Ear, nose, & throat journal最新文献_第9页

Pituitary Gland Macroadenoma with Associated Hearing Loss. 垂体大腺瘤伴听力损失。

Ear, nose, & throat journal Pub Date : 2024-12-25 DOI: 10.1177/01455613241310738

Su Cheol Park, Hyeok Tae Kweon, Sein Lee, Cha Dong Yeo

引用次数: 0

Application of Keystone Design Perforator Island Flap in the Reconstruction of Maxillofacial Defect: A Case Series. 楔石设计穿支岛状皮瓣在颌面部缺损重建中的应用：一个案例系列。

Ear, nose, & throat journal Pub Date : 2024-12-25 DOI: 10.1177/01455613241308727

Dongpo Li, Lin Wang, Yubo Wei, Shuangyi Wang

{"title":"Application of Keystone Design Perforator Island Flap in the Reconstruction of Maxillofacial Defect: A Case Series.","authors":"Dongpo Li, Lin Wang, Yubo Wei, Shuangyi Wang","doi":"10.1177/01455613241308727","DOIUrl":"https://doi.org/10.1177/01455613241308727","url":null,"abstract":"Objective: To investigate the effect of Keystone Design Perforator Island Flap (KDPIF) in the repair of maxillofacial soft tissue defect. Methods: From June 2021 to June 2023, 16 patients with soft tissue defects caused by resection of maxillofacial tumor repaired by KDPIF were selected. Variants of KDPIF were designed according to the area of the defect, and the incision was parallel to the wrinkle as far as possible in the same facial cosmetic subunit. Postoperative follow-up was 3 months to 1 year. Results: One (6.3%) case of flap had dark red congestion and peripheral epidermal necrosis within 1 week. 1 week later, the skin flap blood flow was recovered, and the wound healed after 3 weeks. The other 15 (93.7%) cases of skin flap survived in the first stage. The postoperative follow-up showed that all flaps had good color and shape. There was no obvious scar contracture, the patient was satisfied with the facial shape and had no obvious facial function disorder. Conclusion: KDPIF is easy to operate, with a short operation time, a high survival rate of flap, and a good aesthetic effect, which is especially suitable for the repair of small and medium-sized maxillofacial soft tissue defects in the elderly.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241308727"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886614","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

Diagnostic Values of Fine Needle Aspiration Cytology and Frozen Section in Management of Parotid Tumors. 细针穿刺细胞学及冷冻切片对腮腺肿瘤的诊断价值。

Ear, nose, & throat journal Pub Date : 2024-12-25 DOI: 10.1177/01455613241305475

Utku Mete, Oğuz Basut, Özlem Saraydaroğlu, Uygar Levent Demir, Ömer Afşın Özmen, Fikret Kasapoğlu, Hamdi Hakan Coşkun

{"title":"Diagnostic Values of Fine Needle Aspiration Cytology and Frozen Section in Management of Parotid Tumors.","authors":"Utku Mete, Oğuz Basut, Özlem Saraydaroğlu, Uygar Levent Demir, Ömer Afşın Özmen, Fikret Kasapoğlu, Hamdi Hakan Coşkun","doi":"10.1177/01455613241305475","DOIUrl":"https://doi.org/10.1177/01455613241305475","url":null,"abstract":"Background: This study aims to investigate the diagnostic values of fine needle aspiration cytology (FNAC) and frozen section (FS) in evaluating parotid gland masses subjected to parotidectomy. Methods: A retrospective analysis of data from 274 patients who underwent parotidectomy for parotid gland masses was performed at the Department of Otolaryngology of the University Hospital between 2013 and 2019. We compared the preoperative FNAC and intraoperative FS records with the definitive histopathological diagnoses obtained from the surgical resection specimens. Results: The sensitivity, specificity, accuracy, positive predictive, and negative predictive value of FNAC in reaching the correct diagnosis were 65.1%, 94.1%, 88.7%, 77.1%, and 92.1%, respectively. The FS analysis values were 92.9%, 97.2%, 95.3%, 96.3%, and 94.6%, respectively. Additionally, the true-positive, true-negative, false-positive, and false-negative cases are documented and discussed. Conclusions: Although FNAC is a commonly used, easy, and reliable diagnostic method for parotid tumors, the diagnostic values observed in our study are low. FS analysis appears to be a more robust method. Therefore, we recommend a balanced use of these diagnostic tools, informed by clinical judgment, patient considerations, and available resources, to optimize outcomes in the management of parotid gland tumors.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241305475"},"PeriodicalIF":0.0,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886646","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

