Ear, nose, & throat journal最新文献_第6页

A Rare Case With Mixed Growth of Facial Nerve Neurofibroma and Schwannoma Without Facial Paralysis.

Ear, nose, & throat journal Pub Date : 2025-02-10 DOI: 10.1177/01455613251318509

Yuehong Liu, Lingling Zhou, Yun Zhao, Jing Zhou, Zhao Han

{"title":"A Rare Case With Mixed Growth of Facial Nerve Neurofibroma and Schwannoma Without Facial Paralysis.","authors":"Yuehong Liu, Lingling Zhou, Yun Zhao, Jing Zhou, Zhao Han","doi":"10.1177/01455613251318509","DOIUrl":"https://doi.org/10.1177/01455613251318509","url":null,"abstract":"Facial neuromas are benign with a common clinical manifestation of gradual or sudden peripheral facial nerve paralysis. This study reports an atypical case of facial neuroma in the absence of facial nerve paralysis and discusses the diagnosis and pathophysiological features. A rare case of extensive facial neuroma histopathologically confirmed as a mixed growth of schwannoma and neurofibroma in a 51-year-old man was described. Analysis of the clinical manifestations and Computed Tomography/Magnetic Resonance Imaging (CT/MRI) characteristics was conducted, with documentation of the surgical intervention and associated complications. Intraoperative findings revealed complete destruction of the facial nerve structure, contrasting the patient's preoperative lack of facial paralysis. The patient underwent complete resection of the tumor followed by end-to-side neurorrhaphy of the facial nerve to the hypoglossal nerve by means of great auricular nerve grafting. Postoperative pathology showed mixed growth of schwannoma and neurofibroma. Postoperative follow-up showed no significant recovery of facial paralysis. To our knowledge, this is the first report of an extensive facial neuroma with a mixture growth of schwannoma and neurofibroma without facial paralysis. The clinical manifestations of facial neuromas are diverse, necessitating a differential diagnosis of each case of temporal bone tumor.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251318509"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392771","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

Harold Schuknecht and Temporal Bone Otopathology in the United States.

Ear, nose, & throat journal Pub Date : 2025-02-10 DOI: 10.1177/01455613251319157

Eugene D Ark, Bilen K Gelaye, Miriam Redleaf

引用次数: 0

Mixed Hemangioma of Tonsil: A Rare Localization of this Tumor.

Ear, nose, & throat journal Pub Date : 2025-02-10 DOI: 10.1177/01455613251319650

Hachicha Amani, Rania Laajilia, Sarra Ben Rjeb, Turki Senda

{"title":"Mixed Hemangioma of Tonsil: A Rare Localization of this Tumor.","authors":"Hachicha Amani, Rania Laajilia, Sarra Ben Rjeb, Turki Senda","doi":"10.1177/01455613251319650","DOIUrl":"https://doi.org/10.1177/01455613251319650","url":null,"abstract":"Hemangiomas are benign tumors of the blood vessels. Although most commonly associated with the skin, it can also occasionally be found in mucous membranes, the brain, and the viscera. The tonsillar localization is uncommon and rarely reported in the literature. The risk of bleeding complications and its impact on the upper airway can make the management of these tumors more complicated. We report the case of a 28-year-old patient, with no pathological history, who was referred to us to manage a formation in the left tonsillar region. The patient was completely asymptomatic. Physical examination showed a tumor originating from the upper pole of the left tonsil. The cervical computed tomography scan showed an iso-dense tissue formation at the expense of the left tonsillar region. The patient was operated on under general anesthesia and a resection of the tumor mass was performed without a hemorrhagic incident. The histopathological examination confirmed the diagnosis of mixed capillary and venous hemangioma and the resection was complete. The outcome was favorable after a 12-month follow-up. Tonsilla hemangiomas are a rare clinical entity that all ENT surgeons should be familiar with to better choose the treatment course to avoid bleeding complications and recurrences.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251319650"},"PeriodicalIF":0.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392772","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

Comment on "Retrospective Analysis of Cerebrospinal Gushers in Cochlear Implant Surgery: Incidence, Risk Factors, and Outcomes-A Systematic Review and Meta-Analysis".

