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Otorhinolaryngological (ORL) and Cervicofacial Injuries Resulting from Road Accidents within the Otorhinolaryngology (ORL) department of the Regional hospital of Mamou

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第1期13卷 16-28页

作者： Mamadou Mouctar Ramata Diallo Ibrahima Diallo Alsény Camara Mamadou Aliou Diallo Raphan Madi Kaba Keita Abdoulaye Sow Alsény Cisse Sory Sacko Mamadou Gouraissiou Diallo Abdoulaye Keita Alpha Oumar Diallo ear Nose and Throat (ENT) Department Regional Hospital Mamou Mamou Guinea ear Nose and Throat (ENT) Department National Hospital Donka Conakry Guinea ear Nose and Throat (ENT) Department Regional Hospital N’zérékoré N’zérékoré Guinea ear Nose and Throat (ENT) Department Regional Hospital Labé Labé Guinea ear Nose and Throat (ENT) Department National Hospital Ignace Deen Conakry Guinea

Introduction: Otorhinolaryngological (ORL) and cervicofacial traumas encompass injuries affecting the neck, face, and ORL region, resulting from external influence. The objective of this study was to conduct an epidemiological and clinical analysis of ORL and cervicofacial injuries observed in victims of road accidents treated at the Otorhinolaryngology (ORL) department of the Regional hospital of Mamou. Materials and Methods: This prospective and descriptive study was conducted over a period of 12 months, from January 1st to December 31st, 2021, within the Otorhinolaryngology (ORL) department of the Regional hospital of Mamou. It included patients hospitalized for ORL and/or cervicofacial traumas resulting from road accidents during the study period. Results: A total of 348 cases were included, representing 36.22% of all traumas related to road accidents (AVP) within the Regional hospital of Mamou. The average age of the patients was 26.44 years, with a sex ratio of 3.83, favoring males. The dominant socio-professional category was students, encompassing 32.47% of cases. Road accidents were mainly associated with motorcycle use (31.32% motorcycle-to-motorcycle, 24.43% motorcycle skidding, 13.51% motorcycle-pedestrian). Facial region injuries were the most common, accounting for 69.03% of cases, followed by rhinological injuries (17.28%) and otological injuries (13.69%). Associated injuries were predominantly closed head traumas (52.55%) and lower limb fractures (20.41%). Imaging was underutilized. Regarding surgical interventions, reconstructive surgery was the most predominant, accounting for 52.51% of cases, with a management timeframe of 30 minutes to 12 hours for 99.72% of patients. Conclusion: Road traffic accidents remain a serious public health issue, primarily affecting young males. Emphasis should be placed on road safety measures to reduce the frequency of these accidents.

关键词： ENT Injuries Road Accidents Regional hospital of Mamou

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Papillary thyroid carcinoma:A bibliometric analysis of the top 100 cited articles

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第3期10卷 225-230页

作者： Mahamud Ishtiak Ahmed Jake deCastro Francis Sanu Ameeth department of ear Nose and Throat SurgeryMorriston HospitalHeol Maes Eglwys Cwmrhydyceirw SwanseaSwanseaUK

Objectives:To describe the current trends and key themes that are shaping the literature surrounding papillary thyroid ***:The Thomson Reuters Web of Science citation database was used to identify manuscripts relevant to papillary thyroid *** were then subdivided into title,author,journal,publication date,theme,and manuscript *** were then ***:A total of 1506 manuscripts were *** mean citation number was 163(range 885–74),with the highest citation rate of *** highest impact factor was JAMA(impact factor of 56.27).85%were original research,10%review articles,and 5%were *** highest number of manuscripts were published in South Korea(21%).Conclusions:This bibliometric analysis describes the most influential papers published in the topic of papillary thyroid *** key themes have been endocrinology and metabolism,followed by surgical management and oncology(subdivided into surgery,pathology,radiology and public health/epidemiology).South Korea leads the world with the largest number of publications in this field;with an incidence rate of papillary thyroid carcinoma that is significantly higher than most parts of the *** concerns with overdiagnosis,a collaborative radiological team skilled in ultrasonography of the neck appears to be of great value to the workup of thyroid cancers.