Challenges in ENT Data Collection in Conflict Zones: Insights from Gaza. 冲突地区耳鼻喉科数据收集的挑战：来自加沙的见解。

Ear, nose, & throat journal Pub Date : 2024-12-21 DOI: 10.1177/01455613241309785

Bilal Irfan, Mohammed Al-Hasan, Abdulwhhab Abu Alamrain, Amro Aljamal, Majdi Al-Khaldi, Hosam Shaikhkhalil, Abdallah Abu Shammala, Abd Al-Karim Sammour, Nour Alshaer, Faten Braika, Mohammed Tabash, Ruba Musallam, Anas Al-Shembari, Rahaf Abudagga, Khalil Elkhalout, Hadeel Obeid, Izzeddin Lulu, Ibrahim Tafesh, Abdullah Ghali

引用次数: 0

Nasal Septum Deviation Presenting as Lateral Positional Obstructive Sleep Apnea. 鼻中隔偏曲表现为侧位性阻塞性睡眠呼吸暂停。

Ear, nose, & throat journal Pub Date : 2024-12-17 DOI: 10.1177/01455613241308750

Chou-Han Lin

引用次数: 0

Surgical Management of Preauricular Sinus: A Histopathological Analysis. 耳前窦的外科治疗：组织病理学分析。

Ear, nose, & throat journal Pub Date : 2024-12-16 DOI: 10.1177/01455613241308678

Qilin Huang, Guixiang Xiao, Xia Wu, Huamao Cheng

{"title":"Surgical Management of Preauricular Sinus: A Histopathological Analysis.","authors":"Qilin Huang, Guixiang Xiao, Xia Wu, Huamao Cheng","doi":"10.1177/01455613241308678","DOIUrl":"https://doi.org/10.1177/01455613241308678","url":null,"abstract":"Background: Consensus on removing a part of the helical cartilage during preauricular sinus surgery is lacking. A thorough understanding of the histopathological characteristics can improve surgical decisions. Methods: We reviewed the histopathological characteristics of preauricular sinuses in 54 patients who underwent surgery between October 2020 and October 2021. Results: The mean distance between the squamous tract and excised auricular cartilage was 0.38 mm. The maximum tract diameter in primary and recurrent cases was 0.52 cm (range, 0.1-2.8 cm) and 0.42 cm (0.1-1.1 cm), respectively. Mild and severe infections were more frequent in the primary group, whereas moderate infections were more frequent in the recurrent groups. Myofibroblast proliferation was more frequent in recurrent cases than in primary cases. However, cysts, granulation tissue, multinucleated giant cells were more frequent in the primary group. Conclusion: We recommend removal of a small portion of the ascending helix cartilage during preauricular sinus surgery to prevent recurrence. Alternatively, the squamous tract should be carefully dissected from the cartilage to ensure complete sinus excision.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241308678"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831447","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

Assessing the Quality of Social Media Content Regarding Facial Paralysis and Reanimation. 评估社交媒体中有关面瘫和复苏的内容质量。

