International journal of head and neck surgery最新文献_第9页

Return of Sounds at almost 100 Years of Age: Which will be the Limit? 近百年的声音回归:哪一个才是极限?

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1408

Raquel Levy, M. Goycoolea, Byanka Cagnacci, Catherine Catenacci, J. Rufs, Maricarmen Andrade, Jacqueline Scherpenisse

{"title":"Return of Sounds at almost 100 Years of Age: Which will be the Limit?","authors":"Raquel Levy, M. Goycoolea, Byanka Cagnacci, Catherine Catenacci, J. Rufs, Maricarmen Andrade, Jacqueline Scherpenisse","doi":"10.5005/JP-JOURNALS-10001-1408","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1408","url":null,"abstract":"Ab s t r Ac t Introduction: Cochlear implant (IC) is the standard treatment for profound deafness in children and adults. In the elderly, this indication is becoming more common every day. Aims and objectives: To describe the medical and the surgical approaches to be considered while operating a cochlear implant in an elderly patient. Materials and methods (clinical case): An approach to cochlear implants in the elderly is described, using as a common thread, the case of a 98-year and 9-month-old woman with severe bilateral gradually progressive sensorineural hearing loss who did not benefit from her hearing aids. She underwent comprehensive multispecialty medical evaluation including otolaryngology neurology, cardiology, and anesthesiology. She underwent cochlear implantation under local anesthesia and sedation. Results: No intraor postoperative complications occurred. Recovery was quick and she was discharged on the second postoperative day. The device was activated at 1 month post-surgery and all electrodes were active. Free field thresholds for pure tones were 25 dB HL PTA 4 and discrimination in silence with IC in left ear and hearing aid in right ear for sentences were 76% and for familiar words 100%. Conclusion: Cochlear implantation resulted in an adequate alternative for this elderly patient, possibly the oldest or one of the oldest implanted individuals in the world. Cochlear implantation should be considered a reasonable alternative for elderly patients with profound hearing loss. The surgical decision should focus more on the general health conditions than on the chronological age.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42367540","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

Recurrent Laryngeal Hamartoma—An Unusual Cause of Apneic Spells: Case Report and Review of Literature 复发性喉错构瘤——一种引起窒息的异常原因：病例报告及文献复习

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1415

Anupama Satpathy, Arjun Dasgupta, Chirajit Dutta, N. Mohan

引用次数: 1

Genomics Testing in Head and Neck Cancers: Is there a Benefit? 头颈癌基因组检测:有好处吗?

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1420

V. Rao, R. Nayar, Richitha V. Pandit, Mithua Ghosh, Sataksi Chatterjee

{"title":"Genomics Testing in Head and Neck Cancers: Is there a Benefit?","authors":"V. Rao, R. Nayar, Richitha V. Pandit, Mithua Ghosh, Sataksi Chatterjee","doi":"10.5005/JP-JOURNALS-10001-1420","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1420","url":null,"abstract":"Ab s t r Ac t Introduction: Elucidation of the genomic basis of head and neck cancers (HNCs) may help in reducing cancer-related mortality and morbidity. This is because prognostication by predicting disease course and treatment response will help to individualize treatment protocols. Materials and methods: This prospective pilot study used a 48-gene mutation panel on tumor tissue samples obtained from 18 patients suffering from HNCs. The clinical significance of these mutations was analyzed in terms of treatment resistance, presence of distant metastasis, family history, and disease recurrence. Results: Two patients carried germline mutations, nine carried somatic mutations and seven samples had no mutation detected on the 48-gene panel. The genomic studies detected germline mutations in BRCA and AIP, and somatic mutations in TP53, phosphatase and tensin homolog (PTEN), RB1, STK11, GNA11, and HRAS. Conclusion: The study appears to validate early genomic testing of HNC cases to modify treatment protocols and offers more specific and personalized treatment options to patients. Clinical significance: The study demonstrates the potential benefit of integrating genomic data with clinical details to map out a tailored treatment plan to benefit individual patients.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46000329","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

An Interesting Case of Hodgkin's Lymphoma Presenting as Salivary Gland Tumor 一例以唾液腺肿瘤表现的霍奇金淋巴瘤

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1421

T. Chitrambalam, Sidhu Sekhar, Preetham Anguraj, K. M. Panicker

引用次数: 0

Preliminary Analysis of CyberKnife Stereotactic Radiotherapy for Primary and Recurrent Head and Neck Cancers: A Delicate Balance CyberKnife立体定向放射治疗原发性和复发性头颈癌的初步分析：微妙的平衡

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1425

S. Goyal, T. Kataria, D. Gupta, T. Basu

引用次数: 0

Pathophysiology of Obstructive Sleep Apnea: The Role of Physiologic Phenotypes 阻塞性睡眠呼吸暂停的病理生理学:生理表型的作用

International journal of head and neck surgery Pub Date : 2021-06-01 DOI: 10.5005/JP-JOURNALS-10001-1428

A. Abreu, A. Ramos, S. Dib, C. Torre, A. Chediak

引用次数: 1

The Membranous Labyrinth in vivo from High-Resolution Temporal Bone CT Data 高分辨率颞骨CT数据在体内的膜迷路

International journal of head and neck surgery Pub Date : 2021-05-12 DOI: 10.36959/605/558

