The Journal of laryngology and otology. Supplement最新文献_第4页

Gauging the effectiveness of canal occlusion surgery: how I do it. 评估椎管闭塞手术的有效性:我是怎么做的。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-31 DOI: 10.1017/S0022215119002032

F. Hassannia, P. Douglas-Jones, J. Rutka

{"title":"Gauging the effectiveness of canal occlusion surgery: how I do it.","authors":"F. Hassannia, P. Douglas-Jones, J. Rutka","doi":"10.1017/S0022215119002032","DOIUrl":"https://doi.org/10.1017/S0022215119002032","url":null,"abstract":"BACKGROUND\u0000Transmastoid occlusion of the posterior or superior semicircular canal is an effective and safe management option in patients with refractory benign paroxysmal positional vertigo or symptomatic superior semicircular canal dehiscence. A method of quantifying successful canal occlusion surgery is described.\u0000\u0000\u0000METHODS\u0000This paper presents representative patients with intractable benign paroxysmal positional vertigo or symptomatic superior semicircular canal dehiscence, who underwent transmastoid occlusion of the posterior or superior semicircular canal respectively. Vestibular function was assessed pre- and post-operatively. The video head impulse test was included as a measure of semicircular canal and vestibulo-ocular reflex functions.\u0000\u0000\u0000RESULTS\u0000Post-operative video head impulse testing showed reduced vestibulo-ocular reflex gain in occluded canals. Gain remained normal in the non-operated canals. Post-operative audiometry demonstrated no change in hearing in the benign paroxysmal positional vertigo patient and slight hearing improvement in the superior semicircular canal dehiscence syndrome patient.\u0000\u0000\u0000CONCLUSION\u0000Transmastoid occlusion of the posterior or superior semicircular canal is effective and safe for treating troublesome benign paroxysmal positional vertigo or symptomatic superior semicircular canal dehiscence. Post-operative video head impulse testing demonstrating a reduction in vestibulo-ocular reflex gain can reliably confirm successful occlusion of the canal and is a useful adjunct in post-operative evaluation.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"19 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89796642","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: 5

Magnetic resonance imaging for vestibular schwannoma: cost-effective protocol for referrals. 前庭神经鞘瘤的磁共振成像:转诊的成本效益方案。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-22 DOI: 10.1017/S0022215119001981

B. Mettias, M. Lyons

{"title":"Magnetic resonance imaging for vestibular schwannoma: cost-effective protocol for referrals.","authors":"B. Mettias, M. Lyons","doi":"10.1017/S0022215119001981","DOIUrl":"https://doi.org/10.1017/S0022215119001981","url":null,"abstract":"OBJECTIVE\u0000Vestibular schwannoma is the most common neoplasm in the cerebellopontine angle, and fast spin-echo T2-weighted magnetic resonance imaging is the most sensitive test for diagnosing it. This study evaluated the financial and time costs of unnecessary magnetic resonance imaging referrals before and after the application of a magnetic resonance imaging protocol.\u0000\u0000\u0000METHOD\u0000A full audit cycle was used for the assessment. The first cycle in January 2012 was retrospective and evaluated the financial impact of current selection criteria for magnetic resonance imaging referral against standard guidelines. The second cycle in January 2014 was prospective after implementation of the protocol.\u0000\u0000\u0000RESULTS\u0000There were 46 and 112 patients who had magnetic resonance imaging during first and second cycle, respectively. Of the referrals for magnetic resonance imaging, 65 per cent versus 81 per cent of the referrals were appropriate in the first and second cycles, respectively. The relative risk was reduced from 0.5 to 0.2. The waiting times for magnetic resonance imaging scans improved.\u0000\u0000\u0000CONCLUSION\u0000Selection criteria for magnetic resonance imaging referral are important in reducing waiting times for scans, patient anxiety and conserving trust resources.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"27 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73173545","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

A comprehensive review of otorhinolaryngological global health concerns. 全球耳鼻喉科健康问题综述

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-21 DOI: 10.1017/S002221511900197X

D. Murphy

引用次数: 2

Supra-auricular and post-auricular resection of pre-auricular and post-auricular sinuses. 耳上、耳后耳前、耳后窦切除术。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-21 DOI: 10.1017/S002221511900210X

H. Ding, H. Xie, F. Qiao, T. Wang, X. Huang, Q. Ning

引用次数: 1

Effect of chronic suppurative otitis media on distortion product otoacoustic emission input-output functions in conventional and ultra-high frequencies. 慢性化脓性中耳炎对常规和超高频畸变产物耳声发射输入输出功能的影响。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-21 DOI: 10.1017/S0022215119002123

