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World Journal of otorhinolaryngology-head and neck surgery 2020年第S1期6卷 S2-S5页

作者： Kai Xu Xiaoquan Lai Zheng Liu department of otorhinolaryngology head and neck surgery Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China department of Nosocomial Infection Management Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

The epidemic of the Coronavirus Disease 2019(COVID-19)has presented as a grim and complex situation *** than 77,000 cases of COVID-19 has been confirmed in China until February 25th,2020,which are causing great impact on economy and society,as well as seriously interfering with ordinary medical practice in the department of otorhinolar-yngology head and neck *** article discussed medical precautions required in the clinic,inpatient ward and operation room of otorhinolaryngology head and neck department,which aims to protect health care workers from COVID-19.

关键词： Coronavirus disease 2019 SARS-CoV-2 Viral pneumonia Precautions Suggestion

Epidemiology and Histopathology of Cancers of the Upper Aerodigestive Tract in the ENT and head and neck surgery department of the Ignace Deen National Hospital

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International Journal of Otolaryngology and head & neck surgery 2024年第4期13卷 259-274页

作者： Mamadou Mouctar Ramata Diallo Oumou Amadou Diallo Raphan Madi Kaba Keita Ousmane Barry Abdoulaye Keita Alpha Oumar Diallo department of otorhinolaryngology and head and neck surgery Mamou Regional Hospital Mamou Guinea Faculty of Health Sciences and Techniques Gamal Abdel Nasser University of Conakry Conakry Guinea department of otorhinolaryngology and head and neck surgery Ignace Deen National Hospital Conakry Guinea department of otorhinolaryngology and head and neck surgery NZrkor Regional Hospital NZrkor Guinea department of otorhinolaryngology and head and neck surgery Donka National Hospital Conakry Guinea

Introduction: head and neck cancers represent a significant burden of cancer, collectively ranking fourth for cancer incidence and second for cancer mortality worldwide. Objective: To study the epidemiological and histopathological aspects of head and neck cancers in the ENT-CCF department of Ignace Deen National Hospital. Materials and Methods: This was a descriptive retrospective study covering a period of 5 years from September 1, 2016, to September 30, 2021. Results: We collected 43 cases of head and neck cancers, representing a hospital frequency of 1.85%. The mean age was 45.21 ± 13.23 years. Males predominated, accounting for 65.12%, compared to 34.88% for females, with a male-to-female ratio of 1.87. Housewives accounted for 27.90%, followed by farmers at 23.26% and traders/merchants at 18.60%, with 41.86% being uneducated. The main risk factors were tobacco (37.21%) and alcohol (34.88%). Pain (53.49%), dysphonia (51.16%), and dyspnea (39.53%) were the main presenting symptoms. Squamous cell carcinoma (74.42%) and large cell lymphoma (18.60%) were the most commonly cited histological types. Conclusion: head and neck cancers remain relatively common in our country. Improving prognosis depends on early diagnosis of the condition, resuscitation resources, and prompt management.

关键词： Cancer head and neck Histopathology Ignace Deen National Hospital

Construction of a novel six-gene signature to predict tumour response to induction chemotherapy and overall survival in locoregionally advanced laryngeal and hypopharyngeal carcinoma

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Genes & Diseases 2024年第3期11卷 148-150页

作者： Chen Tan Lingwa Wang Yifan Yang Shizhi He George G.Chen Jason YK.Chan Michael CF.Tong C.A.van Hasselt Wenbin Xu Ling Feng Ru Wang Jugao Fang department of Otolaryngology head and neck surgery Beijing Tongren HospitalCapital Medical UniversityBeijing 100730China Key Laboratory of Otolaryngology head and neck surgery(Ministry of Education of China) Beijing Institute of OtolaryngologyBeijing 100730China department of otorhinolaryngology Head and Neck SurgeryThe Chinese University of Hong KongPrince of Wales HospitalHongKong SAR999077China department of Medical Genetics Institute of Basic Medical ScienceChinese Academy of Medical Science&Peking Union Medical CollageBeijing 100730China

Locoregionally advanced laryngeal and hypopharyngeal cancers(LA-LHCs)are traditionally treated with surgery followed by postoperative radiotherapy,which impairs speech and swallowing functions and reduces the quality of life.^(1,2)The use of induction chemotherapy(IC)as a larynxpreserving approach for LA-LHCs has been verified and refined.^(3)However,the short-term tumor response to IC varies,non-responders usually show poor survival and little benefit.

