Rhinology online最新文献_第4页

The management of posterior epistaxis in the United Kingdom, a national survey 英国后路鼻出血的处理，一项全国性调查

Rhinology online Pub Date : 2022-01-31 DOI: 10.4193/rhinol/21.056

A. Mowat, P. Meakin, S. Anastasiadou, R. Bidaye, S. Anari

{"title":"The management of posterior epistaxis in the United Kingdom, a national survey","authors":"A. Mowat, P. Meakin, S. Anastasiadou, R. Bidaye, S. Anari","doi":"10.4193/rhinol/21.056","DOIUrl":"https://doi.org/10.4193/rhinol/21.056","url":null,"abstract":"Background: Posterior bleeds account for 5% of epistaxis. The patient cohort is often elderly and has significant co-morbidities. Such cases have been managed historically with urinary catheters, held in place with umbilical clips. Recently bespoke, double balloon, posterior packs have been utilised. The treatments remain in clinical equipoise with no gold standard or clear national guideline. Methodology: A ten question survey was sent out through www.surveymonkey.com. Attempts were made to contact all Trusts in the United Kingdom via the ENT on call service. A comparison of treatment costs was made. Results: 112 responses have been received. 54% of respondents reported a preference for bespoke posterior pack insertion, only 12% preferred catheters. Twice as many respondents have seen complications from urinary catheters: 14% vs 29%. The availability of posterior packs is inconsistent: 30% of respondents were not aware of the packs or reported them unavailable in their hospital. Conclusions: This survey provides the first comparison of the techniques in the United Kingdom. Bespoke packs have a lower complication rate and are preferred by ENT clinicians on the front line of patient care. We recommend that all UK trusts should stock posterior packs which should be used as first line treatment for cases of posterior epistaxis.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42009998","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}

引用次数: 0

Translation and validation of the “Smell Diskettes” Olfaction Test into Arabic “嗅觉软盘”嗅觉测试的阿拉伯语翻译和验证

Rhinology online Pub Date : 2022-01-31 DOI: 10.4193/rhinol/21.041

N. Alotaibi, H. Alsheikh, A. Zahlan, F. Almana, S. Abduljawwad, O. Omar, A. Alshehri, A. Mohammed, S. Alsaleh

{"title":"Translation and validation of the “Smell Diskettes” Olfaction Test into Arabic","authors":"N. Alotaibi, H. Alsheikh, A. Zahlan, F. Almana, S. Abduljawwad, O. Omar, A. Alshehri, A. Mohammed, S. Alsaleh","doi":"10.4193/rhinol/21.041","DOIUrl":"https://doi.org/10.4193/rhinol/21.041","url":null,"abstract":"Objective: This study aims to translate and validate the 'Smell Diskettes' screening tool from English into Arabic. The significance of this study stems from the lack of reliable and rapid olfaction screening tests available to Arabic speaking patients and healthcare practitioners. Methods: This is a prospective cohort, multi-center study. A forward-backward translation of the olfaction screening test was done to translate the text into Arabic. Data was collected from two groups: a control group (n=125) of which 84 percent were females (n=105) and a mean age of 22.4 of subjectively normosmic individuals from Alfaisal University and a patients group (n=82) of which 35.4 percent females (n = 29) with a mean age of 38.2, all of whom were diagnosed with olfactory disturbances related to rhinological pathologies, from King Abdulaziz University Hospital (KAUH) in Riyadh, Saudi Arabia. One of the limitations we faced due to convenience sampling and COVID-19 pandemic restrictions was the inability to perform a “test-retest” on study subjects. Results: The study included 207 subjects, out of whom 82 (40 percent) were patients from the rhinology clinic at King Abdulaziz University Hospital (KAUH) and 125 (60 percent) were recruited as controls from Alfaisal University. The average olfaction scores for the control group and the patients’ group were 7/8 and 5/8, respectively. Conclusion: This study has determined that the Arabic-language version is a valid and useful instrument used in clinical practice and for research purposes. The development of this tool will allow more patients in Arabic-speaking countries to be screened for olfactory disturbances.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41897222","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}

