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  • 刊频: Quarterly
  • NLM标题: Indian J Otolaryngol Head Neck Surg
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  • 机译 校正至:博帕尔技术使人工耳蜗的植入变得容易:我们的200例患者的经验
    摘要:
  • 机译 在安全的慢性化脓性中耳炎中,I型鼓膜成形术在干湿耳朵中的有效性
    摘要:The aims and objectives of the study were to compare the rate of graft uptake after type 1 tympanoplasty in wet and dry ears and also to compare the postoperative hearing improvement in wet and dry ears. It was a Non Randomized Experimental Study. This study was done in ENT OPD at Tertiary Health Care Institute of Central India. It was conducted from November 2012 to October 2014 on 86 patients having Safe Chronic Suppurative Otitis Media. The patients were divided into two groups as Dry ear group and Wet ear group. Dry ear group included patients whose ear was dry for at least 6 weeks prior to the surgery. Wet ear group included patients who had minimal mucoid discharge in the middle ear which on culture and sensitivity showed no microorganisms. Type 1 Tympanoplasty was done in all patients. Results were analyzed statistically. Complete graft uptake was seen in 86.95% cases of Dry ear group and 80% of Wet ear group and the difference was statistically insignificant. Hearing improvement was achieved in 80% cases in dry group and 67.5% cases in wet group. The difference in hearing improvement in both groups was also statistically insignificant. So conclusion was drawn that, presence of minimal mucoid ear discharge at the time of surgery does not affect the success rate of Type 1 Tympanoplasty.
  • 机译 锡金小学教师关于小儿听力损失的知识,态度
    摘要:Our purpose of the study was to assess the knowledge and any gaps of early educators regarding hearing impairment, and to attempt to delineate the attitudes and perceptions of the educators regarding the outcomes of their students with hearing disabilities and their views on inclusive teaching, using a questionnaire based study. Only 71 respondents completed the questionnaire. The present questionnaire based study was conducted on 100 primary school teachers, undertaken on randomly selected schools from Gangtok, East Sikkim. Their knowledge and attitudes regarding hearing impairment in children in the areas of cause, diagnosis, investigations, treatment, prevention, special care and inclusion into mainstream schools were assessed. Our study showed that the knowledge of causes, investigation and treatment of hearing impairement [HI] among respondents/teachers was poor. The data was shown statistically significant with P < 0.001. However, responses testing behavior and attitudes towards HI was encouraging. 52.9% respondents disagreed that HI was a social handicap and 88.2% felt that teachers need special training before a HI child is admitted to the school. The results were statistically significant with P < 0.001. The biggest obstacle found for inclusive education of HI children was a lack of proper training to teachers (40.8%) and attitude of other students (29.5%).Electronic supplementary materialThe online version of this article (doi:10.1007/s12070-017-1095-4) contains supplementary material, which is available to authorized users.
  • 机译 创伤性脑损伤患者创伤后BPPV的发生率和治疗结果
    摘要:The aim of this study is to assess the incidence of post traumatic BPPV and evaluate its treatment outcomes in mild and moderate traumatic head injury patients. The study population consisted of 128 patients (89 male:39 female) who were admitted with head and neck injury (Motor Vehicle Accident, Blow to the head, Fall from Height, Whiplash injury) as inpatients in Department of Neurosurgery in Tertiary care hospital in Kerala during a 2 month period from 1st April 2014 to 31st May 2014. The age range was 10–70 years and mean 39.8 with standard deviation 15.5. All cases were evaluated and serially followed up to a period of 6 months in Department of Otorhinolaryngology. In our study, the number of patients with mild injuries (Glasgow coma scale 13–15) were 108 and moderate injury (Glasgow coma scale 9–12) were 20. We found out that post traumatic BPPV was found to be 17% of the traumatic brain injury patients. All patients were treated with particle re-positioning maneuvers and were followed up for a period of 6 months. Recurrence were reported in 9 (40.9%) patients. In these patients re positioning maneuvers were repeated.