关键词： bibliometric carcinoma citation literature review thyroid

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Universal newborn hearing screening program in Saudi Arabia: Current insight

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Journal of Otology 2024年第1期19卷 35-39页

作者： Noura Alothman Reem Elbeltagy Reem Mulla department of Health Communication Sciences College of Health and Rehabilitation SciencesPrincess Nourah bint Abdulrahman UniversityRiyadhSaudi Arabia Audiovestibular Medicine Ear-Nose-Throat DepartmentFaculty of MedicineZagazig UniversityZagazigEgypt department of Hearing Speech and Language SciencesGallaudet UniversityWashingtonDCUSA

Newborn hearing screening(NHS) programs are essential to identify hearing loss early in life and to improve outcomes in children. In Saudi Arabia, the national NHS program has been operational since 2016;however, few studies have evaluated its status, and none have covered all provinces across the country. This cross-sectional retrospective study provides an overview of the program's status across all provinces, focusing on screening coverage rates, referral/fail rates, and follow-up procedures. In 2021, 199,034 newborns were screened, with a coverage rate of 92.6% and an overall referral/fail rate of 1.87%. These performance measures provide a foundation for future progress and improvements. This study highlights the importance of ongoing efforts to enhance the program's effectiveness and sustainability.

关键词： Hearing screening Hearing loss Newborn Auditory brainstem response Saudi Arabia

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Endoscopic push through tragal cartilage tympanoplasty: A 10-year retrospective review of our technique and outcomes

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World Journal of Otorhinolaryngology 2024年第2期11卷 18-24页

作者： K M Abidur Rahman Khalid Majeed Emma Finnegan Ivan Keogh ear Noseand Throat/Head and Neck SurgeryGalway University HospitalGalway H91 YR71Ireland Academic department of Otorhinolaryngology and Head and Neck Surgery University of GalwayGalway H91 TK33Ireland

BACKGROUND Endoscopic ear surgery(EES)provides a magnified,high-definition view of the otological surgical *** allows otologists to avoid surgical incisions and associated postoperative *** is an ideal technique for the perfor-mance and teaching of *** To examine the efficacy of total Endoscopic Push Through Tragal Cartilage Tympanoplasty(EPTTCT),at our institution over a 10-year *** A retrospective analysis of 168 cases of EPTTCT for closure of small to medium tympanic membrane perforations from 2013-2023 was *** sex,age range(pediatric vs adult),etiology of injury,success rate,complications,and postoperative hearing status were *** Graft uptake results indicated success in 94%of patients,with less than a 2%complication *** pure tone audiometry demonstrated hearing status improvement in 69%of *** EPTTCT has been shown to be effective in tympanic membrane perforation closures with minimal *** study further demonstrates the efficacy and safety of these procedures in a single-center review.

关键词： Total endoscopic ear surgery Otology Tympanoplasty Hearing Perforation Tragal cartilage graft

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Post Blast Tympanic Perforations, Clinical and Paraclinical Study at Six Yaounde hospitals

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 126-134页

作者： Andjock Nkouo Yves Christian Lekassa Pierrette Meva’a Biouele Roger Christian Moboung Prudence Mindja Eko David Djomou Francois Njock Richard Ndjolo Alexis Ophthalmology-ear-nose-throat (ENT)-Stomatology department Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon ENT-Cervico-Facial-Surgery (CFS) Service Yaounde General Hospital Yaounde Cameroon ENT-CFS Service Omar Bongo Ondimba Military Teaching Hospital Libreville Gabon ENT-CFS Service Yaounde Central Hospital Yaounde Cameroon ENT-CFS Service Yaounde Teaching Hospital Yaounde Cameroon ENT-CFS Service Douala General Hospital Douala Cameroon

