第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能,执行国家卫生部对高年住院医师和主治医师以上职称耳鼻咽喉头颈外科医师的临床技能培训继续教育计划,由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目“第三届（2010）头颈手术解剖与功能手术学习班”,     

第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能,执行国家卫生部对高年住院医师和主治医师以上职称、耳鼻咽喉头颈外科医师的临床技能培训继续教育计划,由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目＂第三届（2010）头颈手术解剖与功能手术学习班＂,将于2010年10月9～12日在北京举行。     

解放军总医院耳鼻咽喉-头颈外科第29期颞骨外科及头颈解剖培训班圆满结束

2011年12月27日为期10天的解放军总医院耳鼻咽喉-头颈外科第29期颞骨外科及头颈解剖培训班开课,此期参加学习班的学员共26名,来自全国各地,均为耳鼻咽喉-头颈外科专业的高年资医师,正在从事或拟重点从事耳显微和耳神经外科工作。     

第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能，执行国家卫生部对高年住院医师和主治医师以上职称耳鼻咽喉头颈外科医师的临床技能培训继续教育计划，由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目“第三届（2010）头颈手术解剖与功能手术学习班”，将于2010年10月9～12日在北京举行。     

第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能，执行国家卫生部对高年住院医师和主治医师以上职称耳鼻咽喉头颈外科医师的临床技能培训继续教育计划，由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目第三届（2010）头颈手术解剖与功能手术学习班，将于2010年10月9～12日在北京举行。     

第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能,执行国家卫生部对高年住院医师和主治医师以上职称、耳鼻咽喉头颈外科医师的临床技能培训继续教育计划,由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目“第三届（2010）头颈手术解剖与功能手术学习班”,将于2010年10月9～12日在北京举行。     

第三届（2010）头颈手术解剖与功能手术学习班通知

为提高耳鼻咽喉头颈外科医师的头颈外科临床技能,执行国家卫生部对高年住院医师和主治医师以上职称、耳鼻咽喉头颈外科医师的临床技能培训继续教育计划,由首都医科大学附属北京同仁医院耳鼻咽喉头颈外科、北京市耳鼻咽喉科研究所举办的国家级继续教育项目“第三届（2010）头颈手术解剖与功能手术学习班”,将于2010年10月9～12日在北京举行。     

甘肃省医师协会耳鼻咽喉头颈外科医师分会成立暨甘肃省耳鼻咽喉头颈外科第十一届学术年会召开

2011年8月17～18日,甘肃省医师协会耳鼻咽喉头颈外科医师分会成立大会暨甘肃省耳鼻咽喉头颈外科第十一届年会在兰州大学第二医院胜利召开。中华医学会耳鼻咽喉头颈外科分会候任主任委员、解放军总医院韩东一,中国医师协会耳鼻咽喉科医师分会副会长兼总干事、北京同仁医院周兵,解放军总医院韩维     

解放军总医院耳鼻咽喉头颈外科进修管理规则

医学进修教育是大学后继续教育的重要组成部分,为了适应医学教育的发展, 提高进修教育的质量和进修生管理工作的水平, 培养优秀的耳鼻咽喉头颈外科专业技术人才, 结合解放军总医院耳鼻咽喉头颈外科的特点,特制定本规则。一、招生工作1 招生数量: 根据医院统一安排和耳鼻咽喉头颈外科的教学条件和临床工作需要, 每年进修生的数量控制在 30名左右;2 进修生条件: 年龄在 40岁以下, 具有大学本科及以上学历, 从事耳鼻咽喉头颈外科临床工作三年以上,具有一定的专业理论水平和临床经验;3 进修期限: 原则上进修期限为一年。二、入学工作耳鼻咽…     