引用次数: 0

From SARS-CoV-2 infection to COVID-19 morbidity: an in silico projection of virion flow rates to the lower airway via nasopharyngeal fluid boluses 从SARS-CoV-2感染到COVID-19发病:通过鼻咽液丸向下气道的病毒粒子流速的计算机预测

Rhinology online Pub Date : 2022-01-27 DOI: 10.4193/rhinol/21.053

S. Basu, M. Akash, N. Hochberg, B. Senior, D. Joseph-McCarthy, A. Chakravarty

{"title":"From SARS-CoV-2 infection to COVID-19 morbidity: an in silico projection of virion flow rates to the lower airway via nasopharyngeal fluid boluses","authors":"S. Basu, M. Akash, N. Hochberg, B. Senior, D. Joseph-McCarthy, A. Chakravarty","doi":"10.4193/rhinol/21.053","DOIUrl":"https://doi.org/10.4193/rhinol/21.053","url":null,"abstract":"Background: While the nasopharynx is initially the dominant upper airway infection site for SARS-CoV-2, the physiologic mechanism launching the infection at the lower airway is still not well-understood. Based on the rapidity of infection progression to the lungs, it has been hypothesized that the nasopharynx may be acting as the primary seeding zone for subsequent contamination of the lower airway via aspiration of virus-laden boluses of nasopharyngeal fluids. Methodology: To examine the plausibility of the aspiration-driven mechanism, we have computationally tracked the inhalation process in three anatomic airway reconstructions and have quantified the nasopharyngeal liquid volume transmitted to the lower airspace during each aspiration. Results: Extending the numerical trends on aspiration volume to earlier records on aspiration frequencies indicates a total aspirated nasopharyngeal liquid volume of 0.3 – 0.76 ml/day. Subsequently, for mean sputum viral load, our modeling projects that the number of virions reaching the lower airway will range over 2.1×106 – 5.3×106 /day; for peak viral load, the corresponding number hovers between 7.1×108 – 1.8×109. Conclusions: The virion transmission findings fill in a key piece of the mechanistic puzzle on the systemic progression of SARS-CoV-2, and subjectively point to health conditions like dysphagia, with proclivity to increased aspiration, as some of the potential underlying risk factors for aggressive lung infections.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47940478","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}

引用次数: 4

Intranasal trigeminal sensitivity may be impaired after functional nasal surgery 鼻腔功能性手术后，鼻内三叉神经敏感性可能受损

Rhinology online Pub Date : 2022-01-27 DOI: 10.4193/rhinol/21.049

C. Migneault-Bouchard, F. Boselie, B. Landis, J. Frasnelli

引用次数: 1

A cost analysis of local anaesthetic nose and sinus surgery for the treatment of chronic rhinosinusitis 局部麻醉鼻窦手术治疗慢性鼻窦炎的成本分析

Rhinology online Pub Date : 2022-01-20 DOI: 10.4193/rhinol/21.050

W. Green, S. Carrie, Shahzad Ahmed, F. Goromonzi, James Stockle, E. Bell

{"title":"A cost analysis of local anaesthetic nose and sinus surgery for the treatment of chronic rhinosinusitis","authors":"W. Green, S. Carrie, Shahzad Ahmed, F. Goromonzi, James Stockle, E. Bell","doi":"10.4193/rhinol/21.050","DOIUrl":"https://doi.org/10.4193/rhinol/21.050","url":null,"abstract":"Background: People with chronic rhinosinusitis may be referred for endoscopic sinus surgery (ESS), a procedure commonly performed under general anaesthesia, once maximal medical therapy has failed. A new pathway of care is emerging: Local Anaesthetic Nose & Sinus Surgery (LANSS). With LANSS the patient is not placed under general anaesthesia, but instead the procedure is performed under a local anaesthetic. Methodology: A decision analytic model was developed from the perspective of the UK National Health Service (NHS) to assess the potential cost impact of LANSS versus current standard care pathway for ESS. Results: Modelling indicated that the introduction of LANSS would generate substantial savings of around £84,500 per year if introduced to a typical NHS trust with a large otolaryngology department undertaking 300 ESS procedures per year. These savings are generated as a proportion of the ESS procedures no longer need to be completed in an operating theatre, which reduces operational costs (saving around £64,500 per year), plus the use of local anaesthetic instead of general anaesthetic and a reduction in the time a patient spends as an inpatient. Conclusions: The uptake of LANSS could generate cost-savings of around £84,500 per year to a typical NHS trust in the UK.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42437482","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}