Ear, nose, & throat journal Pub Date : 2025-02-05 DOI: 10.1177/01455613251316265

Mehrab Neyazi, Rachana Mehta, Shubham Kumar, Sanjit Sah

引用次数: 0

The Optimal Head Position Following Intratympanic Injection: A Research Based on HRCT Reconstruction. 鼓室内注射后的最佳头部位置：基于 HRCT 重建的研究。

Ear, nose, & throat journal Pub Date : 2025-02-01 Epub Date: 2024-08-27 DOI: 10.1177/01455613241271731

Dongming Yin, Ziwen Gao, Bing Chen, Peidong Dai, Katerina Alysa Smereka, Keguang Chen, Xinsheng Huang, Yanqing Fang

{"title":"The Optimal Head Position Following Intratympanic Injection: A Research Based on HRCT Reconstruction.","authors":"Dongming Yin, Ziwen Gao, Bing Chen, Peidong Dai, Katerina Alysa Smereka, Keguang Chen, Xinsheng Huang, Yanqing Fang","doi":"10.1177/01455613241271731","DOIUrl":"10.1177/01455613241271731","url":null,"abstract":"Objective: This study aimed to investigate the optimal head position (OHP) following intratympanic injection, a critical intervention in treating inner ear disorders. Identifying OHP is essential to maximize drug retention in the middle ear, thereby significantly enhancing the therapeutic efficacy by mitigating the significant issue of injectate leakage through the eustachian tube (ET). Exploratory various positions of ET orifice and round window (RW) were investigated and associated with head movements. Methods: Twenty-two (10 males and 12 females) anonymized high-resolution computed tomography (HRCT) datasets of patients without structural ear disease were selected from January 2022 to December 2022 in the study. The subjects were categorized into two groups: children (≤18 years) and adult group (>18 years). The reconstruction of the ET orifice and RW from HRCT were analyzed using Mimics software and the distances from the center point of ET orifice or the center point of RW to the reference plane were defined as distance of ET orifice (DET) and distance of RW (DRW). Results: In the supine position, the OHP for intratympanic injection was 23°of pronation and 24° of posterior extension, and the maximum distance between the ET orifice and RW (DET-RW) was 9.29 ± 2.13 mm. As the head position extended posteriorly beyond 43°, DET was relatively high compared with DRW, resulting in the OHP a fully posteriorly extended 90° of the head being the optimal position with DET-RW of 2.13 ± 1.60 mm in the supine position, however, it is not realized in human beings. Moreover, the OHP had no obvious relevance corresponding to age following intratympanic injections. Conclusion: Our study suggested that OHP after intratympanic injections treatment consists of supine position, along with a slight pronation and posterior extension.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"109-118"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082970","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

Comparison of Cochlear Implant Efficacy in Pre- Versus Postsynaptic Auditory Neuropathy: A Systematic Review.

Ear, nose, & throat journal Pub Date : 2025-01-31 DOI: 10.1177/01455613251315649

Homood M Almutairi, Mohammed Hazazi, Abdulaziz Badar Almutairi, Abdulrahman Nasser Almutairi, Amirah Fayez Almutairi, Ali Saad Alshahrani, Salman Khalid Alotaibi, Wala S AlShiha, Iman Almashharawi

{"title":"Comparison of Cochlear Implant Efficacy in Pre- Versus Postsynaptic Auditory Neuropathy: A Systematic Review.","authors":"Homood M Almutairi, Mohammed Hazazi, Abdulaziz Badar Almutairi, Abdulrahman Nasser Almutairi, Amirah Fayez Almutairi, Ali Saad Alshahrani, Salman Khalid Alotaibi, Wala S AlShiha, Iman Almashharawi","doi":"10.1177/01455613251315649","DOIUrl":"https://doi.org/10.1177/01455613251315649","url":null,"abstract":"Background: Etiological factors affecting outcomes of cochlear implants (Cis) are known; however, a direct comparison of efficacy based on lesion location is needed. We aimed to systematically examine the current evidence to compare the effectiveness of CIs in patients with presynaptic versus postsynaptic neuropathy. Methods: A comprehensive literature search was conducted across multiple databases, including MEDLINE (via PubMed), Embase, CENTRAL, Web of Science, Scopus, CINAHL, and PsycINFO. Studies were selected based on their examination of CI efficacy in patients with auditory neuropathy spectrum disorder, distinguishing between pre- and postsynaptic lesions using genetic markers or electrophysiological assessments. Results: Analysis of seven studies consistently highlighted the importance of etiological diagnosis in predicting CI outcomes. Genetic mutations were correlated with more favorable CI outcomes, emphasizing the role of genetic etiology. Electrophysiological measures also proved useful in assessing auditory function, further emphasizing the value of detailed diagnostics. Conclusion: Etiological factors generally influence CI outcomes; however, the success varies between pre- and postsynaptic neuropathies. Integrating genetic and electrophysiological diagnostics is crucial for predicting CI performance, suggesting a need for personalized approaches in evaluating CI candidates for more targeted and effective auditory rehabilitation.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251315649"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070437","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

Sjogren's Syndrome Complicated by Naso-Orbito-Cerebral Mucormycosis: A Case Report.