关键词： chemotherapy laryngeal surgery

Incidence and prognosis of olfactory and gustatory dysfunctions related to SARS-CoV-2 Omicron strain infection in China:A national multicenter survey of 35,566 individuals

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World Journal of otorhinolaryngology-head and neck surgery 2024年第2期10卷 113-120页

作者： Meng-Fan Liu Rui-Xia Ma Xian-Bao Cao Hua Zhang Shui-Hong Zhou Wei-Hong Jiang Yan Jiang Jing-Wu Sun Qin-Tai Yang Xue-Zhong Li Ya-Nan Sun Li Shi Min Wang Xi-Cheng Song Fu-Quan Chen Xiao-Shu Zhang Hong-Quan Wei Shao-Qing Yu Dong-Dong Zhu Luo Ba Zhi-Wei Cao Xu-Ping Xiao Xin Wei Zhi-Hong Lin Feng-Hong Chen Chun-Guang Shan Guang-Ke Wang Jing Ye Shen-Hong Qu Chang-Qing Zhao Zhen-Lin Wang Hua-Bin Li Feng Liu Xiao-Bo Cui Sheng-Nan Ye Zheng Liu Yu Xu Xiao Cai Wei Huang Ru-Xin Zhang Yu-Lin Zhao Guo-Dong Yu Guang-Gang Shi Mei-Ping Lu Yang Shen Yu-Tong Zhao Jia-Hong Pei Shao-Bing Xie Long-Gang Yu Ye-Hai Liu Shao-Wei Gu Yu-Cheng Yang Lei Cheng Jian-Feng liu Graduate School of Beijing University of Chinese Medicine BeijingChina department of otorhinolaryngology head and neck surgery China-Japan Friendship HospitalBeijingChina department of otorhinolaryngology head and neck surgery The First People's Hospital of YinchuanYinchuanChina department of otorhinolaryngology The First People's Hospital of Yunnan ProvinceKunmingChina department of otorhinolaryngology The First Affiliated Hospital of Xinjiang Medical UniversityUrumqiChina department of otorhinolaryngology head and neck surgery The First Affiliated Hospital of Zhejiang University School of MedicineHangzhouChina department of otorhinolaryngology head and neck surgery Xiangya Hospital Central South UniversityChangshaChina department of otorhinolaryngology head and neck surgery The Affiliated Hospital of Qingdao UniversityQingdaoChina department of otorhinolaryngology head and neck surgery The First Affiliated Hospital of USTCHefeiChina department of otorhinolaryngology head and neck surgery The Third Affiliated Hospital of Sun Yat-sen UniversityGuangzhouChina department of otorhinolaryngology head and neck surgery Qilu Hospital of Shandong UniversityJinanChina department of otorhinolaryngology head and neck surgery The Second Affiliated Hospital of Harbin Medical UniversityHarbinChina department of Otolaryngology The Second Hospital of Shandong UniversityShandong UniversityJinanChina department of otorhinolaryngology head and neck surgery Peking University People's HospitalBeijingChina department of otorhinolaryngology head and neck surgery Yantai Yuhuangding HospitalQingdao UniversityYantaiChina department of otorhinolaryngology head and neck surgery Xijing HospitalThe Fourth Military Medical UniversityXi'anChina Gansu Provincial Center for Disease Control and Prevention LanzhouChina department of otorhinolaryngology head and neck surgery The First Affiliated Hospital of China Medical UniversityShenyangChina department of otorhinolaryngology head and neck surgery Tongji Hospit