解放军总医院耳鼻咽喉头颈外科(国家重点学科) 解放军耳鼻咽喉研究所(全军声损伤重点实验室) 解放军医学院聋病教育部重点实验室

解放军总医院耳鼻咽喉头颈外科,在中国工程院院士姜泗长教授、中华医学会耳鼻咽喉头颈外科分会名誉主任委员杨伟炎教授、中华医学会耳鼻咽喉头颈外科分会侯任主任委员韩东一教授、北京医师协会耳鼻咽喉科医师分会主任委员杨仕明教授四代学科带头人的领导下,以聋病防治为重点,从1959年姜泗长教授创建了解放军总医院耳鼻咽喉科     

Efficacy of Curcumin in the healing of paracentesis in rats

Objectives

The present study was designed to investigate the possible beneficial effect of Curcumin (CMN) in healing of paracentesis in terms of wound thickness, sclerosis and closure by histological evaluation. To evaluate the efficacy of CMN, paracentesis was performed experimentally in the rats; and the results were presented histologically.

Methods

Sixteen, each 270–310 g weighted, healthy Sprague-Dawley female rats were included into the study. In both groups, paracentesis was performed into the eardrum bilaterally. In Group 1 (Paracentesis + Saline Group), saline drop was applied; and in Group 2 (Paracentesis + Curcumin group), Curcumin drop treatment was applied. Paracentesis area did not healed bilaterally in two rats (one in Group 1 and one in Group 2). Therefore, these two rats were excluded from the study. Histological examination performed in 14 rats and 28 temporal bones on the 15th day after the completion of drop treatment and closure of the paracentesis-area and wound healing were evaluated according to the histological examination criteria: Thickening of the tympanic membrane (ThicTM); and sclerosis.

Results

Both tympanic membrane thickening and sclerosis values of Paracentesis + Curcumin Group (Group 2) were significantly lower than those of the Paracentesis + Saline Group's (median: 2.0) (p = 0.001). Histological examination by light microscopy showed that in Paracentesis + Curcumin Group (Group 2), the structure of the tympanic membrane is near to the normal and decreased sclerosis was observed in connective tissue. Whereas in Paracentesis + Saline Group (Group 1), tympanic membrane thickening and connective tissue sclerosis were observed.

Conclusions

Curcumin improves wound healing process in paracentesis of TM. By using Curcumin drops, the closured paracentesis area was observed near to the normal eardrum; and thickness of the TM and sclerosis were less than the control, showing the improved healing at 15th day. The possible mechanisms may be anti-inflammatory effect, improving collagen deposition, and increasing fibroblast and vascular density in wounds thereby enhancing impaired wound healing.     

电子鼻咽喉镜在小儿腺样体肥大诊治中的应用

目的 探讨电子鼻咽喉镜在小儿腺样体肥大诊治中的应用。方法 对578例具有上气道阻塞症状的患儿（病例组）采用电子鼻咽喉镜检查，分析腺样体增大程度与上气道阻塞的关系及其可行性。结果 ①本组病例中，411例能主动配合，119例稍有哭闹，仅48例是在协助固定体位下进行。②14例因鼻中隔偏曲导致一侧后鼻孔和鼻咽部无法检查，5例因双侧鼻腔狭窄无法检查，其余559例均可检查。③559例均有不同程度的腺样体增大。④29例在检查中出现鼻黏膜少量出血，未引发其他并发症。结论 电子鼻咽喉镜检查适合于小儿，该法直观、准确、安全，是判断小儿腺样体肥大最有效、最直观的检查方法。Ⅳ°腺样体是小儿上气道阻塞的主要病因，是手术治疗的适应证。     

我国汉族女性鼻整形手术的研究进展

随着鼻整形手术技术的发展,对填充材料的使用有了更多、更深刻的理解。近年来,我国整形外科的专家们,针对汉族女性鼻部的美学特征,以及不同填充材料的应用特点,设计了一系列更精确的手术方式,使鼻整形手术更趋完善。结合汉族女性的鼻部特点,对鼻背部整形、鼻尖部整形、鼻整形术后并发症及鼻整形材料的使用情况进行总结分析。     