Ear, nose, & throat journal Pub Date : 2025-01-29 DOI: 10.1177/01455613251314456

Yalin Xu, Qingyong Chen, Dezhong Sun, Dongqing Wang, Huaiqing Lv

{"title":"Sjogren's Syndrome Complicated by Naso-Orbito-Cerebral Mucormycosis: A Case Report.","authors":"Yalin Xu, Qingyong Chen, Dezhong Sun, Dongqing Wang, Huaiqing Lv","doi":"10.1177/01455613251314456","DOIUrl":"https://doi.org/10.1177/01455613251314456","url":null,"abstract":"Background: Sjogren's syndrome (SS) is a chronic inflammatory autoimmune disease characterized by exocrine gland dysfunction. Mucormycosis is a rare yet life-threatening opportunistic fungal infection caused by Mucor species, with a high mortality rate. In patients undergoing long-term immunosuppressive therapy or corticosteroid use, especially when compounded by conditions such as diabetes or hyperlipidemia, Mucor can become pathogenic. Medical Record Description: We retrospectively analyzed the clinical data of a patient with Sjogren's syndrome complicated by rhinocerebral mucormycosis, focusing on its clinical presentation and progression. The patient was admitted to the hospital 20 days prior with symptoms of a \"nasal infection\" caused by a furuncle on the nose. The condition progressively worsened, resulting in nasofacial skin ulceration and necrosis, with black eschar formation around the affected area. Upon admission, comprehensive evaluations, including rapid histopathological and fungal tests, confirmed the diagnosis of mucormycosis. Despite surgical intervention under general anesthesia and antifungal therapy, the clinical outcome was ultimately fatal. Conclusion: Mucor infections commonly occur in patients with immunodeficiency and severe underlying diseases. The clinical manifestations are diverse, often presenting with skin tissue necrosis and the formation of black eschar. Fungal culture and histopathological examination remain the gold standards for diagnosing mucormycosis, while imaging studies are crucial for evaluating the extent of fungal dissemination and bone involvement. Given the rapid progression of the disease, early diagnosis and prompt treatment are critical for improving survival rates.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251314456"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070397","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

Portable Video Otoscope for Intra-Tympanic Dexamethasone in ISSNHL Treatment: A Promising Method.

Ear, nose, & throat journal Pub Date : 2025-01-28 DOI: 10.1177/01455613251313916

Ruru Tian, Jinv Ding, Jianhua Jiang

{"title":"Portable Video Otoscope for Intra-Tympanic Dexamethasone in ISSNHL Treatment: A Promising Method.","authors":"Ruru Tian, Jinv Ding, Jianhua Jiang","doi":"10.1177/01455613251313916","DOIUrl":"https://doi.org/10.1177/01455613251313916","url":null,"abstract":"Objective: This retrospective study aimed to compare the efficacy of portable ear endoscopic tympanic injection versus conventional ear endoscopic tympanic injection in the treatment of idiopathic sudden sensorineural hearing loss (ISSNHL) and discusses the advantages and disadvantages of each method. Methods: Clinical data of 128 patients with ISSNHL who did not respond to conventional treatment were collected from January 2019 to June 2023. Patients were divided into 2 groups: Group 1 (n = 60) received portable ear endoscopic tympanic injection, while Group 2 (n = 68) received conventional ear endoscopic tympanic injection. The hearing improvement and total effective rate were compared between the 2 groups. Results: Both groups showed significant hearing improvement after treatment (P < .001). The total effective rate of the portable ear endoscopy group was higher than that of the conventional endoscopy group (71.67% vs 50.00%, P = .012). However, there was no significant difference in treatment effect between the 2 groups for patients with different degrees of hearing impairment. Conclusion: Both methods demonstrated efficacy in treating ISSNHL with dexamethasone tympanic injection. Portable ear endoscopy offers advantages such as convenience, high patient compliance, and potentially higher efficacy. It is beneficial for teaching and suitable for beginners, and its clinical application can be promoted.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251313916"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061757","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

Pleomorphic Adenoma of the Submandibular Gland with Skull Metastasis: A Case Report.

Ear, nose, & throat journal Pub Date : 2025-01-27 DOI: 10.1177/01455613251314609

Prankur Verma, Amit Jiwan Tirkey, Grace Vandana Jyothi, Vartika Singh, Edmond Jonathan Gandham

引用次数: 0

A Rare Case of Mucoepidermoid Carcinoma of Palatine Tonsil. 腭扁桃体褐上皮样癌的罕见病例

Ear, nose, & throat journal Pub Date : 2025-01-26 DOI: 10.1177/01455613251316047

Konstantinos Chaidas, Melina Katsilidou, Marina Sassi, Michael Katotomichelakis, Sotirios Papouliakos

引用次数: 0