Objective:This cross-sectional study aimed to determine the epidemiology of olfactory and gustatory dysfunctions related to COVID-19 in ***:This study was conducted by 45 tertiary Grade-A hospitals in *** and offline questionnaire data were obtained from patients infected with COVID-19 between December 28,2022,and February 21,*** collected information included basic demographics,medical history,smoking and drinking history,vaccination history,changes in olfactory and gustatory functions before and after infection,and other postinfection symptoms,as well as the duration and improvement status of olfactory and gustatory ***:Complete questionnaires were obtained from 35,566 *** overall incidence of olfactory and taste dysfunction was 67.75%.Being female or being a cigarette smoker increased the likelihood of developing olfactory and taste *** received four doses of the vaccine or having good oral health or being a alcohol drinker decreased the risk of such *** infection,the average olfactory and taste VAS scores were 8.41 and 8.51,respectively;after infection,they decreased to 3.69 and 4.29 and recovered to 5.83 and 6.55 by the time of the *** median duration of dysosmia and dysgeusia was 15 and 12 days,respectively,with 0.5%of patients having symptoms lasting for more than 28 *** overall self-reported improvement rate was 59.16%.Recovery was higher in males,never smokers,those who received two or three vaccine doses,and those that had never experienced dental health issues,or chronic accompanying ***:The incidence of dysosmia and dysgeusia following infection with the SARS-CoV-2 virus is high in *** and prognosis are influenced by several factors,including sex,SARS-CoV-2 vaccination,history of head-facial trauma,nasal and oral health status,smoking and drinking history,and the persistence of accompanying symptoms.

关键词： epidemiologic studies incidence olfactory disorders prognosis SARS-CoV-2 taste disorders

Translocation of a fish spike from the pharynx to the thyroid gland:A case report

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World Journal of Clinical Cases 2024年第7期12卷 1365-1370页

作者： Deng Li Wan-Ting Zeng Jian-Guo Jiang Ji-Chuan Chen department of Otolaryngology head and neck surgery Army Medical Center of PLAChongqing 400042China

BACKGROUND A fish spike stuck in the throat is a common ear,nose,and throat(ENT)***,it is very rare for a fish spike to reach the thyroid tissue through the throat,which is very dangerous and can lead to pharyngeal fistula,cervical abscess,mediastinal abscess,and thyroid *** and timely management can help reduce complications,especially in elderly *** SUMMARY In the case presented here,the causative factor was dentures,but improper management aggravated the *** the case presented here,an elderly woman with a history of accidentally swallowing fish bones for 20 d had a sensation of foreign bodies in her ***,computed tomography(CT)of the neck showed that the left side of the thyroid gland had a dense shadow in the form of a *** If a fishbone foreign body is not visible during endoscopic examination but the patient has significant symptoms,the surgeon should be aware that the fishbone may be lodged in the *** avoid a misdiagnosis,ultrasound,CT,and other tests can be used to clarify the diagnosis.T The first step in treating a fish bone in the thyroid gland is to determine the position of the foreign body and the extent of the infection,and to develop a personalized surgical plan for its *** the same time,scientific information should be made available to the general public so that people know that if a fish bone is accidentally lodged,they should not force it to be swallowed or be spit out by inducing vomiting,which are incorrect methods and may aggravate the condition or even cause it to migrate outside the cavity,leading to serious complications,as in this reported case.

关键词： Fish spike Thyroid Pharynx Foreign body migration Case report

The application of the strip-shaped cymba conchae orthosis in the nonsurgical correction of complex auricular deformity

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Journal of Otology 2024年第1期19卷 24-29页

作者： Huijuan Xu Shaoguang Ding Fei Zhang Zhifeng Zhang Xiangyu Chen Mingyang Li Haitao Yang Fugen Han Hongjian Liu department of Otolaryngology head and neck surgery People’s Hospital of Henan UniversityHenan Provincial People’s HospitalZhengzhouChina department of Otolaryngology head and neck surgery Henan Provincial People’s HospitalPeople’s Hospital of Zhengzhou UniversityPeople’s Hospital of Henan UniversityZhengzhouChina department of Otolaryngology head and neck surgery Henan Children’s HospitalZhengzhouChina department of Otolaryngology head and neck surgery The Third People’s Hospital of ZhengzhouZhengzhouChina Zheng Dong Mihuan Clinic ZhengzhouChina

Objective: This study aims to evaluate the efficacy and safety of using a strip-shaped cymba conchae orthosis for the nonsurgical correction of complex auricular deformities. Methods: Clinical data were collected from 2020 to 2021 for 6 patients who underwent correction using a stripshaped cymba conchae orthosis. The indications, corrective effects, and complications associated with use of the orthosis were analyzed. Results: There were four indications for treatment: cryptotia with helix adhesion;cryptotia with grade I microtia;cryptotia with excessive helix thickness;and auricular deformity beyond the treatment time window(≥6 months). Excellent corrective effects were observed in all 6 patients. Complications occurred in one patient, who recovered after symptomatic treatment. Conclusion: The use of a strip-shaped cymba conchae orthosis alone or combined with a U-shaped helix orthosis presents a feasible approach for correcting complex auricular deformities or deformities beyond the treatment time window in pediatric patients.

