Otorhinolaryngology-head and neck surgery最新文献

{"title":"Lithium use in bipolar older people","authors":"Aziz Vm","doi":"10.15761/ohns.1000216","DOIUrl":"https://doi.org/10.15761/ohns.1000216","url":null,"abstract":"Lithium has been used in bipolar disorder both as monotherapy and in combination with other drugs. Lithium remains a drug of choice in the treatment of older people affective disorder. *Correspondence to: Aziz VM, Devon Partnership Trust, UK, Tel: +44-139-2208866; E-mail: victoraziz@doctors.org.uk","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67501250","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":"Transoral approach for draining parapharyngeal space abscesses involving multiple maxillofacial spaces","authors":"Zhong-Ke Chen, Jian-feng Liu, Jianhui Zhao, Jun Han, Da-zhang Yang","doi":"10.15761/ohns.1000218","DOIUrl":"https://doi.org/10.15761/ohns.1000218","url":null,"abstract":"The parapharyngeal space (PPS) connects multiple maxillofacial spaces (including the submandibular, retropharyngeal, and submasseteric spaces), and it is one of the most complex anatomic locations in the head and neck. Infection in the PPS may cause a series of life-threatening conditions such as mediastinal abscesses. Herein, we present the case of a PPS abscess involving multiple maxillofacial spaces, which was successfully incised and drained using a minimally invasive transoral approach under local anaesthesia. This minimally invasive approach requires full anatomic knowledge of the neck spaces. Additionally, the approach requires that the patient should be able to tolerate local anaesthesia and not have a compromised airway or severe trismus, and the infection should only affect the prestyloid compartment. *Correspondence to: Jianfeng Liu, Department of Otolaryngology, ChinaJapan Friendship Hospital, Beijing, China, Tel: +86 10 8420 5288; E-mail: mmconfucius@163.com","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67501318","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":"Influence of adenotonsillar hypertrophy on dentofacial development of children","authors":"Cheongse Won, T. Shin, C. Lee, Hyoung-Mi Kim","doi":"10.15761/OHNS.1000204","DOIUrl":"https://doi.org/10.15761/OHNS.1000204","url":null,"abstract":"","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500659","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":"What physicians and patients should know about different designs of cochlear implant electrodes?","authors":"Mohamed S Elgandy, Mohammad K Mobashir","doi":"10.15761/ohns.1000217","DOIUrl":"https://doi.org/10.15761/ohns.1000217","url":null,"abstract":"Cochlear implants have changed how we consider hearing loss. Over the years, selection criteria have moved from profound to severe to moderate hearing loss. Now those with good residual low-frequency hearing, or only a unilateral hearing loss can benefit. Several exciting advances have been made in the last few years. A combination of technological advancements in device hardware, processing capabilities, improved surgical techniques and electrode factors, such as correct scala placement and modiolar proximity were found to correlate positively with patient outcomes. This is an important consideration as the electrode forms a permanent and lifelong interface between the cochlear implant delivering stimulation and the neural structures of the cochlea. This paper reviews different electrodes types and future considerations in electrode design in order to improve overall patient quality of patient’s life. *Correspondence to: Mohamed Salah Elgandy, Department of OtolaryngologyHead and Neck Surgery, University of Iowa, Iowa City, USA, Tel: +1 (319)5193862; E-mail: melgandy@healthcare.uiowa.edu","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67501266","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":"Oral neural tumours: A diagnostic challenge-report of two cases","authors":"A. Dimitrios, Stergiadou Effimia, Anagnostou Eleftherios, Poulopoulos Athanasios","doi":"10.15761/ohns.1000206","DOIUrl":"https://doi.org/10.15761/ohns.1000206","url":null,"abstract":"","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500720","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":"Reconstruction of residual cleft nasal deformities using a rib cartilage caudal strut graft: Diagnosis and surgical approach","authors":"J. Posnick, B. Kinard","doi":"10.15761/OHNS.1000209","DOIUrl":"https://doi.org/10.15761/OHNS.1000209","url":null,"abstract":"","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500920","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":"The effect of mouthwash containing chlorhexidine digluconate 0.2% on halitosis in smokers and non-smokers","authors":"G. Gavazova, P. Pechalova","doi":"10.15761/ohns.1000224","DOIUrl":"https://doi.org/10.15761/ohns.1000224","url":null,"abstract":"Background: Halitosis is a term used to describe bad or unpleasant odours from the oral cavity. The aim of this study is to investigate halitosis after administration of mouthwash containing chlorhexidine digluconate 0.2% (Parodontax, GlaxoSmithKline, GB). Material and methods: The study included 60 dental patients, 30 smokers and 30 non-smokers, all clinically healthy, who had not used mouthwash containing chlorhexidine digluconate 0.2% for the past 6 months. The patients were instructed to rinse their oral cavity with the supplied mouthwash twice daily for a 14-day period and to maintain oral hygiene as usual. The rinsing technique involved swishing with 10 mL of chlorohexidine digluconate 0.2% twice, successively, for 1 minute. After rinsing, the mouth was not flushed. Halitosis of the air exhaled from the oral cavity was measured using FitScan Breath Checker HC-212SF (Tanita Corporation, USA) during normal breathing, in the morning, on an empty stomach, without oral