Ear, nose, & throat journal Pub Date : 2024-12-16 DOI: 10.1177/01455613241307886

Kevin Ngo, Lacy S Brame, Aniruddha C Parikh, Mark M Mims

{"title":"Assessing the Quality of Social Media Content Regarding Facial Paralysis and Reanimation.","authors":"Kevin Ngo, Lacy S Brame, Aniruddha C Parikh, Mark M Mims","doi":"10.1177/01455613241307886","DOIUrl":"https://doi.org/10.1177/01455613241307886","url":null,"abstract":"Introduction: Patients frequently use social media to direct their health care. However, the quality of social media posts regarding facial paralysis and reanimation is unclear. Objective: To assess the quality of facial reanimation posts on social media. Methods: Ten key search terms were used to search YouTube and Facebook. The top 10 posts for each search term were graded using a variety of parameters including the Global Quality Score (GQS), Modified DISCERN, Journal of the American Medical Association Criteria, and a novel Social Media Quality Score (SMQS) which was created by the authors. Results: There was a significant difference in SMQS (P = .035) and GQS (P = .01) between YouTube and Facebook Videos. For YouTube videos, there was a significant difference in SMQS scores (P = .003) between various search terms. For Facebook videos, there was a significant difference in both SMQS (P < .0001) and Modified DISCERN (P = .036) scores. The majority of videos evaluated were of moderate or low quality. Conclusion: Higher quality posts regarding facial reanimation are needed on social media. As health care providers, we must provide patients with appropriate resources to find high-quality posts, and when posting content, we must carefully curate the \"key words\" so that patients can easily find high-quality content.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307886"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831442","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

Effect of Epidermos Barrier Cream on Postoperative Parotidectomy Incision Scar. Epidermos 隔离霜对腮腺切除术后切口疤痕的影响

Ear, nose, & throat journal Pub Date : 2024-12-16 DOI: 10.1177/01455613241307883

Ozan Gökdoğan, Ömer Faruk Guzel, Fulden Cantaş Turkiş, Mahmut Demirtaş, Sabri Köseoğlu, Harun Üçüncü

{"title":"Effect of Epidermos Barrier Cream on Postoperative Parotidectomy Incision Scar.","authors":"Ozan Gökdoğan, Ömer Faruk Guzel, Fulden Cantaş Turkiş, Mahmut Demirtaş, Sabri Köseoğlu, Harun Üçüncü","doi":"10.1177/01455613241307883","DOIUrl":"https://doi.org/10.1177/01455613241307883","url":null,"abstract":"Introduction: The modified Blair incision is commonly used for superficial and deep lobe lesions of the parotid gland. The most common complication of the parotidectomy procedure is the postoperative surgical scar. Epidermos barrier cream is a type of cream that helps in wound healing by covering the wound. Objective: The purpose of this study was to evaluate the effect of epidermos barrier cream on postoperative incision scars. Methods: Forty-six patients scheduled for surgery due to benign parotid masses were included in the study. Patients were called for a follow-up appointment to remove sutures 1 week after standard surgical intervention. In the study group, epidermos cream was used on the wound site until complete healing was achieved after suture removal, while wound healing in the control group was monitored without any medication. The patients were evaluated in the first, second, and fourth postoperative weeks using a wound site assessment questionnaire and surgical wound assessment for wound healing evaluation. Results: There were no statistically-significant differences between the groups in the evaluation results in the first week. On examination of the data in the second week, a difference was only observed in terms of the presence of hyperemia at the edges of the wound between the groups (P = .005), with no statistically-significant differences found in any other assessment tools. In the 4-week wound healing evaluation, a statistically-significant difference was observed in favor of the study group both in the patient's evaluation of the wound site (P < .001) and in the surgeon's evaluation of the wound site (P = .029). Conclusion: Epidermos cream was found to significantly improve postoperative scar healing in parotidectomy incisions considered challenging in terms of healing. Epidermos barrier cream was found to be beneficial for wound healing in wound sites.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307883"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831444","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

Novel Otolaryngological and Radiological Manifestations in GAPO Syndrome. GAPO 综合征的新耳鼻喉科和放射学表现。

Ear, nose, & throat journal Pub Date : 2024-12-16 DOI: 10.1177/01455613241307753

Mohammad Hamdi, Ahmad Alkheder, Kinana Jamal Hammoud, Mohammad Yasin Issa, Yasser ALGhabra, Abdulmajeed Yousfan