  • 机译 中性粒细胞-淋巴细胞比率是喉癌的预后因素
    摘要:Aim of this study; investigate whether neutrophils/lymphocyte ratio (NLR) could be used as a prognostic factor in larynx cancer. The correlation between preoperative peripheral blood NLR and age, gender, smoking, alcohol use, clinical stage and differentiation degree was examined. One hundered fourty-four patients in Dicle University Department of Otorhinolaryngology between the years of 2005 and 2014 were included in the study. Clinical and preoperative laboratory data of patients were screened retrospectively from archive files of otorhinolaryngology and the pathology results were screened retrospectively from archive files of pathology. The study was approved by the local ethics committee of the department and carried out in accordance with the declaration of Helsinki as amended in 2013. Statistical analyses were performed using the SPSS 15.0 software package for Windows (SPSS inc., Chicago, IL, USA). There was a significant difference between NLR and clinical stage (p = 0.003) smoking (p = 0,001) and alcohol use (p = 0.001). When NLR was analyzed in detail according to the degree of tumor differentiation; significant differences were observed between G1 and G2 (p = 0.007) and between G1 and G3 (p = 0.001). Light of these findings, NLR is a cheap and easily accessible marker which can be used as a prognostic faxtor in laryngeal cancer. It is thougkt to shed light on the studies which will be conducted with more patients.
  • 机译 城市交警中基于智能手机的测听技术
    摘要:Noise induced hearing loss (NIHL) is defined as “reduction in auditory acuity associated with noise exposure”. Traffic police is a bundle of people who are the usual sufferer of this type of increased hearing threshold. In developing countries like India, many of them are unable to access audiology services, because of shortage of trained professionals and limited sources. Smartphone based audiometry is easy and can detect hearing loss as early as possible. To study hearing threshold in traffic police. Total 88 persons were included in the study. An occupational history was taken regarding duration of posting followed by smart phone based audiometry (Hearing Test TM software) test. Out of total 88 persons, 80 were having increased hearing thresholds which were suggestive of noise induced hearing loss. Out of total 88 persons 8 were in normal group, 24 were in mild hearing loss group, 42 were in moderate hearing loss group and 14 were in severe hearing loss group. Total number of person with notch at 4000/6000 Hz was 28, suggestive of particular pattern of noise induced hearing loss. During the last decade, mobile phones have evolved like anything. Furthermore, the utilization of health-related applications has gained increased focus. Health-related applications are useful, less time consuming and with increased efficiency by early diagnoses. There are many of smart-phone hearing applications that are already in use. They use similar principle as audiometer. This kind of application will narrow down the supply and demand ratio of audiology service in developing countries.
  • 机译 高渗盐水在小儿单极扁桃体切除术中的作用
    摘要:Looking for a simple and inexpensive method to reduce patients’ pain during tonsillectomy. Bilateral tonsillectomy patients were enrolled and placed into different groups based on their admission numbers. Patients with odd numbers had electrical tonsillectomy on the right side with hypertonic saline injection into peritonsillar gap (group A) or electrical tonsillectomy on the left side without hypertonic saline injection (group B). Those with even numbers had electrical tonsillectomy on the left side with hypertonic saline injection into peritonsillar gap (group A) or electrical tonsillectomy on the right side without hypertonic saline injection (group B). Pain, operative bleeding, post-operation bleeding and operation time were evaluated. Injecting hypertonic saline into peritonsillar gap reduced pain caused by electrical tonsillectomy but did not impact operation or postoperative bleeding and operation time. While simple and economic, monopolar electrical tonsillectomy with the help of hypertonic saline injected into peritonsillar gap can effectively relieve patients from pain compared with surgeries without hypertonic saline injection.
