Ear, nose, & throat journal最新文献_第7页

Recurrent Ischemic Strokes in a 49-Year-Old Patient: Diagnosis and Management of Stylo-Carotid Syndrome (Eagle Syndrome).

Ear, nose, & throat journal Pub Date : 2025-01-26 DOI: 10.1177/01455613251316149

Carlos Miguel Chiesa-Estomba, Alfonso Rodriguez-Urzay, Jose Angel González-García

引用次数: 0

Giant Solitary Fibrous Tumor of the Retropharyngeal Space: A Case Report and Review of the Literature. 咽后间隙巨型孤立纤维性肿瘤：病例报告和文献综述。

Ear, nose, & throat journal Pub Date : 2025-01-26 DOI: 10.1177/01455613251314606

Bingwan Dong, Enmin Zhao, Feng Wen

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NUT Carcinoma of the Ethmoid Sinus: A Rare Case Report Highlighting Aggressive Behavior and Management Challenges. 乙状窦 NUT 癌：一份罕见病例报告，突显侵袭行为和管理难题。

Ear, nose, & throat journal Pub Date : 2025-01-26 DOI: 10.1177/01455613251316254

Tzu-Pai Chen, Heng-Jui Hsu

引用次数: 0

A Case of Kimura Disease in the Left Postauricular and Neck Region. 左耳后和颈部木村氏病一例

Ear, nose, & throat journal Pub Date : 2025-01-26 DOI: 10.1177/01455613251316260

Yinghui Gao, Hao Yan, Yuan Zhong

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A Rare Case of Tracheal Adenoid Cystic Carcinoma with Thyroid Invasion and Mimicking Thyroid Tumors.

Ear, nose, & throat journal Pub Date : 2025-01-23 DOI: 10.1177/01455613251315298

Mustafa Yeşilyurt, Cemile Altınkaya, Sevilay Özmen

引用次数: 0

Cutaneous Involvement of the Ear as the Sole Presenting Symptom in Recurrent Chronic Lymphocytic Leukemia: A Case Report.

Ear, nose, & throat journal Pub Date : 2025-01-23 DOI: 10.1177/01455613241306010

Stephanie S Kim, Aravindhan Sriharan, Andrew Y Lee, Ryan R McCool

引用次数: 0

Correlation Between Preoperative Neutrophil-to-Lymphocyte Ratio and Clinicopathological Characteristics of Papillary Thyroid Carcinomas: Toward a Preoperative Biomarker. 术前中性粒细胞与淋巴细胞比值与甲状腺乳头状癌临床病理特征的相关性：一种术前生物标志物。

Ear, nose, & throat journal Pub Date : 2025-01-22 DOI: 10.1177/01455613251314708

Chaima Ben Ammar, Makram Tbini, Ines Riahi, Mamia Ben Salah

{"title":"Correlation Between Preoperative Neutrophil-to-Lymphocyte Ratio and Clinicopathological Characteristics of Papillary Thyroid Carcinomas: Toward a Preoperative Biomarker.","authors":"Chaima Ben Ammar, Makram Tbini, Ines Riahi, Mamia Ben Salah","doi":"10.1177/01455613251314708","DOIUrl":"https://doi.org/10.1177/01455613251314708","url":null,"abstract":"Introduction: Papillary thyroid carcinoma (PTC) is the most common type of thyroid cancer, with considerable variability in its clinical presentation and prognosis. Recent studies have focused on the relationship between its clinicopathological characteristics and inflammatory biomarkers, particularly the preoperative neutrophil-to-lymphocyte ratio (NLR). Our aim was to investigate the correlation between NLR and the clinicopathological features of PTC. Methods: This was a retrospective study. We involved patients who underwent surgery for PTC over a 5-year period from January 2016 to December 2021. Based on the mean NLR value, the study population was divided into 2 groups, with Group 1 corresponding to patients with an elevated NLR. Results: Our study included 102 patients aged between 20 and 83 years. All patients were euthyroid. The mean preoperative NLR was 2.01 ± 0.62, with 53% of patients classified into Group 1. On ultrasound, most nodules were classified as EU-TIRADS 5, and 38% had a Bethesda category 6 cytology. Final histopathological analysis revealed microcarcinoma in the majority of cases. PTC was multifocal in 35 cases and bilateral in 38, with an aggressive histological variant observed in 45 cases. Multivariate analysis demonstrated a statistically significant correlation between NLR and extrathyroidal invasion, lymph node metastasis, aggressive histological subtypes, and multifocality. Conclusion: NLR is a readily accessible and cost-effective preoperative biomarker. Its use could improve risk stratification and support personalized therapeutic strategies. However, prospective studies with larger, multicenter cohorts are required to validate NLR as a reliable predictive biomarker.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251314708"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018838","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

Influencing Factors for Residual Symptoms Following Canalith Repositioning Maneuver in Patients with Benign Paroxysmal Positional Vertigo. 良性阵发性体位性眩晕患者管根复位术后残留症状的影响因素

