The Journal of laryngology and otology. Supplement最新文献_第5页

Promontory osteoma mimicking otosclerosis: case report. 模拟耳硬化的岬状骨瘤1例。

The Journal of laryngology and otology. Supplement Pub Date : 2019-09-27 DOI: 10.1017/S0022215119002007

S. Gülşen

引用次数: 3

Reliability of diffusion-weighted magnetic resonance imaging in differentiation of recurrent cholesteatoma and granulation tissue after intact canal wall mastoidectomy. 磁共振弥散加权成像鉴别完整管壁乳突切除术后复发性胆脂瘤和肉芽组织的可靠性。

The Journal of laryngology and otology. Supplement Pub Date : 2019-01-12 DOI: 10.1017/S0022215119002421

H. Allam, A. A. Abdel Razek, B. Ashraf, M. Khalek

{"title":"Reliability of diffusion-weighted magnetic resonance imaging in differentiation of recurrent cholesteatoma and granulation tissue after intact canal wall mastoidectomy.","authors":"H. Allam, A. A. Abdel Razek, B. Ashraf, M. Khalek","doi":"10.1017/S0022215119002421","DOIUrl":"https://doi.org/10.1017/S0022215119002421","url":null,"abstract":"OBJECTIVE\u0000To assess the reliability of diffusion-weighted magnetic resonance imaging in differentiating recurrent cholesteatoma from granulation tissue after intact canal wall mastoidectomy.\u0000\u0000\u0000METHODS\u0000A prospective study was conducted of 56 consecutive patients with suspected cholesteatoma recurrence after intact canal wall mastoidectomy who underwent diffusion-weighted imaging and delayed contrast magnetic resonance imaging of the temporal bone. The final diagnosis was recurrence in 38 patients and granulation tissue in 18 patients.\u0000\u0000\u0000RESULTS\u0000Cholesteatoma detection on diffusion-weighted imaging based on two sets of readings had sensitivity of 94.7 and 94.7 per cent, specificity of 94.4 and 88.9 per cent, and accuracy of 94.6 and 92.8 per cent, with good intra-observer agreement (Κ = 0.72, p = 0.001). Cholesteatoma detection on delayed contrast magnetic resonance imaging had sensitivity of 81.6 and 78.9 per cent, specificity of 77.8 and 66.7 per cent, and accuracy of 80.4 and 75.0 per cent, with fair intra-observer agreement (Κ = 0.57, p = 0.001). The mean cholesteatoma diameter on diffusion-weighted imaging was 7.7 ± 1.8 and 7.9 ± 1.8 mm, with excellent intra-observer agreement (Κ = 0.994, p = 0.001).\u0000\u0000\u0000CONCLUSION\u0000Diffusion-weighted imaging is a reliable method for differentiating recurrent cholesteatoma and granulation tissue after intact canal wall mastoidectomy.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"120 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87822543","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

Microbiology of otitis media in Indigenous Australian children: review. 澳大利亚土著儿童中耳炎的微生物学：综述。

The Journal of laryngology and otology. Supplement Pub Date : 2017-07-01 Epub Date: 2017-01-16 DOI: 10.1017/S0022215116009294