  • 机译 经皮小柱支撑矫正尾鼻中隔偏斜
    摘要:Correction of caudal septal deviation is a challenging issue because of its significant role in tip support mechanisms. Some interventions especially aggressive resection of caudal septum to correct deviation, may compromise external nasal valve, tip ptosis and persistence of nasal obstruction. Many surgical techniques have been suggested to correct this type of nasal septal deviation. This study presents a technique to correct caudal septal deviation without weakening of tip support mechanisms. To evaluate the efficacy of insertion of a transcutaneous columellar strut during correction of caudal septal deviation. The study was performed in patients complaining from nasal obstruction with caudal septal deviation. After intranasal incision and elevation of mucoperichondrial flap, Caudal septum released from anterior nasal spine (ANS) and a band of cartilage removed from inferior and caudal part of septum and septum again fixed to ANS. Through a vertical transcutaneous incision, a cartilaginous strut is placed in columella, between medial crurae. Preoperative and postoperative NOSE score determined and photographs were taken. In 14 patients we performed this technique, the postoperative NOSE score showed significant improvement, (p = 0.001). Nasal breathing improved in all patients without any complication or tip ptosis or worsening of nasal appearance. This septoplasty technique along with placement of transcolumellar strut, is an easy, efficient and complication free method for simultaneously correction of caudal deviation of nasal septum, reinforcing external nasal valve and prevents tip ptosis.
  • 机译 根据同种异体听骨修复材料的听觉结果
    摘要:The aim of this study is to compare the functional results and extrusion rates according to the type of ossciular alloplastic prosthesis. In this study, a retrospective analysis was performed. Sixty-one patients were involved in partial ossicular replacement (POR) cases and 70 patients were involved in total osscicular replacement (TOR) cases. In POR cases, Plastipore was used in 21 cases, hydroxyapatite in 20 cases, and titanium in 20 cases. In TOR cases, Plastipore was used in 20 cases, hydroxyapatite (HA) in 25 cases and titanium in 25 cases. We reviewed postoperative ABG (less than 20 dB or more than 20 dB) and the extrusion rate for more than 1 year follow-up period. In POR cases, ABG less than 20 dB were 71.4, 80.0, 85.0 % in plastipore, HA, and titanium prosthesis and in TOR cases, ABG less than 20 dB were 25.0, 28.0, 32.0 % in plastipore, HA, and titanium prostheses, respectively. In POR cases, extrusion rates (ER) were 9.5, 5.0, 5.0 % in plastipore, HA, and titanium prosthesis, respectively. In TOR cases, ER were 15.0, 8.0, 4.0 % in plastipore, HA, and titanium prosthesis, respectively. There were no significant differences in hearing gain results among plastipore, HA, and titanium in both POR and TOR cases, but the ER was significantly low in titanium. Clinically relatively better hearing gain and low-rate of extrusion were found in titanium prosthesis and thus this material is recommended in cases of ossicular alloplastic replacement surgery.
  • 机译 中小型鼓膜穿孔的各种办公程序的比较研究
    摘要:A hospital based prospective study to compare and evaluate the efficacy and convenience of various office procedures like chemical cauterization, fat plug myringoplasty and butterfly cartilage tympanoplasty. This interventional, prospective, longitudinal study carried out on 300 patients in the ENT department of a tertiary care medical college hospital in central India between January 2009 and January 2015. The success rate was found to be 94.54, 91.12 and 97% in chemical cauterization, fat plug and butterfly cartilage tympanoplasty respectively (p value 0.246). In all the groups there were significant improvement in terms of hearing in decibels and AB gap postoperatively. No statistically significant association was found in between the failure rates in all the groups. From this study we conclude that all the procedures were simple, rapid, reliable, cost effective, takes less time and minimum hospital stay (day care) than conventional tympanoplasty. We strongly recommend these procedures in place of tympanoplasty in small to medium size central tympanic membrane perforations according to condition and convenience of the patients.