关键词： Cymba conchae Auricular deformity Cryptotia Nonsurgical correction Orthosis

Effects of Drilling in Mastoid Cavity over Hearing in the Contralateral Ear

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International Journal of Otolaryngology and head & neck surgery 2024年第2期13卷 85-102页

作者： Saumyata Neeraj department of otorhinolaryngology Head and Neck Surgery Sarojini Naidu Medical College Agra India

In advanced otological surgeries, powered instruments form an indispensable part. The risk of deterioration to hearing in the operated ear is a commonly discussed issue, however, there remains a possibility of affecting the hearing in the contralateral ear due to transcranial vibration. So in this study we aimed to assess the possibility of the non-operated ear being affected by the noise generated during ear surgeries and whether it is temporary or permanent in nature. Methodology: This study included 63 patients diagnosed with unilateral disease who underwent mastoid surgery. Preoperatively all the patients were subjected to Pure tone audiometry (PTA), Transient evoked otoacoustic emission (TEOAE) and Distortion product otoacoustic emission (DPOAE). Patients were operated using both cutting and diamond burrs of ranging from sizes 1 - 6 mm. Total drilling time was recorded. Results: Post-operative hearing evaluation was done at 1 week, 4 weeks and 12 weeks. The sound emitted by various burrs was recorded by Sound Level Meter. Out of the total 58 patients that followed up, 46 showed change in at least one of the hearing parameters. Patients showing changes had a higher drilling time as compared to those with no changes. Of these, the changes associated with the total drilling time and with cutting burr time were found to be significant. The hearing changes seen on PTA, TEOAE and DPOAE were transient in nature with only one patient having a persistent decreased high frequency threshold at the end of 12 weeks. It was also found that cutting burrs produce more sound as compared to diamond burrs and a larger size burr of a type produces more sound than a smaller one of its type. Conclusion: The drilling of mastoid bone during ear surgeries can transiently impair the hearing in the contralateral ear which is of great significance in patients with only one hearing ear.

关键词： Mastoid Drilling Affected Hearing Contralateral Ear Damage

A randomized controlled trial on triamcinolone versus saline impregnated merocel post endoscopic sinus surgery:Our experience in a tertiary care centre

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World Journal of otorhinolaryngology-head and neck surgery 2024年第3期10卷 193-199页

作者： Ananya Sood Khushboo Goel SSanjeev Bhagat Dimple Sahni Dinesh Kumar Sharma Vishav Yadav department of otorhinolaryngology and head&neck surgery Government Medical CollegePatialaPunjabIndia

Purpose:To assess the potential benefit of impregnating Merocel(a non-absorbable nasal dressing)with a topical steroid solution,for use as a direct and slow local delivery system of steroids after sinus surgery to improve postoperative wound ***:In this randomized controlled trial,40 patients with bilateral chronic rhinosinusitis with nasal polyposis were subjected to functional endoscopic sinus *** the completion of the surgery,Merocel packs were inserted in the bilateral nasal cavities and infiltrated with 4 mL triamcinolone(40 mg/mL)in one nasal cavity(treatment group)and 4 mL normal saline in the other(control group).Nasal packs were removed on the third postoperative day and postoperative healing assessment was done on postoperative Weeks 1,2,4,and *** findings were noted as per Lund Kennedy(LKES)and perioperative sinus endoscopy(POSE)scores and compared on both ***:Significant(P<0.05)improvement was noted in Lund Kennedy score for crusting and polyp at Week 12,for edema at Week 1,and nasal discharge at Weeks 1 and 12,but there was no significant improvement in scarring at any ***,the difference between the treatment and control arms was statistically significant at all postoperative visits except at Week ***,there was a significant improvement in POSE scores at Weeks 1,2,and 12 but not at Week ***:This study positively concludes that the nasal cavity packed with drug-soaked packs had less scarring and edema in the postoperative period and the overall wound healing was much better as compared to saline-soaked packs.