引用次数: 0

Office based inferior turbinate coblation treatment: a randomized controlled trial on effectiveness and tolerability of medicinal honey 办公室为基础的下鼻甲消融治疗:药用蜂蜜的有效性和耐受性的随机对照试验

Rhinology online Pub Date : 2022-01-20 DOI: 10.4193/rhinol/21.044

T. W. Aukema, M. Edens, A. B. Rinia

{"title":"Office based inferior turbinate coblation treatment: a randomized controlled trial on effectiveness and tolerability of medicinal honey","authors":"T. W. Aukema, M. Edens, A. B. Rinia","doi":"10.4193/rhinol/21.044","DOIUrl":"https://doi.org/10.4193/rhinol/21.044","url":null,"abstract":"Background: When conservative treatment for nasal obstruction fails, surgery is often applied. Inferior Turbinate Hypertrophy (ITH) is a common cause of nasal obstruction, which can be treated by means of radiofrequency coblation. This technique can be administered under local anesthesia (office based coblation; OBC) and if expedient combined with a lateralization (out-fracture) of the inferior turbinate (IT). Ointment based on medical grade honey, is known to have wound healing characteristics. Methodology: Single center, single blinded randomized controlled trial. Fifty-five subjects received bilateral OBC of the IT. Subjects were randomized to postoperative care with either nasal saline irrigations (NSI) or NSI combined with ointment based on honey (NSI+STB). Subjects weekly reported subjectively overall nasal burden, -crusting, -pain, loss of smell by means of VAS-scores and nasal obstruction by means of the NL-NOSE scale. Results: No significant differences between the NSI and NSI+STB groups, though the latter showed less pain. Concerning the study group as a whole, mean nasal burden score and nasal obstruction significantly decreased from 63.4 to 16.0 and 65.3 to 22.0, respectively. Nasal crusting, -pain, and loss of smell largely resolved 3-4 weeks postoperatively and were only mild. Concomitant lateralization showed a tendency to quicker resolution of the nasal obstruction. Conclusions: OBC is a safe, well tolerated and effective treatment for nasal obstruction caused by ITH. Concerning multiple end-points, we found no evidence of a beneficial effect of ointment based on honey as addition to NSI in postoperative care, except a clear tendency in less crusting and pain.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41386957","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}

引用次数: 0

A longitudinal study of olfactory dysfunction and parosmia in mild COVID-19 cases. 轻症COVID-19患者嗅觉功能障碍和嗅觉缺失的纵向研究

Rhinology online Pub Date : 2022-01-01

Aurelia S Monk, Daniel R Bacon, Princess Onuorah, Alexander Murr, Christopher A Wiesen, Jonathan Oakes, Brian D Thorp, Charles S Ebert, David Wohl, Brent A Senior, Adam J Kimple