食管异物摘取术的麻醉选择

为探讨食管异物摘取术的麻醉方法，提高手术效果，对７２例食管异物患者采用强化表面麻醉法和气管内插管麻醉法进行了手术和对比观察。７２例异物均取出顺利，无严重并发症发生。资料显示：两种麻醉各具优越性，前者适用于年龄较大的儿童和成人，后者适用于食管异物并呼吸困难的小儿。     

Apoptosis in the pathogenesis of cholesteatoma in adults

The aim of this study was to determine the distribution and apoptotic capacity in the various layers of cholesteatoma epithelium compared to the normal skin. Cholesteatomas were collected during surgical procedures of the ear. Normal skin specimens taken from the retroauricular area served as controls. Apoptosis was detected by using highly specific antibodies against APO2.7 antigen. The Membstain Apoptosis kit Direct based on in situ labeling of nuclear DNA fragmentation (Tolt-mediated dUTP nick and labeling TUNEL staining) was used. The distribution of apoptotic cells in the layer of the cholesteatoma epithelium and the epidermis was determined. The percentage of apoptotic cells was then counted per 100 cells of cholesteatoma epithelium and the normal epidermis in three different areas of each section and expressed in terms of mean ± SD. An automatic analyzing system was used for counting. In normal epidermis, the apoptotic cells were observed in the granular layer of the epidermis. The percentage of these cells was 28.5±8.1%. A significantly greater number of apoptotic cells was observed in the suprabasal layers of the cholesteatoma epithelium (47.39±6.2%). A statistically significant difference was obtained for APO2.7-positive cells in the cholesteatoma epithelium as compared to the skin (P<0.05) as determined by Students t-test and the Mann-Whitney U test. Apoptotic activity is mainly observed in the suprabasal layer of cholesteatoma epithelium. It is not seen in the basal layer. Apoptosis plays an important role in the pathogenesis of cholesteatoma. It seems to be part of the differentiation and accumulation of keratin debris within the middle ear and expansion of cholesteatoma.     

Use of tympanometry in general practice in Denmark

Objectives

Otitis media has been a serious disease and can be that even today. The diagnosis of otitis media is often difficult. Pneumatic otoscopy, otomicroscopy, and tympanometry can improve the diagnostic quality by indication of fluid in the middle ear and thereby improve the quality of treatment. The aim of this ongoing study is to analyze the use of tympanometry in Denmark after reimbursement for doing tympanometry (November 2006) when clinically indicated. Our research questions were: How many clinics were using tympanometry? How frequent was it used? Is the use increasing? Has the number of GPs in the clinic any relation to the use of tympanometry?

Method

We used information in The Danish National Health Service in three Regions to analyze the use of tympanometry in general practice during the years 2007–2009. The coverage of the GPs is 100% in the regions.

Results

The three regions counted about half of Danish population. In 2009 the material was 902 different clinics with more than 1700 GPs. In 2007 55% of the clinics did tympanometry, in 2009 the figure was 60%. In the clinics doing tympanometry the median value was 28 tympanometries per year (inter-quartile range 13–53) per GP. The variation in the use of tympanometry was surprisingly high, from none or a few per GP per year to a maximum of more than 500 tympanometric examinations per GP a year. This huge variation has to be discussed.

Discussion

Many answers can be given. Some of the explanation was problems in doing correct tympanometry, and problems understand the clinical implications of curves and the figures.     

立体放射治疗技术在听神经瘤治疗中的应用进展

听神经瘤(Vestibular Schwannomas,VS)是最常见的桥小脑角肿瘤,目前发病率正逐年提升。立体放射治疗(Stereotactic Radiosurgery,SRS)技术作为手术的替代疗法近年来在VS的治疗中体现出了巨大的潜力和优势。本文将针对近年来SRS技术在VS治疗效果、适应证选择和治疗策略制定方面的进展加以综述。