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Szmeja Z Kulczyński B Citowicki W Kopeć T Kedzia D 《Otolaryngologia polska. The Polish otolaryngology》1999,53(5):545-548
In the years 1958-1997 were surgically treated in the Department of Otolaryngology Karol Marcinkowski University of Medical Sciences in Poznań 365 patients with pleomorphic adenomas. Majority of the tumors originated of the major salivary glands was parotid gland (273 cases). The given materials confirms the viewpoint that enucleation in the pleomorphic adenomas of the parotid salivary gland--based on total removal of the tumor together with the capsule and pouch constitute a completely sure surgical procedure. 相似文献
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Objective To analyze the difference of application methods and effects of local flap in small and medium‑sized defects of different aesthetic subunits of nose, in order to provide reference for clinical work. Methods A retrospective analysis was made on 59 patients with external nasal masses and scars who underwent surgical treatment in the Department of Aesthetic Plastic Surgery of the Affiliated Hospital of Qingdao University from July 1, 2021 to January 30, 2022, including 27 females and 32 males, aged 15 to 69 years. Using Likert scale, the repair methods and effects of local flap for nasal soft tissue defects were evaluated and summarized from three aspects of texture, flatness and scar concealment. GraphPad Prism 5.0 software was used for data statistics and analysis. Results The use of skin flaps to repair small and medium‑sized areas of the nose could achieve satisfactory results. For patients with different subunits, in terms of skin flatness and scar concealment degree in the operation area, patients′ satisfaction with the dorsal and lateral nasal areas was higher than that of the alar and tip areas, respectively (F=6.40, P=0.001; F=10.57, P<0.001). For patients with different skin flap repair methods, the satisfaction of patients with Z‑plasty and Dufourmentel skin flap was higher than that of other skin flap repair methods (F=4.38, P=0.002), and the satisfaction of patients with Dufourmentel skin flap was the highest in the degree of scar concealment (F=2.57, P=0.038). Conclusions In the small and medium‑sized defects of the nose, the use of multiple local flaps can achieve good cosmetic effects and functional recovery. The operator should select the appropriate flap repair method according to the characteristics of different aesthetic subunits of the nose. © 2023 Authors. All rights reserved. 相似文献
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The pathogenesis of Ménière's disease is associated with a disorder of ionic homeostasis, with the pathologic correlate being endolymphatic hydrops. Despite uncertainty as to its particular mode of action, it is accepted wisdom that intra-tympanic gentamicin has a definite therapeutic role in the control of symptoms in patients who fail to respond to medical therapy. This study reports an evaluation of the efficacy of intra-tympanic gentamicin in the treatment of Ménière's disease and also presents a simple, reliable, safe method of administering gentamicin for this purpose. A retrospective review of 56 patients undergoing intra-tympanic gentamicin treatment for Ménière's disease was conducted. Response to treatment was analysed using a patient survey and examination of pure-tone averages. An overall significant improvement in vertigo symptoms of 81.3 per cent was found. There was a 21.4 per cent rate of significant hearing loss, defined as greater than 10 dB, with an average loss in this group of 18.5 dB. A single dose of gentamicin applied directly to the round window resulted in a high rate of control of vertigo, with acceptably low rates of hearing loss. 相似文献
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Lucas Resende Lucinda Mangia Gabriel Lucca de Oliveira Salvador Bettina Carvalho Rogério Hamerschmidt 《中华耳科学杂志(英文版)》2022,17(2):84-89