J Jervis-Bardy, A S Carney, R Duguid, A J Leach

{"title":"Microbiology of otitis media in Indigenous Australian children: review.","authors":"J Jervis-Bardy, A S Carney, R Duguid, A J Leach","doi":"10.1017/S0022215116009294","DOIUrl":"10.1017/S0022215116009294","url":null,"abstract":"Objectives: To review research addressing the polymicrobial aetiology of otitis media in Indigenous Australian children in order to identify research gaps and inform best practice in effective prevention strategies and therapeutic interventions.Methods: Literature review.Results: Studies of aspirated middle-ear fluid represented a minor component of the literature reviewed. Most studies relied upon specimens from middle-ear discharge or the nasopharynx. Culture-based middle-ear discharge studies have found that non-typeable Haemophilus influenzae and Streptococcus pneumoniae predominate, with Moraxella catarrhalis, Staphylococcus aureus and Streptococcus pyogenes isolated in a lower proportion of samples. Alloiococcus otitidis was detected in a number of studies; however, its role in otitis media pathogenesis remains controversial. Nasopharyngeal colonisation is a risk factor for otitis media in Indigenous infants, and bacterial load of otopathogens in the nasopharynx can predict the ear state of Indigenous children.Conclusion: Most studies have used culture-based methods and specimens from middle-ear discharge or the nasopharynx. Findings from these studies are consistent with international literature, but reliance on culture may incorrectly characterise the microbiology of this condition. Advances in genomic technologies are now providing microbiologists with the ability to analyse the entire mixed bacterial communities ('microbiomes') of samples obtained from Indigenous children with otitis media.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"72 1","pages":"S2-S11"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74923782","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

Rising incidence of head and neck mucosal melanoma in Australia. 澳大利亚头颈部粘膜黑色素瘤发病率上升。

The Journal of laryngology and otology. Supplement Pub Date : 2017-07-01 DOI: 10.1017/S0022215116009385

D. Youssef, S. Vasani, J. Marquess, A. Cervin

引用次数: 8

Laryngeal manifestations of pachyonychia congenita: a clinical case and discussion on management for the otolaryngologist. 先天性厚甲的喉部表现:1例临床及耳鼻喉科治疗的探讨。

The Journal of laryngology and otology. Supplement Pub Date : 2017-07-01 DOI: 10.1017/S0022215116008264

A. O'Kane, C. Jackson, M. Mahadevan, C. Barber

{"title":"Laryngeal manifestations of pachyonychia congenita: a clinical case and discussion on management for the otolaryngologist.","authors":"A. O'Kane, C. Jackson, M. Mahadevan, C. Barber","doi":"10.1017/S0022215116008264","DOIUrl":"https://doi.org/10.1017/S0022215116008264","url":null,"abstract":"BACKGROUND\u0000Pachyonychia congenita is a rare keratinising disorder, which typically presents during the first three years of life and usually affects the nails and palmoplantar surfaces. It can involve the larynx and potentially result in life-threatening airway obstruction.\u0000\u0000\u0000METHODS\u0000A case report is presented and the findings of a literature review are reported. The review involved a PubMed search using the keywords 'pachyonychia congenita' together with 'larynx', 'laryngeal involvement', 'laryngeal obstruction', 'airway obstruction', 'hoarseness' and/or 'stridor'.\u0000\u0000\u0000RESULTS\u0000A five-year-old boy, with confirmed pachyonychia congenita, presented with complications of laryngeal involvement over a four-year period. He required three intubations and a tracheostomy for acute airway obstruction. Treatment with potassium titanyl phosphate laser laryngoscopy stabilised the progression of laryngeal disease.\u0000\u0000\u0000CONCLUSION\u0000Patients with pachyonychia congenita and laryngeal involvement can have a varied presentation, ranging from hoarseness to acute airway obstruction. Management can be a challenge, requiring early evaluation, regular surveillance and aggressive treatment. This paper reports our experience in managing and treating the laryngeal complications of a child with pachyonychia congenita.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"53 1","pages":"S53-S56"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80926566","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

Olfactory neuroblastoma: 14-year experience at an Australian tertiary centre and the role for longer-term surveillance. 嗅觉神经母细胞瘤:在澳大利亚三级中心14年的经验和长期监测的作用。

The Journal of laryngology and otology. Supplement Pub Date : 2017-07-01 DOI: 10.1017/S0022215116009592