S. I. Kirubaharane, S. Palani, A. Alexander, A. Sreenivasan

{"title":"Effect of chronic suppurative otitis media on distortion product otoacoustic emission input-output functions in conventional and ultra-high frequencies.","authors":"S. I. Kirubaharane, S. Palani, A. Alexander, A. Sreenivasan","doi":"10.1017/S0022215119002123","DOIUrl":"https://doi.org/10.1017/S0022215119002123","url":null,"abstract":"BACKGROUND\u0000Detection and valid measurements of distortion product otoacoustic emissions are not influenced by cochlear status alone, but also by middle-ear status. There is a need to understand the use of ultra-high frequency distortion product otoacoustic emissions in cases of abnormal distortion product otoacoustic emission findings for conventional frequencies related to the middle-ear condition.\u0000\u0000\u0000METHOD\u0000The present study investigated distortion product otoacoustic emission input-output functions in conventional and ultra-high frequencies in: 37 adults with chronic suppurative otitis media (clinical group) and 37 adults with normal hearing sensitivity (control group).\u0000\u0000\u0000RESULTS\u0000There were significant reductions in distortion product otoacoustic emission amplitude and mean signal-to-noise ratio in the clinical group compared to the control group, especially for conventional frequencies.\u0000\u0000\u0000CONCLUSION\u0000There was a significant reduction in the rate of ears with measurable distortion product otoacoustic emissions in the clinical group, especially for conventional frequencies. The effect of chronic suppurative otitis media was more pronounced in the conventional frequency range compared to the smaller effect seen in the ultra-high frequency range.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"39 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2019-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90200557","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

The role of narrow-band imaging in parathyroid surgery: a preliminary evaluation in five parathyroid adenoma cases. 窄带成像在甲状旁腺手术中的作用:5例甲状旁腺瘤的初步评价。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-18 DOI: 10.1017/S0022215119002160

A. Saibene, A. Bulfamante, P. Lozza, L. De Pasquale

{"title":"The role of narrow-band imaging in parathyroid surgery: a preliminary evaluation in five parathyroid adenoma cases.","authors":"A. Saibene, A. Bulfamante, P. Lozza, L. De Pasquale","doi":"10.1017/S0022215119002160","DOIUrl":"https://doi.org/10.1017/S0022215119002160","url":null,"abstract":"BACKGROUND\u0000Narrow-band imaging uses selective haemoglobin light absorption to emphasise vascular visualisation and capillary networks.\u0000\u0000\u0000OBJECTIVE\u0000This study aimed to evaluate the application of this technique to parathyroid surgery.\u0000\u0000\u0000METHOD\u0000This preliminary evaluation was carried out on five consecutive patients with single parathyroid adenoma being considered for minimally invasive video-assisted parathyroidectomy. The adenomas were checked for narrow-band imaging vascular patterns. Minimally invasive video-assisted parathyroidectomy was then carried out in accordance with our standard protocol.\u0000\u0000\u0000RESULTS\u0000In four out of the five cases, narrow-band imaging integrated the white endoscopic light and direct vision, but in one case narrow-band imaging allowed distinction between the hidden neoplastic tissue and the surrounding structures thanks to the different vascular patterns.\u0000\u0000\u0000CONCLUSION\u0000Narrow-band imaging was helpful in properly identifying adenoma. It is suggested that this technique be considered as a means for surgeons to improve their confidence in selected surgical treatments and to improve treatment quality.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"68 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2019-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91369332","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

Feasibility of ovine and synthetic temporal bone models for simulation training in endoscopic ear surgery. 羊和合成颞骨模型在内窥镜耳科手术模拟训练中的可行性。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-16 DOI: 10.1017/s0022215119002135

S. Okhovat, T. Milner, Arunachalam Iyer

{"title":"Feasibility of ovine and synthetic temporal bone models for simulation training in endoscopic ear surgery.","authors":"S. Okhovat, T. Milner, Arunachalam Iyer","doi":"10.1017/s0022215119002135","DOIUrl":"https://doi.org/10.1017/s0022215119002135","url":null,"abstract":"OBJECTIVE\u0000Comparing the feasibility of ovine and synthetic temporal bones for simulating endoscopic ear surgery against the 'gold standard' of human cadaveric tissue.\u0000\u0000\u0000METHODS\u0000A total of 10 candidates (5 trainees and 5 experts) performed endoscopic tympanoplasty on 3 models: Pettigrew temporal bones, ovine temporal bones and cadaveric temporal bones. Candidates completed a questionnaire assessing the face validity, global content validity and task-specific content validity of each model.\u0000\u0000\u0000RESULTS\u0000Regarding ovine temporal bone validity, the median values were 4 (interquartile range = 4-4) for face validity, 4 (interquartile range = 4-4) for global content validity and 4 (interquartile range = 4-4) for task-specific content validity. For the Pettigrew temporal bone, the median values were 3.5 (interquartile range = 2.25-4) for face validity, 3 (interquartile range = 2.75-3) for global content validity and 3 (interquartile range = 2.5-3) for task-specific content validity. The ovine temporal bone was considered significantly superior to the Pettigrew temporal bone for the majority of validity categories assessed.\u0000\u0000\u0000CONCLUSION\u0000Tympanoplasty is feasible in both the ovine temporal bone and the Pettigrew temporal bone. However, the ovine model was a significantly more realistic simulation tool.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"12 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2019-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85203194","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: 6

Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. 一级创伤中心钝性颈部创伤:6年回顾性病例记录回顾。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-14 DOI: 10.1017/S0022215119001993

B. Zakaria, J. Muzaffar, L. Orr, C. Coulson, N. Sharma

{"title":"Blunt neck trauma at a level I trauma centre: six-year retrospective case note review.","authors":"B. Zakaria, J. Muzaffar, L. Orr, C. Coulson, N. Sharma","doi":"10.1017/S0022215119001993","DOIUrl":"https://doi.org/10.1017/S0022215119001993","url":null,"abstract":"BACKGROUND\u0000Blunt neck trauma can cause serious morbidity and mortality rates of up to 40 per cent, but there is a paucity of literature on the topic.\u0000\u0000\u0000METHOD\u0000A retrospective case note review was performed for all blunt neck trauma cases managed at the Queen Elizabeth Hospital Birmingham between 1st January 2011 and 31st December 2017.\u0000\u0000\u0000RESULTS\u0000Seventeen cases were managed, with no mortality and limited morbidity. Most patients were male (70.6 per cent) and road traffic accidents were the most common cause of injury (41.2 per cent). The median age of patients was 40.6 years (range, 21.5-70.3 years). Multidetector computed tomography angiography of the neck was performed in 9 patients (52.9 per cent) with 'hot' reports made by on-duty radiology staff matching consultant reports in all but 1 case. Six patients underwent operative exploration yielding a negative exploration rate of 33.3 per cent. Imaging reports matched operative findings in 3 cases (60 per cent).\u0000\u0000\u0000CONCLUSION\u0000Blunt neck trauma is uncommon but usually presents in polytrauma. Imaging has inaccuracies when compared with operative findings, regardless of radiological experience.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"212 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90830922","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

[Pott's puffy tumour: innovative technique in calvarial reconstruction]. [波特氏浮肿瘤:颅骨重建术的创新技术]。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-07 DOI: 10.1017/S0022215119002093

B. Mettias, G. Dow, D. Srinivasan, Y. Ramakrishnan

{"title":"[Pott's puffy tumour: innovative technique in calvarial reconstruction].","authors":"B. Mettias, G. Dow, D. Srinivasan, Y. Ramakrishnan","doi":"10.1017/S0022215119002093","DOIUrl":"https://doi.org/10.1017/S0022215119002093","url":null,"abstract":"BACKGROUND\u0000Pott's puffy tumour is a rare complication of sinusitis. This osteomyelitis can affect the outer and inner tables of the frontal sinus. The treatment of Pott's puffy tumour combines medical and surgical approaches. Surgical approaches have traditionally been open, but endoscopic techniques have been adopted recently in select cases. The bony defect from debridement can be left alone, or closed with autografts or allografts.\u0000\u0000\u0000OBJECTIVE\u0000To describe a technique for the reconstruction of a large skull vault after the debridement of extensive osteomyelitis of the anterior cranial vault.\u0000\u0000\u0000METHODS\u0000Modified distraction osteogenesis is used in the cranial vault, to induce new bone formation. This is customarily used to lengthen long bones. The advantages of this technique include avoiding autologous grafts or alloplastic cranioplasty in the infected surgical bed, and allowing primary closure.\u0000\u0000\u0000RESULTS\u0000Early post-operative imaging results have been encouraging, with no reported complications.\u0000\u0000\u0000CONCLUSION\u0000Modified distraction osteogenesis is a novel technique in the primary reconstruction of calvarial bone.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"226 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77105539","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

Outcomes in two patients with vocal fold palsy who underwent revision arytenoid adduction surgery. 两例声带麻痹患者行改良类蝶关节内收手术的结果。

The Journal of laryngology and otology. Supplement Pub Date : 2019-10-07 DOI: 10.1017/S0022215119002081

K. Matsushima, Hidehito Matsui, Shinya Ohira, K. Matsuura

引用次数: 3