耳鼻喉(英文)最新文献

{"title":"Determinants of the Sensorineural Hearing Loss in Patients with Multidrug-Resistant Tuberculosis in Kinshasa (Democratic Republic of the Congo): A Prospective Cohort Study","authors":"Mireille Avilaw Mpwate, Eddy Mampuya Mbambu, Gabriel Mabuaka Lema, Christian Nzanza Matanda, Dominique Mayuku Mupepe, Michel Kayomo Kaswa, Murielle Luengiladio Aloni, Nicole Muzutie Anshambi, Fabrice Mankangu Matuta, Luc Losenga Lukasu, Serge Katya Mpwate, Pierre Zalagile Akilimali, Innocent Murhula Kashongwe, Zacharie Munogolo Kashongwe, Jean Marie Ntumba Kayembe, Richard Nzanza Matanda","doi":"10.4236/ijohns.2023.126045","DOIUrl":"https://doi.org/10.4236/ijohns.2023.126045","url":null,"abstract":"Background: The onset of the hearing loss is a major challenge during the treatment of multidrug-resistant tuberculosis (MDR-TB). Aminoglycoside-based regimens, to a lesser extent based on bedaquiline, induce ototoxic sensorineural hearing loss. Research on risk factors is essential to enable high-risk individuals to benefit from preventive measures in settings with limited resources. Objective: This study aimed to assess the determinants of the hearing loss in patients with MDR-TB. Methods: This prospective multicenter cohort study included 337 patients with MDR-TB. It was performed in Kinshasa (Democratic Republic of the Congo) between January 2020 and January 2021. Sociodemographic, clinical, biological, therapeutic, and audiometric data were exported and analyzed using Stata 17 and MedCalc. The fixed-effect linear regression panel model was used to assess the degree of the hearing loss over time according to the following covariates: therapeutic regimen (aminoglycosides, bedaquiline, or alternate), stage of chronic kidney disease (CKD), age at inclusion, body mass index, serum albumin level, HIV status, alcohol intake, hypertension, and hemoglobin level. The Hausman test was used to select between fixed- and random-effect estimators. The threshold for statistical significance was set at p β coeff: 27.695, Se: 0.793, p β coeff: 6.102, Se: 1.779, p β coeff: 5.610, Se: 1.682, p = 0.001), and an eGFR 2 (β coeff: 6.730, Se: 2.70, p = 0.013) were the independent risk factors associated with the hearing loss in patients with MDR-TB. Conclusions: The Hearing loss was more prevalent and worsened during the treatment of the patients with MDR-TB. An Exposure for more than one month, AG-based regimens, advanced age, hypoalbuminemia, and CKD have emerged as the main determinants of the worsening of the hearing loss.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135711197","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":"A Chronic Dysphony Caused by a Bifocal and Pulmonary Laryngeal Tuberculosis","authors":"Aliou Faty, A. Sy, Ndeye Fatou Ngom, D. Balde, Khadim Diouf, Ndadi Tchiengang Kadielle Junie","doi":"10.4236/ijohns.2023.122006","DOIUrl":"https://doi.org/10.4236/ijohns.2023.122006","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"212 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74757697","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":"Preliminary Results of Cochlear Implantation in Underdeveloped Countries: The Experience of Cameroon","authors":"Andjock Nkouo Yves Christian, Lekassa Pierrette, Meva’a Biouele Roger Christian, Kuifo Cédric, Nanci Eliane, Ngono Ateba Gladys, A. Raji, Njock Richard, Djomou François, Ndjolo Alexis","doi":"10.4236/ijohns.2023.124024","DOIUrl":"https://doi.org/10.4236/ijohns.2023.124024","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"101 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72612940","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":"Sino-Nasal Malignant Melanoma: A Case Report","authors":"Grace Wong Yan Yee, R. Gill, G. Kumarasamy, Chelvam Rajesvaran, Sharmila Rajendran","doi":"10.4236/ijohns.2023.122007","DOIUrl":"https://doi.org/10.4236/ijohns.2023.122007","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82219708","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":"Fishbone-Type Pharyngeal Foreign Body with Cutaneous Migration in the ENT Department of the Mamou Regional Hospital: A Case Report","authors":"Mamadou Mouctar Ramata Diallo, Mamadou Aliou Diallo, Ibrahima Diallo, Oumou Amadou Diallo, Abdoulaye Sow, Alsény Cissé, Sory Sacko, Alsény Camara, Sayon Kourouma, Alpha Oumar Diallo, Abdoulaye Keita, Mamadou Sakoba Barry","doi":"10.4236/ijohns.2023.126041","DOIUrl":"https://doi.org/10.4236/ijohns.2023.126041","url":null,"abstract":"We report a case of pharyngeal foreign body with cutaneous migration in the form of a fishbone in a 24-year-old rural resident, presented with odynophagia, dysphagia, pain and left antero-latero-cervical swelling fistulated to the skin following ingestion of a fishbone during a meal that had been evolving for 2 weeks. Vital parameters were normal, with an unremarkable psychological examination. Clinical examination revealed a left antero-latero-cervical swelling that was painful to palpation, fistulous to the skin and draining frank pus, revealing a sharp fishbone. A standard X-ray showed that the foreign body had exited the pharynx and was located in the soft tissues of the lower neck. An exploratory cervicotomy was performed, allowing extraction of a serrated fishbone. The post-operative course was favorable.