IntroductionThe role of objective parameters in terms of improvement of the accuracy of high-resolution computed tomography (HRCT) of the temporal bone in the diagnosis of otosclerosis remains unclear.ObjectivesTo investigate the relationship between the density of the fissula antefenestram (FAF) and of the width of the transversal section of the basal turn of the cochlea (BTC), and the diagnosis of otosclerosis.MethodsThis is a retrospective study in which preoperative HRCT data from ears of patients submitted to stapedotomy due to otosclerosis (case group) were evaluated. For the control group, normal hearing ears having undergone HRCT for other purposes were included. Case and control HRCT images were objectively assessed by an experienced blinded radiologist. During this evaluation, measurements of the relative radiological density of the FAF and of the transversal section of the BTC were obtained. The results were compared between the groups. Also, a receiver operating characteristic curve was created and the area under the curve (AUC) was calculated for each variable. Significance level was set at .05.Results40 ears were included in each group. Case ears presented reduced values for the relative radiological density on the FAF (p-value<0.0001). Moreover, ears with otosclerosis (p-value: 0.022) presented lower transversal section of the BTC. The AUC for these variables reached 0.929 and 0.646, respectively.ConclusionsOtosclerotic ears present reduced radiological density on the FAF and narrower BTC. The relative density of the FAF also shows a great diagnostic power in the context of this disease. 相似文献
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INTRODUCTION: In clinical routine we have noticed a disagreement of ENT-specialists and phoniatricians in the division of the vocal folds in thirds. To show if there is consensus in this field by the german phoniatricians this study was done. MATERIAL AND METHODS: In two parts of a study, a pilot study and a follow up study, we sent twelve different images of the larynx to all german phoniatricians. In six of these images the physicians should set the marks of the ventral and dorsal limitation of the second third of the vocal folds. In six different images a mark should be related to the particular third of the vocal folds. The phoniatricians were asked to assess how certain they were in their valuation. They were asked either, how long they have been working as a physician and how long they have been specialized as a phoniatrician and as an ENT-surgeon. In the follow up study the phoniatricians were requested to first divide up the thirds in a way that the dorsal third corresponds to the cartilaginous part of the vocal folds (scheme 1) and second divide up the thirds in a way that all three thirds correspond to the ligamental part of the vocal folds. DISCUSSION AND FINDINGS: In the pilot study, when no instructions for the division of the thirds were given, the data differed much more than in the follow up study, when the physicians were told to use scheme 1 and scheme 2. That was because some phoniatricians divided up just the ligamental part and others the ligamental plus the cartilaginous part of the vocal folds in thirds. The more the physicians could overlook the membraneous part of the vocal folds the more certain they were in their assessment. CONCLUSION: The assessment of the division of the vocal folds in thirds is more homogeneous when the phoniatricians were requested to divide up the thirds in a way that the dorsal third corresponds to the cartilaginous part of the vocal folds (scheme 1). Therefore we suggest that this way of division should be used further on. 相似文献
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Obrebowski A 《Otolaryngologia polska. The Polish otolaryngology》2004,58(1):91-95
The relations between audiology and phoniatrics which formed the base for the present name of Poznań Department of Phoniatrics and Audiology are presented. It is specific for this Department to include the olfacto-gustometry into clinical evaluation of sensory organs. The periodic "Informacje Foniatryczne" which were published in 1966-1972 in our Department were exception in the history of Polish phoniatrics. The communications disorders should be inspected by rehabilitation team: phoniatrician, psychologist and logopedist, but the leading role is left for the physician. The prevention, prophylaxis and rehabilitation of professional voice disorders is one of the main social goals for audiology and phoniatrics. 相似文献
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Wierzbicka E Zalesska-Krecicka M Krecicki T Morawska-Kochman M 《Otolaryngologia polska. The Polish otolaryngology》2005,59(3):385-389
The aim of this paper was analysis of vocal fold paresis in the patients referred to ENT Department in Wroc?aw in the years 1993-2002. The study was performed on the base of 304 patients--209 women and 131 men. The average patient's age was 56 years. In all patients phoniatric examination and videostroboscopy were carried out. There were 38% cases of iatrogenic paresis mainly caused by thyroid surgery and cardiosurgery. In 30% causes we found the diseases which caused paresis (mainly infections, cancers, lesions of the central nervous system and injury of head, neck and chest). In about 30% causes we have not found the cause of paresis. Both vocal fold paresis in 98% was caused by thyroid surgery. Left vocal fold paresis was more often then paresis of the right side of vocal fold. 相似文献