关键词： chronic rhinosinusitis functional endoscopic sinus surgery Lund Kennedy merocele perioperative sinus endoscopy triamcinolone

Minimally invasive management of parapharyngeal space tumors:Introducing a decision-making algorithm and radiologic tool

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Laparoscopic, Endoscopic and Robotic surgery 2024年第3期7卷 97-101页

作者： Manuel Schoch Gunesh Rajan Grzegorz Karwacki department of Otolaryngology and head-neck surgery Hospital of St.GallSt.GallenSwitzerland department of Otolaryngology and head-neck surgery Hospital of LucerneLuzernSwitzerland department of Radiology and Nuclear Medicine Hospital of LucerneLuzernSwitzerland

Objective Traditionally tumors of the parapharyngeal space(PPS)are resected through transcervical *** recent approaches include endoscopic approaches or transoral robotic surgery(TORS)without directions on when to use which *** objective was to find objective parameters to choose the most suitable *** It is a retrospective study containing 6 patients from May 2019 to May 2021 with tumors of the PPS treated in the department of Otolaryngology and head-neck surgery at the Hospital of Lucerne,*** The data was analysed in average 53 months after *** resection was completed with TORS in 3 patients and endoscopically in 3 *** operation time was 114 *** major complications *** evidence of tumor was found in magnetic resonance imaging studies postoperatively in all *** We conclude that a resection via TORS or endoscopic technique is safe and ***,we postulate that the further a tumor is located in the upper lateral area of the PPS,an approach via TORS is less possible.

关键词： Oto-rhino-laryngology Endoscopic surgery Robotic surgery Parapharyngeal space tumors

Histopathological Patterns and Early Postoperative Complications among Patients with Surgically Treated Thyroid Diseases at Bugando Medical Centre, Mwanza, Tanzania

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International Journal of Otolaryngology and head & neck surgery 2024年第2期13卷 103-119页

作者： Adam Sijaona Olivia M. Kimario Samson E. Kichiba Gustave Buname Fidelis Mbunda Rodrick H. Kabangira Cecilia Protas department of otorhinolaryngology Head & Neck Surgery Catholic University of Health and Allied Sciences Mwanza Tanzania department of Internal Medicine Kamanga Medics Zonal Referral Hospital Mwanza Tanzania department of otorhinolaryngology Head & Neck Surgery Bugando Medical Centre Mwanza Tanzania

Background: Thyroid diseases are among the leading endocrine disorders affecting a large proportion of people worldwide and show geographical variation in incidence and histopathological pattern related to age, sex, dietary and environmental factors. Histopathological patterns of surgically treated thyroid diseases play an important role in early diagnosis and management of these diseases. There is, however, limited published data regarding histopathological reports on thyroid disease in our local setting. This study aimed to determine the histopathological patterns and highlight early postoperative complications among patients with surgically treated thyroid diseases at Bugando Medical Centre (BMC). Methods: This was a longitudinal study involving all patients with surgically treated thyroid diseases seen at BMC over a period of 6 months from October 2019 to March 2020. Results: A total of 84 patients were studied. Females outnumbered males by a female to male ratio of 11:1. The median age of patients was 44 [IQR, 35 - 54] years old, the youngest was 14 years old and the oldest was 76 years old. Colloid goiter was the most common non-neoplastic lesion accounting for 34 (44.7%) patients. Among the neoplastic lesions, follicular adenoma was the most commonly encountered benign pathologies (n = 16;21.1%), while papillary carcinoma was the most commonly encountered malignancy (n = 4;50%). Following thyroidectomy, 12 (14.3%) patients developed early complications, of which hemorrhage sometimes requiring blood transfusion was the leading intra/postoperative complications accounting for 4 (33.3%) patients. Other complications include temporary recurrent laryngeal nerve palsy 2 (16.7%), surgical site infection 2 (16.7%) and tracheomalacia, bronchospasm, thyroid abscess and respiratory obstruction in 1 (8.3%) patient each, respectively. In this study, malignant thyroid lesion (p Conclusion: This study demonstrated that colloid goiter was the most common non-neoplastic lesio

关键词： Thyroid Diseases Histopathological Patterns Early Postoperative Complications Tanzania