{"title":"A longitudinal study of olfactory dysfunction and parosmia in mild COVID-19 cases.","authors":"Aurelia S Monk, Daniel R Bacon, Princess Onuorah, Alexander Murr, Christopher A Wiesen, Jonathan Oakes, Brian D Thorp, Charles S Ebert, David Wohl, Brent A Senior, Adam J Kimple","doi":"","DOIUrl":"","url":null,"abstract":"Background: COVID-19-related olfactory dysfunction (OD) can persist long after patients recover from acute infection, yet few studies have investigated the long-term progression of this complication. Moreover, existing studies are focused on hyposmia/anosmia but parosmia is becoming an increasingly recognized long-term symptom.Methods: We completed a longitudinal study about OD in individuals with mild cases of COVID-19. Participants completed a questionnaire and Brief Smell Identification Test (BSIT) one week, one month and one year after diagnosis. At one-year, participants completed an additional survey about parosmia.Results: We obtained questionnaires and psychophysical olfactory testing information from participants at one week (n=45), one month (n=38), and one year (n=33) post COVID-19 diagnosis. At one-year, 15.2% of participants had persistent OD and 66.7% of participants reported experiencing parosmia at some point following COVID-19 diagnosis. The mean onset of parosmia was 1.3 weeks (SD: 1.9 weeks) after diagnosis, although two patients reported delayed onset (>4 weeks after diagnosis). Eight patients (24.2%) reported ongoing parosmia one year after diagnosis. Of the patients whose parosmia resolved, the mean duration of symptoms was 7.2 weeks (SD: 7.3 weeks).Conclusion: Decreased sense of smell associated with COVID-19 infection has received significant recognition in both the media and in the medical literature. Symptoms of OD and parosmia were common in our patients with COVID-19. Hyposmia, anosmia, and parosmia, all decrease quality of life, necessitating continued research to understand the pathogenesis, course of symptoms, and possible treatment for these complications.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":"5 ","pages":"168-172"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065456/pdf/nihms-1881106.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9283062","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}

引用次数: 0

Nasal epithelium: new insights and differences of the cytokine profile between normal subjects and subjects with allergic rhinitis 鼻上皮:正常人和变应性鼻炎患者之间细胞因子谱的新见解和差异

Rhinology online Pub Date : 2021-12-10 DOI: 10.4193/rhinol/21.047

S. Stamataki, N. G. Papadopoulos, J. Lakoumentas, A. Georgountzou, P. Maggina, P. Xepapadaki, E. Andreakos, E. Prokopakis, E. Legaki, S. Taka

{"title":"Nasal epithelium: new insights and differences of the cytokine profile between normal subjects and subjects with allergic rhinitis","authors":"S. Stamataki, N. G. Papadopoulos, J. Lakoumentas, A. Georgountzou, P. Maggina, P. Xepapadaki, E. Andreakos, E. Prokopakis, E. Legaki, S. Taka","doi":"10.4193/rhinol/21.047","DOIUrl":"https://doi.org/10.4193/rhinol/21.047","url":null,"abstract":"Background: The role of the nasal epithelium in the induction of a proper cytokine response in normal subjects and subjects with allergic rhinitis is still not completely elucidated. Methodology: We aimed to compare nasal epithelial immune responses in allergic rhinitis patients of different ages compared to healthy volunteers. Primary nasal epithelial cells from 47 subjects (33 normal and 17 with allergic rhinitis) were collected and cultured. Their unstimulated supernatants were analysed for 21 cytokines and chemokines. Statistical analysis was performed with the R statistical software and the RStudio interface. Results: Differences of the spontaneous release of epithelial cytokines and chemokines were noticed between the two study groups. The levels of GMCSF, MIP1A, MIP1B, IL28A, TNFA, CCL5 were significantly lower in the allergic rhinitis group compared to healthy volunteers’ group, independent of age. Most differences were noticed in the younger allergic rhinitis group (0-12 years old). Conclusions: Despite the cross-sectional nature of the study and the limited number of subjects, allergic rhinitis appears to be associated with dysfunction of cytokine and chemokine spontaneous release from nasal epithelial cells which may represent an abnormal innate immunity maturation pattern.","PeriodicalId":74737,"journal":{"name":"Rhinology online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48852130","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}

引用次数: 1

Skull base low-grade non-intestinal adenocarcinoma in a paediatric patient 小儿颅底低级别非肠腺癌1例

Rhinology online Pub Date : 2021-12-06 DOI: 10.4193/rhinol/21.046

K. Miu, Chrysostomos Tornari, P. Surda

引用次数: 0

Association between smell and taste dysfunction and obesity and metabolic syndrome in older adults 老年人嗅觉和味觉功能障碍与肥胖和代谢综合征的关系

Rhinology online Pub Date : 2021-11-22 DOI: 10.4193/rhinol/21.023

S. Dobrow, J. Qazi, S. Payne, J. Mattos

引用次数: 0