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Pośpiech L 《Otolaryngologia polska. The Polish otolaryngology》2000,54(5):557-560
Mechanical disturbances in inner ear in cupulo-utricular complex are the cause of Benign Paroxysmal Positional Vertigo (BPPV). Pharmacotherapy is ineffective in such cases. The results of rehabilitation with the use of Semont of Epley manoeuvres in 46 patients were presented. The regression of symptoms in 24 cases treated with the use of Semont manoeuvre was achieved in 62% and in 22 cases treated with the use of Epley manoeuvre in 73%. Theoretical assumptions of effectiveness of treatment applied were discussed on the basis of cupulolithiasis and canalolithiasis theories. 相似文献
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Hamoir M Desuter G Grégoire V Reychler H Rombaux P Lengelé B 《Archives of otolaryngology--head & neck surgery》2002,128(12):1381-1383
In 1991, the Committee for Head and Neck Surgery and Oncology of the American Academy of Otolaryngology-Head and Neck Surgery proposed to define the anatomic boundaries between the lymph node levels in the neck, as initially described by the Memorial Sloan-Kettering Cancer Center (New York, NY). Recently, radiological parameters have been outlined to identify boundaries between various neck levels. The lymphatics of the posterior triangle of the neck are gathered in level V, recently subdivided into 2 subgroups: level Va and level Vb. The superior boundary of level Va is defined by the apex of the convergence of the sternocleidomastoid muscle and trapezius muscle. Based on anatomic evidence and surgical experience, we advocate the subdivision of level Va into 2 sections: the apex of level Va or level Vas (superior) and level Vai (inferior), demarcated by the lower two thirds of the spinal accessory nerve. Dissection of level Vas is not necessary in most head and neck cancers but should be considered only in selected skin cancer of the posterior cephalic area (retroauricular region, occipital scalp). 相似文献
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XIAO Hong-jun HUANG Xiao-wen WANG Ji-bao HUANG Xiang Department of Otorhinolaryngology Union Hospital Tongji Medical College Huazhong University of Science & Technology Wuhan People''''s Republic China 《中华耳科学杂志(英文版)》2006,1(2)
Background Normally, few immunocompetent cell are present in the endolymphatic sac (ES). During an active immune response in the inner ear, large amount of inflammatory cells, including immunocompetent cells, are seen in the ES. The current study aimed at assessing cellular proliferation within the ES during induced immune response in the inner ear. Methods Fifteen healthy, female SD rats were sensitized systemically with keyhole limpet hemocyanin (KLH), followed by local inoculation in the cochlea through basal turn fenestration with the same antigen. On Days 3, 7 and 14 following inoculation, the animal was sacrificed after intraperitoneal administration of 5-bromo-2'-deoxyuridine (BrdUrd), and the temporal bone harvested. Following decalcification, infiltration by BrdUrd- and IgG-positive cells in the ES was studied on frozen sections with H & E and immunohistochemical staining. Results During the secondary immune response in the inner ear against T-dependent antigens, there is increased cellular proliferation in the ES. The proliferated cells may differentiate into immunocompetent cells at the same location. Conclusions These findings indicate that the ES plays an important role in immune response of inner ear. 相似文献
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Kirasirova EA Tarasenkova NN Gorban DG Miroshnichenko NA Ekaterinichev VA 《Vestnik otorinolaringologii》2011,(5):8-10
The problem of rehabilitation of the patients presenting with post-intubation stenosis of the larynx and trachea remains unresolved despite the development of new methods for the diagnostics and treatment of this condition. One of the indications for long-term artificial lung ventilation is the severe form of Guillaine-Barret syndrome associated with paralysis of breathing muscles, development of bulbar symptoms, and disturbances of trophic process in the skin and mucous membranes. However, prolonged (mean 26 days) artificial lung ventilation may result in the formation of many-layer stenosis of the larynx and trachea whereas disturbed trophic processes in the skin and mucous membranes coupled to inadequate innervation complicate the postoperative conditions of the patients and promote restenosis of the tracheal lumen. 相似文献