Ear, nose, & throat journal Pub Date : 2025-01-19 DOI: 10.1177/01455613241304913

Sen Yan, Zhengyue Li, Ping Chen, Wen Wu

{"title":"Influencing Factors for Residual Symptoms Following Canalith Repositioning Maneuver in Patients with Benign Paroxysmal Positional Vertigo.","authors":"Sen Yan, Zhengyue Li, Ping Chen, Wen Wu","doi":"10.1177/01455613241304913","DOIUrl":"https://doi.org/10.1177/01455613241304913","url":null,"abstract":"Objectives: We aimed to analyze the influencing factors for residual symptoms following canalith repositioning maneuvers in patients with benign paroxysmal positional vertigo (BPPV). Methods: A total of 193 patients with BPPV who attended our hospital from July 2019 to December 2023 and were followed up in the outpatient clinic for 4 weeks after treatment were selected. The presence or absence of residual symptoms 4 weeks after repositioning was recorded, based on which the patients were assigned into a presence group (n = 72) and an absence group (n = 121). Their general data, incidence features, mental health, and sleep quality were compared. Results: After canalith repositioning maneuver and 4-week follow-up, the Dizziness Handicap Inventory (DHI) scores, Hospital Anxiety and Depression Scale (HADS) scores, and Pittsburgh Sleep Quality Index (PSQI) scores of the BPPV patients significantly decreased (P < .05). The presence of residual symptoms after repositioning in patients with BPPV had significant positive correlations with the time from onset to consultation, DHI score, HADS anxiety score, and PSQI score (P < .05). The area under the curve of the DHI score for predicting residual symptoms after repositioning in patients with BPPV was the largest (0.727), and the time from onset to consultation and the HADS anxiety score had the highest sensitivity (0.764) and specificity (0.801), respectively. Conclusions: Time from onset to consultation, DHI score, HADS anxiety score, and PSQI score are independent risk factors for and display significantly positive correlations with residual symptoms after canalith repositioning maneuver in patients with BPPV.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241304913"},"PeriodicalIF":0.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018780","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

Auricular Mucormycosis: Comprehensive Literature Review. 耳毛霉病：综合文献综述。

Ear, nose, & throat journal Pub Date : 2025-01-19 DOI: 10.1177/01455613251314604

Ahmad Alkheder, Adel Azar, Ghina Sukkar, Abdulmajeed Yousfan

{"title":"Auricular Mucormycosis: Comprehensive Literature Review.","authors":"Ahmad Alkheder, Adel Azar, Ghina Sukkar, Abdulmajeed Yousfan","doi":"10.1177/01455613251314604","DOIUrl":"https://doi.org/10.1177/01455613251314604","url":null,"abstract":"Auricular mucormycosis is an exceptionally rare and aggressive fungal infection primarily affecting immunocompromised individuals, particularly those with poorly controlled diabetes. This report presents the case of a 54-year-old diabetic woman with isolated auricular mucormycosis and facial nerve palsy. The patient developed right auricular edema, necrosis, and severe pain, progressing over 10 days, with no history of trauma. Initial management included broad-spectrum antibiotics and intravenous liposomal amphotericin B, followed by surgical debridement and partial auricular resection. Despite extensive soft tissue involvement, imaging revealed no bony erosion or significant compression of the facial nerve. Facial nerve function gradually improved from House-Brackmann grade IV to grade II within 38 days. The patient's condition stabilized after sequential surgical interventions and prolonged antifungal therapy, culminating in recovery by day 61. A comprehensive literature review identified 6 documented cases of auricular mucormycosis, all involving diabetic patients, with a mortality rate of 33.3%. Facial nerve paralysis, observed in 4 cases, often persisted despite infection resolution. This case underscores the importance of early diagnosis, aggressive antifungal therapy, surgical debridement, and meticulous management of underlying conditions to optimize outcomes in auricular mucormycosis, a condition with significant diagnostic and therapeutic challenges.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613251314604"},"PeriodicalIF":0.0,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018823","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

Prediction Model for Early Subacute Phase Tracheostomy Decannulation in Patients with Stroke. 脑卒中患者早期亚急性期气管切开脱管的预测模型。

Ear, nose, & throat journal Pub Date : 2025-01-16 DOI: 10.1177/01455613241312788

Hui-Min Qin, Xi-Yan Huang, Rui-Yun Xu, Qiu-You Xie, Dan-Zhe Tang

{"title":"Prediction Model for Early Subacute Phase Tracheostomy Decannulation in Patients with Stroke.","authors":"Hui-Min Qin, Xi-Yan Huang, Rui-Yun Xu, Qiu-You Xie, Dan-Zhe Tang","doi":"10.1177/01455613241312788","DOIUrl":"https://doi.org/10.1177/01455613241312788","url":null,"abstract":"Objective: This study aims to identify the factors influencing decannulation in patients with stroke who underwent tracheostomy during the early subacute phase. Methods: A retrospective analysis was conducted on 219 patients with stroke who underwent a tracheostomy at a tertiary hospital between January 2020 and December 2023. Among them, there were 155 males and 64 females. The age distribution ranged from 13 to 90 years old (average, 54.32 ± 14.96). There were 189 patients diagnosed with cerebral hemorrhage and 30 patients diagnosed with cerebral infarction. The patients were categorized into 2 groups: Those who achieved decannulation during the early subacute phase and those who did not. The decannulation group comprised 69 individuals, while the non-decannulation group comprised 150 individuals. Data collected included general patient demographics, stroke types, levels of consciousness, the presence of airway polyps, and outcomes of the modified Evan's blue dye test (MEBDT). Multivariate logistic regression analysis was employed to identify independent factors influencing early decannulation. The predictive value of these factors was further evaluated using the area under the curve (AUC) from the receiver operating characteristic (ROC) curve analysis. Results: Logistic regression analysis identified Glasgow Coma Scale scores, MEBDT results, and cough ability as independent factors influencing decannulation. ROC curve analysis demonstrated that a predictive model incorporating these 3 factors had a high predictive accuracy, with an AUC of 0.975 (P < .001, 95% CI 0.958-0.993). The model's cut-off value of 0.19 yielded a sensitivity of 95.6% and a specificity of 87.3%. Conclusion: The Glasgow Coma Scale score, MEBDT results, and cough ability are independent determinants of early decannulation is patients with stroke. The combined assessment of these factors offers strong predictive accuracy for early decannulation.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241312788"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018785","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