoidal surgery was performed. Following partial removal of the posterior wall of the sphenoid sinus and extension of the ultrasonography probe to contact the dura mater, the bilateral carotid arteries and the pituitary gland tumor were clearly visualized. The ultrasonography image became clearer when the sphenoid sinus was filled with physiological saline. Histopathological analysis of the resected specimen revealed a pituitary adenoma. Ultrasonography was particularly useful in depicting the arteries, showing the tumor at the nasal endoscopic transsphenoidal surgery.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"27-31"},"PeriodicalIF":1.3,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000346931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40243834","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":"Training cerebrospinal fluid leak repair with nasoseptal flap on the lamb's head.","authors":"Ranko Mladina,&nbsp;Paolo Castelnuovo,&nbsp;Davide Locatelli,&nbsp;Katarina Đurić Vuković,&nbsp;Neven Skitarelić","doi":"10.1159/000347080","DOIUrl":"https://doi.org/10.1159/000347080","url":null,"abstract":"<p><strong>Background: </strong>One of the major challenges of cranial base surgery is reconstruction of dural defects and cerebrospinal fluid leak closure. Various grafting methods have been used for smaller skull base defects with great success. The indications for endoscopic reconstruction have recently evolved to encompass much larger breeches in the skull base following tumor removal, thus emphasizing the need for vascularized tissue flaps for reconstruction.</p><p><strong>Methods: </strong>Some authors proposed a pedicled flap of the nasal septum mucoperiosteum and mucoperichondrium, which is very vascularized and has quite a large surface. It is also long enough to easily cover even larger defects of the skull base. The elevation of a nasoseptal flap is based on a particularly advanced surgical technique and thus requires proper training before being performed in a real patient.</p><p><strong>Results: </strong>Anatomical differences between human and lamb heads were observed and explained although they do not affect the procedure of the elevation of the nasoseptal flap.</p><p><strong>Conclusions: </strong>The lamb's head has been shown to be an ideal model for the adequate training of the surgical skills required for this demanding procedure.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"32-6"},"PeriodicalIF":1.3,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000347080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40243649","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":"Presentation and publication rates among women and men at AAO-HNS meetings.","authors":"Marc A Cohen,&nbsp;Natasha Mirza,&nbsp;Kristel Dow,&nbsp;Soo Kim Abboud","doi":"10.1159/000345099","DOIUrl":"https://doi.org/10.1159/000345099","url":null,"abstract":"<p><strong>Objective: </strong>We attempted to assess the percentages of abstracts submitted to annual American Academy of Otolaryngology, Head and Neck Surgery (AAO-HNS) meetings from 2000 to 2004 by both women and men. We sought to determine the subsequent peer-reviewed overall publication rates for all submissions. We also studied trends of submission among female presenters and compared them to males.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Tertiary academic medical center.</p><p><strong>Methods: </strong>2,463 total abstracts presented between 2000 and 2004 were searched in the computerized databases Medline and Pubmed in 2008. The published articles were examined by reviewers to assess publication rate, time to publication, gender of authorship and subspecialty of publication.</p><p><strong>Results: </strong>1,413 (57.35%) posters and 1,051 (42.65%) oral presentations were presented from 2000 to 2004. Of the 1,413 posters presented, 275 (19.46%) were presented by female first authors. The female first-author poster publication rate was 33.81%, while the male first-author poster publication rate was 36.99% (p = 0.353). Of 1,051 oral presentations, 154 (14.65%) were presented by female first authors. The male first-author oral presentation publication rate was 60.98%, while the female first-author oral presentation publication rate was 59.09% (p = 0.657). There were no statistical differences in time to publication for posters (p = 0.796) or oral presentations (p = 0.737) between the genders. The majority of female first-author submissions involved pediatric (29.94%) and general (17.88%) otolaryngology.</p><p><strong>Conclusion: </strong>While women are increasingly drawn to otolaryngology, they represented less than 20% of total submissions at the annual AAO-HNS meetings from 2000 to 2004. Women more commonly submit poster than oral presentations. The eventual publication rates of abstracts and the average time to publication of presentations are equal between the genders.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"325-9"},"PeriodicalIF":1.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000345099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40216363","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":"Modified endoscopic maxillary medial sinusotomy for sinonasal inverted papilloma with attachment to the anterior medial wall of maxillary sinus.","authors":"Chengshuo Wang,&nbsp;Demin Han,&nbsp;Luo Zhang","doi":"10.1159/000336739","DOIUrl":"https://doi.org/10.1159/000336739","url":null,"abstract":"<p><strong>Objectives: </strong>The endoscopic management of inverted papilloma (IP) has gained in popularity over the last 15 years. However, the appropriate management of lesions involving the anterior medial wall of the maxillary sinus still has to be determined.