  • 机译 初步尝试使用高频探查音对婴儿进行鼓室测温
    摘要:There is dearth of published data on high frequency tympanometric measures for infants in Indian context. Aim of present study was to profile Peak compensated static acoustic admittance (Ytm), Tympanometric peak pressure (TPP), Tympanometric width (TW) and Equivalent ear canal volume (Vea) in infants. Cross-sectional study on 50 infants with present TEOAEs and with risk indicators for hearing loss. Tympanometry was performed using GSI-Tympstar for 678 and 1000 Hz probe tones. Descriptive statistics were used to determine mean, SD and minimum and maximum for both genders. Using 678 Hz, Ytm ranged from 0.09 to 1. 48 mmho (males) and 0.11 to 1.14 mmho (females), while with 1000 Hz ranged from 0.15 to 1.49 (males) and 0.13–1.61 mmho (females). Using 678 Hz, TPP ranged from −95 to 70 daPa (males) and −155 to 80 daPa (females), while with 1000 Hz ranged from −75 to 95 daPa (males) and −145 to 50 daPa (females). Using 678 Hz, TW ranged from 30 to 190 daPa (males) and 40–23 daPa (females), while with 1000 Hz ranged from 60 to 210 daPa (males) and 40–183 daPa (females). Using 678 Hz, Vea ranged from 0.11 to 1.7 mmho (males) and 0.14–2.5 mmho (females), while with 1000 Hz ranged from 0.14 to 2.0 mmho (males) and 0.14–3.6 mmho (males). This study was a preliminary attempt to profile the tympanic measures. Ytm values were lesser or similar to other studies, TPP and Vea values had lower and narrow range, while TW were more than previous studies.
  • 机译 正常听力阈值的耳鸣与耳蜗疾病之间的关联
    摘要:Tinnitus is the perception of hearing the sound without any sound stimulus. It is a symptom of abnormality in a form of conductive disorder when it comes from the outer ear canal and middle ear. A tinnitus complaint has a normal hearing threshold but it has been not fully recognized its causes. Thus, an objective evaluation is needed to locate the abnormality by using OAE and BERA test. To analyze the association of TEOAE, DPOAE, and BERA to locate cochlear and retrocochlear disorders in tinnitus patients with normal hearing threshold. The study was conducted from August to November 2010 until the number of samples was fulfilled in Outpatient Clinic and Audiology Unit in Department of Otolaryngology-Head and Neck Surgery, Dr. Soetomo General Hospital Surabaya. The inclusion criteria in this study included: patients aged 20–50 years old, hearing threshold of ≤ 25 dB, type A tympanogram. The comparison and the association test of TEOAE, DPOAE and BERA in tinnitus group were: TEOAE–BERA analysis result using Mc Nemar obtained p = 0.006, Kappa p = 0.047, likelihood ratio p = 0.066, and the result of DPOAE–BERA analysis using Mc Nemar obtained p = 0.008, Kappa p = 0.439, likelihood ratio p = 0.336. There was a difference in the results of DPOAE examination between tinnitus patients with normal hearing threshold and the control group. There was no difference in TEOAE and BERA test results between tinnitus patients with normal hearing threshold and the control group. This indicates an abnormality in the cochlear.
  • 机译 也门哈德勒木特省穆卡拉的伊本·西纳教学医院就诊的患者体内的异物
    摘要:ObjectiveTo describe the types of aural foreign bodies (FBs) among patients in Ibn Sina Teaching Hospital (ISTH) and to study the patient’s symptoms, duration, complications and procedures used to extract them.
  • 机译 返流评分(RFS)-喉咽返流的诊断和治疗定量指南
    • 作者:Y. K. Kirti
    • 刊名:Indian Journal of Otolaryngology and Head Neck Surgery
    • 2018年第3期
    摘要:The study was under taken to know the prevalence of reflux signs in an individuals with throat complaints on the basis of reflux finding score (RFS) and quantitatively assess the effect of treatment. A cross-sectional study was done to evaluate the presence of laryngo-pharyngeal reflux signs in patients visiting ENT clinic with throat or voice problems in central India. There were 80 patients included in the study from 2017 to 2018 individuals. They were questioned regarding their symptoms. Their pharyngeal findings on rigid 70° laryngoscopy were viewed and RFS was made. The patients were reviewed at monthly intervals. Laryngopharyngeal reflux changes were seen in 36 of the 80 patients (45%). The reflux was graded as per the reflux finding score. The score ranged from 7 to maximum of 17 out of 26 in the patients with LPRD. Majority of the patients the score decreased with lifestyle changes and pantaprazole twice daily. There was poor response in 5% (4) patients, who were then advised to undergo upper gastro intestinal endoscopy for further assessment. Laryngopharyngeal reflux has become a very common entity in urban lifestyle. On careful examination the signs can be picked and assessed with the RFS, which is a very useful tool to grade and reassess patient on subsequent follow up.