{"title":"Novel Otolaryngological and Radiological Manifestations in GAPO Syndrome.","authors":"Mohammad Hamdi, Ahmad Alkheder, Kinana Jamal Hammoud, Mohammad Yasin Issa, Yasser ALGhabra, Abdulmajeed Yousfan","doi":"10.1177/01455613241307753","DOIUrl":"https://doi.org/10.1177/01455613241307753","url":null,"abstract":"GAPO syndrome is an exceptionally-rare autosomal recessive disorder characterized by growth retardation, alopecia, pseudoanodontia, and optic abnormalities, with fewer than 60 cases reported globally. We present the first documented case in Syria, highlighting novel otolaryngological and radiological findings that expand the clinical spectrum of this syndrome. A 27-year-old male presented with chronic right-sided otalgia, unilateral conductive hearing loss, and persistent sinonasal symptoms. Examination revealed hallmark features of GAPO syndrome, including craniofacial anomalies, external auditory canal stenosis, and pseudoanodontia. Computed tomography demonstrated total aplasia of the paranasal sinuses and mastoid air cells-findings not previously reported in GAPO syndrome. Audiological evaluation revealed moderate conductive hearing loss attributed to external auditory canal stenosis and eustachian tube dysfunction, contrasting with the predominantly-sensorineural hearing loss reported in earlier cases. Additionally, unique ophthalmic findings, including peripheral congenital cataracts and a myelinated retinal nerve fiber layer, were observed. This case underscores the importance of comprehensive evaluations, including advanced imaging and audiological assessments, in identifying subtle or atypical manifestations of GAPO syndrome. It also highlights challenges in airway management due to craniofacial anomalies. The findings emphasize the necessity for a multidisciplinary approach to optimize care and improve outcomes in patients with GAPO. Further research is needed to clarify genotype-phenotype correlations and refine diagnostic criteria.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307753"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831446","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

Therapeutic Potential of Intranasal Corticosteroids for Chronic Cough. 鼻内皮质类固醇对慢性咳嗽的治疗潜力

Ear, nose, & throat journal Pub Date : 2024-12-14 DOI: 10.1177/01455613241307552

Saruchi Bandargal, Daniel J Lee, Tanya Chen, Olivia Katsnelson, Teruko Kishibe, Christine Song, R Jun Lin, Yvonne Chan

{"title":"Therapeutic Potential of Intranasal Corticosteroids for Chronic Cough.","authors":"Saruchi Bandargal, Daniel J Lee, Tanya Chen, Olivia Katsnelson, Teruko Kishibe, Christine Song, R Jun Lin, Yvonne Chan","doi":"10.1177/01455613241307552","DOIUrl":"https://doi.org/10.1177/01455613241307552","url":null,"abstract":"Background: Chronic cough, a condition defined as a cough persisting for more than 8 weeks, remains a significant clinical challenge with a considerable impact on quality of life. Intranasal corticosteroids (INCS) are widely recommended in clinical guidelines for managing chronic cough, particularly in patients with associated upper airway conditions. However, the evidence base directly supporting this practice is surprisingly sparse, leaving clinicians to navigate a disconnect between guidelines and real-world applicability. Objective: This article offers a critical perspective on the role of INCS in chronic cough management, drawing attention to the paucity of direct evidence and proposing a roadmap for future research. Discussion: A recent systematic review aiming to evaluate the efficacy and safety of INCS for chronic cough yielded no eligible studies, despite extensive database searches. This unexpected outcome highlights a major gap in the literature and raises important questions about the foundation of current guideline recommendations. While INCS are biologically plausible and have demonstrated efficacy in related conditions, such as allergic rhinitis and chronic rhinosinusitis, their specific role in chronic cough remains unverified. The lack of robust clinical trials underscores the need for targeted research to determine whether INCS provide meaningful benefit in this population. Conclusion: The disconnect between recommendations and evidence in chronic cough management underscores a critical need for well-designed randomized controlled trials. Until such data are available, clinicians must balance existing guidelines with clinical judgment, individualizing treatment to address the unique needs of their patients. Bridging this evidence gap will not only enhance patient care but also refine guideline development, ensuring recommendations are firmly grounded in high-quality research.","PeriodicalId":93984,"journal":{"name":"Ear, nose, & throat journal","volume":" ","pages":"1455613241307552"},"PeriodicalIF":0.0,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824853","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