Introduction: Post-blast tympanic perforations represent an entity of traumatic perforations;various mechanisms are at the origin of the latter, and the increase in conflicts and acts of violence are increasing the studies on this subject, but few data are available in our context. Objective: This paper aims to study post-blast tympanic perforations in Yaounde, specifically the epidemiological, clinical, and paraclinical aspects. Methodology: We conducted a descriptive cross-sectional study with retrospective and prospective data collection in six Yaounde hospitals over 63 months from January 1, 2018, to March 31, 2023. All patients with at least one post-blast tympanic perforation were included. Socio-demographic, clinical and paraclinical data were collected on a questionnaire and analysed using SPSS 28 software. Results: We included 124 patients. The prevalence of post-blast tympanic perforations was 0.1% of the consultations in the departments. 71 The average age was 28.6 ± 9.1 years, with extremes ranging from 7 to 49 years. The median consultation time was five days. The most frequent injury circumstances were physical aggression (81.45%) and armed conflict (10.5%). The injury mechanisms were slaps (75%), punches (21.74%) and grenades (4.8%). The main symptoms on admission were hearing loss (63.7%), tinnitus (58.1%) and otalgia (57.3%). The tympanic perforations were unilateral in all cases, the anterior-inferior location was more characteristic, and the deafness was conductive in 58.3% of cases, followed by mixed deafness in 23.3% of cases. Conclusion: Post-blast tympanic perforations are rare in consultation. The population is primarily male and from the second decade of life. The main circumstance is aggression.

关键词： Tympanic Perforation Blast Yaounde

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Clinical Experience in Acupuncture Treatment of Allergic Rhinitis

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Journal of Traditional Chinese Medicine 2009年第3期29卷 186-189页

作者：张艳秋王新中 ear-nose-throat department Panshi Municipal Hospital of TCM

Objective: To observe the clinical effects of acupuncture for allergic rhinitis. Methods: The body acupuncture, auricular seed-embedding and microwave irradiation were adopted for treatment of allergic rhinitis due to various causative factors, such as cold and insufficiency of the lung-qi weakening the body resistance, insufficiency of the spleen-qi with lucid yang failing to rise, insufficiency of the kidney-yang failing to warm the body surface, and the heat accumulated in the lung channels giving invading the nose. Results: After treatment, the symptoms and signs disappeared in all illustrative cases, with no recurrence found after a one-year follow-up. Conclusion: Acupuncture may help to improve the blood rheology indexes with an increased volume of blood flow, and regulate the immunological function of the human body, thus giving therapeutic effects for allergic rhinitis.

关键词：过敏性鼻炎针灸治疗临床经验人体免疫功能肾功能不全流变学指标临床疗效致病因素

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Post Thyroidectomy Assessment of Intact Parathyroid Hormone for early Prediction of Hypocalcaemia

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International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 71-84页

作者： Md. Masum Billah Ripon Kumar Sarkar Md. Yousuf Ali Saad Zaman Md. Nazmul Hasan Md. Shehab Uddin Md. Mosleh Uddin Kazi Shameemus Salam Farzana Binte Abedin Leera department of Otolaryngology-Head & Neck Surgery Universal Medical College Hospital Dhaka Bangladesh department of Otolaryngology-Head & Neck Surgery National Institute of Ear Nose and Throat Dhaka Bangladesh Shaheed Ahsan Ullah Master General hospital Gazipur Bangladesh department of Otolaryngology-Head & Neck Surgery Cumilla Medical College Cumilla Bangladesh department of ENT Oncology National Institute of Cancer Research & Hospital Dhaka Bangladesh department of ENT Outdoor Rajshahi Medical College Hospital Rajshahi Bangladesh department of Otolaryngology-Head & Neck Surgery Bangabandhu Sheikh Mujib Medical University Dhaka Bangladesh department of Biochemistry Delta Medical College Hospital Dhaka Bangladesh