cavity toilette - before the start of the study and on day 14 from the start of administration of mouthwash containing chlorhexidine digluconate 0.2%. Results: There was no statistically significant difference between the two sexes in terms of age (p = 0.392). There was no statistically significant difference in halitosis levels between smokers vs. non-smokers (p = 0.07). In terms of sex distribution of smokers, 15 (39.5%) of the female subjects and 15 (68.2%) of the male subjects used tobacco products. A statistically significant difference was found between the two sexes in terms of smoking (p = 0.032). Fourteen-day administration of Parodontax resulted in a statistically significant decrease in halitosis levels in the subjects studied - 2.1 ± 1.15, p < 0.0001. This trend persisted in both smokers (the mean halitosis level after a 14-day period of administration of Parodontax was 2.27 ± 0.21, p = 0.006) and non-smokers (the mean halitosis level after a 14-day period of administration of Parodontax was 1.93±0.21, p < 0.0001). Conclusion: Our study showed that 14-day administration of Parodontax resulted in a statistically significant decrease in halitosis levels in both smokers and non- smokers.","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67501443","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":"Successful management of extramedullary plasmacytoma of the larynx in a patient with advanced radiation therapy techniques","authors":"Mark A. D' Andrea, G. Reddy","doi":"10.15761/ohns.1000211","DOIUrl":"https://doi.org/10.15761/ohns.1000211","url":null,"abstract":"Objective: Extramedullary plasmacytoma (EMP) is a rare variant of plasma cell myeloma that affects soft tissues. The most affected sites of EMP are primarily the head and neck regions. In this study, we report a case of this rare neoplasm in the larynx and its management using an advanced radiation therapy protocol. Methods: A 42-year-old Hispanic female presented with a history of progressive hoarseness for several weeks. Initially the patient underwent endoscopic evaluation of her throat to find any tumour lesion in the region of her false vocal cord. The patient was diagnosed with the presence of EMP of the larynx using microscopic laryngoscopy followed by computed tomography (CT)/positron emission tomography (PET)/magnetic resonance imaging (MRI) and pathological evaluations. Results and discussion: The findings of the endoscopic evaluation and microscopic laryngoscopy of the patient’s throat indicated a submucosal mass in the region of her false vocal cord that was keeping the true vocal cords from adequately apposing. The CT/PET/MRI and pathology evaluations revealed the presence of a stage I EMP of the larynx. Following the diagnosis of her disease, the patient was administered a course of conformal 3-Dimentional intensity modulated radiation therapy (IMRT)/image-guided radiation therapy (IGRT) to a total dose of 5,040 cGy in 28 fractions over 44 calendar days. A post-operative treatment evaluation after more than 7 years indicated no evidence of a recurrent neoplasm or distant metastasis. Conclusion: The findings of this case study demonstrated that conformal 3-D IMRT/IGRT is clinically effective in managing the EMP of the larynx successfully. *Correspondence to: G Kesava Reddy, University Cancer and Diagnostic Centers, Houston, TX, USA, Tel: (713) 474-1414; Fax: (713) 474-8477; E-mail: kreddy_usa@yahoo.com","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67501490","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":"Functional endoscopic sinus surgery (FESS): Is it always a safe procedure?","authors":"E. Amadei","doi":"10.15761/ohns.1000199","DOIUrl":"https://doi.org/10.15761/ohns.1000199","url":null,"abstract":"Functional Endoscopic Sinus Surgery (FESS) is an easy, fast and effective surgical procedure for treating rhinosinusitis that is not responsive to medical therapy. We never had major post-FESS complications up to 6 months ago. Therefore, we wanted to compare our results with those of Literature. During the period 2013-2018 we performed 589 FESS interventions. We had a percentage of minor complications similar to reported in the Literature (5-10%), and a lower incidence of major complications (0.34%). We therefore look in detail at our cases of major complications, with the support of preand post-operative imaging. We believe that it is essential to carefully study preoperative imaging. Besides operating in a standardized manner, despite the variation of anatomical features, it is the best way to prevent complications of a FESS. In a department of Otorhinolaryngology without a high-volume series like ours, the complication percentages derived from FESS are low and comparable with those of Literature. This datum is very useful, as in Literature there are numerous huge series, gathered in major world Hospitals, while the data collected in non-high-volume Centres are scarce, even if here large number of FESS is performed every year. *Correspondence to: Enrico Maria Amadei, Department of Otorhinolaryngology and Audiology, Infermi Hospital, Rimini, Italy, Tel: +39 3283625727; E-mail: enricomaria.amadei@libero.it","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500571","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, laboratory, ultrasound, elastography, cytological (FNAB) and anatomopathological findings obtained in the study of single and multiple, solid and cystic, benign and malignant thyroid nodules","authors":"Maria L D’Arbo Alves, Manoel Hc Gabarra","doi":"10.15761/ohns.1000200","DOIUrl":"https://doi.org/10.15761/ohns.1000200","url":null,"abstract":"","PeriodicalId":91783,"journal":{"name":"Otorhinolaryngology-head and neck surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67500614","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}