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"2015 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262762","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":"A Rare Tumor of the Scalp: Papilliferous Cystadenoma","authors":"Alexis do Santos Zounon, Bidossessi Ulrich Vodouhe, Wilfrid Akpo, Sonia Lawson Afouda, François Avakoudjo, Wassi Adjibabi","doi":"10.4236/ijohns.2023.126042","DOIUrl":"https://doi.org/10.4236/ijohns.2023.126042","url":null,"abstract":"Introduction: Papilliferous cystadenoma is a rare adnexal tumor of early childhood. Case Report: We report a case of papilliferous cystadenoma of the scalp in a 22-year-old adult with no previous history of the disease. She had been presenting with a slowly progressing scalp mass for about 10 years. The mass was mildly pruritic and painless, but the patient reported several painful episodes treated with local herbal applications and unspecified antibiotics. On inspection, the lesion was raised, granular, sessile and vegetated, greyish in color, with an irregular surface, nippled and hemispherical in shape. On palpation, the lesion was painless, fleshy and surrounded by crusts that were easily removed by applying a saline-moistened compress. The patient underwent excision with at least 4-mm margins. Pathological examination of the operative specimen revealed a papilliferous syringocystadenoma. There was no tumor recurrence after three years. Conclusion: Papilliferous cystadenoma is a rare benign tumor of the scalp requiring clinical analysis and surgical excision to confirm its histological nature. Post-operative follow-up is necessary due to frequent recurrences.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135318252","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":"Management of Tracheal Stenosis in Sub-Saharan Medicalized Context: Real Challenge about Two Clinical Cases","authors":"K. Diarra, Demba Coulibaly, N. Konaté, B. Guindo, A. Coulibaly, M. Sidibé, A. Dao, Naoma Cissé, F. I. Koné, K. Coulibaly, Y. Sidibé, S. Soumaoro, Moussa Bourama Keita, Doumbia Kadidiatou Singaré, M. Keita","doi":"10.4236/ijohns.2023.123016","DOIUrl":"https://doi.org/10.4236/ijohns.2023.123016","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"78 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86137427","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":"Gallbladder Carcinoma of the Thyroid Revealed by an Acute Festered Thyroiditis: A Literature Study about a Case","authors":"Aliou Faty, H. Tall, A. Sy, F. A. Faye, B. Loum, Kevin Dimitri Manfoumbi Manfoumbi","doi":"10.4236/ijohns.2023.123014","DOIUrl":"https://doi.org/10.4236/ijohns.2023.123014","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73262851","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":"Predictive Factors for the Occurrence of Pharyngostoma after Laryngectomy and Total Pharyngo-Laryngectomy in Yaounde and Douala","authors":"Andjock Nkouo Yves Christian, Bola Siafa Antoine, Meva’a Biouele Roger Christian, Kambou Fohom Armelle, Ngono Ateba Gladys, Mindja Eko David, Njock Richard, Djomou François","doi":"10.4236/ijohns.2023.121005","DOIUrl":"https://doi.org/10.4236/ijohns.2023.121005","url":null,"abstract":"","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74692247","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":"Fatal Cataclysmic Otorrhagia and Epistaxis Due to a Ruptured Aneurysm of the Petrous Internal Carotid Artery: A Case Report","authors":"Abdou Sy, Mouhamadou Diouldé Diallo, Khadim Diouf, Papa Ibrahima Ndiaye, Barrière Moussa Diallo","doi":"10.4236/ijohns.2023.125036","DOIUrl":"https://doi.org/10.4236/ijohns.2023.125036","url":null,"abstract":"Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare; their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infection, or radiation. Aim: We report a case of massive otorrhagia and epistaxis from a ruptured aneurysm of the petrous internal carotid artery. Case Presentation: A 34-year-old man presented to our department for the first time with repeated left otorrhagia ongoing for 5 years, left sided pulsatile tinnitus and left conductive hearing loss. In his history, we noted a right hemi-corporeal deficit of sudden onset one month ago and the head-CT showed a left frontoparietal subarachnoid hemorrhage without any visualised vascular malformation. Otomicroscopy showed a pulsatile mass visible at the posterior part of the hypotympanum. There was a right-sided hemiparesis estimated at 2/5 with no disorder of the sensitivity. After hemodynamic stabilization, the patient was discharged from the hospital and treatment was scheduled in interventional radiology and neurosurgery unit. Unfortunately the patient presented at home with a cataclysmic hemorrhage by massive otorrhagia and epistaxis and arrived dead at the emergency unit. Conclusion: The treatment of a petrous carotid aneurysm must be carried out quickly considering the risk of rupture leading to a cataclysmic hemorrhage that can be rapidly life threatening.","PeriodicalId":70887,"journal":{"name":"耳鼻喉(英文)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135600459","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}