C. Schmidt, N. Potter, S. Porceddu, B. Panizza

{"title":"Olfactory neuroblastoma: 14-year experience at an Australian tertiary centre and the role for longer-term surveillance.","authors":"C. Schmidt, N. Potter, S. Porceddu, B. Panizza","doi":"10.1017/S0022215116009592","DOIUrl":"https://doi.org/10.1017/S0022215116009592","url":null,"abstract":"BACKGROUND\u0000Olfactory neuroblastoma is a rare sinonasal malignancy, with poorly defined treatment protocols. Management at a tertiary centre was retrospectively evaluated to inform future treatment and follow up.\u0000\u0000\u0000METHODS\u0000Cases treated with curative intent (2000-2014) were included. Data were collected, and overall and disease-free survival rates were calculated.\u0000\u0000\u0000RESULTS\u0000Eleven cases were identified, with a median follow up of 87 months. One patient was Kadish stage A, one was stage B, eight were stage C and one was stage D. The latter patient underwent chemoradiotherapy alone. The remaining patients proceeded to: endoscopic-assisted wide local excision (n = 2), anterior craniofacial resection (n = 4) or endoscopic craniofacial resection (n = 4). No patients had primary nodal disease or elective neck treatment. One patient had neoadjuvant chemoradiation. Six patients had post-operative radiotherapy; three received adjuvant chemotherapy. Two patients had late cervical node failure, and proceeded to neck dissection and post-operative radiotherapy. Two patients had late local recurrence. Ten-year overall and disease-free survival rates were 68.2 and 46.7 per cent, respectively.\u0000\u0000\u0000CONCLUSION\u0000Longer-term follow up is supported given the incidence of late regional and local recurrence. Prophylactic treatment of cervical nodes in locally advanced disease is an area for further investigation.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"114 1","pages":"S29-S34"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85857224","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: 9

Hearing and vestibular rehabilitation, with a focus on the elderly. 听力和前庭康复，重点是老年人。

The Journal of laryngology and otology. Supplement Pub Date : 2017-03-01 DOI: 10.1017/S0022215117000263

E. Fisher, R. Youngs, M. Hussain, J. Fishman

引用次数: 0

Understanding the low uptake of bone-anchored hearing aids: a review. 了解骨锚定助听器的低吸收:综述。

The Journal of laryngology and otology. Supplement Pub Date : 2017-03-01 DOI: 10.1017/S0022215116009981

R. Powell, A. Wearden, S. M. Pardesi, K. Green

{"title":"Understanding the low uptake of bone-anchored hearing aids: a review.","authors":"R. Powell, A. Wearden, S. M. Pardesi, K. Green","doi":"10.1017/S0022215116009981","DOIUrl":"https://doi.org/10.1017/S0022215116009981","url":null,"abstract":"BACKGROUND\u0000Bone-anchored hearing aids improve hearing for patients for whom conventional behind-the-ear aids are problematic. However, uptake of bone-anchored hearing aids is low and it is important to understand why this is the case.\u0000\u0000\u0000METHOD\u0000A narrative review was conducted. Studies examining why people accept or decline bone-anchored hearing aids and satisfaction levels of people with bone-anchored hearing aids were reviewed.\u0000\u0000\u0000RESULTS\u0000Reasons for declining bone-anchored hearing aids included limited perceived benefits, concerns about surgery, aesthetic concerns and treatment cost. No studies providing in-depth analysis of the reasons for declining or accepting bone-anchored hearing aids were identified. Studies of patient satisfaction showed that most participants reported benefits with bone-anchored hearing aids. However, most studies used cross-sectional and/or retrospective designs and only included people with bone-anchored hearing aids.\u0000\u0000\u0000CONCLUSION\u0000Important avenues for further research are in-depth qualitative research designed to fully understand the decision-making process for bone-anchored hearing aids and rigorous quantitative research comparing satisfaction of people who receive bone-anchored hearing aids with those who receive alternative (or no) treatments.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"25 1","pages":"190-201"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78293550","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: 7

Single dose intratympanic mesna application inhibits propylene glycol induced cholesteatoma formation. 单剂量鼓膜内应用抑制丙二醇诱导的胆脂瘤形成。

The Journal of laryngology and otology. Supplement Pub Date : 2017-03-01 DOI: 10.1017/S002221511600983X