  • 机译 感音神经性听力丧失儿童的人工耳蜗植入后代偿性前庭功能障碍:一项前瞻性研究
    • 作者:Atul GuptaPoonam Raj
    • 刊名:Indian Journal of Otolaryngology and Head Neck Surgery
    • 2018年第2期
    摘要:Children with sensorineural hearing loss have risk of surgically induced vestibular dysfunction post cochlear implantation due to instrumentation. It is clinically important to estimate the risk of vestibular loss post cochlear implant so the patient can be made fully aware of these risks when considering cochlear implantation. The aim of the study was to identify compensated vestibular dysfunction post cochlear implantation. Vestibular function was evaluated both pre and post CI using monothermal warm air caloric testing. Recordings were made using head band camera on SYNAPSYS Ulmer VNG software. ‘Monothermal caloric asymmetry’ (MCA) was depicted as ‘unilateral weakness’ based on the slow phase velocity of nystagmus. MCA of >15% was taken as evidence of canal paresis. The incidence of compensated vestibular dysfunction post CI surgery was found to be 16.66%. The results were statistically significant (p value 0.02) and indicated worsening of canal paresis indicative of vestibular dysfunction. Children for cochlear implantation should undergo evaluation of their vestibular system pre and post surgery. Caution should be exercised before planning bilateral cochlear implantation in the same sitting.
  • 机译 机器人辅助经腋窝甲状腺切除术:次大陆体验
    摘要:To evaluate the outcome and initial hurdles of transaxillary robotic thyroidectomy in the Indian subcontinent. A total of seven (n = 7) patients were operated from August 2016 to February 2017. Ultrasonography was used as a tool to decide the size of thyroid lobe and fine needle aspiration cytology for the type of lesion. All patients underwent ipsilateral brachial plexus nerve conduction studies preoperatively. Two arm positions were evaluated. The robot was docked at the contralateral side of the surgical field. Before discharge from hospital, all patients were given a questionnaire evaluate outcome. Set 1 was answered on the day of discharge and Set 2 at one-month follow up. The most common pathology in our case series was colloid goiter (n = 4) followed by follicular lesion (n = 3). The mean console time was 167 min, with initial two cases taking more than 200 min. The maximum and minimum length of the axillary tunnel was 16 and 27 cm respectively. There was no difference with regard to complication rate with either arm position. None of the patients developed brachial plexus injury and was confirmed by normal nerve conduction study done on postoperative day three. In our experience with transaxillary robotic thyroidectomy, the problems we faced in our population were unique considering the varied physical parameters. Use of malleable retractors comes handy in these situation and we recommend the use of these over the rigid ones. Though both the arm positions had similar outcomes, the one with sideways position was more favorable.Electronic supplementary materialThe online version of this article (10.1007/s12070-018-1357-9) contains supplementary material, which is available to authorized users.
  • 机译 乳突钻对乳突切除术中对侧正常耳朵听力的影响
    摘要:To evaluate hearing of the contralateral normal ear before and after mastoidectomy in a longitudinal manner and to assess whether the hearing loss is transient or permanent and to find out the duration of temporary hearing loss. This was a clinical longitudinal observational study involving 50 patients with unilateral chronic suppurative otitis media requiring mastoidectomy operation over a period of 18 months after satisfying the inclusion criteria. During the part of the mastoidectomy surgery involving drilling of the mastoid bone, noise levels were recorded at multiple points in the surgery using a digital sound level meter. Postoperatively, beginning from Day 1 to Day 7, PTA and OAE of the contralateral ear were recorded for all patients. The patients were then followed up at 1, 3 and 6 months postoperatively, at which times PTA and OAE were repeated. There is an increase in the absence of High Frequency DPOAEs on the first and second postoperative days, but this increase is higher than that of Low Frequency DPOAEs and gradually returns to normal by 72 h. OAEs were found to be more sensitive at diagnosing and tracking the progress of affected patients. All affected ears only had a temporary postoperative hearing loss, primarily affecting the higher frequencies and returning to normal within 72 h. Drill-generated noise and vibration during mastoidectomy operation is associated with a significant temporary shift in hearing thresholds of the contralateral normal ear in susceptible individuals, affecting the higher frequencies, and is best evaluated using DPOAEs.
  • 机译 贝尔氏麻痹:残存性面部麻痹的病因
    • 作者:D. S. Grewal
    • 刊名:Indian Journal of Otolaryngology and Head Neck Surgery
    • 2018年第3期
    摘要:The facial nerve is unique among the motor nerves. It has long and tortuous course through the temporal bone and within the Fallopian canal. Because of this it is more prone to paralysis than any other nerve in the body. The most frequent type of facial palsy is Bell’s palsy. This is an acute idiopathic lower motor neuron palsy of the facial nerve which does not normally progress and which is most usually unilateral and self limiting,: the majority of cases remit within 4–6 months and nearly always remission is complete by 1 year. In those cases that do not recover it is my contention that this is caused by Either the progression, or after effects, of secondary ischemia: tertiary ischemia. In turn this causes thickening of the facial nerve sheath with a fibrous band or bands forming with resultant strangulation and compression of the nerve, which hampers its recovery. In such cases facial nerve decompression with slitting of the sheath and cutting of any fibrous bands would be the preferred management when allied with aggressive medical therapy.
  • 机译 鼓室鼓膜鼓室扩张期间颈管的安全性:Cadaver初步研究
    摘要:To assess the safety of Transtympanic balloon dilatation of the cartilaginous proximal Eustachian tube under endoscopic guidance as it relates to the integrity of the carotid canal in cadaver model. Endoscopic guided Transtympanic dilatations of the cartilaginous proximal end of the Eustachian tube were performed in 15 ears of 8 fresh frozen cadaver heads. CT scans were done before and after dilatation. Images were reviewed by two otologists and one radiologist. Balloon catheter placement and dilatation of the proximal Eustachian tube was feasible in all specimens. Endoscopic examination post dilatation showed a consistent increase in the aperture of the proximal cartilaginous tube in all ears. Review of CT images after dilatation showed no evidence of trauma to the carotid canal in all ears instrumented. Endoscopically guided Transtympanic dilatation of the proximal Eustachian tube is not associated with damage to the carotid canal in cadaver model. Level of Evidence: 4.
  • 机译 农村地区听力障碍患病率的新生儿筛查
    摘要:Hearing is one of the most important sense organs for man. Hearing loss is often associated with delayed speech and language development in young children. Early identification and intervention improves the chance a child gets to lesser delays in development and improving the overall quality of life. To find out the prevalence of hearing loss in neonates in the rural taluka of Maval, Pune, Maharashtra, India. Prospective Non Randomized Clinical Study. The study was carried out between April 2012 and April 2015. A total of 8192 babies were screened across various centers around the Maval area. The babies who had some high risk factors were 1683 in number and babies who had no high risk factors i.e. well babies were 6509. In our study, the overall prevalence of hearing loss in neonates in Maval taluka of Maharashtra was found to be 3.54 per 1000 live births, in normal born neonates (well babies) was 1.689 per 1000 births, in high risk babies was 10.69 per 1000 high risk births. The prevalence of low birth weight neonates, hyperbilirubinemia neonates and neonates with craniofacial abnormalities developing hearing impairment was found to be 5.9, 3.56 and 1.18 per 1000 high risk births respectively. India is the second most populated country in the world with nearly a fifth of the world’s population. There is a need for the universal neonatal screening for deafness for earlier detection of deafness and rehabilitation.Level of Evidence: Level IV.

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