Background: As the half-life of intact parathyroid hormone (iPTH) is very low, it reflects parathyroid insufficiency within minutes to hours after total thyroidectomy. Therefore, iPTH level assessment in the postoperative period can be used to predict the development of hypocalcaemia. The optimal time point to measure serum iPTH is important for the accurate prediction of hypocalcaemia. Aim: This paper aims to evaluate the ability of iPTH as an early predictive marker of hypocalcaemia and determine which time iPTH is more able to predict postoperative hypocalcaemia. Method: This prospective observational study was conducted in the department of Otolaryngology-Head & Neck Surgery, BSMMU, Dhaka, from July 2020 to December 2021, with 67 patients who underwent total thyroidectomy. iPTH levels were measured on the day before the operation and at 1 hour, 4 hours, and 24 hours after the operation. *** levels were measured on the day before the operation and 1st postoperative day. All the data were compiled and sorted properly and were analyzed statistically. Results: Postoperative hypocalcaemia developed in 18 cases, with an incidence of 26.9%. Pearson correlation showed a significant correlation between postoperative iPTH at 1 hr, 4 h, and 24 hr with 1st postoperative calcium value. The Receiver operating characteristic (ROC) curve was processed for the postoperative iPTH at 1 hr, 4 h, and 24 hr. The sensitivity, specificity, cut-off value, and mean AUC found 93.9%, 94.4%, ≤14.0, 0.988;95.9%, 94.4%, ≤09.5, 0.993 and 91.8%, 94.4%, ≤11.0, 0.993 respectively. Conclusion: iPTH can be used as an early predictor of post-thy-roidectomy hypocalcaemia. 4 hr iPTH showed more sensitivity and specificity for a cut-off value near the laboratory reference range.

关键词： Total Thyroidectomy Hypocalcaemia Serum Intact Parathyroid Hormone early Predictor of Hypocalcaemia

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The Ten Methods Used by Dr. CHEN Guo-feng for Treating Allergic Rhinitis

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Journal of Traditional Chinese Medicine 2010年第3期30卷 206-210页

作者：傅晓东王新中 ear-nose-throat department Nantong Municipal Hospital of Traditional Chinese Medicine Nantong

According to the TCM theory, allergic rhinitis is usually caused by dysfunction of the lung, spleen and kidney, deficiency of the vital-qi, and invasion of exopathogenic factors of wind and cold. Dr. CHEN Guo-feng, di... 详细信息

关键词：过敏性鼻炎治疗博士中医理论功能障碍中医院江苏省

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Advances in research on labyrinth membranous barriers

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Journal of Otology 2015年第3期10卷 99-104页

作者： Wenfang Sun Wuqing Wang department of Otolaryngology Fudan University Eye Ear Nose & Throat Hospital

Integrity of the membranous labyrinth barrier system is of critical importance, which promotes inner ear homeostasis and maintains its features. The membranous labyrinth barrier system is divided into several subsets of barriers which, although independent from each other, are interrelated. The same substance may demonstrate different permeability characteristics through different barriers and under different conditions, while different substances can have different permeability features even in the same barrier under the same condition. All parts of the mem-branous labyrinth barrier structure, including their morphology, enzymes and channel proteins, and theirs permeability characteristics under various physiological and pathological conditions are reviewed in this paper. Infections, noise exposure, ototoxicity may all increase perme-ability of the barriers and lead to disturbances in inner ear homeostasis. Copyright ? 2015 The Authors. Production & hosting by Elsevier (Singapore) Pte Ltd On behalf of PLA General hospital department of Otolaryngology Head and Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://***/licenses/by-nc-nd/4.0/).

关键词： Membranous labyrinth Barrier Permeability Inner ear homeostasis

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Localized amyloidosis affecting the lacrimal sac managed by endoscopic surgery:A case report

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World Journal of Clinical Cases 2020年第22期8卷 5684-5689页

作者： Xiao-Le Song Jing-Yi Yang Yu-Ting Lai Jia-Ying Zhou Jing-Jing Wang Xi-Cai Sun De-Hui Wang department of Otorhinolaryngology EyeEarNoseand Throat HospitalFudan UniversityShanghai 200031China

BACKGROUND Here we present a rare case of localized amyloidosis involving the nasolacrimal duct and lacrimal sac which was managed by endoscopic *** SUMMARY A 50-year-old man whose medical history included bilateral ventricular fold and vocal cord amyloidosis complained of bilateral *** resonance imaging revealed a neoplasm within the nasolacrimal *** positivity for Congo red staining and birefringence under a polarized microscope proved the diagnosis of *** via an endoscope obtained a favorable result.A one-year follow-up found no *** There are few reports on amyloidosis involving the lacrimal outflow system,and management and outcome are not *** dacryocystorhinostomy can be a choice to relieve *** follow-up and monitoring of systemic diseases are highly recommended.

关键词： Amyloidosis Nasolacrimal duct Nasolacrimal sac Endoscopy Dacryocystorhinostomy Case report

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