Tanioka Hisaya, Tanioka Sayaka

{"title":"The Membranous Labyrinth in vivo from High-Resolution Temporal Bone CT Data","authors":"Tanioka Hisaya, Tanioka Sayaka","doi":"10.36959/605/558","DOIUrl":"https://doi.org/10.36959/605/558","url":null,"abstract":"appearance surface rendering, helps complex 3D Abstract Purpose: A prerequisite for the modeling and understanding of the inner ear mechanics needs the accurate created membranous labyrinth. We will present a semi-automated methodology for accurate reconstruction of the membranous labyrinth in the cochlea from high-resolution temporal bone CT data. Method: We created the new imaging technique which was combined with the segmentation methodology, transparent, Thresholding, and opacity curve algorithms. This technique allowed the simultaneous multiple images creating without any overlapping regions in the inner ear has been developed from temporal bone CT data. Results: The reconstructed 3D images improved the in vivo cochlear membranous labyrinth geometry to realistically rep resented physiologic dimensions. These generated membranous structures were in good agreement with the previously published ones, while this approach was the most realistic in terms of the membranous labyrinth in the cochlea. Conclusions: The precise volume rendering depends on proprietary algorithms so that different results can be obtained, and the images appear qualitatively different. For each anatomical question, a different visualization technique should be used to obtain an optimal result. All researchers can create the in vivo 3D membranous labyrinth in the cochlea in real-time like a retinal camera. This technique will be applied to a cone-beam CT dataset.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74359944","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

Cervical Transverse Mega-apophysis: A Rare Cause of Plexopathy 颈横突:一种罕见的神经丛病病因

International journal of head and neck surgery Pub Date : 2021-03-31 DOI: 10.5005/JP-JOURNALS-10001-1418

P. Ferrer, A. Álvarez, J. R. Penanes

引用次数: 0

Use of Fenestrated Tracheostomy Tubes: A Comparative Study 开窗气管造口管的应用比较研究

International journal of head and neck surgery Pub Date : 2021-03-31 DOI: 10.5005/JP-JOURNALS-10001-1419

S. Lakshmanan, S. Jeyabalakrishnan, P. Saravanam

{"title":"Use of Fenestrated Tracheostomy Tubes: A Comparative Study","authors":"S. Lakshmanan, S. Jeyabalakrishnan, P. Saravanam","doi":"10.5005/JP-JOURNALS-10001-1419","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1419","url":null,"abstract":"Ab s t r Ac t Introduction: Tracheostomy is commonly performed in patients requiring long-term ventilator support. There are many types of tracheostomy tubes like fenestrated and non-fenestrated tubes. This study is to compare the types of fenestrated tubes. Type I is a fenestrated tube with multiple small fenestrae and type II is a fenestrated tracheostomy tube with a single large fenestra. Materials and methods: A total of 87 patients who underwent tracheostomy due to prolonged ventilation from January 2015 to January 2016 were included in the study. Type I tube was used in 40 patients and type II tube was used in 47 patients. Tube change was done on the 10th day, at the end of 1 month, and at the end of 3 months. Flexible laryngoscopy is done during every tube change to assess the airway. Results: Two groups were compared in terms of granulation through fenestra, stomal granulation, frequency of suctioning, and inner tube block. Statistical analysis was done and the values were compared. A p value <0.05 was considered to be statistically significant. There was a statistically significant difference between both groups in terms of less incidence of granulation through the fenestra and stomal granulation in type II tube. Conclusion: Type II tubes are more patient compliant. The incidence of inner tube block is comparatively less which makes it safe to use and avoid life-threatening situations. Decannulation can be done earlier and without complications in patients with type II tubes due to the less incidence of stomal granulation. Thus, type II tube is safer to use and has minimal complications.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"15-18"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47472285","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

Foreign Bodies in Esophagus: An Experience with Rigid Esophagoscope in ENT Practice 食道异物:硬食管镜在耳鼻喉科临床应用的体会

International journal of head and neck surgery Pub Date : 2021-03-31 DOI: 10.5005/JP-JOURNALS-10001-1401

N. Patel, Pawan Sharma

{"title":"Foreign Bodies in Esophagus: An Experience with Rigid Esophagoscope in ENT Practice","authors":"N. Patel, Pawan Sharma","doi":"10.5005/JP-JOURNALS-10001-1401","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10001-1401","url":null,"abstract":"Ab s t r Ac t Background: Foreign body (FB) ingestion and impaction in the esophagus constitute an important cause of morbidity and mortality worldwide. One-third of foreign bodies retained in the gastrointestinal tract are present in the esophagus and mostly in children require endoscopic removal with rigid esophagoscopy. Aims and objectives: This study seeks to highlight the challenges in the management of esophageal FB using rigid esophagoscopy. It will also evaluate the outcome of management. Their management depends on the anatomic location, shape, size of the foreign body, and duration of impaction. Materials and methods: This was a retrospective study of 60 patients with confirmed esophageal foreign bodies that were managed in the ENT department of SCL Hospital, NHL Medical College, Ahmedabad, from January 2016 to June 2018. Demographic and clinical data were documented, and simple statistical tables were used to illustrate the data. Results: The data of 60 patients were retrieved from ENT emergencies. Fifty (83.33%) patients had radiologic confirmation of foreign bodies in their esophagus, and 10 (16.67%) were further confirmed during esophagoscopy. There were 35 (58.33%) males and 25 (41.67%) females with male:female ratio of 1:1.4. The age range was 1–70 years with a mean of 35 ± 6.88 years. Majority of the foreign bodies, 50 (83.33%), were impacted in the cricopharyngeal sphincter of the esophagus. Dentures ranked highest among the adult population, 15 (25%) cases, while coins ranked highest in the pediatric populations, 20(33.33%) cases. Six (10%) cases presented to the hospital after 72 hours. Complications occurred in 5 (8.33%) cases. Conclusion: The management of impacted esophageal foreign bodies with rigid esophagoscopy was safe, reliable, and an effective procedure despite its challenges.","PeriodicalId":93302,"journal":{"name":"International journal of head and neck surgery","volume":"12 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2021-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46042337","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: 2