O. Ismı, Y. Karabulut, K. Bal, Y. Vayısoğlu, M. Unal

{"title":"Single dose intratympanic mesna application inhibits propylene glycol induced cholesteatoma formation.","authors":"O. Ismı, Y. Karabulut, K. Bal, Y. Vayısoğlu, M. Unal","doi":"10.1017/S002221511600983X","DOIUrl":"https://doi.org/10.1017/S002221511600983X","url":null,"abstract":"OBJECTIVE\u0000Mesna (i.e. sodium 2-mercaptoethanesulfonate; C2H5NaO3S2) has been used in otological surgery such as cholesteatoma dissection and tympanic membrane lateralisation in atelectatic ears. However, this study aimed to investigate its effect on cholesteatoma formation.\u0000\u0000\u0000METHODS\u0000A total of 20 Wistar rats were divided into two groups of 10 animals. The right and left ears of control animals were treated with saline (saline control group; n = 10 ears) and propylene glycol plus saline (propylene glycol control group; n = 10 ears), respectively. In the mesna group, both ears were treated with propylene glycol plus mesna (n = 20 ears). On days 1, 8 and 15, the saline control group had intratympanic injections of 0.2 ml saline and the propylene glycol control and mesna groups had intratympanic injections of 0.2 ml 100 per cent propylene glycol. On day 22, the propylene glycol control group had a single intratympanic injection of 0.2 ml saline and the mesna group had a single intratympanic injection of 10 per cent mesna. Animals were killed 12 weeks after the last injection and the temporal bones were sent for histopathological evaluation.\u0000\u0000\u0000RESULTS\u0000The cholesteatoma formation rate was 88 per cent in the propylene glycol control group, but was significantly lower in the mesna group (p = 0.01). There were no significant differences in granulation tissue formation (p = 0.498), cyst formation in the bulla (p = 0.381), fibrosis (p = 0.072) and epithelial hyperplasia (p = 0.081) among experimental groups.\u0000\u0000\u0000CONCLUSION\u0000Intratympanic propylene glycol administration is an effective method of promoting experimental cholesteatoma formation. Administration of a single dose of intratympanic mesna inhibited cholesteatoma formation in an animal model.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"22 1","pages":"215-220"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72741319","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: 9

The value of close monitoring in vestibular rehabilitation therapy. 密切监测在前庭康复治疗中的价值。

The Journal of laryngology and otology. Supplement Pub Date : 2017-03-01 DOI: 10.1017/S0022215116009750

M. Itani, Y. Koaik, A. Sabri

{"title":"The value of close monitoring in vestibular rehabilitation therapy.","authors":"M. Itani, Y. Koaik, A. Sabri","doi":"10.1017/S0022215116009750","DOIUrl":"https://doi.org/10.1017/S0022215116009750","url":null,"abstract":"BACKGROUND\u0000Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems.\u0000\u0000\u0000HYPOTHESIS\u0000Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme.\u0000\u0000\u0000METHODS\u0000A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital. The Dynamic Gait Index, the main outcome measure, was utilised before and after the rehabilitation programme. The magnitude of improvement for all patients was analysed, mainly to compare the home exercise group with the closely monitored therapy group.\u0000\u0000\u0000RESULTS\u0000Only 32 patients underwent the vestibular rehabilitation therapy programme. In all patients, there was significant improvement in the mean Dynamic Gait Index score (from 11.75 to 17.38; p < 0.01). Dynamic Gait Index improvement was significantly higher with closely monitored therapy (mean improvement of 7.83 vs 2.79; p < 0.01).\u0000\u0000\u0000CONCLUSION\u0000The small sample size is a major limitation; nevertheless, closely monitored vestibular rehabilitation therapy resulted in improved performance status. More studies are needed to establish the efficiency of vestibular rehabilitation therapy and compare closely monitored therapy with tailored home exercise rehabilitation.","PeriodicalId":76651,"journal":{"name":"The Journal of laryngology and otology. Supplement","volume":"26 1","pages":"227-231"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83492293","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