</p><p><strong>Methods: </strong>We performed a retrospective review of the surgical results for patients with IP attached to the anterior medial wall of the maxillary sinus in the Otolaryngology, Head and Neck Surgery Department, Beijing TongRen Hospital. The tumors were removed by using our surgical technique of modified endoscopic maxillary medial sinusotomy, which was defined as an extended endoscopic medial maxillectomy with preservation of the nasolacrimal duct and inferior turbinate. Sinus endoscopy was used to screen for disease after endoscopic resection and the clinical outcomes were analyzed.</p><p><strong>Results: </strong>A total of 7 patients (4 males and 3 females) were identified. Pre- and postoperative pathological examinations revealed inverted papilloma as the diagnosis. All tumors were defined as Krouse III lesions. There were no complications recorded as a result of surgery. All patients remain disease free with a mean follow-up of 35.7 months (range 20-68 months).</p><p><strong>Conclusion: </strong>Sinonasal IP with attachment to the anterior medial portion of the maxillary sinus can be treated successfully using modified endoscopic maxillary medial sinusotomy with preservation of the nasolacrimal duct and inferior turbinate.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"97-101"},"PeriodicalIF":1.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000336739","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40161901","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":"Labyrinthotomy or vestibulotomy in anatomic and congenital variations of the oval window and facial nerve.","authors":"Khalid A Al-Mazrou,&nbsp;Yildirim A Bayazit","doi":"10.1159/000345714","DOIUrl":"https://doi.org/10.1159/000345714","url":null,"abstract":"<p><strong>Objective: </strong>To present the results of our experience with labyrinthotomy or vestibulotomy in cases where the oval window is blocked by the facial nerve and in the presence of bilateral congenital agenesis of the oval window, respectively.</p><p><strong>Study design: </strong>Retrospective analysis of the records of the patients operated in two different centers.</p><p><strong>Methods: </strong>Between 2007 and 2012, 5 ears of 4 patients who were operated on in two different clinics with a presumptive diagnosis of otosclerosis were included in the study. There were 3 female patients and 1 male. The ages ranged from 10 to 26 (mean 19 years). All patients had unilateral conductive hearing loss except 1 (10-year-old girl or patient 1). Pure tone averages were calculated at the frequencies 0.5, 1, 2 and 4 kHz both pre- and postoperatively according to the Committee on Hearing and Equilibrium 1995 Guidelines for the Evaluation of Results of Treatment of Conductive Hearing Loss. All patients underwent a middle ear exploration and postoperatively the initial audiological examination was performed after 6 months.</p><p><strong>Results: </strong>Retrospective analysis revealed that vestibulotomy or labyrinthotomy was performed in 5 ears of 4 patients. Postoperative dizziness was encountered in 2 patients who had vestibulotomy due to oval window agenesis, which ceased spontaneously at 1 month postoperatively. The perioperative period was otherwise uneventful. None of the patients had sensorineural hearing loss or deterioration of hearing. There was a significant improvement in hearing after the operation. A 28-dB improvement in the mean air conduction pure tone thresholds was achieved.</p><p><strong>Conclusion: </strong>Vestibulotomy and labyrinthotomy are safe and effective procedures in terms of hearing restoration, which can be applied in cases of congenital agenesis of the oval window or obstruction of the oval window by the facial nerve.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"320-4"},"PeriodicalIF":1.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000345714","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40217575","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":"Clinical appraisal of endoscopy with narrow-band imaging system in the evaluation and management of homogeneous oral leukoplakia.","authors":"Shih-Wei Yang,&nbsp;Yun-Shien Lee,&nbsp;Liang-Che Chang,&nbsp;Hui-Ping Chien,&nbsp;Tai-An Chen","doi":"10.1159/000336722","DOIUrl":"https://doi.org/10.1159/000336722","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the clinical usefulness of endoscopy with a narrow-band imaging (NBI) system for the evaluation and management of homogeneous oral leukoplakia.</p><p><strong>Methods: </strong>The chart records, morphology of vascular architecture of NBI, and histopathology of patients with homogeneous leukoplakia were retrospectively reviewed and analyzed.</p><p><strong>Results: </strong>A total of 160 patients, with an average age of 50.96 ± 10.25 years, were enrolled. In 35 cases of thin leukoplakia, only intraepithelium papillary capillary loop (IPCL) type I was shown by NBI, and only squamous hyperplasia was revealed pathologically. In 125 cases of thick leukoplakia, IPCL type I was found in 94, IPCL type II in 29, and IPCL type III in 2. The Kendall rank correlation between pathology and NBI images was significant (p < 0.0001).</p><p><strong>Conclusions: </strong>The dichotomous classification of homogeneous leukoplakia by NBI is meaningful, and endoscopy with the NBI system is a promising tool for the evaluation and management of homogeneous oral leukoplakia.</p>","PeriodicalId":520736,"journal":{"name":"ORL; journal for oto-rhino-laryngology and its related specialties","volume":" ","pages":"102-9"},"PeriodicalIF":1.